The most common time before presentation of VVF is 7 to 10 days after surgery,but it can range from immediate up to 6 weeks. If associated with hysterectomy, a VVF can present in the immediate postoperative phase, upon catheter removal, if unrecognized direct trauma to the bladder occurred intraoperatively, or after 10 to 14 days as a result of a hematoma or stitch abscess at the vaginal cuff. Postradiation VVF takes months to years to develop. Usually the patient presents with continuous leakage of urine. This can be mistaken from early postoperative discharge, leading to more frustration of the patient and delayed diagnosis. If there is intraabdominal urine extravasation,the patient will present with abdominal pain and ileus.

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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