Doctor insights on:
Colonic Diseases Family Physicians
No certainity: Although autoimmune disease have high genetic transmission rates, I do not know if you can say who will get what until signs/symptoms appear. So the best advice i can give is that you to be aware of the signs and symptoms of conditions which are prevalent in your family and be vigilant and honest in recognizing them and taking action to be evaluated by a medical professional. ...Read more
Yes, But,: We are human & we all have things that bother us too but our professional training helps us to deal with them anyway. Also, it is one reason we may choose a different specialty - to avoid the things we don't like. In many ways it is like changing baby's diaper, no one likes to do it but we do it since it needs to be done! we also may assign the task to someone that is less bothered by it ...Read more
Several.: The types of colorectal cancers you refer to include hnpcc (hereditary nonpolyposis colorectal cancer) and fap (familial adenomatous polyposis). However, each of these can also arise form a new mutation with no family history. Garden variety colorectal cancer also has some heritability, though far less than those noted above. ...Read moreSee 1 more doctor answer
Do you recommend genetic testing such as is offered by personalized genomics companies? Prostate cancer seems to run in our family
What are the differences between medical microbiologists, infectious disease specialists, immunologists, and rheumatologists?
The medical team: The great thing about Medicine, is there are many interesting areas to focus on. Just like a team sport with a quarter back, running backs, receivers etc - within Medicine there are interesting roles that you can explore if you find particular interest in a certain area. I know docs who only work on HIV for example. I'm an ID doc and I think I have the best job in the world! Follow your interests. ...Read more
Bias, caution: If one assumes proper diagnosis is the first step toward enabling treatment, such bias means that many teens may be labeled as lazy, bad, or other perjorative terms, or wont get the help they need to have better quality of life and success. Some of this may be well intended, as labels can follow or stigmatize someone. Consevative care by experienced professionals is needed, not lack of treatment. ...Read more
Both: Both do however if a mass is there the colon and rectal surgeon can take care of it. In addition a colorectal surgeon would be more agressive at removing a polyp whereas a GI may be more apt to recommend surgery. This is based on personal experience. Fyi colonoscopy was pioneered by a general and cardiothoracic surgeon at beth israel in ny. Dr wolff and dr shinya invented polypectomy. ...Read moreSee 2 more doctor answers
Possibly: They help reduce inflammation by repopulating the gut with healthy bacteria that are immune modulators. It's still in the research stage for UC, so most GIs don't offer it. Some kits with instructions are available on the internet. Try Probonix probiotic, vit D3 10k IU/day and autoimmune paleo diet until you can find more on fecal transplant. ...Read moreSee 1 more doctor answer
23F. Strong family history of colon cancer. Syncope, h/h 7.4/27.7. Fe studies showed anemia, hematologist referred to GI. Chances of cancer?
Low: What is the earliest age which you family members had colon cancer? If you are ten or more years younger than the lowest age of the cancer patient, your risk is very low. Your anemia is more likely due to blood loss in menstrual bleeding. You are doing the right thing by seeking care. Follow your doctors' instructions. ...Read more
Some colon cancers: Are hereditary. Vast majority are not. The two common hereditary forms of colon cancer are familial adneomatous polys and lynch syndrome. Let me reiterate that hereditary colon cancers are a minority. See this site for more info. http://www.mskcc.org/cancer-care/hereditary-genetics/inherited-risk-colorectal. ...Read more
10cm ulcerative sigmoid bowel tumor found, disease also in s.4&5 liver plus other areas - what options pse? Aflibercept?Massive surgery, stent?
There is good chemot: There is good chemo available. It is often comined with targeted drugs like Avastin (bevacizumab) and erbitux(cetuximab)depnding on the kras mutation status of the tumor. The results of chemoa re quite good, so go for it. Aflibercept is not a particualry good drug...Certainly no better than avastin (bevacizumab). ...Read more
Not really: Most GI stromal tumors are sporadic. There are rare cases where there can be familial syndromes. In general having a G.I. Stromal tumor is not associated with increased risk of other cancers or lipomas. Sporadic lipomas are also very common. ...Read more
Cardiologists treat cardiac conditions & pulmonologists treat lung diseases. What is the name of the type of specialist who treats sirs (systemic inflammatory response syndrome)?
Mostly not.: The definition of complimentary and alternative medicine is slippery.I am a D.O., doctor of osteopathic medicine, and many M.D.'s consider my practice of manipulation, and philosophy of body self healing to be apocryphal(not accepted).I adhere to evidence based medicine as much as any dr.-but even the evidence isn't that firm.We learn more even day.Gsk told use Paxil (paroxetine) was safe in kids, not. ...Read more
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