Instant Natural Colic Relief

Instant Natural Colic Relief

Natural colic relief bowen refers to the steps by steps guide designed by Dr. Carlyn Goh to naturally put an end to all means of discomfort for your baby. This is a safe, gentle, easy and an effective natural guide, we mean without drugs to miraculously ease your babys discomfort. This step-by-step guide complete with videos, will teach you how to treat colic in your baby. The Bowen Technique is a very gentle, safe and simple therapy that is highly effective at easing discomfort in babies. Bowen acts to rebalance the nervous system. This is extremely important in all babies as birth is a traumatic experience for them. By re-balancing the nervous system you will feel the immediate effects of calmness and serenity in your baby and the causes of his discomfort will fade away. The result is a happy, healthy and balanced baby. Read more...

Instant Natural Colic Relief Overview

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Curing Colic

Curing Colic is a clinically researched system for eliminating your babys colic for good. This is a very rare, highly unique and powerful colic curing system. You will learn how to prevent colic from reappearing and to how to focus on the root cause of colic rather than the symptom. Using these techniques will cure your babys colic for good. No more treating the symptoms without treating the cause at the same time. These techniques have worked over and over again. They have helped 1000s of parents world wide.

Curing Colic Overview

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Author: Mary Evans
Official Website: www.curingcolic.com
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Physical Examination 231

After vital signs and the initial assessment, the secondary assessment is conducted. If possible, the physical examination should be conducted in a systematic way in a fully exposed patient. In trauma patients, the risk of hypothermia must be considered even in the warmer months nevertheless, it should not hinder complete exposure for examination and it will be reduced by warm infusions and by covering with external warming devices after assessment (ATLS Manual 2004a). With the exception of life-threatening emergencies requiring immediate evaluation and therapy, the secondary assessment should include organ systems other than those assumed to be affected. This will allow the discovery of physical signs not necessarily linked to the working hypothesis, as well as those arising from any additional disease (e.g., discovering a melanoma in a patient presenting with renal colic).

Gender Ethnicracial And Life Span Considerations

Approximately one to two out of four patients with allergic purpura have GU symptoms such as dysuria and hematuria. Other symptoms include headaches fever peripheral edema and skin lesions accompanied by pruritus, paresthesia, and angioedema (swelling of the skin, mucous membranes, or organs). Other patients describe severe GI symptoms (spasm, colic, constipation, bloody vomitus, bloody stools) and joint pain.

Tuberculosis target identification and promising drug targets

One of the more obvious TB drug targets is the unique cell envelope of M. tuberculosis that differs substantially from the cell wall structures of both Gram-negative and Gram-positive bacteria. This cell wall composition accounts for its unusual low permeability and resistance towards common antibiotics (Dover et al., 2004). The main structural element consists of a cross-linked network of peptidoglycan in which some of the muramic acid residues are replaced with a complex polysaccharide, arabinogalactan. The arabinogalactan is attached to peptidoglycan through a unique linker unit, and in turn is acylated at its distal end to peptidoglycan with my colic acids. The entire complex, mycolylarabinogalactan-peptidoglycan or mAGP, is essential for viability in M. tuberculosis and other mycobacteria (Dover et al., 2004).

Clinical Features of Infection

Incubation time in natural infection ranges from weeks to months. If the infection becomes manifest, the disease is characterized during the early phase by hyperexcitability or somnolence, impairment of posture and balance, hyperesthesia, visual disturbance, anorexia, fever, and colic. Most naturally infected animals die 1 2 weeks after onset of the disease, but recoveries or recurrences of disease can also be observed. Manifestations of disease are similar in natural and experimental infection however, the time course and features of experimental infection have been mapped in greater detail. In rats, disease starts with alertness and loss of fear. Later, rats show incoordination, occasionally with increasing hyperactivity and aggressiveness. Thereafter, most rats enter a stage of disease where passiveness and hypersomnia dominate. These symptoms are at least in part attributable to the onset ofblindness. In the chronic stage of the disease, signs of dementia and chronic debility...

Traditional Diagnostic Imaging

Ureter, but anatomic detail of the renal parenchyma and surrounding soft tissues is poor in comparison to cross-sectional imaging techniques (Kawashima et al. 2004). EXU is also more time-consuming and labor-intensive than other imaging modalities. In addition, no-nurologic causes of urinary obstruction and flank pain are less optimally evaluated with EXU (Rucker et al. 2004). Performing EXU on patients with renal colic can also be problematic in the setting of ureteral obstruction. In the setting of ureteral obstruction, the osmotic effect of the contrast may result in a forced diuresis and subsequent fornix rupture and resultant urinoma. In the current era, emphasis has been placed on more advanced imaging techniques including ultrasonography (US), magnetic resonance imaging (MRI), and particularly computerized tomography (CT).

Immediate Shock Wave Lithotripsy

SWL would provide little opportunity to diagnose an unsuspected infection and thereby alter treatment plans. Nonetheless, in the absence of indications for urgent upper tract decompression, some authors have acutely utilized SWL. In a recent report, Kravchick and colleagues reported a prospective randomized trial of emergent SWL vs scheduled SWL (treatment within 30 days of diagnosis) for upper urinary tract stones associated with acute renal colic (Kravchick et al. 2005). None of the patients had presenting indications that warranted a temporary drainage procedure. Emergent SWL was associated with a higher success rate (72 ) than delayed treatment (64 ). In addition, scheduled (delayed) treatment was associated with significantly prolonged hos-pitalizations and recovery at home. Other groups have noted favorable experiences with emergency SWL. For instance, Doublet and associates found a significant relationship between stone location and stone-free...

Gastrointestinal symptoms

Diarrhoea, vomiting and abdominal colic are common manifestations of food intolerance but may also be due to infective or other causes. The cause should be established by appropriate investigations. Food intolerance causing gastrointestinal symptoms could be due to enzyme deficiency and immunological and non-immunological reactions to foods. Cow's milk intolerance is a common problem during infancy that can be treated by excluding cow's milk from the diet. Replacement with soya milk or hydrolysed formula is given. Secondary lactose deficiency is relatively common following gastroenteritis, which is self-limiting. Avoidance of milk and milk products is essential during this period. In adults, some cases of irritable bowel syndrome may be due to food intolerance. If one or more foods is suspected this can be excluded from the diet and the response observed.

Primary dysmenorrhoea

Primary dysmenorrhoea is associated with uterine hypercontractility characterized by excessive amplitude and frequency of contractions and a high 'resting' tone between contractions. During contractions endometrial blood flow is reduced and there seems to be a good correlation between minimal blood flow and maximal colicky pain, favouring the concept that ischaemia due to hypercontractility causes primary dysmenorrhoea. Prostaglandin and leukotriene levels are elevated in menstrual fluid and uterine tissue of women with dysmenor-rhoea as are systemic levels of vasopressin.

Clinical Features And Spectrum

It is followed by a general malabsorption resulting in weight loss and anorexia. Weight loss can be found in about 90 of the patients. Gastrointestinal symptoms, which lead to the diagnosis, consist of episodic and watery diarrhea and steatorrhea accompanied by colicky abdominal pain and, in one-third, by occult blood in stool. 13 Endoscopic investigation reveals a pale yellow mucosa alternating with erythematous, erosive parts in the duodenum or jejunum, and duodenal biopsies are positive in the PAS stain.

Surgical Technique Laparoscopic and Hand Assisted Laparoscopic Nephroureterectomy

The anterior upper curve of the cone is formed by the spleno-colic ligament, which is incised in order to fully mobilize the descending colon medially. The posterior upper curve of the cone is formed by the spleno-renal ligament that is incised to further release the spleen, and thus precludes any inadvertent tearing of the splenic capsule. Incision of the splenorenal ligament may be difficult at this early stage of the procedure and, if need be, can be performed later in the procedure after the renal vessels have been secured. The dissection then follows the plane between the spleen and the superior portion of Gerota's fascia. At this point, the en bloc area of dissection has been defined and incorporates all of Gerota's fascia, the pararenal and perirenal fat, and the adrenal gland.

Unilateral Upper Urinary Tract Obstruction

The underlying etiology is often urinary calculi, but the diagnostic possibilities are extensive (Ko-bayashi et al. 2003). In general, acute obstruction is most commonly associated with intermittent, severe flank pain that can radiate into the groin, external genitalia, and or ipsilateral thigh (i.e., classic renal colic). Gross hematuria can also be associated with the colicky symptoms. Not uncommonly, gastrointestinal complaints including nausea and vomiting will also accompany the symptoms. In addition, patients can also experience fever and chills, especially if the obstruction is associated with infection (Nickel 2002). In some instances, patients can present with partial unilateral obstruction in the absence of flank pain. In this scenario, an urgent evaluation is often prompted by other associated symptoms including nausea and vomiting, abdominal pain, new onset of irritative voiding symptoms, or gross hematuria. In other instances, the finding of a partial...

Diagnosis 211

The first step in the management of urologic emergencies is to recognize the clinical significance. One must distinguish among genuinely life-threatening problems such as urosepsis or kidney rupture, urgent problems such as testicular torsion, and merely troublesome conditions such as cystitis in a healthy young woman. This maybe more easily said than done. The practitioner is challenged both by the broad spectrum of urologic emergencies and by the even more numerous possible diagnoses mimicking urologic symptoms. For example, a patient with a long history of renal colic may present with acute flank pain, tachycardia, tachypnea, and hypotension. If renal ultrasound is normal (lack of upper tract dilatation) and urinalysis reveals no microhematuria, abdominal ultrasonography and or computed tomography (CT), as indicated in a diagnostic algorithm, will lead to the correct diagnosis of ruptured abdominal aneurysm.

History

The importance of history taking in urologic emergency is illustrated by a prospective study (Eskelinen et al. 1998) addressing its accuracy in acute renal colic. The combination of gross hematuria, loin tenderness, pain lasting less than 12 h, and decreased appetite-all information easily available from history-detected renal colic with a sensitivity of 84 and a specificity of 98 .

Imaging

Emergency indications for formal renal ultrasound include renal colic, renal failure, acute renal infection, urinary retention, and the detection of complications in renal transplant patients, as well as the exclusion of important nonurologic differential diagnoses such as spleen or liver rupture. However, because of the overwhelming diagnostic advantages of CT (Fowler et al. 2002 Sheafor et al. 2000), renal ultrasound is likely the second best choice for imaging calculi in suspected colic, except in children and pregnant women. Intravenous pyelography (IVP) allows additional qualitative analysis over KUB. It can determine the secretory function of each kidney, the presence of delay in filling of the renal pelvis (found in urinary obstruction), the post-void residual volume, and can describe the genitourinary anatomic pathology. Until 1995, IVP was the mainstay in the diagnosis of renal colic, but it has since been supplanted by helical CT. Its drawbacks are its generally lower...

Bears Breech

Both the leaves and berries have been used in medicine. Pomet described the berries as cephalick, nemotick, alexipharmick, and anti-colick they mol-lifie, discuss, expel Wind, open Obstructions, provoke Urine and the Terms, facilitate the travel of Women in Labour, and help Crudities in the Stomach. They are good for the Nerves in Convulsions and Palsies, give ease in the most extream Colicks, and take away the After-Pains of Women in Child-Bed. Evelyn, earlier, had called them emollient, sovereign in affectioins of the nerves, collics, gargarisms, baths, salves, and perfumes taken in wine they are good against all venom and poison and the juice pressed out of the leaves is a remedy for pain in the eares, and deafnesse, if it be dropped in with old wine and oile of Roses .(Evelyn, Gerard). We are told, too, that pigeons and blackbirds when suffering from loss of appetite, eat bay leaves as a tonic (Hulme. 1895), and they heal stingings of bees and wasps, and do away all swellings...

Bee Balm

But it is in the sphere of popular medicine that balm is important. A tale from Staffordshire tells how Ahasu-erus, the Wandering Jew, knocked at the door of a cottage, and found the occupant ill. The Jew was asked in and offered a glass of ale. In return, the patient was told to gather three balm leaves and to put them in a cup of ale, and to drink it, refilling the cup when it was empty, and adding fresh leaves every fourth day. He was cured in twelve days (M Baker. 1980). Aubrey. 1696 mentions a story that is probably the same as the Staffordshire legend, about an old man who was cured of his lameness by taking balm leaves in beer. But balm tea is the most widely used medicine, for stomach upsets or colic in Gloucestershire, but more commonly elsewhere for colds, especially if feverish, for it has the effect of promoting sweating (Conway). It makes a pleasant drink for influenza patients (A W Hatfield. 1973), and has even been recommended for bronchitis (Fluck). Fresh leaves are...

Blackcurrant

That usage is mentioned by Aubrey, too (Aubrey. 1686 7). The remedy in Warwickshire was to pass the child three times beneath a moocher, as it was called - a bramble that had bent back to root at both ends (Palmer. 1976). The Essex whooping cough remedy was to draw the child under the wrong way, presumably, that is, by the ankles (Newman & Wilson). In the Midlands, the child had merely to walk under the bramble arch a certain number of times to cure his whooping cough (Notes and Queries 1853). In Somerset, a child was passed through, apparently for hernia (Mathews). As far away as the Balkans, the blackberry arch was negotiated for illness - jaundice in this case (Kemp), and the custom was known in America, too, for, of all things, colic (H M Hyatt). On the Welsh border, an offering of bread and butter was put under the arch after the child had passed through, and sometimes, the patient had to eat the bread and butter while the adults present recited the Lord's Prayer. The rest of...

The dark reactions

Returning to synthesis of carbohydrate by the Calvin cycle, as mentioned above, the first step is the carboxylation of the five-carbon sugar, ribulose diphosphate catalysed by rubisco. As mentioned in the preceding section, this enzyme may also function as an oxidase indicated by its full name ribulose diphosphate car-boxylase oxidase. When this occurs and oxygen replaces carbon dioxide, the ensuing reaction produces phosphoglycolate in addition to 3-phosphoglycerate. Since, as a result of illumination, oxygen is consumed and carbon dioxide is released during the reactions of the glycolate pathway, this process is termed photorespiration and occurs alongside photosynthesis. The higher the ambient temperature in which the organism is growing, and the higher the oxygen concentration relative to carbon dioxide, the more pronounced the oxidase activity becomes and consequently the less efficient rubisco is at introducing carbon dioxide into carbohydrate synthesis. The phosphoglycolate...

Camomile

The water in which cabbage has been cooked (with no salt ) is good when cooled to bathe sore eyes (Quelch), and Gerard reported its use for dim eyes. He went on to prescribe the juice for the shaking palsie, and snake-bite the seed for worms, freckles and sunburn, and the like. Even the Maori, it seems, use it in the shape of a hot decoction, for colic (Goldie). There were, too, the usual fantastic remedies - in some way, it was used in Ireland as a cure for hydrophobia (Wood-Martin). Gerard hopefully said that it is reported that the raw Colewort beeing eaten before meate, doth preserveth a man from drunkennesse , and claimed that the juice, mixed with wine, and dropped into the eares, is a remedy against deafeness.

Catmint or CATNIP

Pillows are stuffed with the dried leaves, for the smell is supposed to help the sleepless (Sanford), just as catmint tea, infused from the dried herb, is helpful in fevers, for producing quiet sleep, and for nervous headaches (Brownlow). The tea was also given for stomach-ache, especially for babies with colic (R B Browne, Stout, H M Hyatt). They say in Alabama that catnip tea is good for baby's head (R B Browne). This tea has even been given in cases of pneumonia (Sanford), herbalists still recommend it for chronic bronchitis (Schauenberg & Paris), and it is taken for a cold in Ireland, the instructions being to boil catmint

Doppler Ultrasound

Doppler ultrasound is the first-line examination to perform when there is suspicion of renal colic in the pregnant woman. However, it does not differentiate physiological dilatation of pregnancy from pathological dilatation related, for example, to a kidney calculus. Since it only explores the high lumbar ureter or pelvic ureter, it misjudges many cases of calculi. With a sensitivity of 34 and a specificity of 86 (Mauroy et al. 1996 Sto-thers and Lee 1992), this exam is often flawed as a diagnostic procedure. Different devices have been developed in an attempt to improve its performance

Dog Rose

The galls made by the gall wasp on the dog-rose enjoyed a great reputation at one time. These Briar balls, also known by more picturesque names like Robin Redbreast's Cushions in Sussex (Latham), used to be sold by apothecaries to be powdered and taken to cure the stone, as a diuretic, and also for colic. Boiled up with black sugar (the sugar used for curing ham), the result would be drunk for whooping cough (Page. 1978). That is a gypsy remedy, but country people generally used to hang them round their necks as an amulet against whooping cough (Grigson. 1955), or just hanging them in the house (Rolleston), not only for whooping cough, but for rheumatism, too (Bloom), or for piles (Savage). Putting one under the pillow was a Norfolk way of curing cramp (Taylor). In Hereford and Worcester the gall was carried round in the pocket to prevent toothache (Leather), while Yorkshire schoolboys wore them as a charm against flogging (Gutch) that is why they were known as Savelick there. Gerard...

Nardosinone

In China, the rhizome is used as a deodorant, carminative, and stimulant. A decoction is used in various skin affections and in the bath to give fragrance to the body. In India, the rhizome is used to treat depression, hysteria, epilepsy, convulsions, headache, colic, and as a tonic and carminative.

Patient Presentation

The patient presentation associated with upper urinary tract obstruction is varied. In addition, the differential diagnosis of upper urinary obstruction is extensive (Table 10.1). Many patients seen on an emergent basis will have classic symptoms of renal colic however, an urgent evaluation may be requested for a totally asymptomatic patient with incidentally discovered unilateral or bilateral upper urinary tract obstruction.

Groundsel

Be struck with iron, when the plant had to be taken at early morning, or at mid-day, pounded and mixed with old lard. There are many examples of its use as a wound herb, up to and including Gerard's time, and another of his prescriptions stated that the leaves of Groundsel boiled in wine or water and drunke, heale the pain and ach of the stomacke that proceeds of Choler Gypsies were using it for the same purposes until very recently, i.e., the bruised leaf and stems to relieve colic and inflammations (sprains too) (Vesey-Fitzgerald). There is a Cornish belief, obviously based on homeopathic magic, that groundsel acts in different ways according to the direction in which the leaves are stripped from the stem. If upwards, that is, beginning from the root, with the knife ascending to the leaf, it makes it good as an emetic if striped downwards, it should be used as a cathartic (Hunt).

Physical Examination

The general appearance of the patient is one of the most important factors to consider when examining the patient. The diagnostic possibilities for a patient with ca-chexia are different than a well-nourished patient complaining of flank pain. Patients with classic colic will appear uncomfortable however, the diagnosis is not always stone disease. A similar appearance can be seen in patients with other urologic problems such as UPJ obstruction or less commonly ureteral tumors. Completely nonurologic problems such as acute appendicitis, gynecologic disorders, or dissecting aortic aneurysms can also present with symptoms of renal colic (Rucker et al. 2004). In all patients, vital signs should be documented. In addition to blood pressure, heart rate, and respirations, the presence of fever is a very important finding. Fever suggests the presence of renal parenchy-mal infection or abscess and overall increases the urgency of the diagnostic evaluation, especially among diabetic patients or...

Analgesia

In the urgent care setting, pain control is another consideration when evaluating a patient with upper urinary tract obstruction. The cornerstone of pain control for patients with renal colic and upper urinary tract function has traditionally been parenteral narcotics (Gulmi et al. 2002). Nonsteroidal anti-inflammatory drugs (NSAIDs) have recently gained popularity in the urgent care setting (Larkin et al. 1999). NSAIDs provide effective analgesia in the absence of significant sedation or exacerbation of associated nausea and vomiting. In a prospective, randomized, double-blind trial, Larkin and colleagues compared efficacy of the NSAID, ketorolac, to meperidine among 70 patients evaluated for acute renal colic. They noted that ketorolac provided superior analgesia and facilitated quicker discharges from the emergency room setting (Larkin et al. 1999). Despite the analgesic benefits of NSAIDs, associated physiologic effects in the kidney can be detrimental especially for patients with...

Hollyhock

Dried hollyhock flower tea is good for a cold (H M Hyatt), and it is still prescribed for bronchitis, and sometimes as a laxative (Fluck), and the plant is one of the ingredients of an early leechdom for lung diseases (Cockayne). The root decoction, Hill said, is good in the gravel, and the same decoction, Lupton wrote, with honey and butter, being drank, doth marvellously ease the pain of the colic and of the back. Gerard only observed that the decoction of the floures, especially those of the red (of course, for

Melegueta Pepper

Palm wine, they were taken as a cure for colic. The seeds and buds are used for pneumonia, and for pain in the back a handful of buds is beaten up with white clay. Four grains of Piper guineense are added, also powdered. The patient sits on the floor, and the doctor puts the medicine on the sole of the foot, and makes four (three if the patient is a woman) strokes down the patient's back. Then he gives the rest of the medicine to the patient to rub himself as he likes. They tame a snake with this, too. The bud leaves are chewed, and spat on to the snake's head, to quiet it (Harley).

Evaluation

At the time of presentation, a thorough history, physical examination, and determination of hemodynamic stability should ensue. Given that flank pain arising from SPH is commonly confused with renal colic, a noncontrast CT of the abdomen and pelvis is often performed. In fact, a contrast-enhanced CT is the first-line study and should be obtained in the event that a non-contrast CT or US suggests the presence of a retroperi-toneal hematoma. Laboratory studies should include a complete blood count (CBC), electrolytes, blood urea nitrogen (BUN), creatinine, and a coagulation profile.

Management

This is a laparotomy via a subumbilical midline incision and a total abdominal hysterectomy, bilateral salpingo-oophorectomy, infra-colic omentectomy, washings and selected biopsies. In cases where there is extensive peritoneal spread of disease, surgically removing the majority bulk of the disease appears to provide some benefits to the patient as regards response to subsequent chemotherapy and possibly a small survival benefit (Griffiths, 1975 Griffiths et al., 1979 Hacker et al., 1983 Goodman et al., 1992 Hoskins et al., 1992 Hunter et al., 1992 Curtin et al., 1997). During the past two decades, maximum cytoreductive surgery (also called debulking surgery) has been the recommended surgical approach for advanced stages of ovarian carcinoma. The residual tumour volume after surgery is one of the strongest prognostic factors, and only patients who undergo complete or optimal surgery are likely to be long-term survivors (Allen et al., 1995 Munkarah et al., 1997). A well-trained surgeon...

Tormentil

It is this tannin that has made it important in folk medicine. The name Tormentil is from French tormentille, Lain tormentum, the rack, or tormine, colic - the plant was used to reduce the pain. It survived as a medicine against the colic until quite recently in isolated parts, notably Northumberland and the Hebrides (Grigson. 1955). Pennant. 1772 records its use on the Isle of Rum - if they are attacked they make use of a decoction of the roots in milk. Gerard notes that the powdered roots cure diarrhoea, and the bloody flux (dysentery) especially if they are given in the water of a smith's forge, or rather the water wherein his steele hath been often quenched of purpose. Tormentil stewed in milk was an Irish remedy for diarrhoea (Foster). Gypsies, too, use an infusion of the leaves for the purpose (Vesey-Firzgerald). And yet it has also been recommended as a laxative - for costiveness. Take tormen-til a good quantity, and mouse-ear, and five leaves of dittany and scabious and...

Royleanolic acid

In China, the plant is used to counteract skin putrefaction, heal boils, treat catarrh, dispel humors, and stop dysentry. In Korea, the plant is used to treat anuria and expel intestinal worms. In Cambodia, Laos, and Vietnam, the plant is used to treat colic, cholera, and dysentery.

Wood Sage

(Teucrium scorodonia) Inhaling an infusion of Wood Sage (if Wood Sage was actually meant) was a Yorkshire remedy for quinsy (Hartley & Ingilby), and it is still used for the complaint in homeopathic medicine. People in the Dursley district of Gloucestershire used to pick the leaves in spring, and dry them, for a tea against rheumatism (Grigson. 1955). The tops, according to Hill. 1754 drank for a continuance, is excellent against rheumatic pains. It is used in Ireland for colic (Moloney), and also for colds and even consumption (O S illeabh in). New Forest gypsies combined Wood Sage and Ground Ivy in a tea for treating colds (Boase), and that tea was taken there to cure swellings, and also for biliousness (Hampshire FWI).

Lactase

P-Galactosidase-deficient populations have difficulty in consuming milk and other lactose-containing products, as ingestion of lactose can result in abdominal pain, diarrhea, and flatulence. Intestinal P-galactosidase insufficiency is also thought to be a possible etiology for infantile colic. P-Galactosidase has been widely studied, with incidence of its occurrence reported in animal organs, plants, and microorganisms 168 . Microbial P-galactosidases are most extensively utilized for commercial purposes, owing to their high levels of production and desirable physicochemical properties (e.g., pH and temperature optima) 169 . The principal enzymes exploited commercially are obtained from GRAS-listed yeasts and fungi such as Kluyveromyces lactis and Aspergillus oryzae 170 . The P-galactosidase enzyme derived from Aspergillus oryzae is an extracellular protein. The enzyme has a molecular mass of 105 kDa, is a homodimer, and is glycosylated. The enzyme has a pH optimum of 4.5 and also...

Complications

Arteriovenous fistulas usually present with delayed onset of significant hematuria, hypertension, heart failure, and progressive renal failure, most often after penetrating trauma. Percutaneous embolization or stenting of the renal artery is often effective for symptomatic arteriovenous fistulas, but larger ones may require surgery (Wang et al. 1998 Kavic et al. 2002). The development of pseudoaneurysm is a rare complication following blunt renal trauma. In numerous case reports, transcatheter embolization appears to be a reliable minimally invasive solution (Franco de Castro et al. 2001 Miller et al. 2002). Acute renal colic from a retained missile has been reported and may be managed endoscopically if possible (Harrington and Kandel 1997). Other unusual late complications, such as duodenal obstruction, may result from retroperitoneal hematoma following blunt renal trauma (Park et al. 2001).

Foreign Bodies

Penetrating injuries following blast or gunshot injuries result in multiple life-threatening injuries. Renal foreign bodies maybe metallic particles, bullets, or pellets entrapped in the parenchyma or the collecting system. In stable patients, penetrating injuries are no longer absolute indications for exploration (Sofer et al. 2001). Foreign bodies maybe removed endoscopically or surgically in cases of migration causing buckshot colic or infection (Harrington and Kandel 1997).

Periwinkle

Periwinkle soothes nettle rash, they say in the Fen country (Porter. 1969), and an ointment made with it was used for bruises and persistent skin irritation in Scotland (Beith). The roots were a popular colic cure in the Fen country (Porter. 1969), and periwinkle used to be an Irish (County Cavan) treatment for diabetes (Maloney). The leaves laid on gatherings and boils is an Oxfordshire remedy (Oxfordshire and District Folklore Society. Annual Record. 1951). It was reckoned to be good for sore breasts in Lincolnshire, the leaves being crushed and applied to the part (Gutch & Peacock) a poultice of the roots applied to a cow's udder was said in Cambridgeshire to cure milk fever (Porter. 1969). It is said to be a good remedy for cramp, too (Grieve. 1931). People used to wear bands of green periwinkle about the calf of the leg to prevent it (Fernie), and in Lincolnshire a piece was put between the bed and mattress for the same purpose (Rudkin).

Cabbage

(Brassica oleracea 'capitata') If thou desirest to die, eat cabbages in August. That was one of the medical maxims from the Book of Iago ab Dewi (Berdoe), and shows that cabbages were regarded with some suspicion at the time. Now it is difficult to see, or even think of, anything uncanny about a cabbage, but the Pennsylvania Germans used to say that a cabbage plant running to seed the first year, or one with two heads on one stalk, is a sign of death (Whitney & Bullock, Fogel). If one of them had white leaves, it meant a funeral. But it is good luck if you find one growing double, that is, with two shoots from a single root (Waring) (different from two heads on one stalk). Equally odd is a superstition from Illinois that if a woman eats cabbage during her confinement, she will die. Similarly, mothers are advised not to eat it while breast-feeding a baby - it will give the child colic (H M Hyatt). In Normandy, they say that you should never eat or pull a cabbage on St Stephen's Day...

Molephantinin

Blumea riparia (Bl.) DC. (Blumea pubigera L. Merr., Blumea chinensis DC.) is a sprawling herb that grows to 3 ft high in Malaysia, Taiwan, and Indonesia. The stems are terete and finely ribbed. The leaves are simple, spiral, and exstipulate. The blade is lanceolate, elliptic, and serrate and shows five to eight pairs of secondary nerves. The influorescences are conical heads (Fig. 108). In Taiwan, the plant is used externally to assuage headaches. Malays drink a decoction of roots to treat colic. In Indonesia, the plant is used to treat beriberi and gynecological disturbances. The plant is known to contain protocatechuic acid (107).

Indigestion

In indigestion remedies, and the decoction used to be an Irish remedy for indigestion and acidity (Egan). In the 18th century, Hill was prescribing an infusion of the fresh tops to strengthen the stomach, and it is good against habitual colic. DANDELION tea or coffee are said to be good for indigestion (Browning), or BETONY tea (Newman & Wilson). GREEN PURSLANE is used around the world for indigestion. The Navajo Indians, besides taking the seeds as food, recognise the green plant as a cure for stomach ache (Elmore), and in West Africa they take it for indigestion by beating up the leaves with water and adding a little salt (Harley).

Castor Oil Plant

Castor oil is a vermifuge, and, of course, a laxative, and a particularly valuable one, though the smell and taste have made it a by-word for offensiveness (Maddox). In Haiti it is used for colic, for eye trouble and headaches, or, in America, to put on a wart (Thomas & Thomas). African peoples like the Mano, of Liberia, use it for headaches, too, by rubbing the leaves in water, and bathing the head with the infusion (Harley), while in the southern states of America a similar practice merely involves wrapping the forehead with the leaves, which will treat a fever as well (Puckett). Kentucky practice was to carry a castor-bean about on the person, for indigestion (Thomas & Thomas). There is, too a certain amount of ritual use, which probably includes the Shona (Zimbabwe) habit of smoking the leaves like a cigarette, ostensibly to cure hiccups, it is said (Gelfand. 1956). Certainly, the Brazilian curanderos used it ritually, as a fumigant, and as an ingredient in ritual baths in...

Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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