Tumors of The Outer Ear – Treatment of Disease from Remedies Available
Like all tumors, those of the outer ear may be either benign
(unlikely to spread) or malignant(likely to spread and threaten life).On the
visible ear, a benign tumor occurs as a painless wart. In the canal itself, it
occurs as a hard growth of underlying bone tissue called an osteoma. With an
osteoma, there may be no symptoms at all, or an accumulation of wax,
discomfort, and hearing loss.
Malignant tumors on the visible ear occur as warty growths,
like benign tumors, or as ulcers or bleeding sores that fail to heal. Malignant
tumors are like skin cancer. The cells multiply uncontrollably. They may
bleed, and eventually become painful. Malignant tumors in the outer ear canal
cause intense earache and bloody drainage.
The dangers of a malignant tumor are the same as those of
any malignant growth. If you notice any of the symptoms described, see your
physician
What is the Treatment?
Benign tumors can be removed in a minor surgical procedure.
Malignant tumors located on the visible ear require either surgery or radiation
therapy. During surgery, the tumor and all or part of the visible ear are
removed. The operation is sometimes followed by further radiation therapy.
Tumors in the canal may require an operation known as a mastectomy or
temporal bone resection. This operation is followed by radiation therapy.
Gallstones
What do Doctors call this Condition?
Cholelithiasis, choledocholithiasis, cholecystitis,
cholesterolosis, biliary cirrhosis, gallstone ileus
What is this Condition?
Gallstones and other diseases of the gallbladder and bile
duct are common, often painful conditions that usually require surgery to
remove grainy deposits in the gallbladder and relieve inflammation. Gallstones
may be life-threatening.
What Causes it?
Gallstones are caused by changes in the chemistry of the
person’s bile, a greenish fluid secreted by the liver that aids in the absorption
of fats. The stones are made of cholesterol, a mixture of calcium and bilirubin
compounds, or a mixture of cholesterol and bilirubin pigment. Stones form when
the gallbladder is sluggish because of pregnancy, oral contraceptive use,
diabetes, Celia disease, cirrhosis of the liver, or pancreatitis.
Gallstones are the fifth leading cause of hospitalization
among adults, accounting for 90% of all gallbladder and duct diseases. Most
people recover with treatment unless they develop an infection, when recovery
depends on its severity and how it responds to antibiotics.
Most gallbladder and bile duct diseases strike people
between ages 20 and 50. The diseases are 6 times more common in women until
after age 50, when they appear in both sexes about equally. The risk of getting
these diseases increases with each succeeding decade. Each disorder can produce
its own complications, the worst of which are perforations and infections in
the abdominal cavity, which can lead to shock and death.
Types of Gallstones
Gallstone and bile duct diseases have a variety of sources and possible outcomes:
• One out of every ten people with gallstones develops
choledocholithiasis, or gallstones in the common bile duct (sometimes called
common-duct stones). Stones that have passed out of the gallbladder lodge in
the liver and common bile ducts and block the flow of bile into the stomach.
Most people recover with treatment unless infection occurs.
• Cholecystitis, acute or chronic inflammation of the
gallbladder, is usually associated with a gallstone stuck in the cystic duct,
causing painful distention of the gallbladder. Cholecystitis accounts for 10%
to 25% of all people requiring gallbladder surgery. The acute form is most
common during middle age; the chronic form, among elderly people. Most people
recover with treatment.
• Cholesterolosis (cholesterol polyps or cholesterol crystal
deposits in the gallbladder’s lining) may be caused by high cholesterol and low
bile salts in bile secretions. The chance for cure is good with surgery.
• Biliary cirrhosis sometimes follows viral destruction of
liver and duct cells, but the primary cause is unknown. This condition usually
leads to obstructive jaundice. It strikes women ages 40 to 60 nine times more
often than men. The chance of a cure is poor without a liver transplant.
• Gallstone ileus is caused by a gallstone that has lodged
at the opening to the large intestine. This condition is more common in elderly
people, and the chance of cure is good with surgery .
• Leftover gallstones or stricture of the common bile duct
may occur in 1 % to 5% of all people whose gallbladders have been surgically
removed and may produce abdominal pain, colic, fatty food intolerance, and
indigestion. The chance of a cure is good with selected radiologic procedures,
endoscopic procedures, or more surgery.
What are the Symptoms?
Although gallbladder diseases may produce no symptoms, most,
at their worst, produce the symptoms of a classic gallbladder attack. The
attacks often follow meals rich in fats or may occur at night, suddenly
awakening the person. They begin with acute, upper right abdominal pain that
may radiate to the back, between the shoulders, or to the front of the chest.
The pain may be so severe that the person goes to a hospital emergency
department for help. Other signs of gallbladder disease may include recurring fat
intolerance, colic, belching, flatulence, indigestion, sweating, nausea,
vomiting, chills, low-grade fever, jaundice (if a stone obstructs the common
bile duct), and claycolored stools.
How is it Diagnosed?
Ultrasound and other tests can detect gallstones. Specific
procedures include the following:
• Ultrasound detects stones in the gallbladder with 96%
accuracy.
• Fluoroscope distinguishes between gallbladder or bile duct
disease and cancer of the pancreas in persons with jaundice.
• An endoscopy with a special dye is used to examine the
common bile and pancreatic ducts. An endoscopy done through the mouth or rectum
may also reveal stones.
• An injected radioisotope (HIDA) scan of the gallbladder
detects obstruction of the cystic duct.
• Computed tomography (CAT) scan, although not used
routinely, helps distinguish between jaundice with and without obstruction.
• A flat plate X-ray of the abdomen identifies calcified,
but not cholesterol, stones with 15% accuracy.
• Blood tests help distinguish gallstone-related diseases
from other diseases with some of the same symptoms, such as heart attack,
ulcers, and hernia.
How is it Treated?
Treatment during an acute attack may include insertion of a
nasogastric tube, an intravenous line and, possibly, antibiotics. Surgery,
usually elective, is the doctor’s first recommendation for gallbladder and bile
duct diseases. Surgery may be performed using an open procedure or a
laparoscopic (using a small incision and a long tube) procedure to remove
stones; the bile duct may also be explored.
Other Approaches
Other treatment includes a low-fat diet to prevent attacks
and vitamin K for itching, jaundice, and bleeding tendencies.
In a recently developed nonsurgical treatment for
choledocholithiasis, the surgeon inserts a flexible catheter into the common
bile duct and, guided by fluoroscopy, moves the catheter toward the stone. A
“Dormia” basket is threaded through the catheter, opened, twirled to entrap the
stone, dosed, and withdrawn through the catheter.
Chenodiol, a drug that dissolves certain kinds of stones,
may be given to persons who are either too weak for surgery or who refuse it.
The drug has some drawbacks, however: It requires a prolonged course of
treatment and causes serious side effects. What’s more, gallstones may recur
after the drug is stopped.
Treating Ankylosing
Spondylitis
Ankylosing Spondylitis |
What do doctor call this condition ?
Rheumatoid Spondylitis
A chronic, usually progressive inflammatory disease,
ankylosing spondylitis affects the spine and adjacent soft tissue. Typically,
the disease begins in the lower back and progresses up the spine to the neck.
Deterioration of bone and cartilage can lead to fibrous tissue formation and
eventual fusion of the spine or peripheral joints.
Ankylosing spondylitis is diagnosed more often in men, but
may be equally prevalent in both sexes. Diagnosis is often overlooked or missed
in women, who tend to show more peripheral joint involvement.
What Causes it?
Recent evidence strongly suggests a familial tendency in
ankylosing spondylitis. The presence of human leukocyte antigen B27 (found in
over 90% of people with this disease) and circulating immune complexes suggests
immunologic activity.
What are its Symptoms?
The first is intermittent low back pain that’s usually most
severe in the morning or after inactivity. Other symptoms depend on the disease
stage and may include:
• stiffness and limited motion of the lumbar spine
• pain and limited chest expansion caused by involvement of
the costovertebral joints
• arthritis involving shoulders, hips, and knees
• kyphosis (curvature of the spine) in advanced stages,
caused by chronic stooping to relieve symptoms
• hip deformity with limited range of motion
• tenderness over the inflammation site
• mild fatigue, fever, loss of appetite or weight;
occasional inflammation of the iris; aortic regurgitation and enlarged heart;
upper lobe pulmonary fibrosis (which mimics tuberculosis).
These symptoms progress unpredictably, and the disease can
disappear temporarily or permanently or flare up at any stage.
How is it Diagnosed?
Typical symptoms, family history, and blood tests showing
human leukocyte antigen B27 strongly suggest ankylosing spondylitis. However,
confirmation requires additional blood tests as well as X-rays.
How is it Treated?
No treatment reliably stops progression of this disease, so
management aims to delay further deformity by enforcing good posture,
stretching and deep-breathing exercises and, in some people, wearing braces and
lightweight supports.
Anti-inflammatory pain relievers, such as aspirin, lndocin,
Azulfidine, and Clinoril, control pain and inflammation.
Severe hip involvement usually requires hip replacement
surgery . Severe spinal involvement may require a spinal wedge osteotomy
(surgical cutting of bone) to separate and reposition the vertebrae. This
surgery is performed only on selected people because of the risk of spinal cord
damage and the long convalescence involved.
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