i have small fiber neuropathy with possible ischemic neuropathy. they believe its an autoimmune response. detected by skin bx. is this fatal . ? ivig

Question

I have small fiber neuropathy 2nd skin biopsy shows IgM deposits in vessels. Also says microvascular injury syndrome. Is this autoimmune process?

Answer 1

Not usually: Neuropathy can be painful but usually isn't fatal. It can cause many other issues like wounds that don't heal. These issues can be fatal if not given proper attention. Discuss your fears with your doctor so they can guide you better.

Answer 2

Neuropathy: If your doctors suspect autoimmune disease then they should test you for that. Autoimmune conditions are treatable and not very fatal. It is not always easy to diagnose autoimmune diseases. I may require help from a rheumatologist. Also, your neuropathy might improve once the underlying condition is treated.

Answer 3

Yes: Colds tend to precede the onset of an ear infection in children. This is because a cold causes fluid to develop in the middle ear, that at times may get infected by bacteria or viruses. Ways to decrease your baby's risk of ear infections are: 1) avoid smoke exposure, 2) try to limit pacifier use in those prone to ear infections, and 3) avoid having your baby drink milk laying down flat.

Answer 4

Yes: Colds, or upper respiratory infections, can cause congestion leading to ear infections.

Answer 5

Yes: Colds ( upper respiratory infections) are generally the trigger for ear infections in kids. Other factors are in play such as ear anatomy and the immune system, but without the virus or bacteria, infection is hard to come by.

Answer 6

Motrin, mineral oil: Pain is due to stretching at the tympanic membrane, or ear drum. Prescription numbing agents can help, though gently warmed mineral oil dropped into the ear canal is very soothing. Holding a warm wash cloth to the ear increases the air pressure in the canal, helping push the ear drum back in, releasing the stretch. Of course Motrin and tylenol (acetaminophen) help relieve pain as well.

Answer 7

Ibuprofen, tylenol (acetaminophen): Pain from the ear infection typically presents with inflammation local to the area around the infection. Treating the infection slowly brings the inflammation down but Ibuprofen or tylenol (acetaminophen) can help with the immediate pain in the meantime.

Answer 8

No: Doesn't exist. Prevnar (pneumococcal vaccine) is a vaccine that can possibly prevent ear infections which is routinely given already, but the shot protects more against meningitis than ear infections.

Answer 9

Yes: Occasionally ear infections are treated with an antibiotic that is given by injection and may require more tha 1 dose or shot. The pneumoccocal vaccine and flu shot help prevent infections that may frequently cause ear infections. Nothing is perfect for treatment or prevention, however.

Answer 10

No: Your child may need a tube placed in the eardrum. The tympanostomy tube can help drain fluid that's present due to an infection.

Answer 11

No: There is not a shot to treat repeated ear infections in babies. A new baby cannot be predicted to have future repeated ear infections, although these things sometimes run in families. Also, babies who start getting ear infections before 6 months of age are more likely to get repeated infections later. The pneumococcal vaccine can prevent some infections (those caused by strep pneumo bacteria).

Answer 12

No: There is no "shot" to cure or to prevent repeated ear infections. The young children experiencing frequent ear infections should be tested whether they are simply prone to develop recurrent infections or they continue to carry 'cummulated fluid' in their middle ear between the bouts of ear infection. The latter group of children should be referred for ventilation tube insertion.

Answer 13

No: Sometimes children need to see a special doctor called an ENT (ear nose and throat) to get evaluated for placement of tubes to help drain the accumulated fluid behind the ear, but no shots! its been shown that breastfed children have a decreased risk of ear infections, so if you can breastfeed for at least the first 6 months!

Answer 14

No: Not sure what shots your are referring to.Vaccines or antibiotics? No vaccines specific for ear infections yet. Rocephin (ceftriaxone) shots (antibiotic) are used for chronic ear infections, for three days straight when all else fail, before i referred them out to ear specialist.Usually they respond to oral antibiotics, need close follow up.If child having hearing, balance or speech problem, need to refer sooner.

Answer 15

Peristomal wound: When i see a patient who has difficulties with peristomal wound or pain, i generally try to ascertain cause. Usually, if there is no underlying pathology, the skin is irritated by the adhesive. Using a hydrocolloid dressing beneath the adhesive may reduce the difficulties.

Answer 16

Peristomal Skin: Often times if the adhesive of the colostomy appliance is not flush against the colostomy stool will leak out from the colostomy onto the skin causing a severe burning and irritation of the surrounding skin. Always make sure that the colostomy appliance is flush with the colostomy without any exposed skin. Special creams and powders can also be used to help ease the burning.

Answer 17

Thick nasal mucus: Thick nasal mucus can be related to sinusitis, but not necessarily. If you have chronic allergies or recurrent infections you should consult a doctor who can identify if there is an opportunity to improve nasal inflammation with sprays or treat infection with antibiotics. You may benefit from good nasal hygiene as well which involves using salt water rinses to clear mucus and allergens.

i have small fiber neuropathy with possible ischemic neuropathy. they believe its an autoimmune response. detected by skin bx. is this fatal . ? ivig

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