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Doctor insights on: Herbal Treatment For Worsening With Sudden Motion

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Diagnosed with meniere's disease for 3 years. I periodically have the standard symptoms. Is there any treatment to relieve aural fulness?

Diagnosed with meniere's disease for 3 years. I periodically have the standard symptoms.  Is there any treatment to relieve aural fulness?

Standard Therapy: Standard therapy for meniere''s is your best bet. Low or nonfluctuating sodium diet, daily diuretic, allergy evaluation and treatment if present. There is no one medication that will treat the aural fullness of meniere's disease, it is best controlled by controlling the disease in general. If you've had an increase in attacks, consider transtympanic steroid treatment. ...Read more

Dr. James Hocker
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24 yo male with classic pericarditis. Recurred despite treatment with colchicine, steroids, etc. What are the options for additional therapy.....?

24 yo male with classic pericarditis. Recurred despite treatment with colchicine, steroids, etc. What are the options for additional therapy.....?

Coxsackie B: Recurrent pericarditis is unlikely to be due to a bacteria. It is possible that Borrelia Burgdorferi infection or Moyamotoi can cause it although it is not widely accepted as a cause The most likely explanation is Coxsackie B infection. So I would check serologies and if positive you have only symptomatic treatment. Indomethacin can work well. Steroids also as might be the case here but should generally be avoided in viral infections. I would not let the neutrophilia put you off whether it is due to the steroids or not. ...Read more

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Is there an effective cure for unsteadiness and weakness with age?

Is there an effective cure for unsteadiness and weakness with age?

Exercise: Muscle cells are replaced by fat as we age & nerve pathways that aren't being stimulated die out. Make sure that the weakness is not being caused by other conditions, however. It's too easy to say, "you're just getting old." conditions that affect muscles, nerves, and energy can be obstacles. See "strong women stay young" (book) and "23 and1/2 hours" (http://www.Youtube.Com/watch?V=auains6higo). ...Read more

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What can be done for 60yo with intolerable pain associated with worsening scoliosis, herniated discs, osteoporosis beyond nsaids, pt, water exercises?

What can be done for 60yo with intolerable pain associated with worsening scoliosis, herniated discs, osteoporosis beyond nsaids, pt, water exercises?

Tried a pain doctor?: I am guessing you have, but if not one may be able to help. A back surgeon, neurosurgeon or orthopedic, may also have something to offer. ...Read more

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What can you recommend for treatment or managing chronic fatigue syndrome for rapid and everyday relief?

What can you recommend for treatment or managing chronic fatigue syndrome for rapid and everyday relief?

Healthy diet, excerc: A complete evaluation is needed to make sure you dont have any underlying cause. Get your vitamin levels checked, specially vit. D, b-1, 2-6-12. Look out got gluten senstivity. Even though you are tired, do 20-30 min exercise 3 x a day . Plenty of water. ...Read more

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Any suggestions for treating chronic nausea and vomiting with fibromyalgia?

Any suggestions for treating chronic nausea and vomiting with fibromyalgia?

Find cause of N & V.: Fibromyalgia is a syndrome of generalized pain and weakness in numerous parts of body. It is called a syndrome because one can not find any objective evidence of a problem. One mistake the pt and doc make is that once a person is labelled as having "fibromyalgia", there is a trap other sx are part of the syndrome: n & v is not. Doc needs to look for true cause, then rx will become clear. ...Read more

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First aid treatment for patients with haemodialysis when there is shortness of breath?

First aid treatment for patients with haemodialysis when there is shortness of breath?

Need evaluation: There might be component of coronary disease need evaluation may be BP related or arrhythmia any way need further work up. ...Read more

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Are there any medications or treatment options to help with bloating and discomfort during an IBS flare up ?

Are there any medications or treatment options to help with bloating and discomfort during an IBS flare up ?

Yes: Try to avoid foods that tend to produce gas (beans, wheat germ, bagels, etc), be sure to get enough fiber (even if you have to take supplements) and as a last resort see a physician for a prescription for an antispasmodic agent (bentyl (dicyclomine) or another agent). ...Read more

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Experienced persistent dizziness, lightheadedness and fatigue. BP found to be 155/100. With meds improved to 120/75 but symptoms still persist.

Experienced persistent dizziness, lightheadedness and fatigue. BP found to be 155/100. With meds improved to 120/75 but symptoms still persist.

Vertigo?: Your probably experiencing vertigo, which is due to dysfunction of your balance apparatus in your middle ear, your vestibular apparatus. I would see either a neurologist or ent doctor. ...Read more

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35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

35 yr-old started with paresthesias 4 yrs ago, that generalized to include autonomic symptoms and gastroparesis, looking for effective treatment.....?

Neuro exam?: Interesting case, but I'd like to know about her neuro exam. By the history, her symptoms haven't progressed in a length-dependent manner (especially given the facial sensory involvement) and this points me toward a sensory neuronopathy aka sensory ganglionopathy. These patients would be expected to have proprioceptive impairment-- if she is still a dance instructor, I doubt her proprioception is impaired. If her neuro exam and nerve conduction study are truly normal, I suspect any additional testing will be normal as well. ...Read more

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Polymyalgia rheumatica. What are recommended treatments long term after acute treatment with corticsteroids? Severe pain and weakness was sudden in upper body, but there is a history of migraines, excema, esp. Sun sensitity, and osteo arhritis with spinal

Polymyalgia rheumatica. What are recommended treatments long term after acute treatment with corticsteroids? Severe pain and weakness was sudden in upper body, but there is a history of migraines, excema, esp. Sun sensitity, and osteo arhritis with spinal

One : One of the ways to get correct information from a computer is to have the correct ( input) information in the computer. In medicine is the same , you need precise data to make the adecuate diagnosis . I don t mean to under estimate you impression of how you hands look or how they feel and i don t mean to under estimate your diagnosis of aquiles tendinitis or others, but in order to make the right diagnosis in rheumatology you need to have an appropiate history and physical exam, these two features give you a very very good hint of the diagnosis , that could then be confiorm by blood test or x rays etc.... Rheumatoid arthrtis is not always rheumatoid factor positive and there are 140 varieties of rheumatic diseases . I believe you need a rheumatologist to evaluate you and try to define what your ailments are to get the propper diagnosis and the propper therapy. ...Read more

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My daughter displays all the symptoms associated with west syndrome is there any cure or treatment for this?

My daughter displays all the symptoms associated with west syndrome is there any cure or treatment  for this?

Pediatric neurologis: If you're referring to seizures (infantile spasms), then check out http://rarediseases.Info.Nih.Gov/gard/condition/7887/west_syndrome.Aspx. Then find a pediatric neurologist, better yet an epileptologist, to provide you with a diagnosis and then a plan of care. Good luck! ...Read more

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CRPS- mild case. Does CRPS progress over time (with or without treatment) with symptoms becoming more severe?

CRPS- mild case. Does CRPS progress over time (with or without treatment) with symptoms becoming more severe?

Possible: The syndrome shows variable progression over time. Continuing pain is an important criteria for the diagnosis. ...Read more

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Currently having a homeopathy treatment for hair loss. Can the use of levitra (vardenafil) would interfere with my treatment?

Currently having a homeopathy treatment for hair loss. Can the use of levitra (vardenafil) would interfere with my treatment?

Homeopathy & Levitra (vardenafil): Ask your homeopath, but Levitra (vardenafil) should not interfere with your homeopathic treatment. If your homeopath is well trained & your body can recover from the hair loss (as in some cases of alopecia and trichitillomania, etc) you have a good chance of positive results. Pharmaceuticals which more frequently interfere with homeopathic treatment are steroids and antibiotics. ...Read more

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29yrs. Male. Diagnosed with osteoarthritis. Doing exercises and physiotherapy. Pain is low. Please recommend medicines which help me with the disease.

29yrs. Male. Diagnosed with osteoarthritis. Doing exercises and physiotherapy. Pain is low. Please recommend medicines which help me with the disease.

Medication for OA: Generally the NSAIDs work the best as they control the pain as well as the inflammation, which is in part the reason for the pain in the first place. Ibuprofen and Naproxen and Meloxicam are good examples of this. ...Read more

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Former military. Diagnosed with anxiety and depression after 1 visit. No symptoms now. May have been acute adjustment disorder? Options with my record

Former military. Diagnosed with anxiety and depression after 1 visit. No symptoms now. May have been acute adjustment disorder? Options with my record

This can be : Addressed with that branch of the service's board of corrections. But be prepared with written submission about why the original assessment was not accurate. ...Read more

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Is there a reason for why IgG levels improved with treatment of diarrhea with rotating antibiotics, history of uc, epi, j-pouch?

Is there a reason for why IgG levels improved with treatment of diarrhea with rotating antibiotics, history of uc, epi, j-pouch?

Protein lost: Chronic diarrhea, especially when it associates with inflammatory bowel disease can cause protein lost from your gut. It is called protein losing enteropathy. Losing protein may include losing igg. When diarrhea or your uc is treated properly, there is less protein lost from your gut, thus improving igg level. ...Read more

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Severe pain from sesamoiditis ~3 mos worsening even with PT and modified excercise. MRI scheduled, but doc doubts fracture. what treatments can help?

Severe pain from sesamoiditis ~3 mos worsening even with PT and modified excercise. MRI scheduled, but doc doubts fracture. what treatments can help?

Offloading: If the MRI is negative or even before that you can take the pressure off of the sesamoids with an orthotic or padding in your shoes, this should help with the pain. Your doctor could modify your shoe insert to help with this. Also you should not go barefoot, as this puts more pressure on the area. and avoid heeled shoes or shoes with a very narrow toe box. ...Read more

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Should I have massage therapy with an undiagnosed shoulder injury, severe pain & weakness of arm?

Should I have massage therapy with an undiagnosed  shoulder injury, severe pain & weakness of arm?

Probably not: While massage therapy can be quite helpful in some patients, your pain and weakness is worrisome, and you need to have a complete workup. Your doctor may want you to have MRI studies of your brain, cervical spine and shoulder. If, after a complete work-up there is nothing serious found, then you can go back to massage therapy. ...Read more

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