Instruction: Medicare Part B coverage. I suffer with acute fibromyalgia (sp?) and the various drugs my doctor has prescribed for me have little if any effect in helping to control the pain. My doctor has since given me a prescription to have massage therapy which she thought medicare would cover. However, when checking with medicare, it turns out that it does not! Can you suggest any other type of treatment?

Response: Fibromyalgia (Treatment): The goals of treatment are to help relieve pain and other symptoms, and to help a person cope with the symptoms. The first type of treatment may involve: - Physical therapy - Exercise and fitness program - Stress-relief methods, including light massage and relaxation techniques If these treatments do not work, your health care provider may also prescribe an antidepressant or muscle relaxant. - The goal of these medicines is to improve your sleep and help you better tolerate pain. - Medicine should be used along with exercise and behavior therapy. - Duloxetine (Cymbalta), pregabalin (Lyrica), and milnacipran (Savella) are drugs that are approved specifically for treating fibromyalgia. Other drugs are also used to treat the condition, such as: - Anti-seizure drugs, such as gabapentin. - Other antidepressants, such as amytriptyline. - Muscle relaxants, such as cyclobenzeprine. - Pain relievers, but avoid narcotics, since they usually do not help. - Sleeping aids: If you have sleep apnea, an apparatus called CPAP may be prescribed. Cognitive-behavioral therapy is an important part of treatment. This therapy helps you learn how to: - Deal with negative thoughts. - Keep a diary of pain and symptoms. - Recognize what makes your symptoms worse. - Seek out enjoyable activities. - Set limits. Support groups may also be helpful. Things you can do to help take care of yourself include: - Eat a well-balanced diet. - Avoid caffeine. - Practice a good sleep routine to improve quality of sleep. - Exercise regularly, starting with low-level exercise. - Try acupressure and acupuncture treatments. Your doctor may refer you to a pain clinic if your condition is severe. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Medicare Part B coverage. I suffer with acute fibromyalgia (sp?) and the various drugs my doctor has prescribed for me have little if any effect in helping to control the pain. My doctor has since given me a prescription to have massage therapy which she thought medicare would cover. However, when checking with medicare, it turns out that it does not! Can you suggest any other type of treatment?

Response: Fibromyalgia (Treatment): In general, treatments for fibromyalgia include both medication and self-care. The emphasis is on minimizing symptoms and improving general health. No one treatment works for all symptoms. Medications Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: - Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (Ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. - Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. - Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia. Therapy A variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: - Physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. - Occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body. - Counseling. Talking with a counselor can help strengthen your belief in your abilities and teach you strategies for dealing with stressful situations. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis?

Response: MTHFR gene variant (Inheritance): Because each person has two copies of the MTHFR gene , people can inherit one copy of a MTHFR gene variant or two copies of it (one from each parent). People who inherit two copies of C677T have a higher risk for having a child with a neural tube defect. Having two C677T variants and elevated homocysteine levels may cause a slightly higher risk for blood clots. [7] Risks associated with having one C677T and one A1298C is the same, or possibly slightly lower than, that of having two C677T gene changes. [7] [4] Rare MTHFR gene variants can lead to homocystinuria, which is inherited in an autosomal recessive manner. [12] Visit our " Homocystinuria due to MTHFR deficiency" webpage. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis?

Response: MTHFR gene variant (Diagnosis): Genetic testing is available for MTHFR gene variants, however testing is rarely recommended. The American Congress of Obstetricians and Gynecologists (ACOG) and the American College of Medical Genetics recommends against testing for common MTHFR gene variants. Common MTHFR gene variants have not been proven to be a concerning risk factor for blood clots, pregnancy loss, or other negative pregnancy outcomes. [6] The American Heart Association recommends against testing for the common MTHFR gene variants or homocysteine as a screen for increased risk of cardiovascular conditions. [13] [7] [6] The Association does not consider MTHFR a major risk factor for heart disease. The College of American Pathologists , the American College of Medical Genetics, and the American Heart Association recommend against testing for C677T and A1298C in people with blood clots. This is because results have little impact on a persons medical management. [13] [7] [4] Testing Resources The Genetic Testing Registry (GTR) provides information about the genetic tests for this condition. The intended audience for the GTR is health care providers and researchers. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis?

Response: MTHFR gene variant (Summary): MTHFR is a gene . We all carry two copies of MTHFR. MTHFR tells our body how to create an enzyme involved in breaking down the amino acid homocysteine. [1] [2] [3] As is true for any gene, the DNA code of the MTHFR gene can vary. When we identify a part of the sequence that varies, we call it a "variant." Genetic research aims to identify specific variants that cause harm or benefit to health. There are two MTHFR gene variants, called C677T and A1298C, that have been an active area of study. These variants are common. In America, about 25% of people who are Hispanic, and 10-15% of people who are Caucasian have two copies of C677T. [4] Studies have found that women with two C677T gene variants have an increased risk for having a child with a neural tube defect. [4] Studies have also found that men and women with two C677T gene variants and elevated homocysteine levels may be at a mild increased risk for blood clots (venous thromboembolism). [4] Many studies on MTHFR and other health risks have been completed, but with conflicting results. [5] [6] For information about rare disease causing MTHFR gene variants, visit our page: Homocystinuria due to MTHFR Deficiency. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Vitamin D intake. Can high doses of Vitamin D (50,000 IUs per week) cause flatulence, among other possible effects? And is such a high dose safe to raise very low levels of Vitamin D in the body?

Response: Vitamin D (Side Effects): Too much vitamin D can make the intestines absorb too much calcium. This may cause high levels of calcium in the blood. High blood calcium can lead to: - Calcium deposits in soft tissues such as the heart and lungs - Confusion and disorientation - Damage to the kidneys - Kidney stones - Nausea, vomiting, constipation, poor appetite, weakness, and weight loss. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Vitamin D intake. Can high doses of Vitamin D (50,000 IUs per week) cause flatulence, among other possible effects? And is such a high dose safe to raise very low levels of Vitamin D in the body?

Response: Vitamin C and colds (Summary): Popular belief is that vitamin C can cure the common cold. However, research about this claim is conflicting. Although not fully proven, large doses of vitamin C may help reduce how long a cold lasts. They do not protect against getting a cold. Vitamin C may also be helpful for those exposed to brief periods of severe or extreme physical activity. The likelihood of success may vary from person to person. Some people improve, while others do not. Taking 1000 to 2000 mg per day can be safely tried by most people. Taking too much can cause stomach upset. People with kidney disease should NOT take vitamin C supplements. Large doses of vitamin C supplementation are not recommended during pregnancy. A balanced diet almost always provides the required vitamin and minerals for the day. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Shingles. I am looking for information on how to prevent a shingles outbreak.

Response: Shingles (Prevention): Do not touch the rash and blisters on people with shingles or chickenpox if you have never had chickenpox or the chickenpox vaccine. A shingles vaccine is available. It is different than the chickenpox vaccine. Older adults who receive the herpes zoster vaccine are less likely to have complications from shingles. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Shingles. I am looking for information on how to prevent a shingles outbreak.

Response: How to prevent Shingles?: A Vaccine for Adults 60 and Older In May 2006, the U.S. Food and Drug Administration approved a vaccine (Zostavax) to prevent shingles in people age 60 and older. The vaccine is designed to boost the immune system and protect older adults from getting shingles later on. Even if you have had shingles, you can still get the shingles vaccine to help prevent future occurrences of the disease. There is no maximum age for getting the vaccine, and only a single dose is recommended. In a clinical trial involving thousands of adults 60 years old or older, the vaccine reduced the risk of shingles by about half. A One-time Dose To reduce the risk of shingles, adults 60 years old or older should talk to their healthcare professional about getting a one-time dose of the shingles vaccine. Even if the shingles vaccine doesnt prevent you from getting shingles, it can still reduce the chance of having long-term pain. If you have had shingles before, you can still get the shingles vaccine to help prevent future occurrences of the disease. There is no maximum age for getting the vaccine. Side Effects Vaccine side effects are usually mild and temporary. In most cases, shingles vaccine causes no serious side effects. Some people experience mild reactions that last up to a few days, such as headache or redness, soreness, swelling, or itching where the shot was given. When To Get the Vaccine The decision on when to get vaccinated should be made with your health care provider. The shingles vaccine is not recommended if you have active shingles or pain that continues after the rash is gone. Although there is no specific time that you must wait after having shingles before receiving the shingles vaccine, you should generally make sure that the shingles rash has disappeared before getting vaccinated. Where To Get the Vaccine The shingles vaccine is available in doctors offices, pharmacies, workplaces, community health clinics, and health departments. Most private health insurance plans cover recommended vaccines. Check with your insurance provider for details and for a list of vaccine providers. Medicare Part D plans cover shingles vaccine, but there may be costs to you depending on your specific plan. If you do not have health insurance, visit www.healthcare.gov to learn more about health insurance options. Who Should Not Get the Vaccine? You should NOT get the shingles vaccine if you - have an active case of shingles or have pain that continues after the rash is gone - have ever had a life-threatening or severe allergic reaction to gelatin, the antibiotic neomycin, or any other component of the shingles vaccine. Tell your doctor if you have any severe allergies. - have a weakened immune system because of: -- HIV/AIDS or another disease that affects the immune system -- treatment with drugs that affect the immune system, such as steroids -- cancer treatment such as radiation or chemotherapy -- cancer affecting the bone marrow or lymphatic system, such as leukemia or lymphoma. have an active case of shingles or have pain that continues after the rash is gone have ever had a life-threatening or severe allergic reaction to gelatin, the antibiotic neomycin, or any other component of the shingles vaccine. Tell your doctor if you have any severe allergies. have a weakened immune system because of: -- HIV/AIDS or another disease that affects the immune system -- treatment with drugs that affect the immune system, such as steroids -- cancer treatment such as radiation or chemotherapy -- cancer affecting the bone marrow or lymphatic system, such as leukemia or lymphoma. - are pregnant or might be pregnant. are pregnant or might be pregnant. To learn more about the vaccine, see Zostavax: Questions and Answers. Could Vaccines Make Shingles a Rare Disease? The shingles vaccine is basically a stronger version of the chickenpox vaccine, which became available in 1995. The chickenpox shot prevents chickenpox in 70 to 90 percent of those vaccinated, and 95 percent of the rest have only mild symptoms. Millions of children and adults have already received the chickenpox shot. Interestingly, the chickenpox vaccine may reduce the shingles problem. Widespread use of the chickenpox vaccine means that fewer people will get chickenpox in the future. And if people do not get chickenpox, they cannot get shingles. Use of the shingles and chickenpox vaccines may one day make shingles a rare disease. To find out more, visit Shingles Vaccination: What You Need to Know or Shingles Vaccine). If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Shingles. I am looking for information on how to prevent a shingles outbreak.

Response: Shingles: Shingles (herpes zoster) is an outbreak of rash or blisters on the skin that is caused by the same virus that causes chickenpox — the varicella-zoster virus. The first sign of shingles is often burning or tingling pain (which can be severe), or sometimes numbness or itch,generally on one side of the body. After several days or a week, a rash of fluid-filled blisters, similar to chickenpox, appears in one area on one side of the body. Shingles pain can be mild or intense. Some people have mostly itching; some feel pain from the gentlest touch or breeze. The most common location for shingles is a band, called a dermatome, spanning one side of the trunk around the waistline. Anyone who has had chickenpox is at risk for shingles. Scientists think that some of the virus particles from the original exposure to the varicella-zoster virus,leave the skin blisters and move into the nervous system. When the varicella-zoster virus reactivates, the virus moves back down the long nerve fibers that extend from the sensory cell bodies to the skin. The viruses multiply, the tell-tale rash erupts, and the person now has shingles. The severity and duration of an attack of shingles can be significantly reduced by immediate treatment with antiviral drugs, which include acyclovir, valcyclovir, or famcyclovir. Antiviral drugs may also help stave off the painful after-effects of shingles known as postherpetic neuralgia. Other treatments for postherpetic neuralgia include steroids, antidepressants, anticonvulsants (including pregabalin and gabapentin enacarbil), and topical agents. The varicella zoster virus vaccine (Zostavax) has been approved by the food and Drug Administration for adults age 50 and older. Researchers found that giving older adults the vaccine reduced the expected number of later cases of shingles by half. And in people who still got the disease despite immunization, the severity and complications of shingles were dramatically reduced. The shingles vaccine is a preventive therapy and not a treatment for those who already have shingles or long-lasting nerve pain (postherpetic neuralgia). For most healthy people who receive treatment soon after the outbreak of blisters, the lesions heal, the pain subsides within 3 to 5 weeks, and the blisters often leave no scars. However, shingles is a serious threat in immunosuppressed individuals — for example, those with HIV infection or who are receiving cancer treatments that can weaken their immune systems. People who receive organ transplants are also vulnerable to shingles because they are given drugs that suppress the immune system. A person with a shingles rash can pass the virus to someone, usually a child, who has never had chickenpox, but the child will develop chickenpox, not shingles. A person with chickenpox cannot give shingles to someone else. Shingles comes from the virus hiding inside the person's body, not from an outside source. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. my father age 65 his always leg pain which use medicine

Response: Leg pain: Leg pain is a common problem. It can be due to a cramp, injury, or other cause. Leg pain can be due to a muscle cramp (also called a charley horse). Common causes of cramps include: - Dehydration or low amounts of potassium, sodium, calcium, or magnesium in the blood - Medicines (such as diuretics and statins) - Muscle fatigue or strain from overuse, too much exercise, or holding a muscle in the same position for a long time An injury can also cause leg pain from: - A torn or overstretched muscle (strain) - Hairline crack in the bone (stress fracture) - Inflamed tendon (tendinitis) - Shin splints (pain in the front of the leg from overuse) Other common causes of leg pain include: - Atherosclerosis that blocks blood flow in the arteries (this type of pain, called claudication, is generally felt when exercising or walking and is relieved by rest) - Blood clot (deep vein thrombosis) from long-term bed rest - Infection of the bone (osteomyelitis) or skin and soft tissue (cellulitis) - Inflammation of the leg joints caused by arthritis or gout - Nerve damage common to people with diabetes, smokers, and alcoholics - Varicose veins Less common causes include: - Cancerous bone tumors (osteosarcoma, Ewing sarcoma) - Legg-Calve-Perthes disease: Poor blood flow to the hip that may stop or slow the normal growth of the leg - Noncancerous (benign) tumors or cysts of the femur or tibia (osteoid osteoma) - Sciatic nerve pain (radiating pain down the leg) caused by a slipped disk in the back - Slipped capital femoral epiphysis: Most often seen in boys and overweight children between ages 11 and 15 If you have leg pain from cramps or overuse, take these steps first: - Rest as much as possible. - Elevate your leg. - Apply ice for up to 15 minutes. Do this 4 times per day, more often for the first few days. - Gently stretch and massage cramping muscles. - Take over-the-counter pain medicines like acetaminophen or ibuprofen. Other homecare will depend on the cause of your leg pain. Call your health care provider if: - The painful leg is swollen or red. - You have a fever. - Your pain gets worse when you walk or exercise and improves with rest. - The leg is black and blue. - The leg is cold and pale. - You are taking medicines that may be causing leg pain. DO NOT stop taking or change any of your medicines without talking to your provider. - Self-care steps do not help. Your provider will perform a physical exam and look at your legs, feet, thighs, hips, back, knees, and ankles. Your provider may ask questions such as: - Where on the leg is the pain? Is the pain in one or both legs? - Is the pain dull and aching or sharp and stabbing? Is the pain severe? Is the pain worse at any time of day? - What makes the pain feel worse? Does anything make your pain feel better? - Do you have any other symptoms such as numbness, tingling, back pain, or fever? Your provider may recommend physical therapy for some causes of leg pain. Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. my father age 65 his always leg pain which use medicine

Response: Leg pain (What to Expect at Your Office Visit): Your provider will perform a physical exam and look at your legs, feet, thighs, hips, back, knees, and ankles. Your provider may ask questions such as: - Where on the leg is the pain? Is the pain in one or both legs? - Is the pain dull and aching or sharp and stabbing? Is the pain severe? Is the pain worse at any time of day? - What makes the pain feel worse? Does anything make your pain feel better? - Do you have any other symptoms such as numbness, tingling, back pain, or fever? Your provider may recommend physical therapy for some causes of leg pain. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. my father age 65 his always leg pain which use medicine

Response: Leg pain (Summary): Leg pain is a common problem. It can be due to a cramp, injury, or other cause. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CVID. I have recently been diagnosed with CVID. As a person with thyroid a thyroid tumor greater than 1 cm. and several thyroid cysys I am concerned about cancer. What are the current stats. The tumor is being monitored by my endocrinologist.

Response: Thyroid nodule (Summary): A thyroid nodule is a growth (lump) in the thyroid gland. The thyroid gland is located at the front of the neck, just above where your collarbones meet in the middle. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CVID. I have recently been diagnosed with CVID. As a person with thyroid a thyroid tumor greater than 1 cm. and several thyroid cysys I am concerned about cancer. What are the current stats. The tumor is being monitored by my endocrinologist.

Response: Thyroid nodule (Exams and Tests): If a provider finds a nodule or you have symptoms of a nodule, the following tests may be done: - TSH level and other thyroid blood tests - Thyroid ultrasound - Thyroid scan (nuclear medicine) - Fine needle aspiration biopsy of the nodule or of multiple nodules. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CVID. I have recently been diagnosed with CVID. As a person with thyroid a thyroid tumor greater than 1 cm. and several thyroid cysys I am concerned about cancer. What are the current stats. The tumor is being monitored by my endocrinologist.

Response: Thyroid nodule (Outlook (Prognosis)): Noncancerous thyroid nodules are not life-threatening. Many do not require treatment. Follow-up exams are enough. The outlook for thyroid cancer depends on the type of cancer. For most common kinds of thyroid cancer, the outlook is very good after treatment. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: diabete. whats diabete

Response: Diabetes (What is diabetes?): Diabetes is a disease caused by high levels of blood sugar (glucose) in your body. This can happen when your body does not make insulin or does not use insulin correctly. Insulin is a hormone made in the pancreas, an organ near your stomach. Insulin helps the glucose from food get into your body's cells for energy. If your body does not make enough insulin, or your body does not use the insulin correctly, the glucose stays and builds up in your blood. Over time, this extra glucose can lead to prediabetes or diabetes. Diabetes puts you at risk for other serious and life-threatening health problems, such as heart disease, stroke, blindness, and kidney damage. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: diabete. whats diabete

Response: What is Diabetes?: The most common types of diabetes are type 1, type 2, and gestational diabetes.Type 1 diabetesIf you have type 1 diabetes, your body does not make insulin. Your immune system attacks and destroys the cells in your pancreas that make insulin. Type 1 diabetes is usually diagnosed in children and young adults, although it can appear at any age. People with type 1 diabetes need to take insulin every day to stay alive.Type 2 diabetesIf you have type 2 diabetes, your body does not make or use insulin well. You can develop type 2 diabetes at any age, even during childhood. However, this type of diabetes occurs most often in middle-aged and older people. Type 2 is the most common type of diabetes.Gestational diabetesGestational diabetes develops in some women when they are pregnant. Most of the time, this type of diabetes goes away after the baby is born. However, if you’ve had gestational diabetes, you have a greater chance of developing type 2 diabetes later in life. Sometimes diabetes diagnosed during pregnancy is actually type 2 diabetes.Other types of diabetesLess common types include monogenic diabetes, which is an inherited form of diabetes, and cystic fibrosis-related diabetes. As of 2015, 30.3 million people in the United States, or 9.4 percent of the population, had diabetes. More than 1 in 4 of them didn’t know they had the disease. Diabetes affects 1 in 4 people over the age of 65. About 90-95 percent of cases in adults are type 2 diabetes.1 You are more likely to develop type 2 diabetes if you are age 45 or older, have a family history of diabetes, or are overweight. Physical inactivity, race, and certain health problems such as high blood pressure also affect your chance of developing type 2 diabetes. You are also more likely to develop type 2 diabetes if you have prediabetes or had gestational diabetes when you were pregnant. Learn more about risk factors for type 2 diabetes. Over time, high blood glucose leads to problems such asheart disease stroke kidney disease eye problems dental disease nerve damage foot problemsYou can take steps to lower your chances of developing these diabetes-related health problems. [1] Centers for Disease Control and Prevention. National diabetes statistics report, 2017. Centers for Disease Control and Prevention website. www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf (PDF, 1.3 MB) . Updated July, 18 2017. Accessed August 1, 2017. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: diabete. whats diabete

Response: What is Diagnosis of Diabetes and Prediabetes?: Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia. Diabetes is a disorder of metabolismthe way the body uses digested food for energy. The digestive tract breaks down carbohydratessugars and starches found in many foodsinto glucose, a form of sugar that enters the bloodstream. With the help of the hormone insulin, cells throughout the body absorb glucose and use it for energy. Insulin is made in the pancreas, an organ located behind the stomach. As the blood glucose level rises after a meal, the pancreas is triggered to release insulin. Within the pancreas, clusters of cells called islets contain beta cells, which make the insulin and release it into the blood. Diabetes develops when the body doesnt make enough insulin or is not able to use insulin effectively, or both. As a result, glucose builds up in the blood instead of being absorbed by cells in the body. The bodys cells are then starved of energy despite high blood glucose levels. Over time, high blood glucose damages nerves and blood vessels, leading to complications such as heart disease, stroke, kidney disease, blindness, dental disease, and amputations. Other complications of diabetes may include increased susceptibility to other diseases, loss of mobility with aging, depression, and pregnancy problems. Main Types of Diabetes The three main types of diabetes are type 1, type 2, and gestational diabetes: - Type 1 diabetes, formerly called juvenile diabetes, is usually first diagnosed in children, teenagers, and young adults. In this type of diabetes, the beta cells of the pancreas no longer make insulin because the bodys immune system has attacked and destroyed them. - Type 2 diabetes, formerly called adult-onset diabetes, is the most common type of diabetes. About 90 to 95 percent of people with diabetes have type 2.1 People can develop type 2 diabetes at any age, even during childhood, but this type of diabetes is most often associated with older age. Type 2 diabetes is also associated with excess weight, physical inactivity, family history of diabetes, previous history of gestational diabetes, and certain ethnicities. Type 2 diabetes usually begins with insulin resistance, a condition linked to excess weight in which muscle, liver, and fat cells do not use insulin properly. As a result, the body needs more insulin to help glucose enter cells to be used for energy. At first, the pancreas keeps up with the added demand by producing more insulin. But in time, the pancreas loses its ability to produce enough insulin in response to meals, and blood glucose levels rise. - Gestational diabetes is a type of diabetes that develops only during pregnancy. The hormones produced during pregnancy increase the amount of insulin needed to control blood glucose levels. If the body cant meet this increased need for insulin, women can develop gestational diabetes during the late stages of pregnancy. Gestational diabetes usually goes away after the baby is born. Shortly after pregnancy, 5 to 10 percent of women with gestational diabetes continue to have high blood glucose levels and are diagnosed as having diabetes, usually type 2.1 Research has shown that lifestyle changes and the diabetes medication, metformin, can reduce or delay the risk of type 2 diabetes in these women. Babies born to mothers who had gestational diabetes are also more likely to develop obesity and type 2 diabetes as they grow up. More information about gestational diabetes is provided in the NIDDK health topic, What I need to know about Gestational Diabetes,or by calling 18008608747. Other Types of Diabetes Many other types of diabetes exist, and a person can exhibit characteristics of more than one type. For example, in latent autoimmune diabetes in adults, people show signs of both type 1 and type 2 diabetes. Other types of diabetes include those caused by genetic defects, diseases of the pancreas, excess amounts of certain hormones resulting from some medical conditions, medications that reduce insulin action, chemicals that destroy beta cells, infections, rare autoimmune disorders, and genetic syndromes associated with diabetes. More information about other types of diabetes is provided in the NIDDK health topic, Causes of Diabetes, or by calling 18008608747. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: wellbutrin xl 150. how to taper off

Response: Bupropion (How should this medicine be used?): Bupropion comes as a tablet and a sustained-release or extended-release (long-acting) tablet to take by mouth. The regular tablet (Wellbutrin) is usually taken three times a day, with doses at least 6 hours apart, or four times a day, with doses at least 4 hours apart. The sustained-release tablet (Wellbutrin SR, Zyban) is usually taken twice a day, with doses at least 8 hours apart. The extended-release tablet (Aplenzin, Wellbutrin XL) is usually taken once daily in the morning; doses of the extended-release tablet should be taken at least 24 hours apart. When bupropion is used to treat seasonal affective disorder, it is usually taken once a day in the morning beginning in the early fall, continuing through the winter, and stopping in the early spring. Sometimes a lower dose of bupropion is taken for 2 weeks before the medication is stopped. Take bupropion with food if the medication upsets your stomach. If you have trouble falling asleep or staying asleep, do not take bupropion too close to bedtime. Take bupropion at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take bupropion exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Swallow the sustained-release and extended-release tablets whole; do not split, chew, or crush them. Your doctor will probably start you on a low dose of bupropion and gradually increase your dose. It may take 4 weeks or longer before you feel the full benefit of bupropion. Continue to take bupropion even if you feel well. Do not stop taking bupropion without talking to your doctor. Your doctor may decrease your dose gradually. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: wellbutrin xl 150. how to taper off

Response: Bupropion (Brand names): - Aplenzin® - Budeprion® SR¶ - Budeprion® XL¶ - Buproban®¶ - Forfivo® XL - Wellbutrin® - Wellbutrin® SR - Wellbutrin® XL - Zyban®. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Periodic liver tests for patients on Lipitor. I was told at one point that anyone on Lipitor should have blood screening for liver damage every 6 months. Is this currently still the recommendation? NOTE: Although I am in recovery, I also have a history of alcoholism.

Response: Serum phenylalanine screening (What Abnormal Results Mean): If the screening test results are abnormal, PKU is a possibility. Further testing will be done if the phenylalanine levels in your baby's blood are too high. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Periodic liver tests for patients on Lipitor. I was told at one point that anyone on Lipitor should have blood screening for liver damage every 6 months. Is this currently still the recommendation? NOTE: Although I am in recovery, I also have a history of alcoholism.

Response: Creating a family health history (When to Create Your Family History): Everyone can benefit from a family history. Create your family history as soon as you can. It is especially useful when: - You are planning to have a baby - You already know that a certain condition runs in the family - You or your child develops signs of a disorder. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Periodic liver tests for patients on Lipitor. I was told at one point that anyone on Lipitor should have blood screening for liver damage every 6 months. Is this currently still the recommendation? NOTE: Although I am in recovery, I also have a history of alcoholism.

Response: Serum phenylalanine screening (How the Test is Performed): The test is usually done as part of routine screening tests before a newborn leaves the hospital. If the child is not born in a hospital, the test should be done in the first 48 to 72 hours of life. An area of the infant's skin, usually the heel, is cleaned with a germ killer and punctured with a sharp needle or a lancet. Three drops of blood are placed in 3 separate test circles on a piece of paper. Cotton or a bandage may be applied to the puncture site if it is still bleeding after the blood drops are taken. The test paper is taken to the laboratory, where it is mixed with a type of bacteria that needs phenylalanine to grow. Another substance that blocks phenylalanine from reacting with anything else is added. See also: Newborn screening tests. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. Hi I have heard in order to get benefit of calcium, it should take with Magnesium, is that right ? I bought Calcium Castco ( Kirkland ) brand with D please let me know if is good for me because I am osteoporosis . Please help me . thanks

Response: What are the brand names of Calcium Carbonate?: - Alka-Mints - Calel-D - Calcid - Caltrate 600 - Chooz - Miralac - Os-Cal 500 - Rolaids - Titralac - Tums. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. Hi I have heard in order to get benefit of calcium, it should take with Magnesium, is that right ? I bought Calcium Castco ( Kirkland ) brand with D please let me know if is good for me because I am osteoporosis . Please help me . thanks

Response: Osteoporosis (How is it treated?): Treatment for osteoporosis includes: - A balanced diet rich in calcium and vitamin D. - An exercise plan. - A healthy lifestyle. - Medicines to help prevent and treat the disease. Treatment for osteoporosis includes: - A balanced diet rich in calcium and vitamin D. - An exercise plan. - A healthy lifestyle. - Medicines to help prevent and treat the disease. Treatment for osteoporosis includes: - A balanced diet rich in calcium and vitamin D. - An exercise plan. - A healthy lifestyle. - Medicines to help prevent and treat the disease. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. Hi I have heard in order to get benefit of calcium, it should take with Magnesium, is that right ? I bought Calcium Castco ( Kirkland ) brand with D please let me know if is good for me because I am osteoporosis . Please help me . thanks

Response: Juvenile osteoporosis (Summary): Juvenile osteoporosis is a condition of bone demineralization characterized by pain in the back and extremities, multiple fractures, difficulty walking, and evidence of osteoporosis. [1] [2] Symptoms typically develop just before puberty. Osteoporosis is rare in children and adolescents. When it does occur, it is usually caused by an underlying medical disorder or by medications used to treat the disorder. This is called secondary osteoporosis. Sometimes, however, there is no identifiable cause of osteoporosis in a child. This is known as idiopathic osteoporosis. There is no established medical or surgical therapy for juvenile osteoporosis. In some cases, treatment is not necessary, as the condition resolves spontaneously. Early diagnosis may allow for preventive steps, including physical therapy , avoidance of weight-bearing activities, use of crutches and other supportive care. A well-balanced diet rich in calcium and vitamin D is also important. In severe, long-lasting cases, medications such as bisphosphonates may be used. In most cases, complete recovery of bone occurs. [2]. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Testing for EDS. I would like to know if you can point me in the direction of a laboratory in Southern California, Specifically San Bernardino County or LA County or even Riverside County that does genetic testing for EDS or Osteogenesis Imperfecta and do you know if the two diseases are similiar in symptoms? Thank you for you help and time.

Response: What are the genetic changes related to osteogenesis imperfecta?: Mutations in the COL1A1, COL1A2, CRTAP, and P3H1 genes cause osteogenesis imperfecta. Mutations in the COL1A1 and COL1A2 genes are responsible for more than 90 percent of all cases of osteogenesis imperfecta. These genes provide instructions for making proteins that are used to assemble type I collagen. This type of collagen is the most abundant protein in bone, skin, and other connective tissues that provide structure and strength to the body. Most of the mutations that cause osteogenesis imperfecta type I occur in the COL1A1 gene. These genetic changes reduce the amount of type I collagen produced in the body, which causes bones to be brittle and to fracture easily. The mutations responsible for most cases of osteogenesis imperfecta types II, III, and IV occur in either the COL1A1 or COL1A2 gene. These mutations typically alter the structure of type I collagen molecules. A defect in the structure of type I collagen weakens connective tissues, particularly bone, resulting in the characteristic features of osteogenesis imperfecta. Mutations in the CRTAP and P3H1 genes are responsible for rare, often severe cases of osteogenesis imperfecta. Cases caused by CRTAP mutations are usually classified as type VII; when P3H1 mutations underlie the condition, it is classified as type VIII. The proteins produced from these genes work together to process collagen into its mature form. Mutations in either gene disrupt the normal folding, assembly, and secretion of collagen molecules. These defects weaken connective tissues, leading to severe bone abnormalities and problems with growth. In cases of osteogenesis imperfecta without identified mutations in one of the genes described above, the cause of the disorder is unknown. These cases include osteogenesis imperfecta types V and VI. Researchers are working to identify additional genes that may be responsible for these conditions. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Testing for EDS. I would like to know if you can point me in the direction of a laboratory in Southern California, Specifically San Bernardino County or LA County or even Riverside County that does genetic testing for EDS or Osteogenesis Imperfecta and do you know if the two diseases are similiar in symptoms? Thank you for you help and time.

Response: VDRL test (How the Test will Feel): When the needle is inserted to draw blood, some people may feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Testing for EDS. I would like to know if you can point me in the direction of a laboratory in Southern California, Specifically San Bernardino County or LA County or even Riverside County that does genetic testing for EDS or Osteogenesis Imperfecta and do you know if the two diseases are similiar in symptoms? Thank you for you help and time.

Response: VDRL test (Review Date 9/10/2015): Updated by: Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Consultation. Hello! I have acute chronic cervicitis caused by tampon use. It took a year and a half of treatment (medicines, cauterization), but the symptoms do not stop inflammation and analyzes not determined that bacteria produce inflammation me. I wonder if, despite not being a sexual cervicitis infection, it can cause infertility. And that's what makes a tampon that causes inflammation. Thank you very much!

Response: Cervicitis (Possible Complications): Cervicitis may last for months to years. Cervicitis may lead to pain with intercourse (dyspareunia). If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Consultation. Hello! I have acute chronic cervicitis caused by tampon use. It took a year and a half of treatment (medicines, cauterization), but the symptoms do not stop inflammation and analyzes not determined that bacteria produce inflammation me. I wonder if, despite not being a sexual cervicitis infection, it can cause infertility. And that's what makes a tampon that causes inflammation. Thank you very much!

Response: Cervicitis: Cervicitis is swelling or inflamed tissue of the end of the uterus (cervix). Cervicitis is most often caused by an infection that is caught during sexual activity. Sexually transmitted infections (STIs) that can cause cervicitis include: - Chlamydia - Gonorrhea - Herpes virus (genital herpes) - Human papilloma virus (genital warts) - Trichomoniasis Other things that can cause cervicitis include: - A device inserted into the pelvic area such as a cervical cap, diaphragm, or pessary - Allergy to spermicides used for birth control - Allergy to latex in condoms - Exposure to a chemical Cervicitis is very common. It affects more than one half of all women at some point during their adult life. Risks include: - High-risk sexual behavior - History of STIs - Many sexual partners - Sex (intercourse) at an early age - Sexual partners who have engaged in high-risk sexual behavior or have had an STI Bacteria (such as staphylococcus and streptococcus) and too much growth of normal bacteria in the vagina (bacterial vaginosis) can also cause cervicitis. Symptoms include: - Abnormal vaginal bleeding that occurs after intercourse, after menopause, or between periods - Unusual vaginal discharge that does not go away: discharge may be gray, white or yellow in color - Painful sexual intercourse - Pain in the vagina - Pressure or heaviness in the pelvis Note: There may be no symptoms. Women who may be at risk for chlamydia should be tested for this infection, even if they do not have symptoms. A pelvic exam is done to look for: - Discharge from the cervix - Redness of the cervix - Swelling (inflammation) of the walls of the vagina Tests that may be done include: - Inspection of the discharge under a microscope (may show candidiasis, trichomoniasis, or bacterial vaginosis) - Pap test - Tests for gonorrhea or chlamydia Rarely, colposcopy and biopsy of the cervix is necessary. Antibiotics are used to treat chlamydia or gonorrhea. Drugs called antivirals may be used to treat herpes infections. Hormonal therapy (with estrogen or progesterone) may be used in women who have reached menopause. When these treatments have not worked or when cervicitis has been present for a long time, treatment may include: - Cryosurgery (freezing) - A small probe with an electric current running through it is used to burn or destroy the tissue - Laser therapy Most of the time, simple cervicitis usually heals with treatment if the cause is found and there is a treatment for that cause. Cervicitis may last for months to years. Cervicitis may lead to pain with intercourse (dyspareunia). Call your health care provider if you have symptoms of cervicitis. Things you can do to reduce your risk of developing cervicitis include: - Avoid irritants such as douches and deodorant tampons. - Make sure that any foreign objects you insert into your vagina (such as tampons) are properly placed. Be sure to follow instructions on how long to leave it inside, how often to change it, or how often to clean it. - Make sure your partner is free of any STI. You and your partner should not have sex with any other people. - Use a condom every time you have sex to lower your risk of getting an STI. Condoms are available for both men and women, but are most commonly worn by the man. A condom must be used properly every time. Updated by: Irina Burd, MD, PhD, Associate Professor of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Consultation. Hello! I have acute chronic cervicitis caused by tampon use. It took a year and a half of treatment (medicines, cauterization), but the symptoms do not stop inflammation and analyzes not determined that bacteria produce inflammation me. I wonder if, despite not being a sexual cervicitis infection, it can cause infertility. And that's what makes a tampon that causes inflammation. Thank you very much!

Response: Cervicitis (When to Contact a Medical Professional): Call your health care provider if you have symptoms of cervicitis. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: trisomy 7. trisomy 7. i am a 32 y/o who has had 4 miscarriages in the past 19 months. Upon my last DNC two weeks ago revealed a genetics study diagnosis of the baby having trisomy 7. could you offer me any information on this? could this have been maternal or paternal? is this something i would be a carrier of? What are the causes? i have tried but haven't found much information

Response: Etiology: Etiology describes the cause or causes of a disease. Updated by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: trisomy 7. trisomy 7. i am a 32 y/o who has had 4 miscarriages in the past 19 months. Upon my last DNC two weeks ago revealed a genetics study diagnosis of the baby having trisomy 7. could you offer me any information on this? could this have been maternal or paternal? is this something i would be a carrier of? What are the causes? i have tried but haven't found much information

Response: Trisomy 17 mosaicism (Symptoms): While trisomy 17 mosaicism is rare, there are a few cases that have been reported in the medical literature as well as a few reviews. Most cases of trisomy 17 mosaicism reported in the medical literature that were detected during pregnancy via chorionic villus sampling (CVS) or amniocentesis have not been confirmed in the baby after birth. In those cases, the babies appeared to be in good health at birth and it is suspected that in those cases, trisomy 17 was confined to extra-embryonic ( placental) cells and tissues . [3] [4] Some cases of trisomy 17 mosaicism detected during pregnancy have been confirmed in the baby after birth. The symptoms reported include: developmental delays, body asymmetry, slow growth, and cerebellar hypoplasia. Again, signs and symptoms may vary in these individuals depending on which cells and how many cells contain an extra chromosome 17. [3] [4]. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: trisomy 7. trisomy 7. i am a 32 y/o who has had 4 miscarriages in the past 19 months. Upon my last DNC two weeks ago revealed a genetics study diagnosis of the baby having trisomy 7. could you offer me any information on this? could this have been maternal or paternal? is this something i would be a carrier of? What are the causes? i have tried but haven't found much information

Response: Chromosome 20 trisomy (Summary): Chromosome 20 trisomy , (also called trisomy 20) is a condition in which a fetus or individual has an extra full or partial copy of chromosome 20 in some or all of of his/her cells . An extra full copy of chromosome 20 in all of a person's cells is rare, and almost all fetuses with this do not survive past the first trimester of pregnancy. [1] The presence of an extra copy of only part of chromosome 20 is called partial trisomy 20; and an extra copy of chromosome 20 in only some of a person's cells is called mosaic trisomy 20. Mosaic trisomy 20 is the most common type of chromosome 20 trisomy and is one of the more common chromosomal abnormalities found during prenatal diagnostic testing. Studies have shown that the child is normal in the vast majority of prenatally diagnosed individuals. However, features that have been reported include spinal abnormalities (including spinal stenosis, vertebral fusion, and kyphosis), hypotonia (decreased muscle tone), lifelong constipation, sloped shoulders, and significant learning disabilities despite normal intelligence. [2] Trisomy 20 usually results from an error that occurs when an egg or sperm cell develops (before fertilization); mosaic trisomy 20 usually results from errors in cell division soon after fertilization. [3]. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: metformin. Does metformin cause high blood pressure?

Response: High blood pressure (Some High Blood Pressure Risks You Can’t Change): Anyone can get high blood pressure. But, some people have a greater chance of having it because of things they can't change. These are:- Age. The chance of having high blood pressure increases as you get older. - Gender. Before age 55, men have a greater chance of having high blood pressure. Women are more likely to have high blood pressure after menopause. - Family history. High blood pressure tends to run in some families. - Race. African Americans are at increased risk for high blood pressure. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: metformin. Does metformin cause high blood pressure?

Response: What is High Blood Pressure?: Blood pressure rises as body weight increases. Losing even 10 pounds can lower blood pressure -- and it has the greatest effect for those who are overweight and already have hypertension. If you are overweight or obese, work with your health care provider to develop a plan to help you lower your weight and maintain a healthy weight. Aim to reduce your weight by 7 to 10 percent over six months, which can lower your risk for health problems. For example, if you are overweight at 200 pounds, try to lose 14 to 20 pounds over six months. After that, you may have to continue to lose weight to get to a healthy weight. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: metformin. Does metformin cause high blood pressure?

Response: What is High Blood Pressure?: "DASH" stands for "Dietary Approaches to Stop Hypertension." This is the name of a clinical study that tested the effects of nutrients in food on blood pressure. Study results indicated that you can reduce high blood pressure by following an eating plan that emphasizes fruits, vegetables, and fat-free or low-fat milk and milk products, and that is low in saturated fat, cholesterol, total fat, and added sugars. The DASH eating plan also includes whole grains, poultry, fish, and nuts, and has reduced amounts of red meats, sweets, added sugars, and beverages containing sugars. A second study, called "DASH-Sodium," showed that eating less salt also lowered blood pressure in people following either the DASH eating plan or the typical American diet. But those following DASH, especially those with high blood pressure, benefited the most. For more information on using the DASH eating plan, see Your Guide to Lowering Your Blood Pressure with DASH. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: aclidinium. is this a steroid? is there a problem using this if there is a possibility of the need for cataract surgery within the next 12 months?

Response: What is Congenital cataract?: A congenital cataract is a clouding of the lens of the eye that is present at birth. The lens of the eye is normally clear. It focuses light that comes into the eye onto the retina. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: aclidinium. is this a steroid? is there a problem using this if there is a possibility of the need for cataract surgery within the next 12 months?

Response: Cataract removal (Outlook (Prognosis)): Most people do well and recover quickly after cataract surgery. If a person has other eye problems, such as glaucoma or macular degeneration, the surgery may be more difficult or the outcome may not be as good. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: aclidinium. is this a steroid? is there a problem using this if there is a possibility of the need for cataract surgery within the next 12 months?

Response: Cataract removal (Why the Procedure is Performed): The normal lens of the eye is clear (transparent). As a cataract develops, the lens becomes cloudy. This blocks light from entering your eye. Without enough light, you cannot see as clearly. Cataracts are painless. They are most often seen in older adults. Sometimes, children are born with them. Cataract surgery is usually done if you cannot see well enough because of cataracts. Cataracts usually do not damage your eye, so you and your eye doctor can decide when surgery is right for you. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption

Response: What are the side effects or risks of Nicotine Oral Inhalation?: Nicotine oral inhalation may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: - irritation in the mouth and throat - cough - runny nose - taste changes - pain of the jaw, neck, or back - tooth problems - sinus pressure and pain - headache - pain, burning, or tingling in the hands or feet - gas Some side effects can be serious. If you experience the following symptom, call your doctor immediately: - rapid heart rate Nicotine inhalation may cause other side effects. Call your doctor if you have any unusual problems while using this medication. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption

Response: Gastrointestinal perforation (Summary): Perforation is a hole that develops through the wall of a body organ. This problem may occur in the esophagus, stomach, small intestine, large intestine, rectum, or gallbladder. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption

Response: Gastrointestinal perforation (Exams and Tests): X-rays of the chest or abdomen may show air in the abdominal cavity. This is called free air. It is a sign of a tear. A CT scan of the abdomen often shows where the hole is located. The white blood cell count is often higher than normal. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: sswollen feet ankles legs I have fibromyalgia. When suffering from fibromyalgia will that cause swollen in your body . The swollen started yesterday

Response: Fibromyalgia (What are the symptoms of fibromyalgia?): Chronic (long-term), widespread pain is the most common symptom of fibromyalgia. You may feel the pain all over your body. Or, you may feel it more in the muscles you use most often, like in your back or legs. The pain may feel like a deep muscle ache, or it may throb or burn. Your pain may also be worse in the morning. Other symptoms of fibromyalgia include:3,4,5 Women with fibromyalgia often have more morning fatigue, pain all over the body, and IBS symptoms than men with fibromyalgia have.8. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: sswollen feet ankles legs I have fibromyalgia. When suffering from fibromyalgia will that cause swollen in your body . The swollen started yesterday

Response: Fibromyalgia (Symptoms): Symptoms of fibromyalgia include: - Widespread pain. The pain associated with fibromyalgia often is described as a constant dull ache that has lasted for at least three months. To be considered widespread, the pain must occur on both sides of your body and above and below your waist. - Fatigue. People with fibromyalgia often awaken tired, even though they report sleeping for long periods of time. Sleep is often disrupted by pain, and many patients with fibromyalgia have other sleep disorders, such as restless legs syndrome and sleep apnea. - Cognitive difficulties. A symptom commonly referred to as "fibro fog" impairs the ability to focus, pay attention and concentrate on mental tasks. Fibromyalgia often co-exists with other painful conditions, such as: - Irritable bowel syndrome - Migraine and other types of headaches - Interstitial cystitis or painful bladder syndrome - Temporomandibular joint disorders. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Can cancer spread through blood contact. Sir, after giving an insulin injection to my uncle who is a cancer patient the needle accidentally pined my finger. Is there a problem for me? Plz reply.

Response: How to tell your child that you have cancer (Common Fears): There are some common fears that many children have when they learn about cancer. Since your child may not tell you about these fears, it is a good idea to bring them up yourself. - Your child is to blame. It is common for children to think that something they did caused a parent's cancer. Let your child know that no one in your family did anything to cause the cancer. - Cancer is contagious. Many children worry that cancer can spread like the flu, and other people in your family will catch it. Make sure to let your child know that you cannot "catch" cancer from someone else, and they will not get cancer by touching or kissing you. - Everyone dies from cancer. You can explain that cancer is a serious illness, but modern treatments have helped millions of people survive cancer. If your child knows someone who has died of cancer, let them know that there are many kinds of cancer and everyone's cancer is different. Just because Uncle Mike died of his cancer, it does not mean that you will too. You may need to repeat these points to your child many times during your treatment. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Can cancer spread through blood contact. Sir, after giving an insulin injection to my uncle who is a cancer patient the needle accidentally pined my finger. Is there a problem for me? Plz reply.

Response: Vulva cancer (Outlook (Prognosis)): Most women with vulvar cancer who are diagnosed and treated at an early stage do well. But a woman's outcome depends on: - The size of the tumor - The type of vulvar cancer - Whether the cancer has spread The cancer commonly comes back at or near the site of the original tumor. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Can cancer spread through blood contact. Sir, after giving an insulin injection to my uncle who is a cancer patient the needle accidentally pined my finger. Is there a problem for me? Plz reply.

Response: Intestinal Cancer (Summary): Summary Your small intestine is part of your digestive system. It is a long tube that connects your stomach to your large intestine. Intestinal cancer is rare, but eating a high-fat diet or having Crohn's disease, celiac disease, or a history of colonic polyps can increase your risk. Possible signs of small intestine cancer include - Abdominal pain - Weight loss for no reason - Blood in the stool - A lump in the abdomen Imaging tests that create pictures of the small intestine and the area around it can help diagnose intestinal cancer and show whether it has spread. Surgery is the most common treatment. Additional options include chemotherapy, radiation therapy, or a combination. NIH: National Cancer Institute. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Plantar Fasiciitis. Is it true that more likely than not that Plantar fasiciitis could be aggravated by a consistancy of weight bearing activities? Are there other forms of aggravation? if so will you please inform me.

Response: Plantar fasciitis (Risk factors): Though plantar fasciitis can arise without an obvious cause, factors that can increase your risk of developing plantar fasciitis include: - Age. Plantar fasciitis is most common between the ages of 40 and 60. - Certain types of exercise. Activities that place a lot of stress on your heel and attached tissue - such as long-distance running, ballistic jumping activities, ballet dancing and aerobic dance - can contribute to an earlier onset of plantar fasciitis. - Foot mechanics. Being flat-footed, having a high arch or even having an abnormal pattern of walking can affect the way weight is distributed when you're standing and put added stress on the plantar fascia. - Obesity. Excess pounds put extra stress on your plantar fascia. - Occupations that keep you on your feet. Factory workers, teachers and others who spend most of their work hours walking or standing on hard surfaces can damage their plantar fascia. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Plantar Fasiciitis. Is it true that more likely than not that Plantar fasiciitis could be aggravated by a consistancy of weight bearing activities? Are there other forms of aggravation? if so will you please inform me.

Response: Plantar fasciitis: The plantar fascia is the thick tissue on the bottom of the foot. It connects the heel bone to the toes and creates the arch of the foot. When this tissue becomes swollen or inflamed, it is called plantar fasciitis. Swelling occurs when the thick band of tissue on the bottom of the foot (fascia) is overstretched or overused. This can be painful and make walking more difficult. You are more likely to get plantar fasciitis if you: - Have foot arch problems (both flat feet and high arches) - Run long distances, downhill or on uneven surfaces - Are obese or gain weight suddenly - Have a tight Achilles tendon (the tendon connecting the calf muscles to the heel) - Wear shoes with poor arch support or soft soles - Change your activities Plantar fasciitis is seen in both men and women. It is one of the most common orthopedic foot complaints. Plantar fasciitis was commonly thought to be caused by a heel spur. However, research has found that this is not the case. On x-ray, heel spurs are seen in people with and without plantar fasciitis. The most common symptom is pain and stiffness in the bottom of the heel. The heel pain may be dull or sharp. The bottom of the foot may also ache or burn. The pain is often worse: - In the morning when you take your first steps - After standing or sitting for awhile - When climbing stairs - After intense activity - Walking, running, and jumping sports The pain may develop slowly over time, or come on suddenly after intense activity. The health care provider will perform a physical exam. This may show: - Pain on the bottom of your foot. - Pain along the sole of the foot. - Flat feet or high arches. - Mild foot swelling or redness. - Stiffness or tightness of the arch in the bottom of your foot. X-rays may be taken to rule out other problems. Your provider will often recommend these steps first: - Acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) to reduce pain and inflammation. Heel and foot stretching exercises - Night splints to wear while sleeping to stretch the foot - Resting as much as possible for at least a week - Wearing shoes with good support and cushions You can also apply ice to the painful area. Do this at least twice a day for 10 to 15 minutes, more often in the first couple of days. If these treatments do not work, your provider may recommend: - Wearing a boot cast, which looks like a ski boot, for 3 to 6 weeks. It can be removed for bathing. - Custom-made shoe inserts (orthotics) - Steroid shots or injections into the heel Sometimes, foot surgery is needed. Nonsurgical treatments almost always improve the pain. Treatment can last from several months to 2 years before symptoms get better. Most people feel better with 6 to 18 months. Some people need surgery to relieve the pain. Contact your provider if you have symptoms of plantar fasciitis. Making sure your ankle, Achilles tendon, and calf muscles are flexible can help prevent plantar fasciitis. Stretch your plantar fascia in the morning before you get out of bed. Doing activities in moderation can also help. Updated by: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI

Response: Upper GI and small bowel series (What Abnormal Results Mean): Abnormal results in the esophagus may indicate the following problems: - Achalasia - Diverticula - Esophageal cancer - Esophageal narrowing (stricture) - benign - Hiatal hernia - Ulcers Abnormal results in the stomach may indicate the following problems: - Gastric cancer - Gastric ulcer - benign - Gastritis - Polyps (a tumor that is usually noncancerous and grows on the mucus membrane) - Pyloric stenosis (narrowing) Abnormal results in the small intestine may indicate the following problems: - Malabsorption syndrome - Swelling and irritation of the small intestines - Tumors - Ulcers The test may also be done for the following conditons: - Annular pancreas - Duodenal ulcer - Gastroesophageal reflux disease - Gastroparesis - Intestinal obstruction - Lower esophageal ring - Primary or idiopathic intestinal pseudo-obstruction. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI

Response: Liver cancer (Diagnosis): Diagnosing liver cancer Tests and procedures used to diagnose liver cancer include: - Blood tests. Blood tests may reveal liver function abnormalities. - Imaging tests. Your doctor may recommend imaging tests, such as an ultrasound, computerized tomography (CT) scan and magnetic resonance imaging (MRI). - Removing a sample of liver tissue for testing. Your doctor may recommend removing a piece of liver tissue for laboratory testing in order to make a definitive diagnosis of liver cancer. During a liver biopsy, your doctor inserts a thin needle through your skin and into your liver to obtain a tissue sample. In the lab, doctors examine the tissue under a microscope to look for cancer cells. Liver biopsy carries a risk of bleeding, bruising and infection. Determining the extent of the liver cancer Once liver cancer is diagnosed, your doctor will work to determine the extent (stage) of the cancer. Staging tests help determine the size and location of cancer and whether it has spread. Imaging tests used to stage liver cancer include CTs, MRIs and bone scans. There are different methods of staging liver cancer. One method uses Roman numerals I through IV, and another uses letters A through D. Your doctor uses your cancer's stage to determine your treatment options and your prognosis. Stage IV and stage D indicate the most advanced liver cancer with the worst prognosis. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI

Response: Upper GI and small bowel series (Considerations): The upper GI series should be done after other x-ray procedures. This is because the barium that remains in the body may block details in other imaging tests. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: abscess teeth. Can an abscess teeth cause a heart attack

Response: Heart attack (Causes): A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks. During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery. Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection). If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: abscess teeth. Can an abscess teeth cause a heart attack

Response: Heart attack (Risk factors): Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack. Heart attack risk factors include: - Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women. - Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack. - High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more. - High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack. - Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes - not producing enough insulin or not responding to insulin properly - causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack. - Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk. - Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure. - Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however. - Stress. You may respond to stress in ways that can increase your risk of a heart attack. - Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack. - A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease. - A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: abscess teeth. Can an abscess teeth cause a heart attack

Response: Heart attack - what to ask your doctor (Summary): A heart attack occurs when blood flow to a part of your heart is blocked for a period of time and a part of the heart muscle is damaged. It is also called a myocardial infarction (MI). Watch this video about: Coronary artery disease Angina is pain or pressure in the chest. It occurs when your heart muscle is not getting enough blood or oxygen. You may feel angina in your neck or jaw. Sometimes you may notice that you are short of breath. Below are some questions you may want to ask your health care provider to help you take care of yourself after a heart attack. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: ischemic syncope stroke diagonses. define?

Response: What is Ischemic Stroke?: A stroke is a medical emergency. There are two types - ischemic and hemorrhagic. Ischemic stroke is the most common type. It is usually caused by a blood clot that blocks or plugs a blood vessel in the brain. This keeps blood from flowing to the brain. Within minutes, brain cells begin to die. Another cause is stenosis, or narrowing of the artery. This can happen because of atherosclerosis, a disease in which plaque builds up inside your arteries. Transient ischemic attacks (TIAs) occur when the blood supply to the brain is interrupted briefly. Having a TIA can mean you are at risk for having a more serious stroke. Symptoms of stroke are - Sudden numbness or weakness of the face, arm or leg (especially on one side of the body) - Sudden confusion, trouble speaking or understanding speech - Sudden trouble seeing in one or both eyes - Sudden trouble walking, dizziness, loss of balance or coordination - Sudden severe headache with no known cause It is important to treat strokes as quickly as possible. Blood thinners may be used to stop a stroke while it is happening by quickly dissolving the blood clot. Post-stroke rehabilitation can help people overcome disabilities caused by stroke damage. NIH: National Institute of Neurological Disorders and Stroke. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: ischemic syncope stroke diagonses. define?

Response: Stroke (What Is a Stroke?): A stroke happens when something changes how blood flows through the brain. Blood brings oxygen and nutrients to brain cells. If blood can't flow to a part of the brain, cells that do not receive enough oxygen suffer and eventually die. If brain cells are without oxygen for only a short time, they can sometimes get better. But brain cells that have died can't be brought back to life. So, someone who has had a stroke may have trouble speaking, thinking, or walking.There are two major types of stroke. The most common kind, ischemic, is caused by a blood clot or the narrowing of a blood vessel (an artery) leading to the brain. This keeps blood from flowing into other parts of the brain and keeps needed oxygen and nutrients from reaching brain cells. Blockages that cause ischemic strokes stem from three conditions:- Formation of a clot within a blood vessel of the brain or neck, called thrombosis - Movement of a clot from another part of the body, such as from the heart to the neck or brain, called an embolism - Severe narrowing of an artery (stenosis) in or leading to the brain, due to fatty deposits lining the blood vessel wallsIn the second major kind of stroke, hemorrhagic, a broken blood vessel causes bleeding in the brain. This break in the vessel also stops oxygen and nutrients from reaching brain cells.Sometimes the symptoms of a stroke last only a few minutes and then go away. That could be a transient ischemic attack (TIA), also called a mini-stroke. A TIA is a medical emergency. You should get medical help right away. If a TIA is not treated quickly, it could be followed within hours or days by a major disabling stroke. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: ischemic syncope stroke diagonses. define?

Response: Syncope: Syncope is a medical term used to describe a temporary loss of consciousness due to the sudden decline of blood flow to the brain. Syncope is commonly called fainting or “passing out.” If an individual is about to faint, he or she will feel dizzy, lightheaded, or nauseous and their field of vision may “white out” or “black out.” The skin may be cold and clammy. The person drops to the floor as he or she loses consciousness. After fainting, an individual may be unconscious for a minute or two, but will revive and slowly return to normal. Syncope can occur in otherwise healthy people and affects all age groups, but occurs more often in the elderly. There are several types of syncope. Vasovagal syncope usually has an easily identified triggering event such as emotional stress, trauma, pain, the sight of blood, or prolonged standing. Carotid sinus syncope happens because of constriction of the carotid artery in the neck and can occur after turning the head, while shaving, or when wearing a tight collar. Situational syncope happens during urination, defecation, coughing, or as a result of gastrointestinal stimulation. Syncope can also be a symptom of heart disease or abnormalities that create an uneven heart rate or rhythm that temporarily affect blood volume and its distribution in the body. Syncope isn’t normally a primary sign of a neurological disorder, but it may indicate an increased risk for neurologic disorders such as Parkinson’s disease, postural orthostatic tachycardia syndrome (POTS), diabetic neuropathy, and other types of neuropathy. Certain classes of drugs are associated with an increased risk of syncope, including diuretics, calcium antagonists, ACE inhibitors, nitrates, antipsychotics, antihistamines, levodopa, narcotics, and alcohol. The immediate treatment for an individual who has fainted involves checking first to see if their airway is open and they are breathing. The person should remain lying down for at least 10-15 minutes, preferably in a cool and quiet space. If this isn’t possible, have the individual sit forward and lower their head below their shoulders and between their knees. Ice or cold water in a cup is refreshing. For individuals who have problems with chronic fainting spells, therapy should focus on recognizing the triggers and learning techniques to keep from fainting. At the appearance of warning signs such as lightheadedness, nausea, or cold and clammy skin, counter-pressure maneuvers that involve gripping fingers into a fist, tensing the arms, and crossing the legs or squeezing the thighs together can be used to ward off a fainting spell. If fainting spells occur often without a triggering event, syncope may be a sign of an underlying heart disease. Syncope is a dramatic event and can be life-threatening if not treated properly. Generally, however, people recover completely within minutes to hours. If syncope is symptomatic of an underlying condition, then the prognosis will reflect the course of the disorder. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: SPECIFY COMPONENTS. COENZYME Q10(100-mg). WHAT ARE THE COMPONENTS OF THIS MEDICINE? IS IT USEABLE FOR MUSLIMS?

Response: HIBCH deficiency (Treatment): Treatment of HIBCH deficiency involves frequent carbohydrate-rich meals, along with coenzyme Q10, vitamin C, and vitamin E supplementation. [5] People with HIBCH deficiency may also benefit from a low-valine diet with carnitine and N-acetyl-cysteine supplementation. [5] Prompt, supportive, treatment during periods of physical stress and viral illness is vital. This may involve frequent infusions of bicarbonate, plus additional supports as required. [5] We strongly recommend that these and other treatment options be carefully reviewed with a healthcare provider. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: SPECIFY COMPONENTS. COENZYME Q10(100-mg). WHAT ARE THE COMPONENTS OF THIS MEDICINE? IS IT USEABLE FOR MUSLIMS?

Response: Essential thrombocythemia (Treatment): If you have life-threatening complications, you may have a treatment called platelet pheresis. It quickly reduces platelets in the blood. Long-term, medicines are used to decrease the platelet count to avoid complications. The most common medicines used include hydroxyurea, interferon-alpha, or anagrelide. In some people with a JAK2 mutation, specific inhibitors of the JAK2 protein may be used. In people who are at a high risk of clotting, aspirin at a low dose (81 to 100 mg per day) may decrease clotting episodes. Many people do not need any treatment, but they must be followed closely by their provider. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: SPECIFY COMPONENTS. COENZYME Q10(100-mg). WHAT ARE THE COMPONENTS OF THIS MEDICINE? IS IT USEABLE FOR MUSLIMS?

Response: Myoclonic epilepsy with ragged red fibers (Treatment): While there is no cure for MERRF, there are various medications and therapies that can be helpful in managing symptoms. This includes: Antiseizure medications, levetiracetam for myoclonus, physical therapy , and aerobic exercise. Standard medication is used to treat cardiac symptoms. Daily use of Coenzyme Q10 and L-carnitine have been of some benefit to individuals. Other supplements that might be utilized include creatinine and lipoic acid. [1] Management Guidelines GeneReviews provides current, expert-authored, peer-reviewed, full-text articles describing the application of genetic testing to the diagnosis, management, and genetic counseling of patients with specific inherited conditions. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Autoimmune illness. What doctor specializes in testing for and treatment of autoimmune illness?

Response: Autoimmune diseases (What types of doctors treat autoimmune diseases?): Juggling your health care needs among many doctors and specialists can be hard. But specialists, along with your main doctor, may be helpful in managing some symptoms of your autoimmune disease. If you see a specialist, make sure you have a supportive main doctor to help you. Often, your family doctor may help you coordinate care if you need to see one or more specialists. Here are some specialists who treat autoimmune diseases:. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Autoimmune illness. What doctor specializes in testing for and treatment of autoimmune illness?

Response: What are the treatments for Autoimmune disorders?: The goals of treatment are to: - Reduce symptoms - Control the autoimmune process - Maintain the body's ability to fight disease Treatments will depend on your disease and symptoms. Types of treatments include: - Supplements to replace a substance that the body lacks, such as thyroid hormone, vitamin B12, or insulin, due to the autoimmune disease - Blood transfusions if blood is affected - Physical therapy to help with movement if the bones, joints, or muscles are affected Many people take medicines to reduce the immune system's abnormal response. These are often called immunosuppressive medicines. Examples include corticosteroids (such as prednisone) and nonsteroid drugs such as azathioprine, cyclophosphamide, mycophenolate, sirolimus, or tacrolimus. Targeted drugs called tumor necrosis factor (TFN) blockers can be used for some diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Autoimmune illness. What doctor specializes in testing for and treatment of autoimmune illness?

Response: Autoimmune hepatitis (Treatment): You may need prednisone or other corticosteroid medicines to help reduce the inflammation. Azathioprine and 6-mercaptopurine are drugs used to treat other autoimmune disorders. They have been shown to help people with autoimmune hepatitis, as well. Some people may need a liver transplant. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. how does effextor cause ED and what is the mimimum amount that causes ED. I take effexor. Is there a mimimum amount that will not cause ED

Response: Venlafaxine (Brand names): - Effexor®¶ - Effexor® XR¶. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. how does effextor cause ED and what is the mimimum amount that causes ED. I take effexor. Is there a mimimum amount that will not cause ED

Response: Erectile Dysfunction (Summary): Summary Erectile dysfunction (ED) is a common type of male sexual dysfunction. It is when a man has trouble getting or keeping an erection. ED becomes more common as you get older. But it's not a natural part of aging. Some people have trouble speaking with their doctors about sex. But if you have ED, you should tell your doctor. ED can be a sign of health problems. It may mean your blood vessels are clogged. It may mean you have nerve damage from diabetes. If you don't see your doctor, these problems will go untreated. Your doctor can offer several new treatments for ED. For many men, the answer is as simple as taking a pill. Getting more exercise, losing weight, or stopping smoking may also help. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. how does effextor cause ED and what is the mimimum amount that causes ED. I take effexor. Is there a mimimum amount that will not cause ED

Response: Erection problems - aftercare (Lifestyle): For many men, lifestyle changes can help with ED. For example, alcohol and illegal drugs may make you feel more relaxed. But they can cause ED or make it worse. Avoid illegal drugs, and consider limiting the amount of alcohol you drink. Smoking and smokeless tobacco can cause narrowing of blood vessels all over the body, including those that supply blood to the penis. Talk to your provider about quitting. Other lifestyle tips include: - Get plenty of rest and take time to relax. - Exercise and eat healthy foods to maintain good circulation. - Use safe sex practices. Reducing your worry about STDs may help prevent negative emotions that can affect your erection. - Talk with your provider and review your daily prescription medicine list. Many prescription medicines can cause or worsen ED. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: NSAIDS as a potential cause of ED. How long has this non prescription drug been implicated in erectile dysfunction?

Response: How to prevent What I need to know about Erectile Dysfunction?: You can prevent many of the causes of ED by making healthy lifestyle choices. Following a healthy diet may help prevent ED. Quitting smoking and getting physical activity are also important ways to prevent ED. Physical activity increases blood flow throughout your body, including your penis. Talk with your doctor before starting new activities. If you have not been active, start slow, with easier activities such as walking at a normal pace or gardening. Then you can work up to harder activities such as walking briskly or swimming. Try to aim for at least 30 minutes of activity most days of the week. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: NSAIDS as a potential cause of ED. How long has this non prescription drug been implicated in erectile dysfunction?

Response: Prescription drug abuse (Diagnosis): Doctors generally base a diagnosis of prescription drug abuse on medical history and answers to other questions. In some cases, certain signs and symptoms also provide clues. Blood or urine tests can detect many types of drugs. These tests can also help track the progress of a person who's getting treatment. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: NSAIDS as a potential cause of ED. How long has this non prescription drug been implicated in erectile dysfunction?

Response: Medicare Prescription Drug Coverage (Summary): Summary Part D is the name of Medicare's prescription drug coverage. It's insurance that helps people pay for prescription drugs. It is available to everyone who has Medicare. It provides protection if you pay high drug costs or have unexpected prescription drug bills. It doesn't cover all costs. You have to pay part of the cost of prescription drugs. Most people also have to pay an additional monthly cost. Private companies provide Medicare prescription drug coverage. You choose the drug plan you like best. Whether or not you should sign up depends on how good your current coverage is. You need to sign up as soon as you are eligible for Medicare. Otherwise, there may be additional charges. Centers for Medicare and Medicaid Services. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. i want to know more about aeortic stenosis

Response: Aortic valve stenosis: Aortic valve stenosis (AVS) is a condition characterized by narrowing of the heart's aortic valve opening. This narrowing prevents the valve from opening fully, which obstructs blood flow from the heart into the aorta, and onward to the rest of the body. [1] AVS can range from mild to severe. Signs and symptoms typically develop when the narrowing of the opening is severe and may include chest pain (angina) or tightness; shortness of breath or fatigue (especially during exertion); feeling faint or fainting; heart palpitations; and heart murmur. [1] [2] Individuals with less severe congenital AVS (present at birth) may not develop symptoms until adulthood. Individuals with severe cases may faint without warning. [2] The condition can eventually lead to heart failure. AVS can have several causes including abnormal development before birth (such as having 1 or 2 valve leaflets instead of 3); calcium build-up on the valve in adulthood; and rheumatic fever. Treatment may include medications to ease the symptoms, but surgery to repair or replace the valve is the only way to eliminate the condition. [1] Aortic valve stenosis can be congenital (present at birth) or can develop later in life. When the condition is congenital, it is typically due to abnormal development of the aortic valve - either it forms abnormally narrow, or it is made up of one flap or leaflet (called a unicuspid valve, which is very rare) or two leaflets (bicuspid valve) instead of the usual three. Having a bicuspid valve can run in families. A bicuspid valve may not cause any problems until adulthood, when the valve begins to narrow or leak. In most cases, the exact underlying cause of congenital aortic valve stenosis is unknown. [1] Aortic valve stenosis can also be caused by the buildup of calcium deposits on the heart valve with increasing age. This cause is most common in people older than 65. Rheumatic fever can also cause the condition because it may result in scar tissue forming on the valve, causing the leaflets to stiffen and fuse. Rheumatic fever can also cause a rough surface on the valve, which can lead to accumulation of calcium deposits later in life. [1]. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: General health. i want to know more about aeortic stenosis

Response: What is Aortic stenosis?: The aorta is the main artery that carries blood out of the heart to the rest of the body. Blood flows out of the heart and into the aorta through the aortic valve. In aortic stenosis, the aortic valve does not open fully. This decreases blood flow from the heart. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: . What can cause white cells ti uprate

Response: white sponge nevus (Frequency): The exact prevalence of white sponge nevus is unknown, but it is estimated to affect less than 1 in 200,000 individuals worldwide. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: . What can cause white cells ti uprate

Response: Etiology: Etiology describes the cause or causes of a disease. Updated by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. If your symptoms worsen or feel concerning, seek help from a healthcare professional.


Instruction: Glimepiride Storage & Alloweable Excursion Data. Can you please provide Glimepiride storage & allowable temperature excursion data, specifically for pharmacy and warehouse storage

Response: What should I know about storage and disposal of Glimepiride?: Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. If your symptoms worsen or feel concerning, seek help from a healthcare professional.