Kidney Transplantation
46:16
9 жыл бұрын
POEM
8:11
10 жыл бұрын
Biliary dyskinesia
22:11
10 жыл бұрын
cotton montage
28:22
10 жыл бұрын
GERD in the 21st century
1:04:02
10 жыл бұрын
Rectal cancer
1:49
10 жыл бұрын
Portal hypertension
2:42
10 жыл бұрын
Pancreatic cancer T4N0
2:18
10 жыл бұрын
Pancreatic cancer T3N0
1:33
10 жыл бұрын
FNA of liver metastasis
1:51
10 жыл бұрын
FNA:  The basics
2:25
10 жыл бұрын
FNA:  Advanced techniques
2:44
10 жыл бұрын
Pancreas divisum:  crossed duct sign
1:14
Quiz on chronic pancreatitis
3:45
10 жыл бұрын
Pediatric abdominal transplant
37:39
10 жыл бұрын
Pancreatitis normal
1:35
10 жыл бұрын
Chronic pancreatitis
2:06
10 жыл бұрын
Introduction to chronic pancreatitis
2:30
Chronic pancreatitis
1:58
10 жыл бұрын
Celiac plexus block
3:06
10 жыл бұрын
Common bile duct stones on EUS
0:56
10 жыл бұрын
Bile duct tumors
2:42
10 жыл бұрын
Пікірлер
@jms9105
@jms9105 2 ай бұрын
Thank you for this , i needed to hear this
@moamelkhalid294
@moamelkhalid294 8 ай бұрын
Thanks 🙏
@Fluffy-Tail-0000
@Fluffy-Tail-0000 Жыл бұрын
Where are the girls?
@VeronicaHard-or1jd
@VeronicaHard-or1jd Жыл бұрын
Agreed, watching how the hems practically melted away within 48 hours, feels so good lol, I used what I talked about the other day, well it actually took about 72 hours for them to totally shrink and disappear, I just go’ogled Melissa Thanderski and the relief is so worth it.
@AllenMarcus-x1h
@AllenMarcus-x1h Жыл бұрын
God bless Dr Obinyan hello I and my husband and wiped our tears 😭 away with the use of his natural herbal products, I had my first baby last year December
@casperyourfriendlyghost7552
@casperyourfriendlyghost7552 Жыл бұрын
Good to hear. Did you have endoscopic removal? I have tried all the herbs over and over again but have been unsuccessful in getting them out of my biliary tree.
@AllenMarcus-x1h
@AllenMarcus-x1h Жыл бұрын
God bless Dr Obinyan hello I and my husband and wiped our tears 😭 away with the use of his natural herbal products, I had my first baby last year December
@richiep3520
@richiep3520 Жыл бұрын
I have been told I have divisum and possibly the cause of chronic pancreatitis and I asked was there any treatment and I was told no. If there is an outflow problem causing back up of digestive enzymes why would my GI not even mention this as a 'possible' treatment or relief of my symptoms. :/
@drsatyabrata
@drsatyabrata Жыл бұрын
This is very case specific.. but I think the rationale behind this decision maybe the severity of your symptoms or any sort of comorbities, you may go on for a second opinion.
@caressapotter6834
@caressapotter6834 Жыл бұрын
So I was diagnosed with this in January. My liver counts were in 1,000s+. I had a sonogram, CT Scan, MRI, lots of blood work. They talked about putting a stint in and clipping it. But they haven't done anything since my spell in January. I had another spell on February 24th, and they still have not done anything. I hope they can do something because the pains/spells are getting worse.
@stacylbrewer
@stacylbrewer 2 жыл бұрын
I have suffered with chronic pancreatitis for 25 years. It's been a tough road, that's for sure. Thankfully it's been under control for about 7 years (after I had the Whipple, and after I learned how to deal better with stress). But now my husband was diagnosed with pancreatic cancer. Absolutely brutal diagnosis. 💔💔
@amberwysocki1829
@amberwysocki1829 2 жыл бұрын
I just want to say as a social worker major living with chronic pancreatitis. I understand the positive psychology methods and teaching a patients to think the pain is only for one day but the pain with this condition is significant and beyond imaginable. Lines like that cross the barrier of being in empathetic with this disease. Our thoughts during an attack are not about that specific day. Our thoughts are about the duration of our life, poor quality of life, burden (as you mention). It is important to teach the family members how to help the patient NOT feel like a burden. Teach the family member to say things to them like I love you no matter how bad this gets. They need the support from the significant other more than anything. If the significant other cannot comprehend the issues the patient is dealing with then some other close form of family support should be established and even a different living situation with a different family member. It is not a good idea to keep a patient with CP living in an emotionally abusive situation and lack of support for the patient by the family spouse falls along the lines of neglect.
@bettyausten9533
@bettyausten9533 2 жыл бұрын
My small intestine is always churning excessively...no pain but it's uncomfortable...any reason why?
@Rene-uz3eb
@Rene-uz3eb 2 жыл бұрын
6:59 placebo effect same or better than actual sphincterotomy, with only 25% complete success (no pain) in either case 9:59 SOD III (pain but no abnormalities) does not exist I would say all we know is that sphincterotomy does not work. It could be that it was disfunctioning, causing pain via bile backflow, or that the lack of a sphincter also causes pain. That could be because of foods entering the bile duct, or that the duct opening narrows as a reaction to removing the sphincter, to keep positive pressure to remove the possibility of backflow of food into the bile duct. Removing the gallbladder could also cause pain, because bile from properly working liver now has no gallbladder to store it, and the sphincter may not be calibrated to release enough bile during fasting conditions, resulting in filling up the bile tube and back flow into liver/pain. As a matter of fact, the sphincter is almost certainly NOT calibrated to release all the bile into the duodenum, because the whole point of the gallbladder is to store the bile. I'm saying that because from anatomy, the bile does not first go to the gallbladder but directly into duodenum during a meal. That means the bile must be backflowing into the gallbladder when the sphincter is closed between meals. Seems to be the only physiology that makes sense. So when there is no gallbladder, it keeps backflowing higher, into the liver. So my conclusion is that the removal of the gallbladder opens a whole can of worms that apparently can't be fixed 10:50 no convincing studies that sphincterotomy in a SOD II diagnosis (abnormalities) works, no operation similar improvements as operation. 15:40 I would guess that the cause if biliary dyskinesia (no abnormalities, intact gallbladder) is too much nitric oxide. Since the latter reduces motility of the sphincter of Oddi, this might cause too much bile to backflow into the gallbladder before all of it can be concentrated, resulting in increased bile fluid pressure by some time before the next meal 17:43 in many patients bd improves on its own (maybe ingesting LESS - sorry i said more before - arginine rich foods, so nitric oxide production by macrophages etc is reduced?) See also the paper Arginine intake is associated with oxidative stress in a general population, 2017 18:05 half of asymptomatic patients had 'abnormal' ejection fraction (so clearly ejection fraction is useless)
@MIMH92
@MIMH92 Жыл бұрын
So are you suggesting to eat less nitric oxide rich foods? I am suspected of having SOD -10 years on and off pain about 3 times a year.. Normal ejection fraction however twice as long for the gallbladder to fill, no stones sludge on MRCP or EUS and CT. However during a flare up after 'c' I had elevated liver levels and a dilated bile duct- 8 months later liver levels are normal duct is normal pancreas gallbladder etc everything comes back normal but 24-7 constant pain in middle and upper right side. Docs can't figure it out. Thinking of trying your suggestion since nothing else is working... have u heard of studies of quercetin for SOD? Hope everyone suffering gets relief soon!
@Rene-uz3eb
@Rene-uz3eb Жыл бұрын
@@MIMH92 Yes: I reviewed this again, I think the understanding of the sphincter of Oddi is severely lacking by current researchers, maybe they don’t want to see what they are doing by removing the gallbladder. A 1984 paper clearly states that the sphincter of Oddi has motility just like the GI tract etc, ie the smooth muscles propel fluid forward by rhythmic contraction. So excessive NO would not just cause relaxation of the sphincter, but probably is the cause of disfunction, e.g. spasm. Also excess NO in the GI can cause other problems like gastroparesis or acid reflux. Since there are lots of pain nerves in the biliary tract area, any abnormality probably causes pain by itself, such as SOD spasming, although that could also cause pressure increase in the biliary duct. Another explanation could be tissue ischemia around the biliary duct, this would also cause pain. Regarding quercetin, I see one paper where it is mentioned as having antispasmodic effect (as well as other herbs like chamomile) and used for GI problems, so yes that might be worthwhile to try if SOD is spasming rather than just slowed down.
@MIMH92
@MIMH92 Жыл бұрын
@Rene thanks for replying! interesting that NO causes the sphincter of oddi to relax which I typically understood as a good thing although some research suggests it may cause attacks..Western medicine tell u to try antispasmodics and calcium channel blockers and natural medicine from experience suggested peppermint oil tablets and as topical. It's so hard to understand whether relaxing the sphincter of oddi is the way to go or if that actually makes things worse such as bile reflux as well as other issues. Magnesium is also suggested as an alternative but that is also categorised under NO/ arginine rich foods?! Perhaps the way to go is to think of motility as you mentioned...
@Rene-uz3eb
@Rene-uz3eb Жыл бұрын
@@MIMH92 magnesium is required along the path of NO production, but I don’t think that’s the problem here, essential nutrients are needed for everything and starving of a nutrient hasn’t helped any condition I know. In blood vessel NO production, eating more arginine doesn’t increase NO apparently. So you could argue it also wouldn’t affect SOD and that I’m wrong here. It’s possible though that the arginine absorbed in the intestinal cells could locally generate NO affecting SOD. Or that the bacteria absorb it and create NO. Actually, gut bacteria create NO from nitrate. So maybe a reason to cut nitrates. Finally, acetylcholine is needed to activate and increase motility of the sphincter (NO reduces motility), so anticholinergic drugs might be to blame. I see your point about should SO be relaxed or vice versa to improve. Some reports talk about NO relaxing SO, while other talk about NO reduces activity of SO. I think the latter view is correct, since SO is a ‘motor’ like the intestines, repeatedly contracting to move contents forward. If you reduce activity (lack of acetylcholine, or too much NO), the sphincter of oddi is pumping less bile. So if the gallbladder says hey we need to push some bile but the SO says something else, that would be like turning on the garden hose with nozzle closed. Since the SO is exposed to the intestine, what happens there might override what the autonomous system is trying to do. The main reason why I suspect NO is that in many conditions resulting in too much ROS production, also too much NO results, which would definitely have a impact on the SO. My arginine angle might be wrong though, since it’s just a needed nutrient, and in studies it’s simply a way to control NO production which wouldn’t be true irl. With this additional thought maybe cutting nitrates, checking anticholinergics, and blood flow, are the best shots.
@MIMH92
@MIMH92 Жыл бұрын
@Rene I think you are spot on regarding the hose analogy between the sphincter of oddi and gallbladder. Reviewing my HIDA scan indicated a ejection fraction of 89% without any stones/sludge. Some papers out there indicate that this hints to a hyperkinetic gallbladder... no one ever told me this. The gold standard I was told was to remove the gallbladder. However, like you mentioned this would then just push all the bile up into the liver since the sphincter of oddi is lacking motility and can't push the bile out.. it makes sense for the motility to be the issue not the gallbladder itself. Something is causing it to inflame (bile or stones)..could an option be choline supplementation? Grapeseed extract? Although both are said to stimulate the production of nitric oxide
@jamic6351
@jamic6351 2 жыл бұрын
Research methylsulfonyl methane. MSM . It's safe and easy to use. But use lab quality, not store bought, that has fillers. Use handful of raw unsalted almonds. Chew lightly. Seems when a system has shut down, it needs to retrain. Raw celery stops gallstone attack. Eat leaves and all. Dr.Castell passed away last year. He was a fine man, renowned doctor and Navy officer, beloved husband and father..
@CanadianRose
@CanadianRose 2 жыл бұрын
I've got non-acid reflux. It's more phlegm based. Coughing and constantly clearing your throat. My mom had acid reflux. I also think my dad has non-acid reflux.
@shameematanveer4091
@shameematanveer4091 2 жыл бұрын
What is the antibiotics for infection
@d.cfootballsports6200
@d.cfootballsports6200 2 жыл бұрын
my problem esophageal motility
@sushmaratnakar6560
@sushmaratnakar6560 2 жыл бұрын
Thank you
@lightskin._.baddie0328
@lightskin._.baddie0328 3 жыл бұрын
i need this done everything i eat gives me a feeling that its still stuvk im my throat i have gerd badly
@x___3scap3r3ality___x6
@x___3scap3r3ality___x6 2 жыл бұрын
Same!
@TinyLuvsBostons
@TinyLuvsBostons 3 жыл бұрын
Sounds like a really stupid diet
@jonasjrgensen2637
@jonasjrgensen2637 2 жыл бұрын
It is a stupid diet. I had this problems for quite a while and it went away pretty quickly once i removed all inflammatory foods which i can tell you did not include eating low fat 😂
@danny9732
@danny9732 2 жыл бұрын
@@jonasjrgensen2637 What exactly was your diet? I’ve been dealing with this for months and I’ve lost so much weight
@danmason6116
@danmason6116 3 жыл бұрын
I'm getting this and am just interested in how they do it
@addankipothulurichary2471
@addankipothulurichary2471 Жыл бұрын
How are u now
@TTPSURVIVOR
@TTPSURVIVOR 3 жыл бұрын
Thanks
@cosmicbubble12
@cosmicbubble12 4 жыл бұрын
What’s the surgery?
@aionvidz
@aionvidz 4 жыл бұрын
If it’s fundoplication surgery, that’s what I had and only developed LPR (non acid reflux) after. Something downstream in the gut causes an increase in TLOSR’s (due to stomach pressure repeatedly opening the LOS) and gastric contents shoot up into the esophagus. I’m astounded that 12 years later they still prescribe PPI’s at the drop of a hat for any and all reflux events
@cosmicbubble12
@cosmicbubble12 4 жыл бұрын
@@aionvidz did it stop stomach fullness for you?
@aionvidz
@aionvidz 4 жыл бұрын
@@cosmicbubble12 the surgery stopped acid reflux but ruined my ability to belch. Can’t really tell if there is any difference with fullness due to bloating but I suspect there are other factors involved, possibly low stomach acid/delayed emptying
@jamic6351
@jamic6351 2 жыл бұрын
Easy to research Methyl sulfonyl methane MSM. Use lab quality, not store bought, fillers are used. Gargle with it, ingest,use on compresses.
@RealCasperMan
@RealCasperMan 4 жыл бұрын
I'll bet there's a lot of great logs up there.
@DrOtuke
@DrOtuke 4 жыл бұрын
Am here to let the whole world know that I was diagnose of herpes 7years ago were all hope was lost and I had nothing to do about it,I just accepted the faith that one day I will be cured of this disease and I just pray everyday for a helper and one day my sister introduce me to a herbal man called Dr otuke that she saw on internet,well, I gave him a try on his email [email protected],I was not fully convinced until he sent me the herbal medicine which he ask me to take for two weeks I took it with faith and i went for a retest in different hospitals and today am cured of this disease and am also using this medium to let all those having STD,like herpes,bacteria vaginosis (Bv) and the rest not to give up,their is a man who can cure you,his name is Dr otuke contact him on [email protected] or you can also WhatsApp him +2347034971061 Or visit http//Facebook//drotukeherbalhome!
@melaniecarter1469
@melaniecarter1469 4 жыл бұрын
,.
@potatogacha5379
@potatogacha5379 4 жыл бұрын
I have persistent breathless for 14 months.Lung scan and heart scan is clear.i have hiatal hernia 3 years ago diagnosed by Endoscopy.i have Heartburn too. Can esophagus stricture cause my breathlessness.Its like consistent and i feel lousy
@loshotshots
@loshotshots 2 жыл бұрын
The heart burn can get into your lungs there fore causing shortness of breath. Try alkaline diet or ppis
@Im-21-
@Im-21- 4 жыл бұрын
Pussy treatment
@سيفمنيفالمنيفالكثيري
@سيفمنيفالمنيفالكثيري 4 жыл бұрын
Beautiful
@muhtesemaksoy
@muhtesemaksoy 4 жыл бұрын
Good explanation.
@ashleyjackson6752
@ashleyjackson6752 4 жыл бұрын
I am so sad about I don’t have any of gastropesis during my life. I want have gastropesis because I want have home parentenal nutrition and feeding tube in my intestines and stomach.
@raulhenaine6111
@raulhenaine6111 4 жыл бұрын
You are joking right?
@Channel-of5ip
@Channel-of5ip 3 жыл бұрын
What?? WTF???
@nikarshadsulaiman9614
@nikarshadsulaiman9614 4 жыл бұрын
Hi currently i am 12 years old and experiencing some of these symptoms weirdly it only immediately started happening when Ramadan(a.k.a fasting month) came im only on day 3 fasting and normally I eat 2 plates of rice now barely even finish 1 plate of rice
@nikarshadsulaiman9614
@nikarshadsulaiman9614 4 жыл бұрын
Also my symptoms are not as serious as nausea it’s just bloating and unable to eat a regular full meal
@thecatonacouch9371
@thecatonacouch9371 4 жыл бұрын
Same brother
@founderhistory2375
@founderhistory2375 3 жыл бұрын
I got it from food poisoning
@Selfcare608
@Selfcare608 2 жыл бұрын
I went to a doctor I had the same problem I was diagnosed with early satiety and bacteria
@Fizzy332
@Fizzy332 2 жыл бұрын
@@founderhistory2375 Me too
@zaibi4800
@zaibi4800 4 жыл бұрын
I eat a meal I feel full stomach which can lead shortness of breath. I can eat a full meal at once.
@amrrabat1566
@amrrabat1566 4 жыл бұрын
high advancement in knowledge owing to those men
@rajaraut1762
@rajaraut1762 5 жыл бұрын
What is the treatment?
@mv_234
@mv_234 5 жыл бұрын
At first i was diagnosed with ibs and gerd. 4 years later was diagnosed with IEM.
@alaabdeljalil1062
@alaabdeljalil1062 4 жыл бұрын
IEM could be very tricky to diagnose and know the clinical impact of it.
@RAJKumar-jr1wt
@RAJKumar-jr1wt 5 жыл бұрын
Kitne pass lag te es test me
@gundelliprabhakar5030
@gundelliprabhakar5030 5 жыл бұрын
PrabakarGundelly
@caseyneikens1089
@caseyneikens1089 5 жыл бұрын
I have one of these at least 2 a year because my throte closes and they have to re open it
@slickrickjones
@slickrickjones 4 жыл бұрын
I’ve had a terrible time over the last several years with getting choked. I’m going to the throat doctor this Thursday.
@themysticsupreme5946
@themysticsupreme5946 4 жыл бұрын
That's very scary. What caused it?
@mikesean7382
@mikesean7382 3 жыл бұрын
@@slickrickjones i just went today bud they gonna dilate your throat
@slickrickjones
@slickrickjones 3 жыл бұрын
@@mikesean7382 dude, I cancelled my appointment. I got NC health insurance and them fuckers wanted $370 just for the dye test. Fuck em. I ain’t doing it
@mikesean7382
@mikesean7382 3 жыл бұрын
@@slickrickjones bro im gonna tell you i let it go for 6 years id get some different insurance and get it checked out because i have alot of stuff going on with my esophagus hiatal hernia gastritis esophogitis and like 4 other issues and the longer you let it go the worse it will get i was about to say hell with it myself but im glad i didnt now
@ashshakur1316
@ashshakur1316 5 жыл бұрын
My friend had this procedure done today. He was diagnosed with gist & he had part of his stomach removed due to the cancer.
@themysticsupreme5946
@themysticsupreme5946 4 жыл бұрын
:(
@ElTaree2ElSa7
@ElTaree2ElSa7 5 жыл бұрын
Portal hypertension as seen on EUS
@micahevans8394
@micahevans8394 5 жыл бұрын
Is that an inside lf a butt or throat cuz that can't be nose
@BigDaddy-yp4mi
@BigDaddy-yp4mi 4 жыл бұрын
LMAO!!! That's funny dude! But on to your actual question...it says "...chronic abdominal pain. The CT showed calcific pancreatitis..." plus the fact it looks like intenstinal walls..... Kinda like gallstones maybe? I dunno, but yeah, you're absolutely correct that this is NOT the nasal cavtiy we're seeing.
@BigDaddy-yp4mi
@BigDaddy-yp4mi 4 жыл бұрын
Ok, I looked up stuff. It's Chronic Calcific Pancreatitis being treated most likely with Combination ERCP and Extracorporeal Shock Wave Lithotripsy for Pancreatic Duct Stones. But most definitely Extracorporeal Shock Wave Lithotripsy. That's the little dremel-looking deal they're using. Probably could buy a decent used sedan for the same price as it costs. But it's not-alcoholic Pancreatitis, and for a 4-year-old to suffer it is just cruel.
@anduy452
@anduy452 5 жыл бұрын
EST Endoscopic sphincterotomy NỘI SOI XẺ CƠ VÒNG
@makeuphall
@makeuphall 5 жыл бұрын
I'm never eating fruits and vegetables again
@justinariley3088
@justinariley3088 5 жыл бұрын
I am sure I'm infected horribly. How can I prove it? Thank you for sharing this!!!
@ammyandthebooks
@ammyandthebooks 4 жыл бұрын
Hi, if you feel any kind of symptoms like- muscular pain, vomiting and fever, you can go to doctor, and to prevent this, you should wash fruits and vegetables properly before eating! And don't forget to wash your hands too! Thank you:) stay healthy!!
@casperyourfriendlyghost7552
@casperyourfriendlyghost7552 3 жыл бұрын
Look up para wellnes Dr Deangelo
@jshow8619
@jshow8619 5 жыл бұрын
PEPPERMINT oil
@Mystomach
@Mystomach 2 жыл бұрын
Stretches also.
@almaalmanza6072
@almaalmanza6072 2 жыл бұрын
What exactly am I doing with the peppermint oil
@JB.zero.zero.1
@JB.zero.zero.1 25 күн бұрын
@@almaalmanza6072 Presumably diluted and drinking with water. Although I would think peppermint tea in general is probably quite soothing. Don't drink the oil neat.
@lauradinkins
@lauradinkins 5 жыл бұрын
Thank you this is very helpful
@carlahead5072
@carlahead5072 5 жыл бұрын
What procedure is this patient undergoing? I’m so sorry. How come a regular endoscopy can’t be performed in this case?
@carlahead5072
@carlahead5072 5 жыл бұрын
My heart goes out to this patient undergoing this endoscopy
@urospeteh2637
@urospeteh2637 6 жыл бұрын
..but there is no cure. I suffocate due to IEM 24/7. Airway reflux to be precise secondary to iem.
@iamroyroyful
@iamroyroyful 5 жыл бұрын
@Ray Sidhu what can we do about it? Is it possible to be cure with fundoplication?
@mv_234
@mv_234 5 жыл бұрын
I have iem and i have no quality of life. Only medicine that was managing it was cinitaprida. Cant afford it anymore cause my doctor won’t sign disability papers.
@alaabdeljalil1062
@alaabdeljalil1062 4 жыл бұрын
We 've done extensive work on IEM and we conducted a randomized trial about a potential medication that we used frequently in clinical practice with some response. I suggest to see a motility specialist to discuss that.
@hopedontmope4999
@hopedontmope4999 6 жыл бұрын
Thanks for the info! My daughter just had HIDA scan done and had a refraction rate of 0%. Very helpful info.
@salahuddinzazai714
@salahuddinzazai714 5 жыл бұрын
Hope dontmope So how is your daughter now ? I have refraction rate at 17%
@Dr_Birthday
@Dr_Birthday 4 жыл бұрын
What was the outcome of your daughter's treatment? I'm unfortunately in the same boat.
@carloscochran2693
@carloscochran2693 3 жыл бұрын
@@salahuddinzazai714 How’s it going? My brother is having the same issue
@carloscochran2693
@carloscochran2693 3 жыл бұрын
@@Dr_Birthday Are you feeling better?
@Dr_Birthday
@Dr_Birthday 3 жыл бұрын
@@carloscochran2693 Nope. How about your brother?