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What is the treatment goal for bleeding varices?
GaleEncyofMedicine
The objective during treatment of bleeding varices is to stop and/or prevent bleeding and to restore/maintain normal blood circulation throughout the body.
So if your patient is only 14 years old or he wishes to preserve his venous vessels (and this is quite natural as far as there aren't unnecessary organs or systems in a human body), you will need some sparing therapy that allows to save the vessels. And this is actually what Tamara Ternovskaya offers. This treatment is practiced in «Materinka», a medical centre, that provides motherly care to every patient. We guarantee a spare individual approach with preservation of cured vessel function.
Treatment of extremities varicosity, offered by Ternovskaya, is based on a recovery of varicose vein dilatation with the help of active oxygen.
These are the main stages of the treatment process: a week before a visit a patient is prescribed a special bland diet. This diet is also maintained during the treatment process and approximately up to 10 days after it is completed.
Treatment sessions are conducted on a daily basis, in out-patient mode. According to the specificities of patient's condition, our specialist chooses an individual introduction speed and solution concentration inclusive of active oxygen. During the first session we define individual medicine responsiveness. Patients with extremities varicosity of І- ІV stages and persons over 40 have an additional compress with 10% medicinal plant extract that is applied after active oxygen introduction.
Compound of hand-picked medical plants, this extract has antiinflammatory, blood viscosity reducing, strengthening, vasotonic and vasoconstrictive, anesthetic, antibacterial, disinfecting properties.
While proceeding with the treatment the patients show gradual varicose veins reduction and recovery of their normal size. They feel no pain, dependent edema, cramps. Length of course for patients with stage І is up to 7 sessions; stage ІІ - from 7 to 15 sessions, ІІІ-ІV - over 15 sessions. If a patient with varicosity (stage І - ІІІ) is tolerant to solution inclusive of active oxygen, we will get practically 97% of recovery.
For the purpose of disease recurrence prevention, especially for patients with obesity or clients who mostly stand due to the peculiarities of their job, a specific physical exercise is prescribed.
So these are the advantages of treatment if comparing it with other methods:
а) towards the treatment we use solution with active oxygen that is produced by immune system cells in health and is not harmful. On the contrary if introduced it has a healthcare effect on the human body;
b) TREATMENT OF VARICES OFFERED BY TAMARA TERNOVSKAYA doesn't mean vein or its part elimination with the preservation of their function. It is essential for patients and allows to apply this method without age limitation and in early stage of disease.
Ternovskaya's method - is an innovative unique treatment mode of varicosity. Contrasting to other treatments, described in this document before, our method cannot be obsolescent, because we provide a technique, but not a devise, that may go down or turn old. Tamara Ternovskaya has dedicated 24 years working around an effective method for varicosity treatment, and after 7 years of research she has got amazing results! Using this method in varicosity treatment we have scored 97% success. None of the existing methods can demonstrate such results. Buying a right of use of our innovative method will give your medical institution an opportunity to go with the times and innovative technologies. Moreover the uniqueness of this method doesn't mean any relearning of your medical staff to get skill in handling this method. Getting master skills demands only 30 days of practical courses, conducted by the method author, and concurrent lections attendance.Please note Ternovskaya's method of varices treatment with the help of active oxygen is not subject to reproduction by attempts of distance learning.
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Is acute bleeding of the esophagus life threatening?
According to nlm.nih.gov: "The goal of treatment is to stop acute bleeding as soon as possible, and treat varices with medicines and medical procedures. Bleeding must be controlled quickly to prevent shock and death."
What is sclerotherapy for esophageal varices?
a treatment for esophageal bleeding that involves the use of an endoscope and the injection of a sclerosing solution into veins.
What are bleeding varices?
Bleeding varices are bleeding, dilated (swollen) veins in the esophagus (gullet), or the upper part of the stomach, caused by liver disease.
What conditions are treated with sclerotherapy?
In most hospitals, sclerotherapy for esophageal varices is the treatment of choice to stop esophageal bleeding during acute episodes, and to prevent further incidences of bleeding.
Do varices require surgery?
Varices may require a special surgical procedure called balloon tamponade ligation to stop the bleeding
How long can you live with esopagal varices?
The main danger of death with esophageal varices is if they rupture, causing massive bleeding into the esophagus (windpipe). If a patient has had a previous rupture of their esophageal varices, they have a 70% chance of it bleeding again, and each time the vessels rupture there is about a 30% chance of it being fatal. If you have esophageal varices, then it is a condition you should consult with your doctor about. It needs adequate management to help prevent rupture, and also to treat the underlying cause (most often cirrhosis).
How can varices be prevented?
The best way to possibly prevent the development or recurrence of bleeding varices is to eliminate the risk factors for cirrhosis of the liver. The most common cause of cirrhosis is prolonged alcohol abuse.
What has the author Roy A J Spence written?
Roy A. J Spence has written: 'The lower oesophagus in patients with bleeding varices'
How are insect and animal bites treated in wilderness medicine?
The goal of treatment is to stop bleeding, prevent infection, and alleviate envenomation, or exposure to poison.
How do you treat esophageal varices?
By a procedure called "banding". It involves an endoscopy, during which a medical "band" (which is a bit like an elastic band used in stationary etc...) is placed over the varices which appear most at risk of bleeding. This band constricts the blood flow, resulting in the bulging part of the vein having to heal over and fall off (and is then digested harmlessly). In most procedures, normally 2-5 bands will be placed; the higher the number, the slightly more uncomfortable for the patient it is afterwards (indigestion-like pain, which typically will only occur after eating during the first two days after the procedure). In a way, the technique used is very similar to the vetinary method used in docking the tails of young lambs - where an elastic band is placed around their tails to restrict the bloodflow. Banding is a prophelatcic procedure; it helps to prevent bleeding from the varices, but doesn't really do anything to prevent new varices from forming. This is why most people requiring banding will have it done periodically, at around 3 month intervals. Indigestion remedies such as sucralfate, zantac, omeprazole etc... are also typically used in the treatment of esophageal varices - they don't do much to prevent bleeding, however they do reduce the amount of discomfort caused by the varices.
Bleeding esophageal varices?
DefinitionBleeding esophageal varices are very swollen veins in the walls of the lower part of the esophagus (the tube that connects your throat to your stomach) that begin to bleed.Causes, incidence, and risk factorsScarring (cirrhosis) of the liver is the most common cause of esophageal varices. This scarring prevents blood from flowing through the liver. As a result, more blood flows through the veins of the esophagus.This extra blood flow causes the veins in the esophagus to balloon outward. If these veins break open (rupture), they can cause severe bleeding.Any cause of chronic liver disease can cause varices.The swollen veins (varices) can also occur in the upper part of the stomach.SymptomsPeople with chronic liver disease and esophageal varices may have no symptoms.If there is only a small amount of bleeding, the only symptom may be dark or black streaks in the stools.If larger amounts of bleeding occur, symptoms may include:Black, tarry stoolsBloody stoolsLight-headednessPalenessSymptoms of chronic liver disease (such as cirrhosis)VomitingVomiting bloodSigns and testsPhysical examination:Bloody or black stool on rectal examLow blood pressureRapid heart rateSigns of chronic liver disease or cirrhosisTests to determine where the bleeding is coming from and detect active bleeding include:Esophagogastroduodenoscopy (EGD)Tube through the nose into the stomach (nasogastric tube) to look for signs of bleedingSome doctors recommend EGD for patients who are newly diagnosed with mild-to-moderate cirrhosis to screen for esophageal varices and treat them before there is bleeding.TreatmentThe goal of treatment is to stop acute bleeding as soon as possible, and treat varices with medicines and medical procedures. Bleeding must be controlled quickly to prevent shock and death.If massive bleeding occurs, the patient may be placed on a ventilator to protect the airways and prevent blood from going down into the lungs.Treatments for acute bleeding:A small lighted tube called an endoscope may be used. The health care provider may inject the varices directly with a clotting medicine, or place a rubber band around the bleeding veins.A medication that tightens blood vessels (vasoconstriction) may be used. Examples include octreotide or vasopressin.A tube may be inserted through the nose into the stomach and inflated with air. This produces pressure against the bleeding veins (balloon tamponade).Once the bleeding is stopped, varices can be treated with medicines and medical procedures to prevent future bleeding:Drugs called beta blockers, such as propranolol and nadolol, are used to reduce the risk of bleeding.A small lighted tube called an endoscope may be used to place a rubber band around the bleeding veins.Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure to create new connections between two blood vessels in your liver. This can decrease pressure in the veins and prevent bleeding episodes from happening again.Emergency surgery may be used (rarely) to treat patients if other therapy fails. Portocaval shunts or surgery to remove the esophagus are two treatment options, but these procedures are risky.Patients with bleeding varices from liver disease may need additional treatment of their liver disease, including a liver transplant.Expectations (prognosis)Bleeding often comes back without treatment. Bleeding esophageal varices are a serious complication of liver disease and have a poor outcome.ComplicationsEncephalopathy (sometimes called hepatic encephalopathy)Esophageal stricture after surgery or endoscopic therapyHypovolemic shockInfection (pneumonia, bloodstream infection, peritonitis)Return of bleeding after treatmentCalling your health care providerCall your health care provider or go to an emergency room if you vomit blood or have black tarry stools.PreventionTreating the causes of liver disease may prevent bleeding. Preventive treatment of varices with medications such as beta blockers or with endoscopic banding may help prevent bleeding. Liver transplantation should be considered for some patients.ReferencesGarcia-Tsao G, Sanyal AJ, Grace ND, Carey WD; Practice Guidelines Committee of American Association for Study of Liver Diseases; Practice Parameters Committee of American College of Gastroenterology. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 2007;102:2086-2102.Garcia-Tsao G. Cirrhosis and its sequellae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 157.
What is the meaning of varicose?
Irregularly swollen or enlarged; affected with, or containing, varices, or varicosities; of or pertaining to varices, or varicosities; as, a varicose nerve fiber; a varicose vein; varicose ulcers., Intended for the treatment of varicose veins; -- said of elastic stockings, bandages. and the like.
