Doctor insights on:
Dr. Bennett i. Machanic I have 2 MRI images cervical, how can I get these images to you to see if what I see on spinal cord are in fact lesions?
We have a: Message center, and many patients send directly via this private link. You can contact the webmaster for more specific information, but would be happy to review and provide my opinion. Hope to solve your problems. ...Read more
Thank you to dr bennett warner. For re laying to my sickness just for last time last monday I did heart cath is clear forth one in 10 years sir?
Not sure of your?: I'm not certain what you're asking but if you're asking if a normal heart cath means that you will be normal for the next 10 years, it does not. A heart cath should not be mistaken for a crystal ball. No one can predict the future. If your cath is completely normal tho, at 43, you must be living a healthy lifestyle and that bodes well for the future. Best of luck! ...Read more
I have stronger odor in left armpit for 20 days, doesn't go away with washing easily. Dr Bennett said here this may be due malignancy, but what type?
Injury to the base -:
Of the thumb metacarpal bone. You can get an Xray of it to confirm. Generally with a hx of a fall or injury to the thumb, with pain, swelling, tenderness and inability to move thumb without having severe pain in it.
Seeing an Orthopod would benefit as she/he can Dx it and start treating you as well.
Good Luck. ...Read more
Dr. Bennett; What type of malignancy did you have in mind, that causes (different than before) body odor under one armpit, please?
None: There is NO malignancy that would cause an odor in only one armpit. Odors here are from bacteria that live on the skin, mixing with sweat from the glands surrounding the hairs. The sweat odor can be affected by emotion, but not in only one pit! Keep very clean, wipe the pits with alcohol if you like, let dry then follow with a good deodorant containing aluminum chlorhydrate. Good luck! ...Read more
8 weeks: The fracture heals by 8 weeks but you will notice improvement up to one year. ...Read more
Hello Dr Bennett, I have experienced hardening of the bladder wall after chemo and radio treatment for stage 4 bladder cancer, will this condition go?
Will remain: Best results are for lesions of the mucosa. Once bladder wall invaded, especially with extension beyond the bladder then depending on overall situation, radical cystectomy with neobladder utilized. If lesion too advanced primary lesion therapy may be relegated to local RT chemo for control of symptoms. ...Read more
? This am re narcolepsy dr's machanic and ali answered but did u look at my records? How could I be cpap compliant without a study? Osa diagnosis 1993.
Are you considering: You may not have narcolepsy b/c you may not be using CPAP properly? There are devices which measure compliance if this is the case. There are also home sleep studies. Most with significant apnea will be assoc. W/ high blood pressure, how is yours? Armodafanil (nuvigil) or modafanil (provigil) is indicated for sleepiness in both conditions. It can be like a miracle if you respond. Gdluc. ...Read more
Rarely: Behçet’s disease is likely a vasculitis problem that results in ulcers, typically in or around mucous membranes (like the mouth). Prognosis has greatly improved in the last decade or two with more severe disease in those with eye symptoms and most severe in those with central nervous system symptoms. ...Read more
Hallucinations: Charles bonnet syndrome is the occurence of visual hallucinations in blind people, especially those with retinal disease. Patients who experience these should be reassured that they are not psychiatric in nature. ...Read more
Very difficult: Bedwetting (enuresis) indicates that the control mechanisms of the automatic (autonomic) nervous system are irritable. This can be induced easily by poor diet, particularly the intake of sugar. Voluntary control comes with normal maturation (i.e. Growing up) and that demands good body/brain chemistry. ...Read more
Isolated bedwetting is rarely "abnormal" but it can be very socially stigmatizing. Bedwetting occurs in normal people at rates of 15% of 5 y/o, 5% of 10 y/o, and 1% of 18 y/o.
It is considered abnormal if it recurs after a prolonged absence (no wetting for more than 6 months) or if it associated with any other neurologic problem, urinary infections, pain, daytime incontinence, etc. ...Read more
UTI, small bladder &: Diabetes melitus, reverse circadian rythmn (producing more urine at night than by day. Diabetes insipidus, renal or central where kidneys lose ability to concentrate urine & thus too much urine is produced. Multiple sclerosis, neurogenic bladder dysfunction. All are among causes. Suggest you see a urologist. ...Read more
The following: 1st restrict fluid intake after supper or early evening. Best chance for cure is bedwetting alarm, this is a device inducing a conditioning reflex. Child should be woken if he/she does not wake with alarm. In time child will percieve sensation of bladder fullness, like during the day, to which brain fails to respond in bedwetters. Ddavp (desmopressin) used as stop gap measure to reduce nocturnal urine production. ...Read more
Boys more than girls: Girls tend to achieve night-time dryness earlier than boys and hence boys are more prone to bedwetting than girls. Bedwetting is uncommon in adults, however is > common in women than in men. Children with developmental delay, down syndrome, diabetes insipidus and following bladder reconstructive surgery are all more prone to bedwetting. ...Read more
Yes: 1) restrict all fluids after evening meal. 2) try waking a couple of hours after going to bed. 3) try a bedwetting alarm 4) desmopressin (ddavp) medication at night. 4) avoid urodynamic studies or cystoscopy. 5) possibly long acting anticholinergic medication if subject has a small functional bladder capacity. 6) Imipramine (tofranil). ...Read more
Bed wetting alarm: The safest most effective means of treating mono symptomatic bed wetting is the enuresis alarm. It has no side effects, requires no monthly copays, and never expires. It will cure about 85% of pts who awaken. Ddavp (desmopressin) is the most commonly prescribed medication for this condition and is relatively safe but can lead to water intoxication and electrolyte abnormalities among other side effects. ...Read more
Consult urologist.: In mean time get urine tested for infection or presence of sugar (to rule out diabetes) stop drinking after dinner. Set an alrm for 2 - 3 hours after you go to bed. Try a bedwetting alarm (malem, wet stop, nytone etc). You might need medication such as desmopressin or a bladder anticholinergic such as oxybutinin er, detrol, vesicare (solifenacin) etc. However still consult with urologist. ...Read more
Anticholinesterase: neostigmine inhibits the activity of the enzyme responsible for breaking down the acetylcholine, the ubiquitous neurotranmitter. In anesthesia it is commonly used to reverse action of curare-like medications that cause muscle relaxation/ temporary paralysis necessary to facilitate surgery. Hope that helps ...Read more