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Doctor insights on: Is Ed Always Progressive

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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?

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

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Is there a difference in LV Diastolic dysfunction and Mild LV Diastolic dysfunction ? What are the stages and does it always progress?

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

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If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?

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

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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?

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

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Intermittent claudication as a new symptom means your artery disease is worsening everywhere?

Intermittent claudication as a new symptom means your artery disease is worsening everywhere?

It can.: Individuals with claudication frequently have disease in other vascular territories(carotid , coronary artery disease) . Treatment of risk factors and prompt diagnosis is essential. See your doctor ...Read more

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Dr. Ramsay Kuo Dr. Kuo
2 doctors agreed:
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Urologist says my erectile dysfunction is psychological despite having mild peyronies.how is possible when my erection can fade with visual arousal?

Dr. Ramsay Kuo Dr. Kuo
2 doctors agreed:
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

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Is an essential tremor always progressive?

Is an essential tremor always progressive?

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

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Is severe pulmonary hypertension generally considered to be life-threatening in a 90 year old, especially if it is untreated?

Is severe pulmonary hypertension generally considered to be life-threatening in a 90 year old, especially if it is untreated?

Yes: It is life-threatening at any age, and more so, it simply decreases the quality of life for inability to do much activity and be able to oxygenate adequately. ...Read more

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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

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

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Is grade 1 diastolic dysfunction a major problem? Is there any way to prevent it from progressing to further grades ?

Is grade 1 diastolic dysfunction a major problem? Is there any way to prevent it from progressing to further grades ?

Stay hydrated: Stay hydrated so your heart fills in with blood. Make sure your heart rate doesn't go high. Pericardial disease, past or current, may contribute. If you are able to identify cause, than treat ...Read more

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Is erectile dysfunction reversible or it happened that is all and it's permanent?

Is erectile dysfunction reversible or it happened that is all and it's permanent?

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 more

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Is moderate cardiomegaly is very harmful? We go for immediate treatment after diagonosis

Is moderate cardiomegaly is very harmful? We go for immediate treatment after diagonosis

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 more

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Just discovered I have grade 3 diastolic congestive heart failure.EF is normal How serious is that and is it progressive?

Just discovered I have grade 3 diastolic congestive heart failure.EF is normal How serious is that and is it progressive?

Quite serious. : It means your heart is stiff and does not relax. Although the heart still beats with good force but the heart does not relax so that it gets filled. That results some times in cardiac failure. ...Read more

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Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?

Is there a way to clinically differentiate unstable angina and stable angina without investigation? If so, how?

Angina: Stable angina is reproduce able by the same amount of exercise. Unstable angina is when the amount of exercise to produce angina progressively decreases or it happens at rest. ...Read more

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Is interstitial cystitis always progressive? Even with treatment and diet?

Is interstitial cystitis always progressive?  Even with treatment and diet?

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

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Is it possible for trouble speaking, swallowing, & breathing to be symptoms of ms?

Is it possible for trouble speaking, swallowing, & breathing to be symptoms of ms?

Possible: Usually, trouble swallowing, breathing, are signs of end stage MS, and only rarely seen early in the disease. However, speech issues may be seen early and may be very subtle. ...Read more

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Dr. James Lin Dr. Lin
2 doctors agreed:
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Difficulty with erections is not that common and doesn't happen to "real" men right?

Dr. James Lin Dr. Lin
2 doctors agreed:
Difficulty with erections is not that common and doesn't happen to "real" men right?

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 more

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Is is it possible that depression causes nocturnal erections?

Is is it possible that depression causes nocturnal erections?

Nocturnal erections: Are normal and occur most nights in most men. They have nothing to do with depression. ...Read more

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