Apr 9, 2026
Stone size helps guide treatment but isn’t the only factor. Stones smaller than about 5 mm are often watched without surgery when they’re asymptomatic. Stones roughly 5–10 mm may be treated without an operation or removed endoscopically if they move into the bile duct. Stones larger than about 10 mm are more likely to lead to...
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Mar 26, 2026
A high-fiber diet helps ease hemorrhoid symptoms by softening stools, increasing bulk, and reducing straining during bowel movements. Fiber moves through the gut without being digested: soluble fibers hold water and soften stool, while insoluble fibers add bulk and speed transit. Eating a variety of fruits, vegetables, whole grains and legumes...
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Mar 9, 2026
Gabapentin can impair memory and cognition in older adults, especially with higher doses or prolonged use. It binds the alpha‑2/delta calcium channel subunits and changes neurotransmitter release, which may make aging brains more sensitive. Observational studies link greater cumulative exposure with higher risks of mild cognitive impairment and...
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Feb 23, 2026
Trochanteric bursitis is usually managed in stages, starting with simple measures: adjusting activity, using ice locally, and short courses of NSAIDs to ease pain and reduce inflammation. Early steps include avoiding lying on the affected side and cutting back on movements that trigger pain. Rehabilitation then focuses on strengthening the hip...
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Feb 20, 2026
Survival on dialysis varies widely. About 25% of people die within the first year, and five‑year survival can range from roughly 35% to 85% depending on age and overall health. Younger, fitter people often live many years on dialysis; older or frail patients—especially those with heart disease or diabetes—tend to have a shorter life...
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Jan 9, 2026
Acute musculoskeletal pain is sudden pain from injury or inflammation of bones, joints, muscles, tendons, or ligaments. It most often follows a fall, twist, overuse, strain, or sprain, and less commonly an infection. People describe it as sharp, aching, or throbbing, often with swelling, warmth, bruising, or reduced movement. Treatment usually...
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Jan 5, 2026
Diagnosing Mast Cell Activation Syndrome: a practical guideSuspect mast cell activation syndrome (MCAS) when a person has repeated, rapid episodes that affect multiple systems—for example, flushing, hives, wheeze, gastrointestinal upset, or low blood pressure—and the pattern looks mediator‑driven. Diagnosis rests on documented,...
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Jan 2, 2026
Clitoral AdhesionsClitoral adhesions happen when the clitoral hood becomes abnormally attached to the glans, reducing hood mobility and limiting how much of the glans is exposed. They most often follow local inflammation, trapped smegma, trauma, or skin conditions that cause scarring. Common signs include pain, increased sensitivity, itching,...
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Dec 19, 2025
For very frail older adults, choosing nonoperative treatment for a hip fracture shifts the goal from repair to comfort and symptom control. Care usually focuses on regular acetaminophen, short, closely supervised opioid courses for breakthrough pain, and comfort measures such as nerve blocks, ice and thoughtful positioning. Activity is progressed...
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