Doctor insights on:
Beau is a type 2 diabetic. He eats, but is losing weight rather than gaining. Should i be concerned? I am worried!
YES!: As diabetes progresses, the patient's Insulin level becomes high as his body becomes more Insulin resistant.... At a certain point in the process, his Insulin level may be so high that the Insulin triggers lipolysis = fat breakdown and this causes a dramatic weight loss rather than weight gain. This is an indication that he needs close monitoring, tighter diabetic control, and a stricter diet. ...Read more
I regularly coughed out a bean looking thing that looks brownish and is smelly. It's rather soft too. What can it be plse. Thanks!?
I bent over and felt something pop (like a rubber band) in my lower back. It is painful in pulses. Not constant.?
Several things: It could be that one of the joints "popped" (like when one cracks the finger knuckles). Tearing or rupturing a disk can also cause a pop and pain. ...Read more
What is the best meal to eat in the morning? And what foods should I focus on before studying or during rather than coffee?
The Latest research towards conical cornea + best options to consider for a teenage boy. My case is rather severe. Not wanting to have a graph done!?
Help is on the way!: Keratoconus is a condition where the cornea thins out centrally over time. The pressure of the fluid that keeps the eye inflated slowly pushes this part of the cornea outward, stretching it into a cone shape. It can lead to high degrees of nearsightedness and astigmatism, as well as scars that block vision. If there are no scars, collagen cross-linking and other treatments can greatly improve you. ...Read more
Ate roasted beets, quinoa w/ cardemom & plain yogurt. Defecated 3/4 – 1 hour later. Beets very evident in stool. Isn't this rather quick transit?
No: Everyone digests at different speed. Could be the beets irritated intestinal tract. ...Read more
My best friend has got rather large ears and has lately grown taller. Will his ears get bigger too?
Larger ears?: No. The ears reach adult size around age six. ...Read more
The Best position to conceive baby as still unable to conceive since 6 months rather than missionary position?
Up to 1 year: The best position is the one you (and hopefully your partner) like best. No position is better than another for conception, keep trying. I'm assuming 27 years is your correct age? Totally normal couples may take up to 12 months TTC, some a little longer. Don't give up. ...Read more
Is it recommended that you drink BCPs with water? Similar to how other medications work the best if taken with water rather than any other beverage?
Any liquid: It makes no difference the type of liquid you use to swallow your BCP. What's important is that you take it every day and you try to take it around the same time each day (approximately). ...Read more
What's the best time to take prozac (fluoxetine)? Morning. Afternoon. Before bed? Starting 1st dose & rather not feel any side effects if any. Rather, not panic too
Prozac (fluoxetine): Prozac (fluoxetine) is believed to be more activating antidepressant. The majority of doctors recommend to take it in the morning hours. That said, some people feel like it helps them to sleep better. You can try taking it in the morning, if it makes you feels sleepy or tired, switch it to bedtime. ...Read more
I was wondering the best way to go about opiate withdrawl. Going to a clinic is MY LAST OPTION. I would rather deal with this myself.
Detox: Carol, while exceedingly uncomfortable and painful, narcotic withdrawal is usually not life threatening! Nausea, vomiting, shivering, abdominal pain + diarrhea are all components. There are medications that can help with this. Often people will end up in the ER after attempting home detox for dehydration from vomiting/diarrhea. I recommend you come off your meds under MD supervision. ...Read more
Must have nicked myself snipping the forest in my nose, because i now have a rather nasty scab in there. What is the best way to treat it?
I have a tight rubber band feeling and pain in the back of my knee when standing up from sitting or my leg/knee bent for a long particular time?
Stifness: If you sitting for long it is normal to feel little of "knee stiffness ". Also, if you do not stretch on regular bases your back tight muslce tendons (" hamstrings") become very tight and it can cause discomfort when gets up after sitting. Keep your body weight down to BMI <25. Extra weight multiply for knees x 4. Regular exercise. If minor discomfort put ICE and take Ibuprofen 400-800 mg. ...Read more
What is the bet way to fix gaps between teeth? Dental bonding? I have a rather large gap between my top two front teeth that I have never liked. What would be the best way to take care of this?
Get an exam: It's best to seek the opinion of a cosmetic dentist and an orthodontic specialist to determine what is best in your situation. If you only have the space between your upper front two teeth and you are adding 1.5 mm of bonding to the width of each tooth — you want to be assured they won't look as wide as chicklets (unusually wide). ...Read more
Solid movable lump by tailbone. Feels like rubber. About the size of a raw bean. There's a pit but is it a lipoma or pilonidal cyst?
Here are some ...: More online chat is a matter of time-wasting. The surest thing to confirm it is to see Doc timely. To do healthcare more effectively, follow instructions in http://formefirst.com/eNewsletter06.html. ...Read more
For an acl ligament knee reconstruction if your hypermobile or have EDS is it best to have an allograft rather than autograft to reduce failure risk?
Best 2 have -: -allograft otherwise the surgeon is replacing torn tissue with diseased tissue. Auto grafts put Ur own tissue in as the graft, & it also is effected by EDS, & will stretch & lead 2 hyper mobility again & the knee will B unstable again & more prone 2 retreat. My trainor @ the gym has type 1 Marfan's, & had 2 failed ACL RECON, LAST WAS ALLO & holding up. ...Read more
Drunk+Xanax used rubber bands around ankles and put 85+ push pins in bottom of feet 4 3hrs. Days later Feet tingle tearing feeling when bent numb toe?
It sounds to me like: You are in a great deal of emotional turmoil. The combination of alcohol and xanax (alprazolam) can be lethal in some people, or equally bad, can lead to respiratory depression, decreased oxygen, and brain damage. I am not sure what the push pins are for, I am assuming this is some kind of similar behavior to cutting, and if so it is another cry for help. See your doctor and/or a mental health professional!!! ...Read more
I have rather annoying acne scars both on my face & chest what's the Best scar Removal cream or gel?
Acne scars may…: Respond to vitamin A product (for minor imperfections) but a dermatologist may be needed for more severe defects (such as from cysts). Derm docs have a whole arsenal of ways to treat acne scars: chemical peels, dermabrasion, lasers, Botox, collagen fillers. If your acne is still active, get checked for polycystic ovary ds (increases male hormone which worsens acne) & see dermatologist ...Read more
Best recommended OTC drug for random heartburn? No prilosec. Tums (calcium carbonate) and rolaids make me vomit. Nothing to chew. Rather, a preventative than an as needed.
How about behaviors?: Assuming you have tried ranitidine (otc), here are some thoughts. Heartburn is caused by acidic stomach contents sloshing up into the less protected esophagus, and it can be brought on by acidic or spicy foods, alcohol, coffee, etc. If you are overweight or pregnant, you are more prone to heartburn because of the greater pressure in your belly. Eating late at night may bring it on, as can smoking. ...Read more
Depends: It's a numbers game and a genetics thing. Overall the ornish or zone diet. But you need to know how many calories you burn every day and how many u consume. You want to burn more than you eat. However, some people won't lose wt bec of hormone imbalances or lack of muscles. Diet alone will not work you must exercise and wt train. ...Read more
There is no best diet. No restrictive plan ever works long term. A "diet" usually means that the patient is going to go off of the "diet" when they have lost the weight. Guess what happens then? You go back to the foods you gave up... And you gain the weight back.
Most patients then feel like failures, and it's not their fault! Reducing
food portions, exercise, support for change will help. ...Read more
Arthritis?: Do you mean arthritis (http://sv. Wikipedia. Org/wiki/artros)? If so, Acetaminophen (or paracetamol) and nsaids such as Ibuprofen or Naproxen are useful. Latter two should not be used together as both are capable of irritating stomach & kidneys. Exercise is recommended to maintain physical function despite arthritis pain. See your family doctor to confirm diagnosis to avoid overlooking other causes. ...Read more
Balanced diet: A diet rich in fresh vegetables, fruits, whole grains, low in saturated fats is generally a good choice. You will need to limit calories to avoid gaining weight. Do not use tobacco and avoid alcohol. Diet needs to be tailored to an individual and you may wish to consult a nutritionist. ...Read more
Caution: Remember tatoos are permanent and somewhat unstable. This means that whatever you get, will last throughout your life but will smear and fade irregularly over time. If you are desperate to get a tatoo, try to get a very small one in a very hidden place like above your butt crack, or in between your toes. Avoid personalization and areas that will show in summer clothes. ...Read more
Genetic blindness: This is an autosomal recessive disease (i.e., the patient inherits one defective gene from each parent), with progressive loss of vision and sometimes other neurologic problems. Carriers (one copy of the gene) may have some visual problems. There is no specific treatment, and my hope is that if you or someone you know is affected, good supportive care will be available. ...Read more