#vomiting and diarrhea disease

[gimedicalservices]

Discover top-notch care for your digestive health with our GI Medical Services skilled team of Gastrointestinal specialists in Staten Island. From diagnosing and treating digestive disorders to providing personalized solutions, our experienced doctors are dedicated to your well-being. Health specialist doctor digestive Staten Island Experience relief and improved digestive wellness with cutting-edge treatments tailored to your unique needs. Trust us for compassionate and effective care. To schedule an appointment, please feel free to contact Us: 718-605-5000

[sentimental-apathy]

I'm so tired of being chronically ill and not being able to be independent because I live in a society that not only makes qualifying for disability benefits extremely difficult to prove but then doesn't even give you access to the necessary resources that could help treat and improve your chronic symptoms in order to make it easier for you to work a job.

[burricane]

I’m at a wedding reception and my stomach hurts but everyone in my family is loaded right now and my stomach hurts but they aren’t listening and I want to go HOME but I can’t because my sister is the maid of honour

[harmeet-saggi]

Diarrhea – Causes & Treatment!

Diarrhea is a condition that causes you to have three or more loose, watery stools in a day. If you have diarrhea, you may also have nausea, vomiting, cramps, and a fever. Diarrhea can be caused by many things, including viruses, bacteria, parasites, food poisoning, and medications. It can also be a side effect of cancer treatments and other health conditions. If you have diarrhea for more than 2 days or it is severe, contact your doctor. You may need intravenous fluids if you are dehydrated. Book a doctor's visit to get the help you need today!

[drforambhuta]

The diagnosis of gastrointestinal conditions, such as gastritis, typically involves a comprehensive approach that combines medical history assessment, physical examinations, and a variety of tests. Here's an in-depth examination of the diagnostic process:

Medical History: Your healthcare provider will inquire about your symptoms, their duration, and any potential triggers or risk factors. These may include alcohol consumption, medication usage, or a family history of gastrointestinal issues.

Physical Examination: A physical assessment can reveal signs of gastritis, such as abdominal pain.

Endoscopy: This procedure entails the insertion of a slender, flexible tube equipped with a camera (endoscope) into the stomach to visually inspect the lining. It enables the identification of inflammation, ulcers, or any other irregularities.

Blood Tests: Blood examinations can detect specific markers, such as H. pylori antibodies or other indicators of inflammation, which aid in the diagnosis of gastritis.

Imaging Studies: In certain cases, imaging methods like X-rays or CT scans might be employed to evaluate the extent of stomach lining damage.

Once a diagnosis is established, the treatment approaches vary depending on the specific condition and its severity:

• Gastritis: Treatment for gastritis may encompass lifestyle adjustments, such as abstaining from alcohol and NSAIDs, coupled with medications to reduce stomach acid, manage symptoms, and address H. pylori infection if present.

• GERD: Managing GERD typically entails dietary modifications, lifestyle changes, and medications to control acid reflux.

• Peptic Ulcers: Treating peptic ulcers can involve antibiotics to eliminate H. pylori, medications to reduce stomach acid, and lifestyle alterations.

• IBS: The management of IBS focuses on symptom control, dietary adjustments, stress reduction, and occasionally, the use of medications to alleviate specific symptoms.

• IBD: In cases of Inflammatory Bowel Disease, medications are often required to manage inflammation and, in severe instances, surgical intervention may be necessary.

• Celiac Disease: The primary therapy for celiac disease involves adhering to a strict gluten-free diet. Avoiding gluten-containing foods can lead to symptom resolution and the healing of the intestinal lining.

You can undergo a quick and accurate diagnosis and get a customized treatment plan based on your gastric problems from Dr. Amit Maydeo, who is the best gastroenterologist in the country and is currently working at H N Reliance Hospital in Mumbai.

[petcarelover]

Top 7 Most Common Dog Diseases & Treatment

Top 7 Most Common Dog Diseases & Treatment

Dogs of all ages can suffer from various medical issues, so we’ve put together this helpful guide to common dog diseases, how you recognize them, and how to cure them. As a dog parent, it’s essential to understand the signs and symptoms of common disorders to get your pet dog to the vet as soon as possible. Dogs are susceptible to many diseases that are pretty common and easily treatable. The…

[prosolitude-alyaasabbagh]

Update 4/6/24 : My Child Magid got Hospitalized

I am writing this on the behalf of Firas Salem @firas-salem , I tried messaging him but I coudn't, I think he got shadowbanned AGAIN!! But I can't reach his phone right now He Needs Us More Than Ever!! Update 4/6/24 : My Child Magid got Hospitalized He suffered from severe Gastroenteritis, and it kept getting worse , vomiting and diarrhea .. His tiny body couldn't take it . The doctor said he lost almost 9 Pounds ! And blamed us for not bringing him sooner . We had to put him on IV because of dehydration.. my poor child is asthmatic as well so it took a toll on him . DONATE HERE

Please Pray for him Please DONATE here. Please Please Please Share . We Desperately NEED to get out !! I feel terrible!! I neglected my child and was busy providing and helping my sick parents and brother .. I hope no one has to go through this ! THANK YOU SO MUCH FOR BEING THERE FOR US ! Forever Grateful . DONATE HERE. Verified Fundraiser by @el-shab-hussein

PLEASE SHARE.. The donations almost stopped .. and we need every € .. It helps us a lot !! Please help us regain visibility 🙏 Magid is almost a year and half .. I just realized that .. in my head time almost stopped during this terrible war. poor Magid is a sweet good natured kid .. sadly ever since he opened his eyes , all he has witnessed is the turmoil of war, displacement, diseases and shelters.

PLEASE HELP US .. SHARE .. DONATE .. PRAY THANK YOU !!

@nabulsi @sayruq @palipunk @northgazaupdates @palestine-info-uncensored @communistchilchuck @ibtisams @fairuzfan @fallahifag @vakarian-shepard @vakarians-babe @plomegranate @sar-soor @stil-lindigo @blackfashion @palestbaby @instagram @palestinecharitycommissionsassoc

[icarusredwings]

This has been on my mind for NO Fucking reason so to make it shut up, lets talk about it.

"Why doesn't Wade just do chemotherapy?"

In this essay, I will explain the answer to that question, looking at Germ cancer cells and testicular cancer rates to decide-

Can Wade have biological kids?

Let's start with the basic facts.

What a germ cell tumor?

A germ cell tumor is a mass made of reproductive cells, also called germ cells. “Germ” is short for “germinate,” which means to mature. For men and people assigned male at birth (AMAB), germ cells mature into sperm. Related, germ cell tumors most often form where eggs get made (ovaries) and where sperm gets made (testicles).

[ https://my.clevelandclinic.org/health/diseases/23505-germ-cell-tumor]

Testicular cancer.

Most testicular cancers start in cells known as germ cells and are called germ cell tumours. Germ cells in men produce sperm. Testicular germ cell tumours can develop from germ cell neoplasia in situ (GCNIS). GCNIS means that there are abnormal cells in the testicle.

[https://www.cancerresearchuk.org/about-cancer/testicular-cancer/types#:~:text=Most%20testicular%20cancers%20start%20in,abnormal%20cells%20in%20the%20testicle.]

More than 90% of testicular cancer start in the germ cells, which are cells in the testicles and develop into sperm. This type of cancer is known as testicular germ cell cancer. Testicular germ cell cancer can be classified as either seminomas or nonseminomas, which may be identified by microscopy.

[https://www.cancer.gov/ccg/research/genome-sequencing/tcga/studied-cancers/testicular-germ-cell-study ]

Treatments.

At the moment there is not a lot of options, the most common are:

Chemotherapy

Radiation

Surgery

Chemotherapy.

Chemotherapy works by stopping or slowing the growth of cancer cells, which grow and divide quickly. Because of his healing factor, this would probably not work and if anything cause Wade more illness seeing as Chemo causes

Fatigue

Hair loss

Easy bruising and bleeding

Infection

Anemia (low red blood cell counts)

Nausea and vomiting

Appetite changes

Constipation

Diarrhea

Mouth, tongue, and throat problems such as sores and pain with swallowing

Peripheral neuropathy or other nerve problems, such as numbness, tingling, and pain

Skin and nail changes such as dry skin and color change

Urine and bladder changes and kidney problems

Weight changes

Chemo brain, which can affect concentration and focus (serve mind fog)

Mood changes

Changes in libido and sexual function

And last but not least Fertility problems

[https://www.cancer.org/cancer/managing-cancer/treatment-types/chemotherapy/chemotherapy-side-effects.html ]

Radiation.

At high doses, radiation therapy kills cancer cells or slows their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stop dividing or die. When the damaged cells die, they are broken down and removed by the body. In theory this would work a little bit, for about 12 minutes and then he immediately would have all of those dead cells back because while the radiology killed one spot, cancer spreads. Quickly. With his healing factor its MUCH quicker too. All that pain for nothing.

Fatigue

Hair loss

Memory or concentration problems

Throat problems, such as trouble swallowing

Cough

Shortness of breath

Taste changes

Skin changes (such as burning and peeling)

Less active thyroid gland

Sexual problems

Fertility problems

Urinary and bladder problems

[https://www.cancer.gov/about-cancer/treatment/types/radiation-therapy]

Surgery.

I dont even need any sources for this. We saw what happened to his legs when ripped off. They just grew back. And if removing cancer cells makes newer cancer cells? That's useless.

Summary.

Wades entire body is cancerous. Yes. His ENTIRE body. Every arm, toe, and fingernail on this man is cancerous. His healing factor is literally just having rapid cancer growth (amongst other things)

Chemotherapy and radiation will not work on him. Chemotherapy works by killing cancerous cells in order to grow healtheir ones. Except Wade can only produce cancerous cells. Yes, while they are new and much more likely in the very early stages, it's still cancerous.

This being said, there is no cure or treatment for Wades Cancer (that we know of at this time) Its quite physically the only thing keeping him with super hero powers yet still remains even after his powers are taken.

Hate to say it.

I hate to say it but statistically removing older, more advanced cells to replace with newer, less progressive cells (aka removing or ripping off his limbs/ parts of his body so they can grow back as new and fresh) is probably the best 'treatment' Wade has right now. Radiology would work the same, right?

Yes, but A. Not as B. Too many side effects that he he'll have to deal with MORE making him even more crazy and sick. Why would he do that when he can just tease Logan into slicing a hurt leg off and go from there?

Will the treatment help him be fertile?

Realistically, without his powers, he probably would be dead in a week, perhaps less due to just HOW much cancer this man truly has.

Chemo would also make it worse. So much worse, in fact. Both pain wise and his chances at ever biologically having a child.

Result(s) Before the cancer was diagnosed, (66%) 79/120 couples who attempted to conceive succeeded within 1 year. After (Cancer) treatment, (43%) 38/88 couples conceived within 1 year.

[https://www.fertstert.org/article/S0015-0282(03)00335-2/fulltext]

Testical Germ Cell Tumors are associated with semen abnormalities before orchiectomy. This review shows an increase in abnormal semen parameters among men with TGCT even outside the treatment effects of orchiectomy, radiation, or chemotherapy.

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270136/ ]

The way that TGCT affects the sperm is that it's very common for not only lower sperm count (obviously, it's hard to produce when you're fighting an entire body illness) but also changes the shape of the sperm which makes it very difficult to reach the egg. Sperm with crooked tails, double tails, double heads, or even broken sperm have a very hard time reaching the egg (think of it like natural selection) and die off before they get anywhere. If you already have low countage and most of them can't make it?

Well that's much lower chances of fertility.

In the comics.

In the comics, Wade has a daughter named Eleanor Camacho in which he was unaware of because her mother saw his face and ran away in terror. The entire thing is that her mother thought she was going to die and decided fuck it, if im gonna die Im gonna die happy so decided to spend these last moments with wade (who she literally just met- if that aint weird in itself idk what is).

She only ever found him to demand child support, and he refused to believe such a beautiful child could he his given his stance of insecurity and well- Just utter shock anyway, I think. He is right. Eleanor is gorgeous as a baby and as an adult.

(There's actually a whole comic where he's trying to fight death so his daughter doesn't die before him because he "couldn't bear the thought of living without her" so they activate a bomb "with the power of a black hole" and comit death together. It's very sweet)

TLDR

In conclusion.

Yes, Wade can have children, but he has a better chance at being successful if he removes his lower half and regrows it so that its *less* cancerous than before cells, therefore hes more likely to have normal shaped sperm and probably more of it during the process.

No, chemotherapy, radiation, and surgery would not be effective. Unfortunately, the most effective thing for him is ripping his limbs off sometimes.

"Forest- why the fuck did you write this?"

You know... I really don't know. I wanted to become a bio geneticist, and here I am. Writing about some bald guys' balls on the Internet. Siiigghh... anyway. Use this. however you want, I don't even care at this point.

[fairyniceyeah]

🧚🏻‍♀️Emeto cheat sheet

Causes of vomiting:

Alcohol (+Flush gene)

Allergic reaction

Anxiety

Appendicitis   

Bulimia

Cancer (+Chemotherapy)

Coffee on empty stomach

Crohn’s Disease

Cycling Vomiting Syndrome

Exhaustion

Extortion (sports) on empty stomach       

Fevers       

Flu

Food intolerances       

Food poisoning (salmonella, E.Coli …)·       

Gallstones       

Gastroenteritis       

Gastrointestinal Obstruction

Gastroparesis    

Hangover

Heat/Heat stroke   

Indigestion

Kidney Infection

Labyrinthitis (ear infection)

Lactose Intolerance

Medication (Antibiotics, opioids)

Ménières Disease

Meningitis       

Migraines/Headaches       

Motion sickness (cars, buses, boats, planes …)       

Norovirus

Overeating       

Pain      

Panic Attacks  

Poison

Pregnancy

Reflux     

Rollercoasters       

Stomach flu

Ulcerative colitis

Ulcers

UTIs

Vertigo

What happens before:

Abdominal pain

Clutching Stomach

Dizziness/Vertigo

Dry Mouth

Dry-heaving

Gagging 

Hand (Back of hand/Palm) to mouth

Heaviness of limbs

Nausea/Queasiness/Feeling sick

Paleness/Ashen, green or grey face

Panic/Fear

Rapid heartbeat

Reacting to stimulants (sight/smell/taste of food e.g)

Salivia builds up/Mouth waters

Shallow/Rapid breathing

Sour stomach

Stomach cramps

Sweating

Throat tightening

Wanting fresh air

What happens during:

Sound:

Burp/Hiccough

Coughing

Echoing back 

Gagging/Retching/Heaving/Wretching

Gurgling stomach

Rapid breathing

Splattering

Vomit hitting water/receptacle

Sight:

(No) Remnants of previous food

Color (Brown/Depends on previous food) of sick

Liquidly/Chunky/Thick sick

Vomit in corner of mouth

Vomit/Sick/Throw up splattering on floor

Smell:

Acidic

Putrid

Rancid

Sour

Taste:

Acidic

Bitter

Previous food

Sour

Feeling/Misc.:

Back rippling

Burning in mouth/throat/nose

Choking/Feeling like there is no air

Crying

Curling up into themselves/into caretaker

Gagging/Retching/Heaving

Hot vomit/bile/stomach contents

Hyperventilation/Panic

Liquidly/Chunky/Thick sick

Sticky sick on clothing

Stomach contracting/Rolling/Gurgling

Stomach contents sloshing around

Torrent/Wave/Spray/Mouthfuls of sick coming up

Trembling

Vomit gushing/rushing out of mouth (+nose)/up their throat

Vomit seeping through fingers

What happens after:

Being overwhelmed

Blurry vision (from tears)

Changing clothes/Cleaning

Coughing

Cramps

Crying/Sobbing

Cuddling/Soothing

Dehydration

Dizziness/Vertigo

Drinking water

Falling/Slumping forwards against toilet/bucket

Lost/Rough voice/Pain in throat

Medication

Passing out/Fainting

Resting head on toilet seat

Shaking/Trembling

Staying hunched over – not sure if gonna be sick again

Taking Temperature

Wiping away tears/vomit

What the caretaker can do:

Call for help (another caretaker/medical)

Cleaning/Disinfecting

Hold bucket/trash bin/other receptacle

Holding back hair (strands/at the neck)/fringe

Holding sickie upright

Holding sickies hand

Make hot water bottle

Make sickie blow their nose

Make sickie drink to replenish lost fluids

Make sickie lay down (on their side/on caretaker’s lap)

Make sickie take medication/temperature

Make soup

Rubbing circles on back

Rubbing stomach

Soothe sickie (don’t hold it in, you will feel better after …)

Whispering comfort

Wiping away tears/vomit

Other related symptoms:

Abdominal pain/cramps

Bloating

Diarrhea

Dizziness/Vertigo

Fever

Headache/Dehydration headache

Hiccoughs/Burping

Inability to keep anything down

Nausea

Paleness/Grey, green or ashen face

Shaking/Trembling

Possible scenarios:

Bathroom is occupied

Being in public/situation they can’t escape from

Caretaker finding sickie on bathroom floor

Carrying a bucket around wherever sickie goes

Clutching a bucket/bin/plastic bag/toilet so hard their knuckles turn white

Cramps so bad sickie can’t move

Curling up on bathroom floor

Eating something despite knowing they are allergic to it

Eating something without realizing they are allergic to it

Feeling sick all day without relief

Feverish and dizzy

Getting admitted to hospital

Inability to keep anything down

Movie marathon as distraction

Multiple sickies (+ not enough bathrooms)

Rubbing sick tummy

Sick during transport

Throwing up in (empty/full) trash bin

Throwing up in bag

Throwing up in bucket

Throwing up in hand

Throwing up in toilet

Throwing up on blankets

Throwing up on floor

Throwing up on something/someone

Throwing up the medication/pills

Throwing up what they just ate/drank

Unable to leave bathroom

Unable to make it to bathroom

Waking up sick in the middle of the night

If you have any more suggestions, please contact me ✌🏼

[fatliberation]

Did u have a post abt how ozempic doesnt work somewhere on here? Tryna find it rn.

I don't post a whole lot about o/zempic or w/egovy in depth because it's a (somewhat) triggering topic for me. my dad is a lobbyist for n/ovo n/ordisk and he has continued to try to get me to take his drug because I have a "disease" that needs to be "treated." we've gotten into countless fights over it. I'm not in a place where I have the emotional energy to post about it, but here are some podcasts on the subject I have listened to and trust:

but yes, in short: it doesn't work, not for weight loss at least. it's prescribed with a diet and exercise (when their marketing relies on the fact that diets don't work. funny.) it doesn't make fat people thin, but it does make you lose a small percentage of your body weight (about 5 percent) because it's an appetite supressant. supposedly you would have to be on the drug for the rest of your life to keep that 5% off, and it's only been tested for a few years so we really have no clue of the long-term effects, and capitalism loves dependance! the side effects are horrible and are often too unbearable for folks to continue the drug. complete loss of interest and joy in eating, nausea, diarrhea, vomiting, constipation, stomach pain, headache, dizziness, fatigue, even gallbladder and pancreas problems, gastroparesis, and blocked intestines. and there could be a risk of thyroid cancer.

[headspace-hotel]

college classes not having a clear policy on what you're supposed to do if you miss class because of being sick is going to destroy me. i have experienced too much of this.

it feels like there's an unspoken expectation that you are supposed to keep coming to class/work/whatever while sick in many spaces. This feels unthinkably rude at best and downright dangerous at worst.

And just think about work spaces. The simple knowledge that food service workers don't have sick leave and may have to come to work while vomiting and having diarrhea is so distressing that i don't want to eat food from a restaurant. We Americans love disease so much. Why

[covid-safer-hotties]

COVID is ‘high’ or ‘very high’ in almost every state. N.J. no longer in ‘low’ category. - Published Aug 29, 2024

No state has low levels of COVID activity anymore, as New Jersey’s rates climb, Centers for Disease Control and Prevention data shows.

Wastewater data from samples taken on Aug. 22 shows “high” or “very high” levels of disease activity in 46 states, two more than the previous sample period.

No states have low wastewater levels. Michigan and New Jersey were the last two states reporting low levels; both now have “moderate” levels. Vermont and West Virginia round out the four states still reporting “moderate” levels.

New Jersey’s uptick comes as updates vaccines targeted to the latest strains of the virus begin to become available.

Wastewater testing has become a more reliable way to track disease activity as many Americans have shifted to at-home testing for COVID. New Jersey does not collect data on at-home test results.

New Jersey’s COVID activity level data comes from 15 different wastewater facilities across the state.

Neighboring New York and Pennsylvania have high disease levels, while Delaware has very high levels. Levels in those states remain unchanged from the previous sample period.

Most of the new cases are caused by the “FLiRT” variant, the CDC says. While it appears that FLiRT variants cause less severe illness than previous variants, there are several symptoms that set it apart: sore throat cough fatigue congestion runny nose fever or chills headache muscle aches new loss of sense of taste or smell nausea or vomiting diarrhea

Immunocompromised people, older residents, and people with severe medical conditions continue to be at the greatest risk for severe COVID infections.

“We continue to see more mild disease, but that’s likely not because the virus is milder, but because our immunity is so much stronger now. After years of vaccinations and infections, most of the population is better able to fight off an infection without as much concern for severe disease,” Andy Pekosz, a professor in microbiology and immunology at Johns Hopkins University, told a school publication.

Avoiding crowded indoor areas, wearing a mask, and avoiding those who are sick with COVID are all ways to prevent catching the new FLiRT variant, health officials have said.

[hyperlexichypatia]

"Universal housing won't work, because some homeless people want to be homeless! They don't want to be confined inside walls!"

Okay, suppose that's true. If every person were allocated their own house/apartment/unit, they wouldn't necessarily have to stay there. If they're more comfortable in the great outdoors, they could still sleep outside, hang out outside, spend their time outside. But they would still have a housing unit of their own, in case they wanted it. They could stay there occasionally, maybe when the weather was bad. They could take a shower there, receive mail there, have family and friends over there. Even if they chose not to use it as most housed people use our homes, they would still benefit from having it.

All of this, of course, is beside the point that the overwhelming majority of unhoused people do, in fact, want housing, and even the people who supposedly "turn down housing" or "don't want housing" are actually turning down the intense social control they're supposed to submit to in exchange for housing. There's a world of difference between "I'd rather sleep outside than live in a prison where I'm denied basic human rights and dignity" and "I actively like sleeping outside."

"But sometimes people in subsidized housing leave behind messes of blood and vomit and feces!"

Yes. Humans are animals, made of flesh and bone and gooey bits. Animals have gross bodily functions. We bleed and vomit and pee and poop. All of us do those things.

Sometimes, people -- especially poor people, who may have gone years without basic healthcare, or even decent food or hygiene -- have health issues or disabilities that prevent them from things like making it to the toilet in time, or cleaning up after themselves. Sometimes assigned housing for poor people is badly maintained, and may not even have things like a working flush toilet.

So yes, people have gross bodily functions, and some people -- especially if poor and/or sick and/or disabled -- may not have the ability or resources to deal with that issue in a hygienic way.

So what, exactly, is your solution?

Because my solution is to make sure that everyone has housing with adequate, working plumbing, and that everyone has access to voluntary healthcare to address chronic medical issues like vomiting or diarrhea, to provide needed adaptive equipment like a bedside commode, and, if needed, to hire personal care attendants to help people with things like cleaning, bathing, and toileting.

Your solution is what? That people with digestive issues should have to live outside? So they don't throw up on your nice floor? Do you have any idea how inhumane that sounds?

Or that they should be subjected to some type of coercive "behavior" program, because untreated Crohn's disease is a bad habit that they have to be tough-loved out of?

Because you think poor people are... just sitting there soiling themselves because they're too lazy to go to the toilet? That's actually what you think, isn't it? It follows logically from the assumption that poor people are poor in the first place because they're "lazy." But two seconds of thought would show that it couldn't possibly be true. You just think of poor people as less than human.

You are also gross and leaky and fleshy. You also poop and pee and barf and fart and sneeze. You are, through no virtue of your own, able to manage your bodily grossness. You are no better than someone who can't.

[fairuzfan]

im sure you probably get asked this a lot, but i have no idea what the whole deal with israel and palestine is

the only thing ive heard is from someone i overheard next to me in a lecture that palestine terrorists attacked israel or something but im starting to think im missing a lot of important context with that

Hi, thanks for sending this in. I've had this in my inbox for a while now because I feel like I didn't know where to start. There is this new crash course online that educates about history and information regarding Palestine's colonization and the history leading up to October 7th, 2023. I recommend taking a look at this resource first:

Generally, a quick rundown is that on October 7th, a group of resistance fighters launched a coordinates attack on the state of Israel and took some hostages back to Gaza. They had done this specifically because Gaza was experiencing a critical point on the 20 year seige the Israeli state imposed on them — even before this they were struggling to find clean water and their economy was severely damaged since their imports were calculated by the calorie by Israel. So they were starved and malnourished, many people with medical issues were not granted access to seek help outside of Gaza if they needed specialized care.

In 2018, Gazans had launched the "Great March Of Return" where they marched en masse to the militarized fence separating Gaza and "Israel." This was, by all accounts, a peaceful protest, though the Israeli government responded with brutal force, killing children as small as 2 years old and elderly people as old as about 80 years old.

This had gone on for a while in 2018, after every Friday prayer, and hundreds died. Even if they were not killed, a large number of them were critically wounded. There are many Palestinians disabled from bullet wounds, and the Israeli government purposefully does not allow them to seek treatment if they require it.

This, coupled with the estimation that Gaza would be absolutely unlivable in a couple years, caused an armed resistance to break out, which is what you hear with the "terrorists" attacking Israeli settlements. Now the reports of who killed Israeli civilians is widely argued, with many claiming that Hamas (some of the resistance fighters) did not kill the majority of Israeli casualties, like in this account from a survivor in which they described that the majority of deaths from the kibbutz were because of Israeli indiscriminate firing:

I can't say I totally understand what is going on now with the resistance fighters, but I know that Israel has tried, and failed, a number of times to invade gaza, always getting fended off by the resistance.

Now, gazans are suffering collective punishment where they are bombed indiscriminately in residential areas, hospitals, and schools, all under the excuse that there are "Hamas tunnels" they wish to destroy that lie under Gaza. They provide no evidence of this — they just claim it and drop the bombs. About 10,000 Palestinians have died from the bombing, many of them in pieces, about half of them children. They are also suffering an unprecedented siege where absolutely NO water, fuel, or food is allowed in Gaza (except for like 20 trucks one time) since October 7th. Gazans are reported to have completely run out of clean water. A vast majority of them are showing symptoms from drinking dirty water like vomiting and diarrhea. The water in Gaza does not work, so they are suffering from sanitation issues that will no doubt make the spread of disease proliferate.

I can go on about the issues the Gazans face, but you can scroll through my blog to learn more. Right now Gaza is suffering a humanitarian crisis and genocide. Palestinians in the west Bank are getting arrested en masse, tortured and humiliated by Israeli police and settlers. They are also getting shot randomly. Right now is the collective effort to completely erase Palestinians off the face of the earth, led by Israel and the United States, all for their own selfish interests.

Check out some posts here as well:

Please let me know if you have any questions about anything. Feel free to dm.

[wheelie-sick]

What is Idiopathic Mast Cell Activation Syndrome?

Idiopathic Mast cell activation syndrome (MCAS) is one of several mast cell disorders. MCAS occurs when there are a normal number of mast cells in a person's body but they over-release mast cell mediators causing random allergic reactions in multiple systems of the body. MCAS is incredibly common being present in an estimated 17% of the population.

Symptoms

MCAS symptoms are incredibly varied and always occur in multiple systems of the body. Anaphylaxis is common.

[ID: A graphic labeled "Some common symptoms of Mast Cell Disease" A graphic of a person standing in the center with multiple organs visible is shown. Around the person are lines pointing to specific areas of the body labeled with the body system and symptoms. Clockwise these read "Neurological headache, brain fog, cognitive dysfunction, anxiety, depression Cutaneous (Skin) flushing of the face/neck/chest, hives, skin rashes, itching with or without rash Cardiovascular light-heartedness, syncope (fainting), rapid heart rate, chest pain, low blood pressure, high blood pressure at the start of a reaction, blood pressure instability Gynecological uterine cramps, bleeding Urinary bladder irritability, frequent voiding Systemic and/or organ specific Anaphylaxis angioedema (swelling) Skeletal bone/muscle pain, osteopenia, osteoporosis Gastrointestinal diarrhea, nausea, vomiting, abdominal pain, bloating, gastroesophageal reflux disease (GERD) Ear/Nose/Throat/Respiratory nasal itching and congestion, throat itching and swelling, wheezing, shortness of breath and more" In the bottom left corner "Symptoms can be sudden and unpredictable in onset learn more at tmsforacure.org"]

MCAS symptoms are specifically not allergies. the reactions may look like allergies but the two are not the same and MCAS is not a condition meaning "many allergies" While MCAS can have some consistent triggers one of the defining features of the disease is that reactions are random and happen unpredictably.

Anaphylactic shock is not a requirement for diagnosis.

Diagnosis

MCAS is diagnosed by an immunologist. It is in part a diagnosis of exclusion and requires ruling out both allergies and systemic mastocytosis as well as other conditions such as certain types of tumors.

Diagnostic criteria for MCAS is debated. Some immunologists follow the symptom-based diagnosis approach in which case the diagnostic criteria are:

Recurring and severe anaphylactic-like episodes that involve more than one organ system

and

Positive response to mast cell stabilizing or mediator medications anaphylaxis-type symptoms

Others follow diagnostic criteria based on laboratory findings. In this case the diagnostic criteria are:

Episodic symptoms consistent with mast cell mediator release affecting two or more organ systems evidenced as follows:

Skin: urticaria, angioedema, flushing

Gastrointestinal: nausea, vomiting, diarrhea, abdominal cramping

Cardiovascular: hypotensive syncope or near syncope, tachycardia

Respiratory: wheezing

Naso-ocular: conjunctival injection, pruritus, nasal stuffiness

and

A decrease in the frequency or severity; or resolution of symptoms with anti-mediator therapy: H1 and H2 histamine receptor antagonists, anti-leukotriene medications (cysLT receptor blockers or 5-LO inhibitor), or mast cell stabilizers (cromolyn sodium)

and

Evidence of an elevation in a validated urinary or serum marker of mast cell activation: Documentation of elevation of the marker above the patient’s baseline during a symptomatic period on at least two occasions; or if baseline tryptase levels are persistently >15ng, documentation of elevation of the tryptase above baseline on one occasion. Total serum tryptase is recommended as the markers of choice; less specific (also from basophils) 24 hour urine histamine metabolites, or 11-beta-prostaglandin F2.

and

Primary (clonal) and secondary disorders of mast cell activation ruled out.

These are not all proposed diagnostic criteria as the subject is heavily debated. Generally, a laboratory-confirmed MCAS diagnosis is considered more legitimate.

Treatment

MCAS is a very treatable condition. Generally treatment follows a path from antihistamines -> mast cell mediators -> biologics.

Epipens are given to MCAS patients with a history of anaphylaxis.

Antihistamines are divided into 2 categories: H1 antagonists and H2 antagonists. These categories are determined based on the histamine receptor each one targets.

H1 antagonists mostly deal with systemic and cutaneous symptoms. H1 antagonists are also further divided into first and second generation antihistamines. first generation antihistamines include diphenhydramine (Benadryl) and Hydroxyzine. These tend to cause drowsiness. With second generation H1 antagonists cause fewer side effects and include drugs like loratadine (Claritin) and cetirizine (Zyrtec)

H2 antagonists primarily affect the gastrointestinal tract and include medications like famotidine (pepcid)

Typically when treating MCAS a person will be put on both a second generation H1 antagonist and an H2 antagonist.

When antihistamines do not treat symptoms well enough the next step is a mast cell mediator. The most common mast cell mediator is cromolyn sodium which is available by prescription only. (this is technically available OTC but it is at 1/50th the dose used for MCAS) Mast cell mediators work by preventing the degranulation of mast cells in the first place.

When both antihistamines and mast cell mediators are insufficient someone with MCAS might be prescribed a biologic such as Xolair to treat their remaining symptoms.

Sources:

American Academy of Allergy, Asthma, and Immunology

Mast Cell Hope

Mast Cell Activation Syndrome: Proposed Diagnostic Criteria

[plumbits]

Leptospirosis: What it is, what it does, and how you can protect yourself and your pets.

People always have questions about leptospirosis (lepto) when they come into the clinic, especially in regards to the vaccine. This post will hopefully clear up those questions or any confusion regarding lepto and its vaccine, and why it's so serious. The information in this post comes from my formal education as a LVT, as well as other sources including the CDC, PAHO, and AVMA. If I missed anything or you see something that's incorrect, please let me know!

First and foremost: What is leptospirosis?

Leptospirosis is a bacterial disease that effects human and non-human animals. It's caused by bacteria in the genus Leptospira. In humans, it can cause a wide range of symptoms that can be very general. This leads to misdiagnoses. Animals such as dogs, livestock, and certain wildlife are all susceptible to infection.

How is leptospirosis spread?

Lepto is most often spread through contact with the urine of an infected animal. This is especially the case (but not the only case) with wild rodents. Infected dogs can seem healthy, but still pass the bacteria on in their urine. In urine-soaked soil, the bacteria can survive for weeks to months.

Dogs typically become infected when their mucous membranes or open wounds come into contact with urine or urine contaminated surfaces (like soil or water). Infection can also be spread through urine-contaminated bedding or food, or the tissues from the carcass of an infected animal. There have been rare instances where lepto has been transmitted by bite or breeding. A pregnant dog who is infected may pass the bacteria to her puppies through the placenta.

Humans contract lepto pretty much the same way: through contact with urine from an infected animal or urine-contaminated surfaces.

What are the signs and symptoms?

In humans:

High fever

Headache and muscle aches

Chills

Jaundice

Vomiting and diarrhea

Redness of the eyes

Abdominal pain

Rash

Humans can also be asymptomatic, which is particularly concerning. It usually takes anywhere from 2 days to 4 weeks post-exposure to the infection source before any symptoms are displayed. The illness begins abruptly and it may occur in 2 phases. The first phase is where you will see a lot of the general symptoms listed above. The person infected may recover for a period of time, but become ill again. The second phase is more severe, leading to kidney or liver failure, and possible meningitis. The illness can last a few days to 3 weeks or longer.

Without treatment, recovery can take several months.

In dogs:

Signs and symptoms may vary slightly depending on the strain of the infected bacteria. The signs are also very general in dogs, but the most common ones include:

Loss of appetite

Vomiting and diarrhea

Lethargy

Abdominal pain

Jaundice

Dehydration

Increased thirst and urination

Weight loss

Stiffness or muscle pain

The disease can also progress to kidney and liver failure in dogs, with damage to other organ systems also noted in the literature. Lepto can also cause bleeding disorders, which can lead to blood in urine, vomit, feces, or saliva, and petechiae on the mucous membranes or light colored skin.

Who is most at risk?

For humans, those who are most at risk include those who work with animals or outdoors where you come into contact with wildlife. The Pan American Health Organization (PAHO) also mentions that sewer workers and military personnel are at-risk populations. Farmers (and generally people who work with livestock) also make the list, as do veterinarians, veterinary technicians, and veterinary assistants.

For dogs, it's all of them. "All dogs are at risk of leptospirosis, regardless of age, breed, lifestyle, geographic location, time of year, and other factors." (source: AVMA)

Situations that can increase the risk of your dog contracting leptospirosis are listed below:

Exposure to drinking from slow-moving or stagnant water sources (this includes puddles)

Roaming on rural property

Exposure to wild animals or farm animals, even if it's only in the yard

Contact with other dogs (such as in urban areas, dog parks, boarding, or training facilities.

How is leptospirosis treated and diagnosed?

Disclaimer: I am NOT a medical doctor or DVM, but I am an LVT. If you think you're experiencing these symptoms, PLEASE go see your doctor. If you think your dog or any of your other animals are experiencing these symptoms, PLEASE take them to your vet.

Diagnosis in non-human animals:

Unfortunately, routine blood tests alone cannot diagnose leptospirosis. That's why it's important for your vet to use all information available to them (i.e. diagnostics, signs and symptoms, lifestyle, etc). There WILL be abnormal results for blood work, most likely high liver and/or kidney values and high white blood cell count. There are specific tests available for diagnosing lepto, such as the DNA-PCR and MAT tests. Both may be needed to reach or confirm a diagnosis. False negatives are possible, so your pet may be treated as if they have leptospirosis, even if the test results are negative. False positives are exceedingly rare.

Diagnosis in humans:

Leptospirosis is diagnosed in a similar fashion in humans. A physical exam, blood work, and urinalysis will likely be run. The same style of tests are used: DNA-PCR and MAT.

Treatment in non-human animals:

Leptospirosis is treated with antibiotics and supportive care. Doxycycline is most commonly used, and will likely be prescribed for 2 weeks or more. Supportive care includes hospitalization with IV fluids and management of electrolyte levels. Additional medications and procedures may be necessary.

Treatment in humans:

The treatment is similar in humans, with antibiotics (usually doxycycline). Your doctor may also suggest to take ibuprofen and monitor yourself at home for less severe cases. If the case is severe, then you'll likely spend time in the hospital. Additional medications or procedures may also be necessary.

Outcomes:

In non-human animals:

Leptospirosis is responsive to treatment with antibiotics. Complete recovery is possible, but some animals that survive may be left with chronic kidney and liver disease. Some animals may not survive if the infection has gotten to the point where it causes severe organ damage or the ability of blood to form clots.

In humans:

You can survive leptospirosis. Most cases have either very mild symptoms that go away on their own, or none at all. Without treatment, leptospirosis can cause kidney damage, meningitis, liver failure, trouble breathing, and even death. PLEASE go see a doctor if you think you're experiencing any of these symptoms, especially together.

Prevention

How can you prevent infection and protect your pets?

For dogs, there's the leptospirosis vaccine. This is an annual vaccine that vaccinates against multiple strains of Leptospira. If you're worried about your dog having a vaccine reaction, let your vet know and they can administer an injection of diphenhydramine (generic benadryl) beforehand, OR you can ask them what the appropriate dose is for your dog and give them the respective amount at home (in tablets or liquid). Vaccine reactions are uncommon, but if they do happen, it's usually immediately after exposure to the vaccine. You can ask to stick around in the lobby/waiting area of your vet clinic for a few extra minutes if you're still concerned.

Limit your dog's access to standing water. Don't let them drink from it. Prevent rodent problems where you can by properly storing food items in appropriate containers, securing your garbage, and patching up any access points into your house if you see them. Try to avoid contact with wildlife, when possible.

For humans, the recommendations remain similar. Don't wade or swim in stagnant water, ESPECIALLY if you have open wounds. Avoid contact with wildlife. WASH YOUR HANDS, often and appropriately. USE PPE if you work in a veterinary setting and properly clean and disinfect surfaces and equipment. Make sure you know or research the area that you're in if you like swimming and boating. Check to see if there have been any recent lepto infections. Cover your scrapes and wounds with waterproof bandages and wear water shoes if possible.

I hope this post answered a lot of your questions! Thanks for reading.

Sources under the cut.

Sources: