Doctor insights on:
Are Symptoms Of Cyclosporiasis More Serious For Hiv Patients
Hiv infection is caused by a retrovirus....This retrovirus binds to CD4 cells (for the most part). You may detect the virus by several different methods. An elisa test (enzyme linked immunosorbent assay). You may also detect it by doing a test referred to as a western blot (a gel protein electrophoresis). Thirdly by pcr (polymerase chain reaction) which ...Read more
Are there serious dangerous STDs other than HIV, hepatitis and
pelvic inflammatory disease ?
What can they cause in critical cases?
Yes: Syphilis and gonorrhea are dangerous if left untreated with bad complications, and other STDs too, but we don't here much about those complications now given the widespread availability of medications and easy treatment once diagnosed, the problem is undiagnosed cases, partial treatment or treating only one partner not the other partner(s) ...Read more
Shouldn't be: This was a hard one! people with suppressed immune systems from chemotherapy are at a slightly higher risk of getting tapeworm infections, which are uncommon in the U.S. Tapeworms come from eating undercooked beef or pork. If you already have tapeworms, you need medicine to get rid of them, and that will work just the same whether you are on chemotherapy or not. ...Read moreSee 1 more doctor answer
Are there any treatments for acute transformation of overlap myelodysplascity/myeloproliferative disorder in an elderly patient If so, what are they?
Try hypomethylating: CMML is common form of overlap syndrome, can be treated with hypomethylating agent (VADAZA) as MDS. Efficay? If acute transformation to acute leukemia (AML), then should treat leukemia. If pt is older and not a candidate for intense induction, hypomethylating is also an option. For other acute transformation, treat them accordingly. Sometime, just supportive care or clinical trial consideration. ...Read more
Only certain cancers: Population-based studies have confirmed that patients with celiac disease are at increased risk of mortality. However, they do not seem to be at an increased risk only to lymphoproliferative malignancy (of lymph nodes) and gastrointestinal cancer. A gluten free diet may reduce those cancers, possibly reduce the increased mortality as well. ...Read moreSee 2 more doctor answers
Are there treatments to boost immunity in immunocompromised people? Or are there only treatments for the potential opportunistic infections?
Depends: On the cause for immune compromise, primary or secondary, replacement therapy with immunoglobulins is given if low, stopping the offending drug or titrating if it is the cause, Antiretroviral therapy in HIV, bone marrow transplant if bone marrow failure either 1ry or 2ry, otherwise good sleep, fresh air, exercise, lots of fruits and vegetables and healthy lifestyle, wish you wellness, ...Read more
What are the most recent treatments for Intermediate risk MDS in elderly other than Vidaza & Revilmid? Any new treatment will be available soon?
Yes there are others: A good hematologist is the first requirement to treat MDS properly as there are several sub types of disease. Depending on which cell in the blood is impaired, a targeted drug can be selected to treat him. There are some drugs targeted for red cells(Anemia) and others for low WBC and low platelet counts. The 3rd approved drug to treat MDS is: Decitabine(Dacogen). ...Read more
Are the symptoms of chronic fatigue syndrome and HIV similar and can they be mistaken for each other?
Specific diagnosis: For hiv. While the symptoms of two disease may have some similarities, there are specific tests for diagnosing hiv. Your doctor can order a test for HIV if you have any reason to believe that you may be infected. The cause of chronic fatigue syndrome is not known and there are no diagnostic tests for this malady. ...Read more
Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more
Its the reverse: Cachexia is a sign of either nutritional deficiency or severe chronic underlying disease which releases inflammatory compounds that cause loss of muscle tissue and body mass. A large number of diseases do this, like cancer and advanced heart disease. This condition will lower the ability to fight infection and increase the risk of all infections including pneumonia. ...Read moreSee 1 more doctor answer
Infection: Most commonly would be an infection requiring IV antibiotics. Also may require surgical drainage or debridement of infection. If ulcer is due to poor circulation, you may need surgery to improve the blood flow. If not taken care of in a timely fashion, an infected ulcer can cause bacteria to get into your bloodstream causing you to feel sick (sepsis). Blood glucose may be abnormally elevated. ...Read moreSee 3 more doctor answers
Are there different sorts of infections that elderly people may suffer for 2 wks without an acute decline in physical symptoms? If so, examples please
What are potential causes of chronic asymptomatic isolated mild hyperbilirubinemia and mild thrombocytopenia in a young AAM? HIV and hepatitis are neg
Belly aches: There are many ... Abdominal pain, cramping, diarrhea, bloated feeling. The more subtle sign might be growth delay - not growing as quickly as other kids. Also, certain kinds of rashes are subtle signs of celiac (look-up dermatitis herpetiformis). The trigger is wheat containing foods and other products. ...Read more
Gastro: Gastroenteritis is usually caused by a virus and just like the flu is transmitted from person to person. Unlike the flu, it is usually transmitted by poor hand hygeine. It can come in waves on certain communities and during certain tomes of year (spring/summer). Anyone can get gastroenteritis - prevention with good hand washing and food storage is key. ...Read more
How do you know that you're hiv+? What are the symptoms, tests and treatment?Do HIV patients have joint pain? Scrotum discomfort/swollen testes veins?
See the doctor: You need a clinical picture that suggest you have aids , this is given by a deficit in the immune system . An acute or subacute infectious clinical picture could be present , and with the appropiate history a number of test could be done , including HIV testing . The way to know if HIV is + is testing or it. ...Read more
Yes, he or she may: An HIV patient may get married, or may remain single, just like any adult who is not an HIV patient. Although HIV infection is a bad disease, and is contagious via blood and body fluids, there is no law saying an HIV patient may not get married. Of course, an HIV patient should inform his or her potential spouse fairly early in their relationship, so they can properly decide on their future. ...Read more
Worthless: Despite the fact that this stuff has been promoted for decades as being good for everything, there's basically no real science to suggest it does anything. It's dried aquatic bacteria that contain chlorophyll. Get with an evidence-based holist if you're interested in this stuff. ...Read more
Depends upon therapy: Life expectancy with HIV depends on how the patient is doing when diagnosed and then upon therapy. Without drug therapy, most people with HIV will die in about 10 years. If the infected person has a normal immune system (newly infected) and has access to antiretroviral drugs and takes the drugs as prescribed, then the person could live for several decades. The drugs are not a cure. Be careful. ...Read more
Do nurses have the right to know the condition of her patient especially when her patient is HIV positive?
IMHO--yes: This topic could be debated for days. Some people will say yes, others will say no. But you must consider every patient to be HIV positive, because the patient could be HIV positive and not even know it. That's why it is called universal precautions. It's also important in cases where the nurse is pregnant and the patient has some other infection. ...Read moreSee 1 more doctor answer
I poked myself with .018 ss wire while working on a patient who looks healthy 16. Should I start anti HIV meds?
Have pt checked : first, this a very low risk situation ...Read more
Please answer! what safeguards are taken to ensure that HIV positive patients 'rights to privacy are not violated?
Is it possible to predict what going to happen to a HIV patient from the first day he was diagnose till he start to develop aids?
HIV is manageable: Yes. But, first thing to know is that no ethical or good doctor would even let you get close to having aids. There should be a visit with your HIV specialist early on where the standard or common issues with infection are gone over, and what the steps will be to prevent immune collapse. ...Read more
What's the initial management of a patient that has just contracted HIV within the past 3-5 days? What's the prognosis of such "early" detection?
Prognosis good: Some semantics: contracting hiv, means that one has been exposed to the virus, generally through blood exchange, sexual activity with HIV infected person, IV drug use...The test for HIV does not become + for weeks after exposure. Perhaps you mean that a DX of aids was made a few days ago. Either way, early detection makes it very treatable and today likely curable. Infectious disease doc is best. ...Read more
Please Stop: Please, get to see an HIV expert in person. These questions are missing so much detail and context and appear to be getting more and more panicked. Any more an HIV positive man, with access to adequate health care and medicines, should expect to live a completely full life. My patients, today, that i care for are told that they will live for as long as nature intended if medications are taken. ...Read more
What to do if I'm 30yrs old female n HIV patient and my husband is not having hiv. we r planning for a baby is possible?
Having HIV: We now know with 100% certainty that an infected human who has HIV and is on antiretroviral therapy and is undetectable cannot transmit the virus to their sexual partner. Your OB may have you consult with an HIV expert during your pregnancy to keep you safely undetectable and to also prevent transmission to your baby. You can become a mother. You and your husband can safely do so if you're treated ...Read moreSee 1 more doctor answer
Human immunodeficiency virus (HIV) is a lentivirus (a member of the retrovirus family) that causes acquired immunodeficiency syndrome (aids),  a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections ...Read more
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