wawan

[Ice Water💧 @Akinbills]

Nasal Polyps removal

[wawan @wawan4qvs]

Sayang banget..1 gak di pake...

[Dr Ihab Suliman @IhabFathiSulima]

🚨 “Doctor… even swallowing water feels like fire.”

A 42-year-old man presents with progressive painful swallowing and retrosternal burning. Over the past week, he has barely eaten. He has lost 8 kg over three months and reports recurrent oral thrush.

Upper GI endoscopy reveals the striking appearance shown above: extensive, confluent white plaques covering friable, inflamed esophageal mucosa, with narrowing of the lumen.

What is your diagnosis—and which underlying condition must you urgently investigate?

[Dr. AK 🇮🇳 @docakx]

A person with HIV/AIDS had difficulty in swallowing food.

Doctor did an endoscopy and found out that the esophagus is infected with fungus.

The endoscopy video shows a clear difference between a healthy esophagus and one affected in a person with HIV. The normal lining is smooth and pink with soft folds that allow food to pass easily. In the HIV case the walls are covered with thick white patches that look rough and stuck to the surface. These patches make the tube look swollen and narrower.

Esophageal candidiasis is a yeast infection that grows in the food pipe when the immune system is weak. People with advanced HIV often develop it because their body cannot control the yeast that normally lives harmlessly in the mouth and gut. The white patches cause pain behind the chest and make swallowing difficult or painful. Some people also feel a burning sensation or notice food getting stuck.

Doctors treat the infection with antifungal tablets such as fluconazole that kill the yeast. Most people improve within a few days once treatment starts. Keeping HIV under control with medicines is the best way to stop the infection from returning. Strong immune function prevents the yeast from overgrowing and protects the esophagus.

[Star @_Queen_Putri]

Suami : Allah memanggilmu disaat aku belum siap.
Makasih untuk 12 tahun kita bersama sayang.

Tetap kuat dan tabah ya pak 😰😰

[wawan @wawan4qvs]

@raaarawr69 Aprti di jln a yani ponti ya

[wawan @wawan4qvs]

Yah ngopi sendiri...pasutri pontianak sepi..seminggu disini tak nemu yg seide...

[wawan @wawan4qvs]

@0909Widia81431 Jika di pontianak silahkan datang mumpung saya di hotel di pontianak.

[wawan @wawan4qvs]

@Yayat319941 Lokasi dimana ya...saya di pontianak.

[wawan @wawan4qvs]

@temulawakjahe Tinggal dmna

[wawan @wawan4qvs]

@wulannvize Hmm

[wawan @wawan4qvs]

Ayo pasutri pontianak. Agendakan. Hari terakhir saya di ponti..sayang banget kamar seminggu 1 nya gak digunakan sma sekali

[wawan @wawan4qvs]

@BundaDevi88 Seumuran

[wawan @wawan4qvs]

@ChristysCuttery Memangnya tinggal dmna mas dan mbak

[wawan @wawan4qvs]

@belumsepah48035 Salam. Lokasi dimana mas dan mbak

[mm gg @svkammgg]

Mmgg
lagi nyantai
https://t.co/kg75nCpgvO

[Ccokk_ @Ccookkk_]

Jadi kronologinya: ada penumpang bus Sinar Jaya naik dari Tegal, katanya mau kerja di Alas Roban, tapi pas ditanya krunya si penumpang perempuan ini gatau mau turun dimana sedangkan dia juga sama sekali belum pernah ke Alas Roban, si kru juga menjelaskan kalo mau kerja datengnya pagi, bukan tengah malam yang gelap

Terus si krunya ini berinisiatif untuk mengembalikan penumpang ini ke Tegal naik Sinarjaya lagi tanpa biaya sama sekali dan si kru nya juga merasa kasian sama si penumpang ini😭😭😭

Gimana tanggapan kalian soal ini gaizz?? Emang di Alas Roban ada apaa??🤔🤔

[wawan @wawan4qvs]

@fantassthicc Seperti di louis kiene

[wawan @wawan4qvs]

Besok pagi kembali tempat kerja...mana ini agenda yg ada di ponti...masa seminggu di pontianak tidak ada 1 pun. Padahal ya tempat ada lho

[wawan @wawan4qvs]

@Restanty0ee Banyak hanya saja cari yg muda..