gastro ./ acute gastro
Acid Reflux And Its Possibilities Of Treatment
By Groshan Fabiola
To treat gastroesophageal reflux you need to suppress the acid production in your stomach, the oral medication is used to reduce the amount of acid and to help the muscle’s function of the lower esophagus sphincter or stomach. Antiacids and other medications and lifestyle changes may help you with the acid reflux reducing.
Drug Treatments
First drug you are suggested to try is an H2 blocker drug, for example famotidine (Pepcid AC), cimetidine (Tagamet HB), ranitidine (Zantac 75), and nizatidine (Axid AR). If there appear no results then you are suggested to take omeprazole (Prilosec).
Next step in the treatment of the acid reflux is high-dose H2 blockers, with this treatment some patience have no symptoms at all. This kind of treatment is used in patients with moderate to severe gastroesophageal reflux.
The best solution is to continue treatment even if the symptoms are relieved, so as the condition will not return. If the treatment doesn’t give results then you should have some other tests: endoscopy and other tests to be sure that the cindition we are treating is gastroesophageal reflux, sometimes it may be mistaken with other diseases such as: bile problems.
Surgery
Surgery is indicated if patients have complications, if the recommended treatment has failed, in younger people, in patients with chronic gastroesophageal reflux, to improve regurgitation. Persistent condition of gastroesophageal reflux is more severe than considered before, and the safety of the long term medication is also uncertain.
But without medications, surgery by herself cannot cure gastroesophageal reflux and in some patients even after surgery the antiacids medication is necessary. In some patience there has been observed the return of the symptoms even after one year after surgery,
Are you ready for more anti-LLM rhetoric? Because I'm ready for more anti-LLM rhetoric
I'm still clearing out some links I collected last month about LLM usage.
Scott Smitelli's blog entry ?You don?t have to if you don?t want to?
(via Lobsters)
explains my position on LLMs better than I could.
This bit goes into a bit more about those who value the destination vs. those who value the journey:
Put simply, Toby deeply values shipping things and providing
value to society, and Lyle doesn?t. Lyle values expertise in a
skill carried out with utmost care and craft, and Toby doesn?t.
Toby?s ultimate dream, beyond the whole furniture thing, is to
eventually make enough money?having never completely settled on what
nebulous sum of money constitutes ?enough? for him?that he can
retire into peaceful old age. Lyle wants to keep doing what he does
until his body finally gives out, and then to continue doing it for
a little while longer. Any discussion between the two of them that
brings these incompatible sets of values into tension is going to
end up in some kind of argument that neither side will concede. And
who would expect them to? These are the very foundations of their
personalities.
This, right here, is why everybody is fighting all the time.
We?re all trying to argue positions based on mismatched values. Not
wrong values. Mismatched.
?
Sure, and if you want to wear clean clothes, you could either do
the laundry or you could throw your wardrobe away after one wear and
have fresh replacements drop-shipped from China.22 The
two approaches are only equivalent to maintain if you are willing to
ignore the massive Rube Goldberg machine of complexity that one side
requires that the other side doesn?t.
?
22. Rob Rhinehart, the mind behind the Soylent meal replacement
drink, apparently did exactly this. The Luddites would probably
have had some choice words for him.
You don?t have to if you don?t want to.
Footnote 22 just kills me. Of course someone who doesn't want to take the time to even eat will buy new clothes instead of washing them.
Wow!
I wish I could follow this advice,
that I don't have to if I don't want to,
but it's hard when ?Tech Firms Aren?t Just Encouraging Their Workers to Use AI. They?re Enforcing It?
(via Hacker News).
Is it too much of an ask not use a tool if I'm still productive without it?
And speaking of Hacker News,
this quote reinforces a bit I said the other day about new computer language adaption:
The cynical part of me thinks that software has peaked. New languages and
technology will be derivatives of existing tech. There will be no React
successor. There will never be a browser that can run something other than
JS. And the reason for that is because in 20 years the new engineers will
not know how to code anymore.
Hacker News comment
And when Hacker News is critical of LLMs,
you know it's getting bad out there.
And one final link I found today: ?Future Shock?
(via Lobsters).
I'm not sure what I make of this.
On the one hand,
it does describe what I'm feeling but on the other hand,
it's basically yet another ?learn or get left behind? article.
And this from Ceej?a technical blogger I was reading way back in the 1990s!
Aside from the ?you will use this or lose your job? aspect I hate,
another aspect I don't like is the whole ?micromanage the output??if I have to micromanage the obsequiously incompetent non-thinking Markov chain generator,
I might as well write the code myself!
And you clouds!
Get off my lawn!
]]>
The continuing sage of the Brazilian SYN flood attack
The SYN attacks have not abated.
I thought they had?for the past 36 hours or so it was quiet but no,
it picked back up again.
But in the mean time,
I did find one person having the same issues about 18 months ago:
?A SYN flood DDoS attack up close and personal?
and ?My DDoS attack: the rest of the story.?
It's not anything I didn't already know.
I also received email from someone else under this attack,
and after a bit of discussion some theories were offered:
?
Given that it's the same subnets at the same time on different servers
(geographically diverse), I don't think they notice if a single host
blocks them, they probably just spray the entire Internet from one or
more subnets, and switch it up when that becomes less effective.
I have two theories as to what it could be:
1. Attempting to get Brazil blocked everywhere, as some sort of ?reverse
Chinese firewall?, by lowering their IP ranges' reputation until
everything either treats them as untrusted or outright blocks them by
default. Possibly by spoofing source IPs altogether.
2. Data collection. Assuming they can receive the ACK responses, it
would allow them to keep a live map of which hosts have HTTPS open, and
for hosts which end up blocking them, the correlation between them. For
example, I update my blocklists on the first server, and once everything
from today is blocked, copy them over to the two other servers. Those
servers are otherwise completely unrelated: different geographical
locations, hosting companies, IP subnets, domain names. From the
attacker's POV however, they always go dark at almost the same time,
which indicates a strong correlation between them. This data could be
very valuable if collected over a long period of time, and resold.
Another interesting thing, is that on one of my servers, the one in
Europe, one time, I found the same kind of attack happening, but this
time, it was hosts from subnets all located in Turkey. Blocked them all,
then it did not come back again. However, the attack had the same
?signature?, which makes me belive the attacker(s) can choose their
source country at will.
?
As for the first theory?which country (or organization) has it out for Brazil to go to such lengths?
As for the second one?it's possible but I'm not sure for what end.
What could be valuable enough to scan the Internet this way when one could just cross check IP addresses and routing ASNs?
Seems like more trouble than it's worth.
Anyway,
around the time I had this email exchange,
I was also talking about this to my friend Smirk
(disclaimer: he runs the hosting company I'm using for this site)
and he suggested I just use Cloud Flare for filtering this bogus traffic.
I could,
but that's just consolidating the Internet even more and I don't want to be a party of that.
I'm weird that way I guess
(as I adjust my tin-foil hat).
So as the attacks come from different blocks,
I add them to the ever growing list of blocks in the firewall
(around 30 so far).
And I still have no good idea for why they happen.
]]>
so before having the surgery they must disscuss all the options of treatment with a surgeon and medical physician.
Patients with Barrett's esophagus have an increased risk of developing esophageal cancer and performing surgery for gastroesophageal reflux doesn’t reduce the possibily of developing cancer. So, the truth is that surgical procedures have many complications and high failure rates and do not always cure gastroesophageal reflux.
One of the risks is represented by the general anesthesia, of infection and internal bleeding. A complication that causes discomfort is gas-bloat which occurs because of the tightened low muscle of the esophagus which doesn’t allowed food to pass in the stomach. Doctors advise to eat small amounts of food at one meal and to chew it thoroughly.
Other treatment options are: open surgery, proton pump inhibitors drugs, diet modification. The surgery is not recommended to patients with dysmotility, pregnant women, esophageal cancer, extreme obesity, but where the medication fails the laparoscopic fundoplication is the only solution. Article Source: http://www.articlemap.com For more resources about acid reflux or especially about acid reflux symptoms please click this link www.acid-reflux-info-guide.com/acid-reflux-symptoms.htm
|
