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Doctor insights on: Epipen Pouch

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Would it be dangerous to use an epipen (epinephrine) on my 70 lb kid after nebulized albuterol? She has asthma or reactive airway (not sure) & peanut & nut allergy.

Would it be dangerous to use an epipen (epinephrine) on my 70 lb kid after nebulized albuterol? She has asthma or reactive airway (not sure) & peanut & nut allergy.

Use for anaphylaxis: Epinephrine is used for anaphylaxis. If one is having anaphylaxis then use of injectable Epinephrine is indicated. If the patient is wheezing then albuterol can used as well. If epi is used 911 must be called. ...Read more

Epipen (Definition)

Epinephrine is a rhythm control agent which is a ...Read more


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Bowel obstruction, emergency surgery, what to do?

Bowel obstruction, emergency surgery, what to do?

NG drainage first: If work up and blood tests do not reveal possible perforation or necrosis of bowel then conservative treatment first employed with nasogastric drainage. If this doesn't work then exploration and decompression indicated. ...Read more

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Who makes the best ostomy pouch?

Who makes the best ostomy pouch?

Ostomy supplies: There are several manufacturers of ostomy supplies. The label "best" is individual for your ostomy. Sometimes you will need to try several types and brands before you find best. Home nurses, insurance contracting and durable medical supplier provide the different ostomy supply choices. ...Read more

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Help please! is epipen (epinephrine) jr auto injectors used for all allergic reactions or just emergency reactions?

Help please! is epipen (epinephrine) jr auto injectors used for all allergic reactions or just emergency reactions?

Limited use: The value of an Epipen (epinephrine) is its ability to help block a tragic evolving allergic reaction and provide time for a person to reach urgent followup care.It's effect is relatively short (hour or so).If you simply break out in hives as a food reaction, it could help some, but since the food will be processed in your body for days, a longer agent like Diphenhydramine or citirazine would be more benificial. ...Read more

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The gastric pouch created by bariatric surgery eventually expands. How much food can it hold?

The gastric pouch created by bariatric surgery eventually expands. How much food can it hold?

More than it should.: After a while, the pouch will grow and as such the normal satiety signals will require more food to trigger. As you can imagine, this can lead to some weight gain in the long term. Habits must be maintained consciously as far as portion sizes and exercise intensity to keep the weight down. ...Read more

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What type food should eaten after colostomy closure?

What type food should eaten after colostomy closure?

Initially: For about 2 weeks i put patients on a low fiber diet post op. Then when i see them me back in office 2 weeks post discharge, i advance them to eat whatever they want but recommend hi fiber hi fluid diet. ...Read more

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Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Not frequent: If stricture develops may be due to recurrences of disease, balloon dilation may help, will require resection for better out come. ...Read more

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Autism, severe leaky gut, multiply intolerances, what to do?

Autism, severe leaky gut, multiply intolerances, what to do?

The same as for a : Child without asd, seek evaluations by a pediatric gastroenterologist ; pediatric allergist. A gastrointestinal disturbance specific to persons with asds ("autistic enterocolitis”) has not been established, nor is there solid evidence for abnormal gastrointestinal permeability in individuals with asds. A variety of GI disorders present as behavioral or sleep difficulties in people with asd. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more

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Can a doctor prescribe epipen (epinephrine) jr vs regular epipen (epinephrine) for an adult if they have a "mild anaphalactic" reaction?

Can a doctor prescribe epipen (epinephrine) jr vs regular epipen (epinephrine) for an adult if they have a "mild anaphalactic" reaction?

No: Epipens (epinephrine) are only used to treat severe allergic reactions. Which one the patient should use depends on the patients weight, not the severity of the allergic reaction. ...Read more

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If one has serious anaphylaxis, it is necessary to carry an epipen (epinephrine) around?

If one has serious anaphylaxis, it is necessary to carry an epipen (epinephrine) around?

Anaphylaxis serious: Absolutely! although anaphylaxis is not necessarily resolved with injectable Epinephrine it is the only treatment that will hopefully give you time to get to emergency care. It is then imperative to be seen by a board certiified allergist to try to identify the cause of the anaphylaxis. Anaphylaxis can be fatal. Carry your Epipen (epinephrine) and see the allergist! ...Read more

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Can paramedics insert an endotracheal tube en route to the hospital?

Can paramedics insert an endotracheal tube en route to the hospital?

Yes: Inserting endotracheal tubes is included in the paramedics' job description. Positioning needs to be checked, though, just as it does when a physician places it. ...Read more

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What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?

What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?

Most common: Problems are pouchitis, frequency, control issues, obstruction, dehydration. Delivery if in the reproductive ages, should probably be by c section in most cases. ...Read more

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Hiatal hernia repair with linx device, how likely will the hernia reoccur?

Hiatal hernia repair with linx device, how likely  will the hernia reoccur?

Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well. ...Read more