During the third trimester of pregnancy swelling of feet and lower legs is the normal problem that affects almost 90 percent of the pregnant women. Keeping the feet under running cold water for 10-15 minutes before resting will provide relief from edema.
Coffee and alcoholic drinks should be avoided as they dehydrate the body from essential fluids. This Ebook Shows Rheumatoid Arthritis Patients How They Can Significantly Improve Their Ra By Simply Illuminating Certain Foods From Their Diet. Elivate the feet while sleeping, prop them up on two pillows at night, it is comfy and also helps with swelling. Plz let me know what did u do with crushed pineapple and honney,hw it is to be taken either applied on the feet ortaken orally.
Just eat the pineapple, for some reason it helps stimulate the kidneys to release excess water.
The retina is a very thin sheet of nerve tissue that lines the inside of the back of the eye. In severe vein occlusions, this oxygen deprivation can occur in the macula (macular ischemia).
Retinal vein occlusion is a major cause of vision loss in the United States and is more common in patients 65 years of age and older. A retinal vein occlusion will usually be sudden, painless and occur in only one eye at a time.
Macular edema is the most common complication and most frequent reason for vision loss in RVO. The evaluation and treatment of complications such as macular edema and neovascularization, leading to preservation of vision. Laser photocoagulation: Laser has been shown to be effective in improving macular edema in BRVO but not CRVO. Anti-VEGF injections: In both BRVO and CRVO, abnormally high levels of vascular endothelial growth factor (VEGF) occur, promoting both macular edema and neovascularization.
A common treatment approach is to start with six monthly injections and continue as needed over the next several months.
Laser photocoagulation: Laser is the best way to control and decrease neovascularization in either BRVO or CRVO.
If the retina specialist is unable to perform the laser treatment due to either a vitreous hemorrhage or retinal detachment, a vitrectomy will be recommended.
As with any treatment, it is critical that patients have a thorough discussion with their retina specialist regarding all of the treatment options, including the risks, benefits and alternatives, before deciding the appropriate course of action. About Emily HaydenI graduated from the University of Cincinnati with a degree in Journalism. Human Verification: In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic. Fractures of the Nasal bone fractures are among the most common facial bone fractures- comprise up to 50% of all facial fractures.
Physical examination findings include swelling over the nasal bridge, grossly apparent deviation of the nasal bones, and periorbital ecchymosis. Nasal pyramid fractures should be reduced first, followed by nasal septum reduction once the edema and swelling settles down, say 7 days to 10 days. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. Leg ulcers in diabetics are the result of nerve damage and arterial blockage, which reduces sensitivity of leg dermis towards heat, pressure and injury, causing continued damage and subsequently neuropathic ulceration.
The positioning of ulcers with associated clinical characterization like callus, edema or decreased pulses, will determine the predominant cause of the leg ulcer. For any lower extremity ulceration, the best treatment remains prevention of ulcer development. In active patients, compression stockings need to be used to manage the edema and treat the venous ulcer of the leg. For patients with venous ulcers and arterial occlusive disease, compression therapy can be a hazardous procedure.


Diabetic patients with arterial leg ulcer should consult a vascular surgeon to determine the probability for a peripheral revascularization therapy. The arterial ulcers will only recover with sufficient tissue oxygenation that may require a need for partial amputation of the leg.
Intensive blood glucose management is must to slow the onset or progression of peripheral neuropathy for diabetic patients. Wound debridement is a process of removing nonviable tissue that if left, within the wound might lead to infection. In case of presence of osteomyelitis along with leg ulceration, the antibiotic therapy with surgical debridement is performed, to remove the infected bone. For diabetic leg ulcers, wound need to be kept moist and clean to prevent infection and promote granulation. Make it as a tea or take the extract in pill form works to take fluid off of the extremities. He had undergone Bypass surgery 10 years back when they have removed the vein from both the legs. The macula, the central part of the retina, is responsible for our central vision, allowing us to read, drive and recognize faces. It can occur in either a branch retinal vein (branch retinal vein occlusion, BRVO) or in the central retinal vein (central retinal vein occlusion, CRVO). If a significant amount of ischemia occurs, new blood vessels may begin to grow on top of the retina (neovascularization).
BRVO is slightly more common than CRVO, and once either occurs in one eye, there is approximately a 10% chance of it developing in the other eye within the next three years. Patients will notice blurring either in their central vision, in one corner of their vision or throughout their entire field of vision, depending on the location of the blockage and the resulting macular edema or ischemia, if present. In severe vein occlusions, usually of the central vein variety, new blood vessels will begin to grow on top of the retinal tissue (neovascularization).
A dye called fluorescein is injected into a vein in the arm and a photograph is taken of the dye flowing through the blood vessels, allowing a retina specialist to verify the location and severity of the blocked vein. A usually painless laser beam is directed through the pupil toward the affected region of the macula. Anti-VEGF medications that counteract VEGF are injected directly into the vitreous through the sclera (white of the eye). A third medication, Eylea® (aflibercept), is effective for treating edema secondary to CRVO.
Complications are very uncommon, but can include a) infection (endophthalmitis) b) retinal detachment and c) vitreous hemorrhage, all of which are related to the injection itself and not specifically to the medications.
Similar to Lucentis, Eylea and Avastin, the steroid is injected directly into the vitreous through the sclera.
A vitrectomy is an outpatient surgical procedure performed in an operating room that involves removal of the vitreous from the inside back of the eye through three openings made in the sclera using a microscope and several small instruments. Oz explained that cankles are caused by fat cells in the ankle filling in the spaces between bones and ligaments.
Plain radiographs are not helpful in the diagnosis or management of nasal fractures in isolated nasal injury.
If not adequately reduced, use Asch forceps to elevate the nasal pyramid while applying direct pressure to the displaced portion of the septum until it is moved back into the proper position.
While the nasal packing is in place, the patient should be on an oral antibiotic and anti inflammatory drugs.
Leg ulcers are the result of venous insufficiency, peripheral arterial occlusive disease or peripheral neuropathy.
Infection of a leg ulcer further increases the risk of severe damages that need to be controlled, through systemic therapy. Edema need to be well managed with help of mechanical therapy, for treating venous insufficiency. Compression stocking increases the healing rate of ulcers and lowers the chances of its recurrence, by reducing venous hypertension, increasing fibrinolysis and improving the microcirculation of the skin. For those, pharmacological therapy is performed, wherein drugs of enteric coated aspirin and pentoxifylline are administered that are known to significantly reduce the leg ulceration.


The therapy may involve less or more invasive vascular procedures that help to elevate the peripheral blood flow. Hence, a vascular surgeon must be consulted for arterial ulcers, to determine the right level of amputation, whenever necessary. Once ulceration initiates, treatment focuses on debridement (removal of dead or infected tissue), pressure relief and treating the core infection. Platelets get accumulated in the debrided wound, thereby promoting the inflammatory stage of wound healing.
Topical growth factors, silver impregnated dressings, negative pressure wound therapy and living skin equivalents are amongst the various adjunctive therapies available at the specialist end that can be employed to treat wound, during leg ulcer care.
If you have, or suspect you have a health problem, you should consult your health care provider.
The occlusion causes bleeding in either one section of the retina (BRVO) or throughout the retina (CRVO) and can also produce swelling of the macula (macular edema). The neovascularization can result in a vitreous hemorrhage (bleeding into the clear gel that fills the back of the eye) or retinal detachment (separation of the retina from the wall of the eye).
The eye is numbed before each injection and the doctor closely monitors each patient's condition following the injection. Although only Lucentis and Eylea are approved by the FDA for treatment, Avastin is also commonly used in this manner, and all are thought to be effective and equally safe for the eye. Two of the most commonly used steroids are preservative-free Triamcinolone Acetonide Suspension and Ozurdex (a dexamethasone implant). As is the case with anti-VEGF or steroid injections, there is a risk of infection, cataract, retinal detachment or permanent vision loss. Fluid can seep out and swell the ankle, reducing the appearance of the ligaments and bones that create the shape of your ankle. These external splints require intense heat for activation and molding, so the nasal dorsal skin should be protected with Steri-Strip bandage application prior to placement of the splint. One may also make use of multilayer of compression bandages to effectively reduce the edema.
The arteries transport oxygenated blood to the retina from the heart, and the veins transport blood without oxygen from the retina back to the heart. The region of the retina in which the blockage occurs will be deprived of oxygen (ischemia).
Patients affected by a vitreous hemorrhage will usually notice a sudden increase in dark floaters. OCT is completely non-invasive, and uses a weak laser to scan the macular tissue which allows for an accurate measurement of the thickness of the macula. The primary difference between them is that the complete dose of triamcinolone is given at one time while small doses of dexamethasone are administered over time, although the treatment is not given more than once every three months. Cankles can be genetic and nothing more than simple fluid build-up, or they can be a sign of a kidney or heart problem. Be sure to ask the patient how the external shape of the nose has changed since the fracture.
Several small veins drain blood into the larger Branch Retinal Veins, and those four branch retinal veins then come together to form the single Central Retinal Vein, the major vein of the retina.
With a retinal detachment, a shadow or blind spot will present itself in a corner of the vision. The complications from steroid injections are similar to those of the anti-VEGF injections, but can also include the progression of cataract and the development of glaucoma. This helps determine what corrective maneuvers should be taken to restore the patient\’s appearance through reduction of the nasal fracture. Proper functioning of the retinal vessels is crucial for appropriate delivery of oxygen to the retinal tissue.
Sometimes, the neovascularization occurs in the front of the eye (on the iris), causing the eye pressure to rise to a dangerously high level (neovascular glaucoma) and often resulting in the eye becoming red and painful.



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