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Doctor insights on: I Dont Allow Myself To Have First Cig Till Noon Is That Good

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I am trying so hard to get through this depression, i will think "i will do this today, maybe that will help" but then my heart sinks and i think no, ill just stay in bed. cant live like this! just upped clexa dose to 40 mg.last night. help!

I am trying so hard to get through this depression, i will think "i will do this today, maybe that will help" but then my heart sinks and i think no, ill just stay in bed. cant live like this! just upped clexa dose to 40 mg.last night. help!

Sometimes the: depression is so overwhelming it takes your breath away. This is when you can't get out of bed, or do much else. Upping the meds is a good first start, because you probably have a physical component to depression. But you also need to get out of the house, mix with others, and see a therapist. Do you have a friend who can "motivate" you to overcome this enertia? You need extermal prompts ...Read more

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How important is it to get regular flushes for a portacath? I won't have insurance until july. I have one thur but thinking of cancelling

How important is it to get regular flushes for a portacath? I won't have insurance until july. I have one thur but thinking of cancelling

Very important: the blood will eventually diffuse up into the catheter, clot, and make it not work anymore and cause other problems and require much more cost. ...Read more

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Hi doctor.iam a struggling meth addict its affecting me with major decisions i want to stop it but when i get bored or stressed or even lonely the urge suddenly kicks in.i was able to quit before for four straight years i want to be clean again and i dont

Hi doctor.iam a struggling meth addict its affecting me with major decisions i want to stop it but when i get bored or stressed or even lonely the urge suddenly kicks in.i was able to quit before for four straight years i want to be clean again and i dont

Try Gabapentine: Gabapentine (Neurontin) has been used to help speed withdrawal from alcohol, marijuana, benzodiazepines, and opiates. It may work for amphetamines, too. The key is the dose. Take enough (usually 600-800mg at bedtime-- but sometimes as high as 2400mg) to get to sleep at night, and lower doses (100-400mg) 2 or 3 times during the day (doses that don't make you sleepy). Good luck. ...Read more

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I smoke a 1/2 to a full pack a day.. I just found out I am pregnant. I heard not to do it cold turkey.What should I do to quit? How quick is to quick?

I smoke a 1/2 to a full pack a day.. I just found out I am pregnant. I heard not to do it cold turkey.What should I do to quit? How quick is to quick?

Cold turkey from: Tobacco is do-able, at least from the point of view of your safety and the unborn child's. However, nicotine replacement therapy would be the best thing. I recommend a 14 mg patch to start, try for 3 weeks, then a 7 mg patch daily for 3 weeks and then use gum or lozenges only if you feel craving (2mg). Call 1-800-quitnow for a smoking cessation program in your area. Good luck in quitting/baby. ...Read more

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Is it bad to drink cold water after you spent all night crying? I don't want to sound dumb. What are you supposed to and not supposrd to do.

Is it bad to drink cold water after you spent all night crying? I don't want to sound dumb. What are you supposed to and not supposrd to do.

Cold hides thirst: If somebody has been crying so hard to the point that they are dehydrated (either from tear flow, or drinking fluids and eating) replenishing hydration can be important. Cold water will start to replenish hydration, but it will take away thirst, sometimes too quickly. Room temperature water does not artificially hide thirst. Be sure to address the causes of the crying and feel better soon. ...Read more

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Why do i keep getting mastitis this is the 2nd time in 7 months. No i don't breastfeed. And didnt have the opportunity to do so.

Why do i keep getting mastitis this is the 2nd time in 7 months. No i don't breastfeed. And didnt have the opportunity to do so.

Mastitis: While more common in breast feeding women, it does occur in non lactating women as well. Its usually comes from a nipple duct and travels up into the breast. It may be from excessive nipple play, poorly fitted bras or incomplete treatment of your mastitis leading to chronic colonization of the duct. ...Read more

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I keep telling myself not to eat because i used to be so good at resisting but now i just binge again. Do you have any advice on how can I fight the urge?

MANY POSSIBILITIES: Hard to know why you're stuck. Could be many things. Hard to really see oneself - psychotherapists do help sort things out. When you can understand what moves you to behave in a certain way, you can change the behavior - the way that seems best to you. ...Read more

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Im getting a mammogram tomorrow and wondered if I need to stay off the caffeine. I tend to drink coffee and dont want stuff to show up because of it?

Im getting a mammogram tomorrow and wondered if I need to stay off the caffeine. I tend to drink coffee and dont want stuff to show up because of it?

Not too much caff.: One should remember... not too much caffeine. Caffeine is a stimulant drug, which means having a little caffeine is ok if a person has no sleeping problems at all. Too much caffeine would be a bad thing. Caffeine will not affect a mammogram or any x-ray study. ...Read more

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I have a temp of 100.2 deg. Is it ok for me to go to work? I'd rather not take off if I don't have to, but I also don't want to get others sick.

I have a temp of 100.2 deg. Is it ok for me to go to work? I'd rather not take off if I don't have to, but I  also don't want to get others sick.

Low grade fever.: What is the reason for the mildly elevated temp? that is what going to decide whether it is contagious or not. If you have respiratory symptoms with cough and sneezing the chances of spreading is high, you can wear a mask and wash you hands or use sanitizer to prevent the spread too ...Read more

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I used Monistat last night, will it hurt my partner if I have sex tonight? I am 47 and we can use a condom if we have to, but we are going away overnight for our anniversary and i want to celebrate and sex is a part of that there is no need for birth cont

I used Monistat last night, will it hurt my partner if I have sex tonight? I am 47 and we can use a condom if we have to, but we are going away overnight for our anniversary and i want to celebrate and sex is a part of that there is no need for birth cont

Using : Using the cream should not affect your partner in any way unless he has an allergy or sensitivity to the ingredients (most people do not). Having sex while on treatment for a yeast infection, however, could prolong your infection and symptoms. Semen changes the acidity level in the vagina making it easier for yeast to grow. Using a condom would help, but if you choose not to, just know that you might need to continue using the monistat cream a little longer to clear the infection than you would if you abstained from sex. ...Read more

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I use herion on a daily basis and Im to the point where I don't want to use anymore but I Dont want to be away from home. Any home detoxing methods?

Yes: However, this is not a good idea. If you are going to detox, it should be done under medical supervision. Contact your local chemical dependency agency and ask what options are available. ...Read more

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I've a sleep test appointment today and i was told not to drink coffee all day but i forgot and had a cup. Should i postpone the sleep test or still go?

I've a sleep test appointment today and i was told not to drink coffee all day but i forgot and had a cup. Should i postpone the sleep test or still go?

Go: Caffeine may contaminate the results slightly, but given its short time to elimination from the body, more likely your sleep study will be unchanged. Don't have any more caffeine, and you ought to get good, reliable results. Good luck! ...Read more

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I am experiencing addiction to smokeless tobacco. I only use it before I go to sleep. I have had insomnia for years. I am over the insomnia. But, I have great fear and anxiety that if I don't use the tobacco before I go to sleep that I won't be able ?

I am experiencing addiction to smokeless tobacco. I only use it before I go to sleep. I have had insomnia for years. I am over the insomnia. But, I have great fear and anxiety that if I don't use the tobacco before I go to sleep that I won't be able ?

Insomnia fears: Congratulation on dealing w/your insomnia. Be careful that your fear of not using the tobacco is not simply an unconscious excuse to keep using it. Cold turkey stopping works for many, others taper. Please make a choice in one direction or the other and continue on. I recommend cold turkey. Peace and good health. ...Read more

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Why is it that the only time i want to clean get up and i feel good about myself is when i take a vicodin. I feel like that's all i need and want.

Why is it that the only time i want to clean get up and i feel good about myself is when i take a vicodin. I feel like that's all i need and want.

Opiates and anxiety: Opiate are powerful for making cares of world diminish, but this is delusion. Unfotrtunately, opiates can be addictive, interfere with astute decision making, & disrupt attendance to what you need to do to survive and prosper in life. Opiates will diminish your ability to be successful and have truly good friends. Perhaps you need counseling to deal with life stress, angst, and poor self-image. ...Read more

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Is it safe to eat your own poop? Ive been asked to do so by my partner, im willing but dont want to end upper inthe hospital for some thrills

Is it safe to eat your own poop? Ive been asked to do so by my partner, im willing but dont want to end upper inthe hospital for some thrills

No; don't eat that: Although, a majority of the time, you may get lucky and not sick (due to the acid & enemies that would kill most of the stool bacteria); the consequences of the few times your system can't handle it may be life threatening........not worse the thrill. And seriously, really???????? ...Read more

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