Actos Bladder Cancer Lawsuits
Actos Bladder Cancer Lawsuits : An intravenous pyelogram, or IVP, is a test used to define the anatomy of your urinary tract using intravenous dye and an x-ray machine. Doctors order this test to determine whether or not there are any blockages or tumors in the renal pelvis, ureter, or bladder. Often, patients are asked to have a light meal the night before an IVP and to skip breakfast the morning of the exam. You may be given instructions to perform a bowel prep using magnesium citrate, a laxative available in your local pharmacy or supermarket, This clears out your small intestine and colon as these may interfere with visualization of your urinary tract. If you have diabetes and are using Glucophage (metformin), you may need to stop these medications several days in advance. This should be coordinated by your urologist and primary care physician.
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There are several reasons why you should not have an IVP performed, and these will be explained by your doctor. If you have an allergy to IV dye, you could have a potentially severe allergic reaction. In some cases, steroids are given to prevent this from occurring. Either way, this is something that must be discussed with your doctor before the exam. If you have abnormal kidney function, another test will most likely be performed instead of an IVP. This is because the IV dye can worsen your kidney function. If you are pregnant, another test will be performed because of the potentially small risk that the radiation from the x-ray machine poses to the developing fetus. If you have asthma, multiple myeloma, sickle cell disease, pheochromocytoma, or a tumor of your adrenal gland, your physician may order another test because you may also be at greater risk of complications from the exam.
IVP pros include its ability to assess how well your kidneys are working and the images that it can obtain of your renal pelvis and ureter. Its cons include x-ray radiation exposure in addition to the risks of an allergic reaction to IV contrast and potential worsening of borderline kidney function. IVPs are still ordered to evaluate people with blood in their urine or a diagnosis of bladder cancer, but it is slowly being replaced by other, more accurate imaging modalities including CT scan and MRI.
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A CT, or CAT scan, is a computed tomographic scan that obtains accurate, detailed images of the body and its contents. It allows radiologists to look at detailed images of all your internal organs, including your heart, lungs, liver, brain, kidneys, and bladder, in addition to soft tissues like lymph nodes. CT scans are performed in radiolog)’ departments by radiologists with the assistance of nurses and technicians. The actual exam may only last 15 minutes, but you may be in the radiolog)’ area for an hour. As with the preparation for an IVP, you wall be asked to eat a light dinner the night before, and some doctors prefer bowel preparation with a laxative the day before. You should not eat anything in the 8 hours before your scheduled appointment. Those with diabetes using Glucophage must stop taking these medications several days before die scan if IV dye will be used and will not be able to resume use of these medications for 48-72 hours after the scan. This is because of a potential harmful reaction from the medications and IV dye. Some physicians prefer that this exam be done after drinking a chalky oral dye to better differentiate your intestine from parts of your urinary tract. The pros of CT include the detailed images that it provides in addition to the relatively short amount of time it takes to perform the exam. Its cons are the risk of radiation exposure to the developing child in a pregnant woman and risk of an allergic reaction to IV dye.
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