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Patient Basics: Hemorrhoids

...l. Apply petroleum jelly or aloe vera gel to the anal area, or use an over-the-counter hemorrhoid preparation containing lidocaine or hydrocortisone. After every bowel movement, clean the anal area with a witch hazel pad, a soothing baby wipe or a cotton cloth soaked in warm water. Be thorough but gentle. Aggressive rubbing and scrubbing, especially with soaps or other skin cleansers, can irritate the skin and make your hemorrhoids worse. If you h...

Patient Basics: Diarrhea

...c heating pad set on low heat) to your abdomen. You also may consider over-the-counter medications such as bismuth subsalicylate (Pepto-Bismol) or loperamide (Imodium). When To Call a Professional Although most bouts of acute diarrhea run their course, you should call your doctor if your condition lasts more than 48 hours and you have a fever above 101 degrees Fahrenheit. Also, consult your doctor if you notice mucus or blood in your stool, experi...

Improved contraception use with progestogen-only pill and rapid access vs emergency contraception

...ontraception is initiated. Emergency contraception is often available over the counter in many countries; however, to obtain ongoing contraception, women must speak to their general practitioner or visit a sexual and reproductive health clinic. This may take time and women might lose motivation to seek contraception, increasing the risk of unintended pregnancy. This pragmatic cluster-randomized crossover trial aimed to determine whether provision...

Topical steroid use in pregnancy not associated with adverse birth outcomes

...In this study, compliance with prescribed topical steroids and use of over-the-counter topical steroid use was not determined such that actual use was unknown. Moreover, analyses did not differentiate between dermatologic disorders necessitating steroids such that the severity of conditions necessitating treatment may vary broadly, creating potential for heterogeneity in the exposure group that may bias results toward null. A prospective compariso...

Patient Basics: Corn and Callus

...haved down, application of salicylic acid plasters or pads (available over-the-counter) can be helpful. However, this treatment should not be used by people with nerve disease (neuropathy) or circulation problems in the feet. In rare cases, foot surgery may be necessary to treat corns and calluses that keep returning and are not relieved by padding, shoe inserts and periodic shaving. Never try to shave or cut a corn or callus on your own. Instead,...

Cardiovascular outcomes of dialysis patients using phosphate binders with or without calcium

...care patients with ESRD initiating dialysis who were on calcium acetate or the non-calcium binder sevelamer. The study found no difference in rates of cardiovascular events between the calcium and non-calcium groups, and no difference in overall survival. The main strengths of the study included a broadly representative US population. The limitations of the study include the non-randomized design with potential for bias, and lack of data on PTH le...

Current guidelines may not provide adequate instruction for prescribing anticoagulation in patients with atrial...

...study population was limited to patients insured through Kaiser Permanente Northern and Southern California. This population may not be representative of all patient cohorts. Click to read the study in Annals of Internal Medicine Relevant Reading: How do anticoagulated atrial fibrillation patients who suffer ischemic stroke or spontaneous intracerebral hemorrhage differ? In-Depth [analytic model]: The authors conducted a Markov model decision anal...

One-time telephone interventions have little effect on drug abuse

...use among its participants, including marijuana, opiates, and stimulants. Another weakness was a high rate of mental illness in the study population. Combined, these aspects of the study greatly hinder reproducibility. While the intervention did not prove workable, it did demonstrate how much more work is needed to affect drug abuse on a grand scale. Future studies should focus on examining the effect of more targeted, aggressive, interventions on...

Fluid replacement with hydroxyethyl starch linked with higher mortality

...is were of a small sample size, predisposing the results to type II error. Nonetheless, this study provides a solid foundation for the decreased use of hydroxyethyl starch as a fluid resuscitation medium, and it serves as a foundation for further large scale studies into the appropriate selection of intravenous fluids for critically ill patients. Click to read the study in JAMA [/tab] [tab] Image: PD 1. Hydroxyethyl starch use in fluid resuscitati...

Health education module reduces parasitic infections

...in countries with high prevalence of helminth infections, such as China. Another conclusion from the study is equally important – knowledge and attitudes towards a disease can strongly impact its incidence. In the study, students who are more knowledgeable about the disease had significantly fewer infections. This adds to a mountain of existing evidences that public education should be an integral part of any effort to control infectious disease....

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