Doctor insights on:
Ibs Patient Information
Step up / Top down: Traditionally, ibd was treated with progressive addition of drugs of increasing efficacy (5-asa, topicals, antibiotics, steroids, immune modulators, biologics) designed to suppress gut inflammation = "step up therapy." increasingly, GI docs are turning to "top down treatment" where biologic treatment is used early after diagnosis. Surgical management is appropriate in select cases. Talk to doctor. ...Read moreSee 1 more doctor answer
Internet: While the internet has its drawbacks, it also has its advantages. If you can be more specific about what you mean buy "patient safety" it can help refine the search. I do suggest looking at www.Mercola.Com as a beginning place for information and expand out. Most states have a council on aging so the dept of health website may also have some useful information. ...Read more
Infantile spasm: Yes, infantile spasm is one of epilepsy syndromes that represent in infancy, it can be symptomatic due to brain structural abnormalities or metabolic disorders, or without a definite etiology. Generally the first line of treatment is acth which is a kind of steriod that is given by im inj., the success rate is app. 65-70%, other treatments include vigabatrin and other seizure medicines. ...Read more
Not at all the same!: Irritable bowel syndrome is a functional disorder- the bowel looks normal, but reacts to stimuli differently that the bowel of people without ibs. Crohn's disease is one of the inflammatory bowel diseases (ibd), in which the bowel's architecture is changed, and there are a number of risks, including that of intestinal cancer. Irritable bowel is often treated with fiber, fluid, and counseling. ...Read more
Dysautonomia: This syndrome has been recognized in the medical literature as part of a compromised autonomic (automatic) nervous system that is the underlying cause. Amazingly, it can be treated by the use of intravenous vitamins. I suggest you go to acam@acam.Org to seek a doc who does this in or near your area. They are not common because cam is not yet readily accepted. ...Read moreSee 1 more doctor answer
Using this site: To get the most from this site you need to provide basic background on your issue and ask a clear related question. Just raising an issue, with no clear question or background does not work.The physicians on this platform donate their time to answer questions. Any fees on wordy posts support the site. You are welcome to start over. ...Read more
Several web sites: Clinicaltrials.Gov , the alzheimers disease website has a research link where you can find clinical trials. Also if there is medical school near you, check the web site for research or call the school and ask for the officeof research. They should be able to direct you to the correct department that is running the study. ...Read moreSee 1 more doctor answer
Infantile spasm: Has episodic spasm like seizures, associated with poor prognosis. Typically starts early in childhood, there is possible milestone regression. Steroids are used, if there is any surgical cause in brain, surgery might be helpful. Some of the newer antiseizure meds are helpful. ...Read more
Not a single entity: Situs inversus comes in 2 basic forms with variation in the amount and importance of associated abnormalities. These can involve the heart/lung/intestines/ spleen or spleens. You should consult with the doc who knows the case well for any such information. ...Read moreSee 1 more doctor answer
Peritoneal disease for colon can patient not mentioned on a CT report but letter from onco states peritoneal disease ... Confussed ?
The NY Heart failure: classification system is based on symptoms regardless of EF. It is surprising that the patient does not have symptoms with an EF of 16 but not unheard of. ...Read more
Similar to lupus: Reticular erythematous mucinosis (rem) frequently appears after intense sun exposure, or hormonal stimuli such as oral contraceptives, menses, or pregnancy. It may be related to lupus erythematosus, although lupus tests are typically negative. It often responds to treatment with anti-malarial medications. ...Read more
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
What is a reliable website for researching general medical information for patients and their families?
Medlineplus.gov: Medline Plus is a very reliable site managed by the National Institutes of Health. It is full of reliable information on almost any medical topic, and has many links to other reliable medical organizations' information, all searchable and organized by topic. ...Read moreSee 1 more doctor answer
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
Lifelong history depression &gad, diagnosed ptsd 2007, worsened depression. Tried so many drugs, different therapies, ready to give up. Suggestions?
Skilled therapist: That sounds really difficult. It might be a good idea to find a psychologist whose specialty is trauma and ptsd. Emdr and other body based therapies with a skilled practitioner could also help. Psychologytoday.Com is a good resource to find someone who will be a good fit. All the best and I do hope you feel better. ...Read moreSee 2 more doctor answers
Can amitryptiline be taken indefinitely for someone who has irritable bowel syndrome/colitis? Need expert opinions!
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