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hi thanks for using the ehealth forum for your query. you seem concerned by the post meningitic sequelae or after effects of meningitis and the possibility of recurrence. most people who get meningitis survive often without any after effects but sometimes these diseases cause a range of disabilities and problems that can alter people's lives. after effects may be temporary or permanent physical or emotional. these include- 1) memory loss / difficulty retaining information / lack of concentration 2) clumsiness / co-ordination problems 3) residual headaches 4) deafness / hearing problems / tinnitus / dizziness loss of balance 5) learning difficulties (ranging from temporary learning deficiencies to long term mental impairment) 6) epilepsy / seizures (fits) 7) weakness paralysis or spasms of part of body (if permanent sometimes called cerebral palsy) <positive_smiley> speech problems 9) loss of sight/changes in sight. viral meningitis usually has a tendency for recurrence e. g. herpes simplex type ii meningitis. hope this helps. take care. note: this answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. please see your personal physician for further evaluation of your individual case.

i have a meningitis last 2 years i just want to know whats the side effect of this after treament? is there any pssible to back again my bacteria

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you seem concerned by the swollen neck with pain and swelling behind the ears as well. you have also made a mention of shooting pains in the head along with the feeling of dizziness and a suggested diagnosis of chickenpox. older children teenagers and young adults are likely to have more severe cases of chicken pox than young children. they usually have more sores run a temperature for longer and may experience some nausea. initial symptoms of chicken pox are usually ignored. one may have slight nasal congestion a loss in appetite or one may feel tired or run down. these symptoms may occur for a day or two before other manifestations of chicken pox. most children with chickenpox act sick with symptoms such as a fever headache tummy ache or loss of appetite for a day or two before breaking out in the classic pox rash. the outcome is generally excellent in uncomplicated cases. encephalitis pneumonia and other invasive bacterial infections are serious but rare complications of chickenpox. in your son's case the second possibility is of measles which shall also be ruled out in consultation with your personal physician. hope this helps. take care. note: this post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

my son who is 15 has a bad case of chicken pocks though i am a little concerned as he has a lot of pain in his neck which looks a little swollen at the back and behind his ears seems swollen too. he says he also has shooting pains in his head and feels dizzy. is this normal in teens who have chicken pocks or is this something else? he doesnt seem himself and has not much of appetite either. is this common with chicken pocks as my two younger children have just recovered without any of these symptoms.

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the location of the lumps might indicate inflammation of salivary glands. whether it is caused by mumps can not be told without additional tests. mumps is an infection disease in which virus causes salivary glands to swell. the location is in front of the angle of the lower jaw. usually the glands swell on both sides. however mumps start with some not specific symptoms such as fever for up to 48 hours prior to the swelling of the glands. since the condition is caused by a virus nothing can be done. it lasts for 7 to 10 days. you should have in mind that in men there is a possibility that the testicles might swell too. this condition is considered serious because it can cause infertility. therefore lying in bed and rest during the illness is recommendable.

right side of neck swollen and both sides of face in front of both ears are swollen as well. i was told it might be my salivary gland. do you think i could have mumps

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you wrote: list of other diseases conditions or injuries and their treatment: chronic ear infectons - pe tubes x2 adneoidectomy gtube for poor feeding/weight gain short stature (still monitoring) behavioral issues stooling/withholding issues diagnosis that has been suggested: failure to thrive adhd or possibble bipolar short stature current medical treatment: mirolax prevacid play therapy 1x per week weekly trips to cleveland clinic feeding clinic chronic sinusitis is present during cystic fibrosis but it is not the major manifestation of the condition. cystic fibrosis mainly manifests with lung infections gastro-intestinal disorders endocrine disorders etc. if your child’s medical problems are due to cystic fibrosis the sweat-test would be positive; since is not cystic fibrosis is not likely. you can performe the genetic testing it is probable that the defective gene won’t be idnetified.

my son was suspected of cf last year but a sweat test was normal. we are not sure though as we have recently heard you can still carry the gene and get it later as a kid and that he should have gene testing. he is small for age and we have had him to an ent and immunologist for this nose/throat clearing that is sometimes all day long. he did have a few sinus infections and tried many many meds to dry him up and shrink nasal passages but they did nothing. just had him there yesterday and once again lot's of thick clear junk in his nose per the dr. do you think we should bother getting tested?

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there is no harm in signing up to a gym or trying some machine that helps in losing weight via mechanical vibration. as long as it does not have harmful radiations. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

hello am 22 years old and i have type 2diabet i wanted to sign for a new gym which use electric vibes to improve heart pulses and fasten the process of loosing weight i wanted to know if it is dangerous for me knowing that 20min of this sports equals 4 h of normal one thanks

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starting clindamycin on ones own is not wise. this pain could be mere from wisdom tooth eruption. painkillers were alone enough talk to your dentist and let them sort it out. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

i'm having extreme pain inside mouth right behind top molar. the tooth in crooked and i was told by a dentist that it was fine a month ago. i went in with pain and swollen lymph node on left side. gave me antibiotic and sent me on my way. now not even a month later i'm in more pain and pretty sure i have infection. the tooth and guk do not hurt at all. its the area right behind it like the cheek or jaw i don't know. it hurts to eat or drink. i have no fever and don't feel sick other then the pain and under me jaw on neck is a little tender. i started myself on 300 mg clindamycin 3 times a day. started friday and dentist is closed today. please help do you think this is because of my wisdom tooth. i'm terrified i have a jaw infection or something.

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i do not know what might be causing the bright white marks on your front two teeth. to get more information you can ask this of your dentist. when you sleep with an open mouth you are probably experiencing a problem with the air passage through the nose. this might be caused by inflammation polyps or septum deviation. you can go to an ent-specialist for a rhinoscopy to investigate your tendency to sleep with an open mouth.

hi i have an enquiry mostly every morning when i wake up and look in a mirror i see bright white marks on my front two teeth. they do dissapear after 3-4 hours but then again next morning they re-appear. i always think for some reason that its cos i sleep with my mouth open and breathe in from my mouth. could you please tell me why these marks appear and how i could prevent the white marks from appearing every morning. thanks in anticipation<positive_smiley>

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healing takes a couple of weeks till full recovery so its alright if you cant walk for a while due to pain and inflammation there. hang in there stay compliant to pain killers keep limbs elevated and hope for the best. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

i got a grade 2 injury too my calf muscle and i have been off it for two weeks and still cannot walk is this normal or should i go back to the doctors iam working in 5 days and need to be walking by then is there any way to speed up the healing process or any thing i can where to allow me to walk on it. also iam 19 years old and have been on the crutches for the two weeks

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your doctor is doing the right thing. nsaids trial is standard procedure with concomitant alternative therapies. if not responding then addition of antidepressants like nortriptyline is standard choice and wise one. do as directed by your doctor. visit our fibromyalgia health center for further guidance. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and can not be an alternative to actual visit to a doctor. take care khan

my family doctor and i have concluded (yesterday) after various tests and trials of other things over the last 1. 5 years that i have fibromyalgia. the symptoms coincidentally (or not) started when menopause started for me (i'm 54). i have been on hrt for one year and it has relieved the hot flashes but not the body/muscle pain and sleep problems. since all otc nsaids and arthritis type creams don't help he prescribed voltaren gel and to continue with all of the alternative therapies i'm trying: yoga walking monthly visit to chiropractor acupuncture and massage and meditation. he said to try the gel for 4 weeks and if that didn't work for me he'd prescribe nortriptyline for sleep/pain. do you agree with his assessment/plan? he didn't think diet had any impact do you agree? i am trying to eat a more plant based diet. any suggestions you have would be most welcome. thank you!

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get evaluated it might have resulted for lifting weights and leg pressing exercises. rest for a while take some tylenol and some muscle relaxant and see if it helps. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

i was doing some weight lifting yesterday at a gym where i live and i was doing some leg press lifts and my right foot is hurting a ton on the bottom whenever i flex it; especially when i point it outward. it is painful when i walk and aches when i sit for a while. it goes from below my toes to just above my heel. i'm in a lot of pain when i walk and it hurts.

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hair loss (alopecia) is a disorder in which the hair falls out from skin areas where it is usually present such as the scalp and body. hair loss can be caused due to multiple factors including genetic factors diet endocrine abnormalities systemic illnesses drug intake and hair shaft abnormalities. in your case since you are having generalised hair thinning on your scalp without any bald spots you may be having androgenetic alopecia or trichodystrophy. treatment of androgenetic alopecia can be done with topical medications like minoxidil or finasteride. conditions that result in trichodystrophy and fragile hair can include exposure to excessive sunlight hair care techniques (such as hot combing and blow drying) and chemical processes (including coloring straightening and perming). avoiding such procedures or sunlight exposure should be the main stay. gentle hair care and use of hair shampoos and conditioners (leave on) can help prevent further damage. regrowth of hair can occur within few months provided repeated damage does not occur. it would be recommended that you consult a dermatologist or a hair specialist and seek additional guidance and proper advice for proper hair care. i hope this helps.

hi i am 21 year old male and my outer edge of eyebrows are thinning badly with bald spots i am also losing a lot of my eyelashes. as well as thinning hair on all parts of head not in male pattern baldness forum. i would like to know what could possibly be wrong. thank you.

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the most probable cause of your hair issues could be due to pcod (polycystic ovarian disease). the most common pattern of hair involvement in pcod is male pattern baldness thinning of hair and dandruff. you may consult with your obgyn for continued and proper treatment of your ovarian cysts. in case you had genetically thin hair by birth you cannot increase the thickness of the hair but a well-balanced diet that includes plenty of growth-promoting protein and iron can make a difference eating a healthy diet (rich in vitamin e b complex vitamins and high protein content) will help you will grow stronger and healthier hair. examples - seafoods like salmon chicken and turkey oysters eggs low-fat dairy products like skim milk and yogurt ground flaxseed dark green leafy vegetables carrots beans and legumes (kidney beans lentils etc) nuts (walnuts cashews pecas and almonds) whole grain products (bread fortified cereals etc).

i have a very bad hair condition. my hair is very scanty and thin. each of my hair strands is thin. i am a non vegetarian and i eat good amount of egg and fish. wash my hair daily due to oil formation and faint smell. my hair is just a little longer from my shoulder and looks awful when i tie my hair or try out different hair style due to which i leave my hair loose all the time. my scalp can now be visible too. i trim my hair once in 3 months. is there any way my hair get a little thicker and longer. i have tried out couple of remedies but proved unworthy. i am really worried about this. can you please give me some suggestions or prescribe any kind of pills or sort any remedies.

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if your baby’s growth has been fine for the gestational age then it would suggest that baby has been doing pretty well. if a hand/hands of your baby are open on an ultrasound it is a great indication that it is not trisomy18. babies with trisomy18 cannot open their hands normally. if worried you may consider getting another ultrasound scan done to thoroughly look for other features or markers suggestive of chromosomal abnormalities. getting amniocentesis done would also help to confirm or rule out genetic problems in baby. discuss with your treating doctor/gynecologist or genetic specialist for further clarification and assistance. take care.

im currently 18. 4 weeks pregnant. afp results came back 1:41 chance of trisomy 18. at the 12 week ultrasound baby had grown on time from the 9 week ultrasound and had a wide open hand and at the 16 week ultrasound baby was in time head normal size compared to body and hands wide open with that does it seem to have it? also my mom had spina bifida so is it possible i carry the gene and it will always be positive?

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a cardiac cause for chest discomfort and pain should be ruled out primarily. one should have a very low threshold for it. a baseline ekg should be done just to be on the safe side. based on your description its unlikely to be a cardiac cause. if the chest pain is involving chest wall tenderness then costochondritis is the likely cause and would only require nsaids like ibuprofen for treatment. wishing you best of health thanks

my friend's 23 years old recently he started suffering from hardhips breathing and a sting-like feeling below his heart but this only occurs at night and it's getting worse. should he be afraid of potential heart attacks or not? and what are the possible causes please? thank you very much

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your concern is regarding the bright yellow or orange snot during cold. since you are recovering from a cold the yellow thick mucus is due to your body fighting off the infection. it is bright yellow at first which changes to dark yellow a few days later. orange colored or red colored phlegm can be due to presence of blood in the mucus which may be due to frequent nose blowing or slight bleeding of the blood vessels during cold. however if the red color persists for many days or there is any frank bleeding then it needs evaluation. persistence of yellow color should rule out presence of sinus infection or sinusitis. steam inhalation is quite useful in both the cases. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

hi there i have extremely bright yellowy orangey mucus and have been recovering from a flu / cold any ideas what it could be

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this can be related to postoperative adhesion formation. bed rest fluids pain medications e. g nsaids spasmolytics etc will cool off a moderate case. however if it recurs and persists with signs and symptoms of intestinal obstruction then surgical lysis of the adhesion may be required. its unlikely to a remains of the sort you pointed too if the appendectomy was conducted successfully. wishing you best of health thanks

i had a pretty bad case of appendicitis almost 2 years ago. i had no fever or nausea. i was eating fine. my white blood cell count was normal. and the pain was dull at first. about 3-4 weeks later the pain became intense. if i laid on my stomach stretching my abdomen it was about a 7-8 on the pain scale. i had emergency appendectomy after an ultrasound showed an inflamed appendix. the surgeon told me it had not ruptured but was very infected and my body had walled off the infection and in 40 years i was his second case of a similar situation. this was a pretty dramatic operation. 4 nights in the hospital an infiltrated vein and 6 months of c diff after. about 2 weeks ago i started noticing a similar pain. lower right side near mcburney's point. it's a warm throbbing sensation maybe 3-4 on the pain scale at its worse. does this sound like possible stump appendicitis? i am very worried as i have no current insurance and my first operation cost almost 40k including c diff treatment.

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i believe with normal conservative measures not helping there is no harm in taking an mri however posture rehab is mandatory and long rides are not wise. i would suggest to have a complete neurological correlation to rule out any nerve compression and see how it goes. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

hello! i'm 22 and i have a back pain when sitting localized in the middle part of my back especially under left blade and sometimes between both blades (like the muscles was tense all the time). the pain is harder when i drive car - searing strong pain including large part of my back). the pain appeared about 4 years ago and firsty it was gentle (so i thought i can eliminate it with exercises). i sit at a computer about 8 hours a day but i do breaks to exercise and move. but when i don't do any break for some hours after standing up and twisting my spine left and right my spine joints "shoot". the pain becomes stronger while i do a deep breath. the neurosurgeon (with very good opinions) told that my spine is ok and my back are straight so there is no need to do mri. he addressed me to the physiotherapist. at the beginning the physiotherapist suspected the "ankylosing spondylitis" but after next visits he rather ruled this out. the massages and exercises didn't help even worse <negative_smiley>

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the most common form of neutropenia in infants and young children is transient neutropenia with or following a viral illness. it resolves itself within 2 weeks. if it lasts longer than that or the child is very ill then a full workup for neutropenia would be recommended. in infants aged 2 weeks to 1 year the lower limit of the normal neutrophil count is 1000/l. after the first year of life the lower limit is 1500/l as in adults. spontaneous recovery in such cases occurs by age 5 years and the mean duration of neutropenia is approximately 20 months. the clinical severity and frequency of infections rather than the severity of neutropenia would be used to determine the further management of the condition. hence you should continue to work with the treating doctors for appropriate medical advice. i hope this helps.

to whom it may concern: my son is 3 months old and he is on breastfeeding. in his blood analysis which was done in 30 january 2017 number of neutrophils was 0. 7/nl. after that we repeated blood test on 7 march 2017 and number of neutrophils was 1. 27/nl because of that result we did test again in 14 march 2017 and number was 0. 9<negative_smiley>nl. no other symptoms are revealed however according to pediatrician we did following tests: iga igm igg hiv b12 and copper in blood. currently we have only hiv result and it is negative. please tell me: is it possible in infants to have low number of neutrophils without any obvious reason and can it increase without any additional treatment and in what period of time? thank you in advance.

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your concern is probably regarding the surgery for chronic pancreatitis i. e. whipple's procedure. there is acceptable alteration of lifestyle after the whipple operation. most patients are able to go back to their normal functional levels. many studies show that there is no statistical difference looking at physical abilities psychological issues social issues functional capabilities and disabilities when comparing whipple with the other surgeries like laparoscopic gall bladder removal. some of the long-term consequences of the whipple operation include the following: 1. mal-absorption: the pancreas produces enzymes required for digestion of food. in some patients removal of part of the pancreas during the whipple operation can lead to a diminished production of these enzymes. patients complain of bulky diarrhea type of stool that is very oily. long-term treatment with oral pancreatic enzyme supplementation usually provides relief from this problem. 2. alteration in diet: after the whipple operation it is generally recommended that the patients ingest smaller meals and snack between meals to allow better absorption of the food and to minimize symptoms of feeling of being bloated or getting too full. 3. loss of weight: it is common for patients to lose up to 5 to 10% of their body weight compared to their weight prior to their illness. the weight loss usually stabilizes very rapidly and most patients after a small amount of initial weight loss are able to maintain their weight and do well. hope this helps. take care. note: this post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

10 days ago i had my bile ducts replaced with my small intestine and removal of my gall bladder. i am so depressed reading all these etters. has this surgery ever been successful? i feel this surgery was a bad idea and my quality of my life is over. please give me some hope.

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in absence of major symptoms like fever loss of weight appetite bloody stools etc your symptoms could be due to irritable bowel syndrome (ibs). irritable bowel syndrome (ibs) is a chronic functional disorder characterized by cramping abdominal pain or discomfort with alterations in bowel habits (bloating constipation and diarrhea). these symptoms usually are present for at least 12 weeks in a patient during the previous one year and unfortunately the onset or subsidence cannot be predicted. most symptoms of ibs can be controlled with diet stress management and prescribed medications. it requires a proper examination and investigations results to give a precise diagnosis. kindly visit a physician for counselling and treatment. take care!

hi i am a 31 year old male. i have had a series of digestion problems after antibiotics for pheumonia in the beginning of the year. most of the symptoms have gone except for a werid experience when i put pressure with my hand below the rib cage i breath out slowly and i can feel and hear fluid being released from somewhere in that region there is no pain. is this normal?

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a billiary obstruction can cause white feces. a stool’s color originates from the billiary pigment or bilirubin that is excreted through bile into the intestines. bilirubin turns into biliverdin and sterkobillin that give stool its typical color. an obstruction of the bile duct (choledocus) may be caused by a bile-stone or some type of tumor. laboratory analyses (direct bilirubin) an ultrasound scan a ct-scan an intravenous cholangiography and an endoscopic retrograde cholangio-pancreaticography (ercp) are diagnostic tools that will provide you with more information about the cause of the white stool or "aholia". you can consult an internist for more details.

i would like to know about white stolls like milk what it would might be something to worry and that was 2 times already.

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use crutches you can do all your activities with support. wait for the cast to remove. recovery time varies from 6 months to a year to 18 months. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

i am 23 weeks now with fracture of tibia and fibula good formation of the bones was observed doctor had instructed full weight bearing but still on cast. the leg to be supported with a crutches how long do i still need to get back to my normal activities. i still feel pains and it get swollen after short distance cover or normal sitting on the chair. what can i do?

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the healing of a fractured bone depends on many factors. 1. type of fracture - compound fractures - take much longer to heal. 2. displaced bone fragments - if the bone edges and parts have been displaced then the risk of delayed union and nonunion increase. 3. infection - increases the healing time. 4. disruption of the blood flow to the fracture site - also hampers healing 5. malnutrition bone disorders also prolong the healing time. 6. early mobilization of the joint - before complete healing. in your case you have 2 or more factors which have caused the delay in your recovery. without first hand knowledge of your current condition examination of your xrays and a physical examination it would not be possible to give exact possibility of your prognosis. i am sorry about that. but platelet rich plasma (prp) does contain important cytokines and growth factors which when injected into a injured area helps to improve the rate of healing (bone formation in your case) and hence your recovery. as mentioned in your history you may already might have had some progress. hence if the fractured bone site heals completely (which will eventually happen in due time) - there is no doubt that you will be able to walk normally on the affected foot. i hope this helps.

i am 26 years old. i had met an motor-bike accident 1 year ago where i fracture my right leg. it was a kind of simple open compound fracture. surgery was done & nail/ rod were placed there. i have followed the doctor & do every things he said but bone healing doesn't occur. instead the nail start breaking after i start walking without crutches. the doctor added extra calcium supplements & waited further. but no changes. then i move to next hospital. after 8 month a prp injection was given saying it was a non-union & waited to see the reaction. no good changes. then after 11 month again surgery was done replacing the broken nail with another long & wider nail/rod. some changes were observed within 4 months. then dynamization of nailing along with prp inject was made recently. will it solve the problem? what are the chances? how long it will take to heal? can i walk without support as it has been 4 month already(except recent dynamization)?

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you seem concerned about the stiffness in your 17 month old baby diagnosed with cerebral palsy. cerebral palsy hinders proper motor development due to which a child's movement and muscle coordination gets impaired. however there are a number of treatments that help a child overcome his disabilities. of all these physical therapy for cerebral palsy is of great help. a physical therapist is trained to improve muscle coordination and movement through exercise and other devices. positioning is done to reduce unwanted tone and to attain long stretches. for this purpose a number of devices like braces knee mobilisers pillows casts or splints may be used. the bobath treatment aims to improve posture and movement to enable more realistic functioning in daily life. through specialised ways of handling stiffness can be reduced muscle control against gravity increased and fluctuating muscle activity stabilised. depending on the severity of the condition the child may be better able to learn how to sit up use his/her hands to stand up to stand and to walk. ideally the treatment will be an integral part of the daily routine for that child. for example the way the child is picked up carried put down or positioned when sitting will enable parents/carers to enhance the child's ability and function. the aims of the treatment are goal-orientated and influenced by several factors such as the age of the child severity of their condition and their motivation. treatment is planned for each child via assessment. some of the areas that will be assessed are: • the patterns of movement the child presents with; • age-appropriate movements that the child may not be achieving or may find difficult; • the child's present capabilities; • examination of the child's posture in different situations and positions. once the child has been assessed a prioritized 'problem-solving' list will be formulated and then appropriate techniques used to address these areas. positioning is very important in bobath treatment. correct positioning helps improve movements. experience of different positions is necessary to improve overall body control and reduce the risk of unnecessary poor posture. handling a child using key points on the body allows the therapist to manipulate the child to correct their movements. help may be given with movements like chewing handling objects moving about sitting or lying down. even when a child is being carried using correct positioning and handling of 'key points' on the child's body is considered very important as this lets the child experience as far possible normal movement patterns. you may consult a physical therapist for more detailed assessment and the use of devices and machines. hope this helps. take care. note: this post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

hi doc is it advisable to use a therapy machine device to reduce stiffness for 17 month old baby?

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it seems that you brother is experiencing gastro esophageal reflux disease (gerd). stomach acid goes up in to the esophagus causing erosive oesophagitis and ulcers. traditionally anti-acid medicines are used to relieve symptoms. although these can help ease the symptoms sometimes they are not a long-term cure. if not treated effectively an infant or adolescent can be reliant on anti acid medicines for long periods of time. because medication has not proven successful in the long-term the next option is a surgical procedure called 'nissen fundoplication'. this involves an operation on the abdomen through a reasonably large incision (unless performed via keyhole surgery 'laparoscopy). the top of the stomach is wrapped around the esophagus (gullet) - making it act like a valve and stopping the reflux. the complication rate is 15-60% resulting in patients not being able to 'burp' swallowing difficulties and not being able to vomit. with a viral-like vomiting illness this can cause problems in itself. it should be a permanent surgical correction but between 10-30% of patients will need the procedure to be repeated within 5 years. however there is now a new alternative using the endoscope via the mouth. with this new procedure - called 'endoscopic fundoplication'- there are no abdominal incisions at all and the operation is done through the endoscope - through the mouth and it is easily repeatable if required at a later date or easily undone if required. the endoscopic fundoplication procedure is done under a general anesthetic. most patients are able to have this done as a day case or as an overnight stay. following the operation patients are advised to limit physical activity for the first 4 weeks and to avoid any contact sport. anti sickness medication is required for 48 hours after the procedure and patients are told to avoid lumpy food for the first 4 weeks. the long-term results of this procedure indicate that of 31 people 3 had to have the procedure repeated at 1-3 years after the operation and 2 required the surgical fundoplication. only 3 remain taking any medication. no medication is usually needed after the procedure and patients are usually symptom free. about those laughter attacks you can consult a neurologist; they are probably caused by his preexisting condition-cerebral palsy.

my brother is 23 years old and has severe cerebral palsy for the last few years he has been complaining of stomach pains but was not able to explain what sort of pains as he also has limited speech. about two years ago he became anaemic and was taken into hospital. while he was there he had an endoscopy and the test revealed that he had severe grade 3 erosive/ulcerative oesphagitis. to treat this he was given lansoprazole two years later he still has not recovered and he is still suffering from the same symptoms. the doctors have said that nothing can be done about it and to carry on taking the medication given. after reading an article about endoscopic fundoplication i am wondering whether my brother would benefit from this. i am very concerned as my brother is in a lot of pain which is also causing sleepless nights and now he seems to have developed laughter attacks which can go on for hours…doctors have not been able to diagnose this but the attack always occur when he is pain. i would be grateful if anyone could give any suggestions. thankyou dyer

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cerebral palsy is a condition in which certain of the muscles (most often in the extremities) are affected thus causing muscle weakness up to paralysis. this might cause a disability of a certain degree in the person which would interfere in the everyday life driving ability included. however there are many car modifications that might help people with a driving disability. in the beginning it might be best to visit a doctor who might be able to determine the degree of disability and the modifications needed. in different countries there are associations that try to improve the life of people with disabilities. they also organize driver rehabilitation programs run by driver rehabilitation specialists. you might want to check if there is such an association in your country. they also might be able to tell you about legal issues related to drivers with disabilities. as for the problems you are experiencing (difficulty in releasing the clutch and pressing the accelerator at the same time; the gear handling is also difficult with steering) it might be easily solved if you buy a car with an automatic transmission. this would eliminate the need for a clutch and a manual shift. the problem with the poor road sense might need training from a driving rehabilitation specialist.

hi i am sudarshan. i am a cp child(spastic diplegia). i have completed my computer engg from pune university and currently pursuing mba. i wish to learn driving? i have been practising for 6 months with vain. these are the problems that i face: 1. there is difficulty in releasing the clutch and pressing the accelerator at the same time. 2. the gear handling is also difficult with steering. 3. thirdly i have a somewhat poor road sense. how these can be improved.

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the causes of chronic fatigue syndrome are unknown. possible causes include: disorders in the hypothalamic-pituitary axis infectious agents immunologic dysfunctions or a nutritional deficiency. no data was found about masturbation as a possible cause for chronic fatigue syndrome.

can masturbation contribute to chrincic fatigue syndrome

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as per your history due to your eating disorders and resultant protein deficiency your musculoskeletal system might be weak. this might be the cause of your tiredness associated with workouts. so to manage the situation it will be essential that you consult with a fitness trainer or a physiotherapist who can examine you and provide tips and advice about regaining your fitness. other possible issues like obesity arthritis myopathies etc also might need to be ruled out by proper consultation with your doctor. i hope this helps.

hi i am a 32 year old female. my question relates to exercise intolerance. i am very unfit and am wanting to get fit for the first time in my life but whenever i start even an easy exercise program i get really wiped out. i usually feel okay after my "workout" (barely a plausible term) session but feel extremely fatigued the next day. which interrupts my program. this can be very irregular tho sometimes i can do quite a bit and feel fine the next day. i had bulimia starting at age 17 for 10 years and am wondering if this is still the effects on my body. i have no other side effects from the bulimia. apart from that i have suffered chronic fatigue syndrome but these symptoms disappear if i don't exercise. i have had my heart and lungs checked out blood tests etc all come back fine. can someone please please shed some light as to why i get so exhausted following even a small amount of exercise. it doesnt seem to matter be it cardio or weights. thankyou very much

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conditions that can present with recurrent episodic fever (or elevated body temperature) fatigue enlarged lymph nodes palpitations could be due to - autoimmune conditions endocrine disorders like hyperthyroidism infectious mononucleosis viral infections chronic granulomatous conditions (like - tuberculosis sarcoidosis brucellosis etc) and many others. hence it is more likely that your symptoms could be due to chronic medical conditions which can be determined only after proper physical examination evaluation of your medical history and and a few diagnostic tests. please consult a doctor (specialist in internal medicine) who can give you proper opinion.

i need help with diagnoses i have been sick for 4 plus months. my symptoms have been diverse the doctor i have seen so far have diagnosed me with chronic fatigue however fatigue is not my dominant symptom. 4 months ago i had a big night out and had a panic attack. 2 days after i felt like my liver was getting bigger and i couldn't breath. after this i got a fever fatigue swollen inguinal glands and feelings of waves going throughout my body. this phase lasted about 2 weeks went to doctors many times who didnt know what it was. one idea was maybe ebv. now i have still fatigue in relapses sometimes very blurry vision a lot of the time occasional crashes including anxiety if i have not been healthy my muscles twitch or pulsate and all my glands are going up and down all the time particularly on my right side. inguinal glands in neck next to ears armpit. i have developed lumps sometimes in my ankles that go away. sometimes i feel completely fine sometimes really bad crashe

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hello and thank you for posting your medical question on e health forum. from the history provided dark stools and swelling in the arm pit are not related to each other. you might need to get some blood tests and a complete physical to know the exact cause of your symptoms. you might consider to consult your doctor for additional counselling. i hope this helps.

hi i am a 25 year old female with 2 young children i was diagnose with coeliec dieases 2 years ago. i have had for the past week dark blood in my stools and a swollen armpit. do you think this has something to do with the coeleic dieases also i havent stuck to the glutun free diet in over a year plz

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chia is grown commercially for its seed a food that is rich in omega-3 fatty acids î±-linolenic acid (ala). a ounce (28 g) of dried chia seeds contain 9% of the daily value for protein (4g) 13% fat (9g) (57% of which is ala) and 42% dietary fiber (11g) based on a daily intake of 2000 calories. the seeds also contain the essential minerals phosphorus manganese calcium potassium and sodium. taking this supplement will not affect you in a negative way inspite of you having coliac disease.

hello i have celiac disease and i was wondering if chia seeds interact negatively with my condition. also i heard that chia seeds have a blood pressure lowering effect - sometimes dangerously so. any advice would be welcomed!

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if the upper and lower endoscopy were performed properly then the risk of colon rectal esophageal or gastric (stomach) cancer should be extremely low. since these flexible scopes cannot reach the small intestines however capsule endoscopy seems appropriate as a next step. most of the time loss of blood in the gi tract of young people is the result of benign conditions although cancer must always be considered and ruled-out. i hope that the cause for your sister's symptoms will be identified soon and that it will turn out not to be a life-threatening illness. sincerely robert a. wascher md facs

my sister is a 31 year old female. she has had very dark stool along with mucus in it for about a year. she has abdominal pain and has also been feeling very tired and run down. her dr. ran a cbc on her and found that she is severely anemic. she also did a fecal test and found that there is blood in her stool. (she never sees bright red blood though. it is not visible to the eye just very dark stool) they did a small bowel follow through an endoscopy and a colonoscopy and they still have not found anything. her dr. said it didn't show colitis crohns polyps or celiac's disease. but she is still feeling very tired constipated is losing weight very anemic has stomach pain mucus and blood in her stool. they put her on prenatal vitamins for the anemia. they are now going to do a capsule endoscopy to check more of her small intestine. if this was cancer would they have found it by now? what else can she do to test for cancer? blood tests etc? what else could it be?

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vitamin k2 is found to be helpful to decrease cardiovascular calcification and also improve the health of bone and cartilage. it is naturally found in bacterial fermented foods like mature cheeses and curd. vitamin k supplements are usually safe and are definitely recommended in normal people. but are generally not recommended in all patients with liver disease. in cases of end stage liver disease (associated with conditions like hepato cellular cancer alcohol liver disease) with deranged liver functions use of vitamin k supplements can be associated with bleeding abnormalities and hence are not recommended. you might consult with your treating doctor and depending on your laboratory parameters he may advice you accordingly. i hope this helps.

hi. if a person with liver disease has slightly increased inr and increased thrombocites can we administer vitamin k2 and k3? many thanks in advance for your advice!

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despite optimal treatment hepatocellular carcinoma continues to have a high recurrence rate. hepatocellular carcinoma recurs in 50-80% of patients following resection the majority of which occur within 2 years and that odds are increased with superinfection of hcv virus and complicated by cirrhosis. it needs a complete clinical correlation and grading of tumor before devising any plan. tace transcatheter arterial chemo embolization is the method of choice for hcc these days. get to hepatobiliary surgeons for further management. take care

mom process conducted cancerous tumor in the liver by the microwave tumor size of 2 cm kind hcc analysis of alpha-fetoprotein before surgery 37and normal was 15 a week after surgery 22. 7 normall 10 why did not the result appears normal after getting rid of the cancerous tumor what medications that must be addressed now after the operation so as not to come back again the tumor is infected with virus c and cirrhosis of the liver and blood pressure and of diabetes at the age of 54. thanks

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as all of the clinical data in this area is retrospective in nature i can only comment on what has been published tgus far. most of these studies show no significant increase in the risk of congenital abnormalities in children born to women who have previously been treated with chemotherapy and intracranial radiation therapy for leukemia. likewise the rate of leukemia recurrence following pregnancy appears to be relatively low (although there is always a small risk of delayed recurrence of leukemia with or without pregnancy). you should of course discuss your concerns with both your oncologist and your gynecologist before deciding to try and have a child. based upon the available evidence however it would appear to be reasonably safe for you to become pregnant if your have been in complete remission for the past 10 years. if you do decide to become pregnant then you will have to be carefully monitored for any signs of all recurrence during and after your pregnancy;. sincerely/ robert a. wascher md facs <link>

i have 29 years old i'm a female from romania. when i was 19 i found out that i have all 98% of my marrow was cancer cells. i had 2and a half years of chemotherapy and also radiation to my head. after aprox. 8 months of chemo i went into complete remision. now 9 years later i'm steel in remision. i would like to have a baby and i want to know how pregnancy can afect me - my illnes - and if the baby will be in any danger while i'm pregnant and after he's born.

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pain abdomen is a frequent complaint after prostatectomy and simple nsaids and slight antispasmodics are sued to combat it. the frequency of urination aside from prostate removal is a uti which is common with such intervention. avoid fluids from mid afternoon no caffeine or beverages or any kind of stimulants. seek a urologist for further guidance. take care

my dad had his prostate out in august 2014 and he is still has pain but its his stomach and he has to go to the bathroom more then usual that is peeing a lot and he is stubberin to go and ask the doctor question so can you please help me

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age of 20 is too old to have prostate cancer. you are worried for nothing. what you feel is posterior lobe of prostate most likely and that's it. stop worry and stop fingerings your self. i hope it helps. consult your doctor as our advice is just for education purposes only. take care khan

hi i'm a 20 year old male. i recently fingered myself and i felt something unusual. i went all the way in with my entire index finger (around 3 inches deep). i felt a hard kind of pointy bump. i'm not sure if this is my prostate or if it's fecal matter. i've fingered myself before and every time i do it i feel this. i'm often constipated so maybe it's fecal matter? i'm worried because i also have symptoms of prostate cancer like impotence and a weak stream when urinating. i was followed by a urologist who was not able to find a problem. she made me take flomax to help me urinate better. i haven't take a flomax pill for more than a year. note: i do not have a family history of prostate cancer i am caucasian. i have a normal weight. i know i should probably go see my doctor and tell him about this but it's very embarrassing. i need advice. thanks.

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hi gagan welcome to the ehealthforum and i am really glad to help you out. i can understand your concern for your uncle but the surgeon was absolutely right in abandoning the whipple's procedure on seeing the metastasis to the liver. once the tumor has metastasized to the liver it becomes a stage 4 pancreatic cancer. unfortunately majority of the patients don't live more than 6 months and only a few survive up to one year once the diagnosis is confirmed. the only option available presently is chemotherapy. i sincerely hope that helps. take care.

hi i am from new delhi india. my dad was diagnosed with inoperable stage 4 metastatic pancreatic cancer on 12/03/2012 while he was in operation theater. doctor stop the operation. now they are saying only kemo will help. my dad was supposed to have the wipple procedure but when the doctors opened him up they saw that the cancer had already spread to his liver. the surgeon did not remove the tumor on his pancreas or liver and just closed him back up. my understanding that there are 8 to 10 small mets on his liver that look like small rice-like granules. i believe they are isolated to only one lobe of the liver. we were told that chemotherapy was our only option at this point but given that it is only a palliative measure so we are obviously looking for other viable options. pl help me my father is at 65yrs & fit n fine before this operation. he will be going to discharged frm hospital on 20. 03. 12. then cemo will start on 28. 03. 2012. pl. pl please help me. what to do i was devastated to learn that the surgeon did not remove the tumor on the head of his pancreas. the surgeon said that he left the tumor there so my uncle could begin chemotherapy sooner. i don't understand why he would leave that "ticking time bomb" inside of him and it pains me to know that it is still inside him and growing even as i type this post thanks gagan gdhawan1981@gmail. com

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most gi illnesses don't cause pain in one's arm and so i would suggest that your doctors make sure that this pain you are experiencing is not related to any potential heart disease. beyond this suggestion there are many potential causes of upper abdominal pain including acid reflux (which almost always improves on acid-reducting medications) helicobacter pylroi infection (which requires both acid-reducing medications and antibiotics) bile (alkaline) reflux gastritis (which does not respond to acid-reducing medications) hiatal hernias gallstones biliary dyskinesia (abnormal function of the galbladder and bile duct sphincter muscle) chronic pancreatitis kidney stones and irritable bowel syndrome among others. since i am not involved in your care i'm afraid that i really cannot speculate as to what precisely is causing your symptoms. i hope that you can find a good gastroenterologist who can try and help to sort things out for you. sincerely robert a. wascher md facs www. doctorwascher. com author "a cancer prevention guide for the human race" (2010)

i have had acid burning stomach pain for the past ten years i had a magic eye back then and revealed nothing apart from inflammation. been on many types of medication but dosent work everything i eat feels uncomfortable and i get a pain down my left arm. it woories me and i cant live with this any more im 35 years old. please can you help.

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hi and thanks for your medical question on ehealth forum! intestinal metaplasia is often reversible by a combination of antacids and treating h pylori infection. so first test and see if you have this infection. if you have h pylori infection consult the doctor and start treatment. take antioxidant supplements and diet rich in them. hope this helps. take care!

i am 33 years old. i have been diagnosed with extensive intestinal metaplasia in the stomach. am i gonna live? can i get a stomach transplant? i have so much pain and am wondering if this is treatable. please help me doctor. i heard that usually after 6 months of endoscopy cancer can be found. i did endoscopy in nov 2010 and i am scared.

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semen analysis is not suitable to diagnose prostate ca. azoospermia has to be established before declaring sterility. this re testing is most likely a part of that very protocol to detect any viable number that could lead to impregnation. though vasectomy is very safe method and only 1 % failure rate is there retesting at three weeks is ideal to confirm azoospermia. wishing you best of health thanks

hi i've recently undergone a vasectomy and after 1 sample i was asked to do another. after putting my second sample in the urologist has asked to see me face to face in 7 days time. im not sure if this is normal and i've worked myself up about this thinking they may have detected something in my sample showing something serious like prostate cancer. since the procedure i've had little aches and pains in my left testicle which i assumed was normal and may very well be. ive also had a bit of a dull ache in my lower left back which comes and goes i may not even notice this for days. should i be worried about them calling me in? they haven't said its urgent or asked me to take someone in. is it normal to be asked to see your urologist after a result

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it could be varicocele benign tumor or normal cord structures. a urological examination and subsequently an ultrasound can be advised to look for any suspicious lump. the exam should also include lymph node exam. blood counts metabolic profile and urinalysis should also be advised. wishing you best of health thanks

25 years old i was feeling lumpy both my epidiymis and now i feel my left testicle lump it's definitely inside not the surface lump goas some times and it's not pain it's near the epidiymis where i feel the lump and i have still small lumps my both epidiymis what is that

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radioactive iodine (rai) is often chosen for treatment of conditions associated with overactive thyroid including hyperthyroidism and thyroid cancers. rai treatment is based on the fact that the thyroid actively accumulates iodine which it uses to produce thyroid hormones required for normal body function. the therapeutic action of rai is via disruption of the function of the thyroid cells - the more radioactive iodine given the more cells cease to function. as the cells stop functioning excessive amounts of thyroid hormones are no longer produced and symptoms of hyperthyroidism begin to disappear. in your case the side effects of such therapy will be limited to short term effects like sore throat nausea fatigue etc. there will be no effect on other organs like kidneys nor any effect on the sexual desire and sexual function. but once the treatment is completed you will need lifelong therapy with thyroxine supplements to prevent hypothyroidism related symptoms.

hi there! i am 40 years old male and married. i've been diagnosed to have a papillary thyroid cancer stage 1 (t1n0m0). i have undergone near total thyroidectomy ( a portion of the left lobe was left) a month ago. my endo prescribed levothyroxin for me to take for two to three months. i approached another endo and he has a slightly different view on treatment after surgery. i am weighing my options whether to go on with radioactive iodine treatment or not. suppose i will not undergo rai treatment what other possible options do i have? what are the risks? and if i go for rai what are the possible health risks? will it affect memory other organs like kidney sexual desire etc.? the surgery did not include removal of any lymph node. this is the biopsy:right thyroid lobe and isthmus: nodular papillary adenocarcinoma of low grade malignant potential. left thyroid lobe: colloid goiter solitary parathyroid gland with no significant histopathology demonstated. thanks for the answers

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an ultrasound of the neck region should be done along with an ent consultation to look for any thyroid mass vocal cord paralysis or abnormal growth. a midline lump can be due to a thyroglossal cyst and a lateral one could be a branchial cyst. based on the clinical findings thyroid function tests and blood counts or a biopsy may be advised if the need be. wishing you best of health thanks

have a little hard lump near adams apple. moves when i touch it and moves when i swallow. anyone else had this? i am a 23 yr old male

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usually bad smells can’t cause blocked noses. bad smells however can cause an unpleasant feeling. you can see a dermatologist to clarify if you really smell badly and if you do to try to solve the problem.

when ever i seat in group of people they will experience blocked noses. atleast two or more. i bath three times in day change my clothes all time and dont use body lottions

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it is very common for all men and women to experience small aches and pains due to muscoloskeletal issues or tissue wear and tear. the analysis of your history and symptoms do not indicate that you have serious neurological issues like als. this is true since all the tests including the mri have been found to be normal. the other possibilities would be that you have a low threshold to pain or they could be due to psychological issues. conditions like fibromyalgia or chronic pain syndromes might also be a possibility. it would be recommended that you consult a rheumatologist and a psychiatrist who can help with proper diagnosis and also proper counseling and behavior management to help you manage and live with the pain. i hope this helps.

last year my right hand often had the cramp from the shoulder until the fingertips. 4 months later my back felt slightly painful like period pain's. 3 months after that the pain went upwards until the end of my neck near to my head it was painful to raise my head up. this year 3 weeks before my chest started to feel heavy and hurtful. both of my back and chest felt as if shards of glasses were slashing along the ribs and spine. short of breath most of the time. now my right leg the calf is having some sort of muscle cramp along the bone just like how it is like with my back. i was told by friends that i walked unstably but i don't drag it though. sometimes forgetful and emotionally unstable. maybe due to the stress. cannot sit or stand or lay down for too long. i'm getting thinner and lost 5 kg i eat a lot. went for mri xray blood test urine test nothing next appointment i'm going to have brain mri and emg. any possibility of me having als? what is wrong with me?

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this is a very difficult question to answer on net as this will require detailed psychiatric examination. however since all the 3 psychiatrist you saw felt the need to prescribe medications it is quite clear that you need some medication to help prevent relapse or maybe there are some lingering symptoms that need to be controlled. you can also try psychotherapy along with medications. it may be helpful to discuss these points with the psychiatrist you trust the most. hope this helps. take care!

i used to saw people listen voices and got very angry left my job for 5 years. but then i started relaxing and all such things disappeared. my consulted a doctor for stomach problem he advised my to consult a psychiatrist. psychiatrist prescribed my donresp for 4 months pinyin for one month aripip for one month. another psychiatrist says i have to take medicines for five years. now donresp will be 4 mg in morning and 2 tablets of 4 mg in night. previously it was 4 mg in morning and 4 mg in night. i consulted 3rd psychiatrist. he said as now you don't see things and there are no symptoms therefore you take aripip 10 mg as prescribed a day. what's the matter. i am feeling fine. should i take medication? what can be other matters which are necessary to live in a society?

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it is difficult for a common person to deal with psychiatric issues on their own. if you think you are having psychosis or related issues seek proper counselling with a psychiatrist who can prescribe you proper medications which can help you get better and function as a normal individual. i hope this helps.

i was depressed in 2008 until i hear voices after a year and was diagnose with psycosis. i have been hearing voices for years but as years passes by i am becoming more confused if this was schizophrenia or is it clairvoyance or a combination. how can i identify and train myself to handle these voices.

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chances of pregnancy with pre cum are very less. for pregnancy to occur two things are important: 1) firstly pregnancy occurs during the time of ovulation when a mature egg is released from the follicle. it usually occurs regularly around day 14 of a 28-day menstrual cycle. 2) secondly for pregnancy to occur the sperms need to be ejaculated inside the vagina or there should be entry of sperms inside the vagina which travel through the cervix and uterus to reach the egg in the fallopian tube. from what you have described chances of pregnancy are less. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care and regards.

my girlfriend and i had a sex after her period but we did use condoms but precum came out in the condom and i still continued to put it inside her. and after i cum outside her and wiped it all but she did do rub her vagina around my pennis. and after 3 days we did the same thing again excatly. can she be pregnant?

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the urge to urinate could suggest a presence of a lower urinary tract infection but in your case it is still too early to suppose any diagnosis because your symptoms have been lasting only for one night. if your symptoms continue or urination becomes painful you may want to consult your gp.

hello tonight i went to the bathroom normally to urinate while im going i feel a real warm feeling in the penis while im going. all of a sudden i am finished going and the pee feeling is still there and i don't have to go. sometimes i will go and a little will come out but the peeing feeling remains in the penis when i don't have to go and nothing comes out. i am only 23 so i would think im to young for prostate problems and the partner i have sex with is a trusting partner who says she has only been with me and which i am sure of and also the last sexual situtation was over a week from when this happened. this has just came out of nowhere and is kind of scaring me. i have no idea what is wrong. why is there a continious feeling that i have to urinate when i do not have to? please help. thank you

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breast milk has no side effects and does not interfere with any medicines which you are taking. it is only when a female is lactating and taking any medicines the medicines are secreted in breast milk. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

i was wondering whether it is safe to try my partners breast milk whilst i am on medication. i am on an antidepressant for anxiety and a muscle relaxant to help with my disability otherwise i am a healthy 22 year old the medication i am on is citalopram and baclofen. i also take lansoprazole for reflux.

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with prostate surgeries the chances of erectile dysfunctions are high due to the nerves passing nearby and get injured during surgery. treatment is mostly supportive and sex therapy helps. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

had prostate removed due to cancer 20 years ago when i was 44. have had a few issues with erectile dysfunction however with viagra cialis or levitra i'm able to get a great erection. my problem is with the dry orgasm (or should i say lack of orgasm). for the first year or so after the surgery i could barely tell if i was having an orgasm. it has since got a little better but absolutely nothing like it was before when i ejaculated and after 20 years it just seems like it continues to dwindle. i have a very high sex drive (testosterone was recently checked and it is abnormally high for someone my age) but my orgasms are hardly worth the effort anymore. is there anything you can recommend that would or could improve the quality of my dry orgasms? i realize they'll never ever be the same as they were before without ejaculating but i've talked with other men who have had radical prostatectomies and they don't seem to have any complaints or have this lack of sensation.

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according to statistics 90% of deaths due to breast cancer is with mets the survival rate is only 16% with mets although 20% of patients can live upto 5 yrs but each case is unique and alot of factors affect overall survival rate so its largely depneds upon the case statistics are just numbers then.

my mother-in-law was diagnosed with breast cancer during 3rd stage around dec 2014. post which she underwent chemo followed by removal of the left gland. post surgery she underwent radiation therapy for left region and in next follow up she was diagnosed with the cancer spread to her lung and liver around mar/apr 2015. for this she was prescribed stonger chemo which caused severe side reactions like ulcer appetite loss lose motions etc. due to which she discontinued the chemo within 1 month. in dec 2016 she has been diagnosed with the cancer spread to her pelvic region now. she is having severe back pain and is unable to even change position on bed on her own. now she is again undergoing radiation for pelvic region for 11 sessions. i know it's pretty late stage but is there any possibility that she can be treated?

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fnac is fine needl aspiration cytology in which usually a tumor or growth is punctured with a syringe and obtained material is spread on slide to see under microscope the histology or cells of the tumor. your reault has shown some abnormal cells which is suspected of having cancer in that growth and its advised to confirm it by doing core biopsy in which some of the tissue is taken and then slides are made to study the tissue of the tumor.

what does the following fnac means: site: left breast lump materil gross: particulate stains performed: mgg pap microscopic examination: a mixture of benign as well ass neoplastic ductal epithelial cell with nuclear crowding and hyperchromasia impression: suggestive of atypical epitheliosis advice: core biopsy to rule out duct carcinoma

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get evaluated for laxity of testicles and torsion as it could be emergency. use scrotal support avoid masturbation and maintain good hygiene. let your urologist decide what si best for you. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

hey there sometimes at random times my testicle will rotate 180 to where the epididymis is facing out instead of down. both testicles do it but at different times. what could be causing this? and is it bad? also i've been having a dull pain and burning sensation in my right testicle now for about 5 days. could it be serious?

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it is difficult to interpret the possible cause of the lesion detected in the mri without more medical history as well and complete mri visualization. possible causes that can present as lumps around the clavicle include - enlarged lymph nodes with or without abscess formation tumors like osteochondroma or it could also be a bony lump caused by a healing fracture of the clavicle. it would be best if you can consult the doctors treating you who can go through the mri and advice you accordingly. i hope this helps.

hi. my mum has had a lump just below her clavical/collarbone. she had an x-ray and the guy said he didn't know what it was but he didn't think it was cancerous just to come back for a check up in 6 months. fast forward a couple months my mom went to her gp and she ordered an mri. the results just came back and it said she has a hypo intense t1 and hyperintense stir involving the first anterior rib. a subtle abnormal enhancement of the rib was also identified. everything else in the area looked normal. they said she needs to go back for a ct scan. she just had a benign brain tumor removed and now she has to go through this it's very difficult. is this something that sounds like we should be concerned about? what could this possibly potentially be? thank you.

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the bone marrow and cbc both don't indicate any malignancy. the b symptoms such as fever night sweats and weight loss are a worry though. i would indicate sptum afb and a chest x ray pa view to look for tuberculosis. an initial montoux test for screening may be done. please fix an appointment with your doctor so that a physical exam is performed after a complete history and the necessary investigations are done to look for any other cause let me know if you have any query wishing you best of health thanks

do i have some type of bone cancer? i have had multiple cbc panels done and every time almostall are elevated such as wbc are 15. 07 mcv 107. 3 and so on. i have a recent bone marrow biopsy was diagnosed with leukocytosis macrocytosis eosinophilia. some of my symtoms are; severe deep bone pain fevers night sweats significant weight loss loss of appetite prominate digital clubbing migrain headaches slightly down outside of arm and top right shoulder pain swollen under right arm(pit) area and more. the pain is overwhelming and i'm not getting hardly any sleep. oh the newest symtom is pain in the left side toward the bottom of the rib area. please let me know what you think as far as any kind of bone cancer and what kind of professional do you think i should see. thank you!

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hello. the simple rule for weight loss is than you should burn more calories than you take. depending upon which cardio exercise you are talking about if you calorie expenditure is more than 300cal/day you will lose weight. most cardio exercises burn more than 300cal/day. for example the step aerobics burn about 400 calories in 30 minutes. regards this post is for the purpose of providing medical information and is not a substitute for a face-to-face consultation with a doctor. this post is not intended to give or rule out a diagnosis create a doctor-patient relationship or replace an existing one.

i've heard the controversy and i want an educated opinion on whether having a 300calorie a day diet with about 30 minutes of cardio a day would allow me to lose weight.

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the symptoms that you are having are due to anxiety attacks rather than depression. symptoms of anxiety neurosis include sweating headaches nausea muscle tension muscle aches trembling and hot flashes. psychologic counselling helps a lot. anti anxiety medicines are needed only when the symptoms persist even after psychologic counselling. indulgence in yoga and meditation also helps. you should consult a psychiatrist and get it evaluated. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

after i argue with my girlfriend if i am emotionally hurt i get a chest pain until i feel better. during this time i don't want to eat anything. sometimes it can be for a few hours or a day. when i told her about this she told me that i am a weak person and depressed and should see a doctor. is she right about that?

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it is very difficult to reach a definitive diagnosis with the information that you have given about your 4 year old nephew but i will still hint at the possibilities. the first possibility to consider is that of disruptive behavioral disorder characterised by destructive and disobedient behaviors as in your nephew like hitting others yelling calling others stupid and missing school 4 out of 5 days. as children age oppositional and defiant behavior may continue and result in children having persisting conflicts with adults and peers at home and at school. the other likely possibility though is that of autism as indicated by stereotyped and repetitive motor mannerisms of opening and closing of hands plus the speech problems like inability to sustain a conversation delay in development of spoken language(as you said that his speech is hard to understand) preoccupation with stereotyped interest(as in going to bathroom on the porch). the other likely possibility is that of premorbid stage of childhood schizophrenia in the form of disorganized speech(before he can finish one talk he stops and talks about something different and completely unrelated) aggressive behaviour disruptive behaviour alternating moods inappropriate to environment school problems etc. the only thing missing is the presence of delusions and hallucinations which usually do not develop before mid adolescence. so it is difficult to commit schizophrenia but still suggestive of premorbid stage suggesting the likelihood of developing into full fledged schizophrenia in adolescent years of life. all above are the likely possibilities only as it is not possible to reach definitive diagnosis without detailed interview of child and parents and observation of the child in person. you must consult your pediatrician for the same as early intervention is always helpful in treating the psychopathology. hope this helps. take care.

my nephew who is four years has very bad mood swings and stops what he is doing and starts opening and closing of his hands. he tells his mother that he wants to break her bones and break the house. he goes to the bathroom on the porch and steps in ti and thinks it's funny. he is in time out at school 4 out of 5 days and the daycare provider said he needs to be seen by a doctor. my sister is so frustrated she doesn't know what to do. other things he does is spit at people hit others punches his mom yells a lot calls eveyone stupid says he wants to hurt animals and people. his speech is hard to understand. he starts a conversation and be fore he can finish he'll stop and talk about something completly different. my sister doesn't know what to do. she thinks possible autism. what do you think?

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autism is a medical condition in which there are problems with communication and social interaction. this is a rather serious condition to be diagnosed without a complex and complete examination. the child might lack eye contact as you mentioned. the babbling in these children might be accompanied with unusual gestures repeating others’ words whereas the words are less frequently associated with appropriate gestures. repetitive behaviour might be one of the symptoms that are most easy to recognize. it might include: compulsive behaviour ritualistic behaviour stereotypy or even self-injury. as for the slow improvement of the speech please consider that many children just need more time to talk and to be understood. different conditions might be causing this situation. sometimes the child might need help from a specialist for speech and language therapy whom you are advised to visit. s/he might be able to detect if there are any physiological problems with the speech-related organs (the tongue the palate the throat) or the child simply needs more time to develop the speech. to exclude autism you might want to take your child to a neuropsychologist pediatrician. until than please keep in mind that there are many children at the age of 19 months whose speech is not fluent enough to be understood clearly.

my son is now nineteen months old and doesnt say any words at all. he jabbers a lot but you can't understand any of it. he seems very normal otherwise. he plays and laughs and smiles. i've read things about how autistic children don't hold eye contact. he can and does. we have a seven year old son as well and i don't remember it taking this long for him to talk. should i be concerned that he may be autistic? i'm a nervous wreck over this.

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you seem concerned by the possibility of autism in your 4 year old son. autism includes a broad spectrum of symptoms. therefore a single brief evaluation cannot predict a child's true abilities. ideally a team of different specialists will evaluate the child. they might evaluate:communication language motor skills speech success at school thinking abilities because there is no biological test for autism the diagnosis will often be based on very specific criteria from a book called the diagnostic and statistical manual iv. autism can be associated with other disorders that affect the brain such as:fragile x syndrome mental retardation tuberous sclerosis you must consult an appropriate medical facility where autism kids are evaluated and treated as the same is not possible online. hope this helps. take care. note: this answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. please see your personal physician for further evaluation of your individual case.

my spn is 4 years old due to go to full time school reception in january 2012. his teacher along with a senco teacher said to me that they feel that he may have autism. the reason they gave were he does not always look at them when they are talking to him he may do group work for 10 minutes then he is not interested and gets distracted by things around him. and he cannot ride a bike. firstly i have not taught him to ride a bike so hence why he cannot and he has not taught himself. they say he can read knows colours shapes alphabet numbers all the names of the children in his class if they put something up they think he cannot read he can. he doesn't hold his pen properly. he can hold conversations with children and adults i potty trained him in a month aug 2010 he asked for things says please and thank you. gives me direct eye contact when i talk to him or anyone family based. only when he is excited he flaps his hands. at 4 i think he is on point for his age. what do u think

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i can understand your situation and know it is difficult to cope with a child with adhd/ odd. he might not be ready to take medications which is quite normal and acceptable. since it is necessary for him to take it you can give him medicatios by saying that they are some other ones and donot make him feel as if he is suffering from some disorder. give him time and be calm and patient. avoid any kind of struggle and arguments. recognise his good behaviour and offer rewards. ask him to do some yoga and meditation exercises which would relax his mind to an extent. spend quality time with him and involve him in activities which he is fond of. hope this helps!

hi doctor need advice. my son is 15 years and only yestday we were able to confirm he has adhd/add and now odd. doc has priscribed concerta 18. the issue is he his adamond and refusing to take the tab. saying there is no problem with my heath. we tried all tricks(with love with strick informent with rewards) but noting works. i sure one day he will realise. my question is should me give him this with out his knowledge like multivitain or painkiller and once he is in the doze for week then disclose or wait untill he realise. its very difficult time as parents.

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i am very sorry to know about your medical problems. but without a proper medical history and complete physical examination and psychiatric assessment it would not be possible to assess your situation. hence it would be recommended to consult with your doctor and seek proper medical help.

hello i have a question concerning add/adhd. i have always procrastinated since i was little and it wasn't a very big deal until i got into late high school. i am now in college and cannot muster up the motivation to do work i know i have to do. i know i have the intelligence to get the work done better and faster than i am completing it but i usually lose focus after 20-30 minutes into the assignment and get distracted by anything that is slightly more interesting. this has always been the case since i can remember. my question is do you think this is a legitimate reason for me to go seek medical help? and if so how do i bring it up without appearing to be a bum college student looking for a fix? any insight you could give me on the matter would be greatly appreciated.

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burn out is happening in most of the professions nowadays due to the erratic work schedules and tremendous job pressure. i can understand your concern. you are not depressed. it is just anxiety that you are having due to the stressful job. i agree with you that taking a few days leave and going for a vacation should prove positive but if you are unable to go for vacation then my advise would be to indulge in yoga and meditation. half an hour to one our of yoga and meditation should charge you up for the whole day. it would be better if you could join some yoga and meditation classes. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

hi i work full-time in a high-pressure environment and right now my body and mind are giving me signs indicating that i need a break. in my work i have several procedures to follow which are constantly being updated. i'm having a hard time keeping up. as my time is charged to clients i fill in timesheets and i'm constantly under pressure to have a minimum of non-billable time which is exhausting! moreover i have to deal with short deadlines often several simultaneously. this is made even heavier by the fact that the instructions i get aren't always clear and the people i work for don't seem to grasp the concept of "help me help you". all this leaves me mentally exhausted today as i am demotivated tired have difficulty concentrating and am feeling like my life is pointless. i know i only need a 2-week or so break to recharge my batteries but i don't have any vacations left and cannot afford a leave without pay. i'm afraid seeing a doctor would only get me a prescription for antidepressants and should i get a prescription for time off i wouldn't want words like "burn-out" or "depression" on it. any advice? what's a girl gotta do to get well-needed rest without jeopardizing her job or reputation when she doesn't even appear sick on the outside?

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you seem concerned by the possibility of dyslexia. dyslexia is the most common learning disability in children identified in at least 80% of children manifesting learning disabilities characterized by unexpected difficulty in reading in children and adults who otherwise are normal in intelligence and cognition. dyslexics probably have deficits within a specific component of language system the phonologic module which is engaged in processing the sounds of speech. dyslexics have labored approach to reading because of phonologic deficits though listening comprehension is robust. you might be suffering from dyslexia but you must consult your personal physician for definitive diagnosis as the same is not possible online. hope this helps. take care. note: this post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

i think i might be dyslexic. what do i do? my dad is dyslexic i have trouble spelling i always jumble the letters together. i have trouble with sentence structure too. one of my english teachers asked if i'd ever been tested for anything. i had a tutor once who told my parents she thought i had short term memory loss. i have trouble with money in math and patterning. it just doesn't process it my mine it's like there's a wall. when reading aloud i don't properly process what i reading and i can't focus on the words. so sometimes i say something completely different then what's on the page. i also can't recognize words when reading and need to hear them a few times to know them. when reading an exert for class work i always finish later then others. because it wont process in my mind and i have to keep reading it. i get that when reading books too i'll have to read a sentence over to make it process. and when speaking sometimes my words get a jumbled. does this sound like dyslexia?

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what your boyfriend seems to be having is bipolar disorder. sometimes there are mixed episodes in which features of both mania and depression are present at the same time and in some people depression and mania may rapidly alternate which is known as rapid cycling. he needs to start with the treatment as early as possible. treatment usually consists of the mood stabilizing drug-lithium anticonvulsants antipsychotic drugs and benzodiazepines. my sincere advice would be to get it evaluated from a psychiatrist. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

i belive my boyfriend is bipolar or has boderline personality disorder. he is abusive it was just verbal until a couple of weeks ago. he slapped me. we went and saw a counlsor and he confirmed how abusive he was. he wanted him to come for sesssions he was beat as a child by his father. he stopped smoking pot 3 months ago but has done that and alcohol all his life. he takes no responsibilty for his actions. he is degrading and insults me. he breaks up all the time and then wants to get back togeather. he\'s extremly sensitive and emotional. he does not use logic to base decisions on but emotion. ofcourse he can also be sweet and wonderful. at this point we are breaking up and i am moving out. i told him if he ever hit me again i would put him in jail. so right now he is very afraid of that. he won\'t work on himself. he thinks it\'s all my fault. how do i deal with him? one minute he\'s telling me off the other night and the next minute wants to know if i love him? please help.

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depression is common with any comorbid illness. you should not feel bad. we all have our weak spots. just talk to a psychotherapist and let them help. i hope it helps. stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor. take care khan

why do i feel so down when someone makes fun of my dyslexia?

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in bipolar disorder sometimes there are mixed episodes in which features of both mania and depression are present at the same time and in some people depression and mania may rapidly alternate which is known as rapid cycling. you should talk to your psychiatrist about your finance get him examined and get treatmnet prescribed. apart from that he should try doing regular physical exercise by joining a gym. exercise is of paramount importance because it releases endorphins from the body. he should not indulge in any drinking or substance abuse. also he should start reading good books employing relaxation techniques like meditation spending time in your favorite activities and interacting with people. communicating and discussing feelings is an integral part of treatment and will help with recovery. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. for exact diagnosis you are requested to consult your doctor. i sincerely hope that helps. take care.

please help! my fiance is bipolar but will not take medication. he says he cannot find one that works for him. lately he will pick fights with me over anything and everything. lately we've gotten into fights over a new job that i accepted the people i work with even the fact that i talk about the new job and new friends i've made. he will fight with me about his ex telling me i'm jealous and out of control. he barely leaves his computer which usually happens when he gets "crazy" (as he puts it). now he's saying he doesn't know if he wants to marry me and all i do is nag him and he doesn't care about me. i do everything i can for him when he gets like this because i'm scared of a big fight and the mean things he says when he's manic. he is a wonderful loving man except for when he gets like this. how long does the negativity and anger last? this has happened before but it just keeps getting worse. should i leave? seems he wants that then he apologizes and begs me to stay.

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hello. from your description here it seems you are troubled with the anger issues more than anything else. and the recurrence of the anger is probably a reason why you want to know if this could be bipolar disorder. however the symptoms you have described here are not sufficient to diagnose or rule out bipolar disorder. mood symptoms are prominent in bipolar disorder. usually there should be alternate periods of depression and mania/hypomania with intervening period of normal behavior and mood. there could even be two or more consecutive manic or depressive episodes. but the most important criteria is to have episodes of mania/hypomania and depression. anxiety also seems to play a major role in the emotional disturbances you might have. even without having a diagnosis for this you can start working towards improving the situation. ideally you should consult a psychiatrist for a better understanding of the situation. if that is not possible you can start with a few exercises for stress relief such as the jacobson's progressive muscle relaxation. as to the anger it is important to exercise rational thinking 'during' a situation that normally produces the anger. rational thinking can be viewed as a thinking pattern which allows you to reach your goals with minimum emotional disturbances. it needs practice and it can be learned with the help of a psychotherapist but you can certainly try it until you can manage to consult a doctor. hope this helps. abhijeet deshmukh md (this post is for the purpose of providing medical information and is not a substitute for a face-to-face consultation with a doctor. this post is not intended to give or rule out a diagnosis create a doctor-patient relationship or replace an existing one. i am not able to diagnose medical conditions online. please consult with your doctor or a qualified healthcare provider for diagnosis and treatment options)

i constantly have bursts of anger for no reason once it's over i usually wish i wouldn't have done it and go from being absolutely angry and freaking out to completely calm. my father is the same way i have constant anxiety and i'm almost never completely happy about something. my moods are all over the place but the most dominating and often reoccurring is anger i literally wake up in the morning angry for no reason. i was never like this before i hit about 14 i just turned 21 and it seems to be getting increasingly worse. it just feels like i'm someone else completely when it's happening an i just don't feel like i can stop no matter who i'm taking it out on then i snap out of it after it finally exhaust's me and it's just almost like it was a different person acting that way. i don't have the money to go to the doctor and i don't have insurance. i feel like i can't handle this emotional roller-coaster anymore. does this classify under bipolar and if so what type?

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the description provided indicates that you might be having a mood disorder (bipolar disorder). but additional history and a face to face discussion is needed to know the exact problem. for a proper diagnosis and treatment you might benefit by consulting a psychiatrist who can take a complete history and then decide on the treatment measures.

hello i'm 20 years old and i've always seemed to have almost random outbursts of anger. i first started this when i was in 1st grade where i would have 1-2 hour bursts of anger followed by a long fit of crying. i would completely freak out and start trying to injure myself start shouting resisting people trying to calm me etc. it would be quite frequent (at least once a week) and would continue up until the end of 6th grade where after 6th grade i thought it was gone for good. until i had an episode when i was a sophomore in high school when walking around with friends. it was the same as before punching a stone wall shouting incoherently the exact same type of thing. after that i usually have an episode about one time every year sometimes two. sometimes i'll also feel very depressed for about 1-2 hours as well with it just ending almost abruptly. i've always absolutely hated what this is and i want to have an idea of what is going on. thanks for reading.

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adhd and bipolar mood disorder (bmd) can coexist or be mistaken for one another. bmd usually is not diagnosed until young adulthood. however studies have shown that the earlier a person is diagnosed with bmd the more likely he is to have been diagnosed with adhd previously. in this case i would just like to reiterate that there is not enough information to discuss either possibility for your son. you mentioned that he becomes hyperactive for 3 weeks but not what his behaviors are like during those 10 days. you also do not mention irritability or mood swings just adhd symptoms. keep documenting the symptoms you are concerned about including what goes on in the home and at school when you see changes in behavior (do you work those weeks does he visit a relative or have a different aide in the classroom). you also mentioned that this began 7 months ago. i would also urge you to think about what also might have changed in your son's life about that time. consulting your pediatrician or a child psychiatrist should help you unravel the mystery of your son's behavior.

my 5 1/2-year-old son displays adhd symptoms for 20 days then for 10 days he has none. is it adhd or another condition?

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stimulants in general tend to decrease appetite in certain not all children. over time this side effect seems to lessen but as in the case of your son for some children it may persist. weight loss is the result of this appetite decrease and not consuming enough calories during the day. therefore since the medication is effective and at "the perfect dose for him " right now i would suggest that you work on increasing your son's calorie intake. this however is often not an easy task! some suggestions include offering your son his preferred foods whenever he seems hungry; starting the day with a large calorie-laden breakfast early in the morning before the medication takes effect; increasing the calories in snacks during the day and at bedtime; and adding a high calorie supplement like ensure or shakes with ice cream etc. during the day. consult your pediatrician or a nutrionist to determine how many calories a day your son should be consuming and try to make sure this is the minimum he consumes to prevent weight loss. if you find this remains a problem i suggest you consult a pediatric nutritionist for additional suggestions. if the problems persists despite you and your son's best efforts you may want to discuss changing to a non-stimulant medication with your son's prescribing physician.

my son has add and mild autism. he has been successfully on concerta for 6+ years. can you help with his weight loss?

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while any of the stimulant medications can increase depressive symptoms. it's important to pay attention to this change in your son's mood and take him to a mental health professional for an assessment. children diagnosed with attention deficit/hyperactivitydisorder (adhd) at early are more likely to suffer from depression as adolescents than those who did not have adhd according to a long-term study published in the october issue of the archives of general psychiatry. although it was an uncommon occurrence the children with adhd also were somewhat more likely to think about or attempt suicide as adolescents. the study performed by researchers at the university of chicago and the university of pittsburgh followed 123 children diagnosed with adhd at age 4 to 6 for up to 14 years until they reached ages 18 to 20. it compared them with 119 children from similar neighborhoods and schools matched for age sex and ethnicity. the researchers found that 18 percent of children diagnosed early with adhd suffered from depression as adolescents about 10 times the rate among those without adhd. children with early adhd were five times as likely to have considered suicide at least once and twice as likely to have made an attempt. please get your son evaluated.

my son is 13 and is depressed. he has been taking vyvanse for the last 3 years and never had a problem. can you help?

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seventy percent of teens diagnosed when they are younger continue to have symptoms of their adhd that affect their functioning as adolescents. once your son stops taking his medication (concerta) his symptoms will return relatively quickly. unless he has learned other compensatory techniques or has outside help his symptoms will affect both his academic performance in school and his relationships with others. if he is driving he may have more difficulty focusing and with distractibility. teens with untreated adhd tend to have more car accidents and get more speeding tickets. all of this should be explained to him and i would suggest that he go in for a visit to discuss this and his decision to stop his medication with his health care provider. i often use this situation as an opportunity for the teen to learn more about how his adhd affects him and why or whether he need to continue his medication to treat his symptoms.

my 17-year-old has stopped taking concerta after 10 years. what affect will this have on his adhd?

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try claritin-d which is located behind the pharmacy counter. i'm not sure if or when respa-ar will be back on the market.

i've been taking respa-ar for allergies. i can't seem to get it refilled. will it be back on the market soon?

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i am very happy to answer this question. the pharmacist is the medication expert. we go to school for over six years and we focus on medications and how they work. i practice as a community pharmacist and my goal is to make sure my patients are taking their medications correctly protect them from drug interactions provide patient care services like medication therapy management and help them understand their disease. medications have a lot of side effects and can interact with foods over-the-counter medications vitamins and herbals. we should be a resource for you -- after all we are the most accessible health care provider! in many states you can now get your flu vaccination from a pharmacist. we should be a "vip" on your trip to the pharmacy. get to know us on a first name basis. (we don't bite i promise! ) always ask to speak to the pharmacist when you are picking up or dropping off a prescription; you can get some valuable information. we can advise you of side effects or answer even the most basic question of "what is this medication for? ” the best part of my day is talking to patients and making a difference.

what is the role of a pharmacist in a community and how can he/she help a patient?

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get an evaluation asap. you can start with your pediatrician but sure to ask for a feeding evaluation which usually consists of a team of professionals. sometimes doctors will be hesitant if growth is on track but if a child is taking solid food by 12 months that is a red flag. the sooner she gets help the better. good luck!

my daughter is 15 months old has had severe feeding issuesshe lives on applesauce and fruitmelts and formulatests normal. she has had feeding issues since birth formula refusal throwing up entire bottle 2 to 3 times a day she also has hip dysplsia so far medical test are normal what should i do what is the matter with my baby

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your body responds to food intake with hunger and fullness. even if you eat every couple of hours if it's not enough to fill you up you will likely get hungry. i don't know of any way to trick the body. that being said it is beneficial to eat filling foods with fiber like fruits vegetables whole grains and beans. i highly recommend you see a registered dietitian to help get you on the right track. if you lose weight gradually with proper nutrition it will be better for you and much easier to maintain (the hardest part of weight loss). also a dietitian can address any other issues that may be getting in the way of a healthy lifestyle. to find a dietitian in your area go to eatright org. good luck!

does your body know how many calories you eat or can you eat regularly but <1200 cals a day? . i am trying to lose weight. i have always been able to skip eating but now i am eating "something" every few hours. i have lost weight but want to lose more. i don't want my body to think it is starving if i don't adhere to 1200 calories a day. as long as i give my body food every few hours regardless of the caloric content. is that enough to keep metabolizing? one example is: i eat a raw red pepper at about 50 calories for a mid morning snack. it is food in my body but very low in calories.

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some medications are available in liquid formulations. many other medications can be made into a liquid formulation by a compounding pharmacist. be sure to let your health care provider know you have difficulty swallowing medications. they should be able to accommodate you.

i have trouble swallowing pills. can my prescription be made into a liquid?

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generally a diet free from alcohol and low in fat is recommended for pancreatitis. i recommend you ask your doctor or dietitian how much fat you can consume per day (in grams). that way you can be sure you staying under where you need to be. these are general low fat diet recommendations: no fried foods or foods cooked in a lot of fat. if eating out always ask how the food is prepared. limit nuts seeds oils avocado salad dressings and butter naturally high in fat. you do need some fat but go easy on these items. choose lean meats and low fat dairy products. eat plenty of fruits vegetables and whole grains naturally low in fat. consume small frequent meals as they are more likely to be tolerated. for more tips on low-fat eating see this article.

i need a list of foods that i can eat and list of foods to avoid with pancreatitis.

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yes plant foods are associated with decreased cancer risk especially fruits vegetables whole grains and legumes. add more of these to your diet while limiting red and processed meats and you'll benefit over thelong run. for more on diet and cancer prevention see this webmd article.

hello. i have heard that a whole foods plant-based diet reduces cancer risk. is this true? . there is a lot of cancer risk in my family but i want to live a long life.

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it's tough to say without more information. here are some possible reasons: you are not at the right calorie level. how did you decide on 1600 calories? a dietitian can help you figure out a meal plan -- and calorie level -- that is individualized to meet your needs. you may be over-consuming calories without knowing it. look for hidden sources of calories in liquids eating out and alcohol. a low-carb diet may not be right for you. everyone is different in how they respond to diets. maybe a change is needed. medications and activity can make a difference. always check with a doctor. your don't have much to lose. if you are very tall or always been bigger than average you may not need to lose much weight. if your health is good focus on incorporating and maintaining healthy habits instead. getting help from a registered dietitian can help you get to the root of the issue. for more potential reasons you aren't losing weight see this article.

i am on a low carb 1600 calrie diet i am 224 pounds 45 year old male my weight is not coming off? . supplements; protein thermobol glutamine creatine.

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the stomach does not absorb nutrients but it does play a role enhancing absorption of certain nutrients in the small intestine. for example the stomach secretes intrinsic factor which binds to b12 for absorption in the small intestine. stomach acid turns iron into a form that is better absorbed in the small intestine. and people who have part of their stomach removed may be at risk for osteoporosis because the stomach empties faster which can decrease the amount of calcium being absorbed and utilized by the body. anyone who has surgery to remove part of the stomach should see a dietitian to be sure they are not at risk for nutrition deficiencies.

what can be absorbed by the stomach? . what percentages of various normally consumed foods and liquids can be absorbed into the body through the stomach. while i understand that the intestines absorb most of the nutrients we consume i was lead to believe that a potion of some foods and beverages were absorbed into the body through the stomach.

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you can certainly consider having another infant. however all the information in our literature would tell you not to consider having an attempt at a vaginal birth. you are at too high a risk to consider this. i think of myself as very progressive and will always consider a vbac for patients but not someone like you. the issue for you becomes the more c/s you have the higher the risk of possible placental abnormalities. if the placenta lies over the cervix (called a placenta previa) with the number of c/s you have had there could be a significant problem that could occur (called a placenta accreta). you should always discuss with your health care provider your concerns.

is it safe to have another baby after i delivered three by c-section?

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there could be a few things going on. first if you don't test your blood sugar regularly you don't know for sure that they haven't increased for some reason. some potential reasons include changes to medication. engaging in more or less exercise and timing and quantity of food/drink intake. if you drank more alcohol on vacation for instance that could cause blood sugar spikes. if you have been checking your blood sugar -- and they have been good-- than i recommend contacting your doctor to see if your a1c was either an error or due to something else. good luck getting to the bottom of this!

why does a1c jump up? 6. 2-11. 4. over the last 2 years my a1c has been 7. 8--7. 4--6. 4--6. 2 then this past check-up it jumped to 11. 4. i have never had one that high. i have not changed my diet--i have actually shed about 10 more pounds. i don't understand what happened.

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bmi is just a classification of weight and not a determinant of health. that being said carrying extra weight can increase health risk. first i would consider your size over time. have you always been this size or have their been increases lately? if this seems to be your normal weight than it may just be where your body wants to be. if it has increased lately you may want to take note of what has changed to see if it has affected your weight. next would be to look at your other health-related numbers. if you cholesterol blood pressure and blood glucose are all normal than those are positive indicators of health. regular exercise and a health diet matter too! lastly where you carry excess weight makes a difference. those who carry fat in the abdomen tend to be at higher risk for chronic disease like diabetes and heart disease. in particular figuring out your waist-hip ratio can help you determine if this is a concern for you (see this article for more information). weight is just one piece of the health puzzle. finding out about all the other pieces can help a great deal!

bmi of 35. i am 29 a woman who is 4'11 weigh 178 lbs. my breasts are over dd. i am not fat. how can my range be obese? . i have large hips but they are mostly muscle. my breasts are the only other large fat content place on my body. are there better ways of determining a healthy weight?

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some people claim grains -- even whole grains -- cause inflammation. but there is no solid evidence in humans to back this up. people with autoimmune diseases may have difficulty with certain grains especially those with celiac or gi disorders. but for healthy people there is no research to support this point. in fact people who eat lots of plant foods like whole grains tend to have decreased risk of inflammation like vegans <link> oatmeal in particular helps lower cholesterol and keep people full. randomized control studies are needed to prove this "grains cause inflammation" theory.

according the the paleo diet experts oatmeal is not good for you because it causes "inflamation. " is this true?

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i see no reason why they would counter-act each other. i'm not clear if your doctor wanted you to keep taking the stool softener or just take it to get your bowels moving. often times they are given temporarily. if your fiber intake is up -- and you are having more bms -- you could slowly taper off the stool softener. i would contact your doctor first since he/she prescribed it. probiotics can help with constipation but it depends on the strain.

taking a stool softener nightly and a probiotic in am each day? . i am on detrol la for oab. it causes constipation. i had a bad episode in may 2015 and after my dr got me all cleaned he said to take a stool softener to get regular again but i also added a probiotic as well. . i am now having a bm each day but several a day. my question is really are they counter acting each other (stool softener vs. probiotic) - would the probiotic be the best way to go vs. the stool softener to combat the constipation (my fiber intake is better now also via my diet).

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that will depend on what you are eating and your blood work. people with spinal cord injuries may need additional protein and fiber but that is not contained in vitamins. at regular physicals your health care provider should check things like vitamin d b12 and iron do see if you have any deficiencies. also a registered dietitian can help you determine if you need to make changes to your diet and supplement routine. for more see spinal cord injury: dietary issues

what vitamins are recommended for a 63-year-old with a spinal cord injury

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any sudden changes in bowels should be checked out by a healthcare provider. here are some things you can do in the meantime: increase fiber: gradually increase fruits vegetables whole grains and beans/legumes. these foods contain fiber that help with constipation. it's recommended women (19-50) get 25g of fiber daily and for men (19-50) it's 38g. see getting enough fiber. stay hydrated: while increasing fiber make sure you get enough water. when you are dehydrated water is reabsorbed from stool resulting in hard stools. keep active: regular activity also helps relieve constipation. walking dancing and hiking are just a few ideas to keep your body moving. add fermented foods: look for ways to increase foods with probiotics such as yogurt kefir and probioitc drinks. adding a probiotic may help but the research is not clear on this. see probiotics and digestive health. manage stress better: anxiety worry and stress can all affect your gi tract. working on healthy ways to handle daily stressors can help! see stress management.

i have frequent constipation feeling bloated and have bowel movements around 4-5 days on average. large-hard stools. that are difficult to pass and i'm asking now because it's been getting worse the past year or so and effecting my every-day life. <negative_smiley> what should i do? are probiotic supplements a solution?

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lactose does not build up in your system but the severity of symptoms can be more severe or lasting depending on how much and other foods you ate. if you are having gi discomfort acidic foods may exacerbate your symptoms. for info see lactose intolerance -- topic overview

lactose intolerance. does lactose build up in your system so as to have issues over a series of several hours/meals? and do acidic foods exacerbate symptoms?

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most helpful answer instead of thinking putting a cap on protein your better off balancing the type of protein foods in your diet. here are some tips: don't exceed 6 ounces of animal protein like chicken fish beef lamb or pork daily. 3 ounces is the size of a deck of card. you can get additional protein from low fat dairy sources such as yogurt milk and low fat cheese. plant sources of protein like nuts and nut butters are good and healthy too. avoid certain type of meat like organ meats an fish such as anchovies herring scallops trout and tuna. a dietitian can help individualize information to your specific preferences and lifestyle. journal about your trigger out your trigger foods -- see this article.

how much protein should someone with gout consume? . since higher protein foods can trigger gout attacks how much protein is safe for someone with gout?

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weight gain is not a common side effect of ace inhibitors. i suggest you see a registered dietitian to help you figure out the source of your weight gain. see this article for more on ace inhibitors.

do ace inhibitors cause weight gain? . long term user of ace inhibitor and have gained a lot of weight. is there a connection.

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the most problematic fruits that irritate the bladder are citrus fruits like oranges grapefruit lemons and limes. fruits that aren't acidic like pears apples grapes and melon are better choices. for more on trigger food and drinks see this webmd article.

fruit is big part of my diet but i'm having issues with urge intontinence. what fruits won't irritate my bladder? . i recently saw a urologist for having severe issues with urge incontinence feeling like i had to go as frequently as every 10 minutes. he determined stress in my life was causing my muscle around my bladder to flex. i've recently been put on anxiety and stress medication which seem to be helping with that but the urge incontinence is still pretty bad a lot of the time. i've read a ton of fruits which are a huge part of my diet can cause bladder irritation. what fruits are best/safest to eat?

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some science reveals that certain types of acupuncture may aid weight loss. acupuncture works by targeting pressure points linked to appetite and hunger. that being said acupuncture treatment does not trump making changes to diet exercise and how one handles stress. research shows diet changes are most important for weight loss. see ear acupuncture holds promise for weight loss.

does acupuncture aid weight loss

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there is no evidence that nose bleeds are linked to a deficiency in vitamins the only nutrition/lifestyle related contributor is high blood pressure and smoking. this article provides tips on prevention and potential causes.

how can i prevent nose bleeds ana are they linked to a deficiency of vitamins?

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calorie needs are individual and depend on age gender lean body mass and your level of activity. since you are not overweight i wonder why you count calories at all. it seems to me if you eat well balanced regular meals and let hunger and fullness guide your eating you will get the right amount for your body type. emerging research shows that young adults who eat this way (often called intuitive or mindful eating) have lower bmis -- and disordered eating -- then those who don't. it may be that you started counting calories to lose weight 5 years ago. but i say ditch the calorie counting and learn how to trust and nourish your body instead. read more. healthy eating: recognize your hunger signals hope your weight is 120 pounds and not 120 kg. if the current calorie intake keeps you satisfied and energized you do not have to worry at all. if you are following any diet chart see to it that your calorie intake is between 1800-2100 calories which is normally recommended for a healthy person.

i eat 1 200-1 500 calories a day. is that enough? . i'm 19 5"3' female and weigh 120. for the past at least five years of my life i've been eating 1 200-1 500 calories which leaves me feeling satisfied energized and maintaining my weight. i've been eating a very healthy vegan diet and have eaten pretty healthy my whole life. i feel like i'm eating enough and i'm maintaining my weight but our "experts" say i need to eat more. i feel like if i ate more i would just gain weight but i'm at a healthy weight now. i exercise moderately.

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there are a few reasons for why the uterus measures larger than the dates. the most common reason is you are further in the pregnancy then you think. but since you had an ultrasound exam this is not the case. another reason could be you are carrying more than one child like twins. but if you had an ultrasound exam they should have seen this (although this can be missed). uterine fibroids (benign muscle tumor) of the uterus can make the uterus larger then you think. the other thing it may be is your doctor is wrong. it is just an estimation. i would not be too concerned about it at this time. when you see your doctor ask him about what the ultrasound exam showed. you can also call the office and speak to someone to read you the ultrasound results. uterus larger than the dates:? = wrong date (lmp) =polyhydramnious (excess amount of amniotic fluid in uterus) =larger baby (macrosmia) =multiple pregnancy =molar pregnancy =uterine fibroids =pelvic mass uterus smaller than the dates.? =wrong date (lmp) =oligo hydramnious =smaller baby (microsmia) =head engaged too deeply =genetic (maternal paternal small size) =intrauterine growth restriciton (iugr) =intrauterine death (iud)

what causes a large uterus?

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no eating fruit is great because it's healthy and sweet. and most people don't get nearly enough fruits and vegetables i n their diet. fruit contains vitamins antioxidants and fiber. of course if you're not hungry or are full than eating more food -- even fruit -- is not beneficial.

is eating fruit bad after meal?