Doctor insights on:
Family History Of Epilepsy
VERY VERY IMPORTANT: Dear bgonzalez, i feel that family history is at least 50% of a patient's evaluation. I still believe that family genetics is greater than 50%, perhaps 70% of my focus on a patients's potentially preventable disease. If there is breast cancer in the family at an early age-more attention to early diagnostic testing is appropriate. Myriad now has certain tests available. See their website, . ...Read moreSee 1 more doctor answer
Can early childhood sexual abusive lead to schizoaffective disorder bipolar type? With no family history of schizophrenia?
Can happen..: If it has been so severe and chronic that a usual sequence would be ptsd first, then psychotic features from initial flashback. Eventually the personality becomes so fragile it detaches from reality. Add to this genetic vulnerabilities that are not apparent to people in the family. Many reasons abuse in families can make it difficult to get all the data. Environment and genes are key. ...Read moreSee 2 more doctor answers
Depends on sex: Any males with the gene will have the disorder assuming the gene is expressed. So will a female. A female with the disease and one x with the gene has a fifty fifty chance of passing it on to her children. If both of her xs have the gene, all children will get the gene. A male with the gene has a fifty fifty chance of passing it on to his daughters but cannot pass it on to his sons. ...Read more
Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?
Grandparents too!: When considering close family history, i also want to include grandparents. Although uncles, aunts, cousins may not be as important, include their information if you have it. ...Read more
Depends on MI: Many mental illnesses tend to "run true, " so having a schizophrenic relative increases your risk for schizophrenia. However, a number of illness (e.g., depression, anxiety, conduct disorders, adhd) all may increase one's risk for substance abuse because of increased impulsivity and life dissatisfaction. Fh of alcoholism and/or substance abuse definitely increase one's risk. ...Read more
Who, what, how: A 3- generation family history helps geneticists answer parents' questions, whether they have an affected child or are planning a pregnancy. A "genogram, " (schematic drawing) shows the pattern of inheritance of the medical/ behavioral/ developmental problems in question, so the risk of other family members' developing the disorder ( now or in future generations) can be explained. ...Read more
Two types of: Medications are available: cholinesterase inhibitors such as Aricept and nmda receptor antagonists like namenda (memantine). The first class increases acetylcholine, a neurotransmitter involved in memory. Namenda (memantine) decreases abnormal brain activity allowing clearer thinking. ...Read moreSee 1 more doctor answer
Not really: Regardless of race, roughly 45% of pts by age 85 yrs will develop alzheimer's. A few families carry genetics which result in early presentation, but most cases, by far, are sporadic. This is an "equal opportunity" disease which occurs most often as a risk of the elderly, and any person of any race who ages is at risk. ...Read moreSee 1 more doctor answer
See below: Getting a disorder is an eternal 'nature vs nurture' debate. There are some genetic components in BPD. Environment also plays a role. I look at a personality disorder as the way of relating to the environment, which to some extent is learnt. Everyone has some traits of 'personality disorder', but if you're able to function adaptively in social and work-related spheres, then it is not a disorder. ...Read more
Is family history of significance in terms of developing kidney stones? I'm other words is there a congenital link?
Kidney stone: In some cases, family history is important in diagnosing and managing kidney stones. The etiology of kidney stone formation is multifactorial, a small percentage of which is familial. ...Read more
Rephrase: besides 30 year pack history what are other significant risk factors for screening for lung cancer? Family history? Other cancer? Polyps?
Are family members usually able to tell when a member of their family has some sort of mental health problem?
Not always: Some families tolerate very unusual behavior, or are themselves quite ill and dysfunctional. For instance, families in which there is active alcohol and/or substance abuse often have unhealthy communication problems as well. On the other hand, healthy families usually do notice behavioral changes in each other, but may not be able to diagnose the problem and need a physician's help. ...Read moreSee 1 more doctor answer
What are the chances of a 26 year old with no family history of colon cancer and no genetic disorders having colorectal cancer or polyps?
Very low: However, I am curious why you ask. I suspect it is because of rectal bleeding (mentioned in your conditions), which is a medical problem you need to get evaluated right away, to find out what is causing it. Please see your doctor for a complete history and physical, and to get properly evaluated for your rectal bleeding and any other medical problems you may have. ...Read moreSee 1 more doctor answer
Male, 24, personal history of seizures and big family history of heart disease. Having episodes if chest pain no neck/jaw pain. Anxiety or heart prob?
Can't say...: You understand it is not possible to diagnose his chest pain as heart-related or not, online, without examination or ecg, without complete knowledge of his risks, and in 400 characters. But. With that said, i will say that the odds are, at the age of 24, it's not his heart. Nonetheless, chest pain should never be ignored. Have it checked out. ...Read moreSee 1 more doctor answer
Family History BC: Hi, medical investigators typically used the gale questionnaire re: breast cancer risk.The questions would be a first degree relative age less than 50 years old who developed breast cancer. A first degree relative with a brca 1 or 2 mutation. Note:both mother and father's side. This model of familial risk for breast cancer is not as reliable as once was thought. Pls seek bc genetic counselor eval. ...Read moreSee 1 more doctor answer
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