Loperamide have negative effects from rebound constipation. If a suspicion exists of diarrhea associated with organisms that can penetrate the intestinal walls, such as or "Salmonella", loperamide is contraindicated as a primary treatment. Loperamide treatment is not used in symptomatic "C. difficile" infections, as it increases the risk of toxin retention and precipitation of toxic megacolon. Loperamide should be administered with caution to people with liver failure due to reduced first-pass metabolism. Additionally, caution should be used when treating people with advanced HIV, as cases of both viral and bacterial toxic megacolon have been reported. If abdominal distension is noted, therapy
Medical massage Medical massage Medical massage is outcome-based massage, primarily the application of a specific treatment targeted to the specific problem(s) the patient presents with a diagnosis and are administered after a thorough assessment/evaluation by the medical massage therapist with specific outcomes being the basis for treatment. It is also known as clinical massage or treatment massage. There are many massage schools and programs that teach medical massage as a technique. Though medical massage is any massage treatment used to treat specific medical conditions. There is no one technique that is medical massage (literary review). Medical massage is taking whatever style of