Indications for Complex Testing

Many women with mild to moderate incontinence and/or prolapse can be satisfactorily treated following the evaluation techniques described above. The impact of the patient's symptoms on her lifestyle can often be ameliorated with low-risk interventions such as medications, physical therapy, and behavioral changes. If, however, the patient does not acceptably improve with conservative therapy, surgery is being considered, or the diagnosis is uncertain, referral to a center that has the capability of performing multichannel urodynamics and other complex lower urinary tract evaluation testing is warranted. Other indications for multichannel urodynamics include the following:

• Previous failed surgery

• Exteriorized prolapse

• Complex urinary incontinence symptoms

• Intrinsic sphincter deficiency suspected (severe SUI)

• Urinary retention/abnormal voiding

• Complex medical problems

• Pelvic reconstructive surgery planned

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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