Tuesday, March 31, 2020

What Are Gallstones?


Gallstones (commonly misspelled gall stones or gall stone) are solid particles that form from bile cholesterol and bilirubin in the gallbladder.
  • The gallbladder is a small saclike organ in the upper right part of the abdomen. It is located under the liver, just below the front rib cage on the right side.
  • The gallbladder is part of the biliary system, which includes the liver and the pancreas.
  • The biliary system, among other functions, transports bile and digestive enzymes.
Bile is a fluid made by the liver to help in the digestion of fats.
  • It contains several different substances, including cholesterol and bilirubin, a waste product of normal breakdown of blood cells in the liver.
  • Bile is stored in the gallbladder until needed.
  • When we eat a high-fat, high-cholesterol meal, the gallbladder contracts and injects bile into the small intestine via a small tube called the common bile duct. The bile then assists in the digestive process.
There are two types of gallstones: 1) cholesterol stones and 2) pigment stones.
  • Patients with cholesterol stones are more common in the United States; cholesterol stones make up a majority of all gallstones. They form when there is too much cholesterol in the bile.
  • Pigment stones form when there is excess bilirubin in the bile.
Gallstones can be any size, from tiny as a grain of sand to large as a golf ball.
  • Although it is common to have many smaller stones, a single larger stone or any combination of sizes is possible.
  • If stones are very small, they may form a sludge or slurry.
  • Whether gallstones cause symptoms depends partly on their size and their number, although no combination of number and size can predict whether symptoms will occur or the severity of the symptoms.
Gallstones within the gallbladder often cause no problems. If there are many or they are large, they may cause pain when the gallbladder responds to a fatty meal. They also may cause problems if they block bile from leaving the gallbladder or move out of the gallbladder and block the bile duct.
  • If their movement leads to blockage of any of the ducts connecting the gallbladder, liver, or pancreas with the intestine, serious complications may result.
  • Blockage of a duct can cause bile or digestive enzymes to be trapped in the duct.
  • This can cause inflammation and ultimately severe pain, infection, and organ damage.
  • If these conditions go untreated, they can even cause death.
Up to 20% of adults in the United States may have gallstones, yet only 1% to 3% develop symptoms.
  • Hispanics, Native Americans, and Caucasians of Northern European descent are most likely to be at risk for gallstones. African Americans are at lower risk.
  • Gallstones are most common among overweight, middle-aged women, but the elderly and men are more likely to experience more serious complications from gallstones.
  • Women who have been pregnant are more likely to develop gallstones. The same is true for women taking birth control pills or on hormone/estrogen therapy as this can mimic pregnancy in terms of hormone levels.

Gallstones Causes

Gallstones occur when bile forms solid particles (stones) in the gallbladder.
  • The stones form when the amount of cholesterol or bilirubin in the bile is high.
  • Other substances in the bile may promote the formation of stones.
  • Pigment stones form most often in people with liver disease or blood disease, who have high levels of bilirubin.
  • Poor muscle tone may keep the gallbladder from emptying completely. The presence of residual bile may promote the formation of gallstones.
Risk factors for the formation of cholesterol gallstones include the following:
  • female gender,
  • being overweight,
  • losing a lot of weight quickly on a “crash” or starvation diet, or
  • taking certain medications such as birth control pills or cholesterol lowering drugs.
Gallstones are the most common cause of gallbladder disease.
  • As the stones mix with liquid bile, they can block the outflow of bile from the gallbladder. They can also block the outflow of digestive enzymes from the pancreas.
  • If the blockage persists, these organs can become inflamed. Inflammation of the gallbladder is called cholecystitis. Inflammation of the pancreas is called pancreatitis.
  • Contraction of the blocked gallbladder causes increased pressure, swelling, and, at times, infection of the gallbladder.
When the gallbladder or gallbladder ducts become inflamed or infected as the result of stones, the pancreas frequently becomes inflamed too.
  • This inflammation can cause destruction of the pancreas, resulting in severe abdominal pain.
  • Untreated gallstone disease can become life-threatening, particularly if the gallbladder becomes infected or if the pancreas becomes severely inflamed.

Gallstones and Diet

The role of diet in the formation of gallstones is not clear.
  • We do know that anything that increases the level of cholesterol in the blood increases the risk of gallstones.
  • It is reasonable to assume that a diet with large amounts of cholesterol and other fats increases the risk of gallstones, but it is also important to remember that the amount of cholesterol in your bile has no relationship to your blood cholesterol.
  • Losing weight rapidly seems to increase the risk of gallstones and so does skipping meals.
  • Obesity is a risk factor for gallstones.
  • Eating a fatty or greasy meal can precipitate the symptoms of gallstones.

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Ano Ang Mga Sintomas Ng Dengue Fever?

ANO ANG MGA SINTOMAS NG DENGUE FEVER?

Iba’t iba ang presentasyon ng dengue fever; may parang trangkaso lang, meron ding mga malala. Karaniwan, heto ang mga sintomas:
  • Mataas na lagnat (higit 39 degrees)
  • Sakit ng ulo, pagliliyo, at pagsusuka
  • Sakit ng kalamnan
  • Sakit ng kasukasuan
  • Rashes na parang tigdas
  • Pagdududugo
Ang malalalang kondisyon ng dengue ay sadiyang nakaka-alarma sapagkat ito ay kadalasang may sintomas ng pagdurugo sa iba’t ibang bahagi ng katawan.
Ang mga ito ay senyales ng hemorrhage o pagdurugo sa loob ng katawan. Narito ang mga sintomas ng malalang dengue:
  • Mga tuldok-tuldok na pula sa balat
  • Madaling duguin ang gilagid kahit sa pagsisipilyo lang
  • Maitim ang kulay ng dumi
  • Pagdudugo sa ilong (Balingoyngoy o nosebleed)
Ang iba pang sintomas na nakaka-alarma ay ang sumusunod:
  • Pagod na pagod ang pakiramdam
  • Nahihirapang huminga.
  • Masakit na masakit ang tiyan

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Some Doctor Intentionally Diagnosed Healthy People With Cancer To Make More Money.


Unfortunately, we have all lost someone close due to cancer, and this terrible disease affects millions of people worldwide.  Cancer is among the leading causes of death worldwide, accounting for 9.6 million deaths in 2018.
The World Health Organization (WHO) reports that “ arises from the rapid creation of abnormal cells that grow beyond their usual boundaries. The change may be started by external agents and inherited genetic factors.”
Also,
“More than 60% of world’s total new annual cases occur in Africa, Asia, and Central and South America. These regions account for 70% of the world’s cancer deaths.”
Their condition of cancer patients is additionally worsened by aggressive cancer treatments like chemotherapy and radiation.
According to the Cleveland Clinic:
“Chemotherapy and radiation destroy cancer cells. They also destroy normal cells in the process. These include cells of the protective lining of the mouth and the gastrointestinal tract. This can cause sores in the mouth and/or throat that are painful. The pain can be mild to severe.
The gastrointestinal tract can become irritated, which causes nausea, vomiting, and diarrhea. These conditions are not permanent, and you might receive medicines to help relieve your symptoms. As your blood counts begin to recover after your infusion of stem cells, your mouth and throat will begin to heal, and nausea and vomiting will also improve.
Certain side effects can happen months or years after your transplant. They can be caused by radiation or chemotherapy, and some can be permanent, such as sterility. Secondary malignancies have been reported in some patients receiving radiation and certain types of chemotherapy. Ask your doctor for your specific risk. The risk varies depending on your age, menopausal status for women, previous history of radiation, type and doses of chemotherapy, type of transplant, and disease.”
Despite the disastrous effects of these methods, the faith of many people weakens due to the lies and bad decisions of doctors.  This was the case with Dr. Farid Fata, an oncologist in Michigan who operated many upscale clinics in Detroit-area suburbs.
Five years ago, he was accused of and arrested for giving cancer treatment drugs to his patients, even they did not need them, and some of them did not even have cancer.
According to U.S. Attorney Barbara McQuade:
“Dr. Fata did not care for patients; he exploited them as commodities. He over-treated, under-treated and outright lied to patients about whether they had cancer so that he could maximize his own profits.”
Even though chemotherapy is toxic to both cancerous and healthy tissue, Fata “gave poison to these people not to keep them alive but to make money. “
His patients had the chance to file claims and receive a fraction of the money he collected as a result of the fraud.  One of his patients, Chris Sneary, who visited the doctor due to testicular cancer treatment from 2010 to 2013, said:
“I gave full and total trust to this man to get me and my family through this journey I was about to begin. Dr. Fata took full advantage of my trust in him, my fear of dying and, most of all, my top of the line health insurance.”
Donald Crabtree, who did have cancer, spoke out in court posthumously, as his wife Marietta, read a statement aloud in court:
“None of the tumors were helped – they increased in number, they increased in size… I believe Dr. Fata knowingly and purposely treated me for the wrong cancer and gave me the wrong chemotherapy.”
In September 2015, Fata pleaded guilty to 13 healthcare and financial fraud charges and ordered to forfeit $17,600,000 by the U.S. District Court Judge Paul Borman.
He admitted that he gave unnecessary aggressive cancer treatments like chemotherapy and infusion therapies to 553 patients in order to increase billings, which totaled about $34,000,000 to Medicare and private insurance companies.
In a tear-choked voice, he said:
“I have violated the Hippocratic oath and violated the trust of my patients. I do not know how I can heal the wound. I do not know how to express the sorrow and the shame. They came to me seeking compassion and care. I failed them. My sins are many.”
Yet, his regrets were nothing in comparison to the grave sense of loss that weighed heavy in the courtroom:
According to the federal prosecutors, he was the “most egregious fraudster in the history of this country.”, treating his patients as profit centers only.
On the day of his sentencing, many of his victims wore bright yellow clothes to symbolize the last day he would see sunlight. After an hour of deliberation, the judge came back, and he was sentenced to 45 years behind bars.
Chief Weber said:
“This is the most egregious case of fraud and deception that I have seen in my career. Dr. Fata not only defrauded the government out of millions of dollars, but he lied to his patients about their health and intentionally put their lives at risk.
In fact, because of his lies, some of those patients who he was entrusted to care for likely died as a result of his actions. This defendant greedily cared more about his own financial well-being than the lives of his patients. This disgusting and diabolical scheme has hurt hundreds of patients and their families and stolen from them something that no punishment from the court can do to make them whole.”
Fata has been serving his service at a prison in Michigan since February 2015.
Sources:
theguardian.com
healthy-holistic-living.com

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