Expert: Michelle Collins
Contact: www.vanderbiltnursemidwives.org
Bio: Michelle Collins has more than 20 years of experience in the field of maternal-child health, first as a labor, delivery and pediatric nurse, and currently as a certified nurse-midwife.
Filmmaker: Dimitri LaBarge

Duration : 0:2:35

Technorati Tags: abdominal pain, bloating, Constipation, pregnancy, pregnancy exercises, pregnancy symptoms, sciatica, stages of pregnancy, stretch marks, women's health

Duration : 0:10:11

Technorati Tags: antidepressant, Anxiety, chest pain, citalopram, Depression, dizziness, Dr. John Campo, Fatigue, gastrointestinal, Headache, Hospital, joint pain, migraine, pediatric, relaxation, research, self hypnosis, serotonin

Duration : 0:1:50

Technorati Tags: abdominal pain, antidepressants, Children, clinical trial, Dr. Campo, serotonin, stomach pain, stomachache

Mateusz Smoczyński – violin
Jan Smoczyński – hammond organ
Alex Zinger – drums

http://myspace.com/newtrio

Duration : 0:9:51

Technorati Tags: abdominal, alex, alexander, drums, hammond, hammonda, jan, jazz, mateusz, new, organ, organy, pain, perkusja, sasha, skrzypce, smoczyński, trio, violin, zinger

PALPACION ABDOMINAL: Es el cuarto paso de un examen abdominal y a su vez es el paso más informativo del examen. No obstante Stanilad et al (13) apuntan que solo 1/3 de casos presentan dolor sobre la zona correspondiente al órgano lesionado. Aunque son muchos los datos que se pueden obtener en una palpación correcta del abdomen, hemos de prestar atención a:
Iniciar la exploración en la zona distante a la localización del dolor y acercarse a este de forma progresiva. La intensidad de la sensibilidad es muy poco útil dado su extrema subjetividad.
Presencia de dolor de rebote o Signo de Blumberg: Es indicativo de inflamación del peritoneo. Para que sea significativo, debe realizarse de forma correcta así ha de palparse con la palma de la mano extendida, manteniendo una presión constante, si esta no es dolorosa raramente habrá rebote; debe mantenerse la presión unos 30-60 segundos de esta manera el dolor originado por la presión irá disminuyendo, cuando esté desprevenido el enfermo se soltará bruscamente la mano del abdomen, bajo estas circunstancias una simple muesca es indicativo de rebote positivo. No podemos olvidar que el hecho de tener signo de rebote positivo, no indica indefectiblemente patología quirúrgica, dado que hasta un 20% de procesos patológicos intrabdominales no quirúrgicos presentan signo de rebote positivo (3, 5, 6, 7).
Presencia de defensa muscular y contractura. Lo más importante de este apartado es diferenciar la contractura voluntaria que realiza el enfermo por la simple palpación de aquella otra involuntaria que está presente por muy minuciosa que sea la exploración. La presencia de contractura involuntaria indica peritonitis y necesidad de cirugía (6, 7).
Signo de Murphy: Es un signo clásicamente descrito como guía del diagnóstico de colecistitis. Consiste en realizar la palpación por debajo del reborde costal derecho, esto produce un aumento del dolor cuando el paciente realiza una inspiración profunda al chocar la vesícula inflamada con la mano.
Hemos de explorar también los movimientos de la pared abdominal para descartar patología a este nivel. Se apoya la palma de la mano sobre la parte superior del abdomen y se invita al enfermo a que realice una inspiración profunda intentando que su estómago choque con nuestra mano, si con esta maniobra el dolor no aumenta la movilidad de la pared es normal.

Abdominal palpation

Examination of the abdomen is often forgotten in today’s world of advanced diagnostic technology. Yet, it is very revealing when performed in a systematic and thorough manner. The following guidelines will be helpful.

*** Auscultation is relatively less important in the abdomen than in the thorax. It seldom yields meaningful information in a routine examination, but it is of extreme importance in evaluation of abdominal pain.

*** Percussion of the abdomen usually does not play an important role in the assessment of abdominal pain. It is primarily used to establish the presence of distention, tumors, fluid, and enlargement of solid viscera.

*** Therefore, palpation takes on great importance for examining the abdomen. It is rather difficult to actually palpate the abdominal organs because they are separated from the examining hand by a relatively thick, muscular wall. But this is exactly what we are searching for, i.e., muscle contraction or stress points that share the same spinal innervation as the underlying organ.

*** Remember that the only time these stress points can be found is when the organ is stressed and unable to perform its responsibilities for maintaining homeostasis. Once the stress passes, the muscle contraction disappears.

The most important point to bear in mind as we discuss abdominal palpation is distinguishing between deep pain found in the viscera, and superficial pain found in the muscular abdominal wall.

*** Myofascial trigger points in an abdominal muscle may produce referred abdominal pain and symptoms such as projectile vomiting, anorexia and nausea, intestinal colic, diarrhea, urinary bladder and sphincter spasms, and dysmenorrhea. When such visceral symptoms occur with abdominal pain and tenderness, the combination can strongly mimic acute visceral disease, especially appendicitis and cholelithiasis (Travell).

*** In addition, abdominal trigger points may be secondary to visceral disorders such as, peptic ulcer, intestinal parasites, dysentery, ulcerative colitis, diverticulosis, diverticulitis, and cholelithiasis. Abdominal trigger points may also accompany such vague complaints as burning, fullness, bloating, swelling and gas

Duration : 0:0:54

Technorati Tags: abdominal, Palpación, Palpation

http://www.volcanohealing.com/testimonials.html

Seven Common Abdomnal Stomach Problems Just about everyone has had Abdominal stomach troubles at one time or another. Fortunately,
you can treat many symptoms yourself. Seven common stomach problems, their causes and what to do for them follow.
1. Heartburn and Indigestion
2. Vomiting
3. Diarrhea
4. Stomach Pain
5. Constipation
6. Gas
1. Heartburn and Indigestion–Description: Heartburn (dyspepsia) results from stomach acids backing up into the esophagus (which connects
the mouth to the stomach). Indigestion is that hard-to-describe upset feeling in your stomach. Causes: Alcohol, caffeine, nicotine, chocolate,
citrus, tomato, peppermint, fried and fatty foods, overeating, stress, some medications and being overweight Self-Care: Avoid or moderate your
indulgence of the above items and eat smaller meals more frequently. For heartburn, do not lie down for four hours after eating and raise the head
of your bed four to six inches. Try an over-the-counter neutralizing antacid (e.g., generic Maalox or Mylanta), or an acid reducer (e.g., Pepcid,
Tagamet or Zantac). When to Seek Medical Advice: If it doesn’t respond to self-help efforts, persists for more than two weeks or if you have
significant pain or weight loss, seek medical help from your health care provider.
2. Vomiting–Causes: Viruses, bacteria, food poisoning, alcohol, stress and/or pregnancy Self-Care: Let your stomach rest. Refrain from eating
or drinking until you feel better (two to four hours). Then start with tiny sips of clear fluids that are not carbonated (e.g., flat ginger ale, 7-Up or
Gatorade) for another few hours. Rest until you feel better. Watch for the following: Dehydration (excessive loss of water from the body).
Symptoms can include decreased urine, dry mouth, dizziness while standing and/or fatigue. Seek Medical Advice: If vomiting doesn’t stop
within six to eight hours, you have fever over 100 degrees Fahrenheit, severe headache or abdominal pain, seek medical help from your health
care provider. http://www.emfnews.org/qlinks.html
3. Diarrhea–Definition: Frequent and watery bowel movements Causes: Viruses, bacteria, food poisoning, stress and/or specific food
sensitivities Self-Care: Drink clear fluids and limit your foods to BRAT (Bananas, Rice, Applesauce and Toast). Avoid over-the-counter
medications and let the illness run its course. If symptoms persist, try Imodium AD. Note: If you’re traveling, bring a more specific treatment
(such as a prescription antibiotic) with you. Watch for the following: Dehydration, fever over 100 degrees Fahrenheit, severe pain (not just
cramps) and/or bloody stools Seek Medical Advice: If any of the above conditions are present, or the diarrhea hasn’t stopped within three days,
seek medical attention from your health care provider.
4. Stomach Pain–Definition: Sharp or cramping pain anywhere in the upper or lower abdomen Causes: Gas, constipation, menstrual cycle,
stress, medications (e.g., erythromycin), peptic ulcer and/ or other potentially serious conditions Self-Care: Rest, antacid and heat Watch for
the following: Fever or worsening pain Seek Medical Advice: For pain that is severe or persistent, seek medical help from your health care
provider.
5. Constipation–Definition: Excessively hard and infrequent stools Causes: Insufficient water and fiber (whole wheat, bran, vegetables,
prunes), improper diet (e.g., too much rice, cheese), lack of exercise, occasionally medications (e.g., prescription pain and cough medicine) Self-
Care: Increase fluids and fiber Watch for the following: Severe pain or rectal bleeding Seek Medical Advice: If constipation persists despite
self-care, seek medical help from your health care provider. 6. Gas–Causes: Specific foods (e.g., beans, cabbage, broccoli), too much fiber,
carbonated beverages and/or chewing gum Self-Care: Avoid the above items. Try products containing simethicone (e.g., Mylicon, Gas-X).
Seek Medical Advice: If gas persists, seek medical attention from your health care provider.
For more info. go to www.CaptainColon.com or http://www.VolcanoHealing.com testimonials
http://www.volcanohealing.com/testimonials.html

Duration : 0:1:29

Technorati Tags: alternative, cancer, Clark, colon, Hawa, Hilda, holistic, maui, polyps, retreat, surgery, therapy, treatment