วันศุกร์ที่ 25 พฤษภาคม พ.ศ. 2555

Mitral Valve Prolapse Syndrome - Being separate

Prolapse Surgery:

When I was twelve, our stern, small-town physician diagnosed me with mitral valve prolapse (Mvp), though he never explained the disorder. During my teens I had strange symptoms other girls didn't experience: fainting, fatigue, and eyes burning as though wind blew permanently into them. My mom noticed and trotted me off to that detestable, cursing physician.

In his office he scolded me in his nasal voice, "There's not a damn thing wrong with you. God Almighty, don't give your poor mom something more to worry about. Think about her instead of being selfish. What you need is a psychiatrist." I can see his face redden with anger.

Didn't he remember? Earlier, after his Mvp diagnosis, he had curtailed any sports with the use of my arms, which is not the way Mvp is handled now. Agreeing to him, in two years I would be fine. well I had felt better before the sports restriction. Without sports for two years I had lost muscle impel and tone.

Prolapse Surgery:Mitral Valve Prolapse Syndrome - Being separate

Mitral Valve Prolapse

Mvp is the most generally inherited heart qoute in the United States. Yet it is listed with the National assosication of Rare Disorders (Nord) because the disorder is not completely understood or acknowledged by most physicians. While the statistics vary with sources, the estimated percentage who have this qoute includes as many as thirty percent in this country. Agreeing to a contemplate in the late 80s, three times more women have Mvp than men.

The heart has four valves inside it to pump the blood in and out: the aortic, the mitral, the pulmonary, and the tricuspid. The mitral valve acts like a door in the middle of the left atrium and the left ventricle in the heart. When the lower part of a normal heart contracts, the mitral valve closes and prevents any blood leakage into the upper chamber. With Mvp, the valve balloons out of shape. A physician hears this through a stethoscope as a click. If the valve shifts enough, it can allow some blood to flow back into the upper chamber, and the physician hears a murmur.

Have you heard your own heart through a stethoscope? Have you heard the click or the murmur? Ask your physician to allow you to do this. It's important you know what sound your heart makes. Of course, some murmurs and clicks are difficult even for a cardiologist to detect. But give it a try. If you squat, the hardest position on the heart, you will hear it. One woman chose her physician based on whether the physician could hear her murmur.

However, this structural blemish is not what normally causes the myriad of symptoms. Most Mvp people have wholesome hearts.

Mitral Valve Prolapse Syndrome With Dysautonomia

A syndrome is a range of symptoms which has more than one cause, whereas a disease has a single cause. Mvps/D has a recognizable pattern of symptoms and signs. As the physicians and researchers understand, the symptoms reflect a failure of control mechanisms, specifically in the nervous system. The more they learn about the disorder, the more likely they will be able to find a single cause and change Mvps/D to a disease status.

The nervous ideas is divided into two parts: voluntary and involuntary. The involuntary nervous system, also known as the autonomic nervous ideas (Ans), is more complex and controls most physical functions such as body temperature, sweating, blood pressure, heart rate, salivation, pupil dilation and contraction, sleep-wakefulness balance, intestinal functions, digestion, and many others. This ideas has two major divisions: sympathetic, which speeds up the system, and the parasympathetic, which slows the system.

The physicians join together some Mvp symptoms to the Ans, an imbalance known as dysautonomia or an autonomic (which means automatic) nervous ideas dysfunction. Therefore, when the Mvp outpatient experiences symptoms that involve the Ans, the physicians refer to the disorder as mitral valve prolapse syndrome with dysautonomia, the most coarse type of dysautonomia.

The central qoute of Mvps/D is the body's inordinate response to adrenaline and adrenaline-like hormones. (Hormones and nerves serve as control systems in the body.) Most Mvps/D patients have a bit too much noradrenaline, a related hormone. Most of the symptoms come from assorted organs' over-responsiveness to even normal amounts of adrenaline-like hormones.

Thus, you can see it would be best for Mvps/D patients to minimize the release of adrenaline into their blood streams. Of policy stimulants of any kind-caffeine, sugar, alcohol, chocolate, aspartame, NutraSweet, Splenda, monosodium glutamate, and some over-the-counter medications, those containing caffeine, epinephrine, ephedrine, and pseudoephedrine-should be eliminated from your diet. Stimulants can include people and activities. Movies, at times, can over-stimulate my system, even talking.

Check with your physician before a therapist uses electricity, which can trigger symptoms. Patients should allow only moderate sun and heat exposure and moderately advance to health their bodies to exercise. These cautions will withhold a high blood volume. A higher blood volume means an adrenaline increase is less likely. Patients also need to control their responses to stressful emotional situations. Yeah, right! That's a trick in itself.

Debbie Petersen, who has yet to get her symptoms under control, calls the dysautonomia part an everyday hell to live with. "Right now it's just trial and error every day."

'I was so happy to know there was a name for what is partly wrong with me: dysautonomia," wrote Rita McNeil. "Most people have never heard of it, let alone know what it means."

"The disorder takes a essential toll on lifestyle and work capacity," commented Linda Smith of the National Dysautonomia study Foundation (Ndrf).

Dr. David H. P. Streeten, a study pioneer for orthostatic intolerance (Oi), sums the impact of dysautonomia on a person's life: "While we are not permanently aware of the operation of the autonomic nervous ideas as we are of unusual sensory and motor events, the normal functioning of the autonomic nervous ideas day and night, from heart-beat to heart-beat, plays a largely unconscious but vital role in our livelihood. It is not surprising, therefore, that autonomic abnormalities, though they are normally more difficult to recognize than a severe pain, a sensory loss, or numbness of a limb, may be even more important in impairing the potential and even jeopardizing the continuation of life."

Space Shuttle Columbia

The astronauts feel similar problems when they take off from Earth and land from outer space. Dr. Andrew Gaffney, cardiologist and astronaut, served as Payload scholar on Spacelab Sciences 1 as part of a Space Shuttle Columbia mission in the early 90s to study the astronauts' problems.

Understanding how our Mvps/D problems work helped him understand why the astronauts feel their symptoms such as dizziness and faintness when they stand. During the early part of the space flight, Dr. Gaffney flew with a catheter inserted into his arm vein to narrative the blood pressure colse to his heart. Within a few hours after lift-off, his blood pressure and blood volume dropped remarkably, Agreeing to favorite Science Magazine, March, 1993.

"As we sort out that data," Dr. Gaffney said, "we are learning a lot more about where the blood goes, where it is stored-in terms of the venous system, and the association in the middle of the adrenalin levels and the blood volume."

Dr. Gaffney, chief of clinical cardiology at Vanderbilt University School of Medicine, Memphis, Tn, describes what he knows Mvps/D to be: "There is a customary abnormality of autonomic tone so that these people tend to be vascularly constricted." That constriction leads to shrinkage of blood volume. The lower volume feeds back and causes more constriction and that becomes a vicious cycle.

That cycle contributes to the symptoms such as fatigue. "We all know patients who are anemic have fatigue, and everyone understands that," Dr. Gaffney said. "Well, it is perhaps a slight more difficult to understand (with Mvps/D). You can have the right number of blood volume but if you don't have adequate red cells in it, then you get tired because you don't deliver the oxygen. That's anemia. You can have the right concentration of red blood cells, so you are not anemic, but if you don't have adequate blood, then it is the same problem. Absolute number of red blood cells that carry the oxygen is what determines whether you can exercise more."

Blood Volume

"Blood volume is essential to forestall symptoms from starting," said Susan Elliott, who taught physics before Mvps/D symptoms changed her lifestyle. "When blood volume gets low, it tends to trigger a chain of reactive events that cause things like tachycardia, feeling too hot or too cold."

Even a slight imbalance in the Ans can cause low blood volume in Mvp patients. Up to twenty-five percent lower. The thirst signal fails to turn on, keeping the blood volume low.

It is very important for people with Mvps/D to drink at least 70 ounces of fluids daily, more if the temperature is higher. A good way to remember the number is if the temperature is higher than 70, drink the equal number of ounces to the degrees in temperature. Such as if it is 86 degrees, drink 86 ounces of fluids. An easy way to accomplish this is to keep a water bottle with you and try to drink eight ounces every hour. And to make it well fun, sing the tune to "Pump Up the Volume," by M/A/R/R/S.

Susan also found the more water, the less her Mvps symptoms such as twisting leg muscles. Also included in her regimen were potassium, zinc, and magnesium, minerals helpful to heart and muscular function and power metabolism.

Fluids "fake out your body," Susan says, manufacture it seem to have higher blood volume. She drinks a gallon of water a day, always remembering to salt the water or eat something salty with it. The salt helps withhold water and essential nutrients such as potassium. Other belief is to intake fluids with salt gift like sports drinks or soups. However, patients with hypertension (high blood pressure) need to consult their physician first.

Vertical Vs Horizontal

When a Mvps/D person lies down, she can immediately feel symptoms such as tachycardia or heart pounding. "If you lie flat, that can furnish too much blood to your head and heart too fast," Susan said.

While we are vertical, the blood circulates the entire body with less volume than people without Mvp. When our bodies become horizontal, the blood floods the head and the heart chambers, causing the symptoms, until the pumping adjusts.

To offset this, some people sleep on a slight incline such as in a recliner. To create her slant, Susan puts a board beneath her headboard. Pat Conrad sleeps on two pillows. Then her palpitations are "not so extreme." When the heart pain continues, she elevates her feet. My husband and I use two thick encyclopedia volumes that help me and his gastrointestinal reflux disorder (Gerd).

Orthostatic Intolerance (Oi)

People take their potential to stand for granted. Oi patients do not. Daily they struggle with the symptoms brought on by the vertical position. Upon standing, a person with orthostatic hypotension, Other word for Oi, might feel lightheadedness, dizziness, palpitations (throbbing or heavy beats), tremulousness, visual changes, a stuffed head feeling, ears ringing or buzzing, fainting, and poor concentration because her blood pressure has suddenly fallen. About a half million Americans have Oi, Agreeing to the National Dysautonomia study Foundation.

Being upright produces blood pooling in the lower abdomen and limbs, blood which is no longer available to the upper body. With an sufficient Ans, the body speedily compensates by addition the heart rate and other cardiac output.

When the Oi person stands, her blood volume lowers, her blood vessels lose an inordinate number of plasma, and her kidneys pour out salt.

Some patients feel fatigue, tachycardia (abnormally rapid heartbeats), and shortness of breath, which is termed sympathontonic or hyperadrenergic orthostatic hypotension because the sympathetic part of the Ans increases.

Not every outpatient has all these abnormalities. Most Oi patients have a mild case which can improve over weeks or months. Most will at last be free of their symptoms.

However, in patients with severe symptoms or with a sudden Ans alteration such as actor-director Christopher Reeves experienced with his fall, the rescue may never come.

A few other names used for Oi are as follows:

orthostatic tachycardia syndrome

postural orthostatic tachycardia syndrome (Pots)

hyperadrenergic postural hypotension

partial dysautonomia

sympathotonic orthostatic hypotension

hyperadrenergic orthostatic hypotension

mitral valve prolapse syndrome

Supplemental Help

Calcium

Calcium, the body's most abundant mineral, is settled mostly in the bones and teeth because its function is to build and pronounce bones and teeth. It also is essential for wholesome blood, regular heart beats, and proper nerve transmission. Calcium is useful for cardiovascular disorders. Cases of calcium deficiency have provoked heart palpitations, slow pulse rates, and inordinate irritability of nerves and muscles.

The best supplemental source lies in calcium lactate or gluconate because these are natural derivatives and easier to absorb. Foods rich in calcium are milk products, green leafy vegetables, shellfish, and molasses.

Magnesium

This essential mineral lives within the body cells to get underway enzymes for the metabolism of carbohydrates and amino acids. It helps to regulate the acid-alkaline balance and to promote absorption and metabolism of other minerals and vitamins. With nearly 70 percent of it settled in the bones, magnesium aids During bone growth, is vital for proper nerve, muscle, and heart functions, helps regulate body temperature and blood sugar change to energy. Magnesium is alkaline, so it should not be taken after meals but can be used in place of antacids.

This mineral can help forestall heart attacks and depression. It is useful for neuromuscular disorders, nervousness, and sensitivity to noise. Contrary to the old sayings, magnesium helps form the hard tooth enamel that resists decay, not calcium.

Large amounts of magnesium can be toxic if the calcium is low and phosphorus is high. Magnesium loss increases with the use of diuretics and alcohol. Foods rich in this mineral are seafood, whole grains, dark-green vegetables, molasses, and nuts.

Potassium

Elaine Hansen had spells of irregular heartbeats that would last up to twelve hours, often During the night. She felt very tired afterwards. Her house physician said the cause was low potassium.

This essential mineral works with sodium to help normalize the heartbeat. If you're prone to palpitations, you might feel them when you are in the low-to-normal range for serum potassium. When they come on, try drinking orange juice to help the palpitations go away.

Together, potassium and sodium regulate the body's water balance, i.e. They distribute the fluids on the cells' walls. They equalize the acid-alkali factor, help in muscle contraction and expansion and in nerve stimulation. With phosphorus, potassium sends oxygen to the brain and with calcium regulates neuromuscular activity. This is a handy slight mineral for our bodies.

However, potassium and sodium must be in balance or inordinate salt will deplete potassium. Alcohol and inordinate sugar can deplete both potassium and magnesium. Potassium is excreted through urination and perspiration. Foods with potassium are lean meats, whole grains, vegetables, dried fruits, legumes, and sunflower seeds. A high potassium level can be life-threatening and can occur in renal failure.

Sodium

Half of our body's sodium is found in the extra-cellular fluids such as the blood vessels, arteries, veins, and capillaries. As I wrote in the last section, sodium works in conjunction with potassium. It keeps other blood minerals soluble so they won't become deposits in the bloodstream. Foods plainly rich in sodium are seafood, celery, milk products, table salt, and baking powder.

Water

In elementary school we learned water is two-thirds of our body weight, so we know it's our body's most important nutrient. It makes up about 70 percent of our weight. We can live longer without food than we can without water. Water is needed for everything from maintaining body temperature to carrying away our waste. For Mvps/D, water is essential to pronounce a level high blood volume.

My young neighbor Ryan had a qoute with constipation. His parents used all the usual remedies. Still, Ryan might wait as long as five days without a bowel movement.

Finally his physician asked how much water he drank daily. When his mom answered, the physician said that was adequate for some; however, some people's colons digest water at different rates. The faster the absorbency, the firmer the stools. Presumably then (assuming no other variants), the more water one drinks, the softer the stools.

I never thought about water as an reply to my irritable bowel syndrome (Ibs). I had assured myself I drank adequate water. Besides, my stools normally change when I've overworked and my other symptoms, such as migraine and fatigue, come out of hiding.

When I began drinking my gallon (and that takes discipline!), my stools softened to normal consistency without my other Mvps/D appearing. Since I've been on the gallon regimen, my stools have been firm or softened, never irritably hard.

Of course, other elements can be complex such as the foods we eat and much more. Chocolate and red meats preserve stools. I discovered . . . For me . . . That water helped my Ibs.

Someone commented about drinking too much water. In the May, 2000, issue of Town and Country magazine, Diane Quagliani, a registered dietitian and spokesman for the American Dietetic Association, was quoted, "Everyone loses about ten cups of water daily, so it's important to drink about eight eight-ounce cups of fluid-the rest is made up by water in foods and the water the body makes in metabolism. The bigger, more active, and more overheated you are, the more fluids you should take in. Taking in too much (water) is not very likely, unless it is gallons a day, and the main danger would be flushing out too many electrolytes. wholesome kidneys can keep up with most consumption."

Others complained they would have to run to the potty more often. In hot humid weather, the average person should eliminate urine every two hours if the person drinks adequate water to cover sweating, Agreeing to my house physician.

When I tried the gallon experiment, some days I hit the toilet plunger more than the norm. But Other day I wouldn't. What is normal anyway? The interrogate should be "What is best for your body?"

The Town and Country narrative writer, Ila Stranger, wrote that it "makes sense that drinking adequate water is bound to help us avoid dehydration-which can happen as well in the overheated rooms of midwinter as in the summer sun-and make us look and feel alive and well."

Each day I grab a gallon jug of spring water or fill a gallon pitcher and set it on the counter to remind me to strive to drink more water. Not only for my Ibs but for my blood volume, blood pressure, and the many other tasks my body permanently performs. I've found in the winter lukewarm water is swallowed easier. Ice water is a shock to the throat, sometimes even in hot weather.

Some people prefer to drink mineral water rather than tap water. Others use well water. Neither should be relied upon for a person's source of minerals. Distilled means the water has been boiled water with all harmful or useful minerals eliminated. Fruits and vegetables are good dietary sources for chemically pure water, which is 100 percent pure hydrogen and oxygen. The use of these are an individual choice.

The Environmental safety Agency's hot line is 1-800-426-4791; its website is http://www.epa.gov/safewater. The Natural Resources Defense Council website (www.nrdc.org) contains in its archives the results of a new four-year study on bottled waters. The author of the overview results is Dr. Andrew Weil on the website http://www.pathfinder.com/drweil.

Antibiotics

Before any invasive procedures, Mvps/D patients with valve leakage should take antibiotics to forestall bacterial infection from forming on their valve. Such as dental work, body piercing, tattoo, and surgery. A few years ago the physicians recommended antibiotics for all Mvp patients. Now only those with exact regurgitation (leakage) are urged to do this, and the dosage has been cutback to only before the procedure.

For other surgeries and procedures you can consult with your physician or the Mvp clinics.

Research In Mvps/D

Dr. Al Davies, join together professor of medicine at Baylor College of medicine in Houston, has led the Mvps/D study of chemical reactions in the middle of adrenaline and several important proteins.

The proteins are settled near the lining membrane of a cell of a body organ. Three proteins of most point are: the receptor on the cell's surface, a G-protein settled inward, and an enzyme called adenylyl cyclase on the inside cell membrane's surface.

Normally, adrenaline attaches to the receptor protein, which combines with the G-protein. (Full name is stimulatory guanine nucleotide regulatory protein.) Once these are activated, they turn on the enzyme which causes internal actions such as rising blood pressure or increased heart rate.

Dr. Davies and his colleagues have shown that the Mvps/D patient's abnormally increased sensitivity to adrenaline is due to an overly active, abnormal G-protein.

The possibilities to the interrogate "Why?" are numerous. And there are many steps before a full reply and medicine are developed. The researchers belief this might be due to an abnormal gene since the illness is hereditary. However, their studies show the gene is normal.

To the Mvps/D patient, that seeing carries hope because the cause is not something as simple as a bad gene passed down from our grandfather. Something happens to the protein after the gene makes it and before the adrenaline activates it.

Editor of the November, 1998, extra American Journal of curative Sciences supplement on Oi, Dr. David Robertson entitled the issue "Epidemic of Orthostatic Tachycardia and Orthostatic Intolerance." Dr. Robinson writes that many centers actively pursue Oi study and expect rapid improvements in prognosis and therapy. The director of the Clinical study center at Vanderbilt University, Nashville, he adds, "A wholesome appearing 20-year-old woman with dizziness, palpitations, and fatigue is well no longer passed over as having a psychosomatic illness!" Well, maybe not in Nashville. generally the tilt table test is used to diagnose a dysautonomia.

Many Physicians' Attitudes

My former country physician may sound old-fashioned and something of the past; however, we with Mvps/D know his attitude remains with most of the physicians we meet today. One of the tough barriers we have to get colse to is seeing a knowledgeable, caring physician.

For most people who have diabetes, cancer, or even strange diseases, they can feel a physician, and within a few visits they have their illnesses diagnosed. They are believed from the time they enter the physician's office.

We with Mvps/D are not believed. We must study our own disorder, be abreast of the most recent drug regimens, carry literature about our illness to give to the physician, and then know the physician probably will not reconsider our illness legitimate or treat us. It's just crazy when you think about it! How much proof does a physician need? Why can't they keep informed about Mvps/D when a fifth of the nation has Mvp and might perhaps become symptomatic?

Education and study are keys to solving the Mvps/D puzzle in our bodies. With these always lies hope. Miles and miles of hope!

Prolapse Surgery:Mitral Valve Prolapse Syndrome - Being separate

วันพฤหัสบดีที่ 24 พฤษภาคม พ.ศ. 2555

Enema supervision - How to Give an Enema

Prolapse Surgery:

A process that involves the insertion of fluid into the anus rectum, enema has for real been around for many years. The enema management process has been used to cleanse the colon and lower intestines to remove build up of fecal matter and toxins.

Although there are varied reasons why colon cleansing is performed, the most common is to stimulate bowel movements. Usually, the whole policy takes from everywhere between 30 minutes to a few hours.

It is ordinarily done for the following reasons:

Prolapse Surgery:Enema supervision - How to Give an Enema

o Treatment of constipation
o Colon cleansing
o Preparation for bowel surgery
o Deliver medication via the rectal membranes
o Alleviate inflammation of the bowel
o Remove immoderate ammonia or potassium

To administer an enema, supervene these easy steps:

Before the procedure:

1. Ensure privacy by windup the drape or the door.
2. Ask the outpatient to empty their bowel and/or bladder.
3. Ask the outpatient to remove their clothing.
4. Position a pad, preferably waterproof, under the hips of the outpatient to prevent the bedding from becoming wet.
5. Place toilet paper and bedpan within arm's distance for easy access
6. Discuss with the outpatient the point of breathing to relax their whole body, it will make it much more comfortable.
7. Ask the outpatient to hold their bowel for at least 5-15 minutes after the policy for the enema to work.
8. Check the label of your enema solution ensuring that you have the right dosage and strength.
9. Wash your hands and use gloves at all times while the procedure.

Beginning the procedure:

1. Ask the outpatient to lie down on their left side with the knees bent
2. Slowly lift the buttocks until the rectum is seen
3. Insert the lubricated enema catheter tip into the rectal opening, positioning it towards the navel
4. Ask the outpatient of any cramping or discomfort. If yes, then sacrifice the flow and ask the outpatient to breathe deeply and relax.

After the Procedure:

1. Stay with the outpatient and ask if they need any assistance in getting to the toilet.
2. Instruct the outpatient to lie still and relax.
3. Ask if they want help or prefer privacy.
4. Wash hands after policy as well as re-usable items.
5. Take note of the enema results.

Enema management Precautions

If you will be undergoing an enema procedure, you should be aware of the inherent dangers:

o Frequent enemas could lead to bowel irritation, muscle tone loss and fluid overload.
o Should be administered with caution to patients who suffer from arrhythmias or myocardial infarction.
o Should Not be administered to patients whose abdominal pain has yet to be diagnosed.
o Should Not be administered to patients who have rectal tissue prolapse or rectal bleeding.
o If administered improperly, enema could lead to imbalance in electrolytes that could supervene to internal hemorrhage.

With all this in mind, I hope you have made sure that you've got everything under control, so you can give person a good enema experience.

Prolapse Surgery:Enema supervision - How to Give an Enema

Heart Problems

Prolapse Surgery:

In the last newsletter, we worked straight through the anatomy of the heart -- primarily to lay the groundwork for this issue. By using what we learned in the last issue, we can now explore:

Things that can go wrong with the heart.

Medical treatments.

Prolapse Surgery:Heart Problems

Limitations that may be possible in some of those treatments.

What you can do to convert the equation.

Incidentally, if you haven't read the previous newsletter, Anatomy of the Heart, you might want to do that now. It's not beyond doubt necessary, but it will make for a more rewarding caress as you read this newsletter.

Problems of the epicardium

As you may remember, the epicardium is the lining that surrounds the heart muscle -- inside and out. On the inside, it's called the endocardium, and on the face it's called the pericardium. Let's start our discussion of heart problems by seeing at the epicardium -- not because it's the most leading part of the heart, but because it's a simple place to start and lets us dip our toes into the subject before plunging into deeper waters.

Problems that can occur with the heart lining pretty much fall into two categories

Physical damage.

Inflammation caused by infection.

Physical damage is easy to understand, and ordinarily easy to repair. You're driving in your car, you get into an accident. You're slammed against the steering wheel or an airbag. Your body stops suddenly but your heart, powered by inertia (an object in petition tends to stay in motion) keeps enthralling transmit and tears the pericardium that holds it in place before bouncing back and coming to rest. This causes bleeding in the pericardial sac, which serves as the buffer between the heart and the chest wall and lungs. The extra fluid (blood) pumps into the sac under pressure which expands the sac, thereby squeezing and constricting the heart. If the pressure isn't relieved, it can build to the point where it constricts the heart so much that it prevents it from beating. Herbs and neutraceuticals are not much use here. Fortunately, curative intervention tends to be easy and efficient in these situations. A catheter inserted into the sac to drain the excess blood and ease the pressure will ordinarily do the trick -- along with stopping the bleeding.

Inflammation (known as "itis" in curative terminology) is a miniature more complex. The former cause of inflammation of the heart lining is infection, both viral and bacterial. Depending on which part of the lining is affected, it will be called pericarditis, endocarditis, or epicarditis. The inflammation can cause chest pain, strangeness pumping, or fever. These symptoms can be mild, acute, or even chronic. Appropriate treatment includes the use of antibiotics and antivirals. These are "usually" efficient unless the underlying infection is defiant to the arsenal of drugs at your doctor's disposal, which is a growing problem. Fortunately, there are natural alternatives together with garlic, olive leaf extract, oil of oregano, grapefruit seed extract, etc. That can work even in the case of drug defiant infections.

Problems with heart valves

Also, as we discussed last issue, your heart valves are constructed like parachutes with tendons or cords anchoring them to the heart muscle to keep them from opening too far. Their role is to allow blood to flow down from the atria into the ventricles, and then to seal shut when the ventricles pump so that blood doesn't back up into the atria, but is instead forced out into the main pulmonary artery from the right ventricle or into the aorta from the left ventricle. Problems with the valves are easy to understand and fall generally into two categories.

Backflow, or regurgitation, is caused by misshapen or damaged valves or ruptures to the tendons that hold the valves in place. These things cause the valves to imperfectly seal with each heartbeat, thus allowing backflow into the atria.

Stenosis, or hardening of the valves, caused by disease or aging prevents the valves from fully opening. This limits the flow of blood into the ventricles so that they cannot fill fully in the fraction of a second the valves are open. Since the ventricle chamber is now partially empty when it pumps, it generates less pressure with each beat, which ultimately reduces the estimate of blood that flows straight through the body.

There can be manifold causes for both problems.

- either you were born with a problem. This can be genetic or it can be the ensue of nutritional problems in your parents' diet (either before you were conceived or while you were gestating).

- Over time, as a ensue of aging and poor nutrition, the valves shrink and convert shape.

- Infection has caused the valves to inflame so that they no longer seal perfectly.

- Diseases such as rheumatic fever and syphilis have scarred and hardened the valves.

- Valvular tissue can be damaged in the same way as heart muscle tissue as the ensue of a heart attack.

- Valve tendons may rupture, which means the valve no longer stays in place when backpressure is created by the squeezing of the ventricles.

The lowest line is that the pumping process becomes less efficient, and your heart has to pump harder and faster to compensate. Treatments can range from doing nothing, to using drugs to sacrifice infection and inflammation, to surgically replacing the damaged valves with artificial valves.

Doing nothing you might ask? Absolutely! In most cases, that's what doctors do. Why? The heart has substantial retain capacity. Last issue we mentioned that you can have 70% blockage of your coronary arteries and never caress any outward symptoms. It doesn't stop there. Your heart also has a substantial retain pumping capacity and when called upon can increase production 5-8 times if needed. For example, in mitral valve prolapse (a health in which the mitral valve "falls down", or prolapses too far into the left ventricle allowing for backflow into the right atrium), there are ordinarily few symptoms or any problems. In most cases doctors will just make note of it and watch for any changes.

On the other hand, sometimes, there are symptoms. These can include:

- That old standby, chest pain.

- Fatigue and/or dizziness.

- Shortness of breath.

- Low or high blood pressure, depending on which valve is affected.

- Palpitations caused by irregular heartbeats.

- Even migraine headaches.

In those cases the valves are often substituted with mechanical valves. At one time, you could beyond doubt hear the mechanical valves make a miniature clicking sound as they opened and finished 70-80 times a minute. This drove some citizen crazy when they tried to sleep at night. Newer models have overcome that qoute and are silent.

Now you might think since problems with valves are mechanical in nature that nourishment and supplements would not play much of a role in resolving them. If so, you would be wrong. Most curative doctors are not aware of this fact, but there are numerous studies showing nutrients matter -- and supplementation can beyond doubt convert the mechanical aspects of valve function. For example, it has been shown that magnesium plays a role in mitral valve prolapse.

Therapeutic ensue of a magnesium salt in patients suffering from mitral valvular prolapse and latent tetany.

Magnesium deficiency in the Pathogenesis of Mitral Valve Prolapse.

This is just the tip of the iceberg. In fact, nourishment and supplementation can play a former role in maintaining optimum heart health -- and even reversing many lasting heart problems. We will talk more about this later; but for now let's search for problems that happen within the coronary arteries.

Circulatory problems

The first blood vessels off the aorta are the two coronary arteries, which subsequently split off into numerous branches that feed the heart. Blockage of these arteries straight through the build up of arterial plaque is one of the most base causes of death. The net ensue is ischemia, which means a "reduced blood supply." As I mentioned last issue, because there is so much redundancy in the branching of the coronary arteries, you can have up to 70% blockage and yet have no clear symptoms. At some point, though, you will have a heart attack, also known as myocardial infarction. The myocardium is the name of the heart muscle, and infarction means the "death of tissue." In other words, a heart attack is the ensue of loss of blood flow to the heart muscle, which causes death of heart muscle tissue. The severity of the attack is determined by:

Which part of the muscle is damaged. (Some parts are more necessary than others.)
How total the damage is.

In some cases, citizen do beyond doubt die from their first heart attack. In most cases, though, the attacks are progressive -- with each attack killing more and more tissue until the remaining heart muscle can no longer carry the load. Depending on the extent of the damage, Appropriate curative treatments include:

Drugs, such as:

- Beta-blockers to slow heart rates and decrease blood pressure -- thus lowering the heart's demand for oxygen.

- Nitroglycerin to open coronary arteries and sacrifice the heart's demand for oxygen.

- Calcium channel blockers to open coronary arteries to increase blood flow to the heart muscle.

- Angiotensin-converting enzyme to allow blood to flow from the heart more easily, decreasing the workload on the heart.

- Angioplasty uses a balloon inflated inside the blocked artery to press the plaque against the arterial wall, thus clearing the blockage -- at least temporarily.

- Stents are like angioplasty on steroids. Instead of just pressing the plaque against the wall of the artery, the balloon is also used to also press a wire mesh against the arterial wall to hold the artery open.

- Bypass surgery involves using a vein (usually taken from the leg) to beyond doubt create a bypass around the clogged area of the coronary artery.

Heart transplants.

None of these options is perfect. Angioplasty and bypass surgery (even though they have been in use for years) are beyond doubt unproven (for those of you who think all in treatment is backed by peer reviewed studies). In fact, modern studies indicate that they may beyond doubt give only miniature temporary relief with no extension of life -- not to mention an increased risk of stroke. Both stents and angioplasties (and bypasses too, for that matter) speedily re-plug, a qoute called restenosis, and need to be periodically redone or replaced. New forms of stents are coated with drugs to slow down restenosis but come with their own set of problems. Bypass surgery produces a dramatically increased risk of stroke, infection and profound depression. And heart transplants force you to stay on immunosuppressant drugs for the rest of your life.

Far and away the biggest qoute with all of these treatments, though, is that they only treat one manifestation of the problem, not the underlying cause -- the fact that the arteries are blocking in the first place. It is here that alternative therapies excel -- both short term, and long term. For example:

Dietary changes can have a profound impact in reversing coronary heart disease as can a estimate of supplements.

Shifting the equilibrium of Omega-6 to Omega-3 fatty acids can eliminate a major source of heart attacks.

Hawthorne berries are tonic for the heart, working to retain the free time and dilation of coronary arteries and expanding the flow of blood and oxygen to and from the heart. In effect, Hawthorne berries work much like prescription drugs, but without the side effects.

Blood Clots

Another aspect of coronary heart disease is the blood clot or thrombus. (If it becomes dislodged and floats free, it's called an embolus.) In larger arteries, a clot will only impede the flow of blood. In smaller arteries, it can fully block it. Thrombi form most often in the veins of the leg, where they then float off (now called emboli) and end up lodging in and blocking the smaller arteries of the heart, lungs, and brain. There can be many triggers for the formation of clots and emboli, but one of the more enthralling is deep vein thrombosis -- the formation of blood clots as the ensue of prolonged sitting in airplanes and cars.

Preventing blood clots reduces the risk of stroke, heart attack and pulmonary embolism. The Appropriate treatment for those at risk of embolisms involves the use of drugs such as Heparin or warfarin (a form of rat poison), which are anticoagulants used to inhibit the formation and increase of existing blood clots.

But these drugs are dangerous and require constant watching and regulating since they can cause internal bleeding. Far safer (and great since they also dissolve arterial plaque and help promote the repair of arterial tissue) are proteolytic enzyme formulations that couple specialized enzymes such as nattokinase.

Problems with the heart muscle -- the myocardium

In the end, when you're talking about the heart, it mostly comes down to the myocardium -- the heart muscle. The danger of coronary heart disease, for example, is that it starves the myocardium of oxygen and kills it. The danger of a valve qoute is that it troops the myocardium to work too hard. The danger of a bio-electrical/conductivity qoute is that it throws the heart muscle out of rhythm and causes it to lose its beat, or to fibrillate. (Fibrillation occurs when a heart chamber "quivers" due to an abnormally fast rhythm and can no longer pump blood well. Fibrillation of the atrium is called atrial fibrillation; in the ventricle it's called ventricular fibrillation. Ventricular fibrillation ordinarily leads to death.) To paraphrase the Clinton campaign in the '90's, "It's all about the myocardium."

Problems in the atria

For the most part, problems in the atria are not life threatening. Even if both atria totally lose their quality to pump or weaken and balloon out, you lose maybe 30% of your total heart function. Without pumping, gravity and suction will still bring most of the blood down into the ventricles. There are, of course, times your doctor will want to address problems, but for the most part, you can live for years with barely functioning atria.

Problems with the ventricles

Ah, but the ventricles are a different story. When the left ventricle goes into fibrillation, we're talking cardiac arrest. It's time to pull out the galvanic paddles. So what kinds of problems are we talking about?

Myocarditis, or inflammation of the heart, is a form of cardiomyopathy (which beyond doubt translates as "heart muscle disease"). The qoute here is that blood flows more gradually straight through an enlarged heart, which increases the likelihood of blood clots. In addition, citizen with cardiomyopathy are often at risk of arrhythmia and/or sudden cardiac death. When cardiomyopathy results in a significantly enlarged heart, the mitral and tricuspid valves may not be able to close properly, resulting in murmurs. There may be manifold causes of myocarditis, together with viral infection. base culprits include: influenza, herpes, Epstein-Barr, hepatitis, and salmonella.

Ischemic cardiomyopathy is a weakness in the muscle of the heart due to inadequate oxygen delivery to the myocardium, with coronary artery disease being the most base cause. (Ischemia simply means "reduced blood flow.") Anemia, sleep apnea, and hyperthyroidism can also conduce to ischemic myocardium.

Myocardial infarction beyond doubt means the "death of heart muscle tissue." Since heart muscle does not grow back, this has a snowball effect. If you have a heart attack that starves part of the heart muscle of oxygen so that it dies, that scar tissue does not recover. You now have a weakened heart that is more likely to suffer a subsequent attack -- leading to more heart muscle damage and increased chances for a third attack. And so on. It's not too hard to see where this leads -- to long-term loss of heart muscle operation and lasting heart failure.

Congestive heart failure (Chf) is a health in which your weakened heart can no longer pump out all the blood that flows into it. Chf is the most base cause of hospitalization for citizen over age 65. It kills more than 50,000 citizen a year in the Us and costs the health care theory more than billion per year. The heart is just like other muscles. When it is weakened, it becomes enlarged and inefficient. This leads to congestion and flaccid muscle tone. In fact, it can even lead to prolapse of the heart in which the heart beyond doubt "drops" from its former position in the chest. It is not unusual to require a stethoscope placement three to five inches below the general area when listening to a weakened heart.

Unfortunately, contemporary treatment comes up short when it comes to problems of the myocardium. Mostly it just deals with the aftermath.

If the heart stops beating, use the galvanic paddles to get it going again.

If no paddles are near, pop a nitroglycerine tablet.

Perform a coronary bypass to try and prevent any added damage.

Use nitroglycerine tablets to open up the arteries in an urgency and prevent a heart attack.

When it comes to the muscle itself, nothing! But as luck would have it, here's where alternative therapies shine.

- All of the B vitamins, but especially vitamin B4 are necessary for heart health.

- Congestive heart failure has been strongly tied to significantly low blood and tissue levels of CoQ10.

- Supplementation with CoQ10 can beyond doubt convert the size and shape of the heart.

- Studies have shown that high concentrations of heavy metals such as mercury directly compare to higher incidences of acute coronary events. Quarterly heavy metal detoxing directly reduces and at last eliminates that risk.

- Studies have also shown a direct connection between periodontal disease and acute coronary events. Quarterly use of avocado soy unsaponifiables, proteolytic enzymes, immune boosters, and pathogen destroyers can sacrifice the risk.

- Incidentally, galvanic paddles are not the only thing that can get a heart muscle going again. In an urgency cayenne pepper can do the trick too. A teaspoon of cayenne pepper in a glass of warm water taken every fifteen minutes can raise the dead.

- And in the end, the heart is a muscle, and like all muscles responds to exercise. Cardiovascular exercise, particularly interval training, can enhance the efficiency and vigor of your heart.

Heart rhythm disorders

The heart is an unusual organ. It has millions and millions of cells, and each cell has the possible for electrical activity. In the general heart these electrical impulses occur in Quarterly intervals. When something goes wrong with the heart's electrical system, the heart does not beat regularly. Unlike most organs in the body, all the cells in the heart are wired together so that if a singular cell fires prematurely or late, the neighboring cells will be activated and a mistimed wave will voyage over the heart. The irregular beating results in a rhythm disorder, or arrhythmia.

To speedily tell from last issue.

Every heart beat begins in the sinoatrial node (Sa node) located in the right atrium. The Sa node is "smart" and adapts to the body's total need for blood and increases the heart rate when necessary, such as while exercise.

Electrical impulses leave the Sa node and voyage straight through special conducting pathways in the heart to the atrioventricular node (Av, node). The purpose of the Av node is to furnish a pathway for impulses from the atria to the ventricles. It also creates a delay in conduction from the atria to the ventricle. This delay allows the atria to contract first, allowing the ventricles to fill with blood before they contract themselves.

The delay ensures proper timing so that the lower chambers have time to fill fully before they contract.

From the Av node, the signal travels down straight through a group of fibers in the center of the heart called the bundle branch-- and then to the ventricles.

So what can go wrong?

Due to natural aging or disease, the Sa node starts losing function and no longer produces the right estimate of signals at the proper rate.

The Av node ordinarily has one group of cells straight through which the electrical impulse can travel. However, due to aging or heart disease, it is possible for the Av node to invent two or more groups of conductive cells. Because of the extra conduction pathways, your heart can at times beat more speedily than normal.

The bundle subject (see above) becomes "blocked" as a ensue of a heart attack which damages the inner heart muscle and nerves. This stops the signal from traveling from the Av node to the ventricles. Left to their own devices, the ventricles invent their own rhythm of about 20-40 beats per minute. This is much too slow for health and results in weakness, fainting, and shortness of breath.

Valve stenosis (stiffness) causes increased pressure in the atria (since blood never fully clears) which causes ballooning of the walls of one or both of the atria (aka atrial dilation). Because the atrium is now bigger, it increases the length signal has to travel. The increased length means it takes longer for the signal to reach its final destination which throws off the pacing of the heartbeat.

Medical Treatments

Typical curative treatment involves drugs such as adenosine, calcium channel blockers (e.g., diltiazem, verapamil), short-acting beta-blockers (e.g., esmolol), and digitalis.

The other option, of course, is the pacemaker. The pacemaker uses electrodes attached to the heart that take over from the Sa node to operate the beating of the heart. The pacemaker is run by a small computer installed in the body. contemporary pacemakers are externally programmable and allow for the selection of optimum pacing modes for personel patients. Some can even self-regulate and adapt to changing requirements such as stress or exertion. And some couple a pacemaker and defibrillator in a singular device.

Drugs and pacemakers work reasonably well at holding the heart going, but still address the qoute after the fact. Keep in mind that in most cases the rhythm of the heart was lost straight through degradation based on nourishment or disease. Installing a pacemaker does not address that problem; it merely bypasses it. On the other hand, it is possible to reverse many of those conditions nutritionally and thus reverse many of the linked problems.

Alternatives

Mineral deficiencies particularly in calcium, sodium, magnesium, potassium, and many of the trace minerals can have a profound ensue on the electrical efficiency of the heart since they are responsible for running it. Supplementing with minerals and liquid trace minerals can make a profound difference.

Supplementing with CoQ10 can significantly enhance the energy level of each cell in the heart, thus enhancing its quality to answer to an electrical stimulus and pass the signal on to its neighbor in a timely manner.

Shifting the equilibrium of Omega-6 to Omega-3 fatty acids can eliminate a major source of potassium imbalance which can trigger heart attacks.

Conclusion

Let's take a break here, and next issue we'll conclude our discussion of the heart by exploring what happens in your doctor's office:

- What tests does your doctor run?

- What do they mean?

- What can you tell from them?

- What questions should you ask your doctor when viewing the results?

For now, though, it's worth reviewing a key concept:

Although many problems with the heart may seem to be biomechanical in nature and beyond the purview of nourishment and supplements, that's not necessarily true. As we've seen:

- Magnesium supplementation can convert the shape and health of heart valves.

- The B vitamins can help rebuild the heart.

- CoQ10 can reenergize every singular cell in the heart and can beyond doubt remold the size and shape of the heart after the onset of congestive heart failure.

- The use of Omega-3 fatty acids can reverse damage caused by Nefas.

- Proteolytic enzymes can furnish nutritional retain for your body as it works to clean out the coronary arteries and repair damage to epicardial tissue surrounding the heart.

- The use of heavy metal chelators such as cilantro and chlorella can sacrifice the risk of an acute coronary event.

- Quarterly supplementation of a tonic made with cayenne and Hawthorne berry can rebuild the vigor of the heart.

- proper dental care and the use of avocado soy unsaponifiables and proteolytic enzymes can sacrifice the incidence of periodontal disease, which reduces the chances of an acute coronary event.

- Quarterly use of immune enhancers and pathogen destroyers decreases the risk of most inflammatory heart disease and the incidence of viral and bacterial infections that can adversely affect the heart.

- And Quarterly rehearsal can develop the heart and enhance its efficiency even in your eighth and ninth decade of life.

As usual, it's not just about pharmaceutical drugs and surgical procedures. Following the theory of the Baseline of health agenda can convert your heart...and your prospects for long-term survival.

Prolapse Surgery:Heart Problems

วันพุธที่ 23 พฤษภาคม พ.ศ. 2555

Thoracic Disc Prolapses

Prolapse Surgery:

Prolapse of a thoracic disc is uncommon and may be under-diagnosed due to the fact that examination findings and symptoms are difficult to pin down and not diagnostic of this kind of problem. Conservative rehabilitation is the commonest way of managing these conditions and surgical operation is uncommon. A large number of habitancy have thoracic disc herniations when magnetic resonance imaging has been examined but no symptoms are reported typically so these prolapses can be normal findings.

Symptomatic thoracic disc prolapses are very uncommon and neurological abnormalities on examination from such prolapses are even less common. Lumbar and cervical discectomies are much more base than thoracic discectomies. Disc prolapse may be more sufficient in causing problems due to the fact that the spinal canal is relatively more narrow in this region and the spinal cord takes up 40 percent of the canal compared to 25 percent in the neck region.

The location of the herniation of the thoracic disc determines what the effects will be on the patient. Protrusions which bulge centrally can impact the spinal cord and give the symptoms of central cord compression such as increased tone in the muscles of the legs, increased reflexes, gait abnormality and incontinence of the bowel or bladder. If the prolapse is to the side of the centre then the results are frailness of one side with potential pain on the other side. Protrusions which point far to the side follow in compression of the nerve root which can give severe pain to one side of the same nature as sciatica. As the outer layers of the disc have a nerve contribute a tear in the annulus of the disc can add to the pain problems a person with thoracic disc changes can suffer.

Prolapse Surgery:Thoracic Disc Prolapses

Onset of this kind of pain is often slow although in some cases the person will have performed a physically stressful movement in sport or other energetic activity. A dull local pain in the thoracic area may be the main symptom, although the areas of pain can be referred to the front of the body or up towards the neck and lumbar regions. Nerve root pain will be typically described as severe and often surging or shooting, typically confined to a narrow band nearby the trunk. Physiotherapy aims to sell out pressure within the disc by improved posture, short periods of rest, lively on to thoracic extension exercises, spinal stabilisation and unabridged strengthening.

Prolapse Surgery:Thoracic Disc Prolapses

วันอังคารที่ 22 พฤษภาคม พ.ศ. 2555

Hemorrhoids - How is an External Hemorrhoid discharge Done?

Prolapse Surgery:

A lot of us have persisting problems with hemorrhoids not just while gravidity but through our midlife. Probably when we reach the age of 50, colse to half of the citizen will have experienced the superior symptoms of hemorrhoids such as pain in the rectum, some bleeding episodes, itching and even to the extent of prolapsing (hemorrhoids that move out of the anus and later on protrude).

Hemorrhoids aren't exactly life threatening, not unless there are other complications that arise from it such as huge bleeding. This health is extremely treatable with the advancement of technology and health sciences.

Hemorrhoids

Prolapse Surgery:Hemorrhoids - How is an External Hemorrhoid discharge Done?

Anatomically speaking, a haemorrhoid is a lump of veins that lie just below the mucous lining of the most proximal (farthest) part of the rectum. Fantasize the whole of pressure the veins receive when we strain on defecating. The pressure will cause the veins on the rectum to swell due to irritation. Once it swells, alternately it may cause the swollen veins to rupture or swell even more. Some cases of hemorrhoids are very severe that it could cause intestinal prolapse. There are two classifications of hemorrhoids: internal and external. As its name suggests, internal cannot be seen outside as external can be seen outside.

What is Hemorrhoidectomy?

In cases of large hemorrhoids, surgical operation is required. Indications for a hemorrhoidectomy contain nonresponsive hemorrhoids from banding. A hemorrhoidectomy is the surgical dismissal of hemorrhoids. In this procedure, a physician makes a small cut or incision colse to the internal and external hemorrhoidal tissues, severing the affected blood vessels. Hemorrhoidectomy offers a low complication rate, colse to 90 to 95 % of negative complications - but the most painful. Some patients who feel hemorrhoidectomy are given normal anaesthesia and would need an overnight stay in the hospital.

What are Staples?

Hemorrhoidopexy is a revolutionary alternative recipe to the superior hemorrhoidectomy. As the name suggests, staples are settled aseptically to anchor bleeding and protruding hemorrhoids in place. Just like hemorrhoidectomy, a normal anesthesia (Ga) is used for this procedure.

Prolapse Surgery:Hemorrhoids - How is an External Hemorrhoid discharge Done?

Thrombosed Hemorrhoids - Treatments and Causes

Prolapse Surgery:

Definition and Cause:

Thrombosed hemorrhoids are in general internal hemorrhoids that have prolapsed - come out of - our bottoms, the muscles clamp down hard to seal the area off - which is what they are suppose to do - thereby sometimes reducing the blood flow out of the hemorrhoid. When this blood flow out becomes restricted, you may end up with a very painful thrombosed hemorrhoid - a hemorrhoid that lets the blood in, but cant get the blood out as fast. So it swells with blood and often becomes bluish in color.

Surgical Treatment:

Prolapse Surgery:Thrombosed Hemorrhoids - Treatments and Causes

Based on research from the French national research centre - Centre National de la Recherche Scientifique - thrombosed hemorrhoids are best treated by surgery. A uncomplicated inject, slice and squeeze:

Inject the adrenaline anesthetic into the hemorrhoid, which both deadens the area to pain and coagulates the blood in the hemorrhoid - this stings at first. Slice the offending hemorrhoid open and squeeze the coagulated blood out. If the hemorrhoid was particularly large as the corollary of the thrombosis, it can take several minutes for all the contents to be squeezed out, but at this point, you shouldn't feel a thing. In fact, when you walk out the door, you will be pain free and should have no supplementary pain from a thrombosed hemorrhoid - this is one very uncomplicated surgical operation that results in expansive pain discount immediately.

The recurrence of a thrombosed hemorrhoid is quite low once it has been dealt with by the knife.

Non-surgical Treatment:

If the thrombosed hemorrhoid is not too bad, the physician may suggest you use the old tried and true recipe of sitting in a warm sitz bath, essentially a nice warm bath with a bit of salt / epsom salts or similar thrown in to sterilise and forestall hemorrhoid infection, as well as calm the affliction. The warm water helps the area to relax and for the blood vessels to open more, thereby allowing the blood to flow back out. If it works, your hemorrhoid pain should lessen markedly, if not completely.

The down side of this home remedy, is that the thrombosed hemorrhoid may return. The sitz bath may be seen as a cure, in that the hemorrhoid has the blood let back out of it and the symptoms abate. Regrettably, the sitz bath may not be a long acting cure for some; once the hemorrhoid comes back out, there is a risk of it becoming thrombosed again.

Personal taste and Other Information:

Due to the high pain often generated by a thrombosed hemorrhoid, anyone short of immediate relief is not likely to be something you'll be ready to wait round for. From my perspective, as person who has suffered with a thrombosed hemorrhoid, the inject, slice and squeeze technique is best. Mine was conducted in the local hospital as an accident out patient. Never had a recurrence, never want to. No other hemorrhoid pain compares to it.

Finally, discuss the hemorrhoid information you find here with your health care professional, to make sure the information is suitable in your situation.

Prolapse Surgery:Thrombosed Hemorrhoids - Treatments and Causes

วันจันทร์ที่ 21 พฤษภาคม พ.ศ. 2555

Types of Hemorrhoids - all things You Need to Know

Prolapse Surgery:

People who have hemorrhoids will have one of the two types of hemorrhoids: Internal and External.

The Internal Type of Hemorrhoid

This type of hemorrhoid happens within the anal canal. Internal hemorrhoids, while not as painful as the external type of hemorrhoids, is exceptionally uncomfortable. Regularly this is happens when man has excess pressure in the veins on the inside of the anal canal.

Prolapse Surgery:Types of Hemorrhoids - all things You Need to Know

The internal hemorrhoids have a coarse symptom of the sufferer having a constant need to go to the toilet. Many times you will know that you have internal hemorrhoids because you may leave behind a trace of blood on the toilet paper or you may even get some that coats the stools. When you get and internal hemorrhoid that is forced from your anus this is called a prolapsed hemorrhoid. This single type of hemorrhoid has the look of a big lump of skin advent out of your anus.

External type of hemorrhoids

When you get the external hemorrhoid you will consideration that this is on the exterior of the anus, and it will be very painful as well. In many cases you will get some severe itching or burning as well as a stabbing sensation. A very coarse symptom of the external type of hemorrhoid is bleeding. In this case blood is seen on both the stools and the toilet paper. Mostly this happens when you have clots of blood in your veins. Should your hemorrhoid come to be thrombosed you will need surgery.

A problem, Regularly confused with hemorrhoids is the "fissure", this is a hemorrhoid like qoute though it is not easily a type of hemorrhoid. The anal fissure is easily a tear in the skin, however if it is not cared for it will likely come to be a hemorrhoid. Anal fissures are especially painful when you are passing stools.

Hemorrhoids in Children

The least coarse of the types of hemorrhoids are Child hemorrhoids, luckily this does not happen often, however it does happen to some children. This single type of hemorrhoids may be brought on by long periods of crying, coughing or constipation. Symptoms may show up in the form of blood near the anus or in the stools of the child. If you do find some of these problems are being suffered by your child you will want to talk to your pediatrician. Stoppage of hemorrhoids is very foremost to your child, to do this you will need to increase their liquid intake and increase the estimate of fiber that they eat.

Some of the symptoms that may show up in this type of hemorrhoids are:

o You may see blood on your toilet paper that will be intelligent red in color.
o You may see blood on your stools that will be intelligent red in color.
o Your anus may be annoyed and itchy
o When passing stools you will feel pain
o You may have some pain when you walk or sit down
o You may feel some swelling on your anus.

Hemorrhoids are very separate from one man to someone else so get to know what will work best for your type of hemorrhoids.

If you find that you do easily suffer from hemorrhoid, you will want to get the data you need about how to treat the problem. You will need data about your type of hemorrhoids so that you can treat it. The recommendation is natural remedies as they treat the whole problem, you will find that a agenda called H Miracle is the best for this process.

To find out more about separate types of hemorrhoids, as well as ways that you can cure hemorrhoids quickly and easily - visit the links listed below.

Prolapse Surgery:Types of Hemorrhoids - all things You Need to Know

Jogging, Back and Knee Injuries

Prolapse Surgery:

Jogging is a passionate and sensitive subject.

Of the articles and blogs I have written so far, it seems that jogging inspires passion among many habitancy who are into health and fitness. In my last article on the subject, I recommend that jogging training as a profession might be a new niche in the fitness field. I don't mean running as in athletics, I mean for expert health care habitancy to work with those who Must jog because somebody convinced them it was 'healthy'.

Unfortunately, there are many patients whose hearts I must break because for them to continue on this way of fanatical illusion that what they are doing is good for them will inevitably end up in surgery, either for knees or the lumbar spine. My work is to do all things I can to forestall these operations, particularly spinal because the recall rate (those who must return two years later with additional problems) is rather high. If we can save the disc from disintegrating and further, rejuvenate the area, so much the better. The self-help techniques for this that I am applying to at least twenty habitancy a week, should be ready to all. This is the basic purpose of these articles and blogs.

Prolapse Surgery:Jogging, Back and Knee Injuries

The ideal situation for the inpatient however, is not to be a inpatient in the first place so I advocate Olympic style walking instead of jogging; it burns more fat and is in fact useful for the back by holding it fully mobile. Jogging simply impacting the knees and spine like someone hitting them with hammer permanently compressing them. It is pure mechanics. There is no room here to expand on this branch but competitive running, as a expert coach will demonstrate, is different from jogging, the goal to impel ones self forward as fast as inherent calls for a wholly different dynamic.

I would verily love to hear from somebody with feel in this field.

Prolapse Surgery:Jogging, Back and Knee Injuries

วันอาทิตย์ที่ 20 พฤษภาคม พ.ศ. 2555

Herniated Disc medicine Options

Prolapse Surgery:

It has been proven via several researches that herniated disc problems could be resolved within six weeks even without the need of exercises and the treatment. An standard rest could rule the problems in the majority of the cases even without medicine or surgery. Although in a whole of cases, Nsaids or conventional painkillers are prescribed in order to rule the pain due to herniated disc, however; long term use of Nsaids could construct a lot of problems connected to the heart and stomach.

There are different modes of medicine that are in case,granted to the patients suffering from herniated disc problems. Some of these medicine modalities are as follows:

Non Steroidal Anti Inflammatory Drugs (Nsaids): These drugs are given in the majority of cases in order to decrease the symptoms and pain due to herniated disc. These drugs not only decrease the pain, but also sell out the swelling, inflammation and disability. Also these advantages, there are many side effects to use these drugs. A inpatient may construct injuries in the liver and kidneys if these drugs are used for long term. Some of the patients may construct allergic reactions due to continuous use of Nsaids and hence care should be taken if the inpatient is known allergic to these drugs.

Prolapse Surgery:Herniated Disc medicine Options

Steroid Injections: Steroids are commonly used in painful conditions connected to bones and joints. In herniated disc problems, steroid injections are directly given in the sheath of spinal cord, which is called as epidural space. Hence a inpatient finds immediate relief from pain and restlessness. These injections act rapidly in decreasing pain and inflammation at the site of injection. Hence they are thought about main medicine for these conditions. Steroid injections, however; may yield several side effects. If steroids are used on a long term basis, a inpatient may construct psychological problems, constipation, brittle bone disease (osteoporosis) and decrease in immunity.

Spinal Decompression: This is one of the important treatments, which are given to the patients of herniated disc problems. Spinal decompression provides early relief from pain that develops not only due to herniated disc prolapse, but also due to some other problems connected to the spine. While this procedure, a negative pressure is generated inside the spine due to which, the protruded quantum of the spine which has been herniated is retracted back to its former place.

Surgery: There are different surgical options for herniated disc problems. Surgical operation is performed in those cases in which a inpatient does not get relief from non-surgical methods, and he gets continuous pain and discomfort. The outcome of Surgical operation depends upon the severity of illness and connected problems possessed by the patient.

This report is in case,granted for facts purposes only. Please consult a doctor for medicine options. This report is not written by a doctor or checked for accuracy by a physician.

Prolapse Surgery:Herniated Disc medicine Options

Hemorrhoid Relief Home Remedy And Hemorrhoid Medication

Prolapse Surgery:

Hemorrhoids are referred as a situation where blood vessels inside (or outside) the anal surrounding are bloated and irritated. Depending on the location they can become a painful and unpleasant experience. In the healthcare terminology hemorrhoids narrate a health of varicose veins in- or outside the anus, followed by bloating and infection. Depending on the severity, treating hemorrhoids effectively without hemorrhoid medication is inherent as there is more than one hemorrhoid relief home remedy ready to use.

The most typical kinds of hemorrhoids are external and internal ones.

Hemorrhoid relief home remedy

Prolapse Surgery:Hemorrhoid Relief Home Remedy And Hemorrhoid Medication

Hemorrhoids sorrows can be cured by manufacture use of common-sense methods as long as the health is reasonably treatable. Excruciatingly painful and swollen hemorrhoids should be undergone a hemorrhoid medication by a doctor immediately.

Here are some easy yet sufficient common-sense tips to calm down the pain of your hemorrhoids:

  • Fill some water (temperature in the middle of 60-80 degrees) in a large tub and take a seat for 10-15 minutes each day.
  • Alleviate your pain area with a compress (cool temperature)
  • use medications in form of suppositories or creams (Pfizer)
  • always keep the qoute zone neat and dry.

Hemorrhoid relief home remedy - the natural methods

Here are a few natural hemorrhoid relief home remedy solutions to treat or/and prevent hemorrhoids:

  • Avoid hard stools and diarrhea.
  • Drink fullness of plain water and eat fiber-rich products and supplements (to soften the stool)
  • Take herbal supplements such as aloe vera, bilberry, psyllium, great mullein, and slippery elm to vitalize the blood vessels inside the rectum.
  • Use topical remedial applications such as calamine lotion (to slow diarrhea)
  • Excessive straining during bowel movements should be avoided.

Hemorrhoid medication

Persistent and serious conditions need hemorrhoid medication. Here are the most coarse medical treatments undergone by a doctor.

  • Electrolysis (galvanic method) - this painless procedure causes the hemorrhoid to shrink permanently.
  • Ligation - a plastic band is fixed around the hemorrhoid (internal) to stop blood circulation. After a few days, the withered hemorrhoid falls off by itself during defecation.
  • Sclerotherapy - this medicine involves injecting a sclerosing clarification into the affected vein. This causes it to shrink and dissolve within a few weeks.
  • Cryosurgery (freezing method) - as the name says, this recipe is about freezing the hemorrhoidal tissue (cryoprobe) causing the hemorrhoid to diminish and fall off.
  • Hemorrhoidectomy - lastly, the hemorrhoid will be removed surgically.

Surgery is the last choice for people suffering from serious complications like thrombosed (internal), prolapsed or very huge and painful hemorrhoids.

Prolapse Surgery:Hemorrhoid Relief Home Remedy And Hemorrhoid Medication

วันเสาร์ที่ 19 พฤษภาคม พ.ศ. 2555

coarse Hemorrhoids Symptoms and Treatments

Prolapse Surgery:

Hemorrhoids, or more ordinarily known as piles, appear when veins in the anal canal and the rectum come to be inflamed or swollen. There are varied types of piles, each manifesting its own particular symptoms. Insight the symptoms for each type is leading in order to recognize the severity of the hemorrhoid and to rule the most productive treatments to alleviate the discomfort brought about by this condition. Let us discuss the types and tasteless symptoms of hemorrhoids, as the most productive treatments available.

Types and Symptoms of Hemorrhoids

  • External

Hemorrhoids that can be seen and felt surface the anal canal are called external hemorrhoids. They can be very painful, itchy, irritating, making it difficult for the sick person to sit down. External hemorrhoids, when neglected, could create into thrombosed hemorrhoids. This happens when a vein ruptures or a blood clot occurs. In some cases, thrombosed hemorrhoids can be very painful. It can also cause inordinate bleeding and surgical operation is needed to repair the condition.

  • Internal

Prolapse Surgery:coarse Hemorrhoids Symptoms and Treatments

Hemorrhoids that occur inside the rectum or anal canal are called internal hemorrhoids. Since anal canals have no pain receptors, there is no direct pain with this type of piles. This condition is difficult to detect because the swelling is not visible surface the anus. Most patients ordinarily explore that they have internal hemorrhoids from finding blood during bowel movement. If left untreated, this can create into more severe types of piles: prolapsed and strangulated hemorrhoids.

Prolapsed hemorrhoids create when internal piles come to be swollen and distended that they get pushed out of the anus. If a prolapsed hemorrhoid gets trapped surface of the anal chance and the blood furnish gets cut off, then it develops into a strangulated hemorrhoid.

Types of Treatments

A lot of citizen suffer from hemorrhoids. All over the world, patients inflicted by this condition are exploring all options possible to find the suitable cure to remedy the pain and discomfort that they feel.

Don't worry, this condition is as tasteless as fever or flu and there are some treatments for hemorrhoids symptoms available.

Over-the-counter remedies such as hemorrhoid creams and ointments are the most tasteless cure for external hemorrhoids, as long as they are not thrombosed or bleeding. Cream suppositories or natural remedies such as witch hazel could also treat mild internal piles. There are a lot of natural home remedies that are very available. Apple cider vinegar, aloe vera, black peppercorns, coconut oils and dissimilar fiber supplements are some of the natural remedies that are proven by a lot of citizen to work wonders. For hemorrhoids that are thrombosed, prolapsed and strangulated, more invasive treatments such as surgical operation and rubber band ligation are available.

It is crucial to recognize which type you have before finding the approved hemorrhoid treatment. If unsure, is all the time wise to consult a condition practitioner to diagnose the condition properly and know the most productive option for treating the problem.

Prolapse Surgery:coarse Hemorrhoids Symptoms and Treatments

วันศุกร์ที่ 18 พฤษภาคม พ.ศ. 2555

How to cope Hemorrhoid Problems in a Quick and effective Way

Prolapse Surgery:

While the most base hemorrhoid problems are itching, burning, irritation, and pain, there are also other basal issues that are brought by this condition. Some more issues that can consequent from a hemorrhoid are constipation, anemia, thrombosis, gastrointestinal bleeding, feeling of difficulty while a bowel movement, anal fissure, apart from the fact that many population reconsider this condition condition a public embarrassment.

While one or more of these issues may occur in a condition of the sufferer, some of these issues such as anemia, thrombosis, gastrointestinal bleeding, and anal fissure only happen in severe hemorrhoid cases. That is why population who may already consideration a symptom earlier may be great off not to ignore it, rather, have it checked and ask for the immediate medicine right away.

Hemorrhoid problems are often imitated by entirely different medical problems or issues. They could whether be a simple problem like pubic lice or fungal or viral infection, or a more serious case of gastrointestinal problem. Finding a doctor about the similar symptoms is therefore extremely recommended for these reasons.

Prolapse Surgery:How to cope Hemorrhoid Problems in a Quick and effective Way

Going back to the most base hemorrhoid problems of rectal itching, burning, irritation, and pain, these are often gift in an external hemorrhoid, a prolapsed internal hemorrhoid, and the more severe case of thrombosed hemorrhoid. A man who has an internal hemorrhoid will seldom touch symptoms and issues such as pain. But bleeding can be experienced here as well as itching when a hemorrhoid produces mucus to soothe an irritation and dries out.

Another issue in an internal hemorrhoid is its blockage of the anal canal that prevents it to close completely. When this happens, small bits of fecal matter and intestinal fluid may leave through the canal occasion and consequent in more irritation, chronic itchiness, or even infection.

Hemorrhoid problems are base in an external hemorrhoid, internal prolapsed hemorrhoid, and thrombosed because of the exposed lump or hemorrhoid which are often sensitive to touch and when as a matter of fact irritated will bleed. Bleeding happens when one strains while a bowel movement. Additionally, because of the sensitivity of the hemorrhoid, soft clothes or toilet paper used to wipe it should often be moistened and the act of wiping itself should be polite to avoid added irritation of the hemorrhoid and to forestall bleeding.

Anemia or iron insufficiency is often the consequent of too much bleeding from an irritated hemorrhoid. Thrombosis is the severe consequent of an external hemorrhoid similar to gastrointestinal bleeding being one inherent consequent of constipation. Obviously, hemorrhoid issues are the consequent or cause of other which ultimately leads to more complications.

An anal fissure is other hemorrhoids problem that may be a consequent from the rectal pain and bleeding. chronic fissure can happen when there is regular or chronic itching as well as pain, with or without the bleeding, or from thrombosed hemorrhoid. A prolapsed internal hemorrhoid, if wholly ignored, may also consequent in the more serious gangrene since the blood provide is already being cut off by the muscles in the anal sphincter.

Ironically enough, hemorrhoids problem often starts with the simple irritation and then itchiness. Anything who has a hemorrhoid and starts the chronic scratching can expect to get a much worse consequent than just mere irritation if the problem is not addressed immediately.

A thrombosed hemorrhoid, being the severe form of an external hemorrhoid exhibits the worst forms of hemorrhoid issues apart from the base itching, burning sensation, excruciating pain, absolute discomfort and irritation. When medicine is not sought immediately for the thrombosed hemorrhoid, sometimes a surgical operation is already necessary. Expect the medicine to be more expensive, and it will eat up a lot of time because of the rescue period that will be required from the patient, which is other issue to sound with.

The bottom line is, when one begins to feel or see some unusual symptoms, it would be best to read up right away and learn about the symptoms or signs. Then see a doctor right away before one simple matter gets worst. Otherwise, it may not only be public embarrassment one will have to sound with, but the expenses and the unnecessary suffering one will go through from day one.

Prolapse Surgery:How to cope Hemorrhoid Problems in a Quick and effective Way