#rectal foreign body

[macgyvermedical]

We've all heard of ppl getting sent to the ER by putting questionable things up their ass: but how DO they get that stuff out?

Good question!

It depends on what happened, what it is, where it is, and how much damage it's caused.

In order to answer these questions, they'll first ask the patient, in private, what happened. This is largely in case there was a criminal act that led to the object getting inserted, and be able to provide appropriate care.

They would then ask the patient what the object is- the goal is to determine whether the object is sharp, fragile, or particularly rough, making it more likely the patient was injured during the insertion or during any attempts to remove it before arriving at the ED.

A sharp object in the rectum can cause a potentially life-threatening bowel perforation. This is when the rectum or colon tears, causing potentially severe internal bleeding and the spilling of stool (poop) into the normally sterile abdominal cavity. Untreated, this causes a severe infection called peritonitis that can be life-threatening.

If it is sharp, this could also pose a risk to the medical professional trying to remove it, and may need to be done surgically to prevent harm to the patient and the staff caring for them.

They would then take an x-ray to determine exactly where the object was. If that didn't give enough information, they might also do a CT scan.

The simplest possible scenario is that it is a solid, smooth object lodged low in the rectum, with no sign of perforation or internal bleeding.

If this is the case, removal can usually be done in the ED. First they would have the patient lay on their back and bring their knees up to their chest. Then they would sedate the patient with a benzodiazipine and morphine, which decreases pain and helps relax the muscles around the anus. They would then and attempt to remove the object by inserting a proctoscope (think really big version of the thing a doc uses to look in your ears), finding the object, and then removing it with forceps (think medical salad tongs).

If this is not successful, they may take a flexible tube with a balloon on the end, thread the tube past the object, inflate the balloon, and use that to help pull out the object.

If still that didn't work, they'd try to press on the abdomen to see if they could move the object further towards the anus and try again.

If it takes longer than about 30 minutes, or there are any other complications (perforation, sharp object, object that is too far up, etc...), they would be referred to surgery.

In surgery, the patient is under general anesthesia and paralyzed, which makes it a lot easier to remove the object, and it also allows for a much more controlled removal of a sharp or fragile object. They can also use more advanced scopes which can help find and retrieve objects that are farther up in the rectum or even colon.

[anthraxx-pology]

*Mikan listing off everyone in the ER at Hope’s Peak*

Diabetic emergency (Akane)

Another diabetic emergency (imposter)

Another diabetic emergency (ibuki)

Pancreatitis (Gundam)

Pancreatitis (Fuyuhiko)

Alcohol intoxication (Hajime) (he needed it)

Rectal Foreign body (Kazuichi)

Another rectal foreign body (Nagito)

Another rectal foreign body (Teruteru)

Another rectal foreign body (Teruteru later the same day)

[square-opossums]

source

[moonlight26posts-blog]

In Baltimore City, MD: 2-month-old Mastiff mix puppy is seeking rescue placement after everything he's been through - BARCS, Baltimore MD

If you can foster Moon Pie and save his sweet life, we can contact local rescues to ask for help, please email foster@charlietotherescue.org

Moon Pie- 2 months, unaltered male, 27lbs

2-month-old super cutie, Moon Pie, was surrendered to Animal Control and brought to our shelter because his owner could no longer care for him. Reportedly, he had been having bloody stool for several days.

Upon examination, our vets noted that Moon Pie was dehydrated, lethargic, had a low rectal temperature, and x-rays revealed an extremely dilated stomach, which appeared pushed back to the l3 vertebrae. Two parvo tests were negative, so Moon Pie was transferred to a partnering emergency vet hospital for IV fluids and repeat rads.

No foreign body was found in Moon Pie's stomach like initially assumed, but the "bowel appeared to be tangled in omentum", according to hospital records; fortunately, he is already back at our shelter and feeling better. A bilateral cherry eye repair is now recommended and a full medical summary can be provided upon request.

Despite everything he's been through and dealt with these past several days, Moon Pie is incredibly resilient and so, so sweet. He greets everyone he meets with a little nub wag and can't wait to be doted on and loved.

Moon Pie is available immediately for rescue pick-up.

Please let us know if your organization can help!

Thank you,

The BARCS Rescue Team

Baltimore Animal Rescue & Care Shelter (BARCS) ​New Address! 2490 Giles Rd, Baltimore, MD 21225 rescue@barcs.org| (410) 396-4695

Rescue pick-up hours: Monday-Friday: 10:30 a.m.-6:30 p.m. Saturday and Sunday: 8:30 a.m.-4:30 p.m

Adoption hours: Monday-Friday: 2 p.m.-6 p.m. Saturday and Sunday: 11 a.m.-4 p.m. Baltimore Animal Rescue and Care Shelter, Inc. (BARCS) | 2490 Giles Rd, Baltimore, MD 21225

[amydunbar]

Vulvovaginitis in Pediatric and Adolescent Gynecology

Vulvovaginitis, characterized by inflammation of the vulvar and vaginal tissues accompanied by various symptoms like discharge, irritation, and discomfort, presents as a common challenge in pediatric and adolescent gynecology. Most women experience their first vulvovaginitis infection during their teenage years. Understanding the diverse etiologies and management strategies is crucial for effective treatment and prevention, including when parents should take their daughters to the gynecologist.

In the pediatric population, the vulnerability to vulvovaginitis stems from the hypoestrogenic state of the vagina, which distinguishes the vaginal environment from that of adolescents and adults. Pre-puberty, the vulvovaginal area has thin labial walls, minimal labial fat, and no pubic hair. The absence of protective factors makes non-specific vaginitis common due to vulnerability to irritants. Further, estrogen levels are low during childhood, resulting in higher susceptibility to infections. The thin vaginal mucosa and its alkaline pH create a distinctive environment that contributes to this susceptibility, setting children apart from adolescents and adults. Behavioral aspects such as poor perineal hygiene, inadequate handwashing, and activities exposing children to dirt or sand elevate the risk of irritation or infection.

Puberty brings changes like increased fat deposition in labial folds, which provides protection, while increased estrogen levels thicken the vaginal mucosa. The estrogen-induced transformation allows colonization by healthy bacteria like lactobacilli, which create an acidic pH, guarding against infections. Adolescent vulvovaginitis, characterized by clear to whitish discharge without odor, often requires no treatment beyond avoiding irritants like scented products.

Children typically present with a range of symptoms, including abnormal vaginal discharge or odor, irritation, pruritis, urinary problems, or vulvar erythema. Addressing these concerns requires a comprehensive assessment encompassing medical history, recent infections, and a possible history of sexual abuse.

Clinical evaluation involves a genital examination, which can be challenging in uncooperative children. In such cases, an examination under anesthesia may be necessary to facilitate diagnosis. Obtaining samples for Gram stain, wet mount, and microbial cultures can aid in identifying specific causative agents.

The etiologies of vulvovaginitis in this demographic are diverse. Non-specific cases often stem from rectal bacteria contamination due to the neutral pH of the vagina. Managing such cases involves symptomatic relief through hygiene practices and barrier creams.

Specific organisms causing vulvovaginitis can range from bacteria like Streptococcus pyogenes to fungi like Candida albicans, though yeast infections are much less common in prepubertal girls than after puberty. Research demonstrated that Gram-positive cocci are more common in prepubertal girls with vulvovaginitis, whereas yeast species and bacterial vaginosis-related pathogens dominate pubertal cases. Treatment strategies include targeted antibiotics or antifungal agents, depending on the identified pathogen.

Sexually transmitted infections (STIs) like Neisseria gonorrhea, Chlamydia trachomatis, and Trichomonas vaginalis, though rare in children, should be considered in cases of suspected sexual abuse. Specialized tests like nucleic acid amplification can help doctors diagnose these STIs. Additionally, chemical- or irritant-induced vulvovaginitis, dermatological conditions like lichen sclerosus or lichen planus, anatomic anomalies, chylous lymphatic drainage site anomalies, and the presence of foreign bodies are considered differential diagnoses.

Management strategies are cause-specific. Based on the identified cause, doctors can guide parents to eliminate specific irritants, employ topical treatments, or use appropriate antibiotics or antifungals. In some instances, interventions under anesthesia may be necessary for precise diagnosis and management, especially in cases involving foreign bodies or anatomical abnormalities.

[sobercentre]

How 3 Months No Alcohol Rule Can Transform Your Life?

Have you noticed bad physical and mental health lately? Do you ever consider excessive alcohol usage the culprit behind your health issue? Well, if you do, then it's time to stay clean and forbid alcohol usage for the time being. Sounds complicated, right? But once you hear the benefits of giving up on alcohol for 3 months, you'll give it a shot. You must be wondering to know how abandoning alcohol can transform your life. This article will explore all the health benefits you can achieve with 3 months no alcohol challenge. Let's delve into it!

Why Alcohol Is Your Biggest Enemy?

Alcohol is your biggest enemy. It will destroy your physical health and ruin your mental and social peace. We all know it's easy to wake up one day and quit drinking instantly, but you do it gradually. You must be shocked that your bad habits are destroying your liver, heart, lungs, and brain. It only affects your cognitive ability, emotional, and sleep disturbance. Over time, your condition will even get worse. That is why you must consider stopping alcohol. Here, we have enlisted a few severe health conditions from excessive alcohol usage. - Alcoholic hepatitis - Anxiety - Arrhythmia - Cancer - Cirrhosis - Dementia - Depression - Digestive symptoms - Fibrosis - Hearing loss - High blood pressure - Pancreatitis - Sexually transmitted infections - Stroke

Benefits Of 3 Months No Alcohol Challenge

Let's delve into the benefits of 3 months no alcohol challenge for your body transformation. 1. Better Sleep One common issue that every heavy drinker goes through is poor sleep. Poor sleep can cause many significant issues in your daily routine. You may feel drowsy or tired the whole day, and you'll be unable to perform daily chores. The first benefit you'll observe after quitting alcohol is better sleep at night. Research showed that 2 weeks after quitting alcohol can improve your sleep-wake cycle. With excessive usage of alcohol, you can develop habits like snoring and sleep apnea, which can be improved by quitting alcohol. 2. Reduced Heart Disease Risk People who drink alcohol are twice as vulnerable to getting a cardiovascular disease than an ordinary person with 24 hours of usage. If you have begun to drink and only a week has passed, even then, you can have six times more risk of getting into cardiovascular events. Alcohol is one of the most significant contributors to increased risks of heart attacks. You can go through Atrial fibrillation, congestive heart failure, or even a heart attack. People above 45 years of age have a significant risk of having strokes due to alcohol. 3. Lower Cancer Risk Cancer is a life-threatening condition, and we all know its disastrous impacts on our bodies. Alcohol is openly marked as carcinogenic. The more you have alcohol, the more your body will be prone to developing cancer. If you are a woman and drinking alcohol every day, then you have a high chance of developing breast cancer quickly. Other types of cancer that can happen due to alcohol usage are Colon and rectal, Esophageal, Laryngeal, Liver, Oral, and Throat cancer. However, if you stop drinking alcohol long, your chances of getting cancer will lessen. 3 months no alcohol is indeed worth giving a chance! 4. Improve Immune System What if we tell you you can increase your immunity just by quitting alcohol consumption for 3 months? When you keep on drinking alcohol, it means it is tough for your body to make new white blood cells to fight germs and foreign bodies. As a result, you'll have a weaker immune system. A weak immune system will likely make you suffer from conditions like tuberculosis, pneumonia, and frequent infections. However, when you quit alcohol consumption, your body will return to its standard mechanism. Your immunity will increase back to normal. Many people reported that they experienced fewer colds, flu, and other illnesses after 3 months no alcohol consumption. 5. Better Nutrition Every person is well aware of the benefits of proper nutrition. A well-nourished body can make you stay active and alive for a long time. However, alcohol consumption can be a significant barrier to getting proper nutrients. If you fulfill your meal requirements by drinking instead of eating food, then you won't be able to get nutrients like protein, carbs, fats, vitamins, and minerals. All these nutrients are essential for our body. Without them, your body won't be able to function well for an extended period. People with drinking addiction often complain about digestive issues. If you want to fight against malnourishment, stop using alcohol immediately. 6. Regain Mental Function People who smoke weed and drink alcohol are often victims of mental illnesses like emotional damage and abuse. Moreover, there have been more cases of abuse, suicide, and divorce due to alcohol consumption. However, if you bid goodbye to alcohol today, you'll see a significant transformation in your attitude because your mental health will improve. Common mental health problems like poor memory, slow reflexes, and cognition can be regained by cutting alcohol from your life. If you think that this won't make a significant difference, then try the no alcohol 3-month rule, and you'll get to see a clear picture. Many psychiatrists reported that after 1 month of no alcohol, they noted a visible change, and patients sounded more significant and clear in their heads about their lives.

Final Verdict If you are noticing any changes in your body physically or mentally, don't take that lightly. Alcohol can be a reason behind these drastic changes that can ruin your life and put a stop to it. Alcohol secretly destroys your body, which you're unaware of. From the lungs to the brain, it can affect every part of your body. However, by now, you must be clear in your head why you need to stop drinking. What are you waiting for? Begin your 3 months no alcohol journey today and see how your body transforms within days. It's time to achieve a healthy body and soul! Read the full article

[ijcimr]

 An Unusual cause of Pelvic Pain: Giant Rectosigmoid Lithobezoar in a big Child by Tamassi Bertrand ESSOBIYOU in International Journal of Clinical Images and Medical Reviews 

Keywords: lithobezoar, colon, Togo

We report the case of a rectosigmoid lithobezoar. He was a 10 years old boy, without any particular history, who was seen in consultation for pelvic pain and difficulty to defecate. The examination revealed a firm mass in the left iliac fossa and hypogastrium. On rectal examination, a firm, friable formation with telluric debris on the glove was found. An unprepared abdominal radiograph was taken and a radiopaque formation was noted in the recto-sigmoid hinge (Figure 1). A posteriori, the parents reported sand consumption by the child. The patient received an evacuating enema with a favourable outcome and was managed by the paediatrician for the diet.

The term bezoar refers to a clumping of substances in the intestinal tract [1,2]. This may be undigested food or foreign bodies [2]. According to the nature of the agglutinated substance, we speak of trichobezorad for hair, lithobezorad for rocks and the like, lactobezorad for milk substances and phytobezorad for fibres or seeds from fruits and vegetables [2]. While the stomach is the frequent site of these bezoars, the colon is an exceptional location [2].

Competing interest Disclosures: The authors have no competing in- terests to declare.

Funding Statement: This article has no funding source.

For more details: https://ijcimr.org/editorial-board/ 

[vedamgastrohospital]

Appendicitis: Recognizing the Warning Signs With Your Best Stomach Specialist In Surat

Our body is a remarkable machine, with various parts and organs working together to keep us healthy. However, sometimes, one of these parts might go awry, and if left unattended, it can lead to a severe health crisis. One such condition is appendicitis, a painful and potentially life-threatening inflammation of the appendix. Understanding the warning signs of appendicitis from some of the best stomach specialists in Surat to prevent complications.

What is Appendicitis?

The appendix is a small, finger-like pouch located in the lower right side of your abdomen. It is a mysterious organ with no known essential function, but when it becomes inflamed, it can cause excruciating pain and lead to serious complications. Appendicitis occurs when the appendix becomes blocked, often by stool, a foreign body, or an infection. The blockage can lead to an overgrowth of bacteria inside the appendix, causing inflammation and swelling.

Recognizing the Warning Signs

Appendicitis typically presents a range of symptoms that can vary from person to person. However, doctors from the Best Stomach Specialist in Surat Vedam gastro hospital, point to some common warning signs that can help you recognise the onset of appendicitis:

1. Abdominal Pain: The hallmark symptom of appendicitis is abdominal pain, usually starting as dull and vague around the navel and later intensifying and shifting to the lower right side of the abdomen. This pain often worsens with movement, coughing, or sneezing.

2. Loss of Appetite: People with appendicitis often experience a loss of appetite due to the pain and discomfort in their abdomen.

3. Nausea and Vomiting: Nausea and vomiting, in conjunction with other symptoms, can be early signs of appendicitis.

4. Low-Grade Fever: A mild fever that slowly catches up, is common in appendicitis.

5. Constipation or Diarrhoea: Changes in bowel habits, such as constipation or diarrhoea, are also (but uncommonly) associated with appendicitis.

6. Abdominal Tenderness: significant tenderness and pain on the lower right side of your abdomen when pressed gently.

7. Inability to Pass Gas: An inability to pass gas can be a sign of an obstructed appendix.

8. Rectal Pressure: Some people may experience rectal pressure, which can be a sign that the inflammation is affecting the surrounding tissues.

Seeking Medical Attention

Appendicitis is a medical emergency, and early diagnosis and treatment are critical to prevent the appendix from rupturing. If you or someone you know is experiencing the warning signs of appendicitis, it’s important to seek immediate medical attention from any of the best stomach hospitals in Surat. A ruptured appendix can lead to serious complications like peritonitis, which is a severe inflammation of the abdominal cavity, and can be life-threatening.

Appendectomy: The Surgical Solution

Appendectomy is the primary treatment for appendicitis. This procedure involves the removal of the appendix, and it can be done using different techniques. The most common approaches are open surgery and laparoscopic surgery.

- Open Surgery: In open surgery, a single, larger incision is made in the lower right abdomen to remove the appendix. This is typically done in cases where the appendix has ruptured or if there are complications.

- Laparoscopic Surgery: Laparoscopic surgery is a minimally invasive technique that involves several small incisions and the use of a tiny camera and specialized instruments to remove the appendix. It is associated with a faster recovery and fewer complications.

For successful and complication free surgery, ensure that the surgery is being performed by one of the best gastro surgeons in Surat.

Recovery and Post-Surgery Care

Recovery after an appendectomy varies from person to person, but most individuals can expect to return to their normal activities within a few weeks. It’s important to follow your healthcare provider’s instructions regarding post-surgery care, including:

- Pain Management: You may be prescribed pain medication to manage discomfort during the recovery period.

- Diet: Your healthcare provider will likely recommend a specific diet to follow during recovery, which may initially consist of clear liquids and then progress to solid foods.

- Activity: You’ll need to gradually reintroduce physical activity, starting with light walking, and avoid strenuous activities until your healthcare provider gives you the green light.

- Incision Care: Keep a close eye on your incision site for any signs of infection or complications. Follow your doctor’s recommendations for incision care.

Conclusion

Recognizing the warning signs of appendicitis is the first step in getting the timely medical attention needed to prevent serious complications. If you or someone you know experiences symptoms like abdominal pain, loss of appetite, nausea, and vomiting, it’s crucial to seek medical help immediately. With prompt diagnosis and an appendectomy, most people can recover fully and avoid the potential life-threatening consequences of a ruptured appendix. Your health is your most valuable asset, so be vigilant and proactive when it comes to understanding and addressing your body’s warning signs.

[knmedical]

A comprehensive guide to anoscope with light for enhanced medical examinations

Anoscopes with lights are essential medical instruments used for the examination of the anal canal and lower rectum. They provide enhanced visibility during medical procedures and help diagnose various conditions affecting the anal and rectal regions. In this comprehensive guide, we will shed light on anoscopes with lights, their components, uses, benefits, and how they enhance medical examinations.

　　What is an anoscope with light? An anoscope with light is a medical device designed for the examination of the anus and lower rectum. Anoscope with light consists of a hollow tube with an attached light source that illuminates the anal canal, providing a clear view for the examining physician. The light enables better visualization of the area, making it easier to identify abnormalities or perform medical procedures.

　　Components of anoscope with light:

　　Hollow tube: The main component of an anoscope with light is a hollow tube. Anoscope with light is typically made of plastic or metal and is designed to be inserted into the anal canal.

　　Light source: An anoscope is equipped with a light source at its tip. The light can be a built-in led or an external light source connected to the instrument.

　　Speculum: Some anoscopes with light have a speculum-like design at the distal end. The speculum helps to keep the anal canal open during the examination.

　　Graduations: Some anoscope with light have graduations marked on the tube to measure the depth of insertion into the anal canal.

　　Uses of anoscope with light: An anoscope with light is used for various medical procedures and examinations, including:

　　Anoscopy: Anoscopy is a diagnostic procedure in which an anoscope with light is inserted into the anus to visualize the anal canal and lower rectum. It helps identify conditions such as hemorrhoids, anal fissures, and polyps.

　　Hemorrhoid treatment: Anoscope with light are commonly used in the treatment of hemorrhoids. They allow for accurate ligation or sclerotherapy of hemorrhoidal tissue.

　　Biopsies: Anoscopes can facilitate the collection of tissue samples for biopsy from the anal and rectal regions.

　　Foreign body removal: In some cases, anoscopes with light can be used to locate and remove foreign objects lodged in the anal canal.

　　Fistula evaluation: Anoscope with light help in the evaluation and assessment of anal fistulas.

　　Benefits of anoscope with light:

　　Enhanced visibility: The built-in light source in anoscope with light manufacturers, provides improved visibility during examinations, allowing physicians to see the area more clearly.

　　Accurate diagnoses: The enhanced visualization offered by the lighted anoscope enables accurate diagnosis of various anal and rectal conditions.

　　Minimally invasive: Anoscopy is a relatively minimally invasive procedure, which is well-tolerated by patients.

　　Precise procedures: Anoscopes aid in precise and targeted medical procedures, such as hemorrhoid treatment and biopsies.

　　Patient comfort: The design and smooth surface of anoscopes with light ensure patient comfort during examinations.

　　Conclusion: Anoscope with lights are valuable medical instruments that enhance the examination and treatment of conditions affecting the anal canal and lower rectum. By providing enhanced visibility and facilitating precise procedures, anoscopes play a crucial role in accurate diagnoses and patient care. These instruments are vital tools for gastroenterologists, proctologists, and other healthcare professionals involved in anal and rectal examinations and treatments.

[bastardblvd]

[writer59january13]

A dangerous and mandatory evacuation – man the poop deck!

Ha!

Human (rat) race doomed! Foregone conclusion hashtagged,

linkedin, predicated, et cetera, cuz

overactive derrière of yours truly

(no names mentioned, nor fickle

finger of fate pointed), and writer

of these words and one among many

riders (he adores) on the storm – referring to brewing, looming, and quaking potentially severe economic fallout shattering The "debt ceiling" or "debt limit"recommends ye dear unknown (anonymous) readers bid thee toodle loo to civilization and its discontents.

So much for hyperbole! How axiomatic, ironic, quixotic, zoologic that thee unavoidable rectal urge occurred

while in the midst of writing about that

vitally important bodily function, which

for any other Tom, Dick or Harry would

be safer endeavor at least within their home.

That margin of err rear harmlessly doth

NOT exist within the rented domicile

of this twenty six plus years a married

(lighthearted) middle aged man.

What requisite non-forceful,

essential, dutiful call visiting

the potty to purge the body electric of supposed waste matter

(quite efficient machine Homo

Sapiens anatomy), regarding

said expelling solid, loose, liquid...

thru anus ought to rank as minimally risky private business. Imagine matter of fact saunter

to the loo fraught with Uriah heaps

of danger that could imperil

the very existence of (in this case)

myself, and the rest of humanity. Upon attempting to amble very short distance, (perhaps

half a dozen paces), an

immediately deleterious,

hellaciously luminous, and

perilously serious threat

(unsurpassed even by hooliganism signature destruction forever

enshrining Gothic or Vandals –

if such peoples lived today and occupied this apartment unit),

loomed as a far more impossibly

harrowing mission any combination

of maximum strength (Excedrin would be superfluous) supposed

major natural disasters all rolled

into one frightful maelstrom.

Oft times the powerful need

to relief thyself disallows any

preparation H(abiliments), thus I am forced to make a quick dash

to the toilet, BUT between

the cozy comfort of this easy chair and the durable material

designed to suction even the

baddest, biggest, boldest BM belies a trail and mountain

far more of wicked bewitched

crossing then say the now defunct Fukushima Nuclear Power Plant.

Though this comparison may seem

like an exaggeration, the higgledy

piggledy hewn heap of fetid foul

fermenting faecal matter poses dangerous, death defying diabolical

(DO NOT ENTER) dump.

No other option existed for me

to eradicate, expel, exorcise, et

cetera potential fecal matter except

to strike out toward barrier reef

of noxious, odoriferous, pestilential,

queasily revolting sky high (declared SuperFund Site) to enjoy simple

pleasure, whereby Gluteus Maximus

dispenses with human toxins.

The urge to let loose a stool sample

overrides any time to pen loving

note to surviving family members, which (two darling grown daughters

seem like foreigners (or survivors

on a desert island) as each precious

Punim pursues autonomy countless

miles, whereby the eldest then

a Junior at The University of Pennsylvania,

and the youngest offspring plane

and simple sailed about seven years ago to become

seasoned student abroad.

Though a tenant at this subsidized

(and quite agreeable accommodations

nestled within Perkiomen Valley,

Pennsylvania), no exaggeration necessary to describe daily cataclysm perchance

spelling doom and downfall of this

dry husband and loving father to deux

progeny, who would hate to leave said

special offspring behind under

the sheltering sky.

Thus every onset to traipse

so few feet to flush out thine flotsam and jetsam,

(when stream of urine sprays like a hose) to pay obeisance

and homage to modern plumbing, the flash of mine

lxiv years zips thru me memory, particularly when

carefully, gingerly lumbering ridiculously slow

(lest mishap finds ambulance

siren wailing destiny of this chap

(most likely pronounced

dead on arrival), whereby tell tale sigh of turgid tummy

would automatically inform doctors

that obstruction preventing quintessential rear supply tubby

undisputed venal wickedness.

Tis at unstoppable twitches

to defecate, (which sharp

saber rattling rectal spasms)

denote common urgent irrepressible

need arising within bowels), when mental gallows humorous arises. Such an embarrassing ending

(post eerie er) demise re: conclusion

to my rather ordinary life – (visa vis

being constipated, deprived

or hindered freeing offal,

would put to shame “windbag”

i.e. google as proof positive

of blocked means to eliminate waste).

Also in tandem (though very

slightly tangential to above

distressful horrible likely presentiment,

this xMan bemoans being

swept off my yam bic pent tam meter feet (literally)

by gigantic hands of she

(thee divine Gaia, who now

scatters defecated detritus

damning ability to access

commode constitutes reflection

on remaining Norwegian

Bachelor farmer from Lake Woebegone.

How trajectory of one measly

mortal primate webbed whirled wide eyed schleps

along boulevard of broken dreams

(he may as well live planets,

galaxies or universes apart

worlds) ever shared

an intersecting vector

with another continues

to confound this crossword puzzler.

Again that sneaky sobriquet

irony doth mettle with steely goatherd drivers

goes Pasteur homo, where gin till lit tee lives.

Long story short described below.

Circumstance found this then

quite content solitary son of the soil invited

to admirable, estimable, inimitable estate listed as “Glen Elm”

within National Registry of owned properties within

Collegeville, Pennsylvania.

Garrison Keillor slated guest of honor.

He possessed je nais se quois

ability to tell tall tales,

whereby audience members

became rapt with seduction,

usurpation, and wide eyed yearning

to lean in so as to hear the suspense, which increased in magnitude

in direct proportion as

his home spun voice became softer.

Unbeknownst to this

poor country bumpkin, when he took bathroom break

during impromptu intermission, a gal in her mid thirties

livingsocial with her parents within the Mainline

(very wealthy enclave of residents within southwestern Montgomery

County, Pennsylvania) agreed to follow Jewish tradition,

asper prearranged marriages. Though neither of Semitic peoples,

nor the least bit familiar

with one of the oldest Religions,

thee family, whose youngest daughter

hinted of spinsterhood, their open minded kindred ideas

generated exception to dictum remaining steadfast

to pinpoint “a nice Jewish Kosher Boy”!

As frequent attendees

at this Leiper Mansion and storied magnet for literati,

the accidental chance encounter found thyself and unfamiliar gal

(fate decreed as thy bartered bride)

happened to be awaiting use of water closet. As tends to be the predilection

of so called fairer gender sex,

this petite and attractive dame

introduced herself, which subsequently

found us becoming more curious about the other.

The natural order of two

heterosexual individuals (one male, the other female)

allowed basic instinct of attraction to engender

fledgling friendship, that quickly leapfrogged into

a sexually intimate dalliance. Without any precautions

qua birth control inevitable outcome of hitting

the figurative bullseye linkedin while listening to the rhythm method occurred. This reality determined

tepid reception courtesy

future parents in law to marry gal,

whose youngest daughter's

future child I fathered.

Even from this fairly commonplace

getgo dynamics wildly described

along seismograph of 10.00 earthquake, one category 5 hurricane,

and an F5 tornado thrown in for good measure for measure,

these tidbits totally hyperbolic,

thus equal much ado about nothing relative to the interpersonal juxtaposition

of our quite rapid tête-à-tête,

that continues (to much lesser degree –

analogous to subsiding

storm of the Century 21) to this day.

After surviving approximately

two and a half dozen plus years, (the marital inflictions

unquestionably more harrowing, strangulating, and threatening

life and limb) battle scars (many broken bones begot

by innocuous shuffling to bathroom) populating neary

every square inch of this ordinary chap deserves a medal of honor.

[cojnursinghealthcarecrimson]

Rectal Foreign Body for to Self-Inflicted Anal Eroticism in Man: Clinical Case_ Crimson Publishers

Rectal Foreign Body for to Self-Inflicted Anal Eroticism in Man: Clinical Case by Guillermo Padrón Arredondo* in COJ Nursing & Healthcare_ Nursing  Healthcare Open Access Journal

Abstract

Background: Historically, the acceptance of anorectal sexual practices has varied throughout different civilizations. While he was condemned in biblical times, anal intercourse was often practiced by the Greek and Roman civilizations. Due to the current changes in sexual behavior, the surgeon is currently facing new problems in the diagnosis and treatment of rare rectal lesions.

Clinical case: Male 37 years-old, married who presents to the emergency room complaining of pain in posterior anorectal area to the introduction of a foreign body, the patient reports attempted manual removal at home by maneuvers Valsalva unsuccessfully. Patient with stable vital signs and physical examination, normal chest and abdomen and rectal exam glass object is palpated proximal end with metal, plain abdominal radiography is requested where is evident the intraanal object.

Laboratory test normal: Manual removal is attempted in emergencies without success due to the caused pain and decided to pass to the operating room where under spinal block and position in Sevillian razor a curve clamp rings is used and removal of the foreign body is achieved without difficulty.

Discussion: Retained rectal foreign body is not an uncommon condition, but reliable epidemiological data are not available. The aim of the clinical evaluation is to identify the type, number, size, shape and location of the foreign body. Removal of retained rectal foreign bodies requires experience, with particular attention to different methods of extracting various objects. It is mandatory to perform a proctosigmoidoscopy after anorectal foreign body removal to exclude bowel injury and ensure that the patient has not inserted more than one foreign body. Patients with mucosal abrasion, tears and edema are to be admitted for a period of observation.

Conclusion: These cases are sporadic presentation in our medium one case or less for about a year and our patient quickly came to the emergency room for care, just as the size and shape of the pot perfume not allowed to advance beyond the rectum it which facilitated its removal under regional anesthesia without suffering further damage.

Crimson Publishers: https://crimsonpublishers.com/

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[drmanastripathy]

Laser Proctology | Piles, Fissure Treatment in HSR Layout, Bangalore

Piles, Fissure Treatment in HSR Layout, Bangalore | Dr. Manas Tripathy.

Laser proctology is the surgical treatment of diseases of the colon, rectum, and anus using a laser. Common conditions treated with laser proctology include hemorrhoids, fissures, fistula, pilonidal sinus, and polyps. The technique is increasingly being used to treat piles in both women and men.

Laser (Light Amplification by Stimulated Radiation) is a light beam of high energy. This light beam is used to burn or cut the abnormality, which was the reason for the surgery. Present, laser techniques are very advanced and much safer; they leave no scars, are bloodless and less painful. They also cause lesser complications.

Laser Surgery Vs Conventional Surgery

Laser surgery is an outpatient or day-care procedure, which offers many advantages over conventional surgery. For e.g., the laser technique not only treats hemorrhoids more effectively, but it also reduces post-operative pain. It also improves symptoms after surgeries, which were not meant to completely cure the patient. Similar results have been seen in patients external thrombosis, severe anal spasms, fissure, fistula, varicose veins, and sentinel tags. Specific advantages of laser surgery are:

 Greater surgical precision

 No need for general anesthesia

 Faster surgeries

Discharge within a few hours

Back to routine in 3-5 days

No sutures and no scars

 Less sutures with no scars 

 Fast recoveries

Less loss of during surgery

Minimal postoperative pain

 Low risk of infection

Low risk of prolapse or rectal stenosis

Laser surgery patients look better.

Anal sphincter action is well preserved (no chances of incontinence).

Least rates of recurrence

Fewer visits to the doctor after surgery

Higher success rates

Anorectal Diseases That Require Laser Surgery

Hemorrhoids or Piles are enlarged veins located at the junction of the anus and rectum. The veins get enlarged due to excessive blood flow in arteries, which in turn causes the haemorrhoidal plexuses to dilate and get congested.

Anorectal Fissures 

The lining of the anus can tear or crack when passing large or hard stools. The tear is called anal fissure and leads to pain and bleeding while passing stool.

Anal Fistula 

Anal fistulas are small, infected connections that form between the skin near the anus and end of the bowel. An anal fistula is mostly the result of contagion in an anal gland, which spreads to the skin.

Pilonidal Cyst 

Pilonidal cysts are formed at the end of the tailbone and just above the sacrum when hair penetrates the skin. The cysts also contain skin debris. The body responds to the hair as a foreign substance and creates a sac around the hair. If the cyst and the overlying skin become infected, it can lead to a painful abscess. 

Symptoms of Anorectal Diseases 

Many anorectal medical conditions go undiagnosed and remain untreated in adults because people feel shy or embarrassed to bring it to the notice of a doctor. This is especially true of women. The symptoms of anorectal conditions are noticeable, and should immediately be brought to the attention of a medical practitioner. Early diagnosis leads to lessening discomfort and faster treatment. Some of the symptoms are:

Rectal pain and bleeding

Pain, strain or bleeding while passing stool

Inability to sit for long periods

Spotting blood

Laser Surgeries for Piles

There are three types of laser surgeries for hemorrhoids:

Hemorrhoidal Laser Procedure (HeLp)

HeLP is a minimally-invasive laser procedure for piles, which does not require anesthesia. A Doppler is used to identify the affected branches of the rectal artery. Once they have been identified, a laser diode fiber photocoagulation  the branches.

Laser Hemorrhoidoplasty (LHP) 

LHP is similar to HeLP, but in this surgery, blood is stopped from flowing to the hemorrhoidal plexus by photocoagulating the affected branches of the rectal artery.

Laser Haemorrhoidectomy

Also called laser cauterization, this is a procedure in which the surgeon shrinks the swollen piles by burning them with the laser. Sometimes, the surgeon used a narrow laser beam and focus only on the hemorrhoids to avoid damage to nearby tissues. The narrow beam is passed through the anus and focussed on the mass of the piles. The controlled exposure of the submucosa zone to the energy of the laser causes a mass to shrink.

The fibrosis is reconstructed to create connecting tissue. This enables the mucosa to adhere to the underlying tissue. This prevents prolapsed. This is a safe surgery and cause minimal bleeding and heals faster.

FILAC Technique (Fistula–Tract Laser Closure)

This is a minimally-invasive technique to treat anorectal fistula, which preserves the sphincter. The affected tissue, called epithelialized is neutralized by focusing the laser in a controlled, circular movement.

Lateral Internal Sphincterotomy (LIS)

Doctors may prescribe LIS when chronic anal fissure does not respond to medication and conventional treatments. The laser is used to remove a small portion of the sphincter muscle. This helps alleviate pressure, reduce pain and allows the fissure to heal.

Before the Surgery: Your doctor or surgeon will explain the entire procedure to you and the expected results. The medical team will give you specific instructions on what to do and what not to do before the surgery. They will also conduct some pre-operative examinations.

During Surgery: The surgery will be carried out by a team of anesthetists, the surgeon and support staff. The procedure will be carried out under local anesthesia. Depending on the condition, the operation lasts from a few minutes to one hour.

After Surgery: Laser proctology surgeries are usually conducted as out-patient procedures, but some patients may be monitored overnight. The time of recovery varies from patient to patient, but you can expect to resume normal activities in one or two days.

To  know more visit:  www.drmanastripathy.com

[aziraphale-is-a-cat]

Sword in the stone except it's a rectal foreign body and whichever nurse gets it out gets holidays off