The difference between pneumonia, interstitial pneumonia, and pulmonary fibrosis:

The difference between pneumonia, interstitial pneumonia and pulmonary fibrosis: one. Pneumonia literally means inflammation of the lungs. The traditional meaning refers to lung inflammation caused by viruses, bacteria or even strong irritants such as chemical gases. Therefore, there are many types according to the cause. For example, viral pneumonia such as influenza can be caused by bacterial pneumonia, fungal pneumonia, lipid pneumonia, etc.; according to age, it can be divided into infant pneumonia, childhood pneumonia, adult pneumonia, and elderly pneumonia; as well as aspiration pneumonia, allergy Most of the pneumonia can be cured, the key is to find the cause of the pneumonia. Simply speaking of pneumonia, it is too general and too vague! two. Interstitial pneumonia is a very complicated and vague concept. When someone hears that they have interstitial pneumonia and the Internet says how serious it is, they become very nervous. This is simply a smattering. Clinically, interstitial pneumonia can also have infectious factors, such as common mycoplasma, chlamydia, viruses, and even bacteria, and most of them are easy to treat; there are also autoimmune factors, such as hoof knot tissue diseases (common in women, such as hard Dermatosis, rheumatoid, etc.), or allergic substances, most of them can be controlled well, and the progress is not fast; smoking-induced interstitial pneumonia, as long as you stop smoking, many can be relieved; inhalation of allergic substances or chemical irritants, Or disengagement inhalation caused by severe air pollution can be better treated with appropriate medication. three. Interstitial pulmonary fibrosis (or pulmonary fibrosis) Interstitial pulmonary fibrosis and pulmonary fibrosis can be said to be the same concept. The fibrous cords and local fibrosis found on chest CT are generally not a big problem. Most of it is tissue hyperplasia left over from previous inflammation, which can be simply understood as a scar. Oral pulmonary fibrosis generally refers to diffuse new fiber changes in the lungs. Autoimmune diseases such as scleroderma, rheumatoid disease, dermatomyositis/polymyositis, mixed knot tissue disease, etc. can be caused. Physical factors such as inhalation of asbestos, mineral dust, drugs, radiation damage, harmful gas inhalation, etc. (in the case of environmental pollution, you should wear a mask); contact with pigeon dung, animal fur, moldy hay, etc. caused by exogenous allergic alveoli Inflammation can cause pulmonary fibrosis. Smokers are a high-risk group of pulmonary fibrosis, and the chance of smokers suffering from pulmonary fibrosis is several times that of ordinary people, so everyone must be cautious and stay away from cigarettes and second-hand smoke. As for air pollution, current research may also be the cause of pulmonary fibrosis. “Idiopathic interstitial pulmonary fibrosis (IPF)” is a very serious intractable disease of the respiratory system. The average life expectancy after diagnosis of this disease is 2.8 years. Moreover, Western medicine believes that there is currently no good cure for idiopathic pulmonary fibrosis, and even if you take conventional Western medicine, the condition will continue to progress.

Frequent urination, urgency, and painful urination, how should the patient initially assess whether it is interstitial cystitis

   Frequent urination, urgency, dysuria, dyspareunia, nocturia, and chronic pelvic pain are the main clinical manifestations of interstitial cystitis (IC). If symptoms such as frequent urination, urgency, dysuria occur, how to initially assess whether it is interstitial cystitis?   Initial assessment of interstitial cystitis: In the past month, how much did the following questions affect you? Question:    1. Frequent urination during the day?   is not a problem (0 points); very small problem (1); small problem (2); medium problem (3); big problem (4)   2, urinating at night? Not a problem (0 points); very small problem (1); small problem (2); medium problem (3); big problem (4)    3. Will you have a sudden urgency and need to urinate without warning ? Not a problem (0 points); very small problem (1); small problem (2); medium problem (3); big problem (4)  4. Do you feel burning, pain, discomfort or pressure in the bladder area ? Not a problem (0 points); very small problem (1); small problem (2); medium problem (3); big problem (4)    symptom score: In the past month, whether the following symptoms often appeared in you In your life?   1. Do you often have sudden urgency without warning? Not at all (0 points); less than once in five times (1); less than half of the times (2); about half of the times (3); more than half of the times (4); always so (5)  2, do you Often have to urinate within two hours after urinating? Not at all (0 points); less than once in five times (1); less than half of the times (2); about half of the times (3); more than half of the times (4); always like this (5)  3, urination at night frequency? 0-1 times (0); 2-4 times (2); 5-6 times (3); 7-8 times (4); 9 times or more (5)   4. Have you ever had a burning sensation or pain in the bladder area sense? No (0); a few times (2); almost always (3); quite frequently (4); all the time (5)    If your total score is higher than 12, please continue to record the following questions:   1, whether Smoke often?  □No; □Yes  2. Do you often drink alcohol?  □No; □Yes   3. Do you often drink coffee?  □No; □Yes   4. Do you often eat irritating food (spicy, etc.)?  □No; □Yes   5. Do you often hold back urine?  □No; □Yes   6. Do you often wear tights?  □No; □Yes   7. Are there any infectious diseases in obstetrics and gynecology?  □No; □Yes   8. History of genitourinary tuberculosis?  □No; □Yes   9. History of chemical cystitis?  □No; □Yes   10. History of radiation cystitis?  □No; □Yes  11. History of endometriosis?  □No; □Yes   12. Are there symptoms of bowel irritation such as tenesmus?  □No; □Yes   13. Is it accompanied by anorectal diseases?  □No; □Yes   14. Are you allergic?  □No; □Yes, (record allergens)   15. Are there any other diseases?  □No; □Yes, please record the illness.    16. Are you taking other drugs at the same time?  □No; □Yes, record the medications you take.   If your score is higher than 12, please record the above questions and bring them to the outpatient clinic for further investigation as soon as possible. Clinical manifestations:   1, the earliest common manifestations are frequent urination, urgency, dysuria and nocturia (the average frequent urination during the day or night can be dozens of times a day)   2, perineum or pelvic pain 3, and endometriosis or pelvic cavity The clinical manifestations of inflammation are very similar. 4. Symptoms will be relieved after urination. 5. Depression. 6. Misdiagnosed as urinary tract infection, non-bacterial prostatitis, pelvic inflammatory disease and other diseases. How is interstitial cystitis diagnosed clinically? 1. Main clinical symptoms 2. Exclude other diseases or lesions similar to interstitial cystitis 3. Record the patient’s urination symptoms in order to evaluate the subsequent treatment efficacy. The urination diary helps to measure whether the patient’s urine frequency and urine volume reach the IC standard 4. Auxiliary examination of urodynamics, B-ultrasound, CT, cystoscopy, etc.

After the diagnosis of “pulmonary fibrosis”, why is the survival period only three years?

After the diagnosis of “pulmonary fibrosis”, why is the survival period only three years? Pulmonary fibrosis with interstitial pneumonia is the end-stage changes of a large group of lung diseases characterized by fibroblast proliferation and a large amount of extracellular matrix accumulation accompanied by inflammatory damage and tissue structure destruction, that is, normal alveolar tissue is damaged and passed through Abnormal repair results in structural abnormalities (scar formation). Pulmonary fibrosis generally manifests as: dry cough, progressive dyspnea (consciously not enough qi), and as the disease and lung damage worsen, the patient’s respiratory function continues to deteriorate. The incidence and mortality of idiopathic pulmonary fibrosis are increasing year by year. The average survival time after diagnosis is only 2.8 years, and the mortality rate is higher than that of most tumors. It is called “chronic cancer.” Generally speaking, the average life expectancy of patients with pulmonary interstitial fibrosis is 3-5 years. The disease belongs to the categories of “pulmonary dysfunction”, “cough” and “asthmatic syndrome” in traditional Chinese medicine. The disease is chronically progressive and aggravates, and it is a difficult and severe pulmonary disease. Generally, it eventually develops into right ventricular failure and died. Progressive dyspnea is the most common symptom of pulmonary fibrosis. In mild pulmonary fibrosis, dyspnea often occurs during strenuous activities, so it is often overlooked or misdiagnosed as other diseases. When pulmonary fibrosis progresses, patients may experience progressive dyspnea. Other symptoms include dry cough, fatigue, clubbing and cyanosis. In recent years, there have been more cases of consultation and treatment of radiation pulmonary fibrosis: this disease is caused by radiotherapy for lung cancer, breast cancer, esophageal cancer and other tumors, resulting in damage to normal lung tissue and the formation of extensive pulmonary fibrosis . Clinical symptoms: irritating dry cough, shortness of breath and chest pain, fever and shortness of breath from time to time, increased after exercise. Immune function was severely decreased, and he died of right heart failure due to common cold infection. This syndrome has cancer and pulmonary fibrosis, which is the most important disease. However, it has been verified that if the “Yin Yang Huaxian Decoction” is used after the syndrome differentiation, Schisandra, Astragalus, Radix Ginseng, Angelica, and the amount of raw land can achieve good results. -Extend life, reduce pain and improve the quality of life. Various common diagnosis: 1. X-ray examination: Although breathing difficulties in the early stage, the X-ray chest X-ray may be basically normal; in the middle and late stages, there will be diffuse network or nodular shadows in the middle and lower lungs, and occasional pleural effusion , Thickening or calcification. It can be seen that the lung volume is reduced, the diffusion function is reduced, and hypoxemia. In the early stage, it was ground glass, with typical changes in diffuse line-like, nodular, cloud-like, net-like shadows, and reduced lung volume. 2. Pulmonary function test: It can be seen that the lung volume is reduced, the diffusion function is reduced, and hypoxemia. 3. CT examination: you can see the shadows of small, middle nodules and net nodules, and sometimes large patches of high-density lesions can be seen, among which images of the bronchus that are twisted together or expanded with air can be seen. Cellular lungs appear in the late stage. Localized emphysema can be seen near large areas of fibrosis, which is manifested by increased local air volume and sparse pulmonary vascular shadow. Irregular thickening of the pleura, especially in the middle and lower lungs, is more diffuse. What are the symptoms of advanced pulmonary fibrosis? The symptoms of the late stage of pulmonary fibrosis mainly include shortness of breath and shortness of breath, severe asthma when moving, extremely low blood oxygen saturation, asthma after exercise, and a slight improvement when resting. Dry cough, no sputum in the early stage, dry cough without sputum in the late stage, little but sticky sputum, blood in the sputum, etc. Systemic symptoms may include loss of appetite, listlessness, weight loss, fatigue, etc. Symptoms and characteristics: 1. Difficulty breathing, and worsening, shallow breathing. 2. There is no cough in the early stage of cough and sputum, and there may be dry cough or a small amount of mucus sputum in the future. When a cold is prone to secondary infection, mucopurulent sputum or purulent sputum appears, and blood sputum is occasionally seen. 3. Systemic symptoms may include weight loss, fatigue, loss of appetite, and joint soreness. Fever is usually present during acute attack, and long-term low-grade fever can be seen in severely ill patients in the late stage, which cannot be controlled by any western medicine-they are dying. Common signs: 1. Difficulty breathing and cyanosis. 2. Dilation of the thorax and decreased diaphragm activity. 3. Velcro rales in the middle and lower parts of the lungs have certain characteristics. 4. Clubbing of toes. 5. Abnormal lung function, severe restrictive ventilatory dysfunction and (or) diffuse dysfunction. 6. Corresponding signs of end-stage respiratory failure and right heart failure. Author: Fan Song, born in 1970, was born in family medicine, Chinese medicine ancestral Fan fourth generation, his childhood with his grandfather to study medicine, grew up to follow my father studied medicine with practicing medicine for 30 years. The four-generation ancestral recipe “Yangyin Huaxian Decoction” is used for dialectical addition and subtraction to treat interstitial pneumonia fibrosis and complications with unique curative effect. In the early stage of interstitial pneumonia, there are no comorbidities and those who are not too old can use Yangyin Huaxian Decoction to treat most of them.

In the late stage of interstitial pneumonia, how important it is to choose the right treatment!

In the late stage of interstitial pneumonia, how important it is to choose the right treatment! For patients with advanced interstitial pneumonia fibrosis, choosing a correct treatment plan is the most important. Not only can life be extended, but there may also be surprises! Interstitial pneumonia is inflammation of the interstitial tissue of the lung. Inflammation mainly invades the walls of the bronchial tubes, alveolar walls, especially the connective tissues between the lobules around the blood vessels around the bronchus and the alveolar spaces, and most of them are necrotizing lesions. Interstitial pneumonia is mostly caused by viruses, mainly adenovirus, respiratory syncytial virus, influenza virus, parainfluenza virus, measles virus, etc. Among them, interstitial pneumonia caused by adenovirus and influenza virus is more common and more common. In severe cases, necrotizing bronchitis and bronchial pneumonia are often formed. The average life expectancy after diagnosis of interstitial pneumonia is 5 years. It is currently the most difficult and difficult respiratory disease in the world to treat. Because there is no western medicine that can really prevent the development of this disease. In clinical practice, our common western medicine pirfenidone, note: this medicine can only delay the progression of the disease. In other words, its development cannot be prevented. This is a patient with advanced male interstitial pneumonia in Shandong. After using the hospital’s high-dose hormone therapy, the body’s immunity has dropped drastically, and the body’s organs are almost exhausted, which is already critical. I just came back from the hospital for review, and the doctor has notified the children that the patient hasn’t been long! Eat whatever you want! It was his daughter who contacted me. It seems to me that there is little hope for the detailed condition, but her daughter and her family would like to try “Yin Yang Chemical Fiber Soup” again to see if it can save their lives. The basic condition is as follows: a man, 59 years old, Shandong, 2017, was hospitalized on January 1 and discharged on the 23rd. CT: interpulmonary, interpulmonary infection. On March 14th, I went to the hospital for a review, and it got worse. The doctor told the children that the patient might not have been long. Self-report: Now, I can’t move, I cough when I move, I can’t breathe, I keep coughing, yellow pus sputum, a small amount of bloodshot eyes, dry throat, dry mouth, cramps in my hands and feet during an attack, and I feel awake in the middle of the night. I have been hospitalized 3 times recently. The western medicine to take is as follows: Western medicine: methylprednisolone-5 tablets per day. 8 tablets per day two months ago. Acetylcysteine ​​tablets 3 tablets a day, Jinshuibao capsule 3X3 to replenish lungs and kidneys, secret essence and nourish qi. Cetirizine tablets one tablet per night; used to treat seasonal or perennial allergic rhinitis, urticaria and skin itching caused by allergens. ; Omeprazole capsules take one tablet every morning on an empty stomach; mainly used for duodenal ulcer and Zollinger syndrome. One tablet of calcium carbonate per day; to prevent osteoporosis. Mosapride tablets three times a day, one tablet each time; 1. Used for functional dyspepsia. I summed up all the detailed information of the patient, and after I asked all those who should be consulted, I prescribed “Yin Yang Huaxian Decoction” Chinese medicine decoction. I instructed her to decoct each packet of Chinese medicine (for the sake of uniformity and ease of decoction) Chinese medicine should be decocted twice, and the two soups should be combined together, and the amount of soup should be kept at 500 About milliliters is better, and the time after each frying and boiling is about 30 minutes. Take it once a day in the morning and evening for a total of 2 days, four times; because your father is a critically ill patient, take it three to four times a day for a total of 6-8 times. &nbsp.Because her father was seriously ill, I asked the patient to take it three times a day. She reasoned with me: Normally, I take it twice a day. Now I am seriously ill and let me take it three times. , That’s even more useless! Interpulmonary fibrosis, a resurgent case! Interpulmonary fibrosis, a resurgent case! I’m speechless! This is real! The real condition before the treatment The previous real condition and the above are the condition before the treatment: the case and the following are the improvement after one month of taking the medicine. After more than half a year of meticulous conditioning and treatment, this patient basically reached the clinical cure standard. Author: Fan Song, born in 1970, was born in family medicine, Chinese medicine ancestral Fan fourth generation, his childhood with his grandfather to study medicine, grew up to follow my father studied medicine with practicing medicine for 30 years. The four-generation ancestral recipe “Yangyin Huaxian Decoction” is used for dialectical addition and subtraction to treat interstitial pneumonia fibrosis and complications with unique curative effect. My father graduated from the Chinese Medicine Department of the 77th School of Medicine, and is a famous Chinese medicine expert Fan Shuqing. Statement: Please indicate the source of the reprinted friends! I have recently discovered that some websites or individuals have stolen my articles, and I reserve the right to be held accountable!

Looking back at the critically ill patients with “interstitial pneumonia” treated in the past year, I feel a lot!

Looking back at the critically ill patients with “interstitial pneumonia” treated in the past year, I feel a lot! Looking back on the recently treated patients with critical and intractable “interstitial pneumonia”, I feel a lot! The patients in Shandong and Hubei almost begged me at first to save their lover’s life. We promised to go to Beijing to thank you in person! After more than half a year of meticulous treatment and conditioning, both of these were nearly clinically cured, and there was not even a greeting message during the Spring Festival. A particularly critical patient with interstitial pneumonia in Tongzhou, Beijing, lived in Peking Union Medical College Hospital, China-Japan Hospital, and Chaoyang Hospital. A patient who had been in a coma for several days in intensive care, after taking my medicine, passed the Spring Festival safely. A lot better. But then I heard the treatment method of a licensed expert from Xiehe Hospital again, secretly stopped my Chinese medicine, and chose Western medicine from Xiehe experts (including the “tripterygium polyglycoside” which I repeatedly told to never use). A few days later, cerebral thrombosis Needless to say the consequences of hospitalization. I need to explain here: Why does this patient get cerebral thrombosis? Drinking my Chinese medicine and the western medicine I let him take, including the western medicine that lowers the heart rhythm, the combined medicine works well, the heart rhythm is down, and the heart feels comfortable. It is because my Chinese medicine contains a lot of Chinese herbal medicines that nourish the mind and soothe the nerves. The heartbeat is fast, and the heart failure needs nourishment, so your heart rate has come down and your condition has alleviated. But if you use western medicine to lower your heart rate privately, it is fatal to patients with such severe heart, liver, and kidney failure! So, there was a cerebral thrombosis, and he died. I was touched by the filial piety of my grandson-in-law who recently visited Shanghai elderly patients for treatment. It was the patient’s grandson’s lover who contacted me and received me. Now the old man has passed the dangerous period safely. At that time, the hospital had issued a critical illness notice, and he had gone home to continue treatment. Like her filial piety here! Whether she can see it or not. There are also a few patients who do not believe me, and I can understand! Or unwilling to spend money to save their parents, we should also understand. There may also be difficulties. Medicine doctors don’t die, Buddha saves destined people! Author: Fan Song, born in 1970, was born in family medicine, Chinese medicine ancestral Fan fourth generation, his childhood with his grandfather to study medicine, grew up to follow my father studied medicine with practicing medicine for 30 years. The four-generation ancestral recipe “Yangyin Huaxian Decoction” is used for dialectical addition and subtraction to treat interstitial pneumonia fibrosis.

Why, Chinese medicine must be fried by itself to be effective!

Why, Chinese medicine must be fried by itself to be effective! Traditional Chinese medicine decoctions. In the past, it was always taking the medicine back, looking for the casserole, putting the water, watching it by myself, and tormenting, it was really troublesome. So there are many places where you can bring the tormenting medicine-save trouble, just go and retrieve the medicine soup in a few hours. However, after our investigation and research, this matter must not be so easy! Most of the traditional Chinese medicines that are suffering from suffering are ineffective or have side effects. why? 1. The boiling time is too short. The soup is obviously clear and transparent, and most of the herbal medicine has no effect at all. This is because people will decoct medicine for you to earn your wages, so you can save electricity and trouble quickly. Whether the disease can be cured or whether the effect is good or not has nothing to do with him. 2. The amount of Chinese medicine given to you has simply shrunk. After the doctor has prescribed the prescription for you, you have paid the money and left. What I’m telling you is, what time can I get the Chinese herbal soup. The surface is really good, so much trouble! In fact, some pharmacies only care about making money. They clearly prescribe you 300 grams of Chinese medicine for each payment, but actually gave you 200 grams and just boiled it for you. How would you know; or the expensive medicine in the prescription does not give you less Here you are, you don’t even know in your dreams. 3. There are also some hospitals and clinics that directly give you the medicinal soup he has made, especially those who specialize in special diseases and difficult diseases. Please pay attention to them. You cannot buy his Chinese medicinal soup directly! Because it is a difficult and difficult disease, I put hormones or western medicine in the medicated soup in order to make money, so that you can see results immediately after you eat it. I lied to you without discussing it! But the consequences are terrible! Seeing Chinese medicine for difficult and intractable diseases, Chinese medicine must be tormented by yourself to be effective! Author: Fan Song, born in 1970, was born in family medicine, Chinese medicine ancestral Fan fourth generation, his childhood with his grandfather to study medicine, grew up to follow my father studied medicine with practicing medicine for 30 years. The four-generation ancestral recipe “Yangyin Huaxian Decoction” is used for dialectical addition and subtraction to treat interstitial pneumonia fibrosis and complications with unique curative effect. In the early stage of interstitial pneumonia, there are no comorbidities and those who are not too old, most of them can be cured with Yangyin Huaxian Decoction, which can reach the clinical cure standard; in the late stage of interstitial pneumonia, those who are older and have many complications can reverse part of pulmonary fibrosis. , Prolong life and improve the quality of life. For patients with acute onset of interstitial pneumonia and fibrosis that the hospital gave up, I used my Yangyin Huaxian Decoction for emergency treatment, combined with Chinese and Western rescue treatment, and most of them can be brought back to life. My father graduated from the Chinese Medicine Department of the 77th School of Medicine, and is a famous Chinese medicine expert Fan Shuqing. Statement: Please indicate the source of the reprinted friends!

What examinations should I do if I suspect interstitial cystitis?

   Bladder pain syndrome is a clinical diagnosis based on frequent urination, urgency, bladder or pelvic floor pain. The International Society of Urological Control defines bladder pain syndrome as “a suprapubic pain associated with bladder filling, accompanied by other symptoms, such as a significant increase in the frequency of urination during the day and night, while excluding urinary tract infections and other pathological changes.” The International Society for Urological Control still retains the diagnosis of interstitial cystitis, which mainly refers to “with typical cystoscopy and histological features”, otherwise, it should be diagnosed as bladder pain syndrome/interstitial cystitis. Purpose of urinalysis and urine culture: To detect urinary tract infections; even if there are urinary tract infections, such as severe bladder pain between two infections, interstitial cystitis cannot be ruled out; lower urine pH may also cause bladder Pain syndrome.  Urine cytology examination   Purpose: Mainly used to exclude urinary epithelial tumors, especially extensive carcinoma in situ of the bladder (the most common tumor causing bladder pain); if urine cytology is not reliable, random biopsy of the bladder mucosa can be considered instead.   What other checks are needed for further diagnosis? Purpose of cystoscopy: Used for random biopsy of the bladder mucosa, especially for the elderly; it is more clinically meaningful; it can find Hunner’s ulcer; it can be simultaneously expanded under anesthesia; it can exclude other local diseases of the bladder and urethra, such as tuberculous cystitis and eosinophilic bladder Inflammation, urethral diverticula and tumors, etc.; the pathological features of interstitial cystitis may help the choice of treatment.   Potassium Sensitivity Test    Purpose: Used for the diagnosis of patients with mild to moderate bladder pain, to determine whether it is bladder-derived pain; those with a positive test can predict the efficacy of mucosal protective agents.   water dilatation of bladder    cystoscopy after water dilation under anesthesia showed spotting bleeding or Hunner ulcer under the bladder mucosa. According to cystoscopy IC can be divided into ulcer type (Hunner ulcer) and non-ulcer type. The ulcer type is manifested as one or more small ulcers on the bottom or side wall of the bladder, and the detection rate is about 10%. The non-ulcer type is manifested as flaky bleeding points on the bladder mucosa after water dilation, which is seen in 90% of patients.   Water bladder dilatation is a widely used clinical diagnosis and treatment method. Its effectiveness stems from the destruction of the muscle input nerve endings. The most obvious effect occurs within a short period of time after the expansion, but it generally lasts for 6 months. At present, 60%~70% of patients with simple bladder dilatation have satisfactory short-term effects.  Bladder mucosal biopsy  Objective: To exclude bladder pain caused by other local lesions of the bladder and other symptoms similar to interstitial cystitis; some features of inflammation of the interstitial tissue including the muscle layer of the bladder may help the choice of treatment. Purpose of urodynamic examination: According to the NIDDK diagnostic criteria, bladder pressure measurement during filling is one of the necessary examinations to understand the patient’s bladder capacity, that is, those with bladder capacity exceeding 350ml or 150ml without urinary sensation can exclude interstitial bladder Inflammation; evidence suggests that there may be a low-compliance bladder, such as IVP showing changes in bladder volume or upper urinary tract function damage may occur due to bladder disease.   Patients with interstitial cystitis have a complex condition. The diagnosis of interstitial cystitis requires a doctor with a comprehensive knowledge of urology.

What causes interstitial pneumonia?

What can cause interstitial pneumonia? 1. Long-term inhalation of inorganic dust, such as working in coal mines, contact with asbestos, and inhalation of harmful gases. 2. Inhalation of organic dust causes a disease called exogenous allergic alveolitis. These diseases occur when some patients breed mushrooms, raise pets such as pigeons, parrots, etc., and come in contact with moldy grains and hay; also Occurs when working or living in a contaminated air conditioner or humidifier environment. 3. Long-term use of the following drugs: such as amiodarone, methotrexate, chemotherapy drugs, etc. 4. Acute and chronic lung infections: such as blood disseminated tuberculosis, pneumocystis pneumonia, viral pneumonia, etc. 5. Pulmonary interstitial edema caused by chronic heart disease. 6. Interstitial pneumonia related to autoimmune diseases such as rheumatoid arthritis, Sjogren’s syndrome, polymyositis, systemic lupus erythematosus, scleroderma, and vasculitis. 7. Tumor-related, such as alveolar cancer, cancerous lymphangitis, lymphoma, etc. 8. The cause of most interstitial pneumonia is unknown. About two-thirds of the total patients. Among these unexplained interstitial pneumonia, the most common is idiopathic interstitial pneumonia, including idiopathic pulmonary fibrosis (IPF), cryptogenic organizing pneumonia (COP), non-specific interstitial pneumonia Pneumonia (NSIP), desquamative interstitial pneumonia (DIP), respiratory bronchiolitis interstitial lung disease (RB-ILD), lymphocytic interstitial pneumonia (LIP) and acute interstitial pneumonia (AIP), the most common of which is idiopathic pulmonary fibrosis. “Idiopathic” means “the cause is unknown.” Other common interstitial lung diseases of unknown cause are sarcoidosis; 9. Some rare interstitial lung diseases include lung Langerhans cell histiocytosis, lymphangiomyomatosis, alveolar proteinosis and so on.

[Disease Science] What is a typical interstitial cystitis? What inspection items need to be done?

   Bladder pain syndrome is a clinical diagnosis based on frequent urination, urgency, bladder or pelvic floor pain. The International Society of Urological Control defines bladder pain syndrome as “a suprapubic pain associated with bladder filling, accompanied by other symptoms, such as a significant increase in the frequency of urination during the day and night, while excluding urinary tract infections and other pathological changes.” The International Society for Urological Control still retains the diagnosis of interstitial cystitis, which mainly refers to “with typical cystoscopy and histological features”, otherwise, it should be diagnosed as bladder pain syndrome/interstitial cystitis. The typical symptoms of interstitial cystitis are: 1. Pain related to bladder filling: lower abdomen discomfort when the bladder is full, pain in severe cases, this discomfort or pain disappears after urination;   2, the accompanying frequent urination and Urinary urgency: The frequency of urination exceeds 8 times a day, especially the increase of nocturia is more clinically meaningful. Frequent urination is caused by discomfort in the lower abdomen or discomfort in other parts of the pelvis and perineum. Check the history of related diseases: cystitis: bacteria, viruses, tuberculosis, radiation and chemical cystitis; vaginitis; bladder, urethra, uterus, cervix and vagina tumors; urethral diverticulum; bladder and lower ureter stones; prostatitis; skeletal muscle pain (Skeletal muscle spasm, arthropathy and spine joint stiffness); neurogenic pain (lumbar disc herniation) and other diseases.  What other examinations are necessary for diagnosis besides medical history and physical examination? 1. Urine analysis and urine culture purpose: to detect urinary tract infections; even if there is urinary tract infection, if there are severe bladder pain symptoms between two infections, interstitial cystitis cannot be ruled out; urine pH may also be reduced Causes bladder pain syndrome.  2. Urine cytology examination   Purpose: Mainly used to exclude urinary epithelial tumors, especially extensive carcinoma in situ of the bladder (the most common tumor causing bladder pain); if urinary cytology is unreliable, random biopsy of the bladder mucosa can be considered instead.   What other checks are needed for further diagnosis? 1. Purpose of cystoscopy: It is used for random biopsy of bladder mucosa, especially for the elderly. It is more clinically meaningful; it can find Hunner’s ulcer; it can be simultaneously expanded under anesthesia; it can exclude other local diseases of the bladder and urethra, such as tuberculous cystitis and addiction. Acid cystitis, urethral diverticulum and tumors, etc.; the pathological features of interstitial cystitis may help the choice of treatment.  2. Purpose of potassium ion sensitivity test: for the diagnosis of patients with mild to moderate bladder pain, to determine whether it is bladder-derived pain; the positive test can predict the efficacy of mucosal protective agents.  3, bladder water dilatation   cystoscopy after water dilation under anesthesia showed spotting bleeding or Hunner ulcer under the bladder mucosa. According to cystoscopy IC can be divided into ulcer type (Hunner ulcer) and non-ulcer type. The ulcer type is characterized by one or more small ulcers on the bottom or side wall of the bladder, and the detection rate is about 10%. The non-ulcer type is manifested as flaky bleeding points on the bladder mucosa after water dilation, which is seen in 90% of patients.   Water bladder dilatation is a widely used clinical diagnosis and treatment method. Its effectiveness stems from the destruction of the muscle input nerve endings. The most obvious effect occurs within a short period of time after the expansion, but it generally lasts for 6 months. At present, 60%~70% of patients with simple bladder dilatation have satisfactory short-term effects. 4. Purpose of bladder mucosal biopsy: To exclude bladder pain caused by other local lesions of the bladder and other symptoms similar to interstitial cystitis; some features of inflammation of the interstitial tissue including the muscle layer of the bladder may help the choice of treatment methods . 5. Purpose of urodynamic examination: According to the NIDDK diagnostic criteria, bladder pressure measurement during filling is one of the necessary examinations to understand the patient’s bladder capacity, that is, those with bladder capacity exceeding 350ml or 150ml without urgency can be excluded. Cystitis;    evidence suggests that there may be a low-compliance bladder, such as IVP showing changes in bladder volume or upper urinary tract function damage may occur due to bladder disease. Patients with interstitial cystitis have a complex condition. The diagnosis of interstitial cystitis requires a doctor to have a comprehensive knowledge of urology.

Long-term frequent urination, urgency, dysuria, and nocturia should be checked for interstitial cystitis

   Interstitial cystitis is a chronic disease with frequent urination and dysuria as the main clinical manifestations. It can also be accompanied by increased nocturia, chronic pelvic pain, and pain during intercourse. It is more common in women, and the ratio of male to female is about 1:10. The etiology may be related to bladder wall defects, autoimmune disorders, virus, bacterial infections, pelvic floor dysfunction, and inflammation. It is often easy to be misdiagnosed in clinical practice. It usually takes many years and the diagnosis and treatment of multiple doctors to obtain a clear diagnosis. Therefore, it is very important to recognize this disease early. Clinical manifestations:   1, the earliest common manifestations are frequent urination, urgency, dysuria and nocturia (the average frequent urination during the day or night can be dozens of times a day)   2, perineum or pelvic pain 3, and endometriosis or pelvic cavity The clinical manifestations of inflammation are very similar. 4. Symptoms will be relieved after urination. 5. Depression. 6. Misdiagnosed as urinary tract infection, non-bacterial prostatitis, pelvic inflammatory disease and other diseases. Treatment strategies for bladder pain syndrome/interstitial cystitis PBS /IC treatment is mainly divided into behavioral treatment, oral medication, intravesical treatment and surgical treatment. 1. Oral medication: there is no specific treatment drug. Certain antidepressants can help reduce the pain and frequent urination of interstitial cystitis. 2. Bladder dilatation: bladder dilatation needs to be performed under general anesthesia, which has three main purposes : First, the cystoscopy before dilation excludes other possible causes of symptoms (such as stones, tumors). Second, as a treatment operation to relieve the symptoms of the patient, establish information for the patient, and provide treatment opportunities for possible perfusion therapy. Third , It was found that the capacity of the bystander was abnormal. 3. Bladder perfusion: The commonly used bladder perfusion drug is sodium hyaluronate, and the previously used heparin, lidocaine, sodium bicarbonate and other curative effects are limited. 4. Sacral neuromodulation (bladder pacemaker): bladder perfusion is ineffective and painful patients 5. Other treatments: diet therapy, behavior adjustment, physical therapy, etc. 6. A small number of patients with severe symptoms and other treatments that are not effective can consider the clinical application of surgical SNM in the treatment of interstitial cystitis 1. Currently in the treatment of interstitial cystitis. In chronic pain, SNM is still regarded as a second-line treatment option after other conservative treatments have failed. For IC/BPS that does not respond to conservative treatment, SNM can be selected after proper evaluation.  2. The various treatment methods used before receiving SNM treatment reported in the literature have changed greatly: most patients will try traditional medicine treatment, pain control therapy and water dilation therapy. 3. At present, there is no literature report on patients who are still ineffective after undergoing total cystectomy or urinary diversion and then undergoing SNM treatment. This also shows from the side that although irreversible organ resection and urinary diversion surgery can well control IC/ The symptoms of PPS, but due to its irreversible nature, should be the last attempt after SNM treatment fails.

It’s autumn, patients with poor lungs should pay attention

   Dermatomyositis is an autoimmune connective tissue disease with skin and muscle symptoms as the main manifestations. It can also affect various organs throughout the body. If it is combined with interstitial pneumonia, it is the main factor affecting the prognosis of the patient. Dermatomyositis combined with interstitial pneumonia has a high fatality rate. Therefore, active treatment should be supplemented with meticulous care, strengthening care for complications, and paying attention to health education and psychological care, which will achieve good results. Dermatomyositis with interstitial pneumonia is an incurable disease. This disease has the characteristics of long course and easy relapse. Therefore, in the repeated long course, it is very important to teach patients the awareness of self-care and pay attention to the regulation of daily life. It helps to recover from the condition and prevent recurrence, prevent the symptoms of heart failure or respiratory failure, and relieve the condition.  First, psychological care   Patients with dermatomyositis and interstitial lung disease are pessimistic due to the long course of the disease, slow curative effect, difficulty breathing, muscle weakness, joint pain, and multiple ulcers. At the same time, pulmonary interstitial lesions are an important factor for the poor prognosis of dermatomyositis, which brings various thought burdens to patients and their families. Therefore, it is necessary to conduct targeted psychological counseling for patients, answer various questions raised by patients in detail, and do a good job of explaining the disease so that patients can treat the disease correctly.  Secondly, to prevent lung interstitial disease from causing respiratory failure.   The progressive exacerbation of pulmonary interstitial disease and infection are important causes of respiratory failure. Nursing staff should take medication as prescribed by doctors, actively remove the cause, give anti-infective treatment, and actively treat dermatomyositis.   Third, pay attention to keep warm and avoid cold    Keep the air fresh and circulated. Open the windows for ventilation twice a day, each time not less than 30 minutes. Add or remove clothes in time to prevent catching cold and take reasonable rest.  Fourth, adhere to regular medication.    Inform patients of the importance of medical compliance, and do not reduce or stop drugs by themselves to avoid the adverse consequences of disease rebound. Regularly check liver and kidney function, blood routine, muscle enzymes, erythrocyte sedimentation rate, C-reactive protein, etc., to keep abreast of changes in the condition.   Fifth, actively prevent infection.    Dermatomyositis is an autoimmune disease. The body’s immunity is poor. In addition, the application of hormones and immunosuppressive drugs increases the chance of infection. Therefore, prevention of infection is particularly important. Sixth, be alert to the occurrence of side effects of drugs. During medication, attention should be paid to monitoring the blood drug concentration to observe whether there are side effects, such as complicated or aggravated infection, liver and kidney toxicity, hypokalemia, hypertension, gastrointestinal toxicity, bone marrow suppression Wait for the situation, contact the doctor in time and cooperate with the treatment. At the same time, let patients and their families understand the therapeutic effects, precautions, and side effects of glucocorticoids and immunosuppressants.   In short, patients with dermatomyositis and pulmonary interstitial lesions should pay attention to prevent infection after the fall, and at the same time, they should be reviewed regularly to prevent recurrence and drug side effects.

Ginkgo biloba preparations can effectively prevent purpura nephritis!

Assistant Hu Guisheng WeChat: dd326751 Henoch-Schonlein purpura is an immune vasculitis. In the pathogenesis of HSP, there are damage to vascular endothelial cells, increased thromboxane production in platelets, resulting in increased platelet contraction and platelet aggregation, thrombosis, and small blood vessel lumen There are lgA and immune complex precipitation, and local pathological changes of necrotizing small vasculitis are formed. Studies have said that ginkgo biloba can directly prevent purpura nephritis! The active ingredients of ginkgo biloba preparations are total flavonoids and terpenes, and its pharmacological effects include:   1. Competitively antagonize the membrane receptor of platelet activating factor (PAF), and inhibit PAF, thereby reducing platelet aggregation;   2. Scavenging free radicals; 3. Anti-inflammatory and anti-allergic, expand blood vessels and improve circulation. PAF is an endogenous phosphate secreted by platelets and various inflammatory tissues. It is the most effective platelet aggregation inducer found so far. It is widely involved in the pathological process of renal damage such as renal proteinuria and glomerulosclerosis. It is closely related to the pathogenesis of glomerular diseases.  HSP has a state of hyperactive platelet activation. Ginkgo biloba preparations can have natural anti-PAF effects and reduce inflammatory damage. Current studies believe that Ginkgo biloba preparations, as PAF antagonists, can directly block the pathological effects of PAF and protect the organs, and may have preventive and therapeutic effects on glomerulitis. Animal experiments have shown that Ginkgo preparation can reduce the infiltration of inflammatory cells in the renal interstitium, inhibit the proliferation of renal tubular interstitial cells, reduce the accumulation of interstitial collagen in the interstitium, prevent renal fibrosis, and also improve the glomerular basement membrane. The permeability reduces the accumulation of glomerular mesangial matrix, thereby preventing glomerular sclerosis. Recently, some scholars reported that ginkgo biloba preparations can also reduce the excretion of urine protein in early diabetic nephropathy, and it was also reported that ginkgo biloba preparations can regulate the hypercoagulable state of nephrotic syndrome (NS), reduce blood viscosity, and have a good effect on children’s NS. Adjuvant therapy.

[Diagnosis] What are the diagnostic tests for interstitial cystitis?

The typical clinical manifestations of   IC include frequent urination (≥8 times a day), urgency, pain when the bladder is full, and pain relief after urination. During the physical examination, the patient may have tenderness on the front wall of the vagina and the bottom of the bladder. Because the symptoms shown by patients with this disease lack specificity, and the severity of the disease varies, it is difficult for doctors to make a diagnosis.   diagnosis is mainly based on his clinical experience and the research results in the interstitial cystitis database. Currently, the strict standards established by NIDDK are not advocated. Clinically, it is necessary to routinely conduct urine culture and cytology to rule out the possibility of infection or malignant tumors. At the same time, other diagnoses such as ureteral stones, bladder stones, active genital herpes, ureteral diverticula, chemical cystitis (cyclophosphamide), radiation cystitis, and vaginitis (chlamydia, mycoplasma) should also be excluded. If IC is suspected, other tests should be used to help confirm the diagnosis, including cystoscopy and bladder water dilation under anesthesia, urodynamic tests, potassium sensitivity test, urine test, bladder biopsy, etc.  1, cystoscopy and bladder water dilation    cystoscopy under anesthesia not only has less pain for the patient, but also can fully understand the bladder and ureter. The bladder water expansion requires liquid to be injected into the bladder under 80-100cm vertical water pressure until the flow rate slows down and finally stops. The urethra around the cystoscope is compressed, which prevents fluid from flowing out and ensures the accuracy of the measurement of the bladder volume.   NIDDK stipulates that bladder dilation needs to be maintained for 1-2 minutes, but some people have reported that bladder dilation should be performed twice or the dilation time should be extended to 10 minutes. When the pressure is relieved, cystoscopy can be used to check whether there is glomerular hemorrhage. It refers to spotting hemorrhage at the end of capillaries under the mucosa, which can be seen in most IC patients during cystoscopy. Cystoscopy is used for random biopsy of the bladder mucosa, especially for the elderly; it is more clinically meaningful; it can find Hunner’s ulcer; it can be simultaneously expanded under anesthesia; it can exclude other local diseases of the bladder and urethra, such as tuberculous cystitis and eosinophilic cystitis , Urethral diverticulum and tumors, etc.; the pathological features of interstitial cystitis may help the choice of treatment. 60 to 70% of patients with bladder dilatation have pain relief after surgery, which helps to build patient confidence, but the half-year effective rate is the same as that of placebo; after water dilatation, combined with drug treatment can maintain a better effect. 2. Urodynamic examination According to the NIDDK diagnostic criteria, cystometry during the filling period is one of the necessary examinations to understand the patient’s bladder capacity, that is, those with bladder capacity exceeding 350ml or 150ml without urinary sensation can exclude interstitial bladder inflammation.  Evidence suggests that there may be a low-compliance bladder. For example, IVP shows changes in bladder volume or upper urinary tract function damage may occur due to bladder disease.  3. Potassium sensitivity test   is used for the diagnosis of patients with mild to moderate bladder pain to determine whether it is bladder-derived pain; a positive test can predict the efficacy of mucosal protective agents.  4. Bladder mucosal biopsy    can exclude bladder pain caused by other local bladder lesions and other symptoms similar to interstitial cystitis; some features of inflammation of the interstitial tissue including the muscle layer of the bladder may help the choice of treatment.

How to choose the timing of treatment for scleroderma with interstitial lung disease?

Interstitial lung disease takes diffuse lung parenchyma, alveolar inflammation, and interstitial fibrosis as the pathological basic pathological changes, with active dyspnea, diffuse infiltration shadows on chest X-ray, restrictive ventilatory disorders, reduced carbon monoxide diffusion (DLCO) function and Hypoxemia is a clinical manifestation. Early screening of scleroderma with interstitial pneumonia can detect early, reversible, normal or slightly impaired patients, through immunosuppressive therapy for scleroderma and anti-fibrosis therapy for lung interstitial lesions , Effectively prevent and even reverse the pathological process of interstitial pneumonia, thereby improving the prognosis of patients. The 5-year survival rate of patients with scleroderma and interstitial lung disease is about 90%, and 12% to 16% develop chronic respiratory failure or severe restrictive lung disease.   Therefore, the first challenge for clinicians is which patients with ILD need active treatment, and which patients are expected to benefit from immunosuppressive therapy more than the damage caused by treatment, so as to avoid overtreatment. Generally speaking, the intensity of treatment is mainly determined by the severity of the disease and the risk of progression.   First, assess whether the patient has an inflammatory state. Inflammatory lesions can be reversed, and early treatment is necessary. The evaluation of the inflammatory state includes many aspects, such as the presence or absence of joint swelling and pain, the increase in inflammation indicators, lung function and imaging changes (such as ground glass shadow, patch shadow, consolidation shadow, fiber stripe shadow or honeycomb shadow, etc. ), bronchoalveolar lavage fluid (BAL) and lung biopsy can also be used for evaluation. Second, assess the degree of disease progression.   Studies have found that SSc-ILD progresses the fastest in the first 4 years after the onset, especially in the first 2 years, the degree of lung function decline is the most important indicator of disease progression. In addition, according to the course of the disease, clinical manifestations, modified Rodman skin score (MRSS) score, high-resolution CT (HRCT) score, etc., there are of course some indicators that indicate disease progression, such as anti-topoisomerase antibody positive , High IL-6 level, etc.   Patients with scleroderma combined with subclinical pulmonary interstitial disease do not necessarily need active treatment. If the patient’s inflammation is severe and the disease progresses rapidly, an active and powerful treatment plan should be adopted, combining hormones with immunosuppressants; if the inflammation is mild, the disease is mild or the fibrotic lesions are the mainstay, hormones or immunosuppressants and Anti-fibrosis treatment. Patients with scleroderma and interstitial lung disease need long-term management. In addition to emphasizing regular follow-up and taking medications, professional life guidance and psychological guidance are recommended, including pulmonary rehabilitation, oxygen therapy, and gastroesophageal reflux. Treatment, smoking cessation, vaccination and avoidance of infection.

Different treatment methods and purposes of interstitial cystitis

There is currently no cure for interstitial cystitis IC, and no single treatment is effective for most patients. It is necessary to combine multiple treatments to control symptoms. The purpose of treatment is to improve symptoms and improve life. The treatment is currently effective The treatment methods and purposes of treatment are:    oral medication: there is no specific treatment drug, some antidepressants help to reduce the pain and frequent urination of interstitial cystitis. Water bladder dilatation: It is necessary to perform bladder water dilatation under general anesthesia. There are three main purposes: first, cystoscopy before dilation to eliminate other possible causes of symptoms (such as stones, tumors) and second, as a treatment to relieve patients Symptoms, to establish information for the patient, do not provide treatment opportunities for possible perfusion therapy. Third, it is found that the bystander volume is abnormal. Bladder perfusion: The commonly used drug for bladder perfusion is sodium hyaluronate. Heparin, lidocaine, sodium bicarbonate, etc. used in the past have limited efficacy. Sacral neuromodulation (bladder pacemaker): Bladder perfusion is invalid and painful. Other treatments for patients: diet therapy, A small number of patients with severe symptoms such as behavior adjustment and physical therapy and other treatments that are not effective may consider surgery SNM (bladder pacemaker) for the treatment of interstitial cystitis 1. Currently, SNM is still being treated for chronic pain associated with interstitial cystitis. As a second-line treatment option after failure of other conservative treatments. For IC/BPS that does not respond to conservative treatment, SNM can be selected after proper evaluation.  2. The various treatment methods used before receiving SNM treatment reported in the literature have changed greatly: most patients will try traditional medicine treatment, pain control therapy and water dilation therapy. 3. At present, there is no report in the literature of patients who are still ineffective after undergoing total cystectomy or urinary diversion and then undergoing SNM treatment. This also shows from the side that although irreversible organ resection and urinary diversion surgery can well control IC/ The symptoms of PPS, but due to its irreversible nature, should be the last attempt after SNM treatment fails.

[Diagnosis and treatment guidance] Can interstitial cystitis be cured?

   Interstitial cystitis (IC) is a chronic inflammation of bladder dysfunction. It is a chronic disease with frequent urination, urgency, dysuria, dyspareunia, nocturia, and chronic pelvic pain as the main clinical manifestations.  How to diagnose interstitial cystitis? 1. Main clinical symptoms 2. Exclude other diseases or lesions similar to interstitial cystitis 3. Record the patient’s urination symptoms in order to evaluate the subsequent treatment efficacy. The urination diary helps to measure whether the patient’s urine frequency and urine volume reach the IC standard 4. Auxiliary examination of urodynamics, B-ultrasound, CT, cystoscopy, etc. When the patient goes to the outpatient clinic, the doctor will generally recommend the patient to perform a scale evaluation. The Bladder Pain Syndrome/Interstitial Cystitis (PBS/IC) Assessment Scale is the most favorable evidence for the doctor’s diagnosis. Please select the best answer to your condition from the following questions before going to the doctor, and check the final result based on the evaluation.   Can interstitial cystitis be cured? There is currently no cure for IC, and no single treatment is effective for most patients. It may be necessary to combine multiple treatment methods to control symptoms. The purpose of treatment is to improve symptoms and improve life. The current treatment methods are mainly as follows 1. Oral drugs: There is no specific treatment drug. Certain antidepressants can help reduce the pain and frequent urination of interstitial cystitis. 2. Bladder dilatation: bladder dilatation needs to be performed under general anesthesia. There are mainly three Purpose: First, the cystoscopy before dilation excludes other possible causes of symptoms (such as stones, tumors). Second, as a treatment surgery to relieve the symptoms of patients, establish information for patients, and provide treatment opportunities for possible perfusion therapy. Third, it was found that the capacity of the bystander was abnormal. 3. Bladder perfusion: The commonly used bladder perfusion drug is sodium hyaluronate, and the previously used heparin, lidocaine, sodium bicarbonate and other curative effects are limited. 4. Sacral neuromodulation (bladder pacemaker): bladder perfusion is invalid and painful patients 5. Other treatments: diet therapy, behavior adjustment, physical therapy, etc. 6. A small number of patients with severe symptoms and other treatments that have failed may consider self-care for surgical interstitial cystitis. Living with interstitial cystitis is a challenge. He needs confidence. , Patience and creativity, should be a way of life to reduce symptoms in life.

The clinical application of SNM (bladder pacemaker) in the treatment of interstitial cystitis

   Interstitial cystitis (IC) often occurs in middle-aged women and is characterized by fibrosis of the bladder wall. It is accompanied by a decrease in bladder capacity. The main symptoms are frequent urination (usually once every 10 minutes), urgency, pressure or pain in the bladder area or pelvic area.   All patients have normal urine. Infection is not the main cause of bladder wall fibrosis. Some scholars believe that lymphatic obstruction caused by pelvic surgery or infection is the cause. Many patients have no such medical history. Some scholars have also proposed that it is caused by thrombophlebitis with acute infection of the bladder or pelvic organs, or caused by long-term spasm of small arteries due to mental impulse, and may also be related to endocrine factors. There is currently no cure for IC, and no single treatment is effective for most patients. It may be necessary to combine multiple treatment methods to control symptoms. The purpose of treatment is to improve symptoms and improve life. The current treatment methods are mainly as follows Species:   1, oral medication: there is no specific treatment drug, some antidepressants help to reduce the pain and frequent urination of interstitial cystitis;   2, bladder dilatation: bladder water dilatation needs to be performed under general anesthesia, mainly There are three purposes: First, the cystoscopy before dilation excludes other possible causes of symptoms (such as stones, tumors). Second, as a treatment surgery to relieve the symptoms of patients, establish information for patients, and provide treatment opportunities for possible perfusion treatments. , Thirdly, it was found that the capacity of the bystander was abnormal. 3. Bladder perfusion: The commonly used bladder perfusion drug is sodium hyaluronate, and the previously used heparin, lidocaine, sodium bicarbonate and other curative effects are limited;    4. Sacral neuromodulation (bladder pacemaker): patients with ineffective bladder perfusion and obvious pain; 5. Other treatments: diet therapy, behavior adjustment, physiotherapy, etc.;    6. A small number of patients with severe symptoms and other treatments that have failed may consider surgery.   The clinical application of SNM (bladder pacemaker) in the treatment of interstitial cystitis  1. At present, in the treatment of chronic pain associated with interstitial cystitis, SNM is still regarded as a second-line treatment option after the failure of other conservative treatments. For IC/BPS that does not respond to conservative treatment, SNM can be selected after proper evaluation.  2. The various treatment methods used before receiving SNM treatment reported in the literature have changed greatly: the vast majority of patients will try traditional medicine treatment, pain control therapy and water dilation therapy. 3. At present, there are no reports in the literature of patients who are still ineffective after undergoing total cystectomy or urinary diversion and then undergoing SNM treatment. This also shows from the side that although irreversible organ resection and urinary diversion surgery can well control IC/ The symptoms of PPS, but due to its irreversible nature, should be the last attempt after SNM treatment fails. The safety of SNM in the treatment of interstitial cystitis 1. SNM has a definite effect in the follow-up of chronic pelvic floor pain, but there are also a considerable number of patients who are not effective during the test period. Another part of the patients has the problem of loss of efficacy and electrode removal after permanent implantation. Its incidence is between 25%-50%.  2, most patients need to be programmed later for parameter adjustment  3, drug combination with SNM is necessary  4, therefore, patients must be clearly informed of the implantation risk (short-term and long-term risks) before receiving the therapy

Commonly used “home remedies” for treating “lung cancer”!

Commonly used “home remedies” for the treatment of “lung cancer”! Lung cancer is a common primary malignant tumor of the lung. There is no name for this disease in Chinese medicine, but there are descriptions of similar symptoms, such as “pulmonary accumulation”, “phlegm”, “hemoptysis”, “chest pain” and so on. The toxic toxins invade the lungs, causing the lungs to lose their expression, qi stagnation and blood coagulation, and stasis and poisoning each other for a long time; Western medicine believes that it is related to smoking, carcinogenic factors (such as asbestos, inorganic arsenic, chromium, asphalt, etc.), air pollution, and chronic lung diseases (Such as tuberculosis, chronic bronchitis). The main clinical manifestations are cough, mostly irritating dry cough, expectoration, hemoptysis, chest pain, shortness of breath, inspiratory dyspnea, unilateral localized wheezing. Chest X-rays, lung CT scans, sputum shedding cytology, MRI, etc. can assist in the examination. There are many complications of lung cancer, such as chronic bronchitis, emphysema, pneumonia, etc. The rate is large, so in addition to surgical treatment, normal nursing care is essential. 1. Commonly used prescriptions: (1) 60 grams of Oldenlandia diffusa, 30 grams of Scutellaria barbata, decocted in water, 1 dose per day. (2) Habitat, Schisandra, Northern Adenophora, Wangbuliuxing, Ophiopogon japonicus, Dandelion, Ishikawa, Baibu, Xu Changqing, Digupi, Southern Adenophora, Wangjiangnan, Wild Chrysanthemum, Huai Yam, Oldenlandia diffusa , Forged oysters, Prunella vulgaris, seaweed, kelp, Yuan ginseng, pollen, Salvia miltiorrhiza, Chuanbei, Roasted mountain beetle, Roasted turtle, Shuyangquan, Danpi, Houttuynia cordata, Violet Ding, and elephant scallops. Decoction, taken orally. 2. Chinese patent medicine: (1) Modified Xihuang Wan, 3 grams each time, 2 times a day. (2) Compound Danfan tablets, 3 tablets each time, 2 times a day. Author: Fan Song, born in 1970, was born in family medicine, Chinese medicine ancestral Fan fourth generation, his childhood with his grandfather to study medicine, grew up to follow my father studied medicine with practicing medicine for 30 years. The four-generation ancestral recipe “Yangyin Huaxian Decoction” is used for dialectical addition and subtraction to treat interstitial pneumonia fibrosis, lung cancer and comorbidities with unique curative effect. In the early stage of interstitial pneumonia, there are no comorbidities and those who are not too old can use Yangyin Huaxian Decoction to treat most patients to reach the clinical cure standard; in the late stage of interstitial pneumonia, those who are older and have many complications can reverse part of the pulmonary fibrosis. , Prolong life and improve the quality of life. For the acute onset of interstitial pneumonia fibrosis patients who were abandoned by the hospital, I used my Yangyin Huaxian Decoction to rescue the emergency prescription, combined with Chinese and Western rescue treatment, most of them can be brought back to life. My father graduated from the Chinese Medicine Department of the 77th School of Medicine and is a famous Chinese medicine expert Fan Shuqing. Statement: Please indicate the source of the reprinted friends!

What should a male friend do to prevent BPH?

Prostatic hyperplasia is a common male disease. It occurs more frequently after the age of 40. From this age, human tissues and organs begin to decline. For example, the intermediate substance of human prostate tissue is relatively more active than epithelial tissue. When prostate hyperplasia occurs, the main manifestation is interstitial hyperplasia and prostate hyperplasia, but the cause is still unclear. Is it due to the destruction of the balance of epithelial and interstitial cell proliferation and apoptosis caused by male health problems? Click here to consult online. Androgen and its interaction with estrogen, prostate interstitial and glandular epithelial cells, growth factors, inflammatory cells, neurotransmitters and genetic factors may also be related to benign prostatic hyperplasia. Prostatic hyperplasia must have functional testes and age growth. Prostatic hyperplasia is a common disease of elderly men. As long as there is a functional testicle after the age of 50, you may suffer from prostatic hyperplasia. The incidence of prostate hyperplasia in men over 50 years old is about 50%, and it increases with age. Therefore, before the disease arrives, men should do preventive measures and nursing work, which can prevent and relieve prostate hyperplasia to a certain extent. Symptoms, what are the prevention and care measures for benign prostatic hyperplasia? Have male health problems? Click here for online consultation. On the one hand, couples should live in moderation, do not indulge or abstain from sex, otherwise the combination of the sexes will be too frequent, and the prostate will be congested for a long time, which may cause or aggravate the enlargement of the prostate. Therefore, especially in young people with strong sexual desire During the period, pay attention to restraint sex, avoid repeated congestion of the prostate, and give the prostate sufficient recovery and trimming time. In addition, eat chili and other irritating foods in the diet, drink as little as possible, avoid repeated congestion of the prostate and bladder neck, and avoid long-term suffocation Urine, so as not to damage the detrusor function. Ride bicycles as little as possible to reduce the pressure on the prostate to avoid aggravating the disease. There are male health problems? Click here for online consultation. Once the diagnosis of benign prostatic hyperplasia or related symptoms occurs, you should go to a specialist hospital in time for relevant treatment. If the symptoms are urinary tract irritation and other urinary tract irritation symptoms in the early stage, you can use oral drug treatment; if urinary retention occurs, Recurrent urinary tract infections with stones, hematuria, or severe symptoms that seriously affect the patient’s quality of life require surgical treatment, such as minimally invasive surgery

[Disease Science] Is repeated urinary frequency, urgency, and dysuria interstitial cystitis?

  Interstitial cystitis is a chronic disease with urinary urgency and dysuria as the main clinical manifestations, and may be accompanied by increased nocturia, chronic pelvic pain, and pain during intercourse. Occurs in women, the ratio of men to women is about 1:10, the cause may be related to bladder wall defects, autoimmune disorders, viruses, bacterial infections, pelvic floor dysfunction and inflammation. It is often easy to be misdiagnosed clinically, and it usually takes many years and multiple doctors to get a definite diagnosis. Therefore, it is very important to recognize this disease early.   Frequent urination, urgency and bladder pain are the most typical symptoms of interstitial cystitis. Both urinary frequency and urgency are related to bladder pain. Bladder pain is characterized by lower abdomen discomfort when holding urine, very strong urination, and more severe lower abdominal pain; bladder pain symptoms can be relieved after urination. Due to the symptoms associated with holding back urine discomfort or pain, obvious urinary frequency and urinary urgency symptoms will appear. This urinary frequency urinary urgency symptoms are significantly different from overactive bladder. Urgent incontinence occurs after a sudden urgency. Another typical clinical symptom of interstitial cystitis is pelvic floor pain: manifested as pain around the urethra in women, pain in the penis of men’s testes, and pain in the perineum of both sexes. This pain often occurs in the late stage of interstitial cystitis, and it may not be related to holding back urine. The causes of pelvic floor pain are complex, and may be related to bladder pain radiation related to changes in the central nervous system, or may be caused by interstitial cystitis causing pelvic floor spasm. From the above symptoms, the symptoms of interstitial cystitis are not specific. Many clinical lower urinary tract diseases, such as urinary tract infections, urinary tract tuberculosis, and bladder cancer in situ can cause similar symptoms, so interstitial Cystitis cannot be diagnosed solely by symptoms, so a comprehensive evaluation of the patient’s symptoms is required to accurately understand the severity of the patient’s symptoms.  In addition to interstitial cystitis, what other diseases may be painful urination?   1. Urinary tract infection    Urinary tract infection (UTI) occurs when excessive bacteria accumulate somewhere in the urinary tract. This part of the body goes from the kidneys to the bladder to the urethra, and the urine faces the outside of the body.  Other symptoms  People with UTI may experience other symptoms, such as: frequent urination, turbid or hematuria, fever, foul-smelling urine, side and back pain.   2. Sexually Transmitted Infections   STIs, such as chlamydia, gonorrhea and herpes, can affect the urinary tract and cause pain when urinating.  Other symptoms  Symptoms may vary depending on the type of sexually transmitted infection. For example, herpes usually causes vesicular lesions on the genitals.   Some UTI can be solved without the help of antibiotics. Learn more about seven ways to treat UTI without antibiotics, including some simple lifestyle changes.  3. Prostate infection   Short-term bacterial infection can cause prostate infection or prostatitis. Chronic inflammation from other diseases (such as sexually transmitted infections) can also cause prostatitis.  Other symptoms  Prostate infection may also cause: difficulty urinating, pain in the bladder, testicles and penis, difficulty in ejaculation and pain in ejaculation, need to urinate frequently, especially in the evening, kidney stones, kidney stones can cause painful urination.  Kidney stones are a collection of substances such as calcium or uric acid. They form and form hardened stones in and around the kidney.   Sometimes, kidney stones are near the area where urine enters the bladder. This may cause painful urination.  Other symptoms: In addition to difficulty urinating, kidney stones can also cause the following symptoms:    Side and back pain, pink or brown urine, cloudy urine, nausea, vomiting, pain can change the intensity, fever, chills, frequent urination.  5. Ovarian cysts are very similar to kidney stones. Ovarian cysts are an example of how the external bladder presses on the kidneys and causes painful urination.  Ovarian cysts can develop on one or both ovaries, which are located on both sides of the bladder.  Other symptoms  People with ovarian cysts may experience: unusual vaginal bleeding, pelvic pain, difficulty in recognizing that the bladder is empty when urinating, breast tenderness, and weak waist pain.   6, interstitial cystitis    interstitial cystitis, also known as bladder pain syndrome, is a condition that causes chronic stimulation of the bladder for 6 weeks or more without potential infection.  Other symptoms  Interstitial cystitis may also cause the following symptoms: bladder