Doctor insights on:
Dhe 45 Allergy In Children
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
I have chronic migraines often and the only thing that helps is DHE(Dihydroergotamine). Last time I needed this it was off the market. Is it back on?
DHE-45: Is still used frequently in the hospital emergency rooms to stop a prolonged migraine. However, the use of ergotamines can be abused, resulting in a medication overuse headache which is discussed elsewhere in this chapter. To lessen the need for acute pharamcologic therapy, prophylactic drug therapy and nonpharmacologic therapies are used. ...Read more
Is there a cocktail of meds that break status migrainousos particularly well? Read iv compazine (prochlorperazine) and iv dihydroergotamine.
I stop smoke 2 months ago after 6 years of smoking, and I have problem breathing dhe need to take a deep breathe and some time I can't take it.
My daughter fell saturday now she says her neck is swollen. Could dhe have a concussion. Her neck is slightly swollen
A : A concussion effects the brain. It could present with amnesia of events just prior to or after the injury as well as with possible brief loss of consciousness. Additionally, there can be visual changes, confusion, feeling tired, headache, repeating things, nausea or vomiting just to touch the tip of the ice berg. You were talking about her neck. She could have had a cervical spine injury or sprained muscles or strained ligaments. The best way to know is to have her checked out and she may need x-rays of her neck. ...Read more
My daughter 25 her body become stiff and numb after dhe got angry about her work. Her face become pale. Is it because of tension? Or what is it?
Need more info: Did she become nauseated? Did she feel faint? Did she have involuntary movements? It's hard to say what happened. My guess would be a neurological reflex called a "vagal response." you can read more about it here: http://en. Wikipedia. Org/wiki/vasovagal_response your daughter's reaction was milder than described there and, in fact, vagal reactions do occur in all degrees of severity. ...Read more
Absolutely not!: Different drug. Different mechanism. Different adverse reactions! Midodrine doesn't cause coronary vasospasm. ...Read more
My baby is going through a stage where dhe isn't eating good should I give her vitamins like I use to?
Needs Change: Before 6 or so most kids eat what their brain tells them to (after 6 tv adds & bad habits often rule). The toddler drops from a 14 lb/yr to a 4 lb/yr growth rate & my expectation is they eat well 3-5 days/mo then nibble the rest. It is sad the "I don't wanna's" come along at the same time. Think of a balanced week not a balanced meal. If baby is growing nl try not to get in a food fight, u will lose. ...Read more
My child fell n hit here nose on thr ground n it seem nothing broken but when she woke up dhe said she see spots on her left eye. What to do?
How do I end a status rebound migraine for 3 weeks without being in lots of pain? Allergic to Tordol, dhe, ultram, triptans. Steroids didn't help.
I'm took medication for infection becouse I had fever for some days and i still have, after finishing dhe medication my white blood cells wore 18000?
Is Ketamine &/or Lidocaine IV infusion capable of breaking an active migraine. Tried DHE, triptans,aleve, topamax, (topiramate)nerve block etc and nothing has worked?
Sure : These are serious medications with my r serious complications this is a question of management for your doctor and you ...Read more
What is the best treatment for rebound headaches if your allergic to triptans, dhe, tordol, stadol, and ultram. Botox didn't work. Status migraine 2 w?
Rebound or migraine?: A rebound headache is also called a"medication overuse headache,"&occurs, paradoxically, from daily use of "as needed" headache meds like acetaminophen, butalbital, triptans. There is less risk with NSAIDS (eg.naproxen). Individual advice requires appt, &in your specific case, with a Toradol allergy, you would need to clear this with your doctors first. A 2wk headache is very difficult-wishing you well. ...Read more
Yes: Not all the food allergies are created equal. Food allergies like dairy, egg, wheat tend to be outgrown. Tree nut and peanut are less likely (although recent studies suggest that 20-30% outgrow the peanut allergy). Environmental allergies tend to "grow on you" with time. Note: the allergy test may remain positive despite the child having outgrown the allergy. Consult with an allergist. ...Read more
It depends: It really depends on the age of the child, and whether you're talking about food or environmental allergies. I generally will skin test children over age 2 for environmental allergies, while many younger kids need food testing. In terms of frequency, children with environmental allergies may benefit from repeat testing after 2 years, as their allergies can change as they get older. ...Read more
Sometimes: But not all the time. Nasal allergies are not a frequent cause of a really bad persistent cough. In a child with allergies and a really bad cough (assuming no fever) I would be concerned about a reactive airway/asthma type condition. If the child also had eczema I would be even more concerned. ...Read more
Breastfeed!: Breastfeeding is shown to be protective for children with a strong family history of allergies. If unable to breast feed, try a hypoallergenic formula such as "nutramigen" or "alimentum". Try to avoid introducing baby foods until 4-6 months of age; once you do, introduce them slowly. Interestingly, exposure to dogs & cats appears to reduce the risk of becoming allergic to those household pets! ...Read more
Nasal, eye, skin: Children will exhibit sneezing, itchy nose/eye, stuffy nose or cough with close exposures with pets. If licked by a cat or dog and allergy is present, a rash could develop at that site. The allergies could manifest as asthma with cough, wheezing or difficulty breathing. Typically, a pattern will be seen, but if it is an indoor pet, the symptoms may be continuous. ...Read more
Yes: Especially in children too young to communicate effectively. Food allergies can manifest as itching, hives, swelling, vomiting and/or diarrhea. Any of these symptoms could lead to being irritable. Similarly, food intolerance syndromes such as lactose intolerance with abdominal pain, gas and diarrhea can also be accompanied by irritability. There are other reasons for being irritable as well. ...Read more
Probably same: An allergy may give you more symptoms but celiac usually attacks the digestive tract. ...Read more
Lunch tables: Most schools provide a peanut free table for students with peanut allergy to sit at. They often have a friend that agrees not to bring peanut to school that is able to sit with them. ...Read more
No: The condition of being allergic is certainly an inherited property. Often, that tendancy is greater in children whose biological mother has allergies. However, specific allergy is generally not thought to be inherited. That is, a parent can be allergic to food, and their children allergic to pollen or insect stings. ...Read more
Add-on for hives: Ranitidine (zantac), although it's a different kind of histamine blocker (h2 for acid vs h1 for allergies), has been shown to have some anti-allergy properties, especially when used with a h1 blocker like Benadryl (diphenhydramine) for hives. There was actually one study that showed benefit in nasal allergies, but I don't know anyone that prescribes it for that purpose. ...Read more
Depends: There are a variety of sources depending on age and co-existing food allergies. Soy milk is a possible but 30% of cow milk allergic will be allergic to it. Goat milk or cheese, rice milk, etc. Older kids can simply be fed Tums wafers/tablets I am once or twice a day dosing based on size/need. These have enough calcium. The fluid/sugar & fat found in cow milk can be found in many sources. ...Read more
Lots of Stiuff: Fortified soy milk for beginners. Dark leafy greens like spinach, kale, turnips, and collard greens. Fortified orange juice. Sardines. Enriched breads, grains, and waffles. ...Read more
No: If you have the genes to get asthma, it doesn't matter if you treat seasonal allergies or not. It will emerge whenever & wherever you hit the trigger events that let it come out. Many kids have seasonal allergies. Those that ignore them do not get asthma because they chose to live with them without throwing meds or shots at them ...Read more