Doctor insights on:
Happy to say am 4mon pregnant now&feel just a little shakes abdomen in midnight time when lay on bed. Does it my baby's moves. Can it feel them in 4th monts?
Possibly: It's amazing the differences between women as to when they feel their baby move. I didn't feel movement until 22 weeks, but I have had a lot of patients who feel movement at 4 months. Feel blessed if you're feeling movement, it's a great feeling! ...Read more
Peyronie's Disease: This would be managed by a urologist. ...Read more
Pressure sores: They are a breakdown of skin in areas of pressure. They usually occur in areas of boney prominence and in individuals who have trouble moving around for themselves. The best treatment is prevention! ...Read more
Skin breakdown.: When a sick or frail patient lays in one position for a long time and cannot move the pressure over bony prominences (hip, tailbone, etc) can crush and kill the skin in between the bone and the bed. Bad ones can even kill off the muscle. This dead tissue can become infected and spread to the rest of the system ...Read more
Bedsores: There are many (thousands) of products in the wound care world and most are sterile when you take them out of the package. Bedsores develop because of pressure, so the best treatment is to keep that area involved away from any pressure. The treatment of the sore really needs input by professionals that see these wounds all of the time. Seek expertise at a local wound care center. Home health? ...Read more
Rx of Pressure Ulcer: Careful attention to pressure relief and pressure redistribution is the key to treating pressure ulcers. Contact your local wound care center or wound care trained nurses at your local hospital for further suggestions. Sometimes having evaluations by home health nurses is an excellent avenue to assessing pressure redistribution devices. ...Read more
Biting tongue: Often times we don't, tongue is very vascular and it heals fast, take him to his doctor have him look at it, if he needs any medical attentions. ...Read more
I had baby boy before 3 months my beeding was stoped in 6 weeks but it is again start in 11thweeks. Is this my proud?
Yes: Yes could be your periodsGet a more detailed answer ›
What to do if I'm 58 years old man. Befoe 25 days I was found with widal positive but after 25 days widal test is negative.?
What is a good reduction rate for methadone-i ake 10mg morning 10 6 hours later and 15mg bedime for pain. Want at least to reduce.?
About 10-20%/week: You are on 35 mg per day. I would recommend reducing by no more than 5 mg per week. Week 1 using 10-5-15, week 2 10-0-15, week 3 10-0-10, week 4: 5-0-10, week 5: 5-0-5, week 6: 2.5-0-2.5 and week 7 just 2.5 in the morning or evening, depending on when your pain is worse. However, if you aren't treating your pain in some other way (talk to your doctor), your chances of success will be less. ...Read more
What do you suggest if I'm 58 years old man. Befoe 25 days I was found with widal positive but after 25 days widal test is negative.?
How to you FEEL?: These tests for typhoid / brucellosis have cutoffs assigned variably. If you feel okay, don't give it another thought. ...Read more
Yes and no.: For the most part as long as a patient turns or is turned every hour or two they can be avoided. But there are certain patients (morbidly obese, malnourished, paralyzed etc) that are at very high risk of bedsores even with turning. Special mattresses, padding etc can help but there are some patients where it is almost impossible. It to develop bedsores ...Read more
Depends.: There are a wide range of hospital mattresses. The basic ones do little to prevent. Then there are the air mattresses where the pt is sleeping on a cushion of air. This works much better. Really the best help is frequent changing of position to prevent prolonged pressure on one spot for more than 1. - -2 hours ...Read more
Bedsore care: The wound needs improved care and cleaning, with professional advice if possible, and maybe treatment with an antibiotic ointment or by mouth. Getting quality care can be a challenge in your country or setting (e.g. in a township), but best to arrange it if possible. Otherwise local cleaning plus an oral antibiotic like sulfa-trimethoprim or ciprofloxacin may help (check w pharmacist). Good luck! ...Read more
Don't know: If the bed has a mechanism to turn the patient & change position every 2 hours then it would work since it requires 2 hrs or less of pressure to create a pressure area on a dependent site. ...Read more
My grandma has a bedsore post op that has become black in some areas; what should I be concerned about?
Depends: It is impossible to tell you what the black areas mean without seeing your grandmother and the sore...It could mean infection or it could be a small area of dead tissue that is of no consequence. She should be examined by her doctor or by a physician who is familiar with pressure sores, their management and complications. ...Read more
Bedsores: Bedsores are due to pressure over bony prominences. The best way to prevent bedsores, once they occur, is to keep pressure of these areas. That means that you need to constantly move the person into different positions to relieve the pressure. Seeking professional help like with a wound center is a great option since depending on the depth, stage and location of the uler, your options will differ. ...Read more
Bedsores neglect: The issue is whether all pressure ulcers are avoidable. Most professionals believe that there are unavoidable pressure ulcers. The issue of 'neglect' is a legal term used by the plaintiff attorneys. Some wounds are not preventable. One extreme example is a kennedy terminal ulcer (google the term). There are many risk factors that a patient can have that are'tcorrectable and that snfs cannot cure. ...Read more
Cause Pressure Sore: Pressure causes a bed sore. One unknown is how long does it take a pressure ulcer to develop. There are many risk factors including diabetes mellitus, low blood pressure, moisture from incontinence or perspiration, fungal infection, use of medical devices, etc. We simply do not know for an individual patient whether rotating them every five minutes or every two hours will prevent pressure injury. ...Read more
Vaginal Atrophy: If you have vaginal dryness at the age of 43, I might be concerned about your estrogen levels or your sexual health/practices and would recommend that you have a more detailed consultation/examination. What's most important to know is if there's a trigger for your bleeding, like trauma or a yeast infection, then figuring out how to decrease that trauma to the vagina. ...Read more
Evaluation: We cannot evaluate it over the web. Is she sick? Febrile? Weak? Confused? Breathing quickly? If so call ambulance. If not, and the sore is dry and not terribly painful you can keep it clean, place a clean gauze on top and have her seen by her md. She may need dressing changes, surgery or just some protective bandages ...Read more
BCG: Why is somebody in usa taking bcg? Only recommended for areas with high rates of TB exposure. As long as your son is not immunosuppressed, and has no residual symptoms the two doses should not be a problem. Infection with this bacillus is inordinately rare. If he develops any symptoms take him back to doctor asap, but suspect you have nothing to worry about. ...Read more
Offload the ulcer:
To avoid pressure ulcers: keep skin clean and dry, keep bedding fresh and cool and rotate positions in bed at least every two hours.
Use barrier creams for incontinence problems.
To treat: offload the pressure area, clean the ulcer and cover it with a dressing suited to the level of drainage. ...Read more
Yes: The most simple & economic mattress is the egg crate mattress of foam which shows a surface similar to the containers of the eggs we get at the supermarket this prevents parts of the surface to be in direct contact of the skin. There is a sophisticated expensive bed called clinitron (r) than some hospitals use for the deeper ulcers and sickest patients. I mention before paddings & pillows. ...Read more