Doctor insights on:
Alternative Treatment Regimens Such As Nocturnal Dialysis H
What are best alternative treatment options for cylindrical bronchieactasis, such as herbal or others?
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
As a male, other than antibiotics, are there any other recommended treatments for hormonal acne such as DHT inhibitors?
Big guns: Almost all acne is hormonal. The 5-alpha reductase (dihydrotestosterone) inhibitors actually have found some use in managing acne. Your best choice might be topical spironolactone. If your acne has not responded to antibiotics, you're a tough case. If you're offered Isotretinoin instead, consider it. Best wishes. ...Read moreSee 1 more doctor answer
24 yo male with classic pericarditis. Recurred despite treatment with colchicine, steroids, etc. What are the options for additional therapy.....?
Coxsackie B: Recurrent pericarditis is unlikely to be due to a bacteria. It is possible that Borrelia Burgdorferi infection or Moyamotoi can cause it although it is not widely accepted as a cause The most likely explanation is Coxsackie B infection. So I would check serologies and if positive you have only symptomatic treatment. Indomethacin can work well. Steroids also as might be the case here but should generally be avoided in viral infections. I would not let the neutrophilia put you off whether it is due to the steroids or not. ...Read moreSee 7 more doctor answers
Which is best for treating alzheimers, traditional medicines eg. Cholinesterase inhibitors or deep brain stimulation?
Breast? Thyroid?: "medullary carcinoma" is several different diseases depending where it arose. Even in the same organ, there's no one-size-fits-all remedy as no two people present with exactly the same extent of disease. A heads-up on medullary carcinoma of the thyroid is its tendency to run in families and with other endocrinopathies. ...Read more
Is infusion therapy for non responsive chronic migraine a tested, safe and efficacious therapy ? Are the benefits temporary or long lasting ?
Infusion therapy: If the patient is rebounding, inpatient management or ambulatory infusion treatment may be required. It is safe, evidence based and effective in the majority cases. Major concerns are: comorbid medical illness that may require monitoring and allows only short-term follow-up. I use modified Meyers cocktail for my patients. Good luck. ...Read more
Can phytoestrogens be safely used as a holistic option for fibroid treatment for someone in their 20s? And are topical as effective as oral supplement
What antiemetic is good for postchemotherapy (delayed phase)? 5-HT3 receptor antagonists not effective as per cancer.gov for delayed phase. Now?
Chemo nausea sucks: Here is a good review as of 2007: http://theoncologist.alphamedpress.org/content/12/9/1143.full Your oncologist or internist might like to see it. My Mom liked strong ginger candies better than Zofran (ondansetron) for years. Try Trader Joes or ?Whole Foods. Can get Chinese ginger candies from internet, but one wonders what is really in them. Can cook yourself from ginger root and sugar. Yummy. Hope it helps. ...Read more
Failed tykocin therapy for afib ablation not an option due ivc filter amiodarone only other drug option offered side effect? Any other options
There are a number: Requip (ropinirole) (ropinarole) and pramipexol (mirapex) are the main two medications prescribed for rls. Firstly, the diagnosis should ideally be made by a formal sleep study, and a number of conditions, including iron deficiency, should be ruled out, since treating underlying conditions may reduce or eliminate the symptoms. ...Read moreSee 1 more doctor answer
Does humeera injections are effective for hidradentitis suppurative patients ! can a patient w/cclass 2 heart failure use this medication !
It is not: Effective for hideadenitis suppurativa . Usually it is controlled by antibiotics ...Read more
More info needed: There are many different types of hemoglobins that are inherited, some varieties are mild diseases, some much more complex...You will need some tests to fully answer the question.The normal hemoglobin molecule carries the oxygen our tissues needs for life so it is really at the center of a lot of important activity. ...Read more
Honest opinion on anti-inflammatory diet, I.e. paleo diet, as a lifestyle choice as well as alternative treatment for autoinflammatory disease.
Ask your doctor for: advice and possibly a complement food allergy panel done, since your history of idiopathic urticaria, inhalers (asthma?), and low hdl means you need to get a doctor involved with your diet!Paleo can be a great start, but if you eat too much meat proteins, you may be stressing your kidneys.So proper guidance is needed, and possibly working in tandem with a clinical nutritionist. May need to modify. ...Read more
Do alternative therapies such as hypnosis show any significan improvement with IBS cases with symptoms such as pain, constipation ? Placebo effect?
Most likely you are : Referring to a supplement or over the counter type remedy. It is impossible to comment on effectivenes without knowing specufic ingredients. Remember that "supplements" are not monitored by the fda and can legally claim almost anything. It is best to look for studies or ask your physician abiut the specific supplement you are looking at. ...Read more
Are there other need as effective for treating lgl leukemia as methotrexate that aren't as hard on kidneys.
Obesrvation or Tx: Large granular lymphocyte (lgl) leukemia (t-cell or nk-cell) may be observed until there are symptoms due to -- anemia (low hgb), neutropenia (low wbc, anc), thrombocytopenia (low platelets). Treatment may be with methotrexate, cyclosporine, cyclophosphamide, steroids. These drugs all may have associated side effects and should be monitored. ...Read moreSee 1 more doctor answer
Can there be better and low-cost alternatives to peritoneal dialysis in the treatment of end-stage renal disease?
Bipolar Disorder: Although I am very much in favor of blending the use of appropriate alternative medicine with traditional western medication - I do not know of any solo alternative treatment that will effectively deal with bipolar disorder. I do use acupuncture as an adjunct for bipolar patients to calm & balance. It has been very successful - but as an adjunct. Take care. ...Read more
Use mainstream Rx: Untreated pneumonia is often lethal. Use any "alternative" or "complementary" Rx only as an adjunct. There are few pneumonia quacks because the outcome is generally good and it's obvious when the treatment is working. By contrast, "alternative" practitioners thrive on the desperation of cancer victims with more grim outlooks. Be discerning especially about claims that sound too good to be true. ...Read more
Integrative oncology: Most oncologists consider legitimate therapies those that are safe, effective & published in high quality peer reviewed journals. There are many therapies that may be effective as complimentary therapies (not used 'in place of' a conventional treatment. ) this is practiced by providers of integrative oncology. www.integrativeoncology-essentials.com. ...Read more
It depends...: What is the cause and suspected diagnosis for the pain? It it is fibromyalgia or chronic widespread pain, which are not clearly understood, so treatment is directed at relieving symptoms, mood, pain and function rather than attacking the causes; but studies have shown that succesful treatment of pain generators such as an arthritic joint or muscle trigger points, can diminish the pain. ...Read moreSee 1 more doctor answer
Yes - several.: Disseminated superficial actinic porokeratosis, is a benign condition which can occur more typically on the lower legs, but also other body areas as well. Common treatments include cryotherapy (freezing), keratolytics that contain urea or lactic acid, as well as actinic keratosis treatments such as zyclara, Picato (ingenol mebutate) or even the older generation of 5-fluorouracil. ...Read more
My son (7 years old) is coughing a lot for a very long time now. Any alternative treatment you could recommend? Any food we should avoid?
Nutrition: Well, nutrition won't totally treat adhd, but optimize good nutrition and make sure other possible contributors aren't making it worse. Sleeping well and enough? Eating healthy foods and minimizing or eliminating food coloring and high fructose corn syrup? Make sure not depressed or having other treatable contributors, such as learning disorder, hearing or vision problems, pain (eg headaches). ...Read more
No: Since uncontrolled SLE can cause permanent organ damage (particularly the kidneys) , experimenting with alternative Rx is a dangerous game. Stay the course with your rheumatologist. Since you are likely not exposed much to the sun, you may have a vitamin D3 deficiency which should be corrected with D3 supplement. ...Read more
None: If the polyp is 1 cm or larger, the gall bladder should be removed. If it is smaller than 1 cm and you do not have symptoms suggestive of gb disease, then it can be followed with us studies. If you have typical symptoms of biliary colic, then removal of the gb is the only effective treatment. ...Read moreSee 1 more doctor answer
None: Please follow the recommended, standard treatment. Before modern medicine, nearly 100% of kids and adults with acute leukemias died within a few weeks to months of being diagnosed. Today, almost all patients get into remission. About 40% of patients with the most aggressive types will be cured with no evidence of leukemia 5 years from diagnosis. Some easier to treat types have 80-90% cute rate. ...Read moreSee 1 more doctor answer
None that work: Evidence-based medicine has little to offer beyond support for the muscular dystrophy patient. Thankfully, the families of muscular dystrophy patients are a tight community and help guide each other so these patients are less likely to be targeted by the cruellest health frauds. If common mushrooms really worked, the research piranhas at the NIH would know by now. Best wishes. ...Read more
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