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Doctor insights on: Gon Na Die

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What is the best way to die daily I fight to step in front of cars or just drink a whole bolttle and die. I fight this and I feel that I m loosing. Done ; aa, na, in-patient, out-patient, religiouse and non, tried to change my enviornmet, friends, lyfes

What is the best way to die daily I fight to step in front of cars or just drink a whole bolttle and die. I fight this and I feel that I m loosing. Done ; aa, na, in-patient, out-patient, religiouse and non, tried to change my enviornmet, friends, lyfes

Please: Please don't give up hope. Stepping in front of a car or drinking yourself to death is not the answer. It is clear that you care, because you are inquiring about ways to kill yourself that would keep your life insurance intact. I suspect that people who care about you, would rather have you around then the money from a life insurance policy.
You have a lot on your plate. It sounds like you have chronic pain, drug and alcohol additions and urges to hurt or kill others which you take out on yourself. You do need help. You sound as though you are depleted and at the end of your rope. You wrote into this column because at least part of you wants help. I recommend that you go to the nearest er and just be completely honest about where your head is at. If you can't get to an er, you can call 911. You took the first step by writing in. The second step is to get face to face help from a professional (even if you have tried it before). Please get help. ...Read more

Dr. Rex Mahnensmith
2,066 Doctors shared insights

Sodium (Definition)

It's an element that is important in the cell functions ...Read more


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Will a person die if he or she ingests the common household bleach called clorox? (6.0% sodium hypochlorite)

Will a person die if he or she ingests the common household bleach called clorox? (6.0% sodium hypochlorite)

Yes, unless it's...: Yes, bleach will kill a person if too much is ingested. However, because bleach kills things, we can use bleach to purify water. After a disaster, if water is contaminated, one can add 4-5 drops of bleach to each quart or liter of water to purify the water for drinking. ...Read more

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I use a sodium fluoride (<0.149%w/w)toothpaste 2 a day. I was told sodium fluoride is harmful. Does it really cause cancer or death if use daily? Stop?

I use a sodium fluoride (<0.149%w/w)toothpaste 2 a day. I was told sodium fluoride is harmful. Does it really cause cancer or death if use daily? Stop?

You'll be fine..: .. and your teeth will be strong, too. Who told you this nonsense? Do you really believe that manufacturers would be allowed to place fluoride in toothpaste if it would kill you or cause cancer? ...Read more

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Why patient with low na level requires no added salt diet?

Why patient with low na level requires no added salt diet?

Timed correction: Assuming the low sodium was low enough to get admitted, too rapid a rate of correction can cause neurologic complications, which can be severe and permanent (but are fortunately very rare)--so it is done in a controlled fashion with IV fluids, even though the thought of an extra large french fry to fix it seems logical. ...Read more

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Beste Dr Ruan Venter Ek vermoed ek het n (klein) soolvrat en wil graag weet hoe om te werk te gaan (en na wie) om dit te verwyder.?

Beste Dr Ruan Venter Ek vermoed ek het n (klein) soolvrat en wil graag weet hoe om te werk te gaan (en na wie) om dit te verwyder.?

Cryotherapy: Daar is 'n paar maniere om soolvratte te verwyder; in volgorde van terapie is dit vries met stikstof, brand met kouteriseerder of dan chirurgie as niks anders werk nie. ...Read more

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Which one causes more na and h2o reabsotbtion angiotensin II or aldosterone?

Which one causes more na and h2o reabsotbtion angiotensin II or aldosterone?

AII vs aldo and salt: Aldo causes more Na retention and water follows salt.

But depends on circumstances. AII is major drive to aldo production so if AII high get same effect if you don't die form the severe HTN from excess AII.

Both can be counteracted if you eat less salt. I am a specialist in the renin angiotensin aldosterone system and happy to consult with you. ...Read more

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Taking 12mg Suboxone for the last year and still having cravings. I do outpatient activities na/aa etc would methadone along with those benefit me mor?

Taking 12mg Suboxone for the last year and still having cravings. I do outpatient activities na/aa etc would methadone along with those benefit me mor?

Too early to say...: You are on a low dose of suboxone. People who are still having cravings at 12 mg should be increased prior to considering it is a treatment failure. If after being put on higher doses and cravings continue, Methadone is a good option as it is more effective at alleviating cravings. ...Read more

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Everytime I have sex a day or two later I bleed why? Na

Everytime I have sex a day or two later I bleed why? Na

That: That is an abnormal symptom and you need to have a medical evaluation. Please be sure you are using enough lubrication for intercourse. Please be checked to be sure you don't have a small tear or problem. Also please be sure that your pap smears are up to date. ...Read more

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My blood test result shows :urea6.0, na 139, k 3.6, cl 101, creatine142, what do you advise me?

My blood test result shows :urea6.0, na 139, k 3.6, cl 101, creatine142, what do you advise me?

Normal except Cr: I believe your cr should be 1.42. If 1.42 is correct they all look pretty good to me. Why were these labs drawn? ...Read more

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I get hapetitis b decade. I have been aeten lamivudine for four years. Althouth hbv_d na is a negative, but has always been hbeag. What can I do?

I get hapetitis b decade. I have been aeten lamivudine for four years. Althouth hbv_d na is a negative, but has always been hbeag. What can I do?

See hepatologist: This doesn't make sense. Those on Lamivudine take100-mg dose by mouth every day, usually for a year, but your doctor may decide to keep you on it longer until your bloodstream shows no sign of hepatitis b dna. If your hep b dna is negative it is difficult to understand how your hep g eag remains positive as this means the virus is multiplying in your liver. See a liver specialist. ...Read more

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Just started seeing doc, counselor, and na meetings. I want to stop abusing pills. Not physically addicted but still want to abuse. Will this subside?

Just started seeing doc, counselor, and na meetings. I want to stop abusing pills. Not physically addicted but still want to abuse. Will this subside?

It's a long struggle: Having addictive personality predisposes you to abuse of alcohol or drugs, but in the end of the day you have a power of free will and you should get a lot of psychological therapy to help you overcome these feelings. Find hobbies and activities you enjoy so you have less time to crave and think of the "high". Continue to get help whenever and wherever you can. Don't ruin your life. ...Read more

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Can I take spirulina with Synthroid (thyroxine) na?

Can I take spirulina with Synthroid (thyroxine) na?

Spirulina: Yes, you can take spirulina and synthroid (thyroxine) together, but do not take them at the same time. Synthroid (thyroxine) should be taken alone, on an empty stomach, first thing in the morning and wait at least 30 minutes before taking any other foods or supplements. ...Read more

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Can you drink na beer with dilanta, gapapintin, tegretol?

Can you drink na beer with dilanta, gapapintin, tegretol?

Not advised: There are other chemicals in beer in addition to alcohol and it would not be a good idea to add that burden to your medication intake. To be sure, discuss the matter with the doctor who is prescribing these medications. ...Read more

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What is hemagglutinin (ha) gene and neuraminidase (na) gene?

What is hemagglutinin (ha) gene and neuraminidase (na) gene?

Flu virus genes: The hemaglutinin and neuraminidase genes are in influenza viruses. They code for proteins that are found on the surface of the flu virus. The viruses are named according to which type of hemaglutinin and neuraminidase proteins are on their surfaces (for example: h1n1 or h7n9). ...Read more

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March 15 an june I started haven unprotected sex again an I had unprotected sex july an na im bleeding can I be pregnant?

March 15 an june I started haven unprotected sex again an I had unprotected sex july an na im bleeding can I be pregnant?

Take the test: If you want to know if you are pregnant, take a test. In today's world you do not need to wonder if you are pregnant or not based on symptoms. Pregnancy tests are available at any pharmacy and in minutes you will have your answer. They can detect a pregnancy 7-10 days after conception. The best time to take one is when you miss your period. ...Read more

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Can a woman get pregnant if her and her partner were participating in dry sex both in their underwear and he ejaculated? Na

Can a woman get pregnant if her and her partner were participating in dry sex both in their underwear and he ejaculated? Na

That: That would be very, very unlikely because sperm has to actually enter the vagina for pregnancy to occur. Sperm swim best in a lubricated environment, not trying to swim through dry clothing. Do recommend using protection with intercourse. ...Read more

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Could lidocaine block the na channels at the ap or at the dendrites (before or after the axon hillock). Is it possible an ap fires?

Could lidocaine block the na channels at the ap or at the dendrites (before or after the axon hillock). Is it possible an ap fires?

Nonspecific: Na channell blockade is a characteristic of lidocaine, that what allows it's use not only as a local anesthetic, but as antiarrhythmic agent as well. Although I must admit that I did not completely understand your question, the answer is yes, to my opinion. Hopefully you will be helped more by my colleagues, good luck. ...Read more

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Age 49 healthy male. Oct 15 & Mar 16 EBV test comparisons. AB IGG >600 both AB IGM 52.4 74.4 EA IGG 23.4 29.2 NA IGG 51.3 40.5 Any advice, Tx?

Age 49 healthy male. Oct 15 & Mar 16 EBV test comparisons. AB IGG >600 both AB IGM 52.4 74.4 EA IGG 23.4 29.2 NA IGG 51.3 40.5 Any advice, Tx?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your lab data indicates that you had EBV infection, like most adults have had. If you have no symptoms, there is nothing to be concerned about. ...Read more

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My mom, 49, suffering from hyponatremia for 4months. Na through IV is given every 15days. Usg, ctscan, endoscopy ok. What is her disease? Help please

My mom, 49, suffering from hyponatremia for 4months. Na through IV is given every 15days. Usg, ctscan, endoscopy ok. What is her disease? Help please

See her doc.: Your mother is very sick and is receiving advanced therapy for her condition. She already has a diagnosis or at least has a variety of testing which has excluded many diagnoses. You should discuss her current working diagnosis and prognosis with her doctor. It is not useful for us to guess or second guess her current course of specialist care. ...Read more

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Hello, I'm 16 and a virgin who has been masturbating for a few years now but recently in the past few months I have noticed blood on my fingers after masturbating which stops straight after finishing. There is also no pain and I do not have long finger na

Hello, I'm 16 and a virgin who has been masturbating for a few years now but recently in the past few months I have noticed blood on my fingers after masturbating which stops straight after finishing. There is also no pain and I do not have long finger na

Blood=injury: If you are seeing blood it must be coming from an injured tissue. It may be a small cur or scratch or something more significant. If it is only a few drops and does not continue, it can be minor and self heal. However, if this is a recurrent problem you would be wise to have it checked out. Be honest with the doc. The practice is almost universal and expected. No need to hide it. ...Read more

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Is 40 mg of pantoprazole NA twice a day to much? My PA at the VA prescribed this for my acid reflux plus SUCRALFATE 1GM tab

Is 40 mg of pantoprazole NA twice a day to much? My PA at the VA prescribed this for my acid reflux plus SUCRALFATE 1GM tab

Maximum: 40mg twice daily of Pantoprazole is the max, very high dose. Why was it prescribed? Usually this dosing, as well as the Sucralafate, is reserved for patients with documented ulcers or other severe symptoms. What was the reason for prescribing it? ...Read more

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I don't know if I should wait until monday to make a dr appt or go to a hospital. I have pretty cloudy urine, some back pain hu na

I don't know if I should wait until monday to make a dr appt or go to a hospital. I have pretty cloudy urine, some back pain hu na

If: If you have not seen a doctor and are still having the symptoms as listed above you should see your doctor right away. You may be dealing with a urinary tract infection (UTI) or even a kidney infection (pyelonephritis) or even kidney stones (nephrolithiasis). For the future or for anyone reading this post, if you have fever, chills, severe back or abdominal pain and cloudy urine, you can present to your local urgent care for an evaluation. If the urgent care feels it is more of an emergent issue then they will recommend that you proceed to an er.
I hope you sought care and are getting better. ...Read more

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