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    Michio

    I went one of the best Japanese restaurants (Sagami) in NJ for my birthday, strangely located in the hood (Camden). I was going to order alcohol, until I saw on the menu "BYOB". WTF? Apparently liquor licenses are a pain, so a lot of restaurants are BYOB. I regularly learn something new about this state that makes me wtf.

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Prescription refills greater cincinnati pancreatic & biliary center online bill payment newsletters home your digestive system and how it works gastroenterology diseases definitions anal fissure, fistula & abscess barrett's esophagus colon polyps, cancer and prevention constipation crohn's disease diarrhea diverticular disease esophagitis & stricture gall stones gas gerd helicobacter pylori hemorrhoids hepatitis hiatus hernia inflammatory bowel disease irritable bowel syndrome pancreas disease ulcerative colitis ulcerative proctitis anal fissure, abscess and fistula the intestinal tract (or bowel) ends with the rectum. The rectum terminates into a 1 1/2 inches long section, the anal canal ending in the anus - the opening to the outside of the body. There are several common problems, including hemorrhoids, that can occur in the area from the rectum to the anus. Some lesser known conditions are anal fissures, abscesses and fistula. Anal fissure an anal fissure is a small tear in the lining of the anus. It is frequently caused by constipation as hard, dry bowel movement results in a break in the tissue. Fissures can also occur with severe bouts of diarrhea or inflammation where the anus becomes dry and irritated, causing it to tear. Injury to the anal area during childbirth and abuse of laxatives may be the other contributing causes. A fissure can be quite painful during and immediately following bowel movements. This is because the anal canal is ringed with muscles to control the passage of stool and the anal opening is ringed with an anal sphincter to open it and to keep the anus tightly closed at other times. When those muscles expand, it stretches the fissure open. There may also be bleeding or itching due to an anal fissure. Diagnosis a simple visual examination of the anus and surrounding tissue usually reveals the fissure as a painful tenderness with swelling most often located in the middle posterior (back) section of the anus. Treatment more than half of all fissures heal either by themselves or with non-surgical treatment. Stool softeners can help reduce pain during bowel movements. Antibiotics may be used for a short time. Special medicated creams may also be used, especially if the fissure has become ulcerated or infected. Buy viagra tablets It is important to keep the anus and area between the buttocks clean and dry. After bathing, the patient should gently pat dry with a soft towel. Applying talcum powder is frequently recommended. Sitz baths (soaking the anal area in plain warm water for 15-20 minutes several times a day) may help relieve discomfort and promote healing. In conditions where the fissure does not respond to treatment due to muscle spasm or scarring interfering with the healing process, corrective surgery is performed. legally purchase viagra online It is a minor operation that is usually done on an outpatient basis. Generic viagra milano The surgeon removes the fissure, any underlying scar tissue and cuts a small portion of the anal muscle to prevent spasm. This helps the area to heal with complete healing taking place in a few weeks. However, the pain often disappears after a few days. This rarely interferes with the control of bowel movements. Over 90% of the patients undergoing surgery for fissures have no further problems. The return of fissures can be prevented by drinking at least eight glasses of water a day, and maintaining adequate fiber in the diet. legally purchase viagra online This prevents constipation, which is the cause of most fissures. Generic viagra online pharmacy Anal abscess and fistula when bacteria seep into the underlying tissues in the anal canal causing infection, a localized pocket of pus called abscess may develop. Certain conditions, such as crohn's disease (chronic inflammatory bowel disease), can increase the risk of abscess in and around the anal canal. legally purchase viagra online Patients with conditions that reduce the body's immunity, such as cancer or aids, are also more susceptible to develop anal abscesses. An abscess causes tenderness, swelling, and pain. These symptoms clear when the abscess is drained. The patient may also complain of fever, chills, and general weakness or fatigue. A fistula is a tiny channel or tract that develops in the presence of inflammation and infection. It may or may not be associated with an abscess, but like abscesses, certain illnesses such as crohn's disease can cause fistulas to develop. The channel usually runs from the rectum to an opening in the skin around the anus. legally purchase viagra online However, sometimes the fistula opening develops elsewhere. Herbal viagra online For example, in women with crohn's disease or obstetric injuries, the fistula could open into the vagina or bladder. Since fistulas are infected channels, there is usually some drainage. Often a draining fistula is not painful, but it can irritate the skin around it. An abscess and fistula often occur together. If the opening of the fistula seals over before the fistula is cured, an abscess may develop behind it. Diagnosis examination of the area near the anus will reveal any opening in the skin (a sign that a fistula has developed). Womens viagra online This is always accompanied with pain, and often redness and swelling. The physician will try to determine the depth and direction of the channel or tract of the fistula. In cases where signs of fistula and abscess may not be present on the skin's surface around the anus, the physician uses an instrument called an anoscope to see inside the anal canal and lower rectum. When an abscess or a fistula is found on examinatio. Buy Viagra Online, DaveT, davidm, maddog, Michael S. Pearl, Michio, Nullifidian, Peter, Scotty, The Heretic, TjRjn, Unaxcencida