Q: Diagnosis is by visual examination. A sigmoidoscopy must always follow the visual examination to rule out Crohn's disease, cancer, and other serious conditions. However, to know the ins and outs of your case, your doctor may conduct 1 or more of the following tests, too: Computerized Tomography (CT scan). Especially in patients with Crohn's disease, a CT scan indicates the inflammatory stage before the possible formation of a fistula, in addition to showing the cavities of abscess to determine if surgical care is needed. Magnetic Resonance Imaging (MRI). This a helpful method to determine any enteric fistulas by revealing any inflammatory changes or accumulation of fluids in the fistula tube. Fistulography. This is an X-ray method in which a contrast media is injected at the external site of a fistula to clarify the fistula path and how deep it is through the tissues which will help in choosing the treatment. Ultrasonography. This combined with physical examination can be used to identify any presence of abscess or fluid accumulation that may reside in the fistula tube. Cystoscopy. This is useful for the "enterovesical fistula" that connects the intestine with the bladder. Microbiological tests. To indicate any sign of infection, especially in the presence of abscess, a urine culture may be required in case of colovesical fistulas. The most common treatment of fistulas is surgical care, which is called "fistulotomy." This process will remove the fistula and any pus or fluid gathering in it. Fistulotomy is effective in more than 85% of cases. In fistulotomy for rectal fistulas, a procedure called endorectal flap will be used. This is where the surrounding healthy tissues get put inside the fistula cavity to ensure the prevention of its blockage by feces in case of a recurrent infection. A seton stitch (passing a cord into the fistula in order to keep it closed during the drainage) is also reported to be used in fistulotomy. This, however, usually takes multiple visits to your doctor until recovery and eventually the stitches dissolve. There is a "Cutting Seton Treatment" known as "Kshar Sutra Therapy," which has a high success rate. Fistulas between the esophagus and trachea-bronchial tree are considered life threatening and require immediate and ongoing treatment. If left untreated they can induce chronic lung abscesses and deadly pneumonia. Treatment is provided by a number of medical procedures such as: Esophageal dilation. This may last for months or even years in some patients. Flexible-metal mesh stents. These are the most effective in maintaining esophageal patency and structure. Plastic coated mesh stents. These can also be used to occlude trachea-esophageal fistulas; some are powered with a valve that prevents reflux when the fistula is located near the esophageal sphincter. It's incredibly important that you follow up with your doctor post-surgery, especially if you have a chronic inflammatory disease, such as Crohn's disease or other conditions. In these cases, fistulas are just a side effect and the actual cause needs to be addressed. There are other issues that are related directly to intestinal fistulas that the affected patient must follow up on and be aware of, too. They must avoid sepsis by treating any signs of infections, such as inflammations in the tissues surrounding the fistula, control the drainage of the fistula and keep good care of the skin to maintain the nearby tissues in a healthy state. A gastronomy tube may be required to feed someone with an esophageal fistula. This goes in through the abdominal wall and directly into the stomach. If needed, the tube would be placed while the patient is under anesthesia so they will not be in pain. Antibiotics may minimize the chances of forming any infections at the fistula site, especially for the enteric kinds. Elevated levels of white blood cells indicates the presence of an infection that may need to be treated with a suitable antibiotic. Fistulas can be treated initially with a compound treatment of metronidazole and ciprofloxacin or vancomycin. Metronidazole will be 250-500mg every 8 hours; Vancomycin is 125-250 mg every 6 hours, or three times daily one hour after eating.
A: Visit your doctor. Undergo surgery. Take extra caution if you have a fistula near your esophagus. Follow up with your doctor. Talk to your doctor about taking antibiotics.

Q: Most burlesque dancers have a fun, original name. To make your name unique, think about your personality. What makes you unique and how can you incorporate it in a fun, burlesque name? Most dancers use an unconventional first and last name for a stage name. Try fun combinations of words. For example, you could use a color, a city, an animal, or even a body part. Old-fashioned names often have a burlesque touch. If you're on the curvier side, you could call yourself Curvy Bette. Google your name before using it professionally to make sure it's not already in use by an established dancer in your area. Make sure to google your name, followed by the words "burlesque dancer." A corset is a must for any burlesque dancer, as it accentuates curves. This is best worn with a fitted skirt, like a pencil-skirt. You can also get a corset with a built-in skirt. Pair this with knee-high stockings and boots for a classic, sexy burlesque look. Add some of your own personality via accessories. If you love old-fashioned hats, try wearing a vintage fedora, for example. Flashy jewelry can also be great, like sequin earrings and necklaces. Burlesque dancers traditionally wear bright red lipstick with heavy blush, eyeshadow, mascara, and eyeliner. Smoky eyes, with cat eyes drawn on with eyeliner, can really give you a sexy Burlesque look. It can help to look up burlesque makeup tutorials online for inspiration. While red is a traditional burlesque color, there's nothing wrong with experimenting a little to make your look unique. If pink is your favorite color, you could try pink eyeshadow and lipstick. The best way to build your personality is by seeking quality role models. Go to local burlesque shows and check out the local talent. If you love a dancer's style, look them up online. Check out their social media presence, especially things like YouTube, to see how they show off their personality on stage. If you catch a dancer after a show, they may be willing to meet up with you to discuss your career goals. You can also try reaching out via e-mail or social media. Many burlesque dancers started out small and had to ask for help along the way. Think about how you see yourself and how you can incorporate that into your dance moves, stage persona, and look. Adding fun twists to the classic burlesque look and dance moves by adding in a touch of individual flare. For example, maybe you're on the quirky side. You could wear a bright green wig for shows and add an unusual accessory like lightning bolt earrings. If your sense of humor is vital to your personality, show that off on stage. Crack jokes with the audience between sets and, if you screw up, learn to laugh it off.
A:
Pick a name to fit your personality. Choose a seductive outfit. Apply heavy makeup. Study burlesque dancers you admire. Incorporate your own personality.