Archive for March, 2008
Drug jarring Stent Higher than Encrusted Stent pro to Angioplasty
In succession to diminish the main devastating cardiac events (MACE) in patients who experience with angioplasty or percutaneous coronary intervention (PCI) for ST-segment’s altitude myocardial infarction (STEMI - a meticulous electrocardiogram prototype so as to follow a heart assault), it be universal in favor of medical doctors to embed an uncoated stent inside the patients plus inculcate through the anticoagulant abciximab.
Intestinal Candida Albicans Overgrowth
Candida Albicans
Candida albicans is a yeast (unicellular fungus), normally present on the human skin and mucosa of the gut, respiratory system and genitals; its amount is controlled by immune system and normal bacterial flora. Under certain circumstances, candida may overgrow, mainly in the vagina, mouth, esophagus, sinuses and rarely colon.
WARNING: Candida is rare in otherwise healthy people. Do not jump easily into a self-diagnosis of intestinal candida, just on the basis of some symptoms mentioned in this article. The only firm proof of intestinal candida is colonoscopy with a biopsy of colonic wall. Next: intestinal candida is NOT already a systemic candida.
What Causes Intestinal Candida Overgrowth?
Triggers of candida overgrowth:
- During a long term antibiotic treatment many normal bacteria, attached to colonic wall are killed, thus releasing the space for yeasts (1).
- Lowered immunity due to steroids, birth control pills, antacids, anti-ulcer drugs, chemotherapy, radiation therapy, immuno-suppressant drugs, AIDS, malignancy, diabetes, hypothyroidism, hypoparathyroidism, Addison’s disease, malnutrition, alcoholism, street drugs, or chronic stress, enables uncontrolled candida growth.
- Sugars and other carbohydrates are food for yeasts and may quickly and markedly boost their growth.
- Gastric hypo-acidity due to gastric disease, antacids, or anti-ulcer drugs, may allow candida to spread from the mouth into intestine (1).
- Mouldy environment, like basement appartments in dump builduings, or wet cool climate may enhance yeast infections.
Candida Symptoms
Main symptoms of intestinal candida overgrowth are diarrhea (or constipation), pale or mucous stools, bloating, itchy anus, diaper rash in kids, oral thrush (greasy white patches on the tongue or mouth mucosa, Image 1), and craving for sugar. If candida enters the blood, e.g. in persons with lowered immunity, it causes systemic infection, present with vaginal discharge, burning at urinating, prominent fatigue, irritability, and it may be deadly. Symptoms improve after sugar-free diet and may dramatically worsen after the sugar-rich meal, what can be an useful diagnostic sign.
Immunization in the Scenario of Conspiracies
Vaccinations are more importantly used to save the children’s lives. In 2007, the United States ranked in all time’s lowest death rates for 13 diseases of the children. There are rumors that some immunizations cause autism. The experts of the public health departments say that water and sanitation has remained the most important health vaccine in history. Today there is quite a stress on the issue on pure water. People are not enjoying the pure water as it was in the historical times. The scientists gave an approval on that it is polluted so much than ever before.
Diseases of Civilization
You must be thinking that tooth decay is not such a serious matter, hold on a minute, trust me it can be really serious. Let’s start with the reason of tooth decay. When a tooth loses a huge portion of it’s minerals it causes hole formation or cavity. The process of cavity building is called “demineralization”. This process gets activated due to the presence of acids on a tooth’s surface. Whereas this acid is produced by the specific kind of bacteria called “mutans streptococci and lactobacilli” that live in dental plaque.
Digestion and Diarrhea
What Is a Diarrhea?
Diarrhea (from Greek ‘dia’ - through, ‘rhein’ - flowing) means having more than three bowel movements, or passing more than 300g of watery stool daily (1).
What Is Not a Diarrhea?
Ten diapers a day are usual in a 14 days old infant. Three soft bowel movements a day may be considered normal for adult on a fibre-rich diet. Stool soiling in children who are already toilet trained may be due to defective anus. Stool incontinence or mucus seeping in adults may be due to rectal inflammation, rectal prolapse, hemorrhoids, uncoordinated pelvic floor muscles, or anal muscle or nerve damage (2). In all mentioned cases, bowel movements tend to be of normal volume and consistency.
Occasional single loose stool still isn’t a diarrhea. Unripe fruits, green potatoes, spicy or hot food may all irritate the bowel. Insufficiently cooked or chewed food, a heavy sugary or fatty meal may be hard to digest. Wrong food combinations, like meat with sugar, may result in a loose stool. Food which is psychically rejected, after ingesting, might flow through the intestine quickly. Caffeine stimulates peristalsis, as can strong emotions like fear.
Symptoms and Causes of Diarrhea
Find the Cause of Diarrhea from Symptoms
In this article, typical symptoms are paralleled with common causes of diarrhea. The cause can be also found by tests for diarrhea.
Causes of Diarrhea in Newborns
Newborn normally poops 8-10 times a day.
- fever, vomiting, diarrhea: Rotavirus, rarely other microbes;
- mild diarrhea: overfeeding, neonatal drug withdrawal;
- skin rash, strain to vomiting (gagging), irritability, diarrhea: allergy to cow’s milk or soy formula;
- diarrhea in first 3 days of life: congenital diseases of liver, pancreas, biliary tract, small or large intestine.
Diarrhea Tests
Diarrhea Tests
The cause of diarrhea can be determined from diarrhea symptoms, or by below diarrhea tests:
- stool tests;
- blood tests;
- urine tests;
- neurological tests;
- food allergy and intolerance tests;
- absorption tests;
- abdominal ultrasound, endoscopic ultrasound, CT, X-ray with barium, plain abdominal X-ray, abdominal arteriography, HIDA scan, ERCP and MRCP;
- colonoscopy, EGD, capsule endoscopy, double baloon enteroscopy;
- Octreoscan.
Stool Tests In Diarrhea
Stool tests are done in chronic or heavy acute diarrhea and may include:
- Stool culture can show bacteria, causing diarrhea. Clostridium difficile toxin test is recommended in antibiotic associated diarrhea. For diagnosis of some rare bacteria, like Vibrio cholerae, separate tests may be required. Ova and parasites (O&P) test is recommended when diarrhea lasts more than a week. Specific antigen tests for giardia, cryptosporidium, E. histolytica, Helycobacter pylori, or Rotavirus also exist. False positive results of stool culture are from contamination of stool sample with urine or blood, or due to more than an hour passed between sample taking and testing. False negative results may be from antibiotics, laxatives, antidiarrheal drugs, or recent barium or x-ray investigation.
- Fecal occult blood test (FOBT) should be done when intestinal bleeding is suspected (after hemorrhoids, anal fissure, menstruation, and urinary bleeding are excluded). Bloody diarrhea, or diarrhea with a hidden blood may appear in heavy bacterial or parasitic infection, inflammatory bowel disease, and in diverticulitis. Other causes of bloody diarrhea are rare. Stool guaiac test (e.g. Hemoccult) - may detect daily blood loss of about 10 ml (1). Positive test confirms presence of the blood in the stool, but not its origin. Negative result means, that no blood was in the stool during the testing period, so additional samples at different occasions may be required. Three days before the test, red meat, and food which contains blood have to be avoided to prevent false positive results, and radishes, horseradish, turnips, cauliflower, uncooked broccoli, figs, melon, citrus fruits, and vit C supplements have to be avoided to prevent false negative results. Test should not be done in bleeding hemorrhoids, urinary bleeding, or during the menstruation. Five samples from each of three consecutive stools have to be taken. Immunochemical test - iFOBT (e.g. HemSelect) uses antibodies which react with human hemoglobin. The test may detects smaller amount of blood (50 µg/g stool) than guaiac test, but only from lower GI tract, not from the stomach or above (32). No dietary or drug restrictions are needed before the test; one sample from one or two stools is required. Both guaiac and immunochemical test kits are available in pharmacies without prescription, but testing by a lab or doctor is more reliable.
- WBC stool test. White blood cells in the stool may be found in severe bacterial infection, Crohn’s disease or ulcerative colitis.
- Fecal proteins. Lactoferrin is released from leukocytes, and it can be detected in stool in 5 minutes. Increased lactoferrin is a sign of inflammation, so it is used in acute diarrhea to distuinguish between mild viral or parasitic infection (negative) and invasive bacteria (positive), and in chronic diarrhea to distinguish between IBS (negative) and IBD (positive). In later case lactoferrin test was found to be 86% sensitive and 100% specific (26,27). Calprotein is another leukocyte protein, excreted in stool, which correlates with activity of IBD (29). Fecal A1AT test detects serum protein alpha1-antitrypsin in the stool in the protein losing enteropathy (PLE). Radionuclide labeled proteins, injected into a vein, and then appearing in the stool, also speak for PLE. Tests for proteins, excreted in colorectal cancer, are still in the research phase. Protein CD23 was found in the stool of patients with a food allergy (31).
- Fecal IgA antibodies may be found in certain food allergies (to milk, egg, soy). In one clinical trial, IgA antigliadin antibodies in the stool were found in only 30% of patients with celiac disease, so they were considered as useless for diagnosis (2).
Causes of Acute Diarrhea
Definition of Acute Diarrhea
Acute (from lat. acutus = sharp, pointed) diarrhea lasts less than 3 weeks (1).
Causes of Acute Diarrhea
A) Acute Infectious Diarrhea:
B) Acute Non-infectious Diarrhea:
- Food Allergies;
- Diarrhea After Eating;
- Ciguatera and Scombroid Fish Poisoning;
- Mushrooms, Poisonous Plants, Pesticides;
- Heavy Metals Poisoning;
- Antibiotic-Associated Diarrhea;
- Medications, Chemotherapy and Irradiation;
- Psychic Stress;
- Runner’s Diarrhea;
- Diarrhea in Pregnancy.
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