How Is Pneumonia Transmitted

A person can spread the germs that cause pneumonia when he or she coughs and expels the bacterial or viral infections that caused the disease. Usually the organisms spread person to person by contact with an infected persons mouth or when small droplets that become airborne from coughing or sneezing.

How Is Pneumonia Transmitted And Spread 2016s2 34b Pneumonia

If your immune system doesnt kill the germs first the germs might grow and cause pneumonia.

How is pneumonia transmitted. Pneumoniae coughs or sneezes they create small respiratory droplets that contain the bacteria. Coughs and sneezes these launch tiny droplets of fluid containing germs into the air which someone else can breathe in. Pneumoniae bacteria are common in the throats and noses of children.

When someone infected with one of these germs sneezes or coughs you might breathe the germs into your lungs. The droplets containing the virus or bacteria can land on a common surface such as a table telephone or computer. This can occur when a person with pneumonia coughs or sneezes and another person inhales the.

It then uses the lungs own immune cells to. Catching pneumonia The germs that can cause pneumonia are usually breathed in. It can spread through coughs sneezes and contamination on objects.

When pneumonia is caused by a virus or bacteria as it usually is it can spread from person to person through respiratory droplets. You could also breathe in the droplets and bring them into your own breathing tract. The pneumococcal serotypes most often responsible for causing infection are those most frequently found in carriers.

This can happen in a variety of ways including. In the most serious cases you may need to go to the hospital for help breathing with a machine called a ventilator. Bacteria can spread through droplets in the air for.

While other types of pneumonia rapidly infect large regions of the lungs COVID-19 begins in numerous small areas of the lungs. Pneumonia is a lung infection caused by bacteria viruses or fungi. In addition once pneumonia develops in the lungs it may spread to other.

Some of these germs do spread from person to person so you may be contagious if you have certain types of pneumonia. Transmission of Streptococcus pneumoniae occurs through. Coughing and sneezing in public places can spread the infection.

As described above pneumonia is caused by infectious agents that can spread to others depending upon the type of organism causing the pneumonia. People often have small amounts of germs in their nose and throat that can be passed on through. Aspiration pneumonia is commonly caused by multiple pathogens eg aerobicanaerobic oral organisms.

Most types of pneumonia are contagious. Direct person-to-person contact via respiratory droplets. You can get pneumonia as a complication of viral infections such as COVID-19 or.

When someone infected with M. Autoinoculation in persons carrying the bacteria in their upper respiratory tract. This can happen when a person touches a surface that an infected person has coughed or.

To prevent the spread. Answer CAP is usually acquired via inhalation or aspiration of a pathogenic organism. Pneumonia is spread when droplets of fluid containing the pneumonia bacteria or virus are launched in the air when someone coughs or sneezes and then inhaled by others.

Bacterial pneumonia itself is not contagious but the infection that caused bacterial pneumonia is contagious. Sometimes these germs can spread from person to person. If your body cant get enough oxygen to survive pneumonia may lead to death.

Through the mouth or eyes. How It Spreads People spread Mycoplasma pneumoniae bacteria to others by coughing or sneezing.

Swine Flu Deaths In America

Since the 2009 H1N1 pandemic the H1N1pdm09 flu virus has circulated seasonally in the US. From the Centers for Disease Control and Prevention page called Disease Burden of Influenza.

Has The Swine Flu Disappeared

Had been reported to CDC as of August 8 2009.

Swine flu deaths in america. Each year CDC estimates the burden of influenza in the US. In the UK the NHS stated that in total there were 28456 cases of swine flu. The Centre for Disease Control CDC in the US estimates that swine flu caused 608 million illnesses 273304 hospitalisations and 12469 deaths in the US.

The number of deaths was estimated to be at least 50 million worldwide with about 675000 occurring in the United States. In 1976 an outbreak of the swine flu influenza A virus subtype H1N1 at Fort Dix New Jersey caused one death hospitalized 13 and led to a mass immunization program. It was believed that swine flu a particularly deadly form of.

But comparing COVID-19 cases to swine flu cases is difficult Thomas Russo MD professor and chief of. This equated to 19995 cases in England 1355 in Northern Ireland 6450 in Scotland and 656 in Wales. On June 1 2009 it was confirmed that a Milwaukee resident with underlying health issues died from the virus.

The dangerous influenza epidemics of 1938 1947 1957 60000 dead in the US and 1968 the dreaded Hong Kong flu fit this pattern. Later researchers discovered that benign swine flu strains had been circulating in the US population long before this one was identified at the military base. The immunization program was ended after approximately.

The number of deaths was estimated to be at least 50 million worldwide with about 675000 occurring in the United States. As of 9 June 2009 the virus had afflicted at least 2000 people in South America with at least 4 confirmed deaths. September 10 HHS secretary and CDC Director joined the National Foundation for Infectious Diseases NFID in a news conference to stress the importance of getting vaccinated for the upcoming influenza season.

In the United States it was first identified in military personnel in spring 1918. As of May 24 2009 Wisconsin currently has the most confirmed cases of swine flu in the United States. 80 of the virus-related deaths were estimated to occur in those 65 years of age.

US influenza statistics by flu season. In the United States it was first identified in military personnel in spring 1918. More Additionally CDC estimated that 151700-575400 people worldwide died from H1N1pdm09 virus infection during the.

Causing significant illnesses hospitalizations and deaths. In a given season. It is estimated that about 500 million people or one-third of the worlds population became infected with this virus.

After the program began the vaccine was associated with an increase in reports of Guillain-Barré Syndrome which can cause paralysis respiratory arrest and death. Two Wisconsin residents have died from the virus. It is estimated that about 500 million people or one-third of the worlds population became infected with this virus.

Swine Flu The US Centre for Disease and Control Prevention CDC estimated that 150 000 to 575000 people died from H1N1 pandemic virus infection in the first year of the outbreak. NEW YORK Reuters - The swine flu pandemic of 2009 killed an estimated 284500 people some 15 times the number confirmed by laboratory tests at. CDC uses modeling to estimate the number of influenza illnesses medical visits flu-associated hospitalizations and flu-associated deaths that occur in the US.

In the model a modern-day Spanish flu event would result in additional life insurance losses of between US153278 billion in the United States alone with 188000337000 deaths in the United States. The 2009 flu pandemic in South America was part of a global epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu. Data showed 477 deaths with lab-confirmed 2009 H1N1 flu in the US.

The Centre for Disease Control CDC in the US estimates that swine flu caused 608 million illnesses 273304 hospitalisations and 12469 deaths in the US. More than 212000 Americans have currently died of COVID-19 Johns Hopkins reports.

Quartz Senior Preferred

Sauk City Wisconsin 53583. 2020 Quartz Medicare Advantage Application HMO This information is available for free in other languages.

Contact Us Medicare Advantage Quartz

Aurora Health Quartz Med Advantage Core D wRx is a Medicare Advantage plan from Senior Preferred thats available to beneficiaries living in Waukesha County Wisconsin.

Quartz senior preferred. A formulary is a list of prescription medications that are covered under Quartz Health Plan Corporations 2020 Medicare Advantage Plan in Wisconsin. Senior Choice does not offer prescription coverage. To do so navigate to the Quartz or Senior Preferred depending on your coverage menu Contact Preferences and choose the method of delivery you prefer.

Quartz offers a new tool to help you decide if you need to have a prostate cancer screening PSA Test. From October 1 through March 31 we are also available to assist you on Saturdays and Sundays from 8 am. Users have the right to choose to receive certain information in electronic or paper form.

Ad Search Faster Better Smarter Here. Has no additional premium costs outside of your Medicare Part B premium. A Part D prescription plan must be purchased separately.

Why We Like This Plan. Has both Health and Drug Coverage. Review the provider directory or ask your doctor to make sure the doctors you see now are in the network.

Details Drug Coverage for the Quartz Medicare Advantage Gundersen Quartz Med Advantage Core D wRx H5262-021 HMO in Wisconsin. Senior Preferred has plan options that include Part D prescription coverage. This webpage was updated on January 1 2021.

In the spring of 2017 Quartz partnered with Unity Health and Gundersen Health Plan adding Physicians Plus later that same year. Quartz offers a Medicare Advantage product Senior Preferred. UW Health Quartz Med Advantage Elite D wRx is a Medicare Advantage plan from Senior Preferred thats available to beneficiaries living in Dane County Wisconsin.

All of these health plans along with the Quartz ASO self-funded plans and Senior Preferred. Quartz Lake invests directly and through joint ventures. Please call our customer service number at 800-394-5566 TTYTDD users can call 711 Monday through Friday from 8 am.

Its a Health Maintenance Organization HMO health plan. Quartz is an administrator for a variety of self-funded health plans and recently shifted into administrating the plans for several other local standard insurers mainly HMO companies. This is a 5-star Medicare Advantage plan.

Users also can obtain a. The ProHealth Senior Preferred Elite wRx HMO plan has a 100 drug. Ad Search Faster Better Smarter Here.

Quartz Medicare Advantage. Below is the Formulary or drug list for ProHealth Senior Preferred Elite wRx HMO from Quartz Health Plan Corporation. It includes a prescription drug plan.

Senior Preferred Per Minnesota statute 62J536 providers in Minnesota must submit claims via electronic methods. This online directory is for general information. This plan has health and drug coverage.

If they are not listed it means you will likely have to select a new doctor. Quartz encourages its network hospitals to hold those providers to Quartzs standards for member billing. UW Health Quartz Med Advantage Elite D wRx 2021 Medicare Advantage HMO Plan for Dane County WI.

UW Health wants to get vaccines to our patients as quickly as possible. Its a Health Maintenance Organization HMO health plan. This plan is available for 2021.

The information contained in this directory may change during your plan year. However if a hospital does not require its providers to comply with Quartzs standards Quartz cannot influence the manner or amounts that you may be billed by the provider. People interested in same-day appointment if someone cancels can fill out this same-day call form.

If you meet the current eligibility requirements you can schedule your first COVID-19 vaccine appointment using this online form. What To Know About This Plan. We target primary and liquid secondary markets in the United States with a predisposition to urban markets with liveworkplay environments and infill suburban submarkets.

In addition to direct equity Quartz Lake will consider preferred equity platform and participating loan investments. Providers not subject to this statute may also submit claims via mail. Prostate Cancer Screening PSA Test February 12 2021.

Please contact 608-643-2491 or 1-800-362-3310 to learn more about the participating providers in your network and the implications including financial if you decide to receive your care from non-participating providers.

National Institute Of Mental Health Depression

For more information on depression please visit. That affect mental health.

Data Shows 1 In 8 Women Face Depression In Their Lifetime 459th Air Refueling Wing Article Display

301-443-4513 or 1-866-615-NIMH 6464 toll-free.

National institute of mental health depression. Alcohol and other substance abuse or dependence may also co-occur with depression. In a National Institute of Mental Health NIMH-funded study researchers found that more than 40 percent of people with PTSD also had depression at one-month and four-month intervals aer the traumatic event5. Johns Wort and Depression National Center for Complementary and Integrative Health Therapy and Counseling American Academy of Family Physicians Also in Spanish.

The National Institute of Mental Health NIMH Rock-ville Md Treatment of Depression Collaborative Research Program was the first multisite coordinated study initiatedby theNIMH in field ofpsychotherapy. National Institute of Mental Health NIMH The National Institute of Mental Healths mission is to transform the understanding and treatment of mental illnesses through basic and clinical research paving the way for prevention recovery and cure. Department of Health and Human Services.

NATIONAL INSTITUTE OF MENTAL HEALTH. Tracie Shea PhD. 1 to test the feasibility and value ofthe collaborative clinical trial model a model frequently used in.

Together we can make a difference. Depression is a common but serious illness. You are invited to call the National Institute of Mental Health at 301-496-9576 for information on our research studies of Postpartum Depression PPD.

The NIMH-supported Research Units on Pediatric Psychopharmacology RUPPs form a network of seven research sites where clinical studies on the effects of medications for mental disorders can be conducted in children and adolescents. The study had two major aims. 6001 Executive Boulevard.

Room 6200 MSC 9663. Take a mental health minute to learn about depression which is one of the most common mental disorders in the US. Major depression is one of the most common mental disorders in the United States.

If you had PPD in the past please call us. But these feelings are usually short-lived and pass within a couple of days. In particular Asia most studies came from China presented lower levels of both anxiety and depression.

301-443-8431 or 1-866-415-8051 toll-free. The National Institute of Mental Health NIMH is part of the National Institutes of Health NIH a component of the US. National Institute of Health 1998.

Toll-free in the US. Bethesda MD 20892-9663. In 2011 the American College Health Association National College Health Assessment ACHANCHAa nationwide survey of college students at 2- and 4-year institutions found that about 30 percent of college students reported feeling so depressed that it was difficult to function at some time in the past year.

The National Institute of Mental Health NIMH has identified the use of medications for depression in children as an important area for research. Department of Health and Human Services. Up to 80 of those treated for depression show an improvement in their symptoms generally within four to six weeks of beginning medication psychotherapy attending support groups or a combination of these treatments.

Our research found an elevated global prevalence of these mental health issues during COVID-19 and also revealed there was a wide variance in each at the region- and country-level says João Castaldelli-Maia MD PhD NIDA-INVEST Postdoctoral Fellow in the Department of Epidemiology and lead author. National Institute of Mental Health Treatment of Depression Collaborative Research Program. For some individuals major depression can result in severe impairments that interfere with or limit ones ability to carry out major life activities.

Science Writing Press and Dissemination Branch. National Institute of Mental Health 2018 Treatment for Depression. Brain Stimulation Therapies National Institute of Mental Health Depression Treatment Centers for Disease Control and Prevention Psychotherapies National Institute of Mental Health St.

Depression National Institute of Mental Health What is depression. The National Institute of Mental Health at NIH is dedicated to mental health research including clinical trials of possible new treatments as well as studies to understand the causes and effects of depression. General Effectiveness of Treatments Irene Elkin PhD.

Office of Science Policy Planning and Communications. The National Institute of Mental Health NIMH is part of the National Institutes of Health NIH a component of the US. When you have depression it interferes with daily life and causes pain for both you and those who care about you.

Everyone occasionally feels blue or sad. Et al Stanley D.

Hardie Board Shears

Colour Design. For cutouts and small holes score around.

Makita Fibre Cement Board Shear The Home Depot Canada

For the tightest water-resistant fit Make sure your substrate fits perfectly and stays fixed with clean-cut edges that align tightly when you use our purpose-made tools and accessories.

Hardie board shears. I cut mostly 14 inch and although it didnt recommend it I did cut some 12 inch 42. The HardieBacker Score-and-Snap Knife not only guarantees you cut HardieBacker backer board precisely but in record time as well. CUTTING CEMENT HARDIEBACKER BOARD Use a straight edge as a guide to score the boards face and snap upward along the score line.

Then what kind of screws are used for Hardie board. Hardie board shears - 130 tallahassee QR Code Link to This Post. Even if you do invest in higher.

The use of shears manual electric or pneumatic is also acceptable. Lap and Siding Gauges. I bought them a month ago to do a siding project then I hired someone to do it.

8-18 x 38 HD. The first year I used a 7 10 disposable fiber blade in my chop saw and a 4 angle grinder with a cement cutoff wheel. I purchased these shears to cut Hardie backer board for three rooms 19 sheets.

James Hardie has evaluated several combinations of tools for ease of use durability and value whether you follow Table 1 or choose the performance option. We recommend using a carbide-tipped scoring knife but a utility knife may also be used. Secondly how do you attach Hardie board.

Hardie Board Shears A must-have for installing all Hardi Board products. James Hardie is the world leader in fiber cement siding and backerboard. Fiber cement siding can be nailed by hand or with a pneumatic nailer.

I paid over 16000 for these with tax and they compare to other tools costing 25000 and more. Extra strength screws ensure our impervious and strongest-on-the. Ive been stripping off the wood clapboard siding on my house and replacing it with Hardie Board one side per year.

The 14 inch cut like a hot knife through warm butter only slower. Just like circular saws shears are able to keep dust away from you when you cut and trim your Hardie board panels and siding. Brand new in the box never used.

Weve been providing a better way to build for over 100 years. Lines are easy to follow in either direction except for the curl that comes around every eight inches or so. James Hardie is the world leader in fiber cement siding and backerboard.

3 product ratings - PacTool Snapper SS404 65 Amp Fiber Cement Siding Shear Hardi Board 516-inch. Whether youre using electric or pneumatic shears youll be able to perform different cutting styles with ease ranging from straight to radius cuts. There are many cost-effective circular saw and vacuum options that meet Table 1 requirements for cutting fiber cement.

Great time safer for cement board Hardie board siding and much. Weve been providing a better way to build for over 100 years. Previous Price 31999.

In compliance with the tile industry James Hardie recommends 1-14 long galvanized or stainless steel roofing nails 0121 shank x 38 HD or 1-14 long corrosion resistant ribbed waferhead screws No.

When To Stop Taking Prenatal Vitamins

Once a woman is pregnant she should continue to take at least 400 micrograms or 04 milligrams of folic acid during the first 3 months of pregnancy. If youre not pregnant or planning a pregnancy you can hold off on prenatals until you really need them eg a few months before pregnancy during pregnancy and often for the.

When Should You Stop Taking Your Prenatal Multivitamin

So I stopped it for weeks now.

When to stop taking prenatal vitamins. Sorry for English btw. Taking folic acid and other prenatal vitamins can help reduce the risk of some birth defects. Ideally youll start taking prenatal vitamins before conception.

The first few weeks of pregnancy are a really important time for fetal health and development. Folate Levels and Risk of Autism These data were presented at the International Society for Autism Research INSAR by researchers from Johns Hopkins. Yet these needs are not exclusive to the nine months of pregnancy so you would ideally begin taking prenatal vitamins a few months before you wanted to try to conceive.

Doctors often recommend that women who are breastfeeding also continue taking prenatal vitamins after delivery. When to start and stop taking prenatal vitamins You should start using a multivitamin that contains folic acid whenever you think you might conceive. As you can become pregnant immediately after stopping birth control using some methods such as birth control pills its a good idea to take prenatal vitamins for a few months while youre still using birth control to ensure your body is totally prepared for pregnancy.

If you want to have another child you can continue taking them after youve finished breastfeeding this LO. PM ImagesGetty Images Men can take supplements like vitamins C D and E to boost fertility. Fertility supplements wont undo infertility issues from an unhealthy lifestyle.

Some people get nauseated or constipated from taking prenatal vitamins. As long as you continue to take your prenatals your baby will get a good dose of most vitamins directly from you. I know it is recommended to continue with them if you are breastfeeding because a lot of your nutrients gets passed on still to your LO.

Some women choose to continue simply for nutritional needs. Because the kind of birth defects that arise from a lack of folic acid start to form before many women even realize they are pregnant its important to supplement this nutrient even before conception. Take your prenatal multivitamin with food so it doesnt sit on an empty stomach.

Once morning sickness has passed most doctors advise that pregnant women return to taking prenatal vitamins. Medical experts typically recommend taking prenatal vitamins with folate or the manmade version folic acid for three months before trying to conceive. Do prenatal vitamins have side effects.

Continue to take your prenatal vitamins until you are done breast feeding which will hopefully be at least a year after youve given birth. In some cases doctors are comfortable with women skipping prenatal vitamins during the first trimester as long as they are diligently watching and balancing their diet while getting enough nutrients from plenty of healthful foods. Pediatrics 27 years experience.

Your doc will tell you if your going to breast feedto keep taking th vittamins either way you go its best to take them for atleast a month or 2 after you give birth cuz the doc says it heals your sores if you get anyshrinks your uterus faster and givess you energery. Not from the American College of Obstetrics and Gynecology ACOG. Idk why but whenever I take prenatal vitamins my morning sickness get worse.

But Im a little bit worried. Taking them once you stop using birth control and begin to try in earnest would be beneficial. Prenatal vitamins are particularly important for these women.

However Columbia Health states that if you are not pregnant or planning a pregnancy a prenatal vitamin may actually provide you with too much extra nutrition. If taking a prenatal vitamin makes you constipated make. Once your baby has been born and you are either not breastfeeding or you have stopped breastfeeding it is ok to stop taking your prenatal.

Keep taking prenatal vitamins throughout your entire pregnancy. Strangely enough there is no universally adopted recommendation for the cessation of prenatal vitamins in the postpartum period. Prenatal vitamins help ensure youre getting enough folic acid calcium and iron essential nutrients during pregnancy.

The babys neural tube which becomes the brain and spinal cord develops during the first month of pregnancy perhaps before you even know that youre pregnant. My prenatal vitamins are also post-natal. A lot of people wonder about about prenatal vitamins side effects.

Experts recommend taking fertility supplements for at least 3 months. In fact its generally a good idea for women of reproductive age to regularly take a prenatal vitamin. Not for a while.

Benefits of Prenatal Vitamins. Its best to start taking prenatal vitamins three months before conception Mayo Clinic Mayo Clinic Guide to a Healthy Pregnancy A sensible diet can generally provide adequate levels of all vitamins and minerals needed during pregnancy with the exception of iron folic acid. If you have morning sickness and throw up a lot take your prenatal multivitamin after dinner or even at night.

Should I take again. Is me stopped taking vitamins will affect babys health.

Catheter Removal Complications

Refractory peritonitis is defined as failure to clear after 5 days of appropriate antibiotics. Cloudy urine due to pus.

Complications Of Chemoport Download Table

Of these infection and catheter embolism present the greatest risk for mortality or significant injury.

Catheter removal complications. The mean time to complication was 541 - 143 days 27-2040. In 71 1014 of the complications an abscess was found at the site of the previously removed Tenckhoff catheter. You see a lot of blood in the urine.

The catheter doesnt come out with gentle pulling. During removal of IJ or subclavian CVC place the patient in Trendelenburg in order to get the puncture site below the level of the heart. Light bleeding for 24 hours is normal.

Narrowing of the urethra this complication usually occurs in long term insertion due to scar tissue formation by the insertion of the catheter Bladder injury caused due to incorrect insertion of the catheter. Over 50 of catheterized hospital patients develop some kind of urinary complications. T he length of the subcutaneous tract ideally should be kept.

Complications associated with peripheral VAD discontinuation include excessive bleeding infection at the catheter insertion site after catheter removal and although rare catheter embolism. There were 14 post removal complications two each in two patients and one in each of 12 others. Complications arising soon after catheter implantation are frequently related to the procedure itself congenital anatomic abnormalities andor to increased intra-abdominal pressure IAP generated by infusion of dialysate into the peritoneal cavity 1.

Difficulty Urinating After Catheter Removal - After the urinary catheter is removed some people have difficulty urinating. The complications occurred after removal of the catheter 4 patients after exchange of catheters over a guide wire 3 patients and after detachment of the side port of the Swan introducer in one patient. You have pain while you urinate or you feel like your bladder is not emptying completely for more than 48 hours after catheter removal.

Entry site is crucial to facilitate catheter removal. Complications associated with removal of a central venous catheter Proven and unresolved infection End of treatment Device has exceeded recommended dwell time Unmendablefaultyfractured device Proven thrombosis Unresolvable occlusion Unresolvable phlebitisthrombophlebitis Table 2. You see blood in your urine.

A urinary tract infection is just a fraction of the urinary catheterization. What are the potential complications of urinary catheters. More dis-tant placement of the catheter cuff within the tunnel leads to diffifi culties in dissecting the fifibrous adhesions from the cuff and increases the risk of severing or weakening the catheter.

The reactions usually occurred within minutes of catheter removal. Abdominal discomfort and pain. Problems associated with catheter removal include inability to urinate pain in the bladder or stomach and urinary infections according to WebMD.

According to safety experts UTIs can happen from a Foley catheter removal. You have urinary urgency frequency or trouble urinating for more than 48 hours after catheter removal. In 29 414 of the complications foreign body material consistent with a retained cuff was recovered.

One of the most common and severe complication that occurs with urinary catheters is a UTI referred to as a catheter-associated urinary tract infection or CAUTI. A CAUTI can lead to urosepsis and septicemia Infections are common because urethral catheters inoculate organisms into the bladder and promote colonization by providing a surface for bacterial adhesion and causing mucosal irritation. You have burning pain with urination that lasts for 24 hours.

You cant urinate within 8 hours after removing the catheter. After catheter removal it is normal to have difficulty urinating immediately but a doctor should be consulted if. Your belly abdomen is painful or bloated.

Generally speaking catheter removal should be performed for refractory peritonitis relapsing peritonitis fungal peritonitis and refractory catheter infections. You have questions about removing the catheter. Reasons for removal of a central venous catheter.

Leaking of urine out of the catheter. Most often occurs during removal of central venous catheters. Based on clinical reports people can experience different problems such as poor sexual function and pain.

Very rare but fatal complication. Complications following catheter removal. Anuria no urine output or passing small and frequent amounts of urine.

Burning of the urethra or genital area. Urinary retention inability to pass urine - Symptoms include. Straining feelings of incomplete emptying and after-dribble Abrams et al 2002.

Your abdomen is bloated.