Doctor insights on:
Disease Treatment Option
Tremors: Sinemet (carbidopa and levodopa) is what our neurologists use. Consult your pcp for other options. ...Read more
See: Http://www. Mayoclinic. Org/diseases-conditions/parkinsons-disease/basics/treatment/con-20028488Get a more detailed answer ›
See: Http://www. Mayoclinic. Org/diseases-conditions/gauchers-disease/basics/treatment/con-20031396Get a more detailed answer ›
Discuss with GI MD: Treatment of anyone with an autoimmune disorder starts with stress reduction, proper diet and adequate sleep and rest. Lack of any of these can worsen/bring out symptoms. Sometimes treatment involves biologics of which Humera is one, steroids, and 5-aminosalicylates if the colon and rectum are involved. The right medication choices need a discussion with your MD who knows extent of your disease. ...Read more
Two: If the disease is causing pain, bisphosphonates are usually prescribed, although calcitonin has been used and, in my opinion, would be a safer choice. ...Read more
See: Http://www. Mayoclinic. Org/diseases-conditions/cushing-syndrome/basics/treatment/con-20032115Get a more detailed answer ›
Yes: Gaucher disease treatment used to be limited to enzyme replacement therapy (ert)with cerazyme as the only product. Since there is now a oral ert product called Miglustat as well as competing ert products vpriv (velaglucerase alfa) and elylyso. In addition, there is substrate reduction therapy (srt) agents in the pipeline that are under investigation at the moment. ...Read more
Not really: No. There is no gold standard available for the nonsurgical treatment. There is still a great need for further investigation of to make clear recommendations. Multimodal therapy is still best approach. Various nonsurgical modalities have been examined with mix results all around. Severe penile deformity, narrowing or deviation that impedes intercourse should consider surgery (disease stable >3 mo. ...Read more
For best results: Unfortunately it is diffuse diseases, it involves nipple and areola complex, when this area is removed will be cosmetically unacceptable, and is a aggressive disease are the reasons for mastectomy, although wide resection with good margins possible along with chemo-radiation is possible. It is also easier to reconstruct breast after mastectomy, if needed take a second opinion., discuss. ...Read more
Huntington's disease: No treatment can alter the course, but medications lessen symptoms. Some are Tetrabenazine for chorea movements, Risperdal or Seroquel, Amantadine, Keppra, (levetiracetam) Klonopin, SSRIs & Mood stabilizers. Also, Psychotherapy, Speech therapy, Physical therapy, Occupational therapy, Nutrition, and Support services for activities of daily living. ...Read more
Compliance is key: The first step is to make sure you are truly following a gluten-free diet. Gluten can hide in substances like beer and some pills. Consult with a dietician to make sure. If this is still a problem, consult with a gastroenterologist to perform other tests to make sure there's no other inflammatory process going on or other causes. There's a medicine called "budesonide" they may try. ...Read more
First line--medications (advil, aleve, (naproxen) etc.--avoid opiates if you can!) as needed for pain relief, ergonomic adjustments at work (good seating posture/distance from computer, etc.), gentle neck exercises.
Second-line: steroid+/- Lidocaine injections for pain not controlled with medications. These injections last from a few weeks to several months.
Third line: neck surgery. The results are mixed! ...Read more
Have degenerative disc disease, allergic to anesthesia, can't b put under Had 2 discs replaced prior to allergy Any option for treatment without sleep?
Very doubtful: You're allergic to all anesthetics. Need to find anesthetics you can use and make plan ...Read more
Many: Treatments for sickle cell disease include hydroxyurea, blood transfusions, or even bone marrow transplants in certain cases. It depends on the severity of disease. Treating pain crises is also a very important part of managing the side effects of the disease. Because sickle cell disease can affect many organs in the body, it is essential to receive care from an expert in sickle cell disease. ...Read more
Quite a few!: Cgd is an immune deficiency that leads to frequent bacterial and fungal infections. Current treatment can include aggressive and prolonged antibiotic, antifungal, and Prednisone use (sometimes continuously for each as prevention), interferon, white blood cell transfusions, stem cell transplantation, and sometimes bone marrow transplantation. ...Read more
Treat like asthma: Byssinosis, brown lung disease, is treated like asthma with bronchodilators like albuterol and anti-inflammatory agents like inhaled & oral steroids. The amount of medication used is dependent on the severity of symptoms. Reducing exposure to cotton & other vegetable dusts at the place of employment or job change and avoidance of tobacco smoke are also crucial for effective control. ...Read more
Treat symptoms: The mere presence of narrowing or compromise of blood flow in arteries is not a reason for treatment unless there are symptoms. Ulcers, pain, gangrene are symptoms that in the presence of pad need to be treated. Just because there is narrowing of the arteries without symptoms, does not warrant any treatment. Prevention by not smoking, blood sugar and cholesterol control and excercise will help. ...Read more
Fiber: Most young people without any colon disease, such as inflammatory bowel disease, have irritable bowel disease or lactose intolerance. The treatment for ibd is increasing dietary fiber with whole wheat bran or psyllium seed products. Lactose intolerance is treated by avoiding dairy products. Try taking metamucil or an equivalent product. If there is no improvement, see your physician. ...Read more
I have mngie disease as well as diverticulitis of the small bowel. Do I have any options for treatment?
Unknown: You have a very rare disorder that's been reported in less than 100 patients. It's associated with neurological conditions as well as GI ones with pathognomonic findings on mri. You would be best followed at an ultra specialized center where they are involved in research. You can find links on the web via the nlm - national library of medicine. ...Read more
Could you tell me what are cancer treatment options when the patient also has Parkinson's disease?
What are permanent treatment options for lumbar disc diseases, like disc dehydration, bulging, and tear?
Sorry!: At this time, nothing will reverse these processes. Some of this is genetic and some is aging. Your best approach is to stay active, exercise regularly, get your rest, avoid unhealthy habits (smoking, over-eating). ...Read more
How curable is a soft tissue sarcoma of the calf? Expected disease free life expectancy and treatment options?
Surgery +/- RT: Most soft tissue sarcomas of the extremities are treated with surgery to completely remove the cancer ("negative" margins) then possibly also post-surgery radiation therapy or rt. Prognosis, and the need for rt, depends on the tumor type and grade, or how aggressively it is growing under the microscope. ...Read more
Mastectomy lumpect: Usually mastectomy (with or without reconstruction is indicated). However, if the paget's is not associated with an invasive cancer - or if the cancer is not very big, a central lumpectomy - removing all of the nipple and areola and a cone of tissue under it may be done. In all of these cases, radiation is indicated and there is still a risk of local recurrence and usually a significant deformity. ...Read more
My graves' disease ft4 is getting worse, it's now 88.6 and it's been a year since on medication, would surgery or radio treatment be a good option?
See endocrinologist: I assume your free T4 level is pmol/l, and is indeed high. You are not on enough dosage of an antithyroid drug (methimazole). Some people require doses as high as 30 mg twice daily. It would certainly be reasonable to think about definitive treatment of the hyperthyroidism by surgery or radio iodine. You should see an endocrinologist to help you decide. ...Read more