Gastroenterology International

COVID 19 has change the entire healthcare delivery system time to time, various strains has been observed and different complication has been observed time to time in different age group. Similarly case presented here with refractory diarrhea and Transaminitis. COVID 19 is a deadly Pandemic and effecting people throughout the world. Whole world is looking for the varied option for treatment and the second wave has almost caused the lot of mortality and morbidity. No age group is spare of the COVID 19 manifestation from pediatric & Geriatric age group

There are many pathological conditions which warrants the clinical evaluation and intelligent history taking to reach the correct diagnosis rather than battery of investigation either done in walk in patients and the referred patients.Similar happened in the patients those who are evaluated and screened for dysphagia – Difficulty in swallowing as chief as well as associated complaints taken and given by the patients and his attendants. Lot of patient which are referred to gastroenterologist by peripheral circulation when they undergone upper GI endoscopy didn’t find any organic illness and need the judicious history taking and evaluation from time to time to reach the exact pathology. Here is the data collected and screened patients which have the non GI manifestation of the dysphagia later on found to have the neurological manifestations. The statistic reveals that all dysphasia doesn’t belong to the esophageal gastro disorders the more they happen with the neurological manifestations.

Haemostasis, inflammation, proliferation, and remodelling are the steps that comprise the complex biological process of wound healing. Chronic wounds often remain static in the inflammatory stage of wound healing beyond the expected duration and resist healing. Biosilk or biomodified silk dressing is believed to aid in accelerating the wound healing process. The combination bio functionalised silk matrix with silver oxide and Centella asiatica, a medicinal plant with wound healing properties, has been found to be effective in managing chronic non-healing wounds.