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Request an AppointmentMail - [email protected]
Call - +91 - 9810 492 778Enlarged Prostate (Benign Prostatic Hyperplasia)- What is prostate gland ?
- Symptoms & causes of enlarged prostate
- Risk factor & complication of enlarged prostate
- Test & Diagnosis of Benign prostatic hyperplasia
- Surgical Treatment options
- Non-surgical treatment option
- Non surgical treatment vs. surgical treatment
- Best Solution – Prostatic Artery Embolization
- Info-graphics
- F.A.Q.s
- Patient Success Stories
- World Experiences & International media coverage
- Blogs
- Other Non-surgical Treatment options
What is prostate gland?The prostate is a walnut-sized gland located between the bladder and the penis. The prostate is just in front of the rectum. The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body.
The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra and it’s expelled with sperm as semen.
The vasa deferentia (singular: vas deferens) bring sperm from the testes to the seminal vesicles. The seminal vesicles contribute fluid to semen during ejaculation.
Symptoms & causes of enlarged prostate (BPH)
As a man ages, there is a good chance that he will develop an enlarged prostate or benign prostatic hyperplasia (BPH). In fact, it is estimated that close to 80% of men will develop BPH. But more than 40% of men who develop an enlarged prostate will need surgery to correct symptoms from this enlarged prostate- A weak or slow urinary stream
- A feeling of incomplete bladder emptying
- Difficulty starting urination
- Frequent urination
- Urgency to urinate
- Getting up frequently at night to urinate
- A urinary stream that starts and stops
- Straining to urinate
- Continued dribbling of urine
- Returning to urinate again minutes after finishing
When the bladder does not empty completely, you become at risk for developing urinary tract infections. Other serious problems can also develop over time, including bladder stones, blood in the urine, incontinence, and acute urinary retention (an inability to urinate). A sudden and complete inability to urinate is a medical emergency; you should see your doctor immediately. In rare cases, bladder and/or kidney damage can develop from BPH.
Most men have continued prostate growth throughout life. In many men, this continued growth enlarges the prostate enough to cause urinary symptoms or to significantly block urine flow. Doctors aren't sure exactly what causes the prostate to enlarge. It may be due to changes in the balance of sex hormones as men grow older.
Risk factor & complication of enlarged prostate (BPH)Risk factor
- Aging. Prostate gland enlargement rarely causes signs and symptoms in men younger than 40. By 55, about 1 in 4 men have some signs and symptoms. By 75, about half of men report some symptoms.
- Family history. Having a blood relative such as a father or brother with prostate problems means you're more likely to have problems as well.
- Where you're from. Prostate enlargement is more common in American and Australian men. It's less common in Chinese, Indian and Japanese men.
Prostate gland enlargement becomes a serious problem when it severely interferes with your ability to empty your bladder. If this is the case, you'll probably need surgery. Complications of enlarged prostate include:
- Acute urinary retention. Acute urinary retention is a sudden, painful inability to urinate. This may occur after you've taken an over-the-counter decongestant medication for allergies or a cold. When you are unable to urinate at all, your doctor may thread a tube (catheter) through your urethra into your bladder. Or, your doctor may put in a suprapubic tube — a catheter that drains your bladder through the lower abdomen. The type of catheter you need will depend on your particular circumstances. Some men with an enlarged prostate require surgery or other procedures to relieve urinary retention.
- Urinary tract infections (UTIs). Some men with an enlarged prostate end up having surgery to remove part of the prostate to prevent frequent urinary tract infections.
- Bladder stones. These are mineral deposits that can cause infection, bladder irritation, blood in the urine and obstruction of urine flow and are generally caused by the inability to completely empty the bladder.
- Bladder damage. This occurs when the bladder hasn't emptied completely over a long period of time. The muscular wall of the bladder stretches and weakens and no longer contracts properly. Often, symptoms of bladder damage improve after prostate surgery or other treatment, but not always.
- Kidney damage. This is caused by high pressure in the bladder due to urinary retention. This high pressure can directly damage the kidneys or allow bladder infections to reach the kidneys. When an enlarged prostate causes obstruction of the kidneys, a condition called hydronephrosis — a swelling of the urine-collecting structures in one or both kidneys — may result.
- Most men with an enlarged prostate don't develop these complications. However, acute urinary retention and kidney damage in particular can be serious health threats when they do occur.
- Detailed questions about your symptoms.
- Digital rectal exam. This exam can determine whether your prostate is enlarged or not.
- Urine test (urinalysis). It can help rule out an infection or other conditions that can cause similar symptoms.
- Prostate-specific antigen (PSA) blood test. It's normal for your prostate gland to produce PSA, which helps liquefy semen. When you have an enlarged prostate, PSA levels increase. However, PSA levels can also be elevated due to prostate cancer, recent tests, surgery or infection (prostatitis).
- Urinary flow test. This test measures the strength and amount of your urine flow.
- Post-void residual volume test. This test measures whether you can empty your bladder completely. This is often done by using an ultrasound test to measure urine left in your bladder.
- Transrectal ultrasound. An ultrasound test provides measurements of your prostate and also reveals the particular anatomy of your prostate.
- Prostate biopsy. With this procedure, a transrectal ultrasound guides needles used to take tissue samples of the prostate. Examining tissues from a biopsy under a microscope can be help diagnose or rule out prostate cancer.
- Urodynamic studies and pressure flow studies. With these procedures, a catheter is threaded through your urethra into your bladder. Water (or less commonly air) is slowly injected into your bladder. This allows your doctor to measure bladder pressures and to determine how well your bladder muscles are working.
Prostate cancer is entirely different than prostate gland enlargement, even though they can cause some similar symptoms and may be detected by some of the same tests. Having an enlarged prostate doesn't reduce or increase the risk of prostate cancer. Even if you're being treated for an enlarged prostate gland, you still need to continue regular prostate exams to screen for cancer.
Surgical Treatment Options for Benign prostatic hyperplasia (BPH)There are many treatment options exist. Many men experience no signs or symptoms with enlarged prostate. If that's the case for you, watchful waiting could be the best option. Enlarged prostate aren't cancerous.
- transurethral resection of the prostate (TURP)
- Open prostatectomy
- Laser surgery
TURP has been a common procedure for enlarged prostate for many years, and it is the surgery with which other treatments are compared. With TURP, a surgeon places a special lighted scope (resectoscope) into your urethra and uses small cutting tools to remove all but the outer part of the prostate (prostate resection). TURP generally relieves symptoms quickly, and most men have a stronger urine flow soon after the procedure. Following TURP, there is risk of bleeding and infection, and you may temporarily require a catheter to drain your bladder after the procedure. You'll be able to do only light activity until you're healed.
TURP required the doctor to insert a device up the urinary tube and remove the prostate, as pieces at a time. This procedure was found to be effective at stopping the symptoms. But there were complications from this type of procedure. Such as erectile dysfunction, blood in the urine, blood loss even few days after surgery, water intoxication and urinary incontinence. Also TURP could only be performed on prostates that are 60 cubic centimeters in size or less.
Open prostatectomyThis type of surgery is generally done if you have a very large prostate, bladder damage or other complicating factors, such as bladder stones. It's called open because the surgeon makes an incision in your lower abdomen to reach the prostate. Open prostatectomy is the most effective treatment for men with severe prostate enlargement, but it has a high risk of side effects and complications. It generally requires a short stay in the hospital and is associated with a higher risk of needing a blood transfusion.
Laser surgeryLaser surgeries (also called laser therapies) use high-energy lasers to destroy or remove overgrown prostate tissue. Laser surgeries generally relieve symptoms right away and have a lower risk of side effects than does TURP. Some laser surgeries can be used in men who shouldn't have other prostate procedures because they take blood-thinning medications.
Any type of prostate surgery can cause side effects, such as semen flowing backward into the bladder instead of out through the penis during ejaculation (retrograde ejaculation), loss of bladder control (incontinence) and impotence (erectile dysfunction).
Non-surgical: - A. Prostatic artery embolization(PAE)Now a new procedure has been developed that is comparable to TURP in recovery the symptoms with no side effect. It is called Prostatic Artery Embolization or PAE.
The patients were admitted to the hospital on the day of the procedure after all basic investigation. During embolization, pain medication, anti-inflammatory drugs and antibiotic were given.
Embolization was performed under local anesthesia by unilateral approach, usually the right femoral artery. Initially, pelvic angiography was performed to evaluate the prostatic arteries. Then, a 4 or 5-F angiography catheter was introduced reach in prostatic artery and a 3-F coaxial microcatheter advance in the ostium of the prostatic artery. For embolization, nonspherical PVA particles were used. The endpoint chosen for embolization was slow flow or near-stasis in the prostatic vessels with interruption of the arterial flow and prostatic gland opacification.
When embolization of the both prostatic arteries was finished, the catheter was removed. After 4- 6 hrs patients can start walking around in room without a urinary catheter. Same day he can resume the normal activities.
Advantages of Prostatic Artery Embolization ( PAE)
Picture 1: - Angiographic picture in a 74-year-old patient with urinary retention with a bladder catheter. Before and after Prostatic Artery Embolization.
Picture 2: - Pelvic MR images in a 78-year-old patient with BPH. Before PAE shows an enlarged prostate diameter of 59.2 mm and a prostate volume of 95.5 m. After 6 months of PAE shows significant reduction in size.- PAE can be performed on any size enlarged prostate.
- It does not produce the side effects/complication that TURP does.
- Whole procedure done through a small nick around the skin in the groin region.
- Most men experience no pain to light pain and leave the hospital in a day after intervention.
- No sexual dysfunction following prostatic artery embolization.
- Quarter of patient report that sexual function improved after the procedure.
- PAE procedure need no general anesthesia it need just mild to sedation,
- No blood loss or risk of blood transfusion.
- No surgical ugly scars and makes for faster recovery.
- It is cheaper than surgery.
- Overall success rate is about more than 98%.
What it isProstatic artery embolization (PAE) is a procedure where an interventional radiologist uses a catheter to deliver small particles that block the blood supply to the enlarged prostate. The procedure is not a surgical intervention and allows the all function of prostate to be kept in place. After embolization the shrinkage of an enlarged prostate in 2-3 weeks time.
Why PAE is the best option
- PAE can be performed on any size enlarged prostate.
- It does not produce the side effects/complication that TURP does.
- Whole procedure done through a small nick around the skin in the groin region.
- Most men experience no pain to light pain and leave the hospital in a day after intervention.
- No sexual dysfunction following prostatic artery embolization.
- Quarter of patient report that sexual function improved after the procedure.
- PAE procedure need no general anesthesia it need just mild to sedation,
- No blood loss or risk of blood transfusion.
- No surgical ugly scars and makes for faster recovery.
- It is cheaper than surgery.
- Overall success rate is about more than 98%.
Contact us & Request an Appointmentmail / call :- [email protected]
+91-9810 49 27 78....& improved sexual function,hell now were cookin'
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Type the name of the surgery and then India
What is the name of the 'surgery ' ?
Prostate Artery Embolization India
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Type the name of the surgery and then India
New Treatment for Enlarged Prostate Shows Fewer Side Effects.htm
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Trip was not wasted even though Green Light prostate surgery awaited.. advised red light...colonoscopy 600baht,down the throat 1200 baht,heart echocardography tested..800 baht (3 years ago LVID borderline,this time 64%,just what is borderline?) pages of blood testing half hour with thyroid doc,underactive thyroid,x rays,23 skin blemishes blasted 600 baht,before/after bladder test urology doc , I sure do need that op advised live another 50 years,not bad for 89 year old sat the week out then downing beer at third of Thai prices 7 thousand via KL
good week anyway got loads of veterinary meds fraction of prices here
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Since this happened in Vancouver - were the China Eastern Airlines reps the Chinese from China, or locals from Vancouver? It's possible that the locals were just really stupid, or just trying to be too smart for themselves, which happens a lot whenever there's a Canada vs US spat
In any case Expedia must return the money if they promised, but that might be difficult if you don't have it in writing.
Another option you may consider is that the Airline rep was indeed being an idiot by not letting you board the plane - if they said it was just the matter of some code - how is that the customer's problem? In which case it's not clear if Expedia should be responsible for the stupidity of the Airline's representative, or some of their internal issues. I think you should press and escalate this issue to both the China Eastern Airlines and the Expedia Headquarters. Just find and send an email to the CEO of both China Eastern and Expedia, and put as many people in CC as possible on both sides, the CFOs, Operational managers, regional operational managers and so on - explain what happened and threaten to go to the press with this... My guess is that if you prepare for this carefully, your problem will be resolved in a matter of a few hours. The problem is often that the CEO and all the upper management are not even aware of this issue, and all the subordinate managers are sending you for a run-around and only interested to keep a lid on this problem hoping that you will just go away, none of them want to be held accountable for the problem which they obviously created for you. I strongly suggest you escalate this issue directly to the CEO of both companies, otherwise you'll just keep wasting your time and put as many subordinates in CC as possible when you do this - make sure they all have something to talk about during one of their usual morning meetings
China Eastern are FOUL ,never get anywhere writing,take them to court,did just that,court date looming,they settled..look on their Facebook page,that is the ones they do not erase
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That airline China Eastern is possibly the worst airline flying
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It is "frozen" from the time one leaves the UK to live in a country where increases are not paid.
Some people run the risk of not informing the DWP of their departure.
Unfortunately this is the Green Eyed Monster in a hole,everybody else should be in that hole too. Public Advisory Notices abound,just likened to this one above, "At Risk",never answered. The risk is a frozen pension if informing,or at best ,a frozen pension,likened to a turkey voting for Christmas
Now I would suggest a mentally
challenged, incompetent, derangedagile minded individual would follow the path of the above.All the "liked" posts from contributors are in that hole,and as that hole widens,even more Public Advisory Notices flourish,state of panic erupts around 5 April
Terminology suggests there is no set days out of the UK ,only for tax purposes,and as long as a UK address is maintained,paid for or not all is kosher Panama style
I would like to agree but unfortunately I am one of those mentally challenged individuals. In short I have no idea what you are going on about in that post.
Den
Did write something else,but ill leave it with your description
Dan
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It is "frozen" from the time one leaves the UK to live in a country where increases are not paid.
Some people run the risk of not informing the DWP of their departure.
Unfortunately this is the Green Eyed Monster in a hole,everybody else should be in that hole too. Public Advisory Notices abound,just likened to this one above, "At Risk",never answered. The risk is a frozen pension if informing,or at best ,a frozen pension,likened to a turkey voting for Christmas
Now I would suggest a mentally
challenged, incompetent, derangedagile minded individual would follow the path of the above.All the "liked" posts from contributors are in that hole,and as that hole widens,even more Public Advisory Notices flourish,state of panic erupts around 5 April
Terminology suggests there is no set days out of the UK ,only for tax purposes,and as long as a UK address is maintained,paid for or not all is kosher Panama style
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Hopefully you'll consult a doctor and consider medical solutions before deciding something new must be better and you need to differentiate BPH from prostate cancer when considering the approach to treatment.
I started on Flomax a couple of months ago (in Thailand sold as Harnal OCAS once a day tablets). Almost immediate improvement and after the first month a big improvement. The only negative side effect I experienced was some fatigue the first week. No other problems. Now can sleep through the night with no visits to the loo or, at most, one visit if I consumed too much coffee and tea late at night.
Prostate artery embolization appears to be a safe and effective alternative to more traditional treatments for benign prostatic hyperplasia, according to two new studies.
"Although it's not going to replace surgery, it'll have a definite role," Bhaskar Somani, MD, from University Hospital in Southampton, United Kingdom, toldMedscape Medical News.
It might be a stop-gap measure, especially for young men, until they need surgery. "The results are very good and very promising," said Dr Somani before he presented results from his team's study here at the European Association of Urology 30th Annual Congress.
"Prostate artery embolization is a feasible and minimally invasive technique," said Giorgio Ivan Russo, MD, from the University of Catania in Italy, who presented his team's study of the procedure.
However, the procedure is associated with persistent symptoms at 1 year and "should be performed in very select patients," Dr Russo added.
For every negative notice pulled off the net ,could put another 10 (at least)in opposite direction The "persistent symptoms" were actually non-events in the scheme of things. I'm not taking drugs for this problem,taken them and a total waste of time.
Looks as a 30% reduction in prostate size is achieved in most circumstances,which is ideal
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There are farangs going to Delhi for this op ,about £900,but down to Chennai,which basically is a medical city alongside the actual city,it is being done for around £350,just been over to have prostate done starting at £175 ,cancelled it for this one,when Ill do it? maybe in few months time
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Cannot see much of a difference,one at £119 the other £155. If contracted out,pay less of a stamp then the £155 goes all the way down to £119,but you walk away with probably a lot higher second pension too,something like the old one £119,but then SSP was added,but that in turn is now reduced by CPI increases ,not triple locked
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Putting to sleep is a good term,effects the sleeping part of the brain then stops the heartbeat. Soi dog,well I looked after him, caught distemper,blood out of the nostrils,vomit all over the place,smelt to high heaven too weak to move,decided his time had come,shaved the leg,dug the hole,but held on to following morning,dog no worse on the day,but got better,glad I held out,dog still there,feed it still
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Unfortunately, India has a very high rate of hospital acquired infections according to an article in India Medical Times. A bit of Googling confirms this.
With an elective surgery such as knee replacement, hospital acquired infections are a big risk factor and a hospitals infection rate should factor into a prospective patients decision.
As far as surgery goes I have experience replacing a torn ACL and a partially torn PCL in my right knee.
I've had my surgery done back in the states by the Dr. of the New York Giants.
I have been in contact with Dr. Ongart Preuttiphat - a close friend of mine who has just completed his training in America and is now one of the top orthopedic surgeons in Thailand.
It's not cheap at a private hospital, but if you have the right insurance good for you, but for those who need any surgeries in Thailand having the right insurance is very important.
Hope all goes well!
Cheers!
Hardly a need for insurance if you jet off for two hours to a place that is medical tourists number 1 India. Not in the market (yet) for TKR ,swimming was my bag when young,but had op there on knee /leg some 5 years ago when quoted in Thailand at $20000 ,had it done and dusted for $700
Heres one ad ,probably cheaper hospitals doing them,one doing them for £800 but you have to choose and buy the knee joint separately
"The cost of Single Knee Replacement in India 6500 USD in a Single Deluxe Room at GNH Hospitals, Gurgaon, India using FDA approved Zimmer / Stryker Implants
The Cost of Bilateral (Both) Knee Replacement in India is 10000 USD in a Single Deluxe Room at GNH Hospital, Gurgaon, India using FDA approved Zimmer / Stryker Implants"
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The reason I mention this is to suggest that those choosing to undergo elective surgery in Thailand consider the potential risks of contacting a serious HAI
There does not appear to be any nationally coordinated data relating to HAI's and I doubt many hospitals (public or private) would be willing provide detail of their infection rates(assuming the data is routinely collected)
Infection rates (as is well proven in the West) do not come down until the problem is publicly acknowledged , specific infection control measures are adopted by all and the results(outcomes) subject to continual monitoring."
Called "loosing face"
Looking at a patient right now,recent Hernia private Pattaya hospital,had op readmitted for two weeks,possibly again for guess what..hospital acquired infection and he has to pay for their acquired infection
Google it
Be a mug to have surgery in Thailand,least India admit it,Thailand never,seems a crippling effect,life in their hands? never
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In nature that dog would be long gone,kept alive in its hour of need by human kindness,but a suffering dog is a suffering dog. I should have put a couple of my past mutts to sleep far quicker and I regret not doing so
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As far as surgery goes I have experience replacing a torn ACL and a partially torn PCL in my right knee.
I've had my surgery done back in the states by the Dr. of the New York Giants.
I have been in contact with Dr. Ongart Preuttiphat - a close friend of mine who has just completed his training in America and is now one of the top orthopedic surgeons in Thailand.
It's not cheap at a private hospital, but if you have the right insurance good for you, but for those who need any surgeries in Thailand having the right insurance is very important.
Hope all goes well!
Cheers!
Hardly a need for insurance if you jet off for two hours to a place that is medical tourists number 1 India. Not in the market (yet) for TKR ,swimming was my bag when young,but had op there on knee /leg some 5 years ago when quoted in Thailand at $20000 ,had it done and dusted for $700
Heres one ad ,probably cheaper hospitals doing them,one doing them for £800 but you have to choose and buy the knee joint separately
"The cost of Single Knee Replacement in India 6500 USD in a Single Deluxe Room at GNH Hospitals, Gurgaon, India using FDA approved Zimmer / Stryker Implants
The Cost of Bilateral (Both) Knee Replacement in India is 10000 USD in a Single Deluxe Room at GNH Hospital, Gurgaon, India using FDA approved Zimmer / Stryker Implants"
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Some dogs are prone to ticks,those that are I give a shot of Ivermectin,works for up to 6 weeks before presence of more ticks seen. if dog looks sick ,I give Doxy,the green capsules twice a day for a week
Doxy,bought loose,its cheap antibiotic
Why wait 6 weeks and more ticks before dosing again? It only takes 1 tick to kill a dog. Why take the risk? All the instructions I've seen say monthly and that's what I do and all dogs I treat are tick free once the initial dose kicks in. I've also been told (by a breeder) to double the initial dose if a dog is heavily infected. I've done that a few times with no adverse effect.
Basically these are soi dogs, I only do what absolutely needs doing and IF I can catch it. The products sold in Thailand are basically no damned good or are expensive...Notixs ,basically deet with shampoo,can mix your own I guess here, RIDD amitraz solution,do not know if its available in Thailand,,Id put that up against Ivermectin and would win hands down, ivermectin pills 50 baht for 10 at 10mg Bayticol 50 baht ,here in Thailand close on 900 baht ,at vets that is,... Protektor 100 baht probably Frontline ,never used Frontline or its strength
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I put dogs to sleep,vet gives me Nembutal,I do it,but out of confines of him,no stethoscope so have to let legs stiffen up before I bury them.
These dogs suffer,PTS is way the best,at the moment dog with nasal tumour,on chemo,but if that dog does not pick up Ill do it to him too,seeing it struggle for breath is horrific
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.3 per 10 kilo ivermectin injection,regularly inject,used to give more but vet talked me down. anyway the RIDD cure ,looked it up on the net Boots developed it, on Wiki ,marvellous stuff one bath a week,well drenching,and keep a spray bottle with it in,give to paws a quick spray now and again,interferes with the ticks nervous system
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How long do you need to be out of the country, before they consider your pension should be frozen?
It is "frozen" from the time one leaves the UK to live in a country where increases are not paid.
Some people run the risk of not informing the DWP of their departure.
So"some people run the risk" of what?banishment to Aussie? instant castration? load of rubbish,last throes of life and scared witless,pathetic ,utterly pathetic,"what did you do in the war daddy?" The DWP could not give a hoot,no dedicated dept looking on,no punishment ,no boot drill,funny ain't it
Anyway,the question is "what risk?" or is this people not having better to do than starting a round of uncalled judgment yet again again and yet again,and again and............."met at the airport" "jail" "fight it out in court" off their damned rockers
Edit you are in the right position,you deserve it,stay in it
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Are you sure it's demodectic mange? Over the years I've seen some terrible cases, these cases are often used by the likes of Soi dog on their ads for before and after pics. It is a long job treating it but in time should get better.
Have you had scrapes sent to a lab or blood tests?
On your question of euthanasia , I doubt any vet it Thailand would put a dog to sleep if it was only demodectic mange. Who's told you there is no cure?
Could you post some pics?
Probably is mange,but if not skin ailment,more likely fungal or bacterial. Buy lowest dosage for both at pharmacy,anti fungal/bacterial...ones cheap,the other not so, crush them,and put in dogs food for a week,a shotgun approach,but works well
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Some dogs are prone to ticks,those that are I give a shot of Ivermectin,works for up to 6 weeks before presence of more ticks seen. if dog looks sick ,I give Doxy,the green capsules twice a day for a week
Doxy,bought loose,its cheap antibiotic
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I suspect that is the shampoo he refers to
Ivemectin is a systemic drug that is also used and given lack of response to topical a Vet might suggest it. Again, need to see a really good Vet.
Far from a shampoo,RIDD a liquid dip concentrate,used by vets,throughout India US too,fact is wherever it can be obtained a powerful medicate,care not to put in mouth or eyes. Look it up on the net
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Got 3 myself, would not go the route of finding a home in Thailand,get him re-homed in UK or USA, Soi Dog BKK send so many abroad,but might not help you as not soi dog but could ask,make donation. Vet in Pattaya sympathetic 038373622 does rescue work too,he will do it If the vet will help,get a price off him I will look after your dog until ready to fly Think flight around $400 plus vacs
Loving Expat Dogs for rehoming - Kanchanaburi
in Plants, Pets & Vets in Thailand
Posted
get them adopted abroad UK or US advertise in local/national newspapers wherever,tell them your plight easy