Doctor insights on:
Is Ed Always Progressive
Is it necessary to discuss erectile dysfunction with family doctor as iam suffering in silence health is in perfect form no diseases no diab no mental?
This is 1 option yet: if you want help, then this may be one of the better options, depending on the physician. Keep in mind that erection is a physical response to emotional state. So emphasis should not be on only body response but also powerfully on emotions. Also keep in mind that health is complex, poorly understood, taken for granted & physicians are taught normality (central 96% of usual) vs. advanced disease. ...Read more
Is there a difference in LV Diastolic dysfunction and Mild
LV Diastolic dysfunction ?
What are the stages and does it always progress?
LVDD grading subject: The subjective scale of diastolic dysfunction: absent - mild - moderate - severe. Diastolic dysfunction is usually related to "stiffness" of the heart, which in turn, is attributed to the pressure of the blood flowing back to the heart that it has to deal with (diastolic blood pressure & pulmonary artery pressure). Depending on condition, the right medication can keep it from progressing. TTYD. ...Read more
If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?
GFR <15 is end stage: Kidney doctors will follow the lab results, start dialysis, and refer to the transplant team if one is eligible. Criteria for transplant can vary among medical centers and may include: end-stage renal disease, creatinine clearance at 20 or less, no active or ongoing cancers, no active infections, have reasonable heart and lung function, bmi <35, no smoking/drug-abuse/alcohol-abuse, etc... ...Read more
Is there such as a situation of a person having stable vs. non-stable angina? What is stable angina and is it always life threatening?
Stable vs unstable: Unstable angina is defined as a change in the pattern, (frequency, severity, duration, or degree of activity that precipitates it or angina at rest) in the preceding 2 weeks. Unstable angina is potentially dangerous. Stable angina is angina that occurs predictably with certain activities and is not a high risk condition. ...Read more
Urologist says my erectile dysfunction is psychological despite having mild peyronies.how is possible when my erection can fade with visual arousal?
Get evaluation: Peyronie's disease causes penile curvature that in severe cases may cause pain or preclude intercourse. Sounds like you have a mild case shouldn't cause ED. To eliminate organic (medical) causes for erectile problems, your urologist does a history, exam, lab tests and assess erection after using appropriate medications. If above normal then psychological cause may be present and needs follow-up ...Read more
Is it true that vp shunt independence is more common if one hasn't required an urgent evd? Any correlation between dependence+amount of time with evd?
Rarely: The term essential tremor implies normal movements that are more prominent or brought out by effect of medication or drugs. Other forms of tremor may occur in progressive disease such as parkinsonism. Progression of the underlying disease may cause worse tremor. Continued use of drugs or alcohol can also make tremor worse. ...Read more
Is severe pulmonary hypertension generally considered to be life-threatening in a 90 year old, especially if it is untreated?
I have hypokpp. Is it K related to be unable to increase heart rate during exercise? Is usually accompanied by weakness, no pump, no perspiration
Yes: If by hypokpp you mean hypokakemic periodic paralysis then yes. The muscle cells lose potassium (k) and cannot contract causing weakness. Hard to increase heart rate. Triggers can be diet related esp by sweet or starchy foods. Too much activity as well as even sleep can be triggers as can some meds. Be sure to have close follow up with your doctor. Hkpp.org/patients/hypokpp-FAQ for info. ...Read more
Is grade 1 diastolic dysfunction a major problem? Is there any way to prevent it from progressing to further grades ?
Reversible: In most cases, it is reversible, especially if it is associated with a medical problem that can be controlled ( like diabetes ) or emotional reason ( like anxiety ) . Please also note that several medications ( i.e. Some blood pressure meds) can cause it, as a side effect. ...Read moreSee 3 more doctor answers
Cardiomegaly: The term cardiomegaly, by itself, means large heart. It generally refers to overgrowth of the muscle and chamber. A normal sized heart should be about the size of your fist. Cardiomegaly can be a sign of cause of heart failure, which can be a dangerous condition. Some diagnostic tests are more reliable than others in diagnosing this condition. Would see cardiologist as soon as possible. ...Read moreSee 2 more doctor answers
Just discovered I have grade 3 diastolic congestive heart failure.EF is normal How serious is that and is it progressive?
Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?
No: Patients can be in remission for several weeks and months at a time, especially if you avoid the triggers as you stated. ...Read more
My take for you ...: That is true for priorly healthy young men, who reported erectile difficulty, which usually results from personal sex overindulgence and obsession to make their physical ability mismatch their mental expectation. To help such, one has to slow down the frequency for sex + constant practice of quality healthy lifestyle without obsession... More? To http://formefirst.com/eBlogList.html. ...Read moreSee 1 more doctor answer