Doctor insights on:
Mostly failure: Dacryocystorhinostomy is a procedure to replace a blocked tear drainage from the eyes to the nose. The most common problem is failure, that is blockage of the new drainage canal surgically constructed. Other problems are usually short term and can be treated in the post surgical recovery period. ...Read more
DCR: This is a procedure to replace a blocked tear outflow tract (into the nose) by creating a window from the eye (lacrimal) canals into the nose which bypasses the obstructed system. It is used in cases in which the normal tear flow needs re-establishment as the tears would otherwise overflow onto the cheek. It is done by oculoplastic surgeons, an ophthalmic subspecialty. ...Read more
Tear canal blockage: This is the procedure to substitute for the natural drainage of tears from eye to nose which can be obstructed sometimes spontaneously or by trauma. An artificial canal is created and the tears can then drain properly. It is usually performed by oculoplastic surgeons. ...Read more
Blockage: This procedure, termed a dcr, bypasses a blocked tear plumbing system that ordinary carries tears into the nose from the eye (s). The indication is blockage that cannot be corrected with probing, and tear overflow that becomes unpleasant for the patient who wants it to stop. ...Read more
Can be either:
Eye doctor performs external
ENT doctor performs endoscopic
You choose! ...Read more
Endoscopic: Endoscopic is less traumatizing with faster recovery time. It is trickier and requires more perfect anatomy to get good results. External exposes all the anatomy and can take care of things such as traumatic blockage better. Ask your oculoplastic surgeon which is best for your conditiion. ...Read more
In an elderly person who excessively tears up, is dacryocystorhinostomy necessary before cataract removal procedure?
Rarely: This operation is rarely needed in elderly people. ...Read more
She won't operate to remove her cataracts unless she has dacryocystorhinostomy done with another doctor. Is ther totally necessary?
Depends: Good vision after cataract surgery is depends, in part, on a good quality tear film. If a patient has chronic tearing or infections of the nasolacrimal duct requiring a DCR, then often it is best to do the DCR first to give the patient the best chance of good quality vision after cataract surgery. ...Read more
Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?
Coblation: Understand, these treatments are low (not zero) risk, but for what purpose? Contained herniation means that there is no pressure on the nerves, and the disc is simply not in a "normal" location within the disc space. Study? Fine. These haven't worked except temporarily in the lumbar spine. I would be pessimistic. Maximize mckenzie pt. Not heat/us/tens as they are useless. If no other option, fine. ...Read more
Complete your Q: Incompelete Question. Complication of Untreated which disease? ...Read more
Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed. ...Read more
Short and long term: There are both short and long term complications of tpn. Short term complications include infections, and imbalance of electrolytes, fluid status and blood glucose levels. Long term TPN can result in loss of IV access and also liver injury and cirrhosis. If you remain on TPN for more than 2-3 months, you should be evaluated at an intestine failure center which may consider intestine transplant. ...Read more
Discuss w/ Retina MD: The most common complication from a vitrectomy is progression of cataract. At your age of 40, that may not be a major factor. Other risks that occur less than 5% of the time are retinal detachment, and bleeding. Post-operative infections from vitrectomies are rare. Depending on what the underlying condition is that you have, there may be a risk of disease progression and need for further surgery. ...Read more
ESR is a marker of: Erythrocyte sedimentation rate (ESR) is a marker of inflammation, thus high inflammatory processes cause ESR to be higher. Infections, cancers, uncontrolled rheumatologic diseases, and endovascular inflammation (i.e. Arteritis) are examples. Thus, elevated ESR values suggest inflammatory conditions which should be sought and treated. Esr is not a complication, but a marker! Consult doc. Good luck. ...Read more
Impetigo: Impetigo typically isn't dangerous, but complications can sometimes occur. For example, scarring, cellulitis- this potentially serious infection affects the tissues underlying your skin and eventually may spread to your lymph nodes and into the bloodstream. Left untreated, cellulitis can quickly become life-threatening, also one of the types of bacteria that cause impetigo can damage your kidneys. ...Read more
Too many ways to get to understand diabetes and its complications.
There are many very readable articles on the web that you should read.
It also would not hurt to have your doctor refer you to a diabetes educator.
Please note -- your goal is to get rid of your diabetes long before complications set in. ...Read more
Endoscopy: Complications rate is very low (less than 1%) but includes aspiration, perforation, bleeding, infection, missed findings, reaction to sedation including death. As stated, complications are rare. They should be discussed with you by the person performing the examination. Risks & benefits are discussed prior to the examination. This is referred to as "informed consent. ". ...Read more
Depends: What casued the delerium? Anesthesia? It usually passes in hrs. Psych meds? Surgery, lsd, stroke, altzheimers, depending on the cause the complications are anything you can think of if a person isn't thinking right;, hurting others or themselves, malnutrition or any organ can fail with long term delirum. ...Read more
Missed abortion: Treatment for missed abortion can be 1) watchful waiting, 2) medication, or 3) surgery. These will be successful at resolving the pregnancy about 60%, 90%, and 100% of the time, respectively. The last is the fastest and most tolerated, but most expensive. Watchful waiting has small risks of bleeding, infection, or blood clot. I recommend counselling with your doctor. ...Read more