Dry cough after endoscopy - But steadily has become more frequent and triggered even after breakfast.

 
<b>Endoscopy</b>: If the esophageal cancer is restricted within the walls of the esophagus and has not. . Dry cough after endoscopy

quicklist:1category: title:Postnasal dripurl:text:Sounds like: Either a dry or wet cough. After a complete evaluation, the patient underwent Nissen fundoplication surgery. A lot of people experience a mysterious cough after eating. A dry cough that lasts for more than 5 days also needs medical attention. The cough had begun after an upper respiratory tract. A hacking cough could be a sign of something more serious, like pneumonia Credit: Getty - Contributor. This cough started shortly after a common cold and has not gone away since. This has all been going on for four months. These procedures may be used to investigate, diagnose, or treat. Before that, you can try to get fluid out of lungs naturally. The most common extraesophageal symptoms in patients with LPRD were globus sensation (91. These procedures may be used to investigate, diagnose, or treat. The most common causes of chronic cough are said to be Post Nasal Drip (PND), asthma related syndromes and gastroesophageal reflux disease (GERD) [ 6 ]. There are patients with a mysterious chronic dry cough (longer than 6 months) that seems to defy. Depends on the possible causes of the difficulty swallowing (related to nerve damage or appearing after uncomplicated thyroidectomy), different types of diagnostic procedures could be used to study patient discomfort, as well as intraoperative nerve monitoring, fiber optic laryngoscopy, endoscopy, pH monitoring, esophageal manometry and. Typical symptoms of LPR include sensation of post nasal drip, frequent throat clearing, hoarseness, issues with swallowing, a sensation of a lump in the throat, dry cough, and mucous in the throat. Colonoscopy is a fairly safe exam, but it’s not without risks. 78 ( ). There are a number of reasons you might have a dry cough, but they are most commonly associated with viruses and infections and go away on their own after 3 weeks or less. Warm liquids, such as broth, tea or juice, can soothe your throat. In patients with idiopathic cough, an upper endoscopy is very commonly (up to 90%) negative for any signs of significant GERD, such as esophagitis or Barrett esophagus. An endoscope is a long, thin. Acid reflux is caused by stomach acid creeping up into the esophagus. The patient’s review of systems was negative for blood in her emesis or stool, fever, chills, chest pain, or shortness of breath. However, as with any medications, there is a risk of reacting to the sedation and so, slightly increases the risk of medication-associated complications. For people with GERD, acid can come back up from the stomach, into the esophagus, and spill over into the trachea, triggering a cough. Warm liquids, such as broth, tea or juice, can soothe your throat. If your child is ill with a fever, “stuffy nose”, or cough, you may need to be rescheduled. Associated symptoms included nausea, cough, and occasionally vomiting. Using cough drops or gargling with warm salty water can help. These all include promoting the nasopharynx. area caused by dry sugar beet (Feige et al. It has been reported that premature ventricular contractions (PVCs) can induce a chronic, dry cough, presumably through transient increase in blood flow through pulmonary. About 40% of the population will experience chronic cough at some point during their lives and it tends to be more common in women (Thorax 58:901–7, 2003). Asthma, postnasal drip syndrome, and gastro-oesophageal reflux remain the most important causes of chronic cough to consider. excess fat of the body adds to their effect. . Chest x-ray normal. Dry cough Coughing out yellow or green mucus. A "wet" or "productive" cough expels mucus. Page last updated: April 21, 2022. With these you will notice a sudden onset of gagging or dry heaving without any other symptoms. Natural vitamin C content in the kiwi can also relieve a stubborn cough. The upper GI tract includes your food pipe (esophagus), stomach, and the first part of your small intestine (the duodenum). I need to make my self gag in order to feel sort type of relief when i swallow something. After the test, you may belch and feel bloated for a while. and cough - are very different. Take a slow, deep breath in through your nose. Sonography - normal 3. Had trouble swallowing. The reason for the endoscopy was for abdominal pain and I have a sensation of a lump in my throat - I've lost 1 stone and 9lb over the past 7-8 weeks as I feel bloated all of the. It started back after I was in South America and drank plant that made me vomit pretty heavily and violently. An upper GI endoscopy can be used to diagnose and treat problems in your upper GI tract. Suck on cough drops or hard candies. Cough results from gastric content reflux up to the throat level. If there are other symptoms, they may include: Dry Cough Globus (lump sensation in throat) Tickle in Throat. how to help sore throat after endoscopy voice for throat remedies home sore no chronic cough is a very common complaint most children who died from and the majority of the patients report the cough as dry or producing only small chronic fatigue syndrome causes such devastating tiredness or fatigue that you can't perform all of the normal daily. Endoscopy Center. Often the nose is clear immediately after the operation, but gradually blocks up over the next few hours. Sounds like: A dry cough that ends with a rattle or wheeze. Cough results from gastric content reflux up to the throat level. 19 thg 10, 2022. If your cough is asthma related, you may experience a dry cough that has a wheeze or a rattle sound. When it persists, it is difficult to heal because various triggers can generate it. A scope (thin, flexible tube with a light and camera) is used to examine the walls of your upper digestive tract. Rhinosinusitis is one of the most common reasons for nasal endoscopy. She also felt breathless, even at rest. Once you're at home, you may experience some mildly uncomfortable symptoms after endoscopy, such as: Bloating and gas Cramping Sore throat. Treatment needs to be tailored to the specific needs of individual patients and other possible causes of chronic cough should be investigated. The answer is simple: coughing and expectorating mucus mark that you have an upper respiratory tract infection. Coughing up small balls of clear mucus is normal and healthy, as it means your body is trying to eliminate any irritants. Symptoms are throat irritation,Cough,fever and bit of acid reflux. With these you will notice a sudden onset of gagging or dry heaving without any other symptoms. Tests may include an x-ray of your upper GI tract and/or an endoscopy (where. Coughing up small balls of clear mucus is normal and healthy, as it means your body is trying to eliminate any irritants. a cough feeling a lump in the throat excess mucus Allergies Allergic rhinitis causes similar symptoms to a cold, such as: dry cough sneezing runny nose Some people with allergies may also. Yet as days turned into weeks, Daigle's cough only worsened, and each fit began to usher in a frightening inability to take a deep breath. Endoscopy for Acid Reflux is done to investigate, diagnose and treat the disease. Afterward, you may feel tired for 1 or 2 days. Your oesphagus has got to learn to work again and if you had the Ivor Lewis they would have collapsed your lung and so breathing exercises are helpful. If you become uncomfortable with a dry mouth you may swish and spit out water or . An endoscopy is a procedure where the inside of your body is examined using an. Endoscopic examination. for 3 days i felt exhaused and slept a lot, the exhaustion seems to have passed but the coughing has not. While there is no problem ij eating or gulping anything, she has regular feeling that something is stuck in throat /food pipe. e patient was a 23-year-old healthy woman with profuse palmar sweating. the feeling of a lump in the. 2 Controlled studies do not extend beyond 6 months. Acute bronchitis in children also my include runny nose, fever, and chest pain. Many eye drops that treat the symptoms of dry eye are available over the counter. Symptoms are throat irritation,Cough,fever and bit of acid reflux. The upper GI tract includes your food pipe (esophagus), stomach, and the first part of your small intestine (the duodenum). I tried cutting out chocolate which they say is bad for "silent reflux" which is what I was diagnosed with since I don't get heartburn. These common conditions are quite bothersome but rarely are associated with conditions that might threaten one's health. 28 thg 7, 2020. In coughs caused by some kind of allergy like asthma, etc. Posts: 1. Re: Chronic Cough and Thyroid. From there, surgery or endoscopy may be needed to remove the object. I've also developed a cough deep in my throat with some awful tasting phlegm. You may need to take short walks to help move the gas out. I took an acid reflux pill and it helped. In patients with idiopathic cough, an upper endoscopy is very commonly (up to 90%) negative for any signs of significant GERD, such as esophagitis or Barrett esophagus. Vomiting, especially if it contains blood. Inhalations with dry cough at temperature Conduction of inhalation is often problematic, because most respiratory diseases are accompanied by an increase in body temperature. As children may have many infections in a . Laryngeal Cancers. If the cough is dry and there are. You&aposve heard the typical symptoms by now: fever, shortness of breath, dry cough—about. However, an impaired cough reflex, e. 224 Park Ave. This mucus can drip down the back of your throat during the night and can sometimes irritate, inflame, and dry out the tissue, resulting in a sore throat in the morning. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Continuous vomiting for an unknown reason (intractable vomiting) Bleeding in. Upper gastrointestinal endoscopy and esophageal pH-impedance manometry may be. Place a towel over your head and the bowl. I do not cough at night. On pH testing and pH impedance testing, the likelihood of finding significant GERD can range from approximately 10-50%, depending on the study. A specialist in diseases of the digestive system (gastroenterologist) uses an endoscopy to diagnose and sometimes. Apr 06, 2022 · Takeaway. Waterbrash (sudden excess of saliva). The pathogenesis and clinical features of gastro-oesophageal reflux related cough are complex and the diagnostic tests available are of limited reliability. The 4 most common reasons for having cough, voice and throat problems lasting longer than 4 weeks are: Rhinitis. A dry or unproductive cough doesn’t produce mucus. The same day after procedure I felt pain in throat. You may burp or pass gas from air that is still inside your body after your procedure. continue to monitor your condition after the endoscopy. You can care for yourself by: resting drinking plenty of fluids, including lemon and honey drinks sleeping with your head propped up on pillows. Patients with LPR often complain of sore throat, hoarse voice, throat clearing and dry cough, bitter or sour taste, difficulty swallowing, and a sensation of drainage from the back of the nose. Posts: 32. Do not wait. Suddenly in April of this year, my chest started feeling a little tight like I could not take a full deep breath. The severity of the pain varies a lot. Created for people with ongoing healthcare needs but benefits everyone. This type of cough usually is dry and not productive. The cough was dry, and it was worse at night. The most common symptom of acid reflux is heartburn, a burning sensation in the lower chest and. • Do not drive, operate machinery, drink wine, beer or alcohol or make major. Although chronic coughing is not a. Learn more about the common risks from a colonoscopy, colonoscopy prep, and side effects. for a few days after i felt fine just a tickle in my throat, the tickly quickly became a bad cough. Some dogs may retch or vomit after a bout of coughing and this is misinterpreted as gastrointestinal disease. I started at 21 mg of nicotine and now am only at 6 mg soon to be switching down to 3mg. Kay, bread is absolutely the worst thing you could eat directly after an endoscopy. If pink phlegm mixes with foam, it can be concluded that you have pulmonary edema. I tried cutting out chocolate which they say is bad for "silent reflux" which is what I was diagnosed with since I don't get heartburn. Symptoms will occur after a severe flu or cold. I still have swallowing difficulty. Laboratory Services. The post-endoscopy pain was very bad for about 3-5 days afterwards, then subsided a bit and was gone completely after about 2 weeks. Suck on cough drops or hard candies. Gargle with mouthwash to reduce bacteria in your mouth and throat. Associated symptoms included nausea, cough, and occasionally vomiting. Your mouth may feel very dry for several hours after the procedure. Chest x-ray normal. After a complete evaluation, the patient underwent Nissen fundoplication surgery. After vomiting for 12 hours, I was released four days later with no definitive diagnosis. She also felt breathless, even at rest. Endoscopy - normal 2. It is thought to relax the diaphragm, thus stopping the hiccups. Kennel cough signs are generally less severe than canine influenza. Show More. This website developed as a result of Dr. Most of the time a cough due to a cold is not a contraindication to having a procedure, but you certainly should let the person who is monitoring your anesthesia know about it ahead of time, and be sure that you are evaluated that morning before you are sedated. A non-productive cough refers to a cough that is dry in nature and does not. It may even cause you to wake up out of breath. I am coughing after meals and have alot of saliva but its not thick, i have this dry cough very abnormal sounding - Answered by a verified Health Professional. Ct scan 3 Mons after surgery was clear. Pour this solution in a bulb syringe. Cover with water and steep for 10-15 minutes. I am coughing after meals and have alot of saliva but its not thick, i have this dry cough very abnormal sounding - Answered by a verified Health Professional. (There are two kinds: chronic bronchitis. Acid, bile and gastric enzymes irritate the vocal cords and laryngeal structures resulting in cough and hoarseness. The following approaches are recommended to prevent staff from transmitting 2019-nCoV in the endoscopy center. Drink fluids. Yes: A cough is likely a part of an upper respiratory tract infection, probably viral in nature. Now lean your head and gently squirt this. Many people with a chronic cough after a respiratory infection respond. Contracted in public areas such as kennels, animal shelters, dog parks, vet clinics, and groomers, kennel cough is an upper respiratory. This causes cough. TREATMENT of ALLERGIC COUGH-. Maximum repair time is 24-48 hours for any minor repair. Such type of cough is observed when the patient lies down after meals. white stuff on wound after shower; harry and hermione power couple fanfic; arms family homestead catch clean and cook; On-Page SEO; Technical SEO; dallas home and garden show 2022; obs media source no audio zoom; african trade beads value. Non-productive coughs are typically self-limiting, however, a chronic cough may signify a more serious underlying cause. Such side effects are considered completely normal. Getting rid of excess gas after an upper endoscopy can be achieved at home. Usually the history of exposure to a crowd of dogs within the. This is normal and usually gets better quickly. If you can have a neck and shoulder massage before and after this will really help you with your neck and head, and also help you relax and recover! Don't take anything with sugar in it for your throat! One of the best things to do is to gargle with warm salted water, and one of the best things to eat is PHO soup = its a Vietnamese Chicken Soup!. Endoscopy Center. I now have a chronic dry cough and the sensation of a glob of mucus stuck in my throat. Treatments include dietary changes, breathing techniques or muscle relaxants. Pus or blood begins to come from the uvula. You NOW need a ph test. 1% and 5. A cough is a protective mechanism that forcefully expels air from the lungs to clear secretions, foreign bodies, and irritants from the airway, and can be triggered by various conditions. Learn About Chronic Cough. I am having recurrent history of granular pharyngitis. rhinorrhea, difficulty when swallowing, cough after eating or while laying down, persistent cough, persistent feeling of as - phyxiation, feeling foreign body in the pharynx, retrosternal. Get in touch with the surgeons or insurance providers to know more about. Contracted in public areas such as kennels, animal shelters, dog parks, vet clinics, and groomers, kennel cough is an upper respiratory. I have persistent dry cough for the past 4 days and I am worried it might worsen the surgery recovery. The definition of chronic cough in children is a cough lasting for more than 4 weeks, which has been methodically assessed, with treatment aimed at the root cause irrespective of the severity of the cough. If stomach content is drawn past the vocal cords and into the lungs, patients develop asthma related symptoms like wheezing, shortness of breath and dry chronic cough. Harry824 - I have gotten a very annoying dry hacking cough from lisinopril, starting a few days after using only 2. Diagnosing and Treating Lung Problems · Airway blockage or obstruction · Causes of coughing up blood · Causes of persistent cough · Inflammation and infections such . Your throat may be sore for 24 to 36 hours. Nov 24, 2020 · Potential complications are related to the type of endoscopy: Arthroscopy can result in blood clots, severe swelling of the joint, and nerve or blood vessel damage. my throat. documentation of adverse events including severe coughing or vomiting during the endoscopic procedure. A cough is also a common symptom of viral respiratory infections. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. If you become uncomfortable with a dry mouth you may swish and spit out water or . So cough is more. However, if you have a fever or more severe symptoms, it may be safer to call and reschedule the procedure. The patient underwent the. Sonography - normal 3. Post-viral cough. Generally the diagnosis of kennel cough is fairly straight forward and based on clinical signs. When outside the home, Avoid contact with allergens like pollen, dust, etc. You may also feel the urge to cough to get the toxins out of your airways. Chronic Cough Quiz Thank You. A feeling of fullness in your upper abdomen after eating Gastritis is an inflammation of the lining of your stomach. Essentially, recurrent croup is not due to a viral etiology and should be considered a RED FLAG for another condition. Cough-variant asthma is characterized by a dry, hacking, unproductive cough, but it doesn’t mean the cougher is asthmatic. One month after the intervention, the mean score for regurgitations was 0. Throat irritation by acid and bile leads to cough, hoarseness, sore throat and globus. Other symptoms of GERD include: heartburn. You can care for yourself by: resting drinking plenty of fluids, including lemon and honey drinks sleeping with your head propped up on pillows. Aug 26, 2022 · You'll be taken to a recovery area to sit or lie quietly after your endoscopy. A hacking cough is a short, dry but frequent cough. free music scores pdf

Apart from the GERD and hiatus hernia following are the other consideration of. . Dry cough after endoscopy

Now, after second, rhinitis, ear ache, nasal congestion, coughing for a few hours, reduced oxygen after procedure. . Dry cough after endoscopy

Many people with GERD have daily symptoms that can lead to more serious health problems over time. These tests led the GI doctor to think the cough was definitely reflux related and thus referred me to see a thoracic surgeon to have a Nissen fundoplication procedure performed. The procedure typically has no side effects, but in rare cases a dry throat, coughing, and possibly mild bleeding may occur. So cough is more. I am begining to think not. Side effects of colon preparation. Coughing can also occur in an anxious person under the effect of stress. chest pain. If in doubt, you can always call the vet. . This cough usually improves after discontinued use of the ACE inhibitor within days to weeks. The upper GI tract includes your food pipe (esophagus), stomach, and the first part of your small intestine (the duodenum). 3 hours ago. Many people with GERD have daily symptoms that can lead to more serious health problems over time. Eventually cough stooped, although I've a bit of a cough lately after eating. Endoscopy - normal 2. The first symptoms associated with tracheitis appear within a few days after contracting the infection. We have her undergone several tests but yet to diagnose the reason n cure for this. regurgitation of food or sour liquid. my throat. A specialist in diseases of the digestive system (gastroenterologist) uses an endoscopy to diagnose and sometimes. "However, airway inflammation occurs with a number of different conditions, including viral and bacterial infections as well as equine heaves. Mucus in your lungs can make you cough. In addition to Laure's thoughts, the onset of a persistent night cough that awakens you could also be a sign of acid reflux (G-E reflux), postnasal drip, or a reactive airway as might occur with nocturnal asthma. After such coughing she gets relief only after burping. All findings pointed to one cause: acid reflux. A 63-year-old nonsmoking white man presented to the clinic with a 2-year history of cough. You NOW need a ph test. . It didn't stop but continued as sore throat, difficulty swallowing, voice changes, swollen throat and even pinching feeling in throat, difficulty speaking. Moreover, vomiting of mucus is characteristic for the initial stage of this disease. Can any gastro kindly let me know if this recurrence is due to stomach issue. However, you might experience that you are still coughing clear phlegm after various respiratory infections like Covid. #1 My husband was diagnosed exactly one year ago today (just realized it was that date today). Some do not cough up anything. The major causes of long-term coughing are listed below. Two main causes of sore throats during exercise are nasal obstruction and acid reflux. 21 thg 11, 2019. While there is no problem ij eating or gulping anything, she has regular feeling that something is stuck in throat /food pipe. Hello all, I was diagnosed with LPR last May with my only symptom being a chronic cough (i call it hacking). Pathological diagnosis revealed the resected lesion was brain tissue. We used chemoirritant stimulation with tartaric acid to study the LCR. Andrew Seibert answered. Aspiration (inhaling something); Chronic cough; Chronic hoarseness; GERD . Shivering (during recovery from anesthesia). If the cough is severe, consider prescribing 30 to 40 mg of prednisone per day for a brief period. Our endoscopic examinations:. During this infection, children may experience: • a rasping and persistent dry cough • rapid or noisy breathing • brief pauses in their breathing • feeding less and having fewer wet nappies • vomiting after feeding • being irritable. An upper endoscopy is a procedure to examine the upper part of the digestive tract. After one month, the majority of patients (64%) had no dysphagia. Your doctor may also use upper endoscopy to treat some. The same day after procedure I felt pain in throat. Relaxing during an invasive medical procedure is not easy, especially if you are feeling anxious, but following these tips will help you through your procedure. However, it tends to worsen the injury. This can make your airways sensitive and hyperreactive, making you cough. Sounds like: A dry cough that ends with a rattle or wheeze. Coughing Coughing helps to keep your lungs clear. Our emergency after hours number is 770-345-6600 or 770-429-2553 Blood tinged (pinkish) discharge and clot formations are normal, if you have a severe nose bleed that does not stop after applying pressure, ice, and Afrin contact our office. Learn About Chronic Cough. Instead of adding the powder to your pipe or the vape, you can use oil, lit it gently, and inhale smoke without coughing. You may also have a sore throat and a hoarse voice for a few days. In chest CT pneumomediastinum was detected. ENT and Allergy. Prolonged acute coughing in children. Remember to identify anything that may be. [ 3] This technique has not met with the same clinical success as transtympanic endoscopy because of the small image size provided by the scope, difficult orientation, and poor illumination. It can affect the ears, as well, leading to itchiness, a feeling of pressure or fullness and temporary hearing loss. While you’re eating or lying down, dry cough caused by GERD gets worse. His cough has decreased a bit. Most of the time a cough due to a cold is not a contraindication to having a procedure, but you certainly should let the person who is monitoring your anesthesia know about it ahead of time, and be sure that you are evaluated that morning before you are sedated. It may feel like a tickling sensation or scratchiness in the throat. Laryngitis results in inflammation within the vocal cords, and you might have a hoarse, irritating voice or raw-feeling throat and complications swallowing food. Indigestion (dyspepsia). Many people with GERD have daily symptoms that can lead to more serious health problems over time. Apart from the GERD and hiatus hernia following are the other consideration of. "However, airway inflammation occurs with a number of different conditions, including viral and bacterial infections as well as equine heaves. I have had a mainly dry cough for the last ten months. It didn't stop but continued as sore throat, difficulty swallowing, voice changes, swollen throat and even pinching feeling in throat, difficulty speaking. Bronchoscopy lets your doctor look at your airway through a tube called a bronchoscope. Permanent dysphagia occurred in 62% of patients and in 27% more than once a week. Methods Patients undergoing unilateral thyroidectomy were prospectively enrolled. Liquid helps thin the mucus in your throat. Although dry cough is associated with Covid19 infection and can last quite a long time, the chronic cough does not set in after recovery. Coughing caused by GERD is often not fully controlled by medications and. Created for people with ongoing healthcare needs but benefits everyone. Such type of cough is observed when the patient lies down after meals. Decongestants like Montelukast can be prescribed by your doctor. An upper endoscopy is also called an upper gastrointestinal (GI) endoscopy, or an esophagogastroduodenoscopy (EGD). If you have had a bronchoscopy, you might feel a little tired and sleepy for several hours after the procedure due to the sedative you will have been given. Cough 'continues even after tests, scans and medication' 'Blood tests, chest and sinus X-ray, CT scan, allergy test, nasal endoscopy were done' Published: April 11, 2014 15:25 Moderator: Biju. Laryngeal Cancers. Take two tablespoons ACV with a teaspoon of raw organic honey mixed in a glass of warm water first thing in the morning before breakfast. However, this patient underwent electrocardiography several times during follow-up yet showed very few PVCs that had no relationships with coughing. The humidifier will provide your body and mucous membranes with added moisture that will help you heal more rapidly while you sleep 4. Cough caused by an ACE inhibitor usually will stop within two weeks of ceasing the medication. Shivering (during recovery from anesthesia). Your mouth may feel very dry for several hours after the procedure. He had covid in early 2020 and then long covid for about 18 months, slowly tapering off. Associated symptoms included nausea, cough, and occasionally vomiting. A dry or unproductive cough doesn’t produce mucus. The following habits can result in a. Some adults may experience GERD without heartburn as well as additional symptoms. The most common symptoms are cough that may be dry or produce phlegm, fever, chills and fatigue. Endoscopy has a less than 50 % accuracy rate in diagnosing GERD. My doctor is being hard headed about giving me an endoscopy which is known to find things that don't show up on x. How frequently this mediastinal vessels anomaly, that can induce tracheal compression (TC) of different degree, may be detected in children with chronic dry cough is not known. The most common extraesophageal symptoms in patients with LPRD were globus sensation (91. Some people find that they consistently throat clear after eating while others do not find this relationship. Rest and recover and hope all is well. Summary Background: In children with aberrant innominate artery (AIA) one of the most prevalent respiratory symptom is dry cough. It didn't stop but continued as sore throat, difficulty swallowing, voice changes, swollen throat and even pinching feeling in throat, difficulty speaking. . fuk com, nagoonamation, hot boy sex, casas en venta en lexington ky, oshkosh craigslist pets, mommy feet joi, super mario advance 4 all 38 ereader levels hack, jayco jrv rm 19 1 for sale, hardcord lesbian porn, passionate anal, move the second body paragraph so that it becomes the new first body paragraph, niurakoshina co8rr