Perianal fistulas have chronic long course with periods of exacerbation and resolution of symptoms. The general condition of the patients remains good. Efficiency is broken only in acute. The duration of the disease in varying degrees neurotic patients, they become irritable, complaining of frequent headaches, insomnia, impotence. The amount of pus discharge, which is separated from fistula opening is sparse and dirty underwear. In periods of exacerbation it increases.
In 60% of patients chronically relapsing course is. They receive periodic obstruction of fistula hole, enhancing pain, fever with swelling and redness in the area with subsequent breaking gnoetechenie plenty of old fistula opening or a new skin site in the neighborhood. Thus taps obmrazuvat new fistula channel. Continuous purulent macerated skin develops secondary dermatitis with unpleasant itching.
The approach in the treatment of mesenteric ischemia depends mainly on the severity and by the way occurs (acute or chronic) and not least the time elapsed from clogging the courts. These factors are crucial to the amendments to the rest of no blood flow to a section of the small and (or) the colon. Of importance is the size of the section, which may be a size of a few centimeters if affected small branch of the artery to a few meters, including almost all of the thin part of the colon if clogging affecting the main trunk of the mesenteric artery. All these factors are important for evaluating the element of urgency in the treatment of mesenteric ischemia, which depends on the therapeutic approach.
The goal of treatment of mesenteric ischemia (acute or chronic) is to restore patency of the artery, which can allow adequate blood flow to the intestine. This must be done before ischemia led to irreversible damage to the bowel, depending on the situation vascular surgeon may approaches to treatment as an emergency or elective one.
If the patient’s condition allows the mesenteric ischemia diagnosis is gone by a number of studies and examinations. First it will be asked by the general state complaints, past and accompanying diseases of the patient. Along with this, he will perform a physical examination. As part of this, the doctor will inquire about smoking, hypertension, diabetes and others. It’s important to know when symptoms occur, you have to respect diet and how often they appear. Having examined the patient and suspected mesenteric ischemia, your doctor may recommend a more specific studies to assess the condition of the intestine or blood supply.
Angiography, also called an arteriogram, though rare, can serve as a study in terms of urgency in acute mesenteric ischemia when rapid diagnosis is important. X-ray angiography used to depict blood vessels in the body. When used for examination of arteries named arteriography. To make the vessels ‘visible’ to the x-ray, your doctor inserts a bit of contrast medium in court that wants to depict. This is done by a thin, flexible tube called a catheter, and most often a “gateway” is used femoral artery in the groin area where it is located superficially. Through the catheter contrast medium is injected into the desired vessel. On screen depicts the profile of the artery and assessing blood flow. At this stage of angiography can be performed and healing events.
Perianal fistula is a newly formed passage between the anal canal, rarely rectum and tissues around the anus. The walls of fistula are formed by so granulation tissue fruit of long vazpalenie.To maintain a constant incoming faeces. Thus, once formed, the fistula maintained by simmering chronic inflammation, resulting in the secretion from the fistula opening.
The main reason for the formation of fistula are small anal glands, which start from anal canal and ends blindly in depth between the muscles of the anal canal. When they become clogged with fecal matter, creating conditions for inflammation, infection penetrates deeply and creates its own moves that by opening the skin, forming fistula channel. Less common causes of the formation of fistulas.
Patients with chronic mesenteric ischemia have a stomachache 15-60 min. After a meal. The pain can occur in any part of the abdomen, but the most common is on top of or around the navel. Can last from 60 to 90 min., Then disappear by itself. Unfortunately, the pain occurs in each subsequent meal. Many people with mesenteric ischemia lose weight, although appetite is relatively preserved because they eat to avoid last meal pain.
Sometimes symptoms of mesenteric ischemia can be vague or very similar to many other abdominal diseases. Therefore, before making a definite diagnosis, your doctor than with subjective complaints you must have a number of other laboratory and imaging studies. Besides abdominal pain and weight loss
The mesenteric arteries supply blood to the small and large intestines. Ischemia, wherever they occur, is a failure of blood supply to a tissue or whole body. This is a state of impaired delivery of oxygen and nutrients to the tissues and thus improper clearing waste products from their cell metabolism. When this disease process affecting the small or large intestine is damaged and their normal functioning. Mesenteric ischemia usually involves the small intestine.
Mesenteric ischemia occurs when one or more branches of mesenteric artery, for some reason, become narrowed or blocked. When this happens usually the patient is experiencing acute abdominal pain. With time, often rapidly, clogging leads to death (necrosis) of the portion of intestine, deprived of blood supply.
Acute appendicitis disease is an inflammation of the appendix. The most common symptoms of acute appendicitis are – sudden acute abdominal pain. It usually occurs at night and in the morning hours. At the beginning it is rather diffuse and poorly localized. Gradually becomes more intense and focused in the lower right quarter of the abdomen. The establishment of the pain of that place is an indicator of the spread of inflammation on the peritoneum. Also symptoms of acute appendicitis are acute nausea and vomiting, fever and failure in the alimentary canal, which can take the form of constipation (constipation) and retention of gas or vice versa in the form of diarrhea.
If your doctor suspects that you have acute appendicitis, it will examine in detail about your complaints and will do a full review, looking for symptoms of the disease. The review will examine whether you have a pressure sore spot in the projection of the appendix on the abdominal wall (its presence speaks in favor of the diagnosis). Upon occurrence affecting the peritoneum the pain is increased in pressure and quickly dodge the hand of that place.
Appendix is a blind ending, curved appendage attached to the first part of the cecum. On its inner surface is covered with cells expressing scarce mucus secretion, which is drained to the cecum. The wall of the appendix contains mostly muscle, and lymphoid tissue. The latter is part of the body’s immune system and is involved in the production of antibodies.
Acute appendicitis disease is an inflammation of the appendix. It occurs as a result of blocking for various reasons runoff of the appendix, most often in accumulation of thick mucus secretions, faecal entered from the cecum or expansion of existing lymphatic tissue. However, conditions are created bacteria that normally live and grow in the appendix to penetrate the wall and provoke the development of inflammation.
Amyloidosis is a rare disease, but there is usually fatal. It is due to the deposition of an abnormal protein called amyloid in tissues and organs of the body, which is most commonly produced by the bone marrow cells. Gradually protein leads to damage organ function, which accumulates. There are different types of amyloid, which are distinguished by the certain color characteristics.
The symptoms of amyloidosis are depending on the type of the affected organs. Therefore there is a great variety in terms of symptoms and signs that characterize the disease. This underlies the difficult diagnosis.
In some cases, treatment of the Sarcoidosis disease is not necessary – it goes by itself. In this case, however, it needs constant monitoring by the physician. Over a period of time do X-rays of the lungs, and if within 3 to 12 months pulmonary changes have not disappeared, having medical treatment. Therapy is needed in cases of extrapulmonary disease spread, as if at the beginning simultaneously with lung changes detect changes in the eyes, heart.
Most often the medicines of choice are powerful anti-inflammatory drugs. Usually treatment begins with the application of high doses of corticosteroid. Gradually, the dose is reduced and the treatment is continued with low doses of corticosteroids, which are taken a different time period. In some cases, treatment with this type of medication continues to the end of life.