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Doctor insights on: Adult Asthma Abdomen Smaller Than Expected For Dates

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3 yr well child check up. 30.6lbs 38 1/4 inches. Bmi 14.7. Birth size 6lbs 12 oz. 21 inches. He is smaller than kids younger than him. Is that normal?

3 yr well child check up. 30.6lbs 38 1/4 inches. Bmi 14.7. Birth size 6lbs 12 oz. 21 inches. He is smaller than kids younger than him. Is that normal?

Normal range: From your listed points, the child was at the 21% for weight at birth and 36% at 3y. His length was at the 90% (hard to get good measures then) at birth & is 72% at 3 years. These are well within the normal range for growth in kids. He is a bit leaner & taller than his age equivalent peers. ...Read more

Dr. Sue Ferranti
3,046 doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways, caused ...Read more


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Just found out pregnant with twins 17 weeks baby boy smaller than girl can't see doctor for two Weeks is it normal for one to be smaller than the othe?

Just found out pregnant with twins 17 weeks baby boy smaller than girl can't see doctor for two Weeks is it normal for one to be smaller than the othe?

Normal to be sl diff: Twins, esp if fraternal, are often slightly different size, but your doctor will continue to monitor each baby's growth to ensure that each one develops normally. Rarely, one infant "steals" nutrition from the other, but one needs serial ultrasounds to determine if there is a problem. Continue to eat healthy, take prenatal vitamins, get plenty of rest and hope for the best. Good luck. ...Read more

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Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

You'd be amazed...: The majority of 24 week infants now survive, especially if they make it through the first 48 hours of life. That's not to say they may not have significant problems with breathing, feeding, development, vision. You also don't say 24 weeks and how many days . 24 weeks 0 days is worse than 24 weeks 5 days - at that stage of the game, every extra day makes a difference. Continue hope, faith and pray. ...Read more

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Fundal height is 4 weeks more than my due date but baby measuring 2 weeks smaller than my due date, what does this mean?

Fundal height is 4 weeks more than my due date but baby measuring 2 weeks smaller than my due date, what does this mean?

It means little: Fundal height generally approximates but does not always correlate to the actual gestational age. The measurement that you describe, I am assuming, is an ultrasound that is also an approximation. ...Read more

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Female, age 70, has the third severe bronchitis like symptom in a year, each lasting more than 3 weeks. Albuterol inhaler causes more cough. Cause?

Female, age 70, has the third severe bronchitis like symptom in a year, each lasting more than 3 weeks.  Albuterol inhaler causes more cough.  Cause?

COPD?: She may have copd. Cxr and pfts are very useful. Most patients need anti inflammatory medications such as inhaled steroids. Spiriva is often quite useful also. Albuterol dilates the airways but does not treat the underlying inflammation. Have her checked by a lung doc. ...Read more

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One breast larger than the other. Breast-feeding for 3 mos. How can you tell if it's due to cancer? Seems to be larger than normal, comparing sides.

One breast larger than the other. Breast-feeding for 3 mos. How can you tell if it's due to cancer? Seems to be larger than normal, comparing sides.

Unlikely: Breasts are usually not the same size. You did not say whether the larger breast is red or painful, or if you have had problem with enough milk on that side. Breast cancer is unlikely but not impossible at age 31. Other causes of breast enlargement more likely (infection, obstructed milk duct). See your doctor for an exam. ...Read more

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If a 15 year old girl is skinny and 5'2 would she have a smaller bladder than a larger person? Do smaller people have smaller bladders?

If a 15 year old girl is skinny and 5'2 would she have a smaller bladder than a larger person? Do smaller people have smaller bladders?

Yes and no: Bladder size is relative to basic size when you look at lean body mass, but it also varies with use.Those with a tendency to retain or hold urine will have a more generous volume and those who tend to eliminate frequently will have less.Those with problems leading to stool accumulation, retention & constipation & those with obesity can squeeze down the functional capacity. ...Read more

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Lab range for HCG values on report states gestational age 0.2-1 week expected range 50 -500, 1-2 weeks 100-5000, 3-4 weeks 500-10000. Is this fetus age not gestational (ieLMP dated) age given first 2 wks are leading up to ovulation ie no HCG produced?

Lab range for HCG values on report states gestational age 0.2-1 week expected range 50 -500, 1-2 weeks 100-5000, 3-4 weeks 500-10000. Is this fetus age not gestational (ieLMP dated) age given first 2 wks are leading up to ovulation ie no HCG produced?

Fetal or embryo age: Because there is is no fetus until 2 weeks into a pregnancy (yes, it's an odd but standard way of counting dates), there is no bHCG until after 2 weeks gestational age. Also, the bHCG is not detectable until implantation, because the bHCG needs to be able to get from the embryo into the uterine lining, into the mother's circulation, into the mother's blood or urine sample. ...Read more

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Is it expected that 20 years of levothyroxine will make a thyroid smaller than average?

Is it expected that 20 years of levothyroxine will make a thyroid smaller than average?

No: Thyroid hormone replacement medication corrects hormonal deficiency of thyroid but will not affect the size of the thyroid gland. ...Read more

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Is 14 a bit late for girls to start their period compared to the average?

Is 14 a bit late for girls to start their period compared to the average?

Not specifically: I would consider 15 late but not 14. As long as a girl is progressing through the early stages of puberty with breast development and growing at a steady rate, i just monitor the situation. ...Read more

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Is it normal for baby to gain more than 1 kg per month with breastfeeding? Or To be above 6 kg for 2 month old baby, (birth weight 3670 gr)

Is it normal for baby to gain more than 1 kg per month with breastfeeding? Or To be above 6 kg for 2 month old baby, (birth weight 3670 gr)

Healthy wt gain.: Ideally, an infant should gain a minimum of 200 grms or about 7 oz a week, but weight gain more than that is common, especially with breast feeding but can also be seen with formula feeding. An infant with BW 3.67 kg would be expected to be more vigorous with feeding and you are providing ample nourishment. Weight gain will often slow down after 9 months, so current weight over 6 kg is ok. ...Read more

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When are growth restrictions/larger than normal fetuses diagnosed? Ever in the first trimester?

When are growth restrictions/larger than normal fetuses diagnosed? Ever in the first trimester?

Fetal growth: Growth is measured by the four main ultrasound parameters: head circumference, biparietal diameter, abdominal circumference, and femur length. These measurements cannot be done until at least the second trimester. Lagging growth or overgrowth is not typically measured until even later in the pregnancy. ...Read more

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What is the average life expectancy for people having bronchiectasis these days? [diagnosed at age 35]

What is the average life expectancy for people having bronchiectasis these days? [diagnosed at age 35]

Unknown: There have not really been longitudinal studies looking at the natural history of bronchiectasis overtime in patients without cystic fibrosis. A lot of the prognosis depend on the severity of your lung function and your level of lung function. I think it is very difficult to give the patient with bronchiectasis a definitive lifespan estimate. ...Read more

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With an ultrasoundn is fetal age always 2 weeks smaller then gestational age? What about if you have irreg cycles? Are these taken into consideration

With an ultrasoundn is fetal age always 2 weeks smaller then gestational age? What about if you have irreg cycles? Are these taken into consideration

No: Ultrasounds determine actual measurements but its measurement is not different from that by last menstrual period. If there is 2 week difference it may be acceptable in late pregnancy since ultrasound measurements lose precision later in pregnancy. Early pregnancy ultrasounds if done correctly are very accurate and 2 week difference may be related to uncertain period date. ...Read more