#abdominal hernia pain

[saintqueer]

ok so story time i got horribly horribly sick with the flu two days before my 29th birthday and three days before thanksgiving i was deathly ill for 12 days straight and still now 16 days after the initial symptoms i'm still struggling to recover fully idk what this was but it was hell. i just want to be fully better and feel normal again. some intense childhood trauma got dug up with this illness and i think that might have surfaced some body trauma which affected my recovery time. ive been doing a lot of good internal work and trying to take good care of myself but boy am i tired and boy would i like a full deep night sleep

[nerdishfeels]

Life update

Hey guys! Long time no see. Sorry I haven’t been active. Experienced a bit of a traumatic moment in July, so I took some time away (more info in the tags).

If you want to know how my reading has been, it’s not great. I am 12 books away from my reading goal and it’s almost October lol.

I did start a book on my Kindle called Song of the Forever Rain by E.J. Mellow which is actually good. But I still haven’t been able to finish it.

In the meantime, I’ve been playing some awesome video games (finished Scarlet Nexus and now playing the Tomb Raider series. I’m on the last one, Shadow of the Tomb Raider). I’ve also been writing a lot, mostly essays and short stories on Medium, so I’ll be sharing those soon on my writeblr.

From October, I want to get back into my reading game, so I’ll be compiling a list of books I want to read until the end of this year.

But otherwise, how have you guys been? What have I missed? Any awesome books you’ve read lately? Let’s catch up! 😁

[nunalastor]

Buckshot Anon here! At long last, it is time to talk about Alastor’s recovery period after the events of the Spawn of Evil AU (for all those who don’t know what that AU is, it basically involves Alastor suffering an ectopic pregnancy by Roo, and Lucifer helping to keep him alive. I got asked its logistics a while back, and now that's a constant).

The recovery on this is interesting because it is simultaneously pretty simple and complicated. The best place to start is with the surgery itself, because delivery would not be able to happen in a natural way, and would need to be done through surgery, though not a cesarean in the traditional way. Because the part of the small intestine the parasite child latched onto would be incredibly damaged by virtue of the warping necessary for the child to grow (which would have caused a rupture unless angelic blood has medicinal properties), the procedure would be treated as an intestinal resection surgery, where the effected area of the small intestine would be outright removed. Specifically an open surgery, making a cut of about 6-8 inches in the stomach. A cesarean would have 4-6 inches normally, so if you’re going with a happy medium, an incision of 6 inches. After the damaged area and the child are removed, the healthy parts of the small intestine on either end would be stitched or stapled together. This whole procedure would probably not take more than two hours, but could go upwards of four hours if there is damage in the surrounding areas of the intestines and other organs.

Once the surgery was finished, Alastor would on average stay in the hospital for a week, both to recover and make sure there had been no complications or damage to other organs. Some people can go home within three days, but due to the nature of the situation, he would be asked to stay longer. He would need to receive nutrition through an IV for a period of time before being allowed to go on a liquid diet. I will elaborate on that more in a minute, but there are some other things that should be brought up.

After being discharged from the hospital, Alastor would not be allowed to continue work at the hotel for another 4-6 weeks. There is some wiggle room in this, he may be able to return to work within 2-3 weeks provided that work is strictly paperwork, but anything physical he would need to wait a while to avoid reopening the stitching on his intestines and the incision area, or causing a hernia. He will also be encouraged to walk regularly every day, for reasons including:

Boosting blood flow, which helps to prevent blood clots.

Lessening his chances of illness.

Preventing a buildup of excessive abdominal scar tissue that could hinder movement and cause more blockages in the intestines. Scar tissue is something that will happen and in itself isn’t a problem, but scar tissue can and will become excessive if given the chance, and being sedentary while it is building up can make that worse.

Regaining muscle mass he would have lost from months on bedrest.

Avoiding constipation. Awkward to talk about but that is an important reason.  

Alastor also would not be allowed to have sex for 2-6 weeks. I doubt he would be heartbroken by this information. 

If angel blood truly does have a medicinal property that could heal him, he can mostly skip this part, and go straight into the complicated part.

Remember when I said I would elaborate more on the nutrition IV and the liquid diet? That’s where this comes into play. Alastor ate minimally if at all for the majority of the estimated 7.5 months (30 weeks, give or take) of pregnancy, and that makes the situation more complicated than it traditionally would be. Being generous and saying he was able to eat solids for the first 6 weeks, after which the blockage would make that very painful, and another 2 weeks would make even a liquid diet technically doable but difficult, Alastor would be living off of angel blood and nutrition IVs, specifically Total Parenteral Nutrition (TPN). 

That in itself is doable. People can be TPN-dependent for upwards of three years and still have a 65-80% survival rate. It can replace eating for as long as necessary. However, there is a caveat to that. Surviving TPN-dependent is one thing, but once someone is taken off it and needs to adjust to eating again, they can be at high risk of what is called refeeding syndrome. 

Refeeding syndrome is an interesting topic with a lot of complicated factors, but the main thing to know is the body adapts quickly to having little to no food. Metabolism drastically changes, and certain organs will begin to function differently as a result. Alastor can’t immediately begin to eat like he did before all of this because his body is no longer equipped to do so. If he were to try binge-eating or even just eating something normal after being discharged from the hospital, the symptoms he would suffer vary but consistent ones tend to be seizures and coma, sometimes even cardiac arrest or respiratory failure that result in death. 

To get around this, the best way to go about it is to very gradually reintroduce food into his diet over the course of 2 weeks, starting by eating about 14-28% of the calories he would normally need, and building upwards over those few weeks. Reteaching his body how to digest food and restore a healthy intestinal tract can usually happen within 2 weeks, but when accounting for how long he wasn’t eating solid food and the damage he needs to heal from, he might be recommended to do this for 3 weeks to be on the safe side. His best bet would be light soups and maybe yogurt.

Most of this would be handled in the hospital, the process of weaning him off the TPN, by the second or third day reintroducing liquids, then soft foods. Doctors would still want to keep tabs on him for this process once discharged, and would be able to make a better judgement call with his situation specifically on when he can return to eating normally. Normally, as in a reasonable meal, not eating multiple people or even one person in one sitting, that would have to wait the 4-6 weeks after discharge.

He would need to have multiple check-ins with his primary doctor for various reasons to make sure everything is going smoothly, make sure his physical therapy and regaining of muscle mass is going well, and that he is eating properly and healing. Doctors would also be searching for any signs of stress and psychological distress that may negatively impact Alastor’s health and cause thoughts of harming the child, which would result in a postpartum depression screening and/or a post-traumatic stress disorder screening. Debates on if Alastor would even consider the child as one aside, that does not change the need to carefully monitor his mental state and try to improve his quality of life as well as prevent any loss of life or actions he may regret.  

In summary: Alastor would have an open intestinal resection surgery, spending his first week in the hospital and after that point focusing on resting while recovering muscle mass, as well as slowly reintroducing his body to food after being taken off the IV. He should be able to eat regularly (in moderation, don't eat a person) within 2-3 weeks, with the rest of his healing taking somewhere between 4-6 weeks. He would not make a full recovery for a few months, but provided his recovery goes smoothly while monitored, he could return to his daily life with minimal issue within 6 weeks. 

(Note: The stress and trauma of the whole experience could hinder recovery severely because an increase in stress causes wounds to heal significantly slower and weakens the immune system. If this happened, it would increase Alastor’s recovery time by roughly 25%, but could be increased by up to 60% depending on the severity of that stress. Prioritizing a stress-free environment would be crucial to his recovery.)

(Another note: The pregnancy duration was estimated at give or take 30 weeks, the reason for that is pregnancy weeks are weird. It’s calculated from the date of the last menstrual period, not the date of conception. Alastor does not have the equipment for having it traced the normal way, that’s half the problem, so it would be based on the objective weeks since conception. Unlike the average pregnancy where it’s a gamble if the mother knows the conception date, Alastor would undoubtedly know.)

👀

[populationpensive]

Abdominal Pain PSA

I've had a run of people admitted to the ICU after have 1-2 weeks of abdominal pain who were struggling to eat or drink that ended up having conditions leading to necrotic bowel. Dead bowel makes people incredibly sick. Like, death's door sick. Anecdotally, I'd say maybe 60% of our patients make it through such an ordeal. Every time I talk with their families, their loved ones say that they looked bad and they tried to get the patient to go get some help. Often, these people wait too long.

So.

PSA: if you're having abdominal pain and can't keep anything down for more than 48 hours (especially in the context of N/V WITHOUT bowel movements), you NEED to go to the ER. Not urgent care. Not your PCP. The ER. Please get checked out. Do not let things sit. If you have known GI disease like diverticulosis, a hernia, etc, even more of a reason to get checked out.

[bunnywip]

𝘼-𝙕 𝙇𝙄𝙎𝙏 𝙊𝙁 𝙄𝙉𝙅𝙐𝙍𝙄𝙀𝙎/𝘼𝘾𝘾𝙄𝘿𝙀𝙉𝙏𝙎 𝙁𝙊𝙍 𝙔𝙊𝙐𝙍 𝙎𝙄𝘾𝙆𝙁𝙄𝘾𝙎/𝙒𝙃𝙐𝙈𝙋𝙎

A

Achilles tendon rupture.

Airsickness.

Aerosol burn.

Aftercare.

Appendicitis.

Asthma attack.

Abuse.

Amputation.

Abdominal pain.

Ankle sprain.

Adrenaline crash.

Aortic disruption.

Anaphylactic shock.

B

Bear trap.

Blunt kidney trauma.

Broken bone.

Buried alive.

Blood poisoning.

Backache.

Blunt cardiac injury.

Bullying.

Burn out.

Burns.

Blood sugar crash.

Black eye.

C

Concussion.

Cat bite.

Cut.

Crossfire.

Collapsing.

Coping mechanisms.

Car crash.

Carbon monoxide poisoning.

Confusion.

Carsickness.

Cavity.

Coma.

Cramps.

Carpal tunnel syndrome.

Chemical burn.

Chilli burn.

Cardiac arrest.

Corneal abrasion.

Choking.

D

Drowning.

Dehydration.

Delirium.

Dangerous diet.

Diffuse axonal injury.

Dizziness.

Diarrhoea.

Dog bite.

Deafness.

Dislocations.

Diaphragmatic rupture.

E

Electric shock.

Exhaustion.

Electric burn.

Edema.

Emergency surgery.

Ear infection.

F

First-degree burn.

Flail chest.

Flash burn.

Fighting.

Fire.

Food poisoning.

Frostbite.

Fainting.

Falling from height.

Falling over.

Fear.

Friction burn.

G

Groin pull/strain.

Gunshot wound.

H

Heart attack.

Herniated disc.

Human bite.

High fever.

Home invasion.

Hypoxia.

Hyper/hypothermia.

Hernia.

Hemothorax.

Hematoma.

Heat exhaustion.

Hay fever.

Hemorrhage.

Hidden injury.

Homesickness.

Heart palpitations.

I

Infections.

Ice (slipping, falling through, etc).

Impalement.

Internal bleeding.

Indigestion.

J

Jet lag.

K

Knee dislocation.

Kidnapping.

Ketosis.

Kidney stones.

L

Laryngitis.

M

Memory loss.

Migraine.

Mutism.

Muscular atrophy.

Muscle bruise.

Muscle overuse.

Missing.

Manhandling.

Mono.

Menstrual cramps.

N

Nightmares.

Neck sprain.

Nosebleeds.

O

Open fractures.

Overdose.

Over-stimulation.

Overeating.

P

Penile fracture.

Perforated eardrum.

Poisoning.

Pulled muscle.

Psoriasis.

Pinched nerve.

Pinned.

Paralysis.

Puncture wound.

Pregnancy.

Pneumothorax.

R

Rotator cuff tear.

Rashes.

Ransom.

Rib fracture.

S

Shoulder dislocation.

Shock.

Subdrop.

Shark attack.

Stubbed toe.

Skull fracture.

Sunburn.

Sting (wasp, jellyfish, etc).

Smoke inhalation.

Self-harm.

Slipped rib.

Smoke inhalation.

Stalking.

Second-degree burn.

Stomach ulcers.

Seizures.

Starvation.

Spiked drink.

Sleepwalking.

Stab wound.

Snake bite.

Skinned flesh.

Scraped flesh.

Sleep deprivation.

Sleep paralysis.

Stitches.

Subconjunctival hemorrhages.

Stroke.

T

Traumatic aortic rupture.

Torn muscle.

Trapped.

Third-degree burn.

Touch-starved.

Torture.

Toothache.

Tuberculosis.

Traumatic asphyxia.

U

Uterine perforation.

V

Vomiting blood.

Vertigo.

W

Wisdom teeth.

Whipping.

Worked to exhaustion.

Whiplash.

Waterboarding.

Water infection.

Y

Yeast infection.

Z

Zombie apocalypse.

[houseofbrat]

The contrast between the KP and BP statement was stark. One a celebrity style thirsty appeal for max sympathy and the other was ROYAL. Something seems very fishy about KP’s story imho.

Of course the British media is clowning themselves with hyperbolic front pages and trying to pretend that tours that were never confirmed are being rescheduled 😂

It doesn't have anything to do with celebrity vs royal. It has everything to do with the word "fishy" or, as you said, "very fishy."

When triaging conditions for surgery, there were three categories when I worked in a surgical clinic: routine, urgent, and emergency. Emergency is what it means--right now! Urgent is a soon as possible but not immediately. Routine is whenever time is available.

All surgeries are elective unless they are emergent conditions. Go ask any surgeon in a medical school or chief of surgery, and they will admit that more than half of the surgeries done (at least in the US) are not necessary. A man can have a hiatal hernia for more than fifty years and not ever "need" surgery, as long as the hernia is not incarcerating his organs. Same with inguinal hernias. It might be fucking painful, but unless that inguinal hernia is incarcerating the internal organs, it's not an emergency. It doesn't have to be done right away. Both of those are "abdominal surgeries."

The Kensington Palace comms team wrote, "Her Royal Highness The Princess of Wales was admitted to The London Clinic yesterday for planned abdominal surgery." They didn't use the word "routine" in their statement. Other UK media have used the word "routine," such as Sky News.

For routine surgeries, i.e. non-emergencies, aka elective surgeries, in the US, typically a patient will need to get blood work completed, chest x-ray, ekg/ecg, and a full history & physical (H&P) completed within 30 days prior to the surgery. Certain medications need to be stopped prior to surgeries such as blood thinning medications like aspirin, coumadin/warfarin, and plavix/clopidogrel. Patients must be NPO 8 hours prior to surgery, i.e. no food or drink, due to the anesthesia.

So, KP is telling us with the "planned abdominal surgery" comment that Kate went through the entire pre-operative requirements, fasted, abstained from possible medications, showed up on schedule for a surgery that was "planned" but wouldn't be released from the hospital for another ten days? And yet they couldn't inform the press and public about this prior to this alleged surgery happening?

Bullshit.

It totally screams Leslie Nielsen doing this:

If it was "planned," then why didn't they announce yesterday? "Planned" means it was on the schedule. They could have announced yesterday when she was at the hospital, and nothing would have been any different. Why didn't they announce Monday, if it was indeed "planned." The whole debacle doesn't appear to be "planned" when you're announcing it the day after it happened. It looks like everyone was caught by surprise by Kate allegedly needing such major surgery that she needs AT LEAST THREE MONTHS to recuperate from.

In the age of laparoscopic surgeries, Kate needs three months to recuperate? She can't be seen in public until April? And it's such major surgery that she needs to stay in the hospital longer than most other abdominal surgeries?

Dr Deborah Lee, from Dr Fox Online Pharmacy, told Express.co.uk about why Kate might be in hospital for so long. She said: "For abdominal surgery, most people stay in the hospital for four to seven days. After laparoscopic surgery [a type of keyhole surgery], this is reduced to two to four days.

Once the KP staffers told the press that this isn't cancer-related, KP has lost all credibility. A 42-year-old woman with no publicly known health issues should not normally need to stay in the ten to fourteen days for "routine" surgeries. Even people who get surgery for an AAA--abdominal aortic aneurysm--only stay in the hospital for a few days and return to normal activities far faster than the three months The Princess of Wales will be taking.

You only need to stay in the hospital for observation and monitoring for that long a period if you are unstable. Again, you only need that much time in the hospital for a routine surgery if you are UNSTABLE.

And William taking several weeks off his light schedule basically proves that she is unstable. Because what would prove to the world that The Princess of Wales is not unstable would be her husband doing his job like a normal person. Except he isn't. He's not going to be working until mid-February, at the earliest.

And the Wales fandom will keep making excuses until their world comes crashing down.

[hadit93]

What surgery did you have? Nothing serious I hope.

I recently read about Gnosticism and how our material world has been created by the demiurge.

Do you think that explains how our reality exists inside a false vacuum? Are YHWH and the demiurge the same entity?

I like how the gnostic concept that there is one ineffable God who created other Gods to represent different parts of themselves is similar to other old polytheistic religions.

That would also explain why there are instances of Goetic spirits calling the Biblical God as the jealous God.

The more I read about different religions and spiritual ideas, the more I realise how little we know.

Wishing you a speedy recovery and advance happy halloween 🎃 to you and your furbabies.

I went into hospital with abdominal pain and turns out I had a strangulated hernia and needed it sorting out. I am all good, just have to take it easy for a month or so.

There are different strands of gnosticism and different gnostic ideas involving the demiurge. Some people believe that YHVH is the demiurge and Christ is the saviour of mankind who reminds humans of the inherent divinity within. Some also equate Christ with Lucifer and meld together a sort of liberation mythos from this. With Lucifer and Christ being two sides of the same coin both seeking to liberate humanity from the prison of slavery created by the false creator.

This is of course just one of many beliefs. God is vast in my eyes and nameless, YHVH may represent a facet of that God but we should not mistake the image for thing that it represents.

God in the bible calls himself a jealous God. There is no debate that Pagan Gods exist within the bible, it simply that they are not to be worshipped. Some Pagan Gods god reworked as demons, others got reworked as Angels. Archangel Michael for example was originally the God Nergal.

I personally believe forces display themselves in different ways to different people and that is all these beings are- forces that have taken on forms. That is not to say Michael is the same as Nergal, simply he is an image of the same force.

Gnosticism is fascinating especially when you then get into the aeons, and the syzygies etc. The role of Sophia. But it is a subject I have only touched briefly. I definitely need to devote more time to studying the different sects. Perhaps whilst I am off work I can pick up a book or two about it!

[pandor-pandorkful]

I think I might have a hernia? I've got an off-center abdominal bulge, but it's not painful...

My other thought, of course, is it's a tumor and it's cancerous and I'm going to die I'm going to die I'm going to fucking die---

I really need to bring it up with my doctor next time, I just.... when I'm scared of a health mystery, I automatically do the opposite of what I should do.

But if there's a chance this "just" is a hernia, I think I can push past the fear. Maybe.

[gluttonousgensokyo]

CW for surgery scenes. Under the cut.

"Nitori is suffering from serious abdominal pain due to a hernia!" Aya cried out, pretty much asking anyone for help. Poor Nitori seemed to be doubled up in pain. A strange figure, looking like a plump nurse, made her way towards Nitori, before looking at Aya and identifying herself. "I am USS Vestal! I might not be surgeon, but I can do something! It might get a little gruesome, but if nothing else, we can do it! Start by helping me get a sterile field setup!" She replied, pulling out a large bag containing surgical equipment. "Can you do the Open Drop ether method?" "The what?" Aya asked, looking very confused. "Ah, forget it, we'll have to do it without, then." Vestal gulped, before opening Nitori's top and exposing her stomach, noticing a large lump. "Right. I'm going to spray her skin down. Miss Nitori, I want you to try to stay as still as possible when I begin. It will hurt some, but I will get it done as quick as possible, okay?" "O-okay." Nitori sniffled. She seemed scared of everything, but she seemed to trust the strange woman. "Skin cleaned and drapes on. Okay, beginning to cut.. now!" Vestal spoke, placing a surgical mask over her face, starting to cut into Nitori's exposed stomach with her laser scalpel. Nitori gasped in pain, but despite that, it seemed.. oddly less bloody than realized. Maybe Vestal, whoever she was, was going to get through this without too much trouble! "Okay, let's see.. ah. Just visceral fat, it seems. Not that it wouldn't cause pain, but I'm glad it wasn't organs or anything like that! Makes my job a little easier. Okay! I'm going to manipulate the fat back in through the hole, then fix it. With access to a copy of my fleet's medical database, I can do this in a Rives-Stoppa level. It might hurt again, but it should get a little bit more comfortable! Okay! Here I go..." Vesta spoke, carefully manipulating the yellow tissue back through the hole, taking a few moments to make sure it was in carefully. Poor Nitori yelped in a few twinges of pain, but aside from the incision, she felt.. a little better already! "Hey.. in spite of the cut.. it's hurting a little less!" Nitori gasped out, a little shocked that it was nowhere near as bloody as she imagined. "Now then.. trimming Posterior rectus sheath, and preparing to close it. Protolaser suturing mode ready." Vestal commented, cutting a very thin slice of the white tissue to move the two edges together, swapping over to the protolaser to seal the two edges together. Just to make sure it didn't happen again, she took some pre-fabricated biological mesh, placed it inside Nitori's abdominal cavity and used the protolaser to seal it against the tissue. Aside from the minor twinges of pain, it seemed like Nitori was calming down and relaxing. Aya couldn't help but look in shock at Vestal's work. "How.. did you..?" "Access to the medical database before I came here." Vestal replied, before moving to remove a very small slice of the abdominal muscles, realigning them and sealing them back together. Same thing with the Anterior rectus sheath. Almost done. Nitori was getting the painful twinges, but the severe pain from before? Very much reduced by now. "H-how are you able to do this?" Nitori asked, looking up at Vestal. "And without any infection too?" "Silver-impregnated gloves, and plenty of disinfectant. Plus, I'll give you a dose of high-grade antibiotics to make certain infection doesn't happen. Okay, closing up the incision now..." Vestal mused, before moving the edges of the wound together, and then protolasering it shut. All done. Surgery in non-ideal circumstances, and she pulled it off. After bagging up the gloves for disposal, she grabbed hold of a needleless injector, pressing it onto her arm and pressing a button. "There we go. All done. Tell me, Miss Nitori, how do you feel now?" Vestal asked with a smile on her face. "It still kinda hurts, but I feel much better now, Miss Vestal!" Nitori replied with a big smile on her face. Of course, the plump nurse shipgirl blushed. "Just Vestal, please."

[scghealthcare]

Unveiling The Gastric Problems: Common Symptoms And Their Causes

Gastric problems, ranging from mild discomfort to severe pain, can significantly impact daily life. Understanding the symptoms and their underlying causes is crucial for effective management and treatment. In this article, we'll explore seven common symptoms of gastric problems and delve into their potential causes, providing valuable insights for better health and well-being.

Abdominal Pain: Abdominal pain is a hallmark symptom of various gastric issues, including gastritis, ulcers, and gastroesophageal reflux disease (GERD). The pain may vary in intensity and location, ranging from a dull ache to sharp, stabbing sensations. Gastric ulcers, caused by the erosion of the stomach lining, often result in a burning pain in the upper abdomen. GERD, characterized by the reflux of stomach acid into the esophagus, can cause a burning sensation in the chest, known as heartburn.

Bloating and Gas: Excessive gas and bloating are common complaints associated with gastric problems. Gas can accumulate in the digestive tract due to factors such as swallowing air, bacterial fermentation of undigested food, or impaired digestion. Bloating, characterized by a feeling of fullness or tightness in the abdomen, often accompanies excessive gas production. Conditions like irritable bowel syndrome (IBS) and small intestinal bacterial overgrowth (SIBO) are frequently implicated in chronic bloating and gas.

Nausea and Vomiting: Nausea and vomiting are symptoms that can occur in various gastric disorders, including gastritis, gastroparesis, and peptic ulcers. Gastritis, inflammation of the stomach lining, can trigger nausea and vomiting, particularly after meals or when the stomach is empty. Gastroparesis, a condition characterized by delayed stomach emptying, may lead to persistent nausea and vomiting, especially after consuming solid foods. Peptic ulcers, open sores in the stomach or duodenum, can cause nausea and vomiting if they irritate the stomach lining.

Indigestion (Dyspepsia): Indigestion, also known as dyspepsia, encompasses a range of symptoms, including discomfort or pain in the upper abdomen, bloating, and a feeling of fullness during or after meals. It can occur as a result of various factors, such as overeating, eating too quickly, or consuming spicy or fatty foods. Gastric disorders like GERD, gastritis, and peptic ulcers can also manifest as indigestion. Persistent or recurrent indigestion warrants medical evaluation to identify and address the underlying cause.

Acid Reflux: Acid reflux occurs when stomach acid flows back into the esophagus, causing a burning sensation in the chest (heartburn) and a sour taste in the mouth. It is a common symptom of GERD, a chronic condition characterized by frequent episodes of acid reflux. Certain dietary and lifestyle factors, such as consuming acidic or fatty foods, smoking, and obesity, can exacerbate acid reflux. In some cases, structural abnormalities like a hiatal hernia may contribute to the development of GERD.

Loss of Appetite: A decreased appetite, or anorexia, can be a symptom of various gastric disorders, including gastritis, peptic ulcers, and inflammatory bowel disease (IBD). Gastritis, characterized by inflammation of the stomach lining, can lead to a loss of appetite due to discomfort or nausea associated with eating. Peptic ulcers, particularly those located in the stomach, can cause a feeling of early satiety or discomfort after meals, leading to reduced food intake. Inflammatory bowel disease, which includes Crohn's disease and ulcerative colitis, can affect the entire digestive tract and cause appetite loss.

Changes in Bowel Habits: Changes in bowel habits, such as diarrhea, constipation, or alternating episodes of both, can indicate underlying gastric issues. Conditions like IBS, characterized by abdominal pain and altered bowel habits without any detectable structural abnormalities, often present with diarrhea, constipation, or a combination of both. Inflammatory conditions like Crohn's disease and ulcerative colitis can cause diarrhea, often accompanied by abdominal pain, rectal bleeding, and weight loss. Constipation may occur due to factors such as inadequate fiber intake, dehydration, or certain medications.

Gastric problems can manifest in various ways, ranging from abdominal pain and bloating to acid reflux and changes in bowel habits. Identifying the symptoms and understanding their underlying causes are essential steps in managing gastric disorders effectively. If you experience persistent or severe symptoms, it is important to seek medical advice for proper evaluation and treatment. With the right approach, many gastric issues can be effectively managed, allowing for improved quality of life and overall well-being.

[weed-cat]

having so many active potential causes of abdominal pain that you legitimately worry that if your appendix burst or you had a hernia or ovarian cyst you literally wouldnt notice <<<

[lyraeon]

When I say “fatphobia kills” what I mean is that my grandmother’s pancreas cancer might have been diagnosed two years earlier if the doctor hadn’t insisted to a 72 year old widow that her mysteriously losing weight was a good thing.

When I say “fatphobia kills” what I mean is my aunt can’t find anyone willing to give her surgery to fix the incredibly painful abdominal hernia she has that makes it difficult to even walk across the room unless she loses 100lbs first... but they’ll do an even more invasive surgery to staple her stomach smaller to help her lose that, if she wants.

When I say “fatphobia kills” what I mean is that I have been trying to find out for over 15 years why my shoulder hurts so bad, and have been constantly dismissed as it (and the rest of my joint problems) just being because I was overweight... and finally this week I’ve been referred to an orthopedic surgeon and a rheumatologist because MRIs showed severe cartilage damage and signs of an autoimmune disorder.

None of us are dead yet, but we’re all headed there a lot faster because doctors cared more about getting us skinnier than healthier.

[drpriya]

Laparoscopic surgery, also known as minimally invasive surgery, is a modern surgical technique where small incisions are made in the abdomen, through which specialized instruments and a camera are inserted. Surgeons use the camera to visualize the internal organs on a monitor and perform the surgery with precision.

This approach typically results in less pain, shorter recovery times, and smaller scars compared to traditional open surgery. It's commonly used for procedures such as gallbladder removal, hernia repair, and appendectomy.

The procedure for laparoscopic surgery typically involves the following steps:

Anesthesia: The patient is given general anesthesia to ensure they are unconscious and feel no pain during the surgery.

Creation of small incisions: Several small incisions, usually around 0.5 to 1.5 centimeters in length, are made in the abdomen.

Insertion of trocars: Trocars, which are narrow tubes with valves, are inserted through the incisions. These serve as ports for the insertion of surgical instruments and a camera.

Insufflation: Carbon dioxide gas is pumped into the abdomen through one of the trocars to create space and lift the abdominal wall away from the organs, providing better visibility and working space for the surgeon.

Insertion of laparoscope: A laparoscope, a thin tube with a camera and light source, is inserted through one of the trocars. This allows the surgeon to view the internal organs on a monitor in real-time.

Surgical procedure: Specialized instruments, such as graspers, scissors, and cautery devices, are inserted through the remaining trocars. The surgeon performs the necessary surgical steps guided by the images from the laparoscope.

Closure: After the surgery is completed, the instruments and laparoscope are removed, and the carbon dioxide gas is released from the abdomen. The small incisions are closed with sutures or surgical tape.

Recovery: The patient is monitored in the recovery room until they wake up from anesthesia and are stable to be discharged or transferred to a hospital room for further observation.

Throughout the procedure, the surgical team works together to ensure the safety and success of the surgery.

Get the best treatments for various diseases and full body health checkup at the best hospitals in India.

[oneshortdamnfuse]

I still want to rule out MS b/c I have chronic paresthesia and muscle spasms, and my primary has suggested seeing a neurologist if my vitamins aren't improving anything.

I'm currently taking b12 and vitamin d.

However, I keep getting recommended HEDS content because of my GI issues, joint issues, tachycardia, heat sensitivity, and frequent sprains and strains, etc.

More Under Here - if anyone has these conditions: HEDS, POTS, MCAS, feel free to interact.

I was tested for POTS via a heart monitor and a tilt table test, and I didn't meet the criteria. My heart doctor said my tachycardia was normal and I just needed to drink more water / electrolytes.

I did the tilt table test after about two months of drinking a lot more water and electrolytes, so that was probably a bad idea if I'm supposed to do the test at my "sickest."

About half an hour after the test, I had severe paresthesia in my legs and I had abdominal pain and cramps. I couldn't eat without rushing to the bathroom.

But. My heart rate didn't go above the 30 bpm they were expecting from resting to rising so. No POTS.

I still have random heart palpitations.. especially when I lay on my left side. I still can't climb stairs without getting winded, and I can't do much physical activity without exhaustion.

The thing is... I don't think I fit the criteria based on the Beighton scale?

The stretch of my skin is very mild, and only significant around my hands and feet. I can stretch both pinky fingers beyond 90 degrees, but I can't touch my thumb to my wrist.

I don't have bendy elbows, but I can touch my palms behind my back. I do have "coat hanger pain." I have had TMJ, and I've frequently sprained / strained my fingers, toes, ankles, and knees.

As far as GI goes, I have GERD, silent reflux, no gallbladder (I had severe gallstones), hiatal hernia that corrected itself, intestinal malrotation, IBS D, and intolerance to wheat, dairy, and alliums.

Maybe it's on the spectrum, but not necessarily HEDS. Not sure if I should pursue a diagnosis, or if specialists are going to dismiss me / find me crazy, but I do want answers as to why I'm Like This.

I also know MCAS is a more recent condition, but I have the trifecta of asthma, allergies, and eczema, and that includes random contact dermatitis where just touching my skin can give me a rash.

I just want to be realistic and be prepared when I go see my primary again. I don't want to seem like I am a hypochondriac, because these are all legitimate things going wrong w/ me.

Right now, I am officially diagnosed with:

Asthma, eczema, allergies, IBS, intestinal malrotation, b12 and vitamin d deficiency, benign paroxysmal positional vertigo, paresthesia

I've never seen an ENT doctor, nor a rheumatologist. I have seen a cardiologist and a GI multiple times.

[mcatmemoranda]

Patient is a [ ] yo male/female presenting to the clinic for a preoperative evaluation.

Procedure [ ]

Scheduled date of procedure [ ]

Surgeon performing procedure requesting consultation for preop is [ ] and can be contacted at [ ]

This patient is/is not medically optimized for the planned surgery, see below for details.

EKG collected in office, interpreted personally and under the direct supervision of attending physician as follows- sinus rate and rhythm, no evidence of ischemia or ST abnormalities, no blocks, normal QTc interval.

The following labs are to be completed prior to surgery, and will be evaluated upon completion. Procedure is to be performed as scheduled barring any extraordinary laboratory derangements of concern.

Current medication list has been thoroughly reviewed and should not interfere with surgery as written.

Patient has no prior history of adverse reactions to anesthesia, problems with airway management, difficult IV access, prolonged emergence, or postoperative nausea/vomiting.

Airway Mallampati score: This patient is a Grade based on the criteria listed below

-Grade I Tonsillar pillars, soft palate, entire uvula

-Grade II Tonsillar pillars, soft palate, part of uvula

-Grade III Soft palate, base of uvula

-Grade IV Hard palate only, no uvula visualized

Patient is a low/medium/high risk for this low/medium/high risk surgical procedure.

Will send documentation of this preoperative visit to surgeon [ ].

**** ADDITIONAL INFORMATION****

Patient Risk for Elective Surgical Procedure as Determined with the Criteria Below:

1- Very Low Risk

No known medical problems

2- Low Risk

Hypertension

Hyperlipidemia

Asthma

Other chronic, stable medical condition without significant functional impairment

3- Intermediate Risk

Age 70 or older

Non-insulin dependent diabetes

History of treated, stable CAD

Morbid obesity (BMI > 30)

Anemia (hemoglobin < 10)

Mild renal insufficiency

4- High Risk

-Chronic CHF

-Insulin-dependent diabetes mellitus

-Renal insufficiency: creatinine > 2

-Moderate COPD: FEV1 50% to 70%

-Obstructive sleep apnea

-History of stroke or TIA

-Known diagnosis of dementia

-Chronic pain syndrome

5- Very High Risk

-Unstable or severe cardiac disease

-Severe COPD: FEV1 < 50% predicted

-Use of home oxygen

-Pulmonary hypertension

-Severe liver disease

-Severe frailty; physical incapacitation

Surgical Risk Score Determined as Below:

1- Very Low Risk

Procedures that usually require only minimal or moderate sedation and have few physiologic effects

-Eye surgery

-GI endoscopy (without stents)

-Dental procedures

2- Low Risk

Procedures associated with minimal physiologic effect

-Hernia repair

-ENT procedures without planned flap or neck dissection

-Diagnostic cardiac catheterization

-Interventional radiology

-GI endoscopy with stent placement

-Cystoscopy

3- Intermediate Risk

Procedures associated with moderate changes in hemodynamics, risk of blood loss

-Intracranial and spine surgery

-Gynecologic and urologic surgery

-Intra-abdominal surgery without bowel resection

-Intra-thoracic surgery without lung resection

-Cardiac catheterization procedures including electrophysiology studies, ablations, AICD, pacemaker

4- High Risk

Procedures with possible significant effect on hemodynamics, blood loss

-Colorectal surgery with bowel resection

-Kidney transplant

-Major joint replacement (shoulder, knee, and hip)

-Open radical prostatectomy, cystectomy

-Major oncologic general surgery or gynecologic surgery

-Major oncologic head and neck surgery

5- Very High Risk

Procedures with major impact on hemodynamics, fluid shifts, possible major blood loss:

-Aortic surgery

-Cardiac surgery

-Intra-thoracic procedures with lung resection

-Major transplant surgery (heart, lung, liver)

High risk surgery: yes/no

Hx of ischemic heart disease: y/n

Hx of CHF: y/n

Hx of CVA/TIA: y/n

Pre-op tx with insulin: y/n

DM/how are blood sugars?

Pre-op Cr >2mg: y/n

OTHER EVALUATIONS BASED OFF PATIENT HISTORY SEE BELOW:

1. CARDIAC EVALUATION

A. Ischemic Cardiac Risk- Describe any history of cardiovascular disease and list the cardiologist/electrophysiologist. For CAD, report the results of the most recent stress test or cardiac cath, type of procedures or type of stents, date of MI, and recommendations for perioperative management. Include antiplatelet management. Continue baby aspirin for patients with cardiac stents - unless having neurosurgery, then coordinate with surgeon.

B. Ventricular function - include most recent echocardiogram evaluation ideally performed within the past 2 years

C. Valvular heart disease- include most recent echocardiogram, type of prosthetic valve

D. Arrhythmias - include any implanted devices and recent interrogation report, contact electrophysiology about device management during the surgery and include recommendations provided. For A-Fib, include CHA2DS2-VASc score

E. Beta blockade - All patients on chronic beta blockers should have these medications continue throughout the perioperative period unless there is a specifically documented contraindication.

F. Hypertension - Other than for cataract surgery, ACEI inhibitors and ARBs should be held for 24hours prior to surgery and diuretics should be held the morning of surgery

G. Vascular disease - include antiplatelet management and dates of strokes

2. PULMONARY EVALUATION

A. COPD/Asthma - include any recent exacerbations, intubations, chronic O2 use, amount of rescue inhaler use

B. OSA risk - STOPBANG score - address severity of sleep apnea and CPAP use

3. HEMATOLOGIC EVALUATION

A. Bleeding Risk - assess the bleeding risk and history for every patient

B. VTE Prophylaxis/Thrombotic risk - estimate risk and provide recommendations

C. Anticoagulation management - include pre-op and post-op medication instructions

D. Anemia - pre-op treatment plan

D. Oncology - history and treatments

4. ENDOCRINE EVALUATION

A. Diabetes mellitus - include type, medication use, recent A1c, pre-op and post-op management instructions

B. Adrenal insufficiency risk - assess for prolonged steroid use in the last year

5. RENAL EVALUATION

A. CKD - include stage, baseline labs

B. ESRD - include dialysis schedule, type, access, dry weight, location of dialysis. Generally, surgery should not be scheduled on a dialysis day.

C. Electrolyte abnormalities

6. GI EVALUATION

A. Liver disease - including MELD score and Child-Pugh classification

7. OTHER relevant comorbidities or anesthesia considerations

[substance abuse, chronic pain, delirium risk, PONV (post-operative nausea and vomiting) risk, psych disorders, neurologic disorders, infectious disease, etc.]

[skeuo]

discharged, home, and ate some late dinner. here’s the rundown:

they couldn’t figure out what was wrong but the scan revealed no hernia or lumps, but their best guess is inflammation from an external infection. tomorrow i get to pick up my prescription for the slop (antibiotic ointment) ��

i was “a bleeder” when the iv was removed

i feel better knowing my abdominal pain isn’t anything serious, even if it sucks