One in seven Americans suffered it. Appendicitis. What is it? Part 2

Written by Aleksandr Kavokin, MD/PhD


Next they try to image what is going on in your belly. An abdominal x-ray may detectrepparttar fecalith asrepparttar 114569 cause of appendicitis (5%). Free air due to perforation can might be seen onrepparttar 114570 plain film.

A barium enema may be used. It is an x-ray test where liquid contrast is used fromrepparttar 114571 anus to fillrepparttar 114572 colon. Sometimes it show an impression onrepparttar 114573 colon inrepparttar 114574 area of inflamed appendix. Barium enema also can exclude other intestinal problems that mimic appendicitis.

Ultrasound shows an enlarged appendix or an abscess. Ultrasound is painless, butrepparttar 114575 appendix can be seen in only half of patients. Ultrasound also is helpful in excludingrepparttar 114576 problems with ovaries, fallopian tubes and uterus. Ultrasound machine usually looks like a small thumb on wheels that they bring into your room. Technician puts gelly on and drivesrepparttar 114577 probe over you belly.

Often they go straight to CT Scan (computer tomography). Especially ifrepparttar 114578 patient is not pregnant. CT scan gives relatively high irradiation of your body by x-rays. However benefits of prompt diagnose of appendicitis outweighrepparttar 114579 risk of radiation. CT scan gives slicing images of your body.

What do they look for? As any inflamation causes edema,repparttar 114580 wall ofrepparttar 114581 appendix will be thickened. This is actually a defensive mechanism - by edemarepparttar 114582 organism try to wall of, to seal offrepparttar 114583 area of infection and inflamation.

But it is useful for us because we can surely say there is an inflammation. The same goes for ultrasound.

CT scan is expensive - around 1000 dollars in an American hospital, though 40 dollars in Russia.

Ifrepparttar 114584 CT scan is taken duringrepparttar 114585 night, CT image may be send to Australia Russia or India.

An American radiologist is paid around 40 dollars to read just an X-ray film. I guess he gets more for readingrepparttar 114586 CT scan. It is only 5 dollars in India. This is why even such clinics as Harvard and Yale adopt this model of work - they sendrepparttar 114587 CT scans torepparttar 114588 cheap labor abroad. Especially duringrepparttar 114589 night. Half an hour laterrepparttar 114590 fax from Australia arrives. "Inflammatory pericecal mass inrepparttar 114591 right iliac fossa consistent withrepparttar 114592 diagnosis of severe acute appendicitis." Any doctor can read an x-ray film or CT scan. Radiologists are doctors who specialize inrepparttar 114593 reading ofrepparttar 114594 films. They may find what was missed by others.

At this point diagnosis is usually clear. In cases if it is not, there is Laparoscopy. Laparoscopy is a surgical procedure. Small fiberoptic tube with a camera is inserted intorepparttar 114595 abdomen through a small puncture in abdominal wall.

Yet there is no test that will diagnose appendicitis with 100% certainty.

The position ofrepparttar 114596 appendix may vary. If it is longer than normal, appendix may go deep down intorepparttar 114597 pelvis. It also may move behindrepparttar 114598 colon (called a retro-caecal appendix). From one hand it is better because retro-caecal appendix has less chances to burst into peritoneal cavity, fromrepparttar 114599 other it is difficult to diagnose and it is difficult to approach surgically. Inflammation of other organs, for example, female pelvic organs, may resemble inflammation ofrepparttar 114600 appendix. Pregnant women may have appendix pushed up in abdomen byrepparttar 114601 enlarged uterus. Athletic young adults may tolerate more pain and may have not so obvious symptoms of appendicitis. Old patients may have vague symptoms as well.

Ayurvedic Treatment of Fibromyalgia (CFS)

Written by Dr.Shashikant Patwardhan


Fibromyalgia is a recently recognized disorder that is regarded as a chronic condition associated withrepparttar experience of non-inflammatory pain and tenderness in muscles, ligaments , joints and fatigue. Fibromyalgia is a relatively common condition, estimated to affect about four percent ofrepparttar 114568 general population. It is very similar to chronic fatigue syndrome (CFS); Only point of difference is presence of musculoskeletal pain in fibromyalgia and that of fatigue in CFS. Low level of Serotonin is considered to be most important biochemical criteria. The primary treatment goals should include raise serotonin levels, improve sleep quality, and assure adequate magnesium levels. Symptoms : Generalized aches or stiffness at many sites for more than three months. Generalized fatigue Chronic headache including migraines Sleep disorder, particularly timings of cycles Neuronal and psychological complaints Swelling Numbness/ tingling sensations Ayurvedic View : It can be described as 'Mansa Dhatugat and Mansavrut Vata' Fibromyalgia is perceived as a Vata imbalance. Vata isrepparttar 114569 main imbalance and Aggravated Vata destabilizesrepparttar 114570 nervous system and can create hypersensitivity leading to pain and tenderness. Accumulation of Ama (toxins) and shrotorodha are also contributory factors. Ayurvedic Approach of Fibromyalgia and CFS Treatment The aggravation of Vata dosha and accumulation of Ama (toxins) are repparttar 114571 primary causes and should be treated mainly. Associated weak digestion, constipation, and effects of chronic stress should also be tackled. Panchakarma Therapy Pre-purification Measures namely 'snehan' and 'swedan are very useful to balance 'Vata' and to loosenrepparttar 114572 toxins. Snehan isrepparttar 114573 Herbalized Oil Massage. This oil is applied torepparttar 114574 entire body with a particular type of massage. Swedan is sudation or sweating and is given immediately following repparttar 114575 snehan. An herbal concoction may be added torepparttar 114576 steam to further enhancement of effect. Daily herbalized oil massage also provides a deeply soothing and balancing effect torepparttar 114577 entire nervous system. The motion of massage creates heat and friction which enhances circulation and helps cleanserepparttar 114578 areas of chemical impurities that could be aggravating and hypersensitizing nerve tissues. Diet and Nutrition

Following isrepparttar 114579 diet suggested forrepparttar 114580 patients suffering form Fibromyalgia and CFS Vegetable juices and soups Coconut water and Coconut milk Juice of carrot, Cucumber, Beetroot Cooked vegetables like squash, zucchini and pumpkin Spices like cumin, coriander, ginger asafetida, garlic, fennel and turmeric. Green salad with a dressing of lemon juice and a little salt Khichadi (recipe made by cooking rice and mung dal, 1:1 or 1:2 proportion)

The patient of Fibromyalgia and CFS should avoidrepparttar 114581 following: Eating hot, spicy and fried foods, sweets, foods like brinjal, cabbage, Cauliflower, spinach, broccoli, okra and potatoes. Too much tea, coffee, alcohol, white sugar, yogurt, chocolate, cocoa. Sleeping duringrepparttar 114582 day and staying up late at night Mental tensions like worry, anxiety, fear, stress and grief. Yoga for Stress Management and Improved Mental and Emotional Function:

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