Doctor insights on:
How Do You Treat Lyme Disease
Lyme disease: Lyme disease can be detected by blood by testing the igm level. However lyme disease can turn into complicated chronic problem affecting many systems of the body. It can be treated with antibiotics. Treatments varies depend on when it was discovered and how it had spread. Consult your doctor if you have concern for contacting the disease. Early treatment and proper prevention is important. ...Read more
Bite of infected tic: Lime disease is spread by ticks that have acquired the germ in the past and it stays in their system. A tick bite from another of the same species without the ld germ will not do it. The tick must get on your body, settle in for a feeding & feed long enough to pass the germ to you (hours). ...Read moreSee 1 more doctor answer
Great question!: Hoffa's disease is a rare cause of knee pain due to trapping of a fat pad present below the knee. Usually conservative measures are tried first, heat or ice, or stretching and/or physical therapy. Treatment can require surgical removal of the trapped pad. See this case report: http://casereports.bmj.com/content/2013/bcr-2013-008795.full See this fuller article: http://tinyurl.com/ljh6yxq ...Read more
Good History & Exam!: Physical symptoms can include tremor of limbs at rest>in posture or in action; slow movements & stiff (rigid) muscles causing quiet facial emotions, softer voice, bent forward head & neck posture, decreased arm swing, slow-shuffled walk, small/scratchy penmanship, etc. Non-physical symptoms can include cognitive decline, depression, anxiety, sleepiness, constipation, ed, low bp, acting-out dreams. ...Read moreSee 1 more doctor answer
Antibiotics/support: Doxycycline 100 mg twice a day for six weeks plus streptomycin 1 g daily im for 2-3 weeks. Gentamicin may be an alternative to streptomycin. Another choice would be doxy plus Rifampin 15 mg/kg daily, both for six weeks. If symptoms involving the heart spine or nervous system develop, hospitalization and more intensive regimens are indicated. ...Read more
Disorder related: There are many neuromuscular diseses, treatment is specific to the disorder when possible. In myasthenia gravis treatment may include surgery, immunospression and medication to improve n-m transmission. There are inflammatory muscle disorders that require prolonged immunosupression. There are nerve and muscle disorders associated with vitamin deficiencies. In others we can only treat symptoms. ...Read moreSee 1 more doctor answer
Complicated: If you have lupus, you should see a doctor specializing in careof that disease. The specialist here would be a rheumatologist. You may have a pcp who is very competent in caring for you, however. You may need to be followed by a dermatologist, nephrologist (kidney doctor) and neurologist. Can't give you the whole enchilada in 400 character space. (google a reputable web site). ...Read moreSee 1 more doctor answer
Truth: no cure: Psoriasis is a chronic dermatitis that can evolve or diminish over years. There is an autoimmune aspect that can involve a number of organs that can be more troublesome than the skin rash. Dermatologists and rheumatologists are specialized in treating this condition. See a doctor. ...Read more
What kind ?: "Hepatitis" means inflammation of liver--due to viral infection (cytomegalovirus, epstein-barr virus, a, b, c, d, etc), familial diseases (hemochromatosis, wilson's, alpha-1-antitrypsin deficiency, etc), infiltrative disease (steatohepatitis from fatty liver, granulomatous hepatitis, foreign body reaction), toxic (alcoholic, tylenol), ischemic, congestive, pregnancy-related, etc. Cause determines. ...Read more
No cure: Meniere's disease should be considered a chronic, lifelong condition with no cure. Treatment may relieve symptoms but doesn't address the underlying abnormal pathophysiology. Hearing loss progresses over time, and often results in permanent loss at all frequencies in the affected ear. This usually occurs over 8-10 years. ...Read more
Wagner's Disease: Wagner's disease is a familial disease of connective tissue in the eye that can cause reduced visual acuity. Wagner's disease was originally described in 1938. This disorder was frequently confused with stickler syndrome, but lacks the systemic features and high incidence of retinal detachments. See an ophthalmologist. This usually requires retinal surgery. ...Read more
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