Doctor insights on:
Would it be dangerous to use an epipen (epinephrine) on my 70 lb kid after nebulized albuterol? She has asthma or reactive airway (not sure) & peanut & nut allergy.
Ostomy supplies: There are several manufacturers of ostomy supplies. The label "best" is individual for your ostomy. Sometimes you will need to try several types and brands before you find best. Home nurses, insurance contracting and durable medical supplier provide the different ostomy supply choices. ...Read more
Help please! is epipen (epinephrine) jr auto injectors used for all allergic reactions or just emergency reactions?
Limited use: The value of an Epipen (epinephrine) is its ability to help block a tragic evolving allergic reaction and provide time for a person to reach urgent followup care.It's effect is relatively short (hour or so).If you simply break out in hives as a food reaction, it could help some, but since the food will be processed in your body for days, a longer agent like Diphenhydramine or citirazine would be more benificial. ...Read more
More than it should.: After a while, the pouch will grow and as such the normal satiety signals will require more food to trigger. As you can imagine, this can lead to some weight gain in the long term. Habits must be maintained consciously as far as portion sizes and exercise intensity to keep the weight down. ...Read more
Had 3 severe allergic reactions in last few yrs (swollen face + difficulty breathing).Allergist couldn't identify allergen.I carry an epi pen. Ideas?
Recent diagnosis of milk & casein allergy that presented after delivery of 3rd child. Hives, stomach 7 bowel, anaphylaxis. Why?
Evaluation: Check with your doc and discuss blood allergy testing such as immunocap. ...Read more
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
The same as for a : Child without asd, seek evaluations by a pediatric gastroenterologist ; pediatric allergist. A gastrointestinal disturbance specific to persons with asds ("autistic enterocolitis”) has not been established, nor is there solid evidence for abnormal gastrointestinal permeability in individuals with asds. A variety of GI disorders present as behavioral or sleep difficulties in people with asd. ...Read more
Entire Large intestines & rectum removed. Brooke Ileostomy created. Can Brooke Ileostomy later be reversed using the rectal stump?
Your PMD..: Your PMD/Surgeon will answer it better.....too many variables ......not disclosed. ...Read more
Colon cancer, 2006, multiple incisional hernia repair, 2007, heart attack 2008, gall blabber surgery 2009, small bowel repair, radiation burns (8inchs?
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more
Can a doctor prescribe epipen (epinephrine) jr vs regular epipen (epinephrine) for an adult if they have a "mild anaphalactic" reaction?
Chronic diarrhea from iliestomy and j pouch. Imodium, lomotil doesn't work. Should i try carafate (sucralfate)?
Anaphylaxis serious: Absolutely! although anaphylaxis is not necessarily resolved with injectable Epinephrine it is the only treatment that will hopefully give you time to get to emergency care. It is then imperative to be seen by a board certiified allergist to try to identify the cause of the anaphylaxis. Anaphylaxis can be fatal. Carry your Epipen (epinephrine) and see the allergist! ...Read moreSee 1 more doctor answer
What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?
Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well. ...Read more