Gastroenterologist
Physicians who specialize in the diagnosis and treatment of the digestive system or gastrointestinal tract are gastroenterologists. When they specialize to treat children in the same area, they are termed as pediatric gastroenterologist. They treat conditions such hepatitis, colon or rectal cancer, ulcerative colitis and Crohn's disease. A gastroenterologist must complete four years of degree, four years of medical school, three years residency in internal medicines and later specialize in gastroenterology for a period of two to three years. Certification from a recognized board is necessary.
Role of gastroenterologist
Diagnose and offer medical treatment for any kind of disorder in the gastrointestinal tract.
Order for blood tests, x-rays, endoscope checks of the stomach called gastroscopy or for the large intestine called colonoscopy depending on the patient's illness.
Assist a surgeon in exactly locating the area of problem that needs treatment in the gastrointestinal section.
They follow up digestive system disorders that include esophagus, small and large intestine, stomach, pancreas and the liver. They also follow up on symptoms of heartburn, indigestion, ulcers etc following an operation.
Modern techniques and gastroenterologist
Use of ultra high frequency in endosonography gives better understanding of any lesions formed.
Measuring of myoelectric and contractile activity in the gastrointestinal tract, esophageal and anal manometry to understand constipation, nausea, abdominal pain etc better in any patient.
Electrogastrography and few other modern techniques have made it easier to understand the esophageal transit in patients easier.
Tadalafil
Tadalafil is a prescription drug to treat Erectile Dysfunction. Tadalafil, available in many brand names - such as Cialis, is a second generation selective phosphodiesterase 5 (PDE-5) inhibitor medication. PDE-5 inhibitors work by blocking an enzyme called phosphodiesterase-5 PDE-5. First generation PDE-5 inhibitors like Sildenafil and Vardenafil (Levitra) have a half-life of 3.7 hours typically while the second generation drug like Tadalafil has a half life of about 17.5 hours or more. What this means is that a single dose can have a longer effect. Some studies have suggested the use of this drug for the treatment of other male and female sexual disorders, such as premature ejaculation and female sexual arousal disorder.
Dosage of Tadalafil: Note that alcohol and a PDE5 inhibitors act as mild vasodilators. When mild vasodilators are taken in combination, blood-pressure lowering effects of each may be increased. This combination can enhance the potential for orthostatic signs and symptoms such as an increase in heart rate, decrease in standing blood pressure, dizziness and headache.
Normal dosage is about 10 mg as a single dose a few minutes before the actual event. Its effects last upto 36 hours in some cases obviating the need for more doses in subsequent days.
Contraindication for Tadalafil: Tadalafil or Cialis is contraindicated for patients who use organic nitrates as the concomitant use of the nitrates along with PDE inhibitors can result in abnormal lowering of blood pressure, or dizziness, syncope, or even heart attack or stroke.
Side Effects of Tadalafil:Some patients have reported headache, indigestion, back pain, muscle aches, nasal congestion, facial flushing and dizziness although these effects do not last longer than 24 hours after the administration of the drug.
Tadalafil
Tadalafil is a prescription drug to treat Erectile Dysfunction. Tadalafil, available in many brand names - such as Cialis, is a second generation selective phosphodiesterase 5 (PDE-5) inhibitor medication. PDE-5 inhibitors work by blocking an enzyme called phosphodiesterase-5 PDE-5. First generation PDE-5 inhibitors like Sildenafil and Vardenafil (Levitra) have a half-life of 3.7 hours typically while the second generation drug like Tadalafil has a half life of about 17.5 hours or more. What this means is that a single dose can have a longer effect. Some studies have suggested the use of this drug for the treatment of other male and female sexual disorders, such as premature ejaculation and female sexual arousal disorder.
Dosage of Tadalafil: Note that alcohol and a PDE5 inhibitors act as mild vasodilators. When mild vasodilators are taken in combination, blood-pressure lowering effects of each may be increased. This combination can enhance the potential for orthostatic signs and symptoms such as an increase in heart rate, decrease in standing blood pressure, dizziness and headache.
Normal dosage is about 10 mg as a single dose a few minutes before the actual event. Its effects last upto 36 hours in some cases obviating the need for more doses in subsequent days.
Contraindication for Tadalafil: Tadalafil or Cialis is contraindicated for patients who use organic nitrates as the concomitant use of the nitrates along with PDE inhibitors can result in abnormal lowering of blood pressure, or dizziness, syncope, or even heart attack or stroke.
Side Effects of Tadalafil:Some patients have reported headache, indigestion, back pain, muscle aches, nasal congestion, facial flushing and dizziness although these effects do not last longer than 24 hours after the administration of the drug.
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