HOW TO SURVIVE YOUR DOCTOR: VITILIGO, VOMITING BLOOD
Vitiligo
Vitiligo involves the loss of skin pigment in patches around the body. It is thought to be caused by an abnormality of immunity because it occurs more often in people with Pernicious Anaemia and thyroid disease. The disease can be all the more embarrassing in black people who find themselves slowly but surely turning white. Cortisone creams reverse the disorder in 20 per cent of cases; however large doses over long periods are required to produce this disappointing result. The use of a class of drugs called Psoralens, in conjunction with exposure to ultraviolet light is the second line of defense. The third line of defense resorts to staining the white patches of skin brown if steroid creams and Psoralens have both failed to show the desired therapeutic effect.
Vomiting Blood
The vomiting of blood implies ulceration or tears of the stomach and oesophagus. When a person vomits in a normal fashion to find later that the vomitus is contaminated with blood a tear of the oesophagus is frequently found to occur. This tear is called a Mallory Weiss Tear. Bleeding ulcers of the stomach don't often lead to the vomiting of blood. They tend to produce black tarry bowel motions with an offensive odour. On the other hand, if victims of peptic ulcers do vomit blood it is usually congealed by gastric acid and the vomitus is said to contain "coffee grounds". The medical term for vomiting blood is Hematemesis. Blood passed with the bowel motions attracts the label of Maelena.
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GENERAL HEALTH
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