Beyond the league study intresting Post and valuable
Informative and educative updated observation .
Very interesting observation. Nice to learn.
This study has no control group of pts with noncovid pts & hence this study is irrelevant ,it will be interesting to see if any of such data on RSI in non covid19 is available
In this condition the tx is suggested as, Syp kuka, 3tsf tid/ age Tab Respidien,or tab saulin bid. Shb tootesaih,2tsf bid. The patient will recover fast
Chagyaradi ghruta for external use and for internal use 15grams with milk up to40 days.
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Friends today I am discussing about the problem known as Piles or Hemorrhoids. Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels, support tissue, muscle, and elastic fibers. Facts on piles: Here are some key points about piles. More detail and supporting information is in the main article. Piles are collections of tissue and vein that become inflamed and swollen. The size of piles can vary, and they are found inside or outside the anus. Piles occur due to chronic constipation, chronic diarrhea, lifting heavy weights, pregnancy, or straining when passing a stool. A doctor can usually diagnose piles on examination. Hemorrhoids are graded on a scale from I to IV. At grades III or IV, surgery may be necessary. What are piles? Hemorrhoids and piles demonstrated in diagram or rectum. Image credit: Mikael Häggström, (2012, September 17) Internal piles occur more frequently than external piles. Image credit: Mikael Häggström, 2012, own work Piles are inflamed and swollen collections of tissue in the anal area. They can have a range of sizes, and they may be internal or external. Internal piles are normally located between 2 and 4 centimeters (cm) above the opening of the anus, and they are the more common type. External piles occur on the outside edge of the anus. Symptoms In most cases, the symptoms of piles are not serious. They normally resolve on their own after a few days. An individual with piles may experience the following symptoms: A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called thrombosed external hemorrhoids. After passing a stool, a person with piles may experience the feeling that the bowels are still full. Bright red blood is visible after a bowel movement. The area around the anus is itchy, red, and sore. Pain occurs during the passing of a stool. Piles can escalate into a more severe condition. This can include: excessive anal bleeding, also possibly leading to anemia infection fecal incontinence, or an inability to control bowel movements anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot Piles is classified into four grades: Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible. Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided. Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted. Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus. External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles, or hemorrhoids that have clotted, require immediate medical treatment. Everything you need to know about colon cancer Everything you need to know about colon cancer Be sure to rule out the symptoms of colon cancer. Click here to learn more. Causes Pregnant woman in doctors office. Pregnancy may increase the risk of developing piles, as it causes increased pressure in the body. Piles are caused by increased pressure in the lower rectum. The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge, forming piles. This may be due to: chronic constipation chronic diarrhea lifting heavy weights pregnancy straining when passing a stool The tendency to develop piless may also be inherited and increases with age. Diagnosis A doctor can usually diagnose piles after carrying out a physical examination. They will examine the anus of the person with suspected piles. The doctor may ask the following questions: Do any close relatives have piles? Has there been any blood or mucus in the stools? Has there been any recent weight loss? Have bowel movements changed recently? What color are the stools? For internal piles, the doctor may perform a digital rectal examination (DRE) or use a proctoscope. A proctoscope is a hollow tube fitted with a light. It allows the doctor to see the anal canal up close. They can take a small tissue sample from inside the rectum. This can then be sent to the lab for analysis. The physician may recommend a colonoscopy if the person with piles presents signs and symptoms that suggest another digestive system diseases, or they are demonstrating any risk factors for colorectal cancer. Treatments In the majority of cases, piles resolve on their own without the need for any treatment. However, some treatments can help significantly reduce the discomfort and itching that many people experience with piles. Lifestyle changes Woman standing on weighing scales. Diet and body weight may affect the risk of developing piles. Eating a high fiber diet and managing weight may help to prevent and treat the condition. A doctor will initially recommend some lifestyle changes to manage piles. Diet: Piles can occur due to straining during bowel movements. Excessive straining is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or primarily eating bran-based breakfast cereals. A doctor may also advise the person with piles to increase their water consumption. It is best to avoid caffeine. Body weight: Losing weight may help reduce the incidence and severity of piles. To prevent piles, doctors also advise exercising and avoiding straining to pass stools. Exercising is one of the main therapies for piles. Medications Several medicinal options are available to make symptoms more manageable for an individual with piles. Over-the-counter (OTC) medications: These are available over-the counter or online. Medications include painkillers, ointments, creams, and pads, and can help soothe redness and swelling around the anus. OTC remedies do not cure piles but can help the symptoms. Do not use them for more than 7 days in a row, as they can cause further irritation of the area and thinning of the skin. Do not use two or more medications at the same time unless advised to by a medical professional. Corticosteroids: These can reduce inflammation and pain. Laxatives: The doctor may prescribe laxatives if a person with piles suffers from constipation. These can help the person pass stools more easily and reduce pressure on the lower colon. Surgical options Around 1 in 10 people with piles will end up needing surgery. Banding: The doctor places an elastic band around the base of the pile, cutting off its blood supply. After a few days, the hemorrhoid falls off. This is effective for treating all hemorrhoids of less than grade IV status. Sclerotherapy: Medicine is injected to make the hemorrhoid shrink. The hemorrhoid eventually shrivels up. This is effective for grade II and III hemorrhoids and is an alternative to banding. Infrared coagulation: Also referred to as infrared light coagulation, a device is used to burn the hemorrhoid tissue. This technique is used to treat grade I and II hemorrhoids. Hemorrhoidectomy: The excess tissue that is causing the bleeding is surgically removed. This can be done in various ways and may involve a combination of a local anesthetic and sedation, a spinal anesthetic, or a general anesthetic. This type of surgery is the most effective for completely removing piles, but there is a risk of complications, including difficulties with passing stools, as well as urinary tract infections. Hemorrhoid stapling: Blood flow is blocked to the hemorrhoid tissue. This procedure is usually less painful than hemorrhoidectomy. However, this procedure can lead to an increased risk of hemorrhoid recurrence and rectal prolapse, in which part of the rectum pushes out of the anus. Outlook While they can be painful and debilitating, piles do not usually pose any ongoing threat to health and can be self-managed up to grades III or IV. If a complication develops, such as a fistula, this can become serious. Homoeopathic Remedy Options Aesculus hippocastanum. When this remedy is needed, hemorrhoids are sore and aching, with a swollen feeling. ... Aloe. ... Graphites. ... Nux vomica. ... Pulsatilla. ... Sulphur. ... Arnica montana. ... Calcarea fluorica. Others can also be on the basis of totality of symptoms.Dr. Rajesh Gupta8 Likes9 Answers
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30 yr male C/O- refractory epilepsy, low IQ, skin lesions, on AED. Which gene can you correlate? What is the diagnosis? MRI feature?Dr. Anjan Debnath3 Likes19 Answers
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22 /Female,No known commorbidities. H/o pain in left leg below knee -calf -ankle started on around 7-7-19 with pulsatile pain and off and fever No history of any injury , trauma, or insect bite etc. All started with pain and by two days started developing redness and then vesicles with darkening of the same spot and gradually extended to above knee involving calf and ankle She has recived Ax-Tab. Zifi 200for 5 days Tab .Linezolid 600 for 5 -7 days Tab .Itraconazole for 7 days Was started with treatment considering cellulitis since 11-7-19 conservatively Now O/e : Pleth not defined on pulseox Planned for doppler study Kindly advice expert opinion and further managementDr. M A Khn3 Likes21 Answers
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patient suffering from this lesions last since 5yrs, on his both leg.pt. age 35yrs male,non diabetes, no itching. please Rx/DC.Dr. Bhagaban Choudhury4 Likes15 Answers
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The underlying factor implicated in salivary gland MALToma is.......... A. Helicobacter pylori B. Epstein- Barr virus C. Sjögren's syndrome D. SclerodermaDr. Maqusud Ansari3 Likes18 Answers