Doctor insights on:
One answer: Calcium and vitamin d supplements certainly are a part of reducing bone loss. Depending on your age, a DEXA or bone denstiy test may be in order to measure your bone density and see if bone loss is present. If so, other therapy may be indicated. Also weight bearing exercise is important in helping maintain bone density. ...Read more
70 yo female w/osteoporosis and family hx of BRCA breast cancer. Ok to Denosumab and Reloxifene therapy together??
Yes it is OK: You can take these medicines together. There is no significant interaction or harm. So relax and take them as advised by your doctor. ...Read more
Acto-no: In my experience the patented drudeveloped to improve the bine density scan have not proven to prevent bone fractires. In fact, the black box warning states that these drugs cause brittle bone and increases risk of fracture. The ultimate goal in medicine is to get clinical outcomes while doing no harm. Bio identical hormone replacement has been proven to both produce bone & and stop bone loss. ...Read more
Rephrase: besides 30 year pack history what are other significant risk factors for screening for lung cancer? Family history? Other cancer? Polyps?
Is there a med 4 osteoporosis that's taken well, not like boniva (ibandronate) or Fosamax kind? Hormonal meds aren't an option b/c person is breast cancer survivor.
Osteoporosis treamen: Actonel(risedronate)belong to a group of drugs called bisphophonates, they are used to treat and prevent osteoporosis in postmenopausal women mainly.They also have some other indications for the treament of other diseases such as paget's disease. ...Read moreSee 1 more doctor answer
Long cardiac hx. history of dvts, pe's, factor 5 . 6/10 l side abd pain from this am. 0 Coumadin (warfarin) but was given 2 heparin shots. history of ovarian cysts. Same?
Varies: If a first order relative (mother, sister, daughter) has bc i would take ert only briefly and then only for severe symptoms. Remember that we try to prevent breast cancer by prescribing tamoxifen - which blocks estrogen. Adding ert definitely increases risk, somewhat, so you have to balance risks/benefits. Some women are miserable without it - and a short course may be appropriate for them. ...Read moreSee 1 more doctor answer
Fosamax (alendronate) is for osteo: Most physicians rely on published studies with thousands of patients taking a drug that prove it works. Trying out a pill onesself is a trip back to the stone age. We require that a proven disease has a treatment proven to work before using it. The fda requires two studies done separately with thousands of patients to allow an approval of a drug. ...Read moreSee 1 more doctor answer
No difference: There is no such thing as "best" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genetics. ...Read more
23F. Strong family history of colon cancer. Syncope, h/h 7.4/27.7. Fe studies showed anemia, hematologist referred to GI. Chances of cancer?
Low: What is the earliest age which you family members had colon cancer? If you are ten or more years younger than the lowest age of the cancer patient, your risk is very low. Your anemia is more likely due to blood loss in menstrual bleeding. You are doing the right thing by seeking care. Follow your doctors' instructions. ...Read more
Complaining of hematemisis and Hgb level of 5 not responding to iron IM shots no relevant medical history or family history no other symptoms ?
GI evaluation: If you are throwing up blood (hematemesis) and have a hemeglobin of 5, you would certainly need to see a GI specialist and be thoroughly evaluated for an upper G I bleed, which could be life threatening. ...Read more
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?
For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
Stubborn weight problem meds are omeprazoe certirizine senna simvastatin have IBS and GERD had endometriosis hysterectomy no HRT due to cancer family ?
Metabolic problem: Many people that are overweight have a problem with their metabolism. If you are on all of these drugs, than there is a good chance that you have a metabolic problem underlying your weight gain. A few common imbalances include hypothyroid, low testosterone, low progesterone, high cortisol, high insulin, high estrogen, high leptin, low msh. You should see your doctor to check these out. ...Read more
Whether New oral anticoagulant drugs (pradaxa 150 2x/day) may be combined with anti-platelet drugs (Plavix (clopidogrel) 75 mg/day)?? i'm in Af also CAD??
Yes: be carful about bleeding because there is no antidote for these new agents. ...Read more