Instant Natural Colic Relief
Glycolic acid, an alpha-hydroxy acid (AHA), has become the most widely used organic car-boxylic acid for skin peeling. Glycolic acid formulations include buffered, partially neutralized, and esterified products. Concentrations for peeling range from 20 to 70 . Several published studies have assessed the efficacy of gly-colic acid peels in darker-skinned racial-ethnic groups. A series of ten Asian women with me-lasma and fine wrinkles were treated with 2 hydroquinone and 10 glycolic acid applied to both sides of the face 13 . A series of 20-70 glycolic peels were performed on one side for comparison. Greater improvement with minimal side effects was noted on the side treated with the series of glycolic acid peels. Forty Asian patients with moderate to moderately severe acne were treated with a series of 35-70 glycolic acid peels 14 . The investigators noted significant improvement in skin texture and acne. Side effects were reported in 5.6 of patients. In a separate study, the...
Colonic segments have been used as free flaps based on the ileocolic, middle colic, and sigmoid arteries. Although this donor site is no longer the primary choice for reconstruction of the pharyngoesophagus, the mucosa-lined colon offers an inner lining similar to the native pharynx. Its large diameter facilitates the pharyngeal anastomosis, but it can present some difficulty at the distal esophageal anastomotic site.
Nociceptive pain, the normal type of pain, is that which arises from actual or potential tissue damage and results from the activation of noci-ceptors and subsequent processing in an intact nervous system. Somatic pain is the variety of nociceptive pain mediated by somatosensory afferent fibers it is usually easily localizable and of sharp, aching, or throbbing quality. Postoperative, traumatic, and local inflammatory pain are often of this variety. Visceral pain is harder to localize (e.g., headache in meningitis, biliary colic, gastritis, mesenteric infarction) and may be dull, cramplike, piercing, or waxing and waning. It is mediated peripherally by C fibers and centrally by spinal cord pathways terminating mainly in the limbic system. This may explain the unpleasant and emotionally distressing nature of visceral pain. Visceral pain may be felt in its site of origin or may be referred to another site (e. g., from the diaphragm to the shoulder).
Resect distal ileum to mid transverse colon with ileocolic, right and middle colic with mesentery Extended right hemicolectomy or transverse colectomy. Resect transverse and proximal descending colon with middle and left colic arteries Left hemicolectomy or sigmoid colectomy. Resect from splenic flexure to rectosigmoid with left colic and sigmoidal arteries Anterior resection, low anterior resection or abdominal-sacral resection Abdominoperineal resection (Miles procedure) with sigmoid colostomy. Low anterior resection with reanastomosis if 4 cm of rectal tissue remains. Sphincter saving operations are gaining popularity
The history of opioid use goes back thousands of years in human history. The Ebers Papyri from approximately 7000 B.C. refer to the use of opium in children suffering from colic (Deneau & Mule, 1981). In the Victorian era, the use of laudanum was socially acceptable. In the present day, opioids use is stringently regulated, especially in the United States however, demand by addicts results in the existence of a black market characterized by crime, disease, poverty, and loss of personal and social productivity. The sexually promiscuous intravenous heroin user is at high risk to contract and effectively spread the deadly acquired immune deficiency syndrome (AIDS) virus, as well as venereal and other infectious diseases, such as hepatitis C. High overall death rates are associated with opioid abuse, approximately 10-15 per 1,000 in the United States (Jaffe, 1989). The Drug Abuse Warning Network (Substance Abuse and Mental Health Services Administration, 1995) indicates an alarming...
Star anise is the only non-poisonous species of Illicium. The tree is native to southwest China. The fruits and seeds are used in Chinese cooking and also medicinally for colic, constipation, insomnia, and other purposes. They contain a volatile oil, similar in composition to those of dill and aniseed. The first known record of trade in the fruits is from the Philippines in 1588. Clusius bought star anise fruits in London in 1601 and later they were traded to Europe along the tea route from China via Russia as Siberian cardamoms. Production today remains concentrated in China.
Cryptosporidium is a common cause of acute self-limiting gastroenteritis, symptoms commencing on average 3-14 days post-infection. Symptoms include a 'flulike illness, diarrhoea, malaise, abdominal pain, anorexia, nausea, flatulence, malabsorption, vomiting, mild fever and weight loss (Fayer and Ungar, 1986). From 2 to more than 20 bowel motions a day have been noted, with stools being described as watery, light-coloured, malodorous and containing mucus (Case-more, 1987). Severe, cramping (colicky) abdominal pain is experienced by about two-thirds of patients and vomiting, anorexia, abdominal distension, flatulence and significant weight loss occur in fewer than 50 of patients. Gastrointestinal symptoms usually last about 7-14 days, unusually 5-6 weeks, while persistent weakness, lethargy, mild abdominal pain and bowel looseness may persist for a month (Casemore, 1987). In young malnourished children, symptoms may be severe enough to cause dehydration, malabsorption and even death....
Posterior peritoneal reflections and recesses. Intraperitoneal fluid flows naturally from the pelvis to the upper abdomen. Flow occurs preferentially through the right rather than left paracolic gutters owing to the broader diameter of the right gutter. In addition, flow in the left paracolic gutter is cut off from reaching the left subphrenic space by the phrenicocolic ligament. The transverse mesocolon divides the abdomen into supra- and inframeso-colic spaces. In the right inframesocolic space, fluid is impeded from draining into the pelvis via the small bowel mesentery. Owing to natural holdup of fluid at the root of the small bowel mesentery and sigmoid mesocolon, these structures are naturally predisposed to involvement with serosal-based metastases in the setting of peritoneal carcinomatosis. (Reprinted with permission from 8 )
Ment of the blood supply of the normoganglionic bowel. It is very important to carefully observe the blood supply of the colon before making a decision to ligate a branch of the inferior mesen-teric, middle colic, or ileocolic vessels, to be sure that the segment to be pulled down still receives adequate blood supply through the arcades of the colonic vessels. The pulled-through colon must lie in its position in a tension-free manner.
The transverse mesocolon serves as a broad conduit of disease across the mid-abdomen bare areas link the pancreas to the transverse colon, the spleen, and the small bowel. On the right, the transverse mesocolon is continuous with the duodenocolic ligament in the middle, it is continuous with the small bowel mesentery and on the left, it is continuous with the phrenicocolic and splenorenal ligaments (Fig. 6). It contains the middle colic vessels and associat-
Approximately one to two out of four patients with allergic purpura have GU symptoms such as dysuria and hematuria. Other symptoms include headaches fever peripheral edema and skin lesions accompanied by pruritus, paresthesia, and angioedema (swelling of the skin, mucous membranes, or organs). Other patients describe severe GI symptoms (spasm, colic, constipation, bloody vomitus, bloody stools) and joint pain.
The term 'acute abdomen' defines a clinical syndrome characterized by a history of hitherto undiagnosed abdominal pain lasting less than one week. A large number of disorders, ranging from benign, self-limited diseases to conditions that require immediate surgery, can cause acute abdominal pain. Eight conditions account for over 90 of patients who are referred to hospital and are seen on surgical wards with acute abdominal pain acute appendicitis, acute cholecystitis, small bowel obstruction, urinary colic, perforated peptic ulcer, acute pancreatitis, acute diverticular disease, and non-specific, non-surgical abdominal pain ('dyspepsia', 'constipation').
Complications of glycolic acid peel like hyperpigmentation and infection are rare. Chemical peel with glycolic acid may cause sensible irritation symptoms, characterized by stinging, burning and itching. A substance capable of counteracting sensory irritation is strontium nitrate at 20 concentration, which applied topically with 70 gly-colic acid, potently suppresses the sensation of chemically induced irritation 18 . Laboratory investigations have rarely shown a complex I deficiency in the mitochondrial oxidative phosphorylation of patients who had recurrent episodes characterized by nausea,vom-iting, and signs of dehydration necessitating admission to the hospital. In these patients gly-colic acid was detected in blood and they were diagnosed as having ethylene glycol intoxication 3 .
Aniseed is an annual herb native to the eastern Mediterranean and was cultivated by the ancient Egyptians as well as the Greeks and Romans. The ripe dried fruit, which contains a volatile oil, is the part of the plant used. It occurs wild but has been grown in herb gardens in Britain since the 15th century, and seeds were carried to North America by the first European settlers. The seeds are strongly licorice-flavored and are used in cooking fish, poultry, and creamy soups. It is used principally to flavor drinks such as ouzo, liqueurs such as Pernod and Ricard, and also in confectionary. As an herbal tea, aniseed has been used medicinally for bloating and colic.
The kidneys are situated in the posterior part of the abdomen on either side of the vertebral column behind the peritoneum. The right kidney is usually slightly lower than the left. The posterior surface and upper portion of the right kidney rest on the 12 th rib the left kidney usually rests on the 11th and 12 th ribs. The anterior surface of the right kidney is in contact with the right adrenal gland, liver, and the right colic flexure. The anterior surface of the left kidney is in contact with the left adrenal gland, stomach, spleen, jejunum, colon, and, medially, the pancreas.
Grimes 12 compared the histologic alterations induced by a variety of chemical peels in 17 patients with skin types IV-VI, including glycolic acid 70 , salicylic acid 30 , Jessner's solution, and 25 and 30 trichloroacetic acid (TCA). Peels were applied to 4 x 4 cm areas of the back and 2 x 2 cm post auricular sites. Biopsies were performed at 24 h (Fig. 13.2a-d). Gly-colic acid induced the most significant stratum corneum necrosis. Compared with the other tested peels, salicylic acid and Jessner's peels caused mild lymphohistiocytic dermal infil
Intestinal atresia is commonly caused by fetal mesenteric vascular accidents and presents at birth as bilious emesis, progressive abdominal distension, and failure to pass meconium. Workup includes contrast enema as well as suction rectal biopsy to exclude Hirschsprung's disease. There are four types of intestinal atresia. Type I is mucosal atresia only. Type II involves atretic ends connected by a fibrous band of tissue. Type IIIA, the most common type, has two atretic ends of bowel separated by a V shaped defect in the mesentery. In Type IIIB, the distal atretic bowel receives blood from the ileocolic or right colic arteries, also referred to as the apple peel type. Type IV involves multiple atretic segments. Surgical therapy of intestinal atre-sia should be pursued urgently and involves resection of the affected bowel with primary anastomosis.
P-Galactosidase-deficient populations have difficulty in consuming milk and other lactose-containing products, as ingestion of lactose can result in abdominal pain, diarrhea, and flatulence. Intestinal P-galactosidase insufficiency is also thought to be a possible etiology for infantile colic. P-Galactosidase has been widely studied, with incidence of its occurrence reported in animal organs, plants, and microorganisms 168 . Microbial P-galactosidases are most extensively utilized for commercial purposes, owing to their high levels of production and desirable physicochemical properties (e.g., pH and temperature optima) 169 . The principal enzymes exploited commercially are obtained from GRAS-listed yeasts and fungi such as Kluyveromyces lactis and Aspergillus oryzae 170 . The P-galactosidase enzyme derived from Aspergillus oryzae is an extracellular protein. The enzyme has a molecular mass of 105 kDa, is a homodimer, and is glycosylated. The enzyme has a pH optimum of 4.5 and also...
The alpha hydroxy acids (AHAs) are organic carboxylic acids having one hydroxyl group attached to the alpha position of the carboxylic carbon atom. Alpha hydroxy acids are naturally occurring products present in sugar cane juice, sour milk, tomato juice, grapes, and apples. Gly-colic acid, a 2-carbon molecule, and the smallest of the AHA compounds, has gained widespread acceptance as a superficial exfoliant and peeling agent 38,39 .
A fatal dose of arsenic trioxide is somewhere between 200 and 300 mg. Following ingestion, symptoms may begin within 30 min. They tend to be centered about the gastrointestinal tract with nausea, vomiting, colicky abdominal pain, and diarrhea with rice-water stools. The patient may have a dry mouth with a metallic taste, a slight garlicky odor to the breath, and difficulty swallowing. Damage to the capillary endothelium by the arsenic leads to transudation of plasma. In the bowel, this causes accumulation of fluid in the bowel lumen. Arsenic in the gastrointestinal tract causes sloughing of the mucosa and vesicle formation, not caused by any corrosive action
Side Effects Serious side effects are uncommon with PO dosage but more common following SC use. Oral Salivation. GI Nausea, diarrhea, GI upset, involuntary defecation, cramps, colic, belching, rumbling gurgling of stomach. CV Hypotension with reflex tachycardia, vasomotor response. CNS Headache, malaise. Other Flushing, sensation of heat about the face, sweating, urinary urgency, attacks of asthma, bronchial constriction, miosis, lacrimation.
Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.