Doctor insights on:
What Do You Recommend For Esophageal Varices
Banding: Esophageal varices are treated with endoscopic banding, a procedure (semi invasive) that ties the varices in the esophagus that prevents them from bleeding. Sclerotherapy (injecting a substance that will cause obliteration of a varix) is another option, but is less frequently used. Anti-acid therapy with acid reducers is added as well. ...Read moreSee 1 more doctor answer
Hard question: Although there is no definite cure, several therapies have been shown to be effective - dilation of the esophagus, certain medications such as nitroglycerine, Nifedipine may be helpful and finally if all fails, especially esophageal dilations, surgery. ...Read moreSee 2 more doctor answers
Long course: If the ar is acute (eg due to infection or trauma), the problem is urgent. Otherwise, there is a period of many decades in which it should be monitored. Mild ar may never cause symptoms or require treatment. Serial echocardiograms done over the years will determine if the ar is leading to harm. Treatment is replacement of the aortic valve. Amlodipine may slow progression over the years. ...Read more
Surgery evaluation: Pancreatic cancer is a very aggressive malignancy. A surgical oncologist needs to evaluate the patient to see if the patient has resectable disease and can tolerate the whipple procedure. If the cancer is resectable often radiation and chemotherapy is used afterwards to delay/prevent recurrences. On unresectable patients combinations of radiation and chemotherapy offer some palliation. ...Read moreSee 1 more doctor answer
What kind?: Cholangitis (bile duct infection) from a gallstone that got stuck along the way is a serious, acute problem. Rx involves antibiotics and removal of the stone (often with a special endoscopy procedure-ercp), and/or surgery. Sclerosing cholangitis is a different thing altogether. Chronic, autoimmune, inflammatory bile duct condition, often assoc with inflam bowel. Difficult issue. See GI specialist. ...Read moreSee 1 more doctor answer
Depends: In children below age 4 with less than 2 prior episodes of intussuception diagnosed by ultrasound or contrast enema (an x-ray exam) who do not have peritonitis or an advanced bowel obstruction, an attempt should be made at hydrostatic reduction of the intussuception. If this is not successful then the patient may need an operation to correct the intussuception. ...Read moreSee 2 more doctor answers
Vague question: There are hundreds of illnesses that can affect the esophagus, so it is difficult to give you accurate advice. If you send another question, let us know what is going on, and we may be able to help. Good luck. ...Read more
Pleuritis: Pleuritis or pleurisy is the inflammation of pleura (the lining of the lungs and the cavity they are in). Usually, viral in nature, it only requires time and sometimes anti-inflammatory medication such as ibuprofen/naproxen to treat. Occasionally, Prednisone (steroid antiinflammatory) may be needed. Other causes may be autoimmune (in that case specific therapy is recommended) etc. ...Read more
It depends: It depends on the staging. Surgery, radiation therapy and chemotherapy are modalities that we use to treat oropharyngeal cancer. Whether one needs chemotherapy first prior to surgery then surgery or chemo and radiation only -or surgery and chemo/radiation etc- all will depend on the stage. Multiple disciplines/specialties many times are required. ...Read more
Management of SC: The goal of managing acute attacks is antibiotics and IV fluids. In about 15%, emergency decompression or surgery is needed. Prevention of future attacks of cholangitis is based on removing biliary stones and debris, dilation or resection of strictures, and establishing optimal biliary drainage. Also important to rule out the clonorchis parasite. Your GI doctor can discuss newest treatments. ...Read more
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