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Doctor insights on: Can One Strain Mutate Into Another Strain

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Is it better to use ice or heat after straining one's lower back?

Is it better to use ice or heat after straining one's lower back?

Do what helps: Traditional wisdom is ice for first 24 hours to limit inflammation then heat after to reduce spasm and stiffness. While this approach works well for some injuries (like a sprained ankle) i don't find patients usually get much relief from the ice portion (likely less inflammation and more muscle spasm). Heat helps most people but in the end, do whatever works for you. ...Read more

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Are the same strains of HIV found in apes the ones found in humans?

Are the same strains of HIV found in apes the ones found in humans?

SIV and HIV: Primates (apes, monkeys, chimpanzee) had siv (simian immunodeficiency virus), which was the precursor to HIV (human immunodeficiency virus). See http://en.Wikipedia.Org/wiki/history_of_hiv/aids. ...Read more

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Is strain 16 the only one that causes oral hpv?

Is strain 16 the only one that causes oral hpv?

No: There are more than 100 types of HPV. Most can infect the mouth. However, HPV 16 is the only type associated with cancer of the throat. Even there, it's really not a serious worry. Throat cancer due to HPV 16 is rising in frequency, but still quite rare. ...Read more

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How can one prevent getting lumbar strains?

How can one prevent getting lumbar strains?

Use proper mechanics: By using proper body mechanics and by staying in good physical shape with regular exercise incorporating flexibility, core strengthening and cardiovascular training. Try not to fatigue muscles by getting a good night sleep and taking appropriate breaks when doing repetitive tasks that involve prolonged positioning like bending as well as those with bending and rotation. ...Read more

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I am 68. Should i get stronger flu shot or one which covers more strains of the flu?

I am 68.  Should i get stronger flu shot or one which covers more strains of the flu?

Higher dose: You have 2 choices the regular dose flu shot and the higher-dose flu shot designed for people 65years of age and older. This higher dose flu shot results in a stronger immune response and reduces the complications from the flu virus infection in elderly people. Take one as soon as it is available in your area ...Read more

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Are all probiotics the same as Align? Is Align the only one with that specific strain? Are they all just as good?

Are all probiotics the same as Align? Is Align the only one with that specific strain? Are they all just as good?

They aren't watched.: The probiotics are not standardized to know the bacteria stay living on the grocery shelf. While under laboratory conditions, mostly, probiotics work, the same quality control isn't done outside of clinical tests. ...Read more

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What to do if i need to use the restroom, but it bleeds when i strain and there's swelling on one side of the anus, what do I do?

What to do if i need to use the restroom, but it bleeds when i strain and there's swelling on one side of the anus, what do I do?

Anal swelling/bleedi: Most likely swelling of the external hemorrhoids and the bleeding is most likely hemorrhoidal in nature as well. At 47 years of age, you should be evaluated by a colon and rectal surgeon to check your hemorrhoids as well as to do any necessary workup to clear your colon (colonoscopy) of other pathology. They can make recommendations to help your constipation as well. ...Read more

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Fam membr had stom flu feb 27th. Has it again today. Is it possible this is the same flu strain or diff one? Can you get the same flu so soon again?

Fam membr had stom flu feb 27th. Has it again today. Is it possible this is the same flu strain or diff one? Can you get the same flu so soon again?

Unlikely: The issue is what you are calling the flu and if was correctly diagnosed. Most people self diagnose and we have no confirmation. If you have fever, body aches, cough with malaise during flu season, then we treat empirically waiting for confirmation. Your member probably had a viral syndrome then perhaps another or a complication like sinusitis. ...Read more

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