Question 1

any other suggestion to stop chyle leak after nephrectomy? have tried mct diet, octreotride with tpn for 5 weeks. still draining 10 liters per week.

Accepted Answer

This is serious.: After all this time on appropriate medical treatment you need to have a discussion with your doctor. The time may be ready for surgery 10 liters a week is a lot to lose. Get to your doctor asap for a discussion of the possible need for surgery.

Question 2

what to do if i have been given is to have surgeons inject his thoracic duct with dye to find where the chyle is leaking from and ligate. does this sound accurate?

Accepted Answer

Thoracic Duct: I believe you may be asking about Thoracic Duct embolization for chyle leak following different procedures. I do not have the age or past medical or surgical history of the patient. 
You may also be referring to lymphangiography, which is a diagnostic procedure.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140251/
Consult an interventional radiologist to learn more about this procedure.

Question 3

can any difference occur in ecg&echo after 4months of last diagnosis?used to have high bp but now ok,echo showed moderate pulm htn+3valves leak mildly

Accepted Answer

Ekg and echo: You may not see dramatic remodeling of the left ventricle after only 4 months of normal bp, but you could after a year depending upon how long you had uncontrolled hypertension. Trivial valve leaks are common and may also persist but should have no hemodynamic significance. It is worthwhile to consult a pulmonologist to look for causes of pulmonary hypertension.

Question 4

i have whooshing in my ears, headpain and csf leaks out nose. i am to have an ir lumbar puncture, if i am not symptomatic at time of lp am i wasting my time to obtain a diagnosis and opening pressure? the condition seems to be positional and i'm trying to

Accepted Answer

CSF leaks: are no small matter. If you have one it needs to be thoroughly evaluated as to location and cause. CSF leaks provide an avenue by which infection can enter the central nervous system (meningitis). This can be fatal. Don't put any evaluation of this issue off until another time.

Question 5

my cbd is enlarged at 12mm with distal occlusion,bile is leaking into my stomach, vomiting bile,extreme abdo and back pain ( burning) pain,upper gi bleed,no appetite and a 4stone weight loss .my doctors are struggling with a diagnosis and i feel like i am

Accepted Answer

Occluded bile duct.: There are  multiple potential reasons for distal bile duct occlusion. The key is to figure out what tests are likely to give the answer. Endoscopy, ERCP, CT scan, and MRCP are all likely tests that you may undergo. If your bile duct is completely occluded, this is an emergency. You should speak with your doctors as to their next step. Good luck.

Question 6

what do you suggest if i used two condomsafter precumi checkednone of them leaked or teared?

Accepted Answer

That is a positive: if they were used properly and neither leaked nor were torn.

Question 7

why does my urine leak?

Accepted Answer

Several causes.: There are many causes & types of urinary incontinence (ui). Overactive bladder or a weakened urinary sphincter are examples. A detailed history, physical exam, and testing can determine exactly what type of ui you are experiencing. Leakage can be treated, depending on type, with pelvic exercise, medication, or procedures. A gynecologist or urologist will have expertise and can help.

Question 8

leaking from the rectum?

Accepted Answer

Go see a doctor: It can happen in older folks. Have a medical check up.

Question 9

can precum leak out if your soft?

Accepted Answer

Here are some...: Men's sexual arousal to a degree naturally induces the secretion of fluid from urethrobulbous gland or Cowper's gland, i.e., pre-cum.  But, the degree of erection may widely vary among men even within an individual.

Question 10

what could cause me to leak urine?

Accepted Answer

Seek evaluation.: There are many causes & types of urinary incontinence (ui). Overactive bladder or a weak sphincter are causes. A detailed history, physical exam, and testing can determine exactly what type of ui you are experiencing. Some types of leakage are treated with pelvic exercise, some with medication, and others with procedures, even surgery. A gynecologist or urologist will have expertise and can help.

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Doctor answers about:

Chyle leak diagnosis

A member asked:

Any other suggestion to stop chyle leak after nephrectomy? have tried mct diet, octreotride with tpn for 5 weeks. still draining 10 liters per week.

A member asked:

What to do if i have been given is to have surgeons inject his thoracic duct with dye to find where the chyle is leaking from and ligate. does this sound accurate?

A member asked:

Can any difference occur in ecg&echo after 4months of last diagnosis?used to have high bp but now ok,echo showed moderate pulm htn+3valves leak mildly

A member asked:

I have whooshing in my ears, headpain and csf leaks out nose. i am to have an ir lumbar puncture, if i am not symptomatic at time of lp am i wasting my time to obtain a diagnosis and opening pressure? the condition seems to be positional and i'm trying to

A member asked:

My cbd is enlarged at 12mm with distal occlusion,bile is leaking into my stomach, vomiting bile,extreme abdo and back pain ( burning) pain,upper gi bleed,no appetite and a 4stone weight loss .my doctors are struggling with a diagnosis and i feel like i am

A member asked:

What do you suggest if i used two condomsafter precumi checkednone of them leaked or teared?

A member asked:

Why does my urine leak?

A member asked:

Leaking from the rectum?

A member asked:

Can precum leak out if your soft?

A member asked:

What could cause me to leak urine?

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