can you answer this medical case, why is the person have bloody stool and what are the causes of his symptoms?
45 y/o, married male with a chief complaint of bloody stools
PE: BP – 90/60; RR – 18/min; HR – 60 bpm; Temp = 37.8°C
Pertinent Physical Examination Findings:
Pupil – slightly jaundiced
Abdomen – globular abdomen, with spider angiomas
Ext: (+) varicosities, Grade I bipedal edema
Rectal Exam: (+) blood on tactating finger, no masses with bloody stools
Past Medical Hx:
•Diagnosed to have Pulmonary Tuberculosis 4 months ago currently on RHES with good compliance and follow ups check up
•Currently on the following medications
Omeprazole 40 mg/cap; cap OD since 4 months ago
Sangibion ( ferrous gloconate, manganese sulfate, copper sulfate, folic acid, sorbitol, vit c) 1 tab once daily x 2 months since 4 months ago
Epoietin alpha once weekly since 1yr ago
•High doses of multi-vitamins containing Niacin – intermittent
Social Hx:
•Alcoholic beverage drinker since 20 years of age
Rhum every morning
this is only a hypothetical case
This multivitamin healthy for me?
I am 17.5'7" 148lbs.i run almost everyday and also lift weights 4x a week.i eat pretty healthy but don't think i get vitamins i need.this good for me?
http://www.gnc.com/product/index.jsp?productId=2607052&cp=2108483&parentPage=family
Vitamin A (100% as beta-Carotene) 5000.00 IU 100%
Vitamin C (as Ascorbic Acid) 75.00 mg 125%
Vitamin D (as Cholecalciferol) 400.00 IU 100%
Vitamin E (as natural d-alpha Tocopheryl Succinate) 30.00 IU 100%
Vitamin K (Phytonadione) 80.00 mcg 100%
Vitamin B-1 (as Thiamin Mononitrate) 4.50 mg 300%
Riboflavin (Vitamin B-2) 5.10 mg 300%
Niacin (as Niacinamide) 20.00 mg 100%
Vitamin B-6 (as Pyridoxine Hydrochloride) 6.00 mg 300%
Folic Acid 400.00 mcg 100%
Vitamin B12 (as Cyanocobalamin) 18.00 mcg 300%
Biotin 300.00 mcg 100%
Pantothenic Acid (as Calcium d-Pantothenate) 10.00 mg 100%
Calcium (as Dicalcium Phosphate and Calcium Citrate) 200.00 mg 20%
Iron (as Carbonyl Iron) 18.00 mg 100%
Phosphorus (as Dicalcium Phosphate) 100.00 mg 10%
Iodine (as Potassium Iodide) 150.00 mcg 100%
Magnesium (as Magnesium Oxide) 50.00 mg 13%
Zinc (as Zinc Oxide) 15.00 mg 100%
Selenium (as Selenium Yeast) 70.00 mcg 100%
Copper Sulfate 2.00 mg 100%
Manganese (as Manganese Sulfate) 2.00 mg 100%
Chromium (as GTF Chromium Yeast) 120.00 mcg 100%
Molybdenum (as Molybdenum Yeast) 20.00 mcg 27%
Choline (as Choline Bitartrate) 50.00 mcg **
Inositol 50.00 mcg **
** Daily Value (DV) not established
What are some vitamins to help me better remember & concentrate?
(I'm a guy)
I know there is no magic pill to make me know everything while doing nothing or not putting forth the work to learn however I am looking for some good vitamins to help me. I am in college and there are times where i just zone out or later on completely forget even when i am honestly trying my best.
Right now I am taking GNC's Mega Men vitamins. They are good, but when i miss out on a SINGLE daily pill, I feel like i haven't slept for a week. I just get really tired. I am not sure if the ingrediants are good or not but is there anything stronger or more helpful I can take in this situation? Like I said I am looking for something to help aide me to better concentrate and stay focused so that I can retain the information I learn in school. Here is what is in the GNC's Mega Men vitamins:
Supplement Facts
Serving Size 2 Caplets
Servings Per Container 14
Amount Per Serving % DV
Vitamin A (50% as beta-Carotene 50% as Acetate) 5000.00 IU 100%
Vitamin C (as Ascorbic Acid & Calcium Ascorbate) 300.00 mg 500%
Vitamin D (as Cholecalciferol) 1600.00 IU 400%
Vitamin E (as Natural d-alpha Tocopheryl Acetate) 30.00 IU 100%
Vitamin K (Phytonadione) 80.00 mcg 100%
Thiamin (Vitamin B-1)(as Thiamin Mononitrate) 50.00 mg 3333%
Riboflavin (Vitamin B-2) 50.00 mg 2941%
Niacin 50.00 mg 250%
Vitamin B-6 (as Pyridoxine Hydrochloride) 50.00 mg 2500%
Folic Acid 400.00 mcg 100%
Vitamin B12 (as Cyanocobalamin) 50.00 mcg 833%
Biotin 300.00 mcg 100%
Pantothenic Acid (as Calcium d-Pantothenate) 50.00 mg 500%
Calcium (as Calcium Carbonate and Calcium Citrate Malate) 200.00 mg 20%
Iodine (as Potassium Iodide) 150.00 mcg 100%
Magnesium (as Magnesium Oxide) 100.00 mg 25%
Zinc (as Zinc Oxide) 25.00 mg 167%
Selenium (as L-Selenomethionine) 200.00 mcg 286%
Copper (as Copper Gluconate) 2.00 mg 100%
Manganese (as Manganese Sulfate) 2.00 mg 100%
Chromium (as Hydrolyzed Protein Chelate) 120.00 mcg 100%
Molybdenum (as Sodium Molybdate) 75.00 mcg 100%
Proprietary Amino Acid Blend 100.00 mg **
L-Carnitine **
L-Glutamine **
L-Methionine **
L-Taurine **
Superfoods Fruit and Vegetable Blend 105.00 mg **
Broccoli Powder **
Tomato Powder **
Elderberry Fruit Powder **
Acai Fruit Powder **
Orange Peel Powder **
Cranberry Fruit Powder **
Blueberry Pumace Powder **
Pomegranate Fruit Powder **
Spinach Leaves Powder **
Grape Skin Powder **
alpha-Lipoic Acid 25.00 mg **
Green Tea Leaves Extract (Camellia sinensis) 40.00 mg **
Choline (as Choline Bitartrate) 10.00 mg **
Inositol 10.00 mg **
Silica (as Silicon Dioxide) 4.00 mg **
Boron (as Hydrolyzed Protein Chelate) 2.00 mg **
Lutemax 2020™ Lutein 950.00 mcg **
Lycopene 950.00 mcg **
Astaxanthin 50.00 mcg **
Zeaxanthin 190.00 mcg **
Vanadium (as Sodium Metavanadate) 10.00 mcg **
** Daily Value (DV) not established
Other Ingredients: Cellulose, Titanium Dioxide (Natural Mineral Whitener), Vegetable Acetoglycerides, Caramel Color, Ethyl Vanillin No Artificial Color, No Wheat, No Gluten, No Dairy, Yeast Free Storage Instructions: Store in a cool dry place. Warning: KEEP OUT OF REACH OF CHILDREN
Contains: Fish and Soybeans
http://www.gnc.com/product/index.jsp?productId=4033433&CAWELAID=550412628
What are some vitamins to help me better remember & concentrate?
(I'm a guy)
I know there is no magic pill to make me know everything while doing nothing or not putting forth the work to learn however I am looking for some good vitamins to help me. I am in college and there are times where i just zone out or later on completely forget even when i am honestly trying my best.
Right now I am taking GNC's Mega Men vitamins. They are good, but when i miss out on a SINGLE daily pill, I feel like i haven't slept for a week. I just get really tired. I am not sure if the ingrediants are good or not but is there anything stronger or more helpful I can take in this situation? Like I said I am looking for something to help aide me to better concentrate and stay focused so that I can retain the information I learn in school. Here is what is in the GNC's Mega Men vitamins:
Supplement Facts
Serving Size 2 Caplets
Servings Per Container 14
Amount Per Serving % DV
Vitamin A (50% as beta-Carotene 50% as Acetate) 5000.00 IU 100%
Vitamin C (as Ascorbic Acid & Calcium Ascorbate) 300.00 mg 500%
Vitamin D (as Cholecalciferol) 1600.00 IU 400%
Vitamin E (as Natural d-alpha Tocopheryl Acetate) 30.00 IU 100%
Vitamin K (Phytonadione) 80.00 mcg 100%
Thiamin (Vitamin B-1)(as Thiamin Mononitrate) 50.00 mg 3333%
Riboflavin (Vitamin B-2) 50.00 mg 2941%
Niacin 50.00 mg 250%
Vitamin B-6 (as Pyridoxine Hydrochloride) 50.00 mg 2500%
Folic Acid 400.00 mcg 100%
Vitamin B12 (as Cyanocobalamin) 50.00 mcg 833%
Biotin 300.00 mcg 100%
Pantothenic Acid (as Calcium d-Pantothenate) 50.00 mg 500%
Calcium (as Calcium Carbonate and Calcium Citrate Malate) 200.00 mg 20%
Iodine (as Potassium Iodide) 150.00 mcg 100%
Magnesium (as Magnesium Oxide) 100.00 mg 25%
Zinc (as Zinc Oxide) 25.00 mg 167%
Selenium (as L-Selenomethionine) 200.00 mcg 286%
Copper (as Copper Gluconate) 2.00 mg 100%
Manganese (as Manganese Sulfate) 2.00 mg 100%
Chromium (as Hydrolyzed Protein Chelate) 120.00 mcg 100%
Molybdenum (as Sodium Molybdate) 75.00 mcg 100%
Proprietary Amino Acid Blend 100.00 mg **
L-Carnitine **
L-Glutamine **
L-Methionine **
L-Taurine **
Superfoods Fruit and Vegetable Blend 105.00 mg **
Broccoli Powder **
Tomato Powder **
Elderberry Fruit Powder **
Acai Fruit Powder **
Orange Peel Powder **
Cranberry Fruit Powder **
Blueberry Pumace Powder **
Pomegranate Fruit Powder **
Spinach Leaves Powder **
Grape Skin Powder **
alpha-Lipoic Acid 25.00 mg **
Green Tea Leaves Extract (Camellia sinensis) 40.00 mg **
Choline (as Choline Bitartrate) 10.00 mg **
Inositol 10.00 mg **
Silica (as Silicon Dioxide) 4.00 mg **
Boron (as Hydrolyzed Protein Chelate) 2.00 mg **
Lutemax 2020™ Lutein 950.00 mcg **
Lycopene 950.00 mcg **
Astaxanthin 50.00 mcg **
Zeaxanthin 190.00 mcg **
Vanadium (as Sodium Metavanadate) 10.00 mcg **
** Daily Value (DV) not established
Other Ingredients: Cellulose, Titanium Dioxide (Natural Mineral Whitener), Vegetable Acetoglycerides, Caramel Color, Ethyl Vanillin No Artificial Color, No Wheat, No Gluten, No Dairy, Yeast Free Storage Instructions: Store in a cool dry place. Warning: KEEP OUT OF REACH OF CHILDREN
Contains: Fish and Soybeans
http://www.gnc.com/product/index.jsp?productId=4033433&CAWELAID=550412628
do these vitamins help with acne and acne scars?
the pills are called. "Daily essentials for women" they have -daily multi vitamins, minerals, and antioxidant. lol but i'm a guy. and i'm 16.
they have all this.....Amount Per Serving % Daily Value
Vitamin A (Beta-Carotene) 7,500 IU 150%
Vitamin C (Ascorbic Acid & Calcium Ascorbate) 300 mg 500%
Vitamin D3 (Cholecalciferol) 300 IU 75%
Vitamin E (D-Alpha Tocopheryl Succinate) 100 IU 333%
Vitamin K 80 mcg 100%
Vitamin B1 (Thiamin Mononitrate) 50 mg 3333%
Vitamin B2 (Riboflavin) 50 mg 2941%
Niacinamide 50 mg 250%
Vitamin B6 (Pyridoxine Hydrochloride) 50 mg 2500%
Folic Acid 400 mcg 100%
Vitamin B12 (Cyanocobalamin) 50 mcg 833%
Biotin 300 mcg 100%
Pantothenic Acid (Calcium d-Pantothenate) 50 mg 500%
Calcium (Carbonate, Phosphate, Ascorbate) 200 mg 20%
Iodine (Potassium Iodide) 150 mcg 100%
Magnesium (Oxide) 100 mg 25%
Zinc (Oxide) 25 mg 167%
Selenium (L-Selenomethionine) 200 mcg 286%
Copper (Gluconate) 2 mg 100%
Manganese (Sulfate) 2 mg 100%
Chromium (Polynicotinate) 120 mcg 100%
Molybdenum (Sodium Molybdate) 75 mcg 100%
Herbal Energy Blend 425 mg †
Peppermint leaf, Rhodiola rosea root, Eleuthero Bioflavonoids 100 mg †
Amino Acid Complex 80 mg †
L-Methionine, L-Glutamine, Acetyl-L-Carnitine, Taurine Alpha Lipoic Acid 25 mg †
Green Tea Leaf Extract 10 mg †
Choline (Bitartrate) 10 mg †
Inositol 10 mg †
Silica (Silicon Dioxide) 4 mg †
Boron (Citrate) 2 mg †
Lutein 950 mcg †
Lycopene 950 mcg †
Astaxanthin 50 mcg †
Zeaxanthin 50 mcg †
Vanadium (Amino Acid Chelate) 10 mcg †
† %Daily Value not established
Other ingredients: Xanthan gum, sorbitol, stearic acid (vegetable source), magnesium stearate (vegetable source).
Which Protein Powder is more effective?
1.)
Syntha 6 Protein 2.91lb:
Syntha 6 Serving Size: 1 Rounded Scoop (44g)
Syntha 6 Servings Per Container: 30
Amount Per Serving:
Calories 200
Calories from fat 50
Total Fat 6g 9%
Saturated Fat 2g 10%
Cholesterol 60mg 20%
Carbohydrates 13g 4%
Dietary Fiber 5g 20%
Sugar 2g
Protein 23g 46%
+Calcium 100mg 10%
Phosphorus 100mg 10%
Sodium 160% 7%
Potassium 190mg 5%\
2.)
IntraPro Protein
Supplement Facts:
2.2 Lbs. Double Chocolate
Supplement Facts
Serving Size 1 Scoop(35g)
Servings Per Container Approx. 28.5
Amount Per Serving % Daily Value†
Calories 138
Calories From Fat 22
Total Fat 2.5g 4%*
Trans Fat 0g
Saturated Fat 1.3g 6%
Cholesterol 50mg 17%*
Total Carbohydrate 4.5g 1.5%*
Sugars 2g †
Dietary Fiber 2g 8%*
Protein 24g 48%*
Vitamin A (As Retinyl Palmitate) 1,250IU 25%
Vitamin C (As Ascorbic Acid) 15mg 25%
Vitamin D (As Cholecalciferol) 100IU 25%
Vitamin E (As Dl-Alpha-Tocopheryl Acetate) 8IU 25%
Thiamin (As Thiamin Mononitrate) 0.375mg 27%
Riboflavin 0.425mg 24%
Niacin (As Niacinamide) 5mg 25%
Vitamin B6 (As Pyridoxine HCl) .5mg 25%
Folate (As Folic Acid) 100mcg 25%
Vitamin B12 (As Cyanocobalamin) 1.5mcg 25%
Biotin 75mcg 25%
Pantothenic Acid 2.5mg 25%
Calcium (As Dicalcium Phosphate And Whey Protein) 250mg 25%
Iron (As Ferrous Fumarate) 4.5mg 25%
Phosphorus (As Dicalcium Phosphate, Magnesium) 300mg 30%
Phosphate And Whey Protein)
Iodine (As Potassium Iodide) 37.5mcg 25%
Magnesium (As Magnesium Phosphate And Whey Protein) 100mg 25%
Zinc (As Zinc Oxide) 3.75mg 25%
Selenium (As Sodium Selenite) 17.5mcg 25%
Copper (As Copper Oxide) .5mg 25%
Manganese (As Manganese Sulfate) .5mg 25%
Chromium (As Chromium Dinicotinate Glycinate) 30mcg 25%
Molybdenum (As Sodium Molybdate) 18.75mcg 25%
Sodium 18.75mg 4%
Potassium 18.75mg 6%
† Daily Value not established
* Percent Daily Values are based on a 2,000 calorie diet
whats the side effect of many multi-vitamins?
On a daily basis I take several multi-vitamins.
Morning pill:
Vitamin A -2500IU
Vitamin C -60mg
Vitamin D -400IU
Vitamin E -30IU
Vitamin K -80mcg
B1 -1.9 mg
B2 -2.1mg
Niacin -25mg
Vitamin B6 -2.5mg
Folic Acid -400mcg
Vitamin B12 -7.5mg
Pantothenic Acid -12.5mg
Calcium -200mg
Iron -18mg
Magnesium -50mg
Zinc -15mg
Selenium -70mcg
Copper -2mg
Manganese -2mg
Chromium -120mcg
Guarana Seed -180mg
Green Tea -10mg
Afternoon supplement drink:
Protein -9g
Vitamin C -60mg
Vitamun D -80IU
Vitamin E -6IU
Vitamin K -16mcg
Calcuim -300mg
Zinc -3mg
Copper -0.4mg
Manganese -0.4mg
Night pill:
Vitamin A -2500IU
Vitamin C -60mg
Vitamin D -800IU
Vitamin E -30IU
Vitamin K -25mcg
B1 -1.5 mg
B2 -1.7mg
Niacin -10mg
Vitamin B6 -2mg
Folic Acid -400mcg
Vitamin B12 -6mg
Biotin -30mcg
Pantothenic Acid -5mg
Calcium -450mg
Iron -18mg
Magnesium -50mg
Zinc -15mg
Selenium -20mcg
Copper -2mg
Manganese -2mg
Chromium - 20mcg
morning
Vitamin A: as beta-carotene
Calcium: elemental
Afternoon
Vit C as ascorbicacid
Vit D as cholecalciferol
Vit E as dl-alpha tocopheryl acetate
Vit K as phytonadione
Calcium as calcium carbonate
Zinc as zinc gluconate
Copper as copper gluconate
Manganese as manganese sulfate
Night
Vit A as beta carotene
Calcium: elemental