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general health. What are the causes of rib cage pain? And and the remedy | What causes Ribcage pain?: Ribcage pain may be caused by any of the following: - Bruised, cracked, or fractured rib - Inflammation of cartilage near the breastbone (costochondritis) - Osteoporosis - Pleurisy (the pain is worse when breathing deeply). If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. What are the causes of rib cage pain? And and the remedy | General paresis (Summary): General paresis is a problem with mental function due to damage to the brain from untreated syphilis. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. What are the causes of rib cage pain? And and the remedy | General anesthesia (Outlook (Prognosis)): General anesthesia is generally safe because of modern equipment, medicines, and safety standards. Most people recover completely and do not have any complications. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. The hantavirus can lead to death? | What is Hantavirus?: Hantavirus is a life-threatening viral infection spread to humans by rodents. It has symptoms similar to influenza. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. The hantavirus can lead to death? | General paresis (Summary): General paresis is a problem with mental function due to damage to the brain from untreated syphilis. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. The hantavirus can lead to death? | General anesthesia (Outlook (Prognosis)): General anesthesia is generally safe because of modern equipment, medicines, and safety standards. Most people recover completely and do not have any complications. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. Is there always elevated temperature associated with appendicitis? | General paresis (Prevention): Treating primary syphilis and secondary syphilis infections will prevent general paresis. Practicing safer sex, such as limiting partners and using protection, may reduce the risk of getting infected with syphilis. Avoid direct skin contact with people who have secondary syphilis. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. Is there always elevated temperature associated with appendicitis? | What is Appendicitis?: The appendix is a small, tube-like organ attached to the first part of the large intestine. It is located in the lower right part of the abdomen. It has no known function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with blood flow, and inflammation. If the blockage is not treated, the appendix can burst and spread infection into the abdomen. This causes a condition called peritonitis. The main symptom is pain in the abdomen, often on the right side. It is usually sudden and gets worse over time. Other symptoms may include - Swelling in the abdomen - Loss of appetite - Nausea and vomiting - Constipation or diarrhea - Inability to pass gas - Low fever Not everyone with appendicitis has all these symptoms. Appendicitis is a medical emergency. Treatment almost always involves removing the appendix. Anyone can get appendicitis, but it is more common among people 10 to 30 years old. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. Is there always elevated temperature associated with appendicitis? | What is Appendicitis?: Appendicitis is swelling (inflammation) of the appendix. The appendix is a small pouch attached to the large intestine. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
I have a question for your website an it seems to have difficulty answering .. I want to know if you take Gabamentine an hydrocodene together what would happen? ; if I take them separately it don't work. | Hydrocodone (What special precautions should I follow?): Before taking hydrocodone, - tell your doctor and pharmacist if you are allergic to hydrocodone, any other medications, or any of the ingredients in hydrocodone extended-release capsules or extended-release tablets. Ask your pharmacist or check the Medication Guide for a list of the ingredients. - tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING section and any of the following medications: antihistamines (found in cough and cold medications); amiodarone (Cordarone, Nexterone, Pacerone); azithromycin (Zithromax, Zmax); butorphanol; chlorpromazine; citalopram (Celexa); cyclobenzaprine (Amrix); dextromethorphan (found in many cough medications; in Nuedexta); dronedarone (Multaq); haloperidol (Haldol); laxatives such as lactulose (Cholac, Constulose, Enulose, others); levofloxacin (Levaquin); lithium (Lithobid); medications for irritable bowel disease, Parkinson's disease, ulcers, and urinary problems; medications for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); 5HT3 serotonin blockers such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin-reuptake inhibitors such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), and sertraline (Zoloft); serotonin and norepinephrine reuptake inhibitors such as desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), and venlafaxine (Effexor); trazodone (Oleptro); or tricyclic antidepressants ('mood elevators') such as amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil). Also tell your doctor or pharmacist if you are taking or receiving the following medications or have stopped taking them within the past two weeks: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). Many other medications may also interact with hydrocodone, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. - tell your doctor what herbal products you are taking, especially St. John's wort and tryptophan. - tell your doctor if you have any of the conditions mentioned in the IMPORTANT WARNING section, a blockage or narrowing of your stomach or intestines, or paralytic ileus (condition in which digested food does not move through the intestines). Your doctor may tell you not to take hydrocodone. - tell your doctor if you have or have ever had low blood pressure, difficulty urinating, seizures, or thyroid, gall bladder, pancreas, liver, or kidney disease. If you are taking the extended-release tablets, also tell your doctor if you have or have ever had difficulty swallowing, colon cancer (cancer that begins in the large intestine), esophageal cancer (cancer that begins in the tube that connects the mouth and stomach), heart failure (HF; condition in which the heart cannot pump enough blood to other parts of the body), or heart rhythm problems such long QT syndrome (condition that increases the risk of developing an irregular heartbeat that may cause fainting or sudden death). - tell your doctor if you are breastfeeding. - you should know that this medication may decrease fertility in men and women. Talk to your doctor about the risks of taking hydrocodone. - if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking hydrocodone. - you should know that hydrocodone may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. - you should know that hydrocodone may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start taking hydrocodone. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up. - you should know that hydrocodone may cause constipation. Talk to your doctor about changing your diet and using other medications to treat or prevent constipation. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Drug interactions. is it safe to take diclofenac when taking lisinopril or aleve or extra-strength Tylenol? | Lisinopril (What special precautions should I follow?): Before taking lisinopril, - tell your doctor and pharmacist if you are allergic to lisinopril; other ACE inhibitors such as enalapril (Vasotec, in Vaseretic), benazepril (Lotensin, in Lotrel), captopril (Capoten), fosinopril (Monopril), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); any other medications; or any ingredients in lisinopril tablets. Ask your pharmacist for a list of the ingredients. - tell your doctor or pharmacist if you are taking valsartan and sacubitril (Entresto) or if you have stopped taking it within the last 36 hours. Your doctor will probably tell you not to take lisinopril, if you are also taking valsartan and sacubitril. Also, tell your doctor if you have diabetes and you are taking aliskiren (Tekturna, in Amturnide, Tekamlo, Tekturna HCT). Your doctor will probably tell you not to take lisinopril if you have diabetes and you are also taking aliskiren. - tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as indomethacin (Indocin, Tivorbex); diuretics ('water pills'); lithium (Lithobid); and potassium supplements. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. - tell your doctor if you have or have ever had heart or kidney disease; diabetes; lupus; scleroderma (a condition in which extra tissue grows on the skin and some organs); or angioedema (a condition that causes difficulty swallowing or breathing and painful swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs). - tell your doctor if you are breastfeeding. - if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking lisinopril. - you should know that diarrhea, vomiting, not drinking enough fluids, and sweating a lot can cause a drop in blood pressure, which may cause lightheadedness and fainting. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Drug interactions. is it safe to take diclofenac when taking lisinopril or aleve or extra-strength Tylenol? | What other information should I know about Diclofenac?: Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
patau sydrome/ trisomy 13. i was wondering the condition of trisomy progresses over time (gets worse as they become older) also, how to diognose the disorder thank you! | Trisomy 13 (Outlook (Prognosis)): More than 90% of children with trisomy 13 die in the first year. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
patau sydrome/ trisomy 13. i was wondering the condition of trisomy progresses over time (gets worse as they become older) also, how to diognose the disorder thank you! | Trisomy 13 (Prevention): Trisomy 13 can be diagnosed before birth by amniocentesis with chromosome studies of the amniotic cells. Parents of infants with trisomy 13 that is caused by a translocation should have genetic testing and counseling. This may help them avoid having another child with the condition. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
patau sydrome/ trisomy 13. i was wondering the condition of trisomy progresses over time (gets worse as they become older) also, how to diognose the disorder thank you! | Trisomy 13 (Exams and Tests): The infant may have a single umbilical artery at birth. There are often signs of congenital heart disease, such as: - Abnormal placement of the heart toward the right side of the chest instead of the left - Atrial septal defect - Patent ductus arteriosus - Ventricular septal defect Gastrointestinal x-rays or ultrasound may show rotation of the internal organs. MRI or CT scans of the head may reveal a problem with the structure of the brain. The problem is called holoprosencephaly. It is the joining together of the 2 sides of the brain. Chromosome studies show trisomy 13, trisomy 13 mosaicism, or partial trisomy. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
quinine in seltzer water.. quinine in seltzer water. Is it ok to drink quinine in seltzer water to ease leg cramps? If so, what would be the correct "dosage"? It has a nasty taste but it does ease leg cramps. Thank you. | Leg pain (Home Care): 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. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
quinine in seltzer water.. quinine in seltzer water. Is it ok to drink quinine in seltzer water to ease leg cramps? If so, what would be the correct "dosage"? It has a nasty taste but it does ease leg cramps. Thank you. | Muscle cramps (Home Care): If you have a muscle cramp, stop your activity and try stretching and massaging the muscle. Heat will relax the muscle when the spasm begins, but ice may be helpful when the pain has improved. If the muscle is still sore, nonsteroidal anti-inflammatory medicines can help with pain. If the muscle cramps are severe, your health care provider can prescribe other medicines. The most common cause of muscle cramps during sports activity is not getting enough fluids. Often, drinking water will ease the cramping. However, water alone does not always help. Salt tablets or sports drinks, which also replenish lost minerals, can be helpful. Other tips for relieving muscle cramps: - Change your workouts so that you are exercising within your ability. - Drink plenty of fluids while exercising and increase your potassium intake (orange juice and bananas are great sources of potassium). - Stretch to improve flexibility. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
quinine in seltzer water.. quinine in seltzer water. Is it ok to drink quinine in seltzer water to ease leg cramps? If so, what would be the correct "dosage"? It has a nasty taste but it does ease leg cramps. Thank you. | Muscle cramps: Muscle cramps are when a muscle gets tight (contracts) without you trying to tighten it, and it does not relax. Cramps may involve all or part of one or more muscles. The most commonly involved muscle groups are: - Back of the lower leg/calf - Back of the thigh (hamstrings) - Front of the thigh (quadriceps) Cramps in the feet, hands, arms, abdomen, and along the rib cage are also very common. Muscle cramps are common and may be stopped by stretching the muscle. The cramping muscle may feel hard or bulging. Muscle cramps are different than muscle twitches, which are covered in a separate article. Muscle cramps are common and often occur when a muscle is overused or injured. Working out when you have not had enough fluids (dehydration) or when you have low levels of minerals such as potassium or calcium can also make you more likely to have a muscle spasm. Muscle cramps can occur while you play tennis or golf, bowl, swim, or do any other exercise. They can also be triggered by: - Alcoholism - Hypothyroidism (underactive thyroid) - Kidney failure - Medicines - Menstruation - Pregnancy If you have a muscle cramp, stop your activity and try stretching and massaging the muscle. Heat will relax the muscle when the spasm begins, but ice may be helpful when the pain has improved. If the muscle is still sore, nonsteroidal anti-inflammatory medicines can help with pain. If the muscle cramps are severe, your health care provider can prescribe other medicines. The most common cause of muscle cramps during sports activity is not getting enough fluids. Often, drinking water will ease the cramping. However, water alone does not always help. Salt tablets or sports drinks, which also replenish lost minerals, can be helpful. Other tips for relieving muscle cramps: - Change your workouts so that you are exercising within your ability. - Drink plenty of fluids while exercising and increase your potassium intake (orange juice and bananas are great sources of potassium). - Stretch to improve flexibility. Call your provider if your muscle cramps: - Are severe - Do not go away with simple stretching - Keep coming back - Last a long time Your provider will examine you and ask questions about your symptoms and medical history, such as: - When did the spasms first begin? - How long do they last? - How often do you experience muscle spasms? - What muscles are affected? - Is the cramp always in the same location? - Are you pregnant? - Have you been vomiting, had diarrhea, excessive sweating, excessive urine volume, or any other possible cause of dehydration? - What medicines do you take? - Have you been exercising heavily? - Have you been drinking alcohol heavily? Blood tests may be done to check for the following: - Calcium, potassium, or magnesium metabolism - Kidney function - Thyroid function Pain medicines may be prescribed. 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. | mediqa_qa | safe |
Mite Infestation. Please inform me of the recommended treatment and prevention protocol for mite infestation in humans, particularly one that is non-toxic or has minimal side effects. | Dust mite allergy (Lifestyle and home remedies): Avoiding exposure to dust mites is the best strategy for controlling dust mite allergy. While you can't completely eliminate dust mites from your home, you can significantly reduce their number. Here's how: - Use allergen-proof bed covers. Keep your mattress and pillows in dustproof or allergen-blocking covers. These covers, made of tightly woven fabric, prevent dust mites from colonizing or escaping from the mattress or pillows. Encase box springs in allergen-proof covers. - Wash bedding weekly. Wash all sheets, blankets, pillowcases and bedcovers in hot water that is at least 130 F (54.4 C) to kill dust mites and remove allergens. If bedding can't be washed hot, put the items in the dryer for at least 15 minutes at a temperature above 130 F (54.4 C) to kill the mites. Then wash and dry the bedding to remove allergens. Freezing nonwashable items for 24 hours also can kill dust mites, but this won't remove the allergens. - Keep humidity low. Maintain a relative humidity below 50 percent in your home. A dehumidifier or air conditioner can help keep humidity low, and a hygrometer (available at hardware stores) can measure humidity levels. - Choose bedding wisely. Avoid bedcovers that trap dust easily and are difficult to clean frequently. - Buy washable stuffed toys. Wash them often in hot water and dry thoroughly. Also, keep stuffed toys off beds. - Remove dust. Use a damp or oiled mop or rag rather than dry materials to clean up dust. This prevents dust from becoming airborne and resettling. - Vacuum regularly. Vacuuming carpeting and upholstered furniture removes surface dust - but vacuuming isn't effective at removing most dust mites and dust mite allergens. Use a vacuum cleaner with a double-layered microfilter bag or a high-efficiency particulate air (HEPA) filter to help decrease house-dust emissions from the cleaner. If your allergies are severe, stay out of the area being vacuumed while someone else does the work. Wait about two hours before going back in the vacuumed room. - Cut clutter. If it collects dust, it also collects dust mites. Remove knickknacks, tabletop ornaments, books, magazines and newspapers from your bedroom. - Remove carpeting and other dust mite habitats. Carpeting provides a comfortable habitat for dust mites. This is especially true if carpeting is over concrete, which holds moisture easily and provides a humid environment for mites. If possible, replace wall-to-wall bedroom carpeting with tile, wood, linoleum or vinyl flooring. Consider replacing other dust-collecting furnishings in bedrooms, such as upholstered furniture, nonwashable curtains and horizontal blinds. - Install a high-efficiency media filter in your furnace and air conditioning unit. Look for a filter with a Minimum Efficiency Reporting Value (MERV) of 11 or 12 and leave the fan on to create a whole house air filter. Be sure to change the filter every three months. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Mite Infestation. Please inform me of the recommended treatment and prevention protocol for mite infestation in humans, particularly one that is non-toxic or has minimal side effects. | Dust mite allergy (Treatment): The first treatment for controlling dust mite allergy is avoiding dust mites as much as possible. When you minimize your exposure to dust mites, you can expect fewer or less severe allergic reactions. However, it's impossible to completely eliminate dust mites from your environment. You may also need medications to control symptoms. Allergy medications Your doctor may direct you to take one of the following medications to improve nasal allergy symptoms: - Antihistamines reduce the production of an immune system chemical that is active in an allergic reaction. These drugs relieve itching, sneezing and runny nose. Over-the-counter antihistamine tablets, such as fexofenadine (Allegra Allergy), loratadine (Alavert, Claritin,), cetirizine (Zyrtec) and others, as well as antihistamine syrups for children, are available. Prescription antihistamines taken as a nasal spray include azelastine (Astelin, Astepro) and olopatadine (Patanase). - Corticosteroids delivered as a nasal spray can reduce inflammation and control symptoms of hay fever. These drugs include fluticasone propionate (Flonase), mometasone furoate (Nasonex), triamcinolone (Nasacort Allergy 24HR), ciclesonide (Omnaris) and others. Nasal corticosteroids provide a low dose of the drug and have a much lower risk of side effects compared with oral corticosteroids. - Decongestants can help shrink swollen tissues in your nasal passages and make it easier to breathe through your nose. Some over-the-counter allergy tablets combine an antihistamine with a decongestant. Oral decongestants can increase blood pressure and shouldn't be taken if you have severe high blood pressure, glaucoma or cardiovascular disease. In men with an enlarged prostate, the drug can worsen the condition. Talk to your doctor about whether you can safely take a decongestant. Over-the-counter decongestants taken as a nasal spray may briefly reduce allergy symptoms. If you use a decongestant spray for more than three days in a row, however, it can actually make nasal congestion worse. - Leukotriene modifiers block the action of certain immune system chemicals. Your doctor may prescribe the leukotriene modifier montelukast (Singulair), which comes in tablet form. Possible side effects of montelukast include upper respiratory infection, headache and fever. Less common side effects include behavior or mood changes, such as anxiousness or depression. Other therapies - Immunotherapy. You can "train" your immune system not to be sensitive to an allergen. This is done through a series of allergy shots called immunotherapy. One to two weekly shots expose you to very small doses of the allergen, in this case, the dust mite proteins that cause the allergic reaction. The dose is gradually increased, usually during a three- to six-month period. Maintenance shots are needed every four weeks for three to five years. Immunotherapy is usually used when other simple treatments are not satisfactory. - Nasal irrigation. You can use a neti pot or a specially designed squeeze bottle to flush thickened mucus and irritants from your sinuses with a prepared saltwater (saline) rinse. If you're preparing the saline solution yourself, use water that's contaminant-free - distilled, sterile, previously boiled and cooled, or filtered with a filter that has an absolute pore size of 1 micron or smaller. Be sure to rinse the irrigation device after each use with contaminant-free water, and leave open to air-dry. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
meds taken with wine at dinnertime. Is it safe to take my meds with wine at dinnertime? | Alcohol use and safe drinking: Alcohol use involves drinking beer, wine, or hard liquor. Alcohol is one of the most widely used drug substances in the world. TEEN DRINKING Alcohol use is not only an adult problem. Most American high school seniors have had an alcoholic drink within the past month. This is in spite of the fact that the legal drinking age is 21 years old in the United States. About 1 in 5 teens are considered "problem drinkers." This means that they: - Get drunk - Have accidents related to alcohol use - Get into trouble with the law, family members, friends, school, or dates because of alcohol THE EFFECTS OF ALCOHOL Alcoholic drinks have different amounts of alcohol in them. - Beer is about 5% alcohol, although some beers can have more. - Wine is usually 12% to 15% alcohol. - Hard liquor is about 45% alcohol. Alcohol gets into your bloodstream quickly. The amount and type of food in your stomach can change how quickly this occurs. For example, high-carbohydrate and high-fat foods can make your body absorb alcohol more slowly. Certain types of alcoholic drinks get into your bloodstream faster. Stronger drinks tend to be absorbed faster. Alcohol slows your breathing rate, heart rate, and how well your brain functions. These effects may appear within 10 minutes and peak at around 40 to 60 minutes. Alcohol stays in your bloodstream until it is broken down by the liver. The amount of alcohol in your blood is called your blood alcohol level. If you drink alcohol faster than the liver can break it down, this level rises. Your blood alcohol level is used to legally define whether or not you are drunk. The legal limit for blood alcohol usually falls between 0.08 and 0.10 in most states. Below is a list of blood alcohol levels and the likely symptoms: - 0.05 -- reduced inhibitions - 0.10 -- slurred speech - 0.20 -- euphoria and motor impairment - 0.30 -- confusion - 0.40 -- stupor - 0.50 -- coma - 0.60 -- breathing stops and death You can have symptoms of being drunk at blood alcohol levels below the legal definition of being drunk. Also, people who drink alcohol frequently may not have symptoms until a higher blood alcohol level is reached. HEALTH RISKS OF ALCOHOL Alcohol increases the risk of: - Alcoholism - Falls, drownings, and other accidents - Head, neck, stomach, colon, breast, and other cancers - Motor vehicle accidents - Risky sex behaviors, unplanned or unwanted pregnancy, and sexually transmitted infections (STIs) - Suicide and homicide Drinking during pregnancy can harm the developing baby. Severe birth defects or fetal alcohol syndrome are possible. RESPONSIBLE DRINKING If you drink alcohol, it is best to do so in moderation. Moderation means the drinking is not getting you intoxicated (or drunk) and you are drinking no more than 1 drink per day if you are a woman and no more than 2 if you are a man. A drink is defined as 12 ounces (350 milliliters) of beer, 5 ounces (150 milliliters) of wine, or 1.5 ounces (45 milliliters) of liquor. Here are some ways to drink responsibly, provided you do not have a drinking problem, are of legal age to drink alcohol, and are not pregnant: - Never drink alcohol and drive a car. - If you are going to drink, have a designated driver, or plan an alternative way home, such as a taxi or bus. - DO NOT drink on an empty stomach. Snack before and while drinking alcohol. If you are taking medicines, including over-the-counter drugs, check with your health care provider before drinking alcohol. Alcohol can make the effects of many medicines stronger. It can also interact with other medicines, making them ineffective or dangerous or make you sick. If alcohol use runs in your family, you may be at increased risk of developing this disease yourself. So, you may want to avoid drinking alcohol altogether. CALL YOUR HEALTH CARE PROVIDER IF: - You are concerned about your personal alcohol use or that of a family member - You are interested in more information regarding alcohol use or support groups - You are unable to reduce or stop your alcohol consumption, in spite of attempts to stop drinking Other resources include: - Local Alcoholics Anonymous or Al-anon/Alateen groups - Local hospitals - Public or private mental health agencies - School or work counselors - Student or employee health centers Updated by: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. 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. | mediqa_qa | safe |
meds taken with wine at dinnertime. Is it safe to take my meds with wine at dinnertime? | Wine and heart health: Studies have shown that adults who drink light to moderate amounts of alcohol may be less likely to develop heart disease than those who do not drink at all or are heavy drinkers. However, people who do not drink alcohol should not start just because they want to avoid developing heart disease. There is a fine line between healthy drinking and risky drinking. DO NOT begin drinking or drink more often just to lower your risk of heart disease. Heavier drinking can harm the heart and liver. Heart disease is the leading cause of death in people who abuse alcohol. Health care providers recommend that if you drink alcohol, drink only light to moderate amounts: - For men, limit alcohol to 1 to 2 drinks a day. - For women, limit alcohol to 1 drink a day. One drink is defined as: - 4 ounces (118 milliliters, mL) of wine - 12 ounces (355 mL) of beer - 1 1/2 ounces (44 mL) of 80-proof spirits - 1 ounce (30 mL) of 100-proof spirits Though research has found that alcohol may help prevent heart disease, much more effective ways to prevent heart disease include: - Controlling blood pressure and cholesterol - Exercising and following a low-fat, healthy diet - Not smoking - Maintaining an ideal weight Anyone who has heart disease or heart failure should talk to their provider before drinking alcohol. Alcohol can make heart failure and other heart problems worse. 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. Internal review and update on 07/24/2016 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. | mediqa_qa | safe |
meds taken with wine at dinnertime. Is it safe to take my meds with wine at dinnertime? | Outdoor fitness routine (Staying Safe): Whenever you exercise outside, you should take a few precautions to make sure you stay safe. - Watch the weather. While you can exercise in most types of weather, extreme heat or cold can be dangerous. In cold weather, dress in layers, and wear a hat and gloves. In hot weather, wear plenty of sunscreen, choose lightweight clothing, and drink lots of water. - Use caution on streets. Walk or jog facing oncoming traffic and wear bright clothing so drivers can see you. If you are out when it is dark, wear reflective clothing or carry a flashlight. - Be prepared. Carry an ID and a cell phone, just in case. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
neo oxy. pkease send me the indication and usage info for this powder. NEO-OXY 100/100 MR - neomycin sulfate and oxytetracycline hydrochloride powder | Glucosamine Hydrochloride (Are there interactions with herbs and supplements?): Chondroitin sulfate Taking chondroitin sulfate together with glucosamine hydrochloride might reduce blood levels of glucosamine. In theory, taking glucosamine hydrochloride with chondroitin sulfate might reduce the absorption of glucosamine hydrochloride. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
neo oxy. pkease send me the indication and usage info for this powder. NEO-OXY 100/100 MR - neomycin sulfate and oxytetracycline hydrochloride powder | Protecting yourself from cancer scams (Investigational Drugs): There is a difference between an unproven treatment and investigational drugs. These are drugs that are being studied to see if they work well to treat cancer. Cancer patients may take investigational drugs as part of a clinical trial. This is a study to test how well the drug works, and to check its side effects and safety. Clinical trials are the last step before a drug can get approval from the FDA. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
neo oxy. pkease send me the indication and usage info for this powder. NEO-OXY 100/100 MR - neomycin sulfate and oxytetracycline hydrochloride powder | Gastric bypass surgery - discharge (Drugs): You may need to take some medicines when you go home. - You may need to give yourself shots underneath the skin of a blood-thinning drug for 2 or more weeks. Your provider will show you how. - You may need to take medicine to prevent gallstones. - You will need to take certain vitamins that your body may not absorb well from your food. Two of these are vitamin B-12 and vitamin D. - You may need to take calcium and iron supplements as well. Aspirin, ibuprofen (Advil, Motrin), and some other drugs may harm the lining of your stomach or even cause ulcers. Talk with your provider before you take these drugs. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. What are the reasons for Hypoglycemia in newborns.. and what steps should a pregnent take to avoid this. | Low blood sugar - newborns: A low blood sugar level in newborn babies is also called neonatal hypoglycemia. It refers to low blood sugar (glucose) in the first few days after birth. Babies need blood sugar (glucose) for energy. Most of that glucose is used by the brain. The baby gets glucose from the mother through the placenta before birth. After birth, the baby gets glucose from the mother through her milk or from formula, and the baby also produces it in the liver. Glucose level can drop if: - There is too much insulin in the blood. Insulin is a hormone that pulls glucose from the blood. - The baby is not producing enough glucose. - The baby's body is using more glucose than is being produced. - The baby is not able to feed enough to keep the glucose level up. Neonatal hypoglycemia occurs when the newborn's glucose level causes symptoms or is below the level considered safe for the baby's age. It occurs in about 1 to 3 out of every 1,000 births. Low blood sugar level is more likely in infants with one or more of these risk factors: - Born early, has a serious infection, or needed oxygen right after delivery - Mother has diabetes (these infants are often larger than normal) - Have slower than usual growth in the womb during pregnancy - Are smaller in size than normal for their gestational age Infants with low blood sugar may not have symptoms. If your baby has one of the risk factors for low blood sugar, nurses in the hospital will check your baby's blood sugar level, even if there are no symptoms. Also, blood sugar level is very often checked for babies with these symptoms: - Bluish-colored or pale skin - Breathing problems, such as pauses in breathing (apnea), rapid breathing, or a grunting sound - Irritability or listlessness - Loose or floppy muscles - Poor feeding or vomiting - Problems keeping the body warm - Tremors, shakiness, sweating, or seizures Newborns at risk for hypoglycemia should have a blood test to measure blood sugar level every few hours after birth. This will be done using a heel stick. The health care provider should continue taking blood tests until the baby's glucose level stays normal for about 12 to 24 hours. Other possible tests: - Newborn screening for metabolic disorders, including blood and urine tests Infants with a low blood sugar level will need to receive extra feedings with mother's milk or formula. Babies who are breast-fed may need to receive extra formula if the mother is not able to produce enough milk. (Hand expression and massage can help mothers express more milk.) The infant may need a sugar solution given through a vein (intravenously) if unable to eat by mouth, or if the blood sugar level is very low. Treatment will be continued until the baby can maintain blood sugar level. This may take hours or days. Infants who were born early, have an infection, or were born at a low weight may need to be treated for a longer period of time. If the low blood sugar continues, in rare cases, the baby may also receive medicine to increase blood sugar level. In very rare cases, newborns with very severe hypoglycemia who do not improve with treatment may need surgery to remove part of the pancreas (to reduce insulin production). The outlook is good for newborns who do not have symptoms, or who respond well to treatment. However, low blood sugar level can return in a small number of babies after treatment. The condition is more likely to return when babies are taken off feedings given through a vein before they are fully ready to eat by mouth. Babies with more severe symptoms are more likely to develop learning problems. This is more often true for babies who are at a lower-than-average weight or whose mother has diabetes. Severe or persistent low blood sugar level may affect the baby's mental function. In rare cases, heart failure or seizures may occur. However, these problems may also be due to the underlying cause of the low blood sugar, rather than a result of the low blood sugar itself. If you have diabetes during pregnancy, work with your health care provider to control your blood sugar level. Be sure that your newborn's blood sugar level is monitored after birth. Updated by: Kimberly G. Lee, MD, MSc, IBCLC, Associate Professor of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. What are the reasons for Hypoglycemia in newborns.. and what steps should a pregnent take to avoid this. | Low Blood Glucose (Hypoglycemia) (What is hypoglycemia?): Hypoglycemia, also called low blood glucose or low blood sugar, occurs when the level of glucose in your blood drops below normal. For many people with diabetes, that means a level of 70 milligrams per deciliter (mg/dL) or less. Your numbers might be different, so check with your health care provider to find out what level is too low for you. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
general health. What are the reasons for Hypoglycemia in newborns.. and what steps should a pregnent take to avoid this. | Low Blood Glucose (Hypoglycemia) (What causes hypoglycemia in diabetes?): Hypoglycemia can be a side effect of insulin or other types of diabetes medicines that help your body make more insulin. Two types of diabetes pills can cause hypoglycemia: sulfonylureas and meglitinides. Ask your health care team if your diabetes medicine can cause hypoglycemia.Although other diabetes medicines don’t cause hypoglycemia by themselves, they can increase the chances of hypoglycemia if you also take insulin, a sulfonylurea, or a meglitinide.If you take insulin or some other diabetes medicines, your blood glucose level can drop too low. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
diverticulitis. can diverticulosis or diverticulitis be detected by a cat scan if there is no infection at that time? | Diverticulitis: Diverticula are small, bulging sacs or pouches that form on the inner wall of the intestine. Diverticulitis occurs when these pouches become inflamed or infected. Most often, these pouches are in the large intestine (colon). The formation of pouches or sacs on the intestinal lining is called diverticulosis. It is found in more than half of Americans over age 60. However, no one knows exactly what causes the pouches to form. Eating a low-fiber diet mostly made up of processed foods may be a cause. Constipation and hard stools are more likely when you do not eat enough fiber. Straining to pass stools increases the pressure in the colon or intestines, which may lead to the formation of these pouches. Diverticulitis is caused by small pieces of stool (feces) that become trapped in these pouches, causing infection or inflammation. People with diverticulosis often have no symptoms, but they may have bloating and cramping in the lower part of the belly. Rarely, they may notice blood in their stool or on toilet paper. Symptoms of diverticulitis are more severe and often start suddenly, but they may become worse over a few days. They include: - Tenderness, usually in the left lower side of the abdomen - Bloating or gas - Fever and chills - Nausea and vomiting - Not feeling hungry and not eating Your health care provider will examine you. You may need blood tests to see if you have an infection. Other tests that help diagnose diverticulitis may include: - CT scan - Ultrasound of the abdomen - X-rays of the abdomen The treatment of diverticulitis depends on how serious the symptoms are. Some people may need to be in the hospital, but most of the time, the problem can be treated at home. To help with the pain, your provider may suggest that you: - Rest in bed and use a heating pad on your belly. - Take pain medicines (ask your provider which ones you should use). - Drink only fluids for a day or two, and then slowly begin drinking thicker liquids and then eating foods. The provider may treat you with antibiotics. After you are better, your provider will suggest that you add more fiber to your diet. Eating more fiber can help prevent future attacks. If you have bloating or gas, reduce the amount of fiber you eat for a few days. Once these pouches have formed, you will have them for life. Diverticulitis can return, but some providers think a high-fiber diet may lessen your chances of a recurrence. Most often, this is a mild condition that responds well to treatment. Some people will have more than 1 attack of diverticulitis. Surgery may be needed in some cases. Many times, providers will recommend that you have a colonoscopy after diverticulitis has healed. More serious problems that may develop are: - Abnormal connections that form between parts of the colon or between the colon and another part of the body (fistula) - Hole or tear in the colon (perforation) - Narrowed area in the colon (stricture) - Pocket filled with pus or infection (abscess) - Bleeding from the diverticula Call your provider if symptoms of diverticulitis occur. Also call if you have diverticulitis and you have: - Blood in your stools - Fever above 100.4°F (38°C) that does not go away - Nausea, vomiting, or chills - Sudden belly or back pain that gets worse or is very severe Updated by: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. 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. | mediqa_qa | safe |
diverticulitis. can diverticulosis or diverticulitis be detected by a cat scan if there is no infection at that time? | Diverticulitis (Exams and Tests): Your health care provider will examine you. You may need blood tests to see if you have an infection. Other tests that help diagnose diverticulitis may include: - CT scan - Ultrasound of the abdomen - X-rays of the abdomen. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
diverticulitis. can diverticulosis or diverticulitis be detected by a cat scan if there is no infection at that time? | What is Diverticulosis and Diverticulitis?: Diverticula are small pouches that bulge outward through the colon, or large intestine. If you have these pouches, you have a condition called diverticulosis. It becomes more common as people age. About half of all people over age 60 have it. Doctors believe the main cause is a low-fiber diet. Most people with diverticulosis don't have symptoms. Sometimes it causes mild cramps, bloating or constipation. Diverticulosis is often found through tests ordered for something else. For example, it is often found during a colonoscopy to screen for cancer. A high-fiber diet and mild pain reliever will often relieve symptoms. If the pouches become inflamed or infected, you have a condition called diverticulitis. The most common symptom is abdominal pain, usually on the left side. You may also have fever, nausea, vomiting, chills, cramping, and constipation. In serious cases, diverticulitis can lead to bleeding, tears, or blockages. Your doctor will do a physical exam and imaging tests to diagnose it. Treatment may include antibiotics, pain relievers, and a liquid diet. A serious case may require a hospital stay or surgery. NIH: National Institute of Diabetes and Digestive and Kidney Diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
CAUSE OF A COLD. i UNDERSTAND CONTAGION AND TRANSFERRENCE OF COLD "GERMS" WHY ARE SOME PEOPLE AFFECTED AND OTHERS NOT? | Germs and Hygiene (Summary): Summary When you cough or sneeze, you send tiny germ-filled droplets into the air. Colds and flu usually spread that way. You can help stop the spread of germs by - Covering your mouth and nose when you sneeze or cough. Sneeze or cough into your elbow, not your hands. - Cleaning your hands often - always before you eat or prepare food, and after you use the bathroom or change a diaper - Avoiding touching your eyes, nose or mouth Hand washing is one of the most effective and most overlooked ways to stop disease. Soap and water work well to kill germs. Wash for at least 20 seconds and rub your hands briskly. Disposable hand wipes or gel sanitizers also work well. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
CAUSE OF A COLD. i UNDERSTAND CONTAGION AND TRANSFERRENCE OF COLD "GERMS" WHY ARE SOME PEOPLE AFFECTED AND OTHERS NOT? | Common Cold (Summary): Summary Sneezing, sore throat, a stuffy nose, coughing - everyone knows the symptoms of the common cold. It is probably the most common illness. In the course of a year, people in the United States suffer 1 billion colds. You can get a cold by touching your eyes or nose after you touch surfaces with cold germs on them. You can also inhale the germs. Symptoms usually begin 2 or 3 days after infection and last 2 to 14 days. Washing your hands and staying away from people with colds will help you avoid colds. There is no cure for the common cold. For relief, try - Getting plenty of rest - Drinking fluids - Gargling with warm salt water - Using cough drops or throat sprays - Taking over-the-counter pain or cold medicines However, do not give aspirin to children. And do not give cough medicine to children under four. NIH: National Institute of Allergy and Infectious Diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
CAUSE OF A COLD. i UNDERSTAND CONTAGION AND TRANSFERRENCE OF COLD "GERMS" WHY ARE SOME PEOPLE AFFECTED AND OTHERS NOT? | Cleaning to prevent the spread of germs (Summary): Germs from a person may be found on any object the person touched or on equipment that was used during the person's care. Some germs can live up to 5 months on a dry surface. Germs on any surface can pass to you or another person. Cleaning helps prevent the spread of germs. Your workplace has policies about how to clean: - Patient rooms - Spills or contamination - Supplies and equipment that are reusable. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
SSPE. My son is 33years of age and did not have the measles vaccination.Could SSPE occur at this age or in the future? | Subacute sclerosing panencephalitis (Cause): Subacute sclerosing panencephalitis (SSPE) is caused by a measles infection that is acquired earlier in life (often 7-10 years prior to the onset of SSPE symptoms). It is unclear why some people develop SSPE after they have seemingly recovered from the measles while others do not. Researchers suspect that SSPE may be due to an abnormal immune response or a mutant form of the measles virus that causes a persistent infection within the central nervous system (brain and spinal cord). [1] [2] [3] Although the underlying cause of SSPE is poorly understood, several risk factors appear to be associated with the condition. SSPE affects males more often than females and is generally diagnosed in children and adolescents. The risk of developing SSPE may be higher for a person who gets measles before they are two years of age. [1] [5]. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
SSPE. My son is 33years of age and did not have the measles vaccination.Could SSPE occur at this age or in the future? | Subacute sclerosing panencephalitis: Subacute sclerosing panencephalitis (SSPE) is a progressive, disabling, and deadly brain disorder related to measles (rubeola) infection. The disease develops many years after the measles infection. Normally, the measles virus does not cause brain damage. But an abnormal immune response to measles or, possibly, certain mutant forms of the virus may cause severe illness and death. This response leads to brain inflammation (swelling and irritation) that may last for years. SSPE has been reported in all parts of the world, but in western countries it is a rare disease. Very few cases are seen in the U.S. since the nationwide measles vaccination program. SSPE tends to occur several years after a person has measles, even though the person seems to have fully recovered from the illness. Males are more often affected than females. The disease generally occurs in children and adolescents. Symptoms of SSPE occur in four general stages. With each stage, the symptoms are worse than the stage before: - Stage I: There may be personality changes, mood swings, or depression. Fever and headache may also be present. This stage may last up to 6 months. - Stage II: There may be uncontrolled movement problems including jerking and muscle spasms. Other symptoms that may occur in this stage are loss of vision, dementia, and seizures. - Stage III: Jerking movements are replaced by writhing (twisting) movements and rigidity. Death may occur from complications. - Stage IV: Areas of the brain that control breathing, heart rate, and blood pressure are damaged. This leads to coma and then death. There may be a history of measles in an unvaccinated child. A physical examination may reveal: - Damage to the optic nerve, which is responsible for sight - Damage to the retina, the part of the eye that receives light - Muscle twitching - Poor performance on motor (movement) coordination tests The following tests may be performed: - Electroencephalogram (EEG) - Brain MRI - Serum antibody titer to look for signs of previous measles infection - Spinal tap No cure for SSPE exists. However, certain antiviral drugs and drugs that boost the immune system may slow the progression of the disease. SSPE is always fatal. People with this disease die 1 to 3 years after diagnosis. Some people may survive longer. Call your health care provider if your child has not completed their scheduled vaccines. The measles vaccine is included in the MMR vaccine. Immunization against measles is the only known prevention for SSPE. The measles vaccine has been highly effective in reducing the numbers of affected children. Measles immunization should be done according to the recommended American Academy of Pediatrics and Centers for Disease Control schedule. Updated by: Amit M. Shelat, DO, FACP, Attending Neurologist and Assistant Professor of Clinical Neurology, SUNY Stony Brook, School of Medicine. 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. | mediqa_qa | safe |
ClinicalTrials.gov - Question - general information.. My granddaughter was born with Klippel-Tranaunay Syndrome...There is very little information about this. We are looking for the current research and treatments available. She is 5 months old now and her leg seems to be most affected. We want to get her help as soon as possible to address the symptoms and treat her condition. | Klippel-Trenaunay Syndrome (KTS): Klippel-Trenaunay syndrome (KTS) is a rare congenital malformation involving blood and lymph vessels and abnormal growth of soft and bone tissue. Typical symptoms include hemangiomas (abnormal benign growths on the skin consisting of masses of blood vessels) and varicose veins. Fused toes or fingers, or extra toes or fingers, may be present. In some cases, internal bleeding may occur as a result of blood vessel malformations involving organs such as the stomach, rectum, vagina, liver, spleen, bladder, kidneys, lungs, or heart. Individuals are also at risk for blood clots. The cause of the disorder is unknown. A similar port-wine stain disorder in which individuals have vascular anomalies on the face as well as in the brain is Sturge-Weber syndrome. These individuals may experience seizures and mental deficiency. In some cases, features of the Klippel-Trenaunay syndrome and Sturge-Weber syndrome coincide. Another overlapping condition is the Parkes-Weber syndrome, which is characterized by abnormal connectivity between the arterial and venous system (arteriovenous fistulas). There is no cure for KTS. Treatment is symptomatic. Laser surgery can diminish or erase some skin lesions. Surgery may correct discrepancies in limb size, but orthopedic devices may be more appropriate. KTS is often a progressive disorder, and complications may be life-threatening. However, many individuals can live well while managing their symptoms. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
ClinicalTrials.gov - Question - general information.. My granddaughter was born with Klippel-Tranaunay Syndrome...There is very little information about this. We are looking for the current research and treatments available. She is 5 months old now and her leg seems to be most affected. We want to get her help as soon as possible to address the symptoms and treat her condition. | Klippel-Trenaunay syndrome (Treatment): Although there's no cure for Klippel-Trenaunay syndrome, your doctor can help you manage symptoms and prevent complications. Because KTS may affect many systems in the body, your health care team may include specialists in vascular medicine and surgery, skin diseases (dermatology), interventional radiology, orthopedic surgery, physical therapy and rehabilitation, and other areas as needed. You and your doctor can work together to determine which of the following treatments are most appropriate for you. Treatments may include: - Compression therapy. Bandages or elastic garments are wrapped around affected limbs to help prevent swelling, problems with varicose veins and skin ulcers. These bandages or elastic garments often need to be custom-fit. Intermittent pneumatic compression devices - leg or arm sleeves that automatically inflate and deflate at set intervals - may be used. - Physical therapy. Massage, compression and limb movement as appropriate may help relieve lymphedema in arms or legs and swelling of the blood vessels. - Orthopedic devices. These may include orthopedic shoes or shoe inserts to compensate for differences in leg length. - Epiphysiodesis (ep-ih-fiz-e-OD-uh-sis). This is an orthopedic surgical procedure that effectively can stop length overgrowth of the lower limb. - Embolization. This procedure, performed through small catheters placed into the veins or arteries, blocks blood flow to certain blood vessels. - Laser therapy. This procedure may be used to lighten port-wine stains and to treat early blebs on the skin. - Laser or radiofrequency ablation of veins. This minimally invasive procedure is used to close off abnormal veins. - Sclerotherapy. A solution is injected into a vein, which creates scar tissue that helps close the vein. - Surgery. In some cases, surgical removal or reconstruction of affected veins, removal of excess tissue, and correction of the overgrowth of bone may be beneficial. - Medication. Early research indicates that a drug called sirolimus (Rapamune) may help to treat symptomatic complex vascular malformations, but it may have significant side effects and more studies are needed. In addition, treatment may be needed for complications such as bleeding, pain, infection, blood clots or skin ulcers. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Iron Overdose. Um...i took 25 iron pills...what do i do...this was last night | Iron overdose: Iron is a mineral found in many over-the-counter supplements. Iron overdose occurs when someone takes more than the normal or recommended amount of this mineral. This can be by accident or on purpose. Iron overdose is especially dangerous for children. A severe overdose can happen if a child eats adult multivitamins, such as prenatal vitamins. If the child eats too many pediatric multivitamins, the effect is usually minor. This is for information only and not for use in the treatment or management of an actual overdose. DO NOT use it to treat or manage an actual overdose. If you or someone you are with overdoses, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. Iron can be harmful in large amounts. Iron is an ingredient in many mineral and vitamin supplements. Iron supplements are also sold by themselves. Types include: - Ferrous sulfate (Feosol, Slow Fe) - Ferrous gluconate (Fergon) - Ferrous fumarate (Femiron, Feostat) Other products may also contain iron. Below are symptoms of an iron overdose in different parts of the body. AIRWAYS AND LUNGS - Buildup of fluids in the lungs STOMACH AND INTESTINES - Black, and possibly bloody stools - Diarrhea - Liver damage - Metallic taste in mouth - Nausea - Vomiting blood HEART AND BLOOD - Dehydration - Low blood pressure - Fast and weak pulse - Shock NERVOUS SYSTEM - Chills - Coma (decreased level of consciousness and lack of responsiveness, may occur within 1/2 hour to 1 hour after overdose) - Convulsions - Dizziness - Drowsiness - Fever - Headache - Lack of desire to do anything SKIN - Bluish-colored lips and fingernails - Flushing - Loss of color from the skin (pallor) Note: Symptoms may go away in a few hours, then return again after 1 day or later. Have this information ready: - Person's age, weight, and condition - Name of the product (ingredients and strength, if known) - Time it was swallowed - Amount swallowed - If the medicine was prescribed for the person Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions. This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week. Take the container to the hospital with you, if possible. The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated. The person may receive: - Blood and urine tests, including tests to check iron levels - Breathing support, including tube through the mouth into the lungs, and breathing machine (ventilator) - Camera and tube down the throat to see the esophagus and the stomach and remove pills or stop internal bleeding - EKG (electrocardiogram, or heart tracing) - Fluids through a vein (by IV) - Medicine to help remove iron from the body and treat symptoms - Whole bowel irrigation with a special solution to quickly flush the iron through the stomach and intestines (taken by mouth or through a tube through the nose into the stomach) - X-ray to detect and track iron tablets through the stomach and intestines There is a good chance of recovery if the person's symptoms are gone 48 hours after the iron overdose. But, severe liver damage can occur 2 to 5 days after the overdose. Some people have died up to a week after an iron overdose. The more quickly the person receives treatment, the better the chance for survival. Iron overdose can be very severe in children. Children may sometimes eat large amounts of iron pills because they look like candy. Many manufacturers have changed their pills so they no longer look like candy. Updated by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, 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. | mediqa_qa | safe |
Iron Overdose. Um...i took 25 iron pills...what do i do...this was last night | Iron overdose (Outlook (Prognosis)): There is a good chance of recovery if the person's symptoms are gone 48 hours after the iron overdose. But, severe liver damage can occur 2 to 5 days after the overdose. Some people have died up to a week after an iron overdose. The more quickly the person receives treatment, the better the chance for survival. Iron overdose can be very severe in children. Children may sometimes eat large amounts of iron pills because they look like candy. Many manufacturers have changed their pills so they no longer look like candy. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Iron Overdose. Um...i took 25 iron pills...what do i do...this was last night | Iron overdose (Symptoms): Below are symptoms of an iron overdose in different parts of the body. AIRWAYS AND LUNGS - Buildup of fluids in the lungs STOMACH AND INTESTINES - Black, and possibly bloody stools - Diarrhea - Liver damage - Metallic taste in mouth - Nausea - Vomiting blood HEART AND BLOOD - Dehydration - Low blood pressure - Fast and weak pulse - Shock NERVOUS SYSTEM - Chills - Coma (decreased level of consciousness and lack of responsiveness, may occur within 1/2 hour to 1 hour after overdose) - Convulsions - Dizziness - Drowsiness - Fever - Headache - Lack of desire to do anything SKIN - Bluish-colored lips and fingernails - Flushing - Loss of color from the skin (pallor) Note: Symptoms may go away in a few hours, then return again after 1 day or later. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Inherited Ricketts. Mother has inherited ricketts. Passing A child but not B child. How likely would B child pass it on their child? | Rocky Mountain Spotted Fever (How Is NIAID Addressing This Critical Topic?): Because of the work started by doctor Ricketts in the early 1900s, NIAID Rocky Mountain Laboratories (RML) remains a thriving center for infectious disease research on tickborne diseases, such as Lyme disease and relapsing fever. RML also continues to do research on rickettsial diseases. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Inherited Ricketts. Mother has inherited ricketts. Passing A child but not B child. How likely would B child pass it on their child? | Is monilethrix inherited?: Monilethrix can have multiple patterns of inheritance. When the condition is caused by a mutation in one of the keratin genes, it is inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder. In rare cases, the condition results from a new mutation in the gene and is not inherited. When the condition is caused by mutations in the DSG4 gene, it is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but they typically do not show signs and symptoms of the condition. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
Inherited Ricketts. Mother has inherited ricketts. Passing A child but not B child. How likely would B child pass it on their child? | Alagille Syndrome (Genetic Disorders): Each cell contains thousands of genes that provide the instructions for making proteins for growth and repair of the body. If a gene has a mutation, the protein made by that gene may not function properly, which sometimes creates a genetic disorder. Not all gene mutations cause a disorder.People have two copies of most genes; one copy is inherited from each parent. A genetic disorder occurs when one or both parents pass a mutated gene to a child at conception. A genetic disorder can also occur through a spontaneous gene mutation, meaning neither parent carries a copy of the mutated gene. Once a spontaneous gene mutation has occurred in a person, it can be passed to the person's children.Read more about genes and genetic conditions at the U.S. National Library of Medicine's (NLM's) Genetics Home Reference at www.ghr.nlm.nih.gov.www.ghr.nlm.nih.gov. If your symptoms worsen or feel concerning, seek help from a healthcare professional. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis? | 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. | mediqa_qa | safe |
Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis? | 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. | mediqa_qa | safe |
Homozygout MTHFR A1298C Health Issues and long term prognosis?. What is your position on Homozygout MTHFR A1298C Health Issues and long term prognosis? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
Shingles. I am looking for information on how to prevent a shingles outbreak. | 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. | mediqa_qa | safe |
Shingles. I am looking for information on how to prevent a shingles outbreak. | 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. | mediqa_qa | safe |
Shingles. I am looking for information on how to prevent a shingles outbreak. | 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. | mediqa_qa | safe |
General health. my father age 65 his always leg pain which use medicine | 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. | mediqa_qa | safe |
General health. my father age 65 his always leg pain which use medicine | 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. | mediqa_qa | safe |
General health. my father age 65 his always leg pain which use medicine | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
diabete. whats diabete | 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. | mediqa_qa | safe |
diabete. whats diabete | 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. | mediqa_qa | safe |
diabete. whats diabete | 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. | mediqa_qa | safe |
wellbutrin xl 150. how to taper off | 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. | mediqa_qa | safe |
wellbutrin xl 150. how to taper off | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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! | 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. | mediqa_qa | safe |
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! | 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. | mediqa_qa | safe |
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! | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
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 | 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. | mediqa_qa | safe |
metformin. Does metformin cause high blood pressure? | 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. | mediqa_qa | safe |
metformin. Does metformin cause high blood pressure? | 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. | mediqa_qa | safe |
metformin. Does metformin cause high blood pressure? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
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? | 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. | mediqa_qa | safe |
intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption | 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. | mediqa_qa | safe |
intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption | 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. | mediqa_qa | safe |
intestines digestion and sbsorption. kindly explain the general effects of smoking or rather the effects of nicotine to digestion and arbsoption | 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. | mediqa_qa | safe |
sswollen feet ankles legs I have fibromyalgia. When suffering from fibromyalgia will that cause swollen in your body . The swollen started yesterday | 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. | mediqa_qa | safe |
sswollen feet ankles legs I have fibromyalgia. When suffering from fibromyalgia will that cause swollen in your body . The swollen started yesterday | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
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. | 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. | mediqa_qa | safe |
CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI | 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. | mediqa_qa | safe |
CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI | 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. | mediqa_qa | safe |
CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI. CAN LIPNODES AND OR LIVER CANCER BE DETECTED IN A UPPER GI | 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. | mediqa_qa | safe |
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