Piles (Hemorrhoids) | Dr. Chintamani Godbole | Colorectal Surgeon
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A pile, also known as hemorrhoid, is a mass of tissue that contains dilated and thin-walled veins, as well as extra growth that develops in the inner and external area of the anus. For more information, consult Dr. Chintamani Godbole one of the top Colorectal Surgeon in Mumbai.
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Hemorrhoid
This document provides information on hemorrhoids, including their anatomy, causes, classification, symptoms, diagnosis, and treatment options. Some key points:
- Hemorrhoids are abnormal dilations of the hemorrhoidal plexus in the anal canal due to venous stasis.
- Risk factors for developing hemorrhoids include low fiber diet, constipation, obesity, prolonged sitting/standing, pregnancy, and lifting heavy weights.
- Hemorrhoids are classified based on their location as internal or external, and by their severity from first to fourth degree.
- Symptoms include pain, bleeding, discharge, and complications like thrombosis. Diagnosis involves history, exam, and potentially anoscopy.
Hemorrhoid
Hemorrhoids are vascular structures in the anal canal that can become enlarged and cause symptoms. The prevalence increases with age, peaking between 45-65 years old. Hemorrhoids are either external or internal, depending on whether they develop from the anal skin or mucosa. Symptoms include painless rectal bleeding, itching, discomfort and bulging or protruding tissue. Diagnosis is usually by visual exam but may include further tests. Treatment focuses on pain relief, increasing fiber, home remedies like warm baths, and in some cases medical procedures like rubber band ligation or surgery. Complications are rare with proper treatment but hemorrhoids have a high recurrence rate without surgery.
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This document discusses nursing care of a patient with hemorrhoids. It defines hemorrhoids as dilated veins in the anal canal and lists types as internal or external. Risk factors include pregnancy, obesity, constipation and prolonged sitting. Clinical manifestations are pain, bleeding and itching. Diagnosis involves history, exam and possible proctoscopy. Complications can include infections or hemorrhage. Pre-op care includes tests and reducing anxiety. Post-op care focuses on pain relief, wound care and a high protein diet to promote healing.
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This document provides information about anal fissures, anal fistulas, and hemorrhoids. It defines each condition, describes causes and risk factors, lists signs and symptoms, and outlines treatment options. Anal fissures are tears in the anal canal caused by hard bowel movements or high sphincter tension. Anal fistulas are abnormal passages from the anal canal to the skin surface, often due to abscesses. Hemorrhoids are swollen veins in the rectum or anus that can cause pain, itching and bleeding. Conservative treatments aim to soften stools and ease discomfort, while surgical procedures repair or remove tissue.
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This document provides information about haemorrhoids (also known as piles), including:
1. Haemorrhoids are varicosities of the veins in the anal canal that are common, affecting around 25% of adults. Risk factors include constipation, pregnancy, liver disease, and heredity.
2. There are four grades of internal haemorrhoids based on the degree of prolapse. Symptoms include rectal bleeding, pain, itching, and swelling. Diagnosis involves examination and sometimes proctoscopy.
3. Treatment options range from conservative measures like diet changes to invasive procedures like rubber band ligation, injection sclerotherapy, and various surgical haemorrhoidectomy
Shah Piles hospital Jun 2023
Shah Piles Fistula Hospital was set up on the 3rd of January, 1982. Since the day the father-son duo; Dr. Devendra k shah and Dr. Niket Devendra shah has been providing the society with their capabilities and extraordinary vision in the field of Proctology.
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Hemorrhoid
This document provides information on hemorrhoids, including their anatomy, causes, classification, symptoms, diagnosis, and treatment options. Some key points:
- Hemorrhoids are abnormal dilations of the hemorrhoidal plexus in the anal canal due to venous stasis.
- Risk factors for developing hemorrhoids include low fiber diet, constipation, obesity, prolonged sitting/standing, pregnancy, and lifting heavy weights.
- Hemorrhoids are classified based on their location as internal or external, and by their severity from first to fourth degree.
- Symptoms include pain, bleeding, discharge, and complications like thrombosis. Diagnosis involves history, exam, and potentially anoscopy.
Hemorrhoid
Hemorrhoids are vascular structures in the anal canal that can become enlarged and cause symptoms. The prevalence increases with age, peaking between 45-65 years old. Hemorrhoids are either external or internal, depending on whether they develop from the anal skin or mucosa. Symptoms include painless rectal bleeding, itching, discomfort and bulging or protruding tissue. Diagnosis is usually by visual exam but may include further tests. Treatment focuses on pain relief, increasing fiber, home remedies like warm baths, and in some cases medical procedures like rubber band ligation or surgery. Complications are rare with proper treatment but hemorrhoids have a high recurrence rate without surgery.
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This document provides information on differential diagnosis and evaluation of rectal bleeding. It discusses common causes such as hemorrhoids, anal fissures, and colorectal cancers. It describes approaches to history taking, physical examination, and investigations including proctoscopy, sigmoidoscopy, colonoscopy, and imaging. Key signs and symptoms of conditions causing rectal bleeding are summarized.
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This document discusses nursing care of a patient with hemorrhoids. It defines hemorrhoids as dilated veins in the anal canal and lists types as internal or external. Risk factors include pregnancy, obesity, constipation and prolonged sitting. Clinical manifestations are pain, bleeding and itching. Diagnosis involves history, exam and possible proctoscopy. Complications can include infections or hemorrhage. Pre-op care includes tests and reducing anxiety. Post-op care focuses on pain relief, wound care and a high protein diet to promote healing.
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This document provides information about anal fissures, anal fistulas, and hemorrhoids. It defines each condition, describes causes and risk factors, lists signs and symptoms, and outlines treatment options. Anal fissures are tears in the anal canal caused by hard bowel movements or high sphincter tension. Anal fistulas are abnormal passages from the anal canal to the skin surface, often due to abscesses. Hemorrhoids are swollen veins in the rectum or anus that can cause pain, itching and bleeding. Conservative treatments aim to soften stools and ease discomfort, while surgical procedures repair or remove tissue.
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This document provides information about haemorrhoids (also known as piles), including:
1. Haemorrhoids are varicosities of the veins in the anal canal that are common, affecting around 25% of adults. Risk factors include constipation, pregnancy, liver disease, and heredity.
2. There are four grades of internal haemorrhoids based on the degree of prolapse. Symptoms include rectal bleeding, pain, itching, and swelling. Diagnosis involves examination and sometimes proctoscopy.
3. Treatment options range from conservative measures like diet changes to invasive procedures like rubber band ligation, injection sclerotherapy, and various surgical haemorrhoidectomy
Shah Piles hospital Jun 2023
Shah Piles Fistula Hospital was set up on the 3rd of January, 1982. Since the day the father-son duo; Dr. Devendra k shah and Dr. Niket Devendra shah has been providing the society with their capabilities and extraordinary vision in the field of Proctology.
HEMORRHOIDS.pptx
Hemorrhoids are dilated vascular cushions in the anal canal that can prolapse due to straining. Common causes include constipation, frequent bowel movements, pregnancy, and older age. Hemorrhoids are graded based on their degree of prolapse. Treatment ranges from lifestyle changes and topical medications for mild cases to procedures like band ligation, cryotherapy, and surgery for more severe cases. Surgical removal of hemorrhoids is indicated for grade III/IV cases that do not improve with conservative measures.
Anorectal Disorders
This document discusses various anorectal disorders including hemorrhoids, anal fissures, and rectal foreign bodies. It provides detailed information on the anatomy, etiology, clinical presentation, differential diagnosis, evaluation, and management of these conditions. For hemorrhoids, it describes the grading system and covers treatment approaches like lifestyle changes, medications, non-surgical procedures like band ligation, and surgical hemorrhoidectomy if needed. For anal fissures, it discusses the pathogenesis and focuses on medical management using topical agents to help healing. Rectal foreign bodies are also reviewed, highlighting careful history and imaging for diagnosis and the need for manual extraction or surgery in some cases.
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This document discusses various anorectal disorders including hemorrhoids, anal fissures, anal abscesses, anal fistulas, fecal incontinence, and rectal prolapse. It describes the signs, symptoms, causes, diagnosis, and treatment options for each condition. The treatment approaches include conservative measures, office-based procedures, and surgery depending on the severity of the case. Nursing care focuses on pain management, bowel regimen, dietary changes, hygiene, monitoring for complications, and patient education.
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This document discusses several painful anal conditions including anal fissures, proctalgia fugax, anorectal abscesses, perianal hematomas, complicated hemorrhoids, and anal cancer. It provides information on the typical causative microorganisms for anorectal abscesses, appropriate treatment options for various conditions which may include drainage, examination under anesthesia, antibiotics in some cases, and surgery. Sitz baths and conservative measures are recommended for treating some hemorrhoids and hematomas.
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This presentation discusses the diagnosis and management of anorectal abscesses. It begins with an overview of patient complaints and clinical findings such as perianal discomfort, swelling, and drainage. Differential diagnoses and workup are then reviewed, including imaging tests. The presentation describes the anatomy of the anorectal region and classifications of abscess types. Etiology is often cryptoglandular or related to infection, irritation, or immunocompromised states. Pathophysiology involves infection breaching the internal sphincter barrier. Management involves early surgical drainage along with antibiotic therapy to prevent complications like fistula or stricture formation. Prognosis is generally good but recurrence and fistula development occur in around 50% of cases.
hemorrhoids
Hemorrhoids, also known as piles, are enlarged or swollen veins in the lower rectum and anus. They are common in adults, especially between ages 45-65. Hemorrhoids are classified based on their location as internal or external. Symptoms include rectal bleeding, itching, and pain. Treatments range from lifestyle and diet changes to office procedures and surgery. Preventing constipation and straining during bowel movements can help prevent hemorrhoids.
Haemorrhoids
Surgery involves cutting, repairing, or removing diseased tissue. Homeopathy offers a highly effective and logical alternative that stimulates the body's natural healing abilities. Hemorrhoids develop from increased pressure in the rectum from straining, sitting too long, or constipation. They are classified based on location and can cause pain, itching, bleeding, or protrusion. Treatment options range from lifestyle changes to relieve symptoms to surgery to remove or repair tissue.
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1. The document describes various perianal diseases including their anatomy, etiology, clinical features, diagnosis, and treatment. It covers anal fissure, hemorrhoids, anorectal abscess, fistula, pilonidal sinus, and anal warts.
2. The anal canal is approximately 4 cm long and contains the dentate line, anal columns, anal sinuses, and internal and external anal sphincters which are innervated differently.
3. Common perianal diseases include anal fissure which is a tear in the anal lining, hemorrhoids which are dilated cushions in the anal canal, and anorectal abscess or fistula from infected anal glands
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This document discusses gas gangrene, including its definition, types, symptoms, causes, diagnosis, and treatment. It defines gas gangrene as a bacterial infection causing tissue gas in gangrene, usually caused by Clostridium perfringens bacteria. There are two main types - dry gangrene occurs due to blocked arteries while wet gangrene occurs in moist tissues. Treatment involves antibiotics, debridement of dead tissue, hyperbaric oxygen therapy, and sometimes amputation. Prevention emphasizes wound care, foot care for diabetics, and avoiding injuries that could lead to infection.
Rectal bleeding
1) The document provides information on the evaluation and management of bleeding per rectum (BPR). It discusses the history, physical exam, differential diagnoses, investigations and treatment options for common causes of BPR.
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3) Physical exam involves digital rectal exam to feel for masses or other abnormalities. Initial investigations include labs, endoscopy, and imaging. Treatment depends on the underlying cause but may include medications, procedures like banding or surgery.
Gangrene & amputation
1) Gangrene is defined as macroscopic necrosis of tissues, and can be dry, wet, or gas gangrene. Dry gangrene is caused by reduced blood flow and progresses slowly, while wet gangrene develops rapidly due to blocked blood flow and favors bacterial growth. Gas gangrene is caused by Clostridium bacteria.
2) Amputation involves surgically removing a body extremity and is indicated for conditions like gangrene, trauma, tumors, and vascular insufficiency. The goals are to remove all infected tissue, achieve wound healing, and provide a stump that can accommodate a prosthesis.
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Haemorrhage refers to prolonged or uncontrolled bleeding. It can be classified based on the source (external vs internal), nature of the bleeding vessels (arterial, venous, or capillary), or time of occurrence (primary, reactionary, or secondary). Causes include trauma, infections, surgery, systemic diseases, or abnormalities in clotting factors or platelets. Symptoms include pallor, thirst, tachycardia, hypotension, and signs of shock from blood loss. General measures to manage haemorrhage involve applying direct pressure, dressings, elevation, and monitoring for signs of shock. More specific methods to achieve hemostasis include mechanical techniques, sutures, cautery, topicalhemorrhoid.pptx
Hemorrhoids are swollen veins in the lower rectum or anus that can cause pain, itching and bleeding. There are two types - internal hemorrhoids located inside the rectum and external hemorrhoids under the skin around the anus. Risk factors include chronic constipation or diarrhea, prolonged sitting, pregnancy and obesity. Symptoms include pain, itching and bleeding with bowel movements. Treatment depends on the severity but may include increasing fiber, warm baths, creams/ointments, rubber band ligation or surgery. Nursing focuses on pain management, preventing complications and teaching about proper diet, bowel habits and hygiene.
Relation between haemorrhoids and constipation
Patients frequently complain of bleeding with or without the defecation, a swelling, mild discomfort or irritation. Other symptoms may include soilage or the mucous discharge, pruritis, difficulties with the hygiene, and a sense of incomplete evacuation. Internal hemorrhoids are otherwise painless unless they are mainly thrombosed, prolapsed with edema, or strangulated. External hemorrhoids result in pain when the thrombosis occurs and bleeding if ulceration occurs from pressure necrosis. Skin tags may form from the prior acutely edematous or the thrombosed external haemorrhoids (Johanson et al., 1990
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This document provides an overview of hemorrhoids including their definition, types, symptoms, causes, treatments, and prevention. Some key points:
- Hemorrhoids are enlarged veins in the lower rectum or anus, and there are two types - internal and external. They are graded based on severity from I-IV.
- About 10 million Americans experience hemorrhoids yearly, peaking between ages 45-65. Common symptoms include rectal bleeding, pain, itching, and protrusion.
- Causes of hemorrhoids include constipation, diarrhea, prolonged sitting/standing, obesity, pregnancy, and heavy lifting. Mild cases are often treated with fiber, fluids, creams/sup
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This document discusses various anorectal disorders including hemorrhoids, anal fissures, and rectal foreign bodies. It provides detailed information on the anatomy, etiology, clinical presentation, differential diagnosis, evaluation, and management of these conditions. For hemorrhoids, it describes the grading system and covers treatment approaches like lifestyle changes, medications, non-surgical procedures like band ligation, and surgical hemorrhoidectomy if needed. For anal fissures, it discusses the pathogenesis and focuses on medical management using topical agents to help healing. Rectal foreign bodies are also reviewed, highlighting careful history and imaging for diagnosis and the need for manual extraction or surgery in some cases.
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This document discusses various anorectal disorders including hemorrhoids, anal fissures, anal abscesses, anal fistulas, fecal incontinence, and rectal prolapse. It describes the signs, symptoms, causes, diagnosis, and treatment options for each condition. The treatment approaches include conservative measures, office-based procedures, and surgery depending on the severity of the case. Nursing care focuses on pain management, bowel regimen, dietary changes, hygiene, monitoring for complications, and patient education.
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Hemorrhoids, also known as piles, are enlarged or swollen veins in the lower rectum and anus. They are common in adults, especially between ages 45-65. Hemorrhoids are classified based on their location as internal or external. Symptoms include rectal bleeding, itching, and pain. Treatments range from lifestyle and diet changes to office procedures and surgery. Preventing constipation and straining during bowel movements can help prevent hemorrhoids.
Haemorrhoids
Surgery involves cutting, repairing, or removing diseased tissue. Homeopathy offers a highly effective and logical alternative that stimulates the body's natural healing abilities. Hemorrhoids develop from increased pressure in the rectum from straining, sitting too long, or constipation. They are classified based on location and can cause pain, itching, bleeding, or protrusion. Treatment options range from lifestyle changes to relieve symptoms to surgery to remove or repair tissue.
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1. The document describes various perianal diseases including their anatomy, etiology, clinical features, diagnosis, and treatment. It covers anal fissure, hemorrhoids, anorectal abscess, fistula, pilonidal sinus, and anal warts.
2. The anal canal is approximately 4 cm long and contains the dentate line, anal columns, anal sinuses, and internal and external anal sphincters which are innervated differently.
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1) The document provides information on the evaluation and management of bleeding per rectum (BPR). It discusses the history, physical exam, differential diagnoses, investigations and treatment options for common causes of BPR.
2) Common causes of BPR include hemorrhoids, anal fissures, colorectal polyps, inflammatory bowel disease, diverticular disease, and colorectal cancers. The history can help determine if the bleeding is from distal or proximal lesions.
3) Physical exam involves digital rectal exam to feel for masses or other abnormalities. Initial investigations include labs, endoscopy, and imaging. Treatment depends on the underlying cause but may include medications, procedures like banding or surgery.
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1) Gangrene is defined as macroscopic necrosis of tissues, and can be dry, wet, or gas gangrene. Dry gangrene is caused by reduced blood flow and progresses slowly, while wet gangrene develops rapidly due to blocked blood flow and favors bacterial growth. Gas gangrene is caused by Clostridium bacteria.
2) Amputation involves surgically removing a body extremity and is indicated for conditions like gangrene, trauma, tumors, and vascular insufficiency. The goals are to remove all infected tissue, achieve wound healing, and provide a stump that can accommodate a prosthesis.
3) Factors in determining the amputation level include the zone of injury, adequate tissue margins, circulation
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Haemorrhage refers to prolonged or uncontrolled bleeding. It can be classified based on the source (external vs internal), nature of the bleeding vessels (arterial, venous, or capillary), or time of occurrence (primary, reactionary, or secondary). Causes include trauma, infections, surgery, systemic diseases, or abnormalities in clotting factors or platelets. Symptoms include pallor, thirst, tachycardia, hypotension, and signs of shock from blood loss. General measures to manage haemorrhage involve applying direct pressure, dressings, elevation, and monitoring for signs of shock. More specific methods to achieve hemostasis include mechanical techniques, sutures, cautery, topicalhemorrhoid.pptx
Hemorrhoids are swollen veins in the lower rectum or anus that can cause pain, itching and bleeding. There are two types - internal hemorrhoids located inside the rectum and external hemorrhoids under the skin around the anus. Risk factors include chronic constipation or diarrhea, prolonged sitting, pregnancy and obesity. Symptoms include pain, itching and bleeding with bowel movements. Treatment depends on the severity but may include increasing fiber, warm baths, creams/ointments, rubber band ligation or surgery. Nursing focuses on pain management, preventing complications and teaching about proper diet, bowel habits and hygiene.
Relation between haemorrhoids and constipation
Patients frequently complain of bleeding with or without the defecation, a swelling, mild discomfort or irritation. Other symptoms may include soilage or the mucous discharge, pruritis, difficulties with the hygiene, and a sense of incomplete evacuation. Internal hemorrhoids are otherwise painless unless they are mainly thrombosed, prolapsed with edema, or strangulated. External hemorrhoids result in pain when the thrombosis occurs and bleeding if ulceration occurs from pressure necrosis. Skin tags may form from the prior acutely edematous or the thrombosed external haemorrhoids (Johanson et al., 1990
THROMBOPHLEBITIS.pptx
Thrombophlebitis is a circulatory condition caused by inflammation and blood clots in the veins. It can be superficial, affecting veins under the skin, or deep. Common causes include varicose veins, immobility, trauma, pregnancy, and cancer. Symptoms are swelling, redness, tenderness, and warmth around the affected vein. Diagnosis involves ultrasound, D-dimer blood tests, and imaging tests. Treatment focuses on reducing inflammation and preventing clots from worsening using blood thinners, anti-inflammatories, physiotherapy, and sometimes stents or surgery to remove clots.
Hemorrhoids presentation for health .ppt
This document provides an overview of hemorrhoids including their definition, types, symptoms, causes, treatments, and prevention. Some key points:
- Hemorrhoids are enlarged veins in the lower rectum or anus, and there are two types - internal and external. They are graded based on severity from I-IV.
- About 10 million Americans experience hemorrhoids yearly, peaking between ages 45-65. Common symptoms include rectal bleeding, pain, itching, and protrusion.
- Causes of hemorrhoids include constipation, diarrhea, prolonged sitting/standing, obesity, pregnancy, and heavy lifting. Mild cases are often treated with fiber, fluids, creams/sup
ROJoson PEP Talk: Hemorrhoids - Overview
This document provides an overview of a presentation on fundamentals and generalities in the medical management of hemorrhoids. The presentation aims to empower laypeople by providing an understanding of hemorrhoids. It defines hemorrhoids as swollen veins in the anus or lower rectum. The presentation outlines causes of hemorrhoids, types of hemorrhoids, diagnosis, severity, treatment options and more. The content is intended to cover the basic facts and theories to serve as a foundation for understanding hemorrhoid management.
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Thrombophlebitis is the inflammation of a vein associated with clot formation. It is caused by factors that increase risk of clots like immobilization, injury to veins, pregnancy, and cancer. Complications include pulmonary embolisms and venous insufficiency. Symptoms include pain, swelling, redness, and tenderness along the affected vein. Diagnosis involves tests like venography and ultrasound. Treatment consists of bed rest, elevation, anti-clotting drugs, and sometimes surgery to remove clots. Nurses monitor for complications, ensure proper treatment, provide skin care and education to prevent recurrence.
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This document summarizes various surgical infections of the skin and subcutaneous tissues. It describes cellulitis as spreading inflammation of subcutaneous tissues, often caused by Streptococcus pyogenes or gram-negative bacteria. Erysipelas is a similar condition caused by S. pyogenes that presents with a rose pink rash and lymphangitis. Abscesses form when infections become localized and contain pus within a cavity lined by granulation tissue. Management of these conditions involves antibiotics, drainage of pus, and dressing wounds. More severe infections like gas gangrene are caused by Clostridium bacteria and cause necrosis of muscle tissue and production of gas within tissues.
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Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
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Visit : https://massagespaajman.com/
Call : 052 987 1315
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
EUR毕业证offer【微信95270640】《鹿特丹伊拉斯姆斯大学毕业证书原版制作EUR成绩单》【Q微信95270640】《仿制EUR毕业证成绩单鹿特丹伊拉斯姆斯大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
留信认证全称全国留学生信息服务网认证,隶属于北京中科院。①留信认证门槛条件更低,费用更美丽,并且包过,完单周期短,效率高②留信认证虽然不能去国企,但是一般的公司都没有问题,因为国内很多公司连基本的留学生学历认证都不了解。这对于留学生来说,这就比自己光拿一个证书更有说服力,因为留学学历可以在留信网站上进行查询!
B.为什么我们提供的毕业证成绩单具有使用价值？
查询留服认证是国内鉴别留学生海外学历的唯一途径，但认证只是个体行为，不是所有留学生都操作，所以没有办理认证的留学生的学历在国内也是查询不到的，他们也仅仅只有一张文凭。所以这时候我们提供的和学校颁发的一模一样的毕业证成绩单，就有了使用价值。
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6快递给客户（国内顺丰国外DHLUPS等快递邮寄鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭）。地跟着父亲昼夜兼程第二天凌晨就辗转到了父亲的城哇父亲的城真的好大好美哟走出广州火车东站的那一刻山娃感受到了一种从未有过的激动和震撼太美了可爱的广州父亲的城山娃惊喜得几乎叫出声来山娃觉得父亲太伟大了居然能单匹马地跑到这么远这么大这么美的地方赚大钱高楼大厦鳞次栉比大街小巷人潮涌动山娃一路张望一路惊叹他发现城里的桥居然层层叠叠扭来扭去桥下没水却有着水一般的车水马龙山娃惊诧于城里的公交车那么大那么美不的
Letter to MREC - application to conduct study
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
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Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
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DRAFT Ventilator Rapid Reference version 2.4.pdf
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Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
2024 HIPAA Compliance Training Guide to the Compliance Officers
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
Actionable Insights: Receive practical advice on preparing for audits and avoiding common mistakes.
Clarity on Compliance: Clear up misconceptions and understand the reality of HIPAA regulations.
Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
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Piles (Hemorrhoids) | Dr. Chintamani Godbole | Colorectal Surgeon
- 1. Piles | Hemorrhoids Dr. Chintamani Godbole MS, DNB (Surgical Gastroenterology), FRCS (Edinburgh, UK) Consultant – Colorectal Surgery & Peritoneal surface Oncology
- 2. What is a piles? A pile, also known as hemorrhoid, is a mass of tissue that contains dilated and thin-walled veins, as well as extra growth that develops in the inner and external area of the anus. Internal piles occur when there is excessive inflammation between 2 and 4 millimeters (cm) above the orifice of the anus. Internal piles is the most common form. External piles occur when anus veins get dilated under the skin around the anus.
- 3. What are the symptoms of piles? Internal hemorrhoids • Painless bleeding • Perianal irritation and itching • Perianal pain due to prolapse • Acute pain External hemorrhoids • Acute thrombosis caused by physical strain and exercise • Swelling, pain, and redness in the affected region • Bright red bleeding after defecation • Skin tags are excessively redundant, hanging skin. • Infection and abscess development • A painful perianal mass is present.
- 4. What are the different grades of piles? • Grade 1: These are small hemorrhoids inside the anus lining. • Grade 2: hemorrhoids are slightly larger than grade 1 hemorrhoids and also occur inside the anus. These hemorrhoids may be pushed out when passing stool, but they will gradually return to their normal position. • Grade 3: These are also known as ‘prolapsed hemorrhoids’. They occur on the exterior of the anus. The patient can push them back in by pressing against them with fingers. • Grade 4: These hemorrhoids cannot be moved back and must always remain outside the anus. They must be treated by a doctor, who will likely recommend surgery.
- 5. What are the complications of piles if left untreated? • Bleeding during bowel movements • Anemia • Poor cleanliness in the anal region may result in a wide range of infections. • Itching in the anal region • Gangrene occurs when the blood supply to an internal hemorrhoid is disrupted.
- 6. What is the diagnosis of piles? • Digital rectal examination, proctosigmoidoscopy, and inspection of the anoderm, including the distal anal canal. • Hematological examinations: CBC, hematocrit tests, and coagulation investigations • Flexible sigmoidoscopy and anoscopy: Anoscopy is a required examination for hemorrhoids, and flexible sigmoidoscopy is performed to rule out the existence of any proximal condition. • Proctography to indicate rectal prolapse • Colonoscopy in some cases
- 7. What is the treatment of piles? • If there is chronic bleeding, hemorrhoids may be treated in the hospital using proctoscopy for 1st and 2nd-degree hemorrhoids. • Outpatient techniques like banding or sclerotherapy may be used to treat 2nd-degree hemorrhoids. • Third and fourth-degree hemorrhoids need surgery. It is preferable to get it done while it is in the third degree since LASER surgery is an option that produces better outcomes.
- 8. Surgical Approach • An open haemorrhoidectomy is a time-tested approach, however, pain management after the treatment is a concern. One may not be able to sit comfortably for almost a month. The pain threshold varies from person to person. • Stapled Haemorrhoidopexy: A method used to alleviate the discomfort of an open procedure. Pain is significantly less compared to open procedures. • When you have prolapsing hemorrhoids, this procedure may be done alone or in conjunction with mucopexy. • LASER Procedure for Haemorrhoids: LASER has recently revolutionized the treatment of hemorrhoids. The main benefit is that it combines haemorrhoidal artery ligation with LASER, resulting in a better outcome than other procedures. Pain associated is very minimal.
- 9. Get in Touch: Address: Gadre Hospital, near Hindmata Cinema, Dadar East, Mumbai, Maharashtra 400014 Phone: 84518 65944 Email: drchintamanigodbole@gmail.com Website: drchintamanigodbole.com