Extensor tendonitare found in the hands and feet. They are bands of tissue that connect the bones in your fingers to the muscles in the back of your hand. The extensor tendons help you to straighten your fingers, thumbs, and wrists. Extensor tendinopathy is a condition that causes pain of the tendons along the top of the foot, which are responsible for flexing the foot and toes up. There are have some home remedies for extensor tendonidare.

They are;

• Decrease activity as much as possible.
• Apply ice or cold compresses for 20 minutes at a time. While cold compresses and ice are helpful for swelling, recent medical studies have shown that applying heat to sore areas is equally therapeutic for soreness.
• Compression can mean applying an ACE wrap or other store-bought ankle support if necessary.
• Anti-inflammatory medicines such as ibuprofen can also be taken to help decrease pain and swelling.

Types of Extensor tendonitis 

Achilles tendinitis

The Achilles tendon joins the calf muscles to the heel bone and runs down the back of the lower leg. When this tendon is put under excess strain, it can become inflamed. This is Achilles tendinitis.

The Achilles tendon attaches your calf muscles to your heel bone, or calcaneus. You use this tendon to jump, walk, run, and stand on the balls of your feet.

Posterior Tibial Tendon

Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flatfoot.

Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. The optimal manage may change based on the progression of deformity and stage of disease. Early identification and prompt initiation of treatment can halt progression of the disease.

Peroneal Tendinopathy

Peroneal tendinopathy is an injury to the tendon along the outside of the ankle bone. Peroneal tendonitis is the often-used term for peroneal tendinopathy. Peroneal tendinopathy is a condition which is characterised by structural changes of the peroneal tendon in response to load. 

The peroneal tendons wrap around the lateral malleolus (the bony lump on the outer ankle) and attach at different areas on your foot. Every time the peroneal muscles contract, tension is placed on the tendons.

Flexor tendinitis

Flexor tendinitis is swelling of the tendon that bends the fingers. Flexor tendinitis is also called Trigger Finger. The flexor tendons are smooth, thick ropes that allow the finger to bend and straighten. There are no muscles in the fingers.

Tendon swelling and inflammation result from repetitive strain and strenuous activities involving the fingers and thumb. Inflammation narrows the space around the affected tendon, the tendon thickens and may form nodules at the base of the affected fingers. 

Toenail fungus, Dallas is an infection that gets in through cracks in your nail or cuts in your skin. It can make your toenail change color or get thicker. It can also hurt. Because toes are often warm and damp, fungus grows well there.

Fungal infections are caused by fungi that commonly exist in the environment. Infections are usually at superficial layer and often involve the nails, hair and skin. Infected nails are usually thicker than normal and could be warped or oddly shaped. They can break easily. Nails with fungus might look yellow. Sometimes a white dot shows up on the nail and then gets bigger. Common types of fungal infection and associated symptoms are:

Athlete’s footAthlete’s foot is a contagious fungal infection that affects the skin on the feet. It can also spread to the toenails and the hands. The fungal infection is called athlete’s foot because it’s commonly seen in athletes.Athlete’s foot isn’t serious, but sometimes it’s hard to cure. If you have diabetes or a weakened immune system and suspect you have athlete’s foot, you should call your doctor right away.
Fungal nail infection.Fungal nail infections are common infections of the fingernails or toenails that can cause the nail to become discolored, thick, and more likely to crack and break. Infections are more common in toenails than fingernails.
Ringworm Ringworm is a common skin infection that is caused by a fungus. It’s called “ringworm” because it can cause a circular rash (shaped like a ring) that is usually red and itchy. Anyone can get ringworm. The fungi that cause this infection can live on skin, surfaces, and on household items such as clothing, towels, and bedding.
Vaginal thrush Vaginal thrush is a yeast infection of the vagina. Itchiness and a thick white discharge from the vagina are typical symptoms. Most cases of vaginal thrush can be treated with a short course of anti-fungal medication. Prevent of Toenail fungus, Dallas There are have some prevention of toenails fungus. They are:

• Cut your toenails with properly sanitized nail scissors or clippers and make sure to cut them straight across.
• To wear a proper fitted shoes for your leg, because it is very important.
• You’ve been on your feet walking and standing all day, and suddenly you realize: Your feet are damp with sweat from all the movement, and maybe you even smell your feet through your shoes.
• Putting on shoes that are still damp from yesterday’s sweaty workout will only increase your risk of a toenail fungal infection, so invest in a few good pairs and rotate them.
• Going barefoot in public places introduces your feet to bacteria and fungi. These organisms can enter the foot through tiny cracks or cuts in your skin, and can negatively impact your podiatric health. 
• Scrub your shower and disinfect it with a bleach-based cleanser, Andersen says.
• Cleaning and disinfecting are part of a broad approach to preventing infectious diseases in schools. To help slow the spread of influenza (flu), the first line of defense is getting vaccinated.  
• Washing your hand before touching toenails
• Avoiding being barefoot in public places

Treatment for Toenail fungus, Dallas

There are several treatment options for the toenail fungus. The most effective treatment options for toenail fungus include:

Oral antifungal drugs

Oral antifungal drugs currently in use include itraconazole, fluconazole, ketoconazole and terbinafine. They are reserved for extensive or severe infection for which topical antifungal agents are inappropriate or ineffective, because of high cost, potential side effects and drug interactions.

Laser Treatment

You might have success getting your toenails zapped with targeted lasers. Several types of lasers are used. There isn’t a lot of research on them, and  the results are mixed. Laser treatment isn’t covered by insurance, though, and it can cost a lot.

Nail removal. 

If you affect for heavy injury me your toe nails. In that time we don’t do anything means, remove your nail is safe for your health.

Polish and creams. 

In certain period to clean on your foot like trim or clean your nails and remove the dead layers. In that time we are able to stop the nail fungus.

Medicated nail cream

Topical treatment with nail polish may take up to one year. Tablets for treating fungal nail infections usually have to be taken for several weeks or months. They are much more effective than topical treatments, but they have more side effects.

Baking soda

In backing soda to apply your affected nail. Take a small amount of baking soda to mix with water to form a paste and then apply for it in your injured toe nails. To apply the paste for 15 or 20 minutes in affected area after that to clean warm water to keep in dry the foot.

Treatment Reference

Bariatric surgery is nothing but the common term collectively used for many types of weight-loss surgeries. These surgeries make changes to your digestive system to help you lose weight. Gastric bypass is the most common type of bariatric surgery and most surgeons prefer this surgery as it usually has fewer complications than other weight-loss surgeries do.

Revisional surgery is an important component of addressing weight regain and complications following primary bariatric surgery. Owing to provincial need and the complexity of this patient population, a specialized multidisciplinary revision clinic was developed.

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques 

First, similar to most bariatric procedures, the newly created stomach pouch is considerably smaller and facilitates significantly smaller meals, which translates into less calories consumed.

During the past two years, a number of new minimally invasive methods for revising bariatric operations laparoscopic ally have come onto the scene. Although the risks associated with the new techniques are quite low, preliminary weight loss results are similar to those of the operations performed 20 years ago. A critique of these new approaches is found below.

Types of Biliopancreatic Diversion with Duodenal Switch

Biliopancreatic Diversion with Duodenal Switch

Biliopancreatic diversion with duodenal switch (BPD/DS) is a type of surgery to cause weight loss. It is also known as the duodenal switch. This type of bariatric surgery changes the size of your stomach and the length of your small intestine. It limits how much food you can eat, digest, and absorb.

BPD/DS is generally performed as a single procedure; however, in select circumstances, the procedure may be performed as two separate operations — sleeve gastrectomy followed by intestinal bypass once weight loss has begun.

Endoscopic Sleeve Gastroplasy

Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. In endoscopic sleeve gastroplasty, a suturing device is inserted into your throat and down to your stomach. The endoscopist then places sutures in your stomach to make it smaller.

ESG patients have had good weight loss results, losing 30-60% of excess weight and usually have improvement or remission of diseases like type 2 diabetes, hypertension and other obesity related comorbidity diseases. 

Gastric Bypass

Gastric bypass and other types of weight-loss surgery, collectively known as bariatric surgery, make surgical changes to your stomach and digestive system that limit how much food you can eat and how many nutrients you absorb, leading to weight loss.

Gastric bypass is one common type of weight-loss surgery. During bypass surgery, the top of the stomach is changed into a small gastric pouch. A loop of your small intestine is cut, and one end of the loop is brought up and is connected to the gastric pouch. 

Intragastric Balloon

Intragastric balloon placement is a weight-loss procedure that involves placing a saline-filled silicone balloon in your stomach. This helps you lose weight by limiting how much you can eat and making you feel fuller faster.

Intragastric balloons aren’t the right choice for everyone who is overweight. A screening process will help your doctor see if the procedure might be beneficial for you.

Intragastric balloon is a non-surgical approach to treat obesity. It can be successful in patients who have been not been able to lose weight through traditional methods such as dieting or exercise. During the procedure, the balloon is implanted into the stomach through your mouth using an endoscope.

Facts of bariatric surgery

Sclerotherapy

Sclerotherapy is injection of a glue-like substance via an endoscope in and around the stretched anastomosis to make it smaller. Moreover, because the glue alters the tissue where it’s injected, subsequent surgical revision is likely to be more hazardous.

Endoscopic/Endoluminal Suture Plication

This refers to the narrowing of the circumference/size of the stretched anastomosis using either sutures or metal fasteners which are placed through an endoscope.

Banding the Bypass

This is the placement of a laparoscopic adjustable band above the stretched anastomosis/stoma. Subsequently, this procedure functions like a primary LAP-BAND operation.

Selecting the Right Operation

Choosing the appropriate revisional procedure is probably more important than selecting the first bariatric operation. This is because it’s crucial to know or ascertain why the first operation failed.

Advantages of bariatric surgery

1. Produces significant long-term weight loss (60 to 80 percent excess weight loss)
2. Restricts the amount of food that can be consumed
3. May lead to conditions that increase energy expenditure

Disadvantages of bariatric surgery

1. Is technically a more complex operation than the AGB or LSG and potentially could result in greater complication rates
2. Can lead to long-term vitamin/mineral deficiencies particularly deficits in vitamin B12, iron, calcium, and folate
3. Generally has a longer hospital stay than the AGB

Treatment Reference

In gastric sleeve surgery, a surgeon removes part of the stomach and makes a narrow tube or “sleeve” out of the rest. The new, banana-shaped stomach is much smaller than the original stomach. After the operation, a person will eat less, feel full sooner, and be less hungry.

This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions. Most patients find that after a reasonable recovery, that they are able to comfortably eat a wide variety of foods, including meats and fibrous vegetables

A gastric sleeve procedure surgically decreases the size of the stomach. People who undergo this operation feel fuller faster, so it significantly reduces overeating.

The operation itself is usually completed within three hours. The patient will be put under general anaesthetic while the procedure is carried out laparoscopically. After the operation the way they will be able to eat and how much they will be able to eat changes significantly.

Sleeve gastrectomy is a restrictive procedure. It greatly reduces the size of your stomach and limits the amount of food that can be eaten at one time. It does not cause decreased absorption of nutrients or bypass your intestines.

Many obesity-related comorbidities improve or resolve after bariatric surgery. Diabetes, hypertension, obstructive sleep apnea and abnormal cholesterol levels are improved or cured in more than 75% of patients undergoing LSG.

Complication of Gastric Sleeve Surgery   

Hemorrhage. 

A hemorrhagic stroke is bleeding that suddenly interferes with the brain’s function Hemorrhagic stroke is life threatening. Many of these deaths occur within the first two days. For those who survive a brain hemorrhage, recovery is slow.

Deep vein thrombosis

Deep vein thrombosis, or DVT, is a blood clot that forms in a vein deep in the body. Most deep vein clots occur in the lower leg or thigh 

Pulmonary embolism. 

Pulmonary embolism is a blockage in one of the pulmonary arteries in your lungs. In a pulmonary embolism, the embolus, forms in one part of the body, it circulates throughout the blood supply, and then it blocks the blood flowing through a vessel in another part of the body, namely the lungs.

Pneumonia. 

Pneumonia is a lung infection that can range from mild to so severe that you have to go to the hospital. Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid, causing cough with phlegm or pus, fever, chills, and difficulty breathing.

What Happens Before Gastric Sleeve Surgery?

Preparing for this major operation takes months of work. Patients need to show that they are willing and able to make big changes in their eating and exercise habits before the surgery.

For several months before surgery, you will work with the medical team to build the skills needed for success. Here are some of the people who work as a team to help teens prepare for gastric sleeve surgery:

Doctors and surgeons. 

Several months before your surgery, you’ll meet with a medical doctor and surgeon. Your doctors will also let you know about some of the things that can go wrong (you’ll probably hear doctors call these “complications”).

Psychologists.

People go through lots of emotions before and after surgery. A psychologist can help you understand your feelings and help you prepare emotionally for surgery and the changes that will follow.

Dietitians.

Because patients often depend on parents or other family members for meals, a dietitian will teach you and your family healthy eating basics like good nutrition, how to get regular meals, and the right portion sizes.

Exercise specialists. 

These experts help patients get more active. They’ll work with you to develop an exercise program you’ll like and workouts you can stick with. This will make recovery easier.

Talk to your doctor and exercise specialist to get their advice on how to gradually get back into your exercise routine.

Treatment Reference

Endoscopic sleeve gastroplasty, also known as the accordian procedure, is a weight loss procedure that uses an endoscopic suturing device to reduce the size of your stomach. The procedure recreates what would occur at a surgical sleeve gastrectomy though without the need for surgery. Endoscopic sleeve gastroplasty (ESG) is a new nonsurgical bariatric procedure that requires no incisions or cutting into the stomach.

Side effects of Endoscopic Sleeve Gastroplasty, Dallas

There are have some side effects of endoscopic sleeve gastroplasty, Dallas.

They are;

• Reduce stomach size around 70%, reducing its capacity to hold food
• Shorten the length of the stomach between 30% and 50%
• Patients that have had the ESG lost, on average, 18.6% total body weight loss at their two years follow up
• If you’re 5′ 7” and weigh 310 lbs, you will lose up to 25 lbs

Benefits of Endoscopic Sleeve Gastroplasty, Dallas

There are have some several benefits of Endoscopic sleeve gastroplasty, Dallas.

They are;

No incisions and no scarring

No outside incisions or suturing are required for this procedure. The endoscopic suturing device is used to reduce the size of the stomach.

No part of the stomach is removed, it is essentially sutured to decrease the usable space in the stomach so that it has a lesser volume capacity.

The natural digestion process is not altered

ESG restricts food intake without altering your normal digestion process. There’s no risk of having any nutrition deficiencies, because the gastrointestinal tract remain unaltered.

Reduces hunger

ESG provides the added benefit of reducing the hunger hormone ghrelin – the hormone that restricts the amount, capacity and the rate at which you consume food.

Due to a smaller stomach size, you will have a feeling of satisfaction after eating a much smaller quantity of food than usual.

Relief from obesity-related health conditions

ESG is performed to help you lose weight and potentially lower your risk of serious weight-related health problems, including:

Heart disease and stroke

High blood pressure

Sleep apnea

Type 2 diabetes

No overnight hospital stay

The procedure takes about 90 minutes to complete and you can return home the same day after the ESG procedure.

Treatment Reference

The definition of obesity varies depending on what one reads. In general, overweight and obesity indicate a weight greater than what is healthy. Body mass index best defines obesity. A person’s height and weight determines his or her body mass index. 

Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults.

Obesity is a chronic condition defined by an excess amount of body fat. A certain amount of body fat is necessary for storing energy, heat insulation,

Facts of Obesity Status

• Among women, obesity prevalence was lower in the highest income group than in the middle and lowest income groups.
• Among non-Hispanic black women, there was no difference in obesity prevalence by income.
• Overall, men and women with college degrees had lower obesity prevalence compared with those with less education.
• Among non-Hispanic Asian women and men and Hispanic men there were no differences in obesity prevalence by education level.
• Among men, obesity prevalence was lower in the lowest and highest income groups compared with the middle income group.
• Obesity prevalence was higher in the highest income group than in the lowest income group among non-Hispanic black men.

Risk for obesity, Dallas

A complex mix of genetic, environmental, and psychological factors can increase a person’s risk for obesity.

Genetics

Some people possess genetic factors that make it difficult for them to lose weight.

Environment

Maybe you haven’t learned to cook healthy meals or don’t think you can afford healthier foods. If your neighborhood is unsafe, maybe you haven’t found a good place to play, walk, or run.

Psychological

Depression can sometimes lead to weight gain, as people turn to food for emotional comfort. Certain antidepressants can also increase risk of weight gain.

Complications of obesity, Dallas

Coronary artery disease

Coronary artery disease develops when the major blood vessels that supply your heart become damaged or diseased. But you can take steps to prevent and treat coronary artery disease. A healthy lifestyle can make a big impact.

High blood pressure

High blood pressure is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease.

Stroke

Stroke occurs due to a decrease or blockage in the brain’s blood supply. A person experiencing a stroke needs immediate emergency treatment.

Gallstones

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. People who experience symptoms from their gallstones usually require gallbladder removal surgery. Some people develop just one gallstone, while others develop many gallstones at the same time.

Osteoarthritis

Osteoarthritis is a form of arthritis that features the breakdown and eventual loss of the cartilage of one or more joints. Hand osteoarthritis, hip osteoarthritis, and knee osteoarthritis are much more common in seniors than younger people.

Sleep apnea

Obstructive sleep apnea is a potentially serious sleep disorder. It causes breathing to repeatedly stop and start during sleep.  A noticeable sign of obstructive sleep apnea is snoring.

Treatment of Obesity Status

This improves your overall health and lowers your risk of developing complications related to obesity. The treatment methods that are right for you depend on your obesity severity, your overall health and your willingness to participate in your weight-loss plan.

Cutting calories. 

The key to weight loss is reducing how many calories you take in. The first step is to review your typical eating and drinking habits to see how many calories you normally consume and where you can cut back.

Making healthier choices. 

To make your overall diet healthier, eat more plant-based foods, such as fruits, vegetables and whole-grain carbohydrates. 

Restricting certain foods. 

Certain diets limit the amount of a particular food group, such as high-carbohydrate or full-fat foods. Ask your doctor which diet plans have been found effective and which might be helpful for you.

Exercise. 

People with obesity need to get at least 150 minutes a week of moderate-intensity physical activity to prevent further weight gain or to maintain the loss of a modest amount of weight.

Counseling. 

Talking with a mental health professional can help you address emotional and behavioral issues related to eating. Therapy can help you understand why you overeat and learn healthy ways to cope with anxiety. 

Treatment Reference

A colonoscopy is an exam used to detect changes or abnormalities in the large intestine and rectum. Colonoscopy is the most accurate test for cancer of the colon and rectum, proven to detect the disease early and save lives.

During a colonoscopy, a long, flexible tube is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the entire colon. The bowel prep used can sometimes be of concern for seniors because it can lead to dehydration or electrolyte imbalance.

Make lifestyle changes. 

Eat more fruits, vegetables, and whole grains, and less fatty foods and red or processed meat. Lose excess weight, exercise, limit alcohol, and don’t smoke.

Get accurate test results. 

Carefully follow your health care provider’s instructions preparing your bowels before the procedure. If you have questions, call the office and go over them with the nurse.

Typically, you won’t be able to eat solid food the day before the exam. Drinks may be limited to clear liquids plain water, tea and coffee without milk or cream, broth, and carbonated beverages.

Take a laxative. 

You may be instructed to take the laxative the night before your colonoscopy, or you may be asked to use the laxative both the night before and the morning of the procedure.

Use an enema kit. 

In some cases, you may need to use an over-the-counter enema kit either the night before the exam or a few hours before the exam to empty your colon.

Adjust your medications. 

Remind your doctor of your medications at least a week before the exam especially if you have diabetes, high blood pressure or heart problems or if you take medications or supplements that contain iron

Risk of Colonoscopy, Dallas

Perforated intestine

It can also be the result of trauma, such as a knife wound or gunshot wound. A perforation may also occur in the gallbladder. This can have symptoms that are similar to the symptoms of a Perforated intestine;

• bacteria
• bile
• stomach acid
• partially digested food

Bleeding

If a tissue sample is taken or a polyp removed, you may notice some bleeding from your rectum or blood in your stool a day or two after the test. 

Post-polypectomy electrocoagulation syndrome

Postpolypectomy coagulation syndrome refers to the development of abdominal pain, fever, leukocytosis, and peritoneal inflammation in the absence of bowel perforation after polypectomy with electrocoagulation.

Adverse reaction to anesthetic

All surgical procedures carry some risk of negative reactions to anesthesia. These include allergic reactions and respiratory distress.

Reasons Need a Colonoscopy

Proper Diagnosis

These various irritable bowel diseases have symptoms that overlap, and doctors need concrete evidence to diagnose you and offer proper treatment.

CROHN’S DISEASE

This autoimmune disease causes inflammation to occur in sections of the large and small intestines. The inflammation is the result of the body’s immune system recognizing the cells in the digestive tract as foreign and attacking them.

Ulcerative colitis

The symptoms of ulcerative colitis are very similar to those of Crohn’s, but the part of the digestive tract affected by colitis is solely the large intestine. Shared symptoms include abdominal pain and cramping, bloody stool, reduced appetite, diarrhea, fatigue, fever, and unintended weight loss.

Treatment Reference

Ablation therapy is a type of minimally invasive procedure doctors use to destroy abnormal tissue that can be present in many conditions. The abnormal tissue can be impaired or destroyed with various techniques, including heat, extreme cold, lasers or chemicals.

The methods that the doctors use can vary quite a bit, even though the basic goal of the therapy remains the same. It is possible to destroy the tissue utilizing various forms of energy or freezing therapies.

Types of Ablation Therapy, Dallas

There are different types of ablation therapy. They are;

Atrial fibrillation ablation

Atrial fibrillation is due to the development of electrical short circuits inside the top chambers of the heart. Usually the heart is otherwise sound. In some people atrial fibrillation can develop due to other conditions such as high blood pressure, prior heart attack, weak heart, leaky heart valves, obesity or sleep apnoea.

Cardiac ablation.

Cardiac ablation is a minimally invasive procedure. In this procedure a doctor inserts catheters into your blood vessels in the groin and occasionally the neck. Through these catheters, the doctor then threads wires up into your heart.

Cryoablation for cancer.

Cryosurgery is the use of extreme cold produced by liquid nitrogen to destroy abnormal tissue. Cryosurgery is used to treat external tumors, such as those on the skin.  Cryosurgery is used to treat several types of cancer, and some precancerous or noncancerous conditions. 

Laser PVP surgery.

Once the patient is anesthetized, the doctor inserts a thin fiber into the urethra through a cystoscope, an instrument that allows the doctor to examine the bladder and prostate. A surgeon places a laser through the cystoscope to burn away excess tissue blocking urine flow through the prostate.

Radiofrequency neurotomy

Radiofrequency neurotomy is a nonsurgical procedure to help relieve chronic back pain. It is a minimally invasive procedure that uses heat to destroy a nerve that is causing chronic pain. 

During a radiofrequency neurotomy procedure, the heat comes from a small electrical current that travels through a needle that has been inserted next to these small nerves.

Transurethral needle ablation

Transurethral needle ablation also known as radiofrequency ablation is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate. Radio waves are then passed through the needles, generating heat that creates scar tissue. 

Prepare for Radiofrequency Ablation

The cells there change and become more similar to the cells of the intestine. There is the potential for this to develop into cancer, and one of the methods of treating this problem is radiofrequency ablation therapy.

• Do not eat within six hours of your appointment however, you may have clear liquids until two hours before the procedure.
• If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the procedure.
• Your primary care doctor will help you with this adjustment. Bring your diabetes medication with you so you can take it after the procedure.
• Continue to take all other medications with a small sip of water. Bring all medication with you so you can take it after the procedure. 
• You will need to bring someone with you to drive you home after the procedure.

Side effect of Radiofrequency Ablation

There are have some side effect of Radiofrequency Ablation Therapy. They are;

Leg numbness: 

If you have any leg numbness, walk only with assistance. This should only last a few hours and is due to the local anesthesia given during the procedure.

Mild back discomfort: 

This may occur when the local anesthetic wears off and usually lasts two or three days. Apply ice to the area the day of the procedure and moist heat the day after the procedure if the discomfort persists.

Treatment Reference

Intragastric balloon therapy is a minimally invasive, temporary method of inducing weight loss. It relies upon a soft, saline-filled balloon placed in the stomach to promote the feeling of satiety and restriction. The weight loss mechanism of intragastric balloon therapy is restrictive. Any balloon with a volume of 400 mL or greater can induce satiety

The Intra-gastric Balloon is a non-surgical intervention to assist in weight loss. A soft, round, inflatable balloon made of medical-grade silicon is placed inside the stomach via a gastroscope that enters through the mouth. 

Placement of the intragastric balloon takes approximately 20 minutes and is performed under sedation by a team of qualified gastroenterologists. The gastric balloon is also completely reversible, and is removed from the stomach (after 6-12 months in place) in the same way it was placed.

Types of balloon are available

Elipse capsule 

The Elipse Balloon is a swallowable gastric balloon for weight loss that can be deployed without the use of endoscopy or anesthesia. This study aims to report on 12-month safety and efficacy outcomes.

This is a procedureless gastric balloon made from polyurethane that is swallowed by the patient before it is filled with 550 mL of saline through a thin catheter. Elipse is a procedureless gastric balloon made from polyurethane that is swallowed by the patient before it is filled with 550 mL of saline through a thin catheter. 

Spatz Balloon 

The Spatz balloon is an effective procedure without mortality; however, it carries a risk of catheter impaction necessitating surgical extraction (4.1%).

Most intragastric balloons have 6-month approval. We report results with the Spatz Adjustable Balloon: approved for 12 months and adjustable.

The Spatz balloon system is a more suitable choice for patients who have higher weight loss goals, of more than 15 kg, and who would benefit from a longer than 6-month therapy. 

In the rare instances where patients experience a more prolonged discomfort after the insertion of the balloon, they can benefit from decreasing the volume of their balloon. It’s the only gastric balloon that provides adjustability feature in terms of increasing or decreasing its volume after insertion using an endoscopy.

Orbera Balloon 

The Orbera Intragastric Balloon is a soft, silicone balloon which is inserted into your stomach through your mouth via a scope (camera) before being inflated with sterile salt water.

Orbera Intragastric Balloon System is a weight loss system that uses a gastric balloon that takes up space in the stomach. The balloon is placed in the stomach through the mouth using a minimally invasive endoscopic procedure while the patient is under mild sedation.

Orbera Intra Gastric Balloon System takes up space in the stomach to help patients lose weight. The balloon is temporary and should be removed after 6 months.

Medsil Balloon

Medsil Intragastric Balloon is a European made 6-month balloon that has been in use for several years in Europe and elsewhere. Patients can elect to have a 2nd Medsil after the removal of the 1st one if they choose to complete the treatment toward a normal BMI.

 Therefore, additional medical treatment options for morbidly obese individuals must be explored. In this study, we examined the effects of the intragastric balloon MedSil® on anthropometric measures and hormones associated with lipid and energy metabolism.

Medsil Intragastric Balloon takes up space in the stomach to help patients lose weight. The balloon is temporary and should be removed after 6 months.

Complications of gastric balloon

The gastric balloon is most suitable for patients who need to lose around 30% of their excess body weight. Acid reflux is also common.

In rare cases, patients can experience:

• Perforation or deflation of the balloon causing leakage
• Acute pancreatitis

Treatment Reference

Esophagogastroduodenoscopy is a procedure during which a small flexible endoscope is introduced through the mouth and advanced through the pharynx, esophagus, stomach, and duodenum.

EGD is used for both diagnostic procedures and therapeutic procedures.

• You should feel no pain and not remember the procedure.
• A local anesthetic may be sprayed into your mouth to prevent you from coughing or gagging when the scope is inserted. 
• A mouth guard is used to protect your teeth and the scope. Dentures must be removed before the procedure begins.
• You then lie on your left side.
• Air is put through the scope to make it easier for the doctor to see.
• Different treatments may be done, such as stretching or widening a narrowed area of the esophagus.

Complications of an EGD test

In general, an EGD is a safe procedure. There’s a very slight risk that the endoscope will cause a small hole in your esophagus, stomach, or small intestine.

Some people also may have a reaction to the sedatives and painkillers used throughout the procedure. These could include:

Difficulty breathing or an inability to breathe

A person who is having difficulty breathing feels short of breath, has trouble inhaling or exhaling, or feels as though they cannot get enough oxygen.

Low blood pressure

Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body do not get enough blood. Normal blood pressure is mostly between 90/60 mmHg and 120/80 mmHg.

Slow heartbeat

If you have slow heartbeat and you have certain symptoms along with the slow heart rate, then it means your heartbeat is too slow. A normal resting heart rate for most people is between 60 and 100 beats per minute

Excessive sweating

Normally, your sweat glands produce perspiration that’s carried to the skin’s surface when the air temperature rises, you develop a fever, you’re exercising, or you’re feeling anxious, nervous, or under stress. 

Preparation of an EGD test

Some of the medicines you take may need to be stopped or adjusted before your procedure.

• Your medicine dose may need to be adjusted because of the diet restrictions required for the procedure.
• Take all other medications ordered by your doctor. On the day of your procedure, take your medications with a sip of water.
• Bring a list of all your medications with you on the day of your procedure

Preparation for an upper Endoscopy

• Tell your healthcare provider if you are sensitive to or allergic to any medicines, latex, tape, and anesthesia medicines 
• Tell your provider if you are pregnant or think you may be pregnant.
• Let your provider know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting. You may need to stop taking these medicines before the procedure.
• Your healthcare provider will give you instructions on how to prepare your bowel for the test.
• You may be asked to take a laxative, an enema, or a rectal laxative suppository.
• This may be recommended in certain situations, such as when dilation is being performed. It is not needed for a standard upper endoscopy.
• You will be awake during the procedure, but you will take medicine to relax you before the test. Someone will have to drive you home afterward.

Treatment Reference