Quality-of-life impact assessment should be a crucial part of the evaluation of a woman with pelvic floor dysfunction. There is great variability in the degree of impact a particular pelvic floor symptom may have on a given patient. In addition, the affected patient is the only person who can reliably determine how much a particular symptom affects her. Validated instruments such as QOL questionnaires are extremely useful for this purpose. These tools can be used to assess baseline severity/ impact as well as response to therapy. As such, changes in an individual's responses compared with a baseline may be more important than the overall score at initial evaluation. For outcome assessment, we utilize these tools at least 3 months after surgical intervention. With nonsurgical therapy, such as pharmacologic intervention, improvements in scoring may be valuable after a shorter intervention period.

Global scores assigned to a questionnaire are very useful in clinical use. However, we have found responses to individual questions to be even more useful in optimizing an individual's care. We strongly encourage clinicians to incorporate QOL assessment tools into their evaluation and outcome assessment of patients with pelvic floor dysfunction.

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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