FAQ - Pancreatic Fistula
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What role does a fistula play in the circulatory system?


I guess what I am trying to ask is, if someone who is on dialysis, has a fistula inserted in his forearm, how does that play into the circulatory system? How does the circulatory system function when a fistula is present? What does the fistula do exactly?
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the fistula is much like a central line -- the dialysis patient by the means of a fistula or connection is able to have the machine for dialysis plugged into the body and circulate and filter the blood ,,,, as the patients liver is not able to function and do the filtering inside the body == therefore the ""shunt"" or connection for the dialysis filtering machine .... the fistula is like a connection that goes two ways =the blood is removed from the body -- filtered in the machine -- then returned to the circulatory system  (+ info)

When is it suitable to use a Fistula Plug?


I have a fistula which manifests itself on the lower part of my stomach (not precisely sure from exactly where it originates internally). Am doing some research on the Cook fistula plus, but all examples seem to show a fistula very close to the anal opening (both ends) whereas mine is not. Does this preclude it from being an option for me ?
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when a large butt plug just wont do...lol..  (+ info)

How can I heal up a dental fistula without the tooth being pulled?


I have a pus draining fistula on a tooth where a bridge is anchored on. Antibiotic treatment hasn't helped. Are there any natural remedies?
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Nope, no natural remedies will cure a badly-infected tooth.

You have a fistula because the tooth above it is serving as a reservoir for the bacteria, and no natural remedies can get in that tooth, kill all the germs, and seal it off so it won't be infected again.

The only way to get rid of the source of the infection is to either do endodontics treatment, or get the tooth pulled, depending on the specifics of your situation (to be determined by a thorough evaluation by a dentist).

Hope this helps.  (+ info)

What is the difference between Anal Fissure/ Fistula and Hemorrhoid?


I got an abscess which became Anal Fistula. I am not understanding is it Anal Fistula/ Fissure or Hemorrhoid?

How to know the difference.
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Let me define things first. An anal fistula is an abnormal communication or tunnel between your rectum towards your anus, it is commonly caused by an anal abscess, which you said you had. so even though your abcess may have healed, there is now a skin tract or tunnel from your rectum, towards your anus, this tract will stay there until you have surgery done.what is done is usually called a fistulectomy,or fistulotomy. tracts can course either to the front or towards your back.tracts towards the front are straight while tracts towards the back are curved.if it really is a fistula, i recommend you see a surgeon and have an operation done.the tract might get infected and will lead to more pain and suffering on your part, not to mention possible complications.
An anal fissure on the other hand is simply a nick or wound in your anal area,usually superficial but still painful and very prone to infection.usually it is caused by trauma or passing of hard stools.
The ano-rectal region has a rich blood supply and veins, these veins sometimes get inflamed, enlarge and form what we call hemorrhoids. though usually seen in pregnant women, men are not spared. there are external hemorrhoids,which are superficial, and internal hemorrhoids which are deeper. hemorrhoids usually present as painful masses which come out during a trip to the toilet. some hemorrhoids go back in by themselves, some don't. some may bleed, some dont. in any case, a surgical consult is warranted.
So, what do you have?
If you feel that you have a superficial wound in your anus, it might be a fissure.
If there is a small hole beside your anus that may or may have no secretions, it may be an anal fistula.
If you feel a mass that seems to be attatched to your anus or it seems coming from inside, it may be a hemorrhoid.
Go see a doctor so that you can get treated before it gets worse.
i hope this helps.  (+ info)

What make pancreatic cancer so different from other cancers?


From everything that I have read about pancreatic cancer it is uncurable. Breast cancer, leukemia, and other kinds of cancer can be cured/brought into remission and I was wondering what is so different about pancreatic cancer that does not allow this type of cancer to be cured/go into remission?
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Pancreatic cancer can be treated for cure under very specific conditions. It spreads by local invasion and via lymphatic channels. If it is caught early prior to invasion in the local vasculature, it can be treated for cure via several procedures - Whipple (pancreaticoduodenectomy), Total Pancreatectomy, or Distal Pancreatectomy. A major issue is catching it early. The symptoms of this disease early on are usually no symptoms, vague abdominal pain, mild discomfort. It is hard to detect. There is also no good screening that is cost effective. The reason for this is the cancer is not that common, and the tests available are not that cheap. This makes for a very inefficient screening method. The ones out there currently that can detect pancreatic cancer include CT scan of the abdomen and Endoscopic Ultrasound. Both of these tests have their own drawbacks. CT scan of the abdomen involves radiation that may set you up for a cancer. Endoscopic ultrasound requires sedation, a specialist (gastroenterologist), and has risks of perforation. Also the tests need to have a high degree of sensitivity (meaning that there is a high number of people who have the disease also test positive). Endoscopic ultrasound is being used more for symptomatic pancreatic cancer, but I do not know of studies used for screening the general population.

Another issue is it's proximity to other organs. It is near the duodenum, stomach, inferior vena cava, aorta. It is also a part of the biliary system and liver. It can spread to many important organs easily.

There is some increased hope on the horizon as new chemotherapy drugs are being developed. Dr. Vickers at the University of Minnesota is doing clinical trials on a new medication that will hopefully help with treating the disease.  (+ info)

Can a baby suffer a rectovaginal fistula, from bearing down hard while constipated?


I guess I'm worried because my baby girl always cries so intensely while trying to pass a BM and I always find a little poop across the perineum into her vaginal area. Is this normal or could she have suffered a fistula?
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I highly doubt it. Ask her pediatrician to make sure... but she'd have to have a horrific case of constipation for that to happen.

Crying while pooping can be normal... I'd be concerned if her BMs were hard, usually little pellets/marbles but especially if she's passing one large solid lump... and from what I'm searching it is also related to diverticulitis, which is super rare in babies.

When babies poop in diapers, it can go everywhere!! I've had to bathe my daughter to get poop out of between her labia majora & minora and from around her clitoris that I was afraid to just wipe off w/ a washcloth/baby wipe in the first few weeks. Finding poop on the perineum is totally normal, just clean thoroughly, especially if it is actually on her labia or vaginal opening (that's when I'd go for the bath, or at least what my mother calls the "booty bath" just sort of sit her in the bathroom sink w/ some warm water and gently wipe w/ your hand!)

Defenitely call your pediatrician for more info on constipation, that alone can be painful!

Here's one good pediatrician's advice on infant constipation: http://www.askdrsears.com/html/8/T081100.asp  (+ info)

What is pancreatic cancer and how do you get it?


I now know of 5 people who have had Pancreatic cancer and died within 3 months. I don't understand why it isn't caught earlier so people can live. How do you get it? How do you get diagnosed early so doctors can do something about it. We have so much techology out there to fight cancer. Why are people dying of this. Why does this disease kill people so quickly?
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Good question. Here is some brief info on it and why it's so hard to diagnose and what the major causes are: http://health.yahoo.com/ency/healthwise/ncicdr0000062957

Here is the site for pancreatic cancer:
http://www.pancreatica.org/  (+ info)

How long should I wait before returning to work after having an anal fistula removed?


I recently had a fistula removed and was wondering how long before I should return to work. I am a receptionist and sit all day long and do not want to prolong my recovery by returning to soon. But i dooo need the money so I would like to return as soon as it would be ok.... Any suggestions?
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3-5 days, work from home if possible. ouch.  (+ info)

How Long Can Someone Expect To Live With Pancreatic Cancer?


I'm planning on writing a book about a girl whose father is diagnosed with pancreatic cancer. I've researched a lot, but the one thing I'm having difficulty with is finding out how long the cancer will take to kill him. I realize that this varies a lot based on health and when it's first detected, but can anyone give me a generalization for how long it could be?

Also, what types of diseases would the doctors test him for before they realize what it really is?

Thank you so much!
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This isn’t difficult to answer at all and it doesn’t vary all that much. Less than 20% survive the first year. 3% survive 5 years. Nonresectable or stage 4 disease has a median survival of 2-6 months.

Doctors don’t really check for diseases. Tests are run based on history, physical exam and symptoms. What these tests tells them either diagnosis the problem or determines what other tests need to be done. Tests would start with a CT and blood tests, followed by an ERCP or an EUS. MRI is not often used for diagnosis.

I have never seen this disease diagnosed early unless it is diagnosed by accident and those are the only long term survivors I have seen. Patrick Swayze lived just short of 2 years. He was treated with Cyber Knife which is not widely available.  (+ info)

What are some cancer diet-friendly meals for my neighbor with pancreatic cancer?


My neighbor has pancreatic cancer. Both she and her husband are both elderly and my husband and I want to help them with their upcoming family dinner to celebrate their son's engagement. I understand a cancer patient's palate can be extra-sensitive and she has talked to me about the chemo-induced nausea she deals with daily so I want to make sure it best meets her needs. From those with experience, what would you recommend we make for them?

We're looking for entree and dessert ideas.
Thank you!
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For Entree:
Fresh green salad using balsamic vinegar/olive oil

For dessert:
Make smoothies. Mix together organic blueberries with apple, grape, cranberry, or guava juice—anything but orange juice. Citrus fruits can contribute to or exacerbate mouth sores, and you’ll want to do everything you can to avoid those. Throw in a banana and some plain yogurt.  (+ info)

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