Your Baby, Jaundice, and Phototherapy

What is Jaundice?  
Jaundice is a common, temporary. and usually harmless condition in newborn infants. It affects both full-term and premature babies, usually appearing during the first week of the baby's life.

Jaundice occurs when there is a build-up of a naturally occurring substance in the blood calledbilirubin . Bilirubin is an orange/red pigment in the blood. Bilirubin is produced by the normal breakdown of red blood cells. It is normal for everyone to have low levels of bilirubin in their blood. As bilirubin begins to build up, it deposits on the fatty tissue under the skin causing the baby's skin and whites of the baby's eyes to appear yellow.

What are the Causes of Jaundice?
Jaundice can be caused by several different problems:
• Physiological jaundice: This is the most common cause of newborn jaundice and occurs in more than 50% of babies. Because the baby has an immature liver, bilirubin is processed slower. The jaundice first appears at 2 to 3 days of age. It usually disappears by 1 to 2 weeks of age, and the levels of bilirubin are harmless.

• Breast-feeding jaundice: Breast-feeding jaundice may occur when your baby does not drink enough breast milk. It occurs in 5% to 10% of newborns. The jaundice symptoms are similar to those of physiological jaundice, just more pronounced. The jaundice indicates a need for help with breast-feeding.

• Breast-milk jaundice: Breast-milk jaundice occurs in 1% to 2% of breast-fed babies. It is caused by a special substance that some mothers produce in their milk. This substance causes your baby's intestine to absorb more bilirubin back into his body than normal. This type of jaundice starts at 4 to 7 days of age. It may last 3 to 10 weeks. It is not harmful.

• Blood group incompatibility (Rh or ABO problems): If a baby and mother have different blood types, sometimes the mother produces antibodies that destroy the newborn's red blood cells. This causes a sudden buildup of bilirubin in the baby's blood. This serious type of jaundice usually begins during the first 24 hours of life. Rh problems formerly caused the most severe form of jaundice. However, they are now preventable if the mother is given an injection of RhoGAM within 72 hours after delivery. This prevents her from forming antibodies that might endanger other babies she has in the future

What is the Treatment?
High levels of bilirubin can occur in the blood called hyperbilirubinemia. These high levels can be dangerous to a baby. It is important to obtain periodic blood samples to check the bilirubin levels and, if necessary, to treat jaundice to ensure the healthy development of your child. Feeding your baby every 2- 3 hours is recommended to reduce the jaundice levels. If you are breastfeeding, supplementation (ex. with formula via cup feeding, supplemental feeder, or bottle) may be recommended by your pediatrician if the bilirubin will not come down with frequent feedings.Phototherapy with or without a biliblanket is the most common form of treatment for jaundice. This treatment is used for a few days until the liver is mature enough to handle the bilirubin on its own.

What is Phototherapy?
Some “normal” jaundice will disappear within a week or two without treatment. Other babies will require treatment because of the severity of the jaundice, the cause of the jaundice, or how old the baby is when jaundice appears.

Phototherapy (light treatment) is the process of using light to eliminate bilirubin in the blood. Your baby's skin and blood absorb these light waves. These light waves are absorbed by your baby's skin and blood and change bilirubin into products, which can pass through their system.

For over 30 years, phototherapy treatment in the hospital has been provided by a row of lights or a spotlight suspended at a distance form a baby. This would provide light shining directly on an undressed baby (with diaper on) whose eyes would need protection from the light with soft eye patches applied.

Today, advancements in technology have led to a new
phototherapy system which gives effective treatment without the inconveniences of conventional phototherapy treatment.

Are there Side Effects of Using Phototherapy?
Babies under any type of phototherapy treatment will have frequent and loose bowel movements that are sometimes greenish in color. This is normal since this is the way the body removes the bilirubin. This will be temporary and should stop when treatment is completed.

* Contact your doctor if it persists after treatment is completed.

What is the BiliBlanket?
Your doctor may prescribe the biliblanket as an alternative and/or additional treatment for you child's jaundice. This system uses fiber optics and represents advanced technology in phototherapy treatment given in the hospital or at home.

The biliblanket provides the highest level of therapeutic light available to treat your baby. This form of light is also found in sunlight. The strength of light form the biliblanket is about the same, as you would get in the shade on a sunny day, yet is safer because the biliblanket filters out potentially harmful ultraviolet and infrared energy.

A pad of woven fibers is used to transport light from a light source to your baby. This covered fiberoptic pad is placed directly against your baby to bathe the skin in light. Absorption of this light leads to the elimination of bilirubin.

The biliblanket can be used 24 hours a day to provide continuous treatment if prescribed by your doctor. Blood may be drawn and tested during treatment to check bilirubin levels and determine when normal levels are reached and phototherapy is no longer needed.
With this convenient form of phototherapy your child can be diapered, clothed, held, and nursed during treatment.

Can my baby sleep on a biliblanket?
Yes. Your hospital will outline the schedule for your child's treatment. However, the biliblanket can be used 24 hours a day for as long as necessary.

Why is my baby's skin ‘bleached or reddened' where the biliblanket pad has been in contact with the skin?
The skin in direct contact with the pad is the first area where bilirubin is broken down. This breakdown process is not harmful; in fact, it contributes to the treatment of your baby and causes this portion of skin to turn to its normal color. As the treatment process continues, bilirubin is removed from the blood and the rest of the skin. As the bilirubin is lowered to acceptable levels, all of you baby's skin will return to its normal color.

Will my baby be rotated on the pad to treat all of his/her skin?
No, only a small portion of the bilirubin is in the fatty tissue of the skin. The majority of the bilirubin is in the blood. The circulation of the blood will bring the bilirubin to the lighted area where it will be broken down.

It is important that the plain lighted area of the covered pad-the area without writing- is against the baby's skin at all times during treatment. Clothing can then be applied over the system.

How long will the biliblanket be used on my baby?
The length of time phototherapy treatment is needed varies from one baby to the next as each baby's condition is different. Your health care provider will prescribe the amount of time your baby will be on the biliblanket each day.

Most babies have phototherapy treatment for several days. Your baby's bilirubin level will be tested during treatment, usually by a small sample of blood taken from the baby's heel. These tests will determine when normal levels of bilirubin are reached and phototherapy is no longer needed.

# bililights # bilirubinlights #phototherapylight #phototherapylights #phototherapyforjaundice #bilirubinnewborn #bilirubinlevelsnewborn #highbilirubininnewborn #bilirubinblanket #phototherapyblanket #jaundicetreatment #treatmentforjaundice #treatmentofjaundice #jaundicelighttreatment #newbornwithjaundice #highbilirubinininfants #neonatalphototherapyequipment #hyperbilirubinemiaininfants #highbilirubintreatment #newbornphototherapy #jaundicebilirubin #bluelightforbaby #bluelightbaby #babybluelight #phototherapy #bilirubinphototherapy #wallaby #wallabylight #phototherapylightforrental #bililightforrental

What is Biofreeze?

Q: What are the indications and directions for use of Biofreeze Pain Reliever?
A: Biofreeze Pain Reliever provides temporary relief from minor aches and pains of sore muscles and joints associated with simple backache, arthritis, strains, bruises, and sprains. Apply Biofreeze Pain Reliever to the affected area not more than 4 times daily; massage not necessary.

Q: Where can I buy Biofreeze?
A: Biofreeze products are formulated for authorized distribution through hands-on healthcare practitioners for the patients, clients, and athletes under their care. We at Primo Medical Supplies in San Antonio carry the Biofreeze products such as the Roll On, Spray ad Gel in stock all the time.

Q: Do I need a prescription to get Biofreeze?
A: No, you do not need a prescription, nor do you need to be a patient of a healthcare professional in your area to purchase Biofreeze from them. Biofreeze is only available through authorized dealers. Biofreeze is not available through retail outlets or pharmacy locations.

Q: How does Biofreeze work?
A: Biofreeze products are classified as topical analgesics, which work through a ‘counter irritant’ mechanism. This means that the menthol in Biofreeze creates a sensation that overrides pain signals to the brain. This process is known as ‘Gate Control Theory’, where nerve impulses from one stimulus block the nerves containing pain signals to the brain. Recent research also suggests that menthol may stimulate cold receptors in the skin that may help regulate pain as well.

Q: Is Biofreeze commonly used?
A: Yes, Biofreeze is the #1 used and recommended topical pain reliever by chiropractors, massage therapists, physical therapists, and podiatrists.

Q: How often can I use Biofreeze?
A: Biofreeze can be used up to four times a day.

Q: What is cryotherapy?
A: Also known as ‘cold therapy’, cryotherapy is the application of cold to temporarily relieve pain. The related term cryokinetics refers to the pairing of pain-relieving cryotherapy with exercise. This cooling and re-warming of tissue stimulates the return of blood flow to the affected areas.
The most common form of cryotherapy is ice. Biofreeze produces the same sensation of cold that accompanies icing. But unlike ice, Biofreeze products allow you to remain active during treatment.

Q: Are there scientific studies done on Biofreeze?
A: Yes, Biofreeze conducts all FDA required studies such as: skin sensitization, drug stability, and process validation testing. We also conduct an additional battery of tests in our laboratory. Lastly, we conduct studies with clinicians to further understand our products. These studies can be found at www.thera-bandacademy.com

Q: Can I take Biofreeze on an airplane?
A: Yes, you can take the 3 fl oz roll-on and 3 mL sample packet on an airplane.

Q: What sizes of Biofreeze are available to purchase by a patient?
A: Biofreeze is available in a 4 fl oz gel tube, 4 fl oz gel tube with hands-free applicator, 4 fl oz 360° spray, 3 fl oz roll-on, or 5 mL trial packets.

o The 4 fl oz Biofreeze gel tube is particularly well-suited for hands-on massage applications of larger muscle areas.
o The 4 fl oz Biofreeze gel tube with hands-free applicator allows the user to apply the gel either hands-free or hands-on. The delicate sponge applicator is perfect for even application of Biofreeze on sore joint, especially smaller joints like the knuckles.
o The 3 fl oz Biofreeze roll-on is a hands-free application with the added benefit of the roller ball that can be used to massage painful muscles and stimulate trigger points in the affected area.
o The 4 fl oz Biofreeze 360° Spray is hands-free application designed for hard to reach areas and is particularly beneficial for conditions involving minor neck and back pain.
o The 5 mL packets are available in boxes of 100 and are most commonly used for traveling purposes, when it is inconvenient to carry one of the larger sizes.

Q: Can I buy the larger bottle sizes of the Biofreeze?
A: The larger sizes of Biofreeze are designed for in clinic use. Please consult a healthcare practitioner regarding the purchase of professional sizes.

Q: Do you have any studies about long-term use of Biofreeze?
A: Biofreeze is an over the counter topical analgesic pain relieving gel used to provide temporary relief from minor aches and pains of sore muscles and joints associated with simple backache, arthritis, bruises, strains and sprains. It is labeled according to the Food and Drug Administration (FDA) regulations regarding topical analgesics. All ingredients, directions for use, and product warnings are listed on the label.
Please remember that Biofreeze is a topical pain reliever, not a cure to an underlying condition. It provides temporary pain relief. If you have any questions regarding the product or its use, please consult your healthcare Professional. If condition worsens or symptoms persist for more than 7 days consult a doctor.

Q: How long does Biofreeze last, when is the expiration date?
A: The product’s shelf life is 2 years. The expiration date can be located on the package of Biofreeze Pain Relieving Product.

Q: What is the active ingredient in Biofreeze?
A: The active ingredient in Biofreeze is menthol.

Q: When was Biofreeze invented?
A: Biofreeze was first introduced in 1991 by a healthcare practitioner that was searching for a way to help his grandmother manage her arthritis pain. Today, Biofreeze products provide relief to countless arthritis sufferers. But the pain reliever’s unique, cooling formulation is also comforting to sore muscles and muscle sprains; easing back shoulder and neck pain; reducing painful ankle, knee, hip, and elbow joints and helping to lessen the effects of muscular strain.

Q: Does Biofreeze contain gluten, starch, aspirin or nut derivatives?
A: No

Q: Will Biofreeze cause any adverse effects if I am taking other medications?
A: Biofreeze is only a topical pain reliever and has a low potential for absorption. We do suggest that you always check with your healthcare professional before using Biofreeze.

Q: If I am Pregnant or nursing – Can I use Biofreeze?
A: Consult a healthcare professional before use.

Q: Can I use a heating pad while also using Biofreeze?
A: No, you should never use a heating pad while using Biofreeze. Biofreeze works by causing a cooling effect, not heat. By using a heating pad in conjunction with Biofreeze, you may cause serious injury to yourself. You may not be able to tell how hot the heating pad is on the problem area, even possibly causing yourself to experience severe blistering.

Q: Can I wrap the area where I have used the Biofreeze?
A: No. You should not wrap or bandage the area where Biofreeze is being applied.

Q: Biofreeze in the EYE – how should I treat this?
A: Rinse eyes with lukewarm water or take a warm shower with the shower water hitting your forehead and running down through your eyes. Do this for 15 minutes. If problem persists, see a physician and be sure to take the Biofreeze with you.

Q: Can I use Biofreeze to cool sunburn pain, in a tanning bed or sauna?
A: Biofreeze is not intended for use in these types of situations.

Q: Can I use Biofreeze on insect bites or for poison ivy?
A: Biofreeze is not intended for use in these types of situations.

Q: Will Biofreeze work on headaches?
A: Biofreeze is not intended for this use.

Q: My child or pet ate Biofreeze, what do I do?
A: If accidentally ingested, get medical help or contact a Poison Control Center immediately.
Pet – Contact your veterinarian immediately.

Q: Can I use Biofreeze on an open wound or stitches?
A: No, do not apply to wounds or damaged skin.

Q: After applying Biofreeze, I have developed a rash/irritation on my skin. What should I do?
A: Take a tepid (warm) bath with one cup of Arm and Hammer baking soda, or other brand of baking soda. Relax for at least 20 minutes. If rash persists, contact your physician.

Q: Is Biofreeze registered with the FDA?
A: Yes, The FDA registers the facilities that manufacture Biofreeze. Please refer to the National Drug Code number that is on every Biofreeze product. This number represents to the FDA, our product/brand and the actual size of the container.

Q: Is there Aspirin in Biofreeze?
A: No

Q: Is there Capsaicin in Biofreeze?
A: No

Q: Can I use Biofreeze if I have Diabetes?
A: Yes, Biofreeze is a topical pain reliever has a low potential for absorption. Diabetes is a disease in which the body cannot use sugar normally. When diagnosed with this particular ailment, you must be extremely cautious when using any OTC medications. There are certain ingredients in OTC medications that do go in to the bloodstream that can cause a severe reaction to the Diabetic patient. Biofreeze does not contain any of these ingredients and can often be used by the diabetic patient. However, please consult with your healthcare professional before use of the product.

Q: Is Biofreeze vegetarian friendly?
A: Yes Biofreeze is vegetarian friendly, no animal products are used in the ingredients. Biofreeze is also not animal tested.

Q: What parts of the body can the Biofreeze be applied to?

#biofreezespray   #biofreezeingredients   #biofreezesideeffects   #biofreezereviews   #biofreezesamples   #biofreez   #biofreezefreesamples   #biofreezecream   #whatisbiofreeze   #whosellsbiofreeze   #biofreezeointment   #biofreezereview   #biofreezesale   #biofreezeproducts   #doesbiofreezework   #performbybiofreeze   #ingredientsinbiofreeze   #biofreezewithilex   #biofreezeperform   #biofreezeforsale   #biofreezerollon   #wheretogetbiofreeze   #whatisbiofreezeusedfor   #wherecanigetbiofreeze   #wheretopurchasebiofreeze   #freebiofreezesamples   #wherecanipurchasebiofreeze   #purchasebiofreeze   #howmuchisbiofreeze   #biofreezeandpregnancy   #biofreezecoldtherapy #biofreezewheretobuy   #wheretobuybiofreeze   #wherecanibuybiofreeze   #buybiofreeze   #biofreezegel   #whatisbiofreezegel   #backpainrelief   #lowerbackpainrelief   #upperbackpainrelief   #backpainreliefproducts   #reliefforlowerbackpain   #reliefforbackpain   #painrelievers   #painreliever   #painrelievingcream   #bestpainreliever   #kneepaintreatment   #lowerbackpaintreatment   #backpaintreatment   #neckpaintreatment   #hippaintreatment   #lowbackpaintreatment   #paintreatment   #painreliefcream   #bestpainreliefcream #soremusclerelief   #musclepainrelief   #biofreezerollon   #rollonbiofreeze   #biofreezepainrelievingrollon   #jointpainremedies   #kneepainremedies   #biofreezecoldtherapypainrelief   #biofreezepainrelief   #coldtherapy   #cryotherapy #icyhot #painmanagement #paintherapy #painmedicine 

What are raised toilet seats?

Raised toilet seats are seat attachments designed for disabled individuals who have difficulty lowering themselves into a seated position, or rising into a standing position. By increasing the height that a user must descend to, or ascend from, these products make it easier for those with physical impairments to toilet themselves safely and without incident. Bear in mind that these toilet seats are constructed to support those with limited mobility, and won’t afford any assistance to those with incontinence-related issues.

An elevated or raised toilet seat can easily be installed on top of your toilet bowl. The advantage of a raised toilet seat is that it provides the additional height from 3 inches to 5 inches, decreasing the distance you have to sit down or stand up. The design is constructed of heavy duty, white polyethylene and provides excellent support. No installation is necessary as it sits on top of your existing toilet bowl.

We carry a wide variety of raised toilet seats / toilet seat risers / toilet risers / medical toilet seats listed below:



Also, a 3 in 1 commode can be used as a raised toilet seat, standard bedside toilet, an elevated toilet seat, or safety rails over the toilet.


#toiletseatriser #toiletseatrisers #elongatedtoiletseatriser #toiletriser #2inchtoiletseatriser #toiletrisers #raisedtoiletseats #medlineraisedtoiletseat #raisedtoiletseatsforelderly #raisedseatfortoilet #handicaptoiletseat #handicaptoiletseats #handicappedtoiletseat #elongatedtoiletseat #elongatedtoiletseats  #elevatedtoiletseat #elevatedtoiletseats #elevatedtoiletseatwithhandles #elevatedtoiletseatelongated #elevatedcommodeseat #paddedtoiletseat #softpaddedtoiletseat #cushionedtoiletseats #toiletseatcushion #elongatedcushionedtoiletseat #raisedtoiletseatwithhandles  #toiletseatswithhandles #hightoiletseat #hightoilet #bedsidecommode #commodechair #3in1commode #commodetoilet #commodes #carexraisedtoiletseat #handicaptoilet #handicaptoilethandles #portablehandicaptoilet #medicaltoiletseat #medicaltoilets #toiletseatbooster #toiletboosterseat #bariatrictoilet #toiletseatforelderly #toiletseatextender #disabilitytoiletseats  #widetoiletseat #seatriser  #raisedtoiletseat #medicalequipment #medicalequipmentsales #wholesalemedicalsupplies #medicalsupplysanantonio #medicalsupplystoresanantonio #durablemedicalequipmentsanantoniotx #medicalsuppliesandequipmentsanantonio #sanantoniomedicalsupplies #medicalrehabsupply #toiletseatcushion #medicalsuppliesforelderly #wheretobuymedicalsupplies #dmemedicalsupplies #dmestore

What is a Diabetic Walker?

Uniquely designed for effective treatment of plantar foot ulcers, the Rebound Diabetic Walker enables easy access and re-fitting during wound care, while improving the patient's mobility during the healing process.

• Effective tri-laminate insole with removable shock-absorbing hexagons that promote ulcer offloading and a Plastazote top layer that evenly distributes the pressure
• Patent pending pressure relief valve for preventing over-inflation, while balancing compression with customized fit
• Positioning Portals allow the clinician to check the fit of the walker at the heel bottom, in order to ensure appropriate positioning of the foot in the walker
• Anatomically designed shell that minimizes shear forces by immobilizing the foot and ankle at 90 degrees while providing protection
• Flex Edge® technology for relief of pressure points
• Rocker Bottom outsole for a smooth roll over while allowing for individual natural toe out
• Soft and breathable machine washable liner for hygiene promotion and prevention of infection
• Tamper evident strapping for compliance monitoring

     

#diabeticwoundcare #diabeticwalker #diabeticwound#diabeticwoundtreatment #diabeticfootcare #pneumaticwalkingboot#aircastboot #camwalker #walkingcastboot  #camwalkerboot #walkingboot#diabeticshoe #footcast #diabeticwalkingboot #diabeticwalkerinsanantonio#diabetic #diabeticproducts #walkerbrace#aircast#diabeticshoeinsanantonio #camwalkers #camboot#walkingbootsinsanantonio #medicalsupplies#aircastplantarfasciitisairheel #bestdiabeticwalker #bestdiabeticwalkingboot

What Is Hy-Tape?

Hy-Tape is latex-free

Patients and health care providers with latex allergies can feel confident that Hy-Tape will provide maximum performance with no adhesive related reactions.

Hy-Tape is skin-friendly

Hy-Tape's zinc oxide-based adhesive is soothing to delicate skin, and removes with minimum trauma, thereby reducing the chance of skin tears and tape burns. Hy-Tape eliminates the need for skin prep, and its thermal adhesion properties provide maximum adhesion at body temperature without becoming more aggressive as acrylic-based adhesive tapes do. Hy-Tape is perfect for extended-wear adhering securely to wet, oily or hairy skin. It removes easily without discomfort or irritation, leaving little or no residue. With Hy-Tape, skin stays healthy and intact.

Hy-Tape conforms easily

Thin, flexible and elastic, Hy-Tape conforms to body contours, easily accommodating underlying tissue expansion or shrinkage.

Hy-Tape is waterproof and washable

Hy-Tape provides complete security even when exposed to moisture from external sources or the skin itself. Able to adhere to both wet and oily skin without slipping or detaching, Hy-Tape wipes clean with soap and water for increased wear-time.

Hy-Tape is occlusive

Hy-Tape is able to resist soiling from secretions because of its superior occlusive properties.

Hy-Tape has thermal properties

Hy-Tape has the unique quality of providing maximum adhesion when it reaches body temperature, without getting more aggressive or breaking down over time as acrylic-based adhesive tapes do.

Hy-Tape is cost-effective

Hy-Tape saves time by eliminating the need for skin prep and dramatically reducing the need for dressing changes. Less dressing changes also mean less tape use over time. Reduced skin tearing and extended wear times promote better healing with less susceptibility to infection.


               

          

#hytape #medicaltape #ostomytape #pinktape #latextape #pinkmedicaltape #colostomytape #ileostomytape #tapeforostomy #ostomysupplies #ostomybelt #zinc #zincoxidetape #latexfreetape #zincoxidebasedtape #waterprooftape #easyremoveltape #secureadhesiontape #skinwoundcaretape #skinfriendlytape #washabletape #bestostomytape #hytapeinsanantonio #medicalsupplies #hytapeatprimomedical

Nelmed G-Tube Holder

What is a G-tube?

"G" stands for "gastrostomy" which means an opening into the stomach. A G-tube is a short and hollow tube inserted into the stomach from the surface of the abdomen (tummy) through an opening called the gastrostomy site. The G-tube is used as an access to deliver nutrition supplement for a person who needs it.

How Is G-Tube Feeding Done?

G-tube feeding is usually done during the night. Formula or nutritional supplements such as Ensure©, Resource© or Vital HN© are infused over 6 to 8 hours. Occasionally, G-tube feeding may be carried out during the day when someone is sick or has too poor of an appetite to eat regular food.

Does G-Tube Feeding Replace Eating Meals?
No! G-tube feeding is just one way to help someone with CF to meet his/her total caloric requirement. In fact, it is designed to help meet only 1/3 of a person's total daily calorie requirements. Therefore, a person who receives G-tube feeding should continue to eat three meal and two snacks during the day!

What Are Some Of The Benefits Of G-Tube Feeding?
First and foremost, knowing that you can meet one third of your total daily calories by doing your night feeding, it can really relieve a lot of pressure from having to "eat, eat, eat" during the day. Some people report that they enjoy their food a whole lot more just because they don't feel the burden of having to finish the entire plate of food at meal time. Secondly, good nutrition helps to build better resistance to infection which keeps your lungs healthy. Good nutrition helps to build and strengthen muscles used for breathing; often people who started tube feeding are able to regain some lung function.

What is a G-Tube Holder?
Designed by the wife of a gastrostomy patient who disliked the way G-Tubes were constantly being taped to her husband’s skin. Eliminating the need for clumsy pins and tape, the Nelmed G-Tube Holder is by far the most comfortable way to secure most enteral feeding tubes (PEGS, surgically placed G-tubes, Jejunostomy tubes and others). Increases patient’s ability for self-care and helps minimize the risk of “accidental pull-out” in combative patients or small children.

This is designed to facilitate most enteral feeding systems.

#gtubebelt #feedingtubebelt #gtubeholder #gtube #stomachfeedingbelt #feedingtubeinstomach #pegtubeholder #tubebelt #ngtubeholder #nasogastrictubeholder 

RESISTING OSTOMY LEAKAGE: SOME PRODUCTS YOU MAY NOT BE AWARE OF

Ostomy leakage is a problem which all ostomates will no doubt encounter at some point during their time with a stoma. For most people it’s a common occurrence in their early weeks of managing an ostomy when you are still finding your ostomy-feet and working out which products are best for you, and which routine gives the best results. It can cause a heck of a mess, not only to our clothes, but to our self-confidence too.

For most people, however, as time goes by it becomes far less a problem as we slowly learn the complexities of fitting an ostomy appliance in such a way to achieve its peak efficiency for our own bodies and stoma. However, for some ostomates it can be a huge problem lasting years. In these worst cases, and if left unresolved, the fear of leakage can leave people frightened to leave the house in case the pouch should leak causing a big mess to have to clean up in an unfamiliar environment which maybe doesn’t have the best or most appropriate facilities for an ostomates needs, as well as the huge embarrassment for them if anyone were to realize what was happening. 

 

Importance of Finding the Cause of your Leakage: 

The term leakage is a simplistic yet all-encompassing word when it comes to the definition an ostomy flange or pouch’s adhesion failing sufficiently for the contents to escape. But the truth is that there are many different reasons as to why this could happen. In this editorial we would be going over the five of the most common reasons for ostomy leakage, and then suggest a product which could be used to try and combat the problem.

When it comes to finding the cause of your leakage, it helps if you put on your deerstalker hat and get into a detective’s frame of mind.

Seriously though, if you are at a loss as to the reason for your leakage, check the back of the flange after it’s leaked and you’ve removed it. This holds the biggest clue of all, you will be able to see what path the stool took on its break to freedom. Compare this to your skin and see what problems are present. This is most likely the cause of your leakage. If it is not obvious from this what the problem may be, then it’s possibly one of the following five reasons which covers the vast majority of reasons for leakage discussed.

Condition of the skin. Is it raw, or does it have a rash all over it, or on part of it? If so, you may be allergic to the flange, and it may be interfering with the adhesive properties of the flange. Also, check to see if the area around where the flange leaks is any worse than elsewhere.
With leakage, the stool will always follow the path of least resistance. Do you have a belly crease which in turn is creasing the flange and creating a nice little tunnel for your stool to escape?
Look at your flange. Was the gap around the stoma too large? Or was it too tight? Or just right? Do you have protruding stitches around your stoma which the flange has trouble molding around?
Do you have a belly cavity near the stoma? Flanges may struggle to adhere to these dips in your belly and lead to leakage.
Check your stoma. Is it flat/flush to the skin? Is it inverted / pulled in?
Once you’ve discovered the source of your leakage then you are in a better position to be successful in stopping your leakage in its track, and there are a number of products available on the market which are designed to help reduce opportunities for leakage to occur.

Potential Solutions :

One thing to bear in mind with all ostomy products is that our bodies are very individual, and because of that, a product which works great for one person may not work anywhere near as successfully for another, and vice versa. Although we will be presenting specific company products in this section it is the type of product we are suggesting in most cases. Where possible we’ve also listed some other examples from the same product category too. So, if you have no luck with a Eakin Seals for example, don’t give up on seals totally; instead try the Coloplast Stoma Ring, as one of those may work better for you than the others.

Also, leakage can sometimes be caused as a result of a combination of problems. So there is no reason why you cannot use multiple products to help combat it.

In the following section we will list the problem which may possibly cause leakage for an ostomate, along with the type of product which may help you combat it. We hope is that in this section you will discover some new products which you maybe haven’t discovered before, and if it helps eliminate even just a few ostomates leakage then writing this editorial has been a worthwhile project.


About Cohesive Seals

Do you suffer from embarrassing pouch leaks? Does the skin around your stoma sometimes become slightly red and sore?

* If the answer is yes to either of these questions, you are not alone. According to research, the majority (85%) of people with a stoma have experienced appliance leakage, whilst 45% suffer from skin problems near their stoma. However, many of these people just accept their problems and do not seek medical help.
* Sore skin near your stoma is caused by output from your stoma coming in contact with your skin. Many people with stoma think that red skin and slight discomfort close to the stoma is normal and acceptable but this can be solved through use of Eakin Cohesive®.
* A stoma appliance can leak for a number of reasons such as extremely liquid stool or an uneven skin surface around the stoma which can cause output to leak under the bag. Again, this problem can be solved through using Eakin Cohesive® to make the bag completely secure.
* Launched in 1980, Eakin Cohesive® has been successfully preventing leakage and protecting the skin for millions of users around the world. For total security and peace of mind, try a sample of Eakin Cohesive® today. Take away the worry of leakage and lead your life with confidence!

How To Use It

Eakin Cohesive Slims® and Seals are quick and easy to apply. Simply follow the instructions in our video listed below or use the guidelines below.

https://www.youtube.com/watch?v=wG2YxToMHew

1. Clean and dry the surrounding skin
2. Warm the Seal between your hands before removing the white paper (This is not necessary for Cohesive Slims®)
3. Remove the paper and mold the Cohesive® Seal by gently teasing and stretching it into the shape to suit your body's individual needs
4. Position on the body and carefully mold the Cohesive® Seal to ensure a snug fit around the stoma. No skin directly around the stoma should be exposed
5. Flatten the outer edge of the Seal. Warmth from your hands will help to ensure a good seal is achieved
6. Fit the pouch as normal and hold in position for 30 seconds.

               

#ostomysupplies #ostomybags #ostomybag #ostomtysuppliesinsanantonio #ileostomy #ileostomycare #ileostomysupplies #ileostomyleakage #hollisterostomysupplies  #hollisterostomy #stoma #stomacare #stomaleakageproblems #stomaproblems #colostomybag #colostomycare #colostomysupplies #ostomycare #ostomyskincare #colostomy #colostomyodor #ostomy #ostomysecrets #convatecostomy #ostomyadhesive #eakinrings #eakinring #cohesiveringtopreventleakage #cohesivering #barrierring

What is Sleep Apnea ?

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. You may have sleep apnea if you snore loudly, and you feel tired even after a full night's sleep.

The main types of sleep apnea are:

• Obstructive sleep apnea, the more common form that occurs when throat muscles relax.
• Central sleep apnea, which occurs when your brain doesn't send proper signals to the muscles that control breathing.
• Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, occurs when someone has both obstructive sleep apnea and central sleep apnea.

If you think you might have any form of sleep apnea, see your doctor. Treatment can ease your symptoms and may help prevent heart problems and other complications.

Symptoms

The signs and symptoms of obstructive and central sleep apneas overlap, sometimes making the type of sleep apnea more difficult to determine. The most common signs and symptoms of obstructive and central sleep apneas include:

• Loud snoring, which is usually more prominent in obstructive sleep apnea
• Episodes of breathing cessation during sleep witnessed by another person
• Abrupt awakenings accompanied by shortness of breath, which more likely indicates central sleep apnea
• Awakening with a dry mouth or sore throat
• Morning headache
• Difficulty staying asleep (insomnia)
• Excessive daytime sleepiness (hypersomnia)
• Attention problems
• Irritability

When to see a doctor

Consult a medical professional if you experience, or if your partner notices, the following:

• Snoring loud enough to disturb the sleep of others or yourself
• Shortness of breath, gasping for air or choking that awakens you from sleep
• Intermittent pauses in your breathing during sleep
• Excessive daytime drowsiness, which may cause you to fall asleep while you're working, watching television or even driving

Many people don't think of snoring as a sign of something potentially serious, and not everyone who has sleep apnea snores. But be sure to talk to your doctor if you experience loud snoring, especially snoring that's punctuated by periods of silence.

Ask your doctor about any sleep problem that leaves you chronically fatigued, sleepy and irritable. Excessive daytime drowsiness (hypersomnia) may be due to sleep apnea or to other disorders, such as narcolepsy.

Causes of obstructive sleep apnea 

Obstructive sleep apnea occurs when the muscles in the back of your throat relax. These muscles support the soft palate, the triangular piece of tissue hanging from the soft palate (uvula), the tonsils, the side walls of the throat and the tongue.

When the muscles relax, your airway narrows or closes as you breathe in, and you can't get an adequate breath in. This may lower the level of oxygen in your blood.

Your brain senses this inability to breathe and briefly rouses you from sleep so that you can reopen your airway. This awakening is usually so brief that you don't remember it.

You may make a snorting, choking or gasping sound. This pattern can repeat itself five to 30 times or more each hour, all night long. These disruptions impair your ability to reach the desired deep, restful phases of sleep, and you'll probably feel sleepy during your waking hours.

People with obstructive sleep apnea may not be aware that their sleep was interrupted. In fact, some people with this type of sleep apnea think they sleep well all night.

Causes of central sleep apnea

Central sleep apnea is a less common form of sleep apnea that occurs when your brain fails to transmit signals to your breathing muscles. This means you make no effort to breathe for a short period of time. You may awaken with shortness of breath or have a difficult time getting to sleep or staying asleep.

Risk factors

Sleep apnea can affect anyone, even children. But certain factors increase your risk of sleep apnea:

Obstructive sleep apnea :

• Excess weight : People who are obese have four times the risk of sleep apnea that people who are a normal weight people do. Fat deposits around your upper airway may obstruct your breathing. But not everyone who has sleep apnea is overweight.
• Neck circumference : People with thicker necks may have narrower airways. For men, the risk increases if neck circumference is 17 inches (43 centimeters) and larger. In women, the risk increases if neck circumference is 15 inches (38 centimeters) or more.
• A narrowed airway : You may have inherited a naturally narrow throat. Or, tonsils or adenoids may become enlarged and block the airway, particularly in children with sleep apnea.
• Being male : Men are twice as likely to have sleep apnea. However, women increase their risk if they're overweight, and their risk also appears to rise after menopause.
• Being older : Sleep apnea occurs significantly more often in older adults.
• Family history : If you have family members with sleep apnea, you may be at increased risk.
• Use of alcohol, sedatives or tranquilizers : These substances relax the muscles in your throat.
• Smoking : Smokers are three times more likely to have obstructive sleep apnea than are people who've never smoked. Smoking may increase the amount of inflammation and fluid retention in the upper airway. This risk likely drops after you quit smoking.
• Nasal congestion : If you have difficulty breathing through your nose — whether it's from an anatomical problem or allergies — you're more likely to develop obstructive sleep apnea.

Central sleep apnea

• Being older : Middle-aged and older people have a higher risk of central sleep apnea.
• Heart disorders : People with congestive heart failure are more at risk of central sleep apnea.
• Using narcotic pain medications : Opioid medications, especially long-acting ones such as methadone, increase the risk of central sleep apnea.
• Stroke : People who've had a stroke are more at risk of central sleep apnea or treatment-emergent central sleep apnea.

        

What are the Complications?

Sleep apnea is considered a serious medical condition. Complications may include: 

Daytime fatigue : The repeated awakenings associated with sleep apnea make normal, restorative sleep impossible. People with sleep apnea often experience severe daytime drowsiness, fatigue and irritability. 

• You may have difficulty concentrating and find yourself falling asleep at work, while watching TV or even when driving. People with sleep apnea have an increased risk of motor vehicle and workplace accidents.
  You may also feel quick tempered, moody or depressed. Children and adolescents with sleep apnea may do poorly in school or have behavior problems. 

• High blood pressure or heart problems : Sudden drops in blood oxygen levels that occur during sleep apnea increase blood pressure and strain the cardiovascular system. If you have obstructive sleep apnea, your risk of high blood pressure (hypertension) is greater than if you don't.
  Obstructive sleep apnea may increase the risk of recurrent heart attack, and abnormal heartbeats, such as atrial fibrillation. Obstructive sleep apnea also increases the risk of stroke. If there's underlying heart disease, these multiple episodes of low blood oxygen (hypoxia or hypoxemia) can lead to sudden death from an irregular heartbeat.

                     

• Type 2 diabetes : People with sleep apnea are more likely to develop insulin resistance and type 2 diabetes compared with people without the sleep disorder.

              

• Metabolic syndrome : This disorder is a collection of other risk factors linked to a higher risk of heart disease. The conditions that make up metabolic syndrome include high blood pressure, abnormal cholesterol, high blood sugar and an increased waist circumference.

• Complications with medications and surgery : Obstructive sleep apnea is also a concern with certain medications and general anesthesia. People with sleep apnea may be more likely to experience complications following major surgery because they're prone to breathing problems, especially when sedated and lying on their backs. Before you have surgery, tell your doctor that you have sleep apnea and how it's treated.

• Liver problems. People with sleep apnea are more likely to have abnormal results on liver function tests, and their livers are more likely to show signs of scarring. This is a condition known as nonalcoholic fatty liver disease.

• Sleep-deprived partners : Loud snoring can keep those around you from getting good rest and eventually disrupt your relationships. It's not uncommon for a partner to go to another room, or even on another floor of the house, to be able to sleep. Many bed partners of people who snore may be sleep-deprived as well.

Preparing for your appointment

If you or your partner suspects that you have sleep apnea, you'll probably first see your primary care doctor. However, in some cases when you call to set up an appointment, you may be referred immediately to a sleep specialist.

Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well-prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

• Be aware of any pre-appointment restrictions : At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as modify your diet or keep a sleep diary.
• Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
• Write down key personal information, including any major stresses or recent life changes.
• Make a list of all medications, vitamins or supplementsthat you're taking.
• Ask a family member or friend along, if possible. Someone who accompanies you may remember information that you missed or forgot. And because your bed partner may be more aware of your symptoms than you are, it may help to have him or her along.
• Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions ahead of time will help you make the most of your visit. For sleep apnea, some basic questions to ask your doctor include:

• What's the most likely cause of my symptoms?
• What kinds of tests do I need? Do these tests require any special preparation?
• Is my condition likely temporary or long lasting?
• What treatments are available?
• Which treatment do you think would be best for me?
• I have other health conditions. How can I best manage these conditions together?
• Should I see a specialist?
• Are there any brochures or other printed material that I can take home with me? What websites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask additional questions during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Your doctor may ask:

• When did you begin experiencing symptoms?
• Have your symptoms been continuous, or do they come and go?
• How severe are your symptoms?
• How does your partner describe your symptoms?
• Do you know if you stop breathing during sleep? If so, how many times a night?
• Is there anything that has helped your symptoms?
• Does anything make your symptoms worse, such as sleep position or alcohol consumption?

What you can do in the meantime

• Try to sleep on your side : Most forms of sleep apnea are milder when you sleep on your side.
• Avoid alcohol close to bedtime : Alcohol worsens obstructive and complex sleep apnea. Avoid alcohol for four to six hours before bed.
• Avoid sedative medications : Drugs that relax you or make you sleepy can also worsen sleep apnea.
• If you're drowsy, avoid driving : If you have sleep apnea you may be abnormally sleepy, which can put you at higher risk of motor vehicle accidents. At times, a close friend or family member might tell you that you appear sleepier than you feel. If this is true, try to avoid driving.

Tests and diagnosis

Your doctor may make an evaluation based on your signs and symptoms or may refer you to a sleep disorder center. There, a sleep specialist can help you decide on your need for further evaluation.

Such an evaluation often involves overnight monitoring of your breathing and other body functions during sleep. Home sleep testing may also be an option. Tests to detect sleep apnea may include:

• Nocturnal polysomnography : During this test, you're hooked up to equipment that monitors your heart, lung and brain activity, breathing patterns, arm and leg movements, and blood oxygen levels while you sleep.

• Home sleep tests : In some cases, your doctor may provide you with simplified tests to be used at home to diagnose sleep apnea. These tests usually involve measuring your heart rate, blood oxygen level, airflow and breathing patterns. If you have sleep apnea, the test results will show drops in your oxygen level during apneas and subsequent rises with awakenings.
  If the results are abnormal, your doctor may be able to prescribe a therapy without further testing. Portable monitoring devices don't detect all cases of sleep apnea, so your doctor may still recommend polysomnography even if your initial results are normal.

If you have obstructive sleep apnea, your doctor may refer you to an ear, nose and throat doctor to rule out any blockage in your nose or throat. An evaluation by a heart doctor (cardiologist) or a doctor who specializes in the nervous system (neurologist) may be necessary to look for causes of central sleep apnea.

Treatments and drugs

For milder cases of sleep apnea, your doctor may recommend only lifestyle changes, such as losing weight or quitting smoking. And if you have nasal allergies, your doctor will recommend treatment for your allergies. If these measures don't improve your signs and symptoms or if your apnea is moderate to severe, a number of other treatments are available.

Certain devices can help open up a blocked airway. In other cases, surgery may be necessary. Treatments for obstructive sleep apnea may include:

Therapies

• Continuous positive airway pressure (CPAP) : If you have moderate to severe sleep apnea, you may benefit from a machine that delivers air pressure through a mask placed over your nose while you sleep. With CPAP (SEE-pap), the air pressure is somewhat greater than that of the surrounding air, and is just enough to keep your upper airway passages open, preventing apnea and snoring.
  Although CPAP is the most common and reliable method of treating sleep apnea, some people find it cumbersome or uncomfortable. Some people give up on CPAP, but with some practice, most people learn to adjust the tension of the straps to obtain a comfortable and secure fit.
  You may need to try more than one type of mask to find one that's comfortable. Some people benefit from also using a humidifier along with their CPAP systems. Don't just stop using the CPAP machine if you experience problems. Check with your doctor to see what modifications can be made to make you more comfortable.
  Additionally, contact your doctor if you are still snoring despite treatment or begin snoring again. If your weight changes, the pressure settings of the CPAP machine may need to be adjusted.

• Other airway pressure devices : If CPAP continues to be a problem for you, you may be able to use a different type of airway pressure device that automatically adjusts the pressure while you're sleeping (Auto-CPAP). Units that supply bilevel positive airway pressure (BiPAP) are also available. These provide more pressure when you inhale and less when you exhale.

• Expiratory positive airway pressure (EPAP) : These small, single-use devices are placed over each nostril before you go to sleep. The device is a valve that allows air to move freely in, but when you exhale, air must go through small holes in the valve. This increases pressure in the airway and keeps it open.
  The device may help reduce snoring and daytime sleepiness in people with mild obstructive sleep apnea. And it may be an option for some who can't tolerate CPAP.

• Oral appliances : Another option is wearing an oral appliance designed to keep your throat open. CPAP is more reliably effective than oral appliances, but oral appliances may be easier to use. Some are designed to open your throat by bringing your jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea.
  A number of devices are available from your dentist. You may need to try different devices before finding one that works for you. Once you find the right fit, you'll still need to follow up with your dentist repeatedly during the first year and then regularly after that to ensure that the fit is still good and to reassess your signs and symptoms.

Surgery

Surgery is usually only an option after other treatments have failed. Generally, at least a three-month trial of other treatment options is suggested before considering surgery. However, for those few people with certain jaw structure problems, it's a good first option.

The goal of surgery for sleep apnea is to enlarge the airway through your nose or throat that may be vibrating and causing you to snore or that may be blocking your upper air passages and causing sleep apnea. Surgical options may include:

• Tissue removal : During this procedure, which is called uvulopalatopharyngoplasty, your doctor removes tissue from the rear of your mouth and top of your throat. Your tonsils and adenoids usually are removed as well. This type of surgery may be successful in stopping throat structures from vibrating and causing snoring. It's less effective than CPAP, and isn't considered a reliable treatment for obstructive sleep apnea.
  Removing tissues in the back of your throat with radiofrequency energy (radiofrequency ablation) may be an option for people who can't tolerate CPAP or oral appliances.

• Jaw repositioning : In this procedure, your jaw is moved forward from the remainder of your face bones. This enlarges the space behind the tongue and soft palate, making obstruction less likely. This procedure is known as maxillomandibular advancement.

• Implants : Plastic rods are surgically implanted into the soft palate after you've received local anesthetic.

• Creating a new air passageway (tracheostomy) : You may need this form of surgery if other treatments have failed and you have severe, life-threatening sleep apnea. In this procedure, your surgeon makes an opening in your neck and inserts a metal or plastic tube through which you breathe.
  You keep the opening covered during the day. But at night you uncover it to allow air to pass in and out of your lungs, bypassing the blocked air passage in your throat.

Other types of surgery may help reduce snoring and contribute to the treatment of sleep apnea by clearing or enlarging air passages:

• Nasal surgery to remove polyps or straighten a crooked partition between your nostrils (deviated nasal septum)
• Surgery to remove enlarged tonsils or adenoids
• Weight-loss surgery

Treatments for central and complex sleep apnea may include:

Therapies

• Treatment for associated medical problems : Possible causes of central sleep apnea include heart or neuromuscular disorders, and treating those conditions may help. For example, optimizing therapy for heart failure may eliminate central sleep apnea.

• Supplemental oxygen : Using supplemental oxygen while you sleep may help if you have central sleep apnea. Various forms of oxygen are available as well as different devices to deliver oxygen to your lungs.

• Adaptive servo-ventilation (ASV) : This more recently approved airflow device learns your normal breathing pattern and stores the information in a built-in computer. After you fall asleep, the machine uses pressure to normalize your breathing pattern and prevent pauses in your breathing. ASV appears to be more successful than other forms of positive airway pressure at treating complex sleep apnea in some people.

• Continuous positive airway pressure (CPAP) : This method, also used in obstructive sleep apnea, involves wearing a pressurized mask over your nose while you sleep. CPAP may eliminate snoring and prevent sleep apnea. As with obstructive sleep apnea, it's important that you use the device as directed. If your mask is uncomfortable or the pressure feels too strong, talk with your doctor so that adjustments can be made.

• Bilevel positive airway pressure (BiPAP) : Unlike CPAP, which supplies steady, constant pressure to your upper airway as you breathe in and out, BiPAP builds to a higher pressure when you inhale and decreases to a lower pressure when you exhale.
  The goal of this treatment is to assist the weak breathing pattern of central sleep apnea. Some BiPAP devices can be set to automatically deliver a breath if the device detects you haven't taken one after so many seconds.

        

Along with these treatments, you may read, hear or see TV ads about different treatments for sleep apnea. Talk with your doctor about any treatment before you try it to find out how useful it might be.

Lifestyle and home remedies

In many cases, self-care may be the most appropriate way for you to deal with obstructive sleep apnea and possibly central sleep apnea. Try these tips:

   

• Lose excess weight : Even a slight loss in excess weight may help relieve constriction of your throat. Sleep apnea may go into complete remission in some cases if you return to a healthy weight. But sleep apnea will likely come back if you regain the weight.

• Exercise : Regular exercise can help ease the symptoms of obstructive sleep apnea even without weight loss. A good goal is to try to get 30 minutes of moderate activity, such as a brisk walk, most days of the week.

• Avoid alcohol and certain medications such as tranquilizers and sleeping pills : These relax the muscles in the back of your throat, interfering with breathing.

• Sleep on your side or abdomen rather than on your back : Sleeping on your back can cause your tongue and soft palate to rest against the back of your throat and block your airway. To prevent sleeping on your back, try sewing a tennis ball in the back of your pajama top.

• Keep your nasal passages open at night : Use a saline nasal spray to help keep your nasal passages open. Talk to your doctor about using any nasal decongestants or antihistamines because these medications are generally recommended only for short-term use.

• Stop smoking, if you're a smoker : Smoking worsens obstructive sleep apnea.

#sleepapneatreatment  #treatmentforsleepapnea #treatmentsforsleepapnea #sleepapneatreatmentwithoutcpap  #symptomsofsleepapnea #obstructivesleepapneasymptoms #centralsleepapneasymptoms #whatcausessleepapnea #causesofsleepapnea #howtocuresleepapnea #sleepapneacures #obstructivesleepapnea #sleepapneamachine #sleepapneatest #cpap #cpapmachines #cpapmask #cpapmachinesforsale #cpapalternatives #sleepapneadevices #centralsleepapnea #centralapnea #apnea #whatissleepapnea #typesofsleepapnea #sleepapneasupplies #snoring #snoringaids #snoringmouthpiece #snoringsolutions #snore #snoringchinstrap #chinstrapforsnoring #sleep #sleepdeprivation #sleepapnia #insomnia #sleepapnea #resmed #respironics #narcolepsytreatment #sleepparalysistreatment #sleepdisorders #sleepingdisorders #howtostopsnoring #stopsnoring #howtopreventsnoring #sleepapneaheadaches #wedgepillowsforsleepapnea #primomedical #medicalsuppliesinsanantonio #cpapstoreinsanantonio #cpapmachineinsanantonio #bipapstoreinsanantonio #cpapsupply #cpap #cpapsupplies #resmed #respironics #resmedcpap #bipapmask #fisher&paykel #cpapchinstrap #nasalpillows #resmedcpapsupplies #resmedmiragequattro #sleepapnessupplies #swiftfx #cpapheadgear #autocpap #cpapequipment #resmedmask #fisherpaykelcpap #cpapsupplyusa #cpapstore #cpaptubing #resmedsupplies #cpaphumidifier #discountcpapsupplies #cpaphose #nasalpillow