Doctor insights on:
Does History Of Therapeutic Abortion Cause Hellp Syndrome
How much does liver damage, excessive pain medication, lupus, and previous miscarriages increase chances of a future occurrence?
Definite risk: Any miscarriage with sle increases the chance of another miscarriage. So do other pregnancy related problems. You should see a rheumatologist and a high risk obstetrician with sle experience and discuss the timing and risks of oregnancy for your individual problems. ...Read moreSee 1 more doctor answer
What causes turner syndrome, noonan syndrome, & the rare klippel-fell syndrome? What happens during fetal development that causes these conditions?
A genetic accident: During formation of the egg or sperm can leave out an x chromosome in either one. A fetus whose genetic make-up includes the germ cell missing a chr. X has turner syndrome. One of 8 different genetic mutations is passed on to a fetus by 1 parent or happens spontaneously to cause noonan syndrome. 2 related genetic mutations are passed on to the fetus by 1 parent to cause klippel-feil syndrome. ...Read more
Does isolated diastolic hypertension (e.g., 127/96) need any medical attention? Is preconception IDH associated with any pregnancy risks? Thank you!
Yes: Especially in someone your age. Up to age 50 diastolic HTN can be more common than systolic HTN. ...Read more
Does hairiness caused by polycystic ovary syndrome usually go after taking hormone pills? (or some certain drugs for treatment this syndrome?)
Sometimes: Taking certain hormones can decrease the hair growth while you are on them. When the meds are stopped the hair growth comes back. There are different options of meds and many but not all women respond. ...Read more
Hemotologist confirmed Enoxaparin causing me to have elevated liver enzymes. 6w pregnant- history of PEs, Factor V, Factor II. Any other options?
Does having a history of pituitary dwarfism (GH therapy x 2 years) predispose me to future pituitary issues? several possible symptoms are rising.
Yes: Early developmental pituitary problems may foreward of other later developing pituitary problems, since the gland has multiple functions across many organ system. You need to be followed by an Endocrinologist. ...Read more
It is possible: Edwards syndrome (trisomy 18) is a genetic disorder which can share some features with severe fetal alcohol alcohol syndrome, like a small head (microcephaly) and low birthweight. Typically babies with edwards syndrome also have other malformations (abnormal fingers and feet, heart and/or kidney problems). The neonatologist or pediatrician will send a genetic testing to confirm edwards syndrome. ...Read more
Screening test: This is just a screening test, and indicated you are at an increased risk for Trisomy 21 (Down's syndrome). Your OB should offer additional testing that can say for sure. ...Read more
Dx after 1/13 fall-talocalcaneal coalition.Fusion symptoms recommended.What are longterm effects/complications of this sx?I'm an rn, will this affect my job?
Fusion: Surgery may pose the risk of subsequent limited range of motion. The incidence can be reduced with careful attention to appropriate and regular post-op pt. Try googling the search operators below... "complications rearfoot arthrodesis" excellent surgical technique, vigorous pt/rest and a positive attitude is highly recommended! ...Read moreSee 1 more doctor answer
Pregnancy outcome: Individuals with antiphospholipid syndrome may be at an increased risk of first trimester recurrent pregnancy loss. Treatments are available though to improve outcome. Make sure your OB or your fertility specialist knows so he/she can address appropriately. ...Read moreSee 2 more doctor answers
How many pregnant women suffer from antiphospholipid antibody syndrome, and what is the expectancy for pregnancy outcome?
Not common: People with this genetic disorder seem to have a higher number of miscarriages, which is what usually inspires testing for it. We treat these patients with aspirin, sometimes blood thinners and sometimes steroids. There is greater risk for prematurity and small fetuses, but under treatment, most will have successful outcomes. ...Read more
Hard to say: Most of the apparent physical features like changes in facial structure and heart defects reflect alcohol exposure in the first trimester of pregnancy. Much of the mental deficiency, attention deficit and hyperactivity issues relate to ongoing exposure during the 2nd and 3rd trimesters.Variability in the effects are common in this disorder. It's hard to predict which areas will be most effected. ...Read more
What does a diagnosis of purpura fulmicans and lupus anticoagulant w/possible phophosilid syndrome mean?
Complicated question: Complicated question. Depends on severity, comlications and treatment. See rheumatologist. ...Read more
Age/illness related: The era of Reye Syndrome peaked in the late 70's in kids after flu or chickenpox.It began to decline when we quit using aspirin products with kids. It hit mostly school age kids under 16.Today we don't use aspirin like products in kids under 16. ...Read moreSee 1 more doctor answer
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?
Risks: The risks as you describe them, are many, but they are not insurmountable. First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects. ...Read moreSee 2 more doctor answers
Does high anxiety or hypertension of mother during labour/delivery cause otism or related disorders like hyperactivity to the newborn baby?
No: Anxiety and hypertension do effect baby.Their related stress hormones can speed up lung maturity and indirectly reduce the babies birth weight by a few ounces.Add appears to have lose genetic influences and studies point to small gene mutations that may exist prior to conception as a cause of some autism.I would forget these issues for now and work to get through pregnancy as healthy as possible. ...Read moreSee 1 more doctor answer
Procainamide challenge for diagnoses of BRUGADA syndrome. What are possible side effects? I've head that procainamide can lead to death?
Generally: few to no side effects...and YOU WILL BE MONITORED BY A CARDIOLOGIST during the ENTIRE test... thus fatal events are VERY VERY RARE! (Chance close to ZERO) ALSO it is NECESSARY to HAVE this syndrome DISCOVERED IN ADVANCE!! Good luck and BE WELL! ...Read more
Would a diagnosis of the VASCULAR subtype of Ehlers-Danlos syndrome likely happen before age 35? Hypermobile family with no sudden deaths.
It can: I have seen it but it sounds unlikely in you. ...Read more
Heparin: Risk for miscarriages have been related and will be significant in patient with anti phospholipids syndrome. Heparin will be needed during prenancy to reduce risk for miscarriages. It is safe to use Heparin during pregnancy. You will need to be seen by your ob/perinatologist and will likely be referred to a hematologist for your high risk pregnancy. ...Read more
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