rectal bleeding

What is rectal bleeding (hematochezia)?

Rectal bleeding (known medically as hematochezia) refers to the passage of red blood from the anus, often mixed with stools and/or blood clots. (It is called rectal bleeding because the rectum lies immediately above the anus, and although the bleeding indeed may be coming from the rectum, as discussed later, it also may be coming from other parts of the gastrointestinal tract.) The severity of rectal bleeding (i.e., the quantity of blood that is passed) varies widely. Most episodes of rectal bleeding are mild and stop on their own. Many patients report only passing a few drops of fresh blood that turns the toilet water pink or observing spots of blood on the tissue paper. Others may report brief passage of a spoonful or two of blood. Generally, mild rectal bleeding can be evaluated and treated in the doctor's office without hospitalization or the need for urgent diagnosis and treatment.

Gum Disease

Do you think gum disease is something that only happens to people your grandparents' age? Think again! Teens can get gum disease too, and it can cause problems from the simply embarrassing (like bad breath) to the serious — like pain and tooth loss (which is both embarrassing and serious!).

What Is Gum Disease?

Gum disease is also known as periodontal (pronounced: per-ee-oh-don-tul) disease.

Periodontal disease is an infection of the tissues and bone that support the teeth. Untreated gum disease can become very serious, causing teeth to become loose or fall out.

Gum disease is usually caused by a buildup of plaque, an invisible sticky layer of germs that forms naturally on the teeth and gums. Plaque contains bacteria, which produce toxins that irritate and damage the gums.

Hundreds of types of bacteria live in the mouth, so keeping plaque at bay is a constant battle. That's why brushing and flossing every day — and regular trips to the dentist — are so important.

Who Is at Risk?

Certain things can make teens more likely to develop gum disease. Some may inherit this tendency from their parents. The snacks you eat also can put you at risk of developing gum disease — especially if you grab fries and a soda in the mall after school and aren't able to brush immediately after eating them. You probably know that sugar is bad for your teeth, but you may not know that starchy foods like fries also feed the acids that eat into your tooth enamel.

Colonic Diverticular Disease

Colonic diverticulosis is among the most common diseases in developed Western countries. In the United States, diverticulosis occurs in approximately one third of the population older than age 45 and in up to two thirds of the population older than 85 years,^1,2 and it also affects a significant proportion of younger adults.

Figure 1: Click to Enlarge

Definition and causes

A diverticulum is a saclike protrusion in the colonic wall that develops as a result of herniation of the mucosa and submucosa through points of weakness in the muscular wall of the colon. The colonic diverticulum is a false or pulsion diverticulum-that is, it does not contain all layers of the colonic wall. Diverticulosis indicates the presence of multiple diverticula and generally implies an absence of symptoms (Fig. 1). Diverticular disease implies any clinical state caused by diverticula, including hemorrhage, inflammation, or their complications. Diverticulitis describes the presence of an inflammatory process associated with diverticula. Its pathogenesis is attributed to genetic and environmental factors (Box 1).

Genetic factors

Environmental factors Low-fiber diet Obesity Decreased physical activity Corticosteroids NSAIDs Alcohol Caffeine intake Cigarette smoking Polycystic kidney disease

Epidemiologic factors Age Geography Life style  Ethnicity Treatment Medical Treatment Complicated diverticulitis refers to acute diverticulitis accompanied by abscess, fistula, obstruction, or free

Hearts

2 Hearts 2 talk

After a good movie that touches my heart, guess is time to share out with people of hearts out there.
We should have two hearts.
A heart that we learnt in Science. Then another heart:
A heart that should be perfect full.
Perfect full of memories, experiences,emotions with loves from heros and heroins.
It's a heart that owns us, and belong to us.

Best of hearts from people around us
It's a wonderful feeling to have 2 hearts,
One to keep us alive,
One to make our life shines.
After all,
we have a perfect heart that will touches someone's heart and shines.
- A tribute to my dad -
You are home in our heart.

History of 2011, 7 nights 8 days at a hospital

I called it 7 nights 8 days as it changed me a bit again, another experience of my life, this time in a hospital! At least not a ghost house!
You can say it sure was not a pleasant one to have but, essential to do it of some very moral doing and thinking, more to family stuff.  Some times you just need to do some thing that you ought to do, as a member of a family!  Just planning to write in blog after going through the draft made in hospital.

I had to write using my sleek hand phone in the dark, and save to draft as everyone seemed to be sleeping even though not enjoying in the bed in hospital, what you expect!  You might be thinking what about myself!  Well, I considered lucky enough with the blue and white strap folding chair for me to get some sleep, even though not much!

I never thought that taking care of the elderly is much worse than the babies I had in the previous years..or I might go for more....ha!
People said you will never learn what is happiness without going through the sadness, true enough, that was my feeling after the 7 & 8 X.
To be continue..............

A New Year again!

Ya, sure it's another new year.
So, seemed like as usual everyone look back as history, and look front for hope and wishes.  Lots of fireworks, wishes, shows, discounts, more visions and missions and many more.
Guess that's the way people celebrate new year every time! A bit bored but that's how it is life on earth for us. Anyone has better suggestions, out there?
As for me, I watched movies and stuck at home until the morning, alone, Well, not exactly, my 2nd watched with me, the 3rd sleeping and the eldest some where watching fireworks and sms me.  As for the partner, sleeping ahead for the next day cycling, with friends.  Guess if this is going to go on every year, I might as well go some where else to enjoy than to wait at home. Lost my mood of doing any thing when think of that.

stpm final papers 2011 need to refer to the 2help blog on your right

Best of luck in STPM
Pahang  - Perakaunan, P.Perniagaan,  P. A

check out 2 hearts 2 talk at http://stpmacctgdayc.blogspot.com

How to create champions from sports?

Guess it's time to write on sports.
Just felt frustration, when people became selfish in sports, be the one who organize or the one in charge, short sighted in future achievement and as such, fail to gain respect and victimized the true talented athletes.
To be continue............

It is immoral to link your advertisement attached2someone's writing without permission

Motivation is needed all the time for everyone - Butterfly that never fly, refer e store & beauty

old age story

Old age is what people are afraid of mostly, be our parents or any old folks out there:
Some are afraid to die painfully.
Some couldn't face it and plan to make it short by suicide.
Some live poorly each and every day, yet they insist to live.
Some have to live with lots of medicine around and each day.
Some need to go in and out of the hospital frequently, seeing doctors more than their children.
Some try to eat healthily just to hope to live longer or leave peacefully and less pain.
Some were abandon and live in old folk home waiting for time to end.
Some are still on the streets walking around, holding out hands for donations.

However, you can still find:
Some are eager to live longer even though knowing time is near, fighting for life.
Some are eager to live more with sickness at final stage, fighting for recovery.
Some are hoping to recover and live for a little more time hoping for more traveling.
Some are sick but remain positive and able to live which creates miracle to people around them.
Some are taking lots of medicine each and every day, hoping will recover totally one day.
Some are happy that the children are nearer to them when their day are near the end.
Some are relieve that someone still care for them even though they are busy trying to survive each day .
Some take up singing, dancing, cooking, exercise each day to make their life colorful without thinking of ending.

What about you?

Just live each and every day and appreciate the life you have.
For no one knows the end of the day we will have.
A day will still pass whether you are happy or not.
Old and death is the same path everyone needs to face and walk on it bravely, without any more fear.
For you have live your life to the fullest!  Yeah!

Ambiga's wishlist

Bersih 2.0, as the organisation has branded itself for the 2011 rally, is chaired by former Bar Council president Ambiga Sreenevasan. Ambiga served as president of the Bar from 2007 to 2009 and is a recipient of the U.S. State Department's International Women of Courage Awards.



Ambiga has summed up the main issues raised by the organisation she leads as "unhappiness... in the Sarawak [election], unhappiness about corruption, [and] unhappiness about the independence of our institutions."^[25] She said demands made during the first rally in 2007 have not been addressed, hence the follow-up rally.^[20]
The communiqué issued by Bersih issued in 2007 called for reforms to Malaysia's first past the post electoral system, ensuring the independence of the Election Commission (EC), eliminating electoral practices deemed unfair to opposition candidates, eliminating corrupt campaign practices, equal access to the media for all political parties, and instituting a caretaker government during election periods, among others in the long term.^[26] It also asked for immediate action to introduce indelible ink to prevent multiple voting, the abolition of postal votes, a complete revision of the electoral roll and equal access to state-owned media for all political parties.