lori replied: "Causes and Risk Factors of Esophagitis
Chemicals especially likely to cause very severe corrosive esophagitis include cleaning or disinfectant solutions.
Factors that contribute to the development of reflux esophagitis include the caustic nature of the refluxate, the inability to clear the refluxate from the esophagus, the volume of gastric contents, and local mucosal protective functions.
Poor lower esophageal segment functioning may be associated with a hiatal hernia, in which the top part of the stomach slides back and forth between the chest and the abdomen. Symptoms may be worsened by alcohol, smoking, sedentary lifestyle and obesity.
Symptoms of Esophagitis
The main symptom of reflux esophagitis is heartburn, with or without regurgitation of gastric contents into the mouth, which worsens on bending over. Complications of GERD include esophagitis and possibly massive but limited hemorrhage.
Treatment of Esophagitis
Treatment of corrosive esophagitis involves reducing pain and making the patient comfortable. Gastric lavage is to be avoided in that it may worsen the condition.
Development of a severe esophageal stricture may require dilatation and perhaps surgery. Uncomplicated GERD may be tolerated for many years with good response to medical therapy.
Management consists of:
Elevating the head of the bed
Avoiding strong stimulants of acid secretions (e.g., coffee, alcohol)
Avoiding certain drugs (e.g., anticholinergics), specific foods (fats, chocolate), and smoking, all of which lower esophageal sphincter competence
Giving an antacid to neutralize gastric acidity and possibly increase lower esophageal sphincter competence
Use of cholinergic agonists to increase sphincter pressure
Use of H2 agonists to reduce stomach acidity
Surgical treatment may be necessary to correct a hiatal hernia."
Vicki J replied: "Risk of fatality? I don't think immediately, but long-term reflux increases your chance for developing the precancerous condition Barrett's esophagus, which increases your risk of developing esophageal cancer. Even though your absolute risk of esophageal cancer is fairly low and usually happens to the elderly, it has a dismal survival rate, so it is important that you treat your esophagitis, gastritis, and duodinitis. (BTW, I believe long-term gastritis may increase your risk of stomach cancer.)
Anyway, just because omeprazole didn't work for you doesn't mean another proton pump inhibitor won't. Many people have to try several varieties of PPH before they find the one that works.
I know it can be expensive, but you are worth it and, yes, it is important to resolve."
Diabetic Foot Ulcer. Please help! :(? Hi, fellow Yahoo users.
I have a question about Diabetic foot ulcers.
But first, a history of my 're-occuring' problem.
I, unfortunately, developed an ulcer/hole on the ball of my left foot, at the end of June.
It became so badly infected, and was weeping like no tomorrow.
I bandaged it, packed it up, and kept it as hygenic as possible, up to five times a day.
After seeing my doctor, he admitted me to my local hospital, on the 10th of July.
A group of specialist assessed my wound, and told me that there was a possibility I'd have to have my middle toe amputated.
Turns out that my toe had become swollen and a slightly deeper shade.
And the infected nail (That I've had for two years, now) was showing no signs of improvement.
I had almost-immediate surgery, where the hole was made bigger, so the surgeons could scrape out as much infected tissue as possible.
I was then in the hospital for a further two weeks, taking numerous antibiotics and painkillers as tablets/capsules and through an IV.
I was on..
1: Penicillin.
2: Omeprazole
3: Flucloxacillin.
4: Codeiine
5: Hyoscine-N-Butylbromide.
Anyway, I was eventually discharged, which briings me to my question.
it's been a week, and for some strange reason, my foot is almost as swollen as when it was badly infected.
I've kept it as clean as possible, and kept off it as much as I can.
But the middle toe is significantly redder and more swollen than the others.
The hole underneath my foot is about the size of the baby fingernail on an average hand.
it's got a dull green/rust-coloured soft 'scab' covering.
I've made an immediate appointment to see my doctor.
But I need advice.
Should I return to hospital and risk losing a possible toe that COULD be saved?
Or.. I don't know.
I'm sorry.. I'm really worried out of my mind.
Thank you all for reading and responding.
I really appreciate any help I get.
Jamie.
Hi, everybody.
had some luck seeing the doctor at my local surgery/clinic.
I've been put on Flucloxicillin and Amoxycillin syrups.
And I've got an appointment on the 11th of August, at my local Orthopaedic clinic.
My foot is still very much reddened, swollen and bloody 'orrible, but I'm managing.
Really very kind of you all to help me.
I can't remember the user's name on here, but I'll try putting pillows under my legs at night.
Thank you very much.
Jamie x.x
Emerson replied: "You should consult your Doctor regarding that matter, because any alterations on that part of your body may lead to further complications. Since youve mentioned that youre a diabetic person. I preferably and advised you to be more watchful regarding on the status of your health. You must follow and consult your physician regularly for you to prevent further complications."
Wendy Jean replied: "Hmmm, green does not sound good. There is an infection there, which will need to be thoroughly looked at by the specialist, sorry. Donot delay."
Lorna D replied: "You have to put yourself into the hands of the professionals,they wouldn,t amputate a toe if it wasn,t strictly necessary.Hope it all goes well for you .xx"
whitefords replied: "As someone who lost all the toes on one foot in similar circumstances my advice is don't muck around ... get to hospital as fast as possible. Infection is hard to contain I was in hospital for 2 months before I got rid of the infection so the sooner you start getting treatment the better you will be. It wont just go away by itself
Try this site lots of good advice by fellow diabetics in the U.K.
Good Luck"
Arbba replied: "Diabetes is one difficult sick, i think you can try this treatment:http://www.diabeat.cc"
zyllee replied: "Don't wait. Just go to the hospital. Don't mess around when it comes to infections when you are diabetic. Better to be safe than sorry."
kmouse47 replied: "Go back to your Doctor. If you will use a pillow under your legs at night it will help with swelling. My wife was sent to have custom sandles made when she had ulcers on her feet. We thought her Doc was nuts but did it anyway. Two months the ulcers were all healed. She had to wear them all the time even in the house. They were made to take all pressuer off where the ulcers were on the feet. If you have ins. it may pay for them. Best of luck."
Homeless question PLEASE HELP!!!!!!!!!? I am a 24 year old male in extremely poor health, I suffer chronic pain and rheumatoid arthritis, I have had a history of self harm and severe depression, I use a variety of medications such as Sulfasalazine, Hydroxychloroquine, Prednisolone Steroid, Omeprazole, Morphine MR, and Vitamin Supplements including Fortisip for my extreme thin ness due to stress has caused me to become clinically Anorexic (not same as the one with distorted images I dont see myself as fat).
I am homeless and rough sleeping and my local MP, my lawyer and Medical Professionals from Surgeries and Hospital have wrote to back me for housing, as I say I am now rough sleeping and my health is deteriorating badily.
But the Council are refusing to help me at all stating im a young single male who is not vulnerable meaning im not new from jail, not homosexual, not a hard drug addict according to the Council. I have told my story to the local papers too. My heart recently has also been experiencing palpitrations and strong pains from my heart area.
I am now considering suicide even though I know I will go to hell fire for this greed.
I am disabled and unable to work, I live in London UK so cannot afford private housing and I have no one who will allow me to stay with them. I have been waiting for 4 months now for my DLA and almost as long for me to be seen by a medic for my Incapacity (ESA), when the rules says with ESA week 14 your meant to be placed into groups I am still on 50 per week crap.
I need some serious legal help I need housing of some kind tonight or I fear im going to OD on the Morphine I have, because of my mental state im unable to be housed in Hostels because im mentally unstable and I have a supressed immune system and the Morphine will be a target as almost ALL Hostels around here are full of drug addicts and hookers.
The system to me is a sexist feminest dream, I was told if I was a female of my agwe they would house me because I would be at risk of Prostitution but being Disabled according to the council means I can be homeless and NOT have 1 bad effect on my health, my Rheumatologist got angry and said council wants me Cripple before helping, local MP said I am a vulnerable adult and my GP said my disease will worsen in days or hours if im made homeless.
I am using the local library pc because it is free. PLEASE I NEED YOUR HELP I AM BEGGING YOU
I cant work im disabled and have been constantly deferred from work focussed interviews, I would be working now if I could London NHS sacked me cos of my Disease. made me unreliable.
Even if I could work I wuld NOT be paid today or find a job today.
I have religion but churches turn their backs on me because I dont embrace their theology. Even my own religion is making me sick how certain people act. God himself does not doe.
I have lost hope, I cant take this, I am thinking of writing a suicide letter, then give a copy to my lawyer and to the local papers and keep one on me. I cant take this no more, I not felt so worthless since I last self harmed.
dale replied: "contact the church they often help in these cases, don't lose hope!"
draciron replied: "I'm in the US so I'm not going to be tons of help for ya. What I suggest is finding a non-profit group and help them as much as you are able. Don't ask them for anything, just look for something you can help with and do it. Then find another group and do the same. You do this you will secure two things. Help from that group. People are always more willing to help those who help them. The second is a sense of purpose. You lack any purpose in your life. We all need purpose. If we lose our purpose we become depressed and sucidadal. It's a natural consequence.
Some find solace and purpose in religion. Some find it in charitable work. Some find it in careers. Some find it in their art or trade. Many find it in their families and or jobs. You have a mind and you have heart. Use it. Do what you are able and you'll find you are able to do more than you thought you could. No your not heading for the olympics or going to become a Rock star. However there are people out there who you can help and who can help you in return. If you wait for the Gov you'll be long buried before they ever think about helping you. It's the way of governments. Unless you have leverage you get nothing from your government but grief.
Making sense?"
Buzz Kill replied: "Is there any types of jobs you could do? A job might help bring purpose to your life and bring in more money.
I'll bet there is something(s) you are good at. Focus on that."
mary replied: "If you were to contact the emergency services and say you had taken some kind of overdose, surely they'd put you in a hospital (it may even be a mental hospital), and then i'm sure the hospital can't turf you out on the streets and you'll be assigned a social worker who be able to help you get somewhere to live.
The thing is, in London, there are hundreds, probably thousands of homeless as i'm sure you well know, but have you considered maybe relocating up north (not a city though) maybe a quiet village for example.
If you were homeless in a quiet village, the council would help you more get into a property as they wouldn't want you on the streets as it looks bad for them, whereas in london the homeless population is so large its out of the council's control.
Have you thought about moving to a quiet town somewhere where the homeless population is very small ?
By the way i'm SERIOUSLY not saying take an overdose to get into a mental hospital, maybe tell them you have thoughts of killing yourself but do NOT actually do it.
There is help out there, you've not found it yet, but it is out there.
My husband does some work with homeless people but we are up north and i'm not sure what the procedure is for homeless people around here, but he'll be home from work after 6pm when i can ask him, and i'll EDIT THIS POST and add details onto it.
Please keep on asking for help all the time, its coming upto christmas and it's obviously going to be freezing on the streets.
Please keep people posted on here how you are.
My thoughts go out to you.x
ADDITIONAL DETAILS...........added 6 hours after question asked.......
I have asked my husband what the proceedure is for homelessness in our neck of the woods, and he's said firstly go to your local homeless section at the council, then they will evaluate if you really are homeless (and have no family or friends you can stay with).
Then there are bed and breakfast accomodations that homeless people get temporarily put in until they can get on there feet and claim benefits etc.
Once you have an address, then you'll be able to claim all kinds of benefits like disability, housing benefit, council tax benefit, income tax etc etc.
If you have a doctor that signs you off work and you have a disability, then there are so many benefits you can claim.
These benefits are for people like yourself, people who desperately need them.
As you are homeless i'm guessing you have no ties to London, no family etc, so why not relocate somewhere new rather than london which is overrun with homeless people ?
PLEASE COME BACK ON HERE and talk to us again when you get the chance to get back on the libary computers.
As another person has said YOU ARE A FIGHTER, to give up now is pointless, there is help out there, unfortunately you are a tiny dot in a huge problem whilst you are in london.
I understand you can't just hop on a train and relocate to a quiet village as you dont have the money, but what about hitch hiking with a trucker possibly ?
THERE IS HELP OUT THERE, you have to reach out and ask though, i understand you feel like you have probably asked everyone there possibily is out there, but more people are out there who can and will help you.
You are at the very bottom of despair, you feel like there is never any way out.
Move away from where you are, if you have to beg for money to get a coach up north. You have no commitments whatsoever, so why not ?
Please come back on here and tell us what you want to do and lets see if we can help you.
I will come back on here every day and see if you've posted a new question and i will answer you.
Please look after yourself ok, take care. xx"
pickle head replied: "You're a fighter, that's for sure. Above all of your problems, you ARE a fighter. To commit suicide would simply get you out of the way ... when actually, you could well LEAD the way for others in your situation to GET the assistance THEY TOO need, IF and only IF, you don't give up your fight until you get the help you need and draw attention to the situation.
If you commit suicide, you help no one.
Good Luck!"
Chocolate Starfish replied: "get yourself put into a mental hospital for a few weeks by commiting some sort of public outrage or bizzare crime........once in the system u will then be allocated a social worker and they wont be able to discharge u until the social services finds u accomodation and some sort of ongoing care package...........good luck"
I have right sided neck pain, ear pain when swallowing, but only water. Difficulty swallowing only salive? I want to the doctor a mont ago and she said it is probably acidity. I have been taking omeprazole and have quit smoking and drinking the pain seems to have decreased, but now I have a swollenl lymph node one the back of my neck and one below the right jaw. I have an appointment with the ENT in a few days, but have been worrying my self to death about throat cancer. I am 32 and have been drinking for 11 years and smoking for 6. (I know this puts me in the high risk category), but could some one please let me know of some other otential causes.
sokokl replied: "Another possibility for your pain could be something like a condition called TMJ Syndrome (an example only).
TMJ Syndrome is a condition that causes the temporal mandibular joint (this joint connects the top and bottom jaws) to become inflammed and sometimes people who have this can also grind their teeth such as if they are stressed about something (another example only).
I have this condition. The symptom I had with mine was that I had pain in my ear and the medication that I was getting from one ENT wasn't working. I told him it wasn't working and he didn't listen so I went and got another opinion. That second opinion told me that it was related to my jaw. So I then went to another doctor to have it treated and started to feel better."
Swine flu & abnormally fluctuating autoimmune hepatitis? My partner is suffering from liver problems, the best can be described as "Abnormally fluctuating autoimmune hepatitis".
She's currently on a course of meds to control her liver, listed below:
Daily intake:
Azathioprine = 50mg
Prednisolone = 40mg
Omeprazole = 50mg
One of my colleagues partners has been diagnosed with swine flu. His partner has just been sent home from our office with strong flu-like symptoms. The company who have contracted her to our office have decided to NOT let it be known that her partner is indeed confirmed with contracting H1N1.
Obviously I am worried because of my partners buggered immune system, and the fact that she has severe liver problems.
The NHS are telling us that nothing at all can be done until one of us starts to have symptoms from H1N1.
Now this leads me to believe two things; either:
a) Swine flu has been hyped up by the media and turned into a scare
b) The people we have spoken to are oblivious to the fact that my partner is in a high-risk group
Just wondered if anyone else is in a similar situation? Can anyone offer any advise?
essentiallysolo: We have already requested it, however we're being told that she can't get it without me or herself getting the symptoms. Obviously if she does get it, it could mean months in hospital or possibly worse. Is there any way we can get it without having symptoms?
essentiallysolo replied: "have her talk to her doctor about getting a pre ion for Tamiflu, if she comes down with symptoms of flu, she must start the Tamiflu right away."
Pretty replied: "Eat Fresh vegetables and fruits. Take lots of vitamin C.
Blueberry Leaf in a pill form is supposed to help regulate your liver.
Go to this Web Site. This Doctor is a M.D. and also Naturopathic.
He should be able to tell you what to do....Dr. Weil.Com.....
He has books out, too. I have one. He's good.
I will pray for you all.
Tell her to Visualize herself each day has being strong and healthy.
Tell her to "Tell" her liver to be healthy, and function strong. I am serious. This works.
God's blessings!"

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