Doctor insights on:
Autoimmune Disorders Malaria Treatment
a doctor that want to prescribe predinsone for possible igg4/psc treatment. Are there any alternatives to predisone for liver autoimmune disorders?
Best proven Rx: IgG4-associated cholangitis, also known as IgG4-related (sclerosing) cholangitis (IgG4-RSC), is an immune-mediated inflammatory disease characterized by specific changes on biopsy and elevated IgG4 levels. Initial treatment includes high dose prednisone at the time of diagnosis and up to 3 months. Maintenance regimens may use low-dose prednisone (2.5–5 mg/day) and/or azathioprine (1–2 mg/kg/d) ...Read more
The word comes from italian "mala aria" (bad air), from the belief the disease was caused by unhealthy air in swampy districts. Spread by mosquitoes, the parasite enter the bloodstream & infect red blood cells causing high fever, shaking chills, sweats, vomiting, muscle pain, headache, anemia. First symptoms occur 10 days to 4 weeks post infection, symptoms occur in cycles of ...Read more
Aeromonas found in stool. no gastro symptoms but fatigue/malaise for a year. autoimmune conditions ruled out. blood counts fine. treatment needed?
No.: Not all Aeromonas species are pathogens. Aeromonas has been isolated from the stool of asymptomatic individuals. Even if it does result in diarrheal disease, it is usually self-limited requiring only supportive care, such as fluid repletion. The only instances in which antibiotics are required include severe diarrhea or diarrhea in an immunosuppressed patient. Your fatigue/malaise is unrelated. ...Read more
What is the best or common treatment for malaria in ghana and can the malaria parasites be killed so that the patient is diagnosed free of the disease?
Malaria: This depends upon the particular species of plasmodium with which one is infected. The doctors there are best qualified to make these choices, having the microscopic evidence with which to make the decisions. The parasites can generally be entirely eliminated, but the risk of re-infection is always present. ...Read more
Malaria Symptoms: may include headache, fever, shivering, sweating, fatigue, nausea, vomiting, dry cough, muscle/joint/back pain & enlarged spleen. There is a cyclic pattern of being very cold & shivering followed by feeling very hot and sweating. Additionally one can develop jaundice, blood in urine, anemia, eye problems (nystagmus, problems with eye movements), seizures & coma. There are a # of antimalarial meds ...Read more
It can!: There are numerous drugs available to help prevent malaria when one is traveling to endemic areas. The drugs recommended vary from location to location. The cdc website has a good section for the traveling public on this. As an aside - and possibly for future reference if it actually works - a malaria vaccine is under development, and initial studies are promising. ...Read more
Usually: Mefloquine is normally used as a preventative (keeping a person from getting malaria in the first place) Mefloquine is only a secondary potential treatment once person has some forms of malaria & must be taken in partnership with another medicine because Mefloquine doesn't fight the liver phase of malaria parasite. If this second medicine not used--malaria only partly treated & may well come back. ...Read more
Malaria: If the therapy is effective against the strain of plasmodium you have there should be a rapid (within a day) disappearance of the parasite from the erythrocytes, and free gametocytes should also not be present. If you are still showing positive results on blood smears you may have a resistant organism. Hope you are better soon. ...Read more
The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
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