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Anesthesiology

I am really worried about developing anaphylaxis to an anesthetic?

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Question: I am about to undergo a hemorrhoidectomy surgery to remove hemorrhoids. I was told I would need a local anesthetic. But I am really, really worried about developing anaphylaxis to the anesthetic. Even though I have had anesthesia in the past without any problems. Do you think I need to be concerned of having a reaction?

Answer: Anaphylaxis is a serious, life-threatening allergic reaction. Anaphylaxis may last a lifetime. But if you have not experienced a severe reaction in the past, you are unlikely to develop the same in future. Do not worry. Just be aware and, to be reassured and feel safe, keep rescue medicine always with you as standby.

Regards,

Dr. Javez Ernesto

Can you get a rib fracture as a result of anesthesia?

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Can you get a rib fracture as a result of anesthesia? Had back surgery on 12/8- complained x3 post op visits to surgeon about left side rib pain. He said the rib pain had nothing to do with the back surgery. .Still having pain, saw GP on 2/1- Chest x-ray shows healing 7th left side rib fracture. Pre OP chest x ray is normal I have not bee sick. Can this fx have been a result of the anesthesia?

Age: 55
Female
Medications: Ambien 10 mg

I take clozaril, is it dangerous to have MAC anesthesia in combination with this medication?

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Hello!! I have a question about anesthesia. I need to get surgery on my foot to cut down a bump on a bone. The doctor said it’s only going to be a fifty minute procedure and I will be able to leave the hospital the same day. I take the medication clozaril for a sleep problem (even though it is normally prescribed for schizophrenia), and I was just wondering if it is dangerous to have MAC anesthesia in combination with this medication. Is it better to use a certain anesthetic than others when in combination with it? I was told by my doctor that I just shouldn’t take it the morning of the operation but I just wanted to get a second opinion because I have never had surgery before and am a bit nervous about it. I am 41 years old, female, weigh 135 pounds, am 5’7, and clozaril (200 mg a day) is the only medication I take. Thank you so much for your help, I really appreciate it!

Age:41
Female
Medications: clozaril

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I have severe acid reflux?

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I have severe acid reflux and after years of conventional treatment that has failed. I have been booked in for a nerve block. I wanted to know what is the difference between a cephalic and splanchnic nerve block? Is there a difference? which is safer? I read in a journal that cephalic nerve block can lead to diarrhoea and there have been few reported deaths. It seems to be one of the risks involved?

Is this the case? Does the same risk exist with the splanchnic nerve block?

Thanks

Age:39
Female
Medications: None