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Excision.: The most common type of "fatty tumor" is called a lipoma. These tumors are benign and are often felt / palpated underneath the skin on the trunk and arms / legs. They are generally mobile and soft. Lipomas are not malignant and do not have malignant potential. If a lipoma is concerning or cosmetically unacceptable, the standard treatment is surgical excision. ...Read more
Can stenosis return after celiac artery compression surgery? Pain nausea steatorrea back. Sma plaque also. Could ischemia be from SMA alone?
Complicated Question: Celiac artery compression syndrome (cacs) is the condition usually associated with the surgery you've described. Stenosis does not generally return after surgery for cacs. Chronic mesenteric ischemia can be from sma stenosis in isolation, however, this would not include steatorrhea. With back pain, nausea, and steatorrhea i would consider pancreatitis or some other issue with the pancreas. ...Read moreSee 1 more doctor answer
Garbage label: The gut really doesn't leak.If it did,the germs would get into your blood & you would die.Many use this label to promote various tests and supplements to "heal your leaky gut".Most are a gimmick. If you have true issues like IBS/celiac your injured gut can improve if you identify & avoid your food intolerances/allergies.Probiotics can also help.Beware the comment you have yeast in your gut it's nl ...Read moreSee 2 more doctor answers
Depends on type: Prognosis is poor for infants with sma type i. Most die w/in the 1st 2 years. Sma type ii: prognosis for life expectancy or independent standing/walking roughly correlates with how old they are when they first begin to experience sx's - older children tend to have less severe symptoms life expectancy is reduced with survivers in young adulthood. Type iii prone to resp. Infections-nml life span. ...Read more
Partially: Actually you cannot eliminate stress - but you can reduce the amount of unnecessary stress. As you do you will have reduced chances of most diseases - from diabetes to heart disease, from arthritis to cancer. But it won't prevent all illnesses. Re: stress, see http://drmiller.Com/learningcenter/stressmanagement/ learning to reduce unnecessary stress will reduce illness and increase your happiness. ...Read moreSee 1 more doctor answer
Spinal Stenosis: Is a chronic progressive degenerative condition usually of the lower spine occurs when the spaces around the spine narrow. L5-S1 spinal stenosis is very common and can be very painful. Surgery is one option. Unfortunately once you have degenerative disease, not much will cure it, not even surgery. Surgery may help with pain and stability, but may also cause limitations in flexibility and movement. ...Read more
Not very much: The fodmap elimination diet is designed for people with irritable bowel syndrome (ibs). It's goal is to reduce sugars and short-chain carbohydrates in the diet. The major overlap is with wheat as most of the other foods avoided in this diet are fruit & vegetables that are not common food allergy offenders. ...Read more
How to differentiate between anomalous pulmonary venous return & transposition of great vessels as the underlying disease?
Ultrasound: Pediatric cardiologist use ultrasound (an echocardiogram) to identify the type of congenital heart defect. In anomalous pulmonary venous return, the pulmonary veins do not connect to the left atrium in a normal manner. In transposition of the great arteries, the aorta is connected to the right ventricle and the pulmonary artery is connected to the left ventricle (backwards). ...Read more
Can only using stress test clarify existence of coronary artery disease (blokage due to high LDL, low HDL)?
Stress test is good.: Stress test is designed to detect coronary artery disease. It is not a perfect test, but very good. If you have a normal test you are very unlikely to have any significant fixed blockage of any coronary artery. Blockage is not due to high LDL or low HDL - there are associations, but causality is another story. ...Read more
Mid lad: 100% stenosis. Distal circumflex: 100% stenosis with collators. All others are good. Would doing CABG helps eliminate hypertension.
Can a salmonella infection lead to the development, over the years, of alcohol intolerance and IBS / leaky gut? is low FODMAP diet a good solution?
No difference in Rx: A very recent research study found that people who had been infected with the intestinal parasite Giardia had an elevated risk of irritable bowel sundrome. Maybe other intestinal infections like shigellosis can do the same. However, it probably makes no differenence i how IBS should be treated. This is something to discuss with your doctor. ...Read more
LDL Cholesterol: More specifically, LDL (low density lipoprotein) cholesterol gets deposited within the walls of the arteries. These deposits, known as plaque, can continue to build up causing narrowing of the arteries and may lead to blockage. If the involved arteries are in the coronary arteries, this leads to heart disease. ...Read moreSee 1 more doctor answer
Diagnosed with Renal Artery Stenosis and resistant hypertension of 150/100 w/ 3 meds. Will resolving the stenosis correct the resistant hypertension?
Not always: Stenting is now mainly used in people who fail maximal medical therapy as the CORAL trial showed that's tenting as a first line treatment was not better than medical therapy for most people. If maximal medical therapy has failed then you may be a candidate for stenting or renal artery bypass surgery but even these do not always correct the problem but at present are the best further treatments a ...Read moreSee 1 more doctor answer
Food malabsorption: Celiac disease leads to inflammation and damage of the lining of the small intestine, which causes decreased absorption of nutrients, vitamins, iron, etc... The intestinal lining loses its microscopic "villi", which are tiny protrusions that maximize the absorptive surface area needed to absorb nutrients. A patient gets diarrhea, anemia, lactose intolerance, tummy aches, irritable bowels, etc... ...Read moreSee 1 more doctor answer