History and Physical Examination

The patient is a 38-year-old G4P2 woman, with a 3-year history of increasing bladder dysfunction and a 6-month history of exteriorized vaginal and rectal prolapse. She stated that the exteriorized portion is quite large, and she brought two Polaroid photos of what appeared to be at least a fourth degree cystocele, as well as a rectal prolapse of a large amount of rectal mucosa. She also complains of urge urinary incontinence for 2 years. She voids 7 to 10 times per day wearing 1 to 2 pads per day, reporting 1 to 2 episodes of incontinence per day. She reported four or more episodes of nocturia per night with no enuresis or recurrent urinary tract infections, and voids with a normal flow. Her obstructive defecation symptoms have been present for 3 years with no fecal incontinence. She is sexually active. She had been fit with a vaginal ring pessary by her primary physician, which she wears without significant difficulties.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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