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القولون العصبى اسبابه علاجه انواع الطعام الممنوعة والمسموح بها

December 22, 2025

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قولون عصبى وامساك اسهال

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60 -year -old female patient presented with upper GI bleeding 2 months ago. Upper GI endoscopy revealed GII esophageal varices that were ligated at 2 sessions of endoscopy. also, there were small gastric varices in the first endoscopy, but in the third session of upper GI endoscopy, gastric varix became prominent so it was injected with 5 amp amacryl plus lipiodol.

what is the cause of bleeding? And how to proceed?

A 67-year-old woman on regular follow-up endoscopy for esophageal varices was admitted to the hospital with upper GI bleeding. the scope revealed multiple #gastric polyps. the patient was referred for band ligation of the polyps as a cause of the bleeding. NOTES: 1- there is bleeding from the fundus of the stomach and not from the polyps 2- you can observe many tags at the fundus( site of previously injected fundal varices) you can see there is a groove from previously injected fundal varix how to proceed and why?

peripheral #neuropathy #neuropathytreatment #impotence

It's inflammation or degeneration of the peripheral nerves and/or the cranial nerves resulting in impairment of their conductivity leading to motor, sensory, and autonomic manifestations. Autonomic manifestation: Impotence and lost testicular sensation. Sensory, motor, or autonomic bladder. Postural hypotension resting tachycardia. Silent myocardial infarction. Gastroparesis: indigestion and delayed gastric emptying. Hyperhydrosis or anhydrosis. Trophic skin changes: ulcers, loss of hair, brittle nails, and Charcot's neuropathic joint. Treatment of diabetic neuropathy: Optimal glucose control is the most effective method of preventing the development of diabetic neuropathy. Vasodilators: e.g., #pentoxyfylline 400mg/12h increases RBCs' flexibility. Vitamins B1, B6, B 12 daily & ATP. For the neuropathic pain: Anticonvulsants: #Pregabalin :75-300 mg /day. #gabapentin :400-2400mg/day. #Carbamazepine and Oxcarbazepine #Antidepressants : - #Duloxetine - #Venlaf...

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