Management
The worry system is activated from exposure to a potential triggering event, traumatic experience or vulnerability, this brings worrisome thoughts and feelings which bring about physical stress reactions and response to avoid worrisome behavior, to ensure allostasis. But under the crisis this activity feeds back into the first worrisome thoughts and feelings which generates and strengthens the vicious worry cycle. Relaxation, risk assessment, worry exposure and behavior prevention have been proven effective in curbing the excessive worry, a chief feature of generalized anxiety disorder. Cognitive behavioral techniques hasnt branched out enough to address the problem holistically but therapy can control or diminish worry. See also
References
Further reading
Kate Sweeny; Michael D. Dooley (18 April 2017). "The surprising upsides of worry". Social and Personality Psychology Compass. 11 (4): e12311. doi:10.1111/spc3.12311. External links
Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications
Women with rectovaginal fistulae are often stigmatized in developing countries, and become outcasts.Rectovaginal fistula can also be a symptom of various diseases, including infection by lymphogranuloma venereum, or the unintended result of surgery, such as episiotomy or sex reassignment surgery. They may present as a complication of vaginal surgery, including vaginal hysterectomy. They are a recognized presentation of rectal carcinoma or rarely diverticular disease of the bowel or Crohns disease. They are seen rarely after radiotherapy treatment for cervical cancer. Treatment
After diagnosing rectovaginal fistula, it is best to wait for around three months to allow the inflammation to subside. For low fistulae, a vaginal approach is best, while an abdominal repair would be necessary for a high fistula at the posterior fornix.A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. The entire fistulous tract, along with a small rim of rectal mucosa is incised. The rectal wall is then closed extramucosally.Most rectovaginal fistulas will need surgery to fix. Medications such as antibiotics and Infliximab might be prescribed to help close the rectovaginal fistula or prepare for surgery. References
External links
Rectovaginal fistula at Curlie