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Doctor insights on: Doctor Thinks Tracheomalacia

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Should my friend see a doctor if he thinks he has adhd?

Should my friend see a doctor if he thinks he has adhd?

That would be a: Good idea. Once a problem is understood it can be addressed. ...Read more

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My grandpa's doctor said he has a bezoar. Tell me more?

My grandpa's doctor said he has a bezoar.  Tell me more?

Bezoar: Gastric bezoars are usually asymptomatic, although unspecific symptoms may appear. Symptoms include abdominal pain, nausea, vomiting, anorexia, weight loss, feeling of gastric fullness and foul breath.Phytobezoars are composed of vegetable matter and are the most common type, trichobezoars are composed of hair, and pharmacobezoars are composed of ingested medications. ...Read more

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Doctor says he thinks I have a esophogeal spasms what exactly is this and how is it treated? Doc says he checking with gastric doc for treatments.

Doctor says he thinks I have a esophogeal spasms what exactly is this and how is it treated? Doc says he checking with gastric doc for treatments.

Muscle relaxers: Esophagus is tube that connects the mouth and throat to the stomach. Muscles can spasm when irritated. Try to find source of irritation. ...Read more

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He said he thinks he has clinical rsd ? What can he do?

He said he thinks he has clinical rsd ?  What can he do?

Get 2nd opinion: In the 50s travell, md a pain pioneer concluded that chronic tissue pain was caused by numerous trigger points in muscle fibers causing the muscles to contract compressing nerves, vessels and alter the flow of lymphatics. Rds develops from this myofascial dz. Early therapy is the key with myofascial release therapy with massage, tissue therapy, trigger pt injs w Lidocaine and acupuncture. ...Read more

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My brother has adenoid cystic carcinoma causing tracheal stenosis--what should he do?

My brother has adenoid cystic carcinoma causing tracheal stenosis--what should he do?

See below: It depends on where in the trachea it is and how severe. He needs to be evaluated by an interventional pulmonologist. Possible treatment options are laser, stent placement, photodynamic therapy ...Read more

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My daughter's doctor thinks she has juvenile rheumatoid arthritis. What should she do to cure it?

My daughter's doctor thinks she has juvenile rheumatoid arthritis. What should she do to cure it?

There is no cure: Unfortunately there is no cure for rheumatoid arthritis. There are continuing advancements in treatment. Medications considered disease modifying agents can made a big difference in the progression of the disease process. First make an appointment with a pediatric rheumatologist for the appropriate testing to see if your daughter truly has the disease. The rheumatologist will guide you further. ...Read more

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Barrets esophagus.Doc said he thinks pathologist over read b/c he sees no signs of it... Can it be reversed with nexium (esomeprazole)? He gave me 40mg 2xday

Barrets esophagus.Doc said he thinks pathologist over read b/c he sees no signs of it... Can it be reversed with nexium (esomeprazole)? He gave me 40mg 2xday

Possibly: High dose PPI's can prevent progression of Barrett's Esophagus to Cancer, and possibly reverse abnormal cellular changes in esophageal tissue. It is also possible that your GI i correct that Path over-read biopsy. ...Read more

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Should i be concerned if my 3 year olds doctor gave him this medicine dextroamphetamine 5mg because he is 2 hyper help plz.?

Should i be concerned if my 3 year olds doctor gave him this medicine dextroamphetamine 5mg because he is 2 hyper help plz.?

Off label: Stimulant medications such as dextroamphetamines are FDA approved for ADHD in children aged 6 years and older, although occassionally physicians will use it in slightly younger children. Since many normal developmental stages in a 3 year old are similar to symptoms of ADHD, appropriate diagnosis is not possible in this age group. ...Read more

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Why would a doc order an echocardiogram? What might he suspect? He mentioned something about being bradycardic.

Why would a doc order an echocardiogram? What might he suspect? He mentioned something about being bradycardic.

Ask your doc: You should have addressed this question to the your MD who ordered it. Don't be afraid to ask in the future before you leave his office. He will be more than glad to Explain.Otherwise he will assume you know or understand. In general an echocardiogram is ordered to see if you have some kind of heart abnormality that may cause your slow heart beat ...Read more

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What kind of doctor sees somebody for vocal cord nodule?

Dr. Yo-El Ju Dr. Ju
7 doctors agreed:
What kind of doctor sees somebody for vocal cord nodule?

ENT: Otolaryngologist, or "ear nose throat" doctor specializes in this problem. ...Read more

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A doctor told my 20 year old son he may have fibromyalgia. He was told to find a primary doctor. Which area of practice should that doctor be in?

A doctor told my 20 year old son he may have fibromyalgia. He was told to find a primary doctor. Which area of practice should that doctor be in?

Holistic Medicine: Many with fibromyalgia have undiagnosed lyme; it's important to rule it out ; most tests are inaccurate! many also have suboptimal thyroid ; adrenal function etc. Most docs focus only on treating symptoms, whereas a holistic doc will explore ; treat the underlying causes. See http://bit.Ly/19pettq ; http://www.Endfatigue.Com/ ; http://www.Fibronol.Com/clinical_test.Html. ...Read more

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I saw a doctor who diagnosed pneumonia. Now he wants to do treatment. I suspect he is churning. What is significance of the condition?

I saw a doctor who diagnosed pneumonia. Now he wants to do treatment. I suspect he is churning. What is significance of the condition?

Treatment ?: Most cases of simple pneumonia can be detected during an office evaluation, sometimes aided by a chest x-ray. Routine treatment would be an oral antibiotic. However, some cases of pneumonia can be quite serious if not fatal and require hospital based care. Your post does not contain enough information to comment on your situation. ...Read more

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My wife's doctor wants her to see an endocrinologist. Is there something wrong?

My wife's doctor wants her to see an endocrinologist.  Is there something wrong?

Maybe: An endocrinologist treats hormonal issues. So, the doc might want to see if she in in menopause, had diabetes, etc. And then help. Peace and good health. ...Read more

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When must a woman call her doctor if she thinks she has a urinary tract infection?

When must a woman call her doctor if she thinks she has a urinary tract infection?

At that time: Because she needs to have her urine tested for infection and then started on antibiotics if she does in fact have a uti. ...Read more

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If somebody says he has a loose scalp, what is he talking about?

If somebody says he has a loose scalp, what is he talking about?

Ask him: Best answers always come from the source. I can only guess that this person means he can move the skin easily on his scalp...Perhaps moreso than another person. ...Read more

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I'm a family doc with a question. Pt has Tarlov cyst at S2. She wants her "full sacrum" evaluated. Won't an MRI-LS image this?

I'm a family doc with a question.  Pt has Tarlov cyst at S2.  She wants her "full sacrum" evaluated.  Won't an MRI-LS image this?

Generally LS MRI: will include the sacral bodies but not the ala or SI joints, so technically a separate tailored MRI would be needed to evaluate the entire sacrum. ...Read more

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20 year old Has internal hemorrhoids. He had sigmoidoscopy test. doctor refer him to a proctologist and was told he has anal fissure. can he have both?

20 year old Has internal hemorrhoids. He had sigmoidoscopy test. doctor refer him to a proctologist and was told he has anal fissure. can he have both?

Yes: Hemorrhoids are simply oversized rectal veins that are often fibrous.A fissure is just a scratch or crack in the rectal skin often triggered by bulky or hard stools. Both can be present in the same patient at the same time. ...Read more

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My doctor thinks that my daughter is suffering from tracheomalacia. What does this mean?

My doctor thinks that my daughter is suffering from tracheomalacia. What does this mean?

Weakness of windpipe: Malacia is weakness of a portion of the airway (trachea is the first portion of the airway and bronchomalacia is weakness of airways further down in the lungs). It can occur when someone is born premature, after a bad infection or after a tracheostomy. Usually wheezing in the upper airway with shortness of breath is common. Breathing tests can help suggest it is present / other tests often need. ...Read more

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The doctors suspect my 6 month old has a vascular ring if so does that mean he coud also have tracheomalacia?

The doctors suspect my 6 month old has a vascular ring if so does that mean he coud also have tracheomalacia?

Vascular ring: Yes, in some cases. The vascular ring, is a congenital malformation, in which one of the embryological dorsal aortas is not reabsorbed, and does not grow at the same rate as the body does. No medical therapy exists for the definitive treatment of vascular rings. Preoperatively, the patient should be given adequate nutritional support as well as general respiratory care and appropriate treatment of any respiratory tract infection. Surgery should not be delayed in the presence of a respiratory tract infection, because the division of the ring allows more adequate and complete clearing of respiratory secretions. ...Read more

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Regarding the severity of tracheomalacia, if doc says it is 75%does that mean the collapse is 75% or the amount of open airway during collapse is 75%?

Regarding the severity of tracheomalacia, if doc says it is 75%does that mean the collapse is 75% or the amount of open airway during collapse is 75%?

Means: The Trachea is 75% of normal in width if it were 25% of normal there would be symptomatology! Hope this helps Dr Z ...Read more

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What are the symptoms of tracheomalacia?

What are the symptoms of tracheomalacia?

Respiratory issues: Tracheomalacia is a weakness of the supportive cartilage of the windpipe (trachea) which can present as difficulty breathing (stridor) usually presenting during exercise or other exertion. ...Read more

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What are best treatments for children with tracheomalacia?

What are best treatments for children with tracheomalacia?

Non surgical: Tracheomalacia is rarely serious enough to need surgery. The best treatments are pulmonary medications like asthma medications. If necessary, nighttime CPAP or bipap therapy like used for sleep apnea can help a lot. It is best to make sure there isn't an underlying cause. Tracheomalacia is not the same as laryngomalacia and is not related. ...Read more

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Help docs! i'm trying to find out what causes tracheomalacia in newborns?

Help docs! i'm trying to find out what causes tracheomalacia in newborns?

Dont know: There is a lot if information what what it is but not the what causes it. So do not know if it is just genetic (most likely) or environmental (in which case we should see a whole lot more of it). Infants do outgrow it. I would not be too worried about what causes it as the baby already has it...So lets deal with the here and now... ...Read more

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What is tracheomalacia?

What is tracheomalacia?

Tracheomalacia: Tracheomalacia is the collapsing of the trachea (the tube that brings air from the back of the throat to the lungs) with breathing in (inspiration). The front part of the trachea has hard cartilage, and the back a soft membrane. In patients with emphysema or other conditions, that soft part can collapse with inspiration causing a partial obstruction and difficulties breathing. ...Read more

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What causes tracheomalacia?

What causes tracheomalacia?

Uncommon: Tracheomalacia is collapse of the trachea (the windpipe) and is often confused with laryngomalacia which is collapse of the voicebox (which is above the trachea). Tracheomalacia is quite uncommon in infants except those with repaired t-e fistulas, and those with unrepaired vascular rings. ...Read more

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Need info on tracheomalacia?

Need info on tracheomalacia?

Tracheal flattening: Usually do to weakness of the cartilage "rings" along front wall of trachea. Usually these cartilage rings are u-shaped and prop the trachea open. Some call invagination of the soft back wall of trachea as tracheomalacia. Not really, but has same effect of narrowing the tracheal opening. In latter case, can place flat prosthesis to keep soft posterior wall from invaginating in. Can also stent. ...Read more

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What can affect my tracheomalacia?

What can  affect my tracheomalacia?

Forceful exhalation: Breathing out too forcefully can make the effect of tracheomalacia worse ... Also weight gain that causes the fat in the mediastinum around the trachea can compress the trachea more ... ...Read more

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Tracheomalacia, what is that caused by?

Tracheomalacia, what is that caused by?

Rare: Tracheomalacia is a rare complication following prolonged endotracheal intubation for any reason and results from compromise of the arterial circulation due to prolonged mechanical compression of the inflated balloon against tracheal mucosa. It takes weeks for this to occur so doesn't happen routinely following heart bypass or other operations. Tracheostomy prevents it. ...Read more

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What is tracheomalacia, can you help me?

What is tracheomalacia, can you help me?

Tracheomalacia: ... Is weakness or floppiness of the cartilage of the trachea that results in narrowing or collapse of the trachea when you breathe in. It can be something you are born with, or it can result from compression or from infection for inflammation, and also from having a breathing tube for a long time. If you are concerned about tracheomalacia, you should see a doctor. ...Read more

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Tell me about tracheomalacia in infants?

Tell me about tracheomalacia in infants?

Uncommon: Tracheomalacia is collapse of the trachea (the windpipe) and is often confused with laryngomalacia which is collapse of the voicebox (which is above the trachea). Tracheomalacia is quite uncommon in infants except those with repaired t-e fistulas, and those with unrepaired vascular rings. ...Read more

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What is the etiology of tracheomalacia after bypass?

What is the etiology of tracheomalacia after bypass?

Not sure: Cannot think of connection between bypass surgery and tracheomalacia ... May have already had undiagnosed tracheomalacia, but diagnosed by anesthesiologist or intensivist while intubated for your bypass surgery ... Also prolonged mechanical ventilator support, with prolonged intubation may have caused inflammation of your trachea that may have caused some weakening of your tracheal cartilages. ...Read more

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My 2mos son has larynomalacia, tracheomalacia & bronchial problems. Is trachea an only option? Traheal stent, do they work & are they comfortable?

My 2mos son has larynomalacia, tracheomalacia & bronchial problems. Is trachea an only option? Traheal stent, do they work & are they comfortable?

Tracheomalacia: If the diagnosis is indeed correct, and his is severe enough that it is severely affecting his breathing ability and/or growth, a trach may indeed be one of the few options for him. Most infants do not need their laryngotracheomalacia treated - as the trachea develops on its own, symptoms would resolve. But if severe enough, the airway must be opened and that usually involves a tracheostomy. ...Read more

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Are tracheomalacia & bronchomalacia the same thing? Or are they different?

Are tracheomalacia & bronchomalacia the same thing? Or are they different?

No: Tracheomalacia: Flaccidity of the tracheal walls secondary to defective cartilaginous rings. Bronchomalacia: Flaccidity of the bronchial wall secondary ot defective cartilageinous ring These conditions can be primary, that is the cartilage is lacking or secondary due to compression on the cartilage. They are often together. ...Read more

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What is the etiology of tracheomalacia after heart bypass?

What is the etiology of tracheomalacia after heart bypass?

Rare: Tracheomalacia is a rare complication following prolonged endotracheal intubation for any reason and results from compromise of the arterial circulation due to prolonged mechanical compression of the inflated balloon against tracheal mucosa. It takes weeks for this to occur so doesn't happen routinely following heart bypass or other operations. Tracheostomy prevents it. ...Read more

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Why do patients often develop tracheomalacia after cardiac surgery?

Very rare: Patients do not often develop tracheomalacia after heart surgery. It is very rare for that to happen. When it does occur it is related to prolonged need for a ventilator and a breathing tube that is inverted prior to surgery. Usualy that tube is removed immediately after surgery of 4-6 hours later. If it is needed for more than 10-14 days then a tracheostomy is done to prevent such problems. ...Read more

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