The available sclerosants and their dosing regimens are summarized in Table 28-2. The benefit of injecting a sclerosant following epinephrine is controversial. Some studies have shown a benefit, especially in those with spurting hemorrhage (Lin et al, 1993), whereas others have not. Because of the risk of gastric necrosis and the lack of added benefit to epinephrine, we do not recommend adding sclerosants after epinephrine injection. Several studies have shown good results for endoscopic injection of ethanol, but possibly with a higher risk of local complications and perforation.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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