Evaluation And Treatment Of Fistulas

* Endocrinal phase = this is where the presence of the food especially protein is found in the stomach which them stimulates the release of a special type of hormone from the mucous cells called gastrin into the blood.

The second system we will cover is the Gastrointestional System. All medications in this system were used based upon the manufacturers intended use as referenced by Davis’s Drug Guide. The first medication she was put on relating to the GI system is polyethylene glycol which was used to draw water into the lumen of the GI tract and aid in the evacuation of the GI tract without causing electrolyte imbalance. The teaching that was given to her for this medication was to take the medication until gone even if she is feeling better, avoid alcohol and products that contain aspirin or NSAIDs and to avoid foods that may cause an increase in GI irritation. She was also told to report any black and tarry stools, diarrhea or abdominal pain immediately. The second medication she was put on relating to the GI system was furosemide which was used to prevent edema and encourage excretion of sodium and water (Valerand, 2013). We informed her that she should not double the doses, and that if she started to get a rash, muscle weakness, cramps, nausea, diaainess, numbness or tingling she needed to contact the physician immediately. The final

Firstly, doctors provide drugs to help prevent your intestines from further inflammation and to relieve symptoms. These drugs also help to stop the symptoms from appearing. Many use Aminosalicylates, which treat the mild stages of the disease and they help to control the level of inflammation. Antibiotics, another common medication helps to treat and heal infections and symptoms. Corticosteroids are very powerful and are used during the late stages, and are very effective as they are fast-acting, but can cause major side effects. Besides medications, surgery is also an option, where parts of your digestive tract will be removed and repositioned, connecting it to healthy parts. Surgery may be considered generally in the severe stages to close up opened tissue, drain out waste or to widen the narrowed intestines. In addition, you may also consider taking nutrient therapy, where nutrients are injected into your veins to relieve your bowel, or you would be asked to follow a low-fiber diet in order to reduce the risk of blocking your

In conclusion this case demonstrates the potential opportunities for the better management of patients with upper gastrointestinal bleed, including adhering to guideline-directed therapy, improving transition of care and proper documentation, which can result in better patient outcomes, lower readmissions due to rebleeding and higher

You may need parenteral nutrition if you cannot eat or absorb nutrients normally. This may happen because of a swallowing or digestive tract disorder. Or, it may be needed if you have a gastrointestinal condition that requires complete bowel rest. Parenteral nutrition may be temporary or long-term.

The first is called the acute phase. This phase occurs for up to a few weeks after surgery and involves extreme fluid and electrolyte losses (4). At this point, the main goal is to promote hemodynamic stability of fluids and electrolytes through the use of paternal infusion therapy (5); this may include normal saline, lactated ringers, or PN (5).Once the patient has been stabilized, the “natural compensatory process” known as the adaptation phase occurs (7). This period typically lasts for up to two years post-surgery. During this time, the remnant bowel’s maximum absorptive capacity is reached through structural and/or functional changes that take place as a byproduct of the resection

2.10) Open the peritoneum of the abdominal cavity and take care to avoid cutting abdominal organs.

In some cases, the diverticula become infected, leading to inflammation, and an increased risk for rupture, which leads to bleed. Perforation leads to alterations in the patient’s hemoglobin and hematocrit, alterations in bowel function, tenderness, and guarding.

There are two minimally invasive techniques used for exploration and removal of abdominal adhesions. Your surgeon will determine the best technique based on where the adhesions are located and how large they are. Both operations are performed as an out-patient process. You will be given either a local or general anesthetic to ensure that you are comfortable and pain-free during the procedure. Both procedures will require about two hours for completion. You will need to have someone available to drive you home from the clinic or hospital.

1.16 – 7.07). Likewise, fistula repair and bowel resection resulted in longer hospital stay with an odds ratio of 3.68 ([CI]: 1.59 - 5.76).

The investigation involves the injection of water-soluble contrast medium into the distal limb of the colostomy using a balloon catheter, then the balloon is inflated and traction applied to the catheter to occlude the stoma. Water-soluble contrast medium is then injected under constant gentle pressure until a fistula is filled, and visualized with the aid of fluoroscopy. The presence of a fistula is initially indicated by the appearance of a nipple of contrast arising from the terminal

The patient is taking docusate sodium for short-term relief of constipation as stated in her physical examination she had issues with this problem. It is use to soften the stool while taking this medication. It works by assisting fat and water into the stool mass to unstiffen the stool.

Female genital fistulas lead to social and psychological stress by deteriorating the quality of life because of bad smell due to continuous leakage of urine into the vagina or uncontrolled passage of flatus or stool through the vagina.Genital fistulas could be classified as urogenital fistulas (UGF) and rectovaginal fistulas (RVF). UGFs may occur between the urinary bladder and the vagina (vesicovaginal fistula (VVF)); between the bladder and cervix or uterus; between the ureter and vagina, uterus or cervix; and between the urethra and vagina.The predominant cause of VVF is prolonged obstructed labor in the developing world, whereas gynecological surgery (mainly hysterectomy) is the most seen risk factor in the developed world (Singh et al., 2010).

Artificial nutrition and hydration (ANH) is defined as providing artificial nutrients and water through an insertion of a tube either into the stomach, the gastrointestinal tract, or through a vein. (Best, 2010). Physicians prefer to use artificial nutrition as the last resort for any type of nutritional feeding. Temporarily artificial nutrition is used until the patient recuperates and is

Both gastric (stomach) and duodenal ulcers are called peptic ulcers. Peptic ulcers affect 10% of the world’s population and men and women both equally. Duodenal ulcer incidence peaks in clients in their fifties and sixties and gastric ulcers in those between ages 60 and 80. This is known as a disease due to Hurry, Worry and Curry. Smoking, consuming alcohol in large amounts, use of some drugs like NSAIDS for a long duration are causative factors of ulcers.