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Doctor insights on: Jim Br

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After 10 glasses of h20 I went to the br 4 times. Should I be concerned?

After 10 glasses of h20 I went to the br 4 times. Should I be concerned?

H2O: Not sure if I understand the question. Sounds like you drank fluid and went to the bathroom. A natural occurrence. Not sure how much fluid was consumed or how much was urinated. If you meant urination. On the surface it sound normal. ...Read more

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What can be done when pt resists hygiene and won't go to the br because of confusion?

What can be done when pt resists hygiene and won't go to the br because of confusion?

At what age: It is not uncommon in elderly for such behavior, if person is 88 then need help from family or institution (long term care facility). ...Read more

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Very upset. Mom said aides were mean to her about wetting bed. She slept and did not signal for help to br but at 90+ should she?

Very upset. Mom said aides were mean to her about wetting bed. She slept and did not signal for help to br but at 90+ should she?

This is elder abuse: Needs to be reported. Aides should be reported or sacked. This is terrible and should not be tolerated. May have to consider moving to a better facility unless authorities fail to take cation. Please report to authorities and require protection for your mom against any possible retaliation by the aides. ...Read more

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I feed my 10 y.O. Bro fiber enriched foods to help him pass as he complaind its hard to pass or its too big. What could br the issue?

I feed my 10 y.O. Bro fiber enriched foods to help him pass as he complaind its hard to pass or its too big. What could br the issue?

Voiding dysfunction: Often the main problem has gone on for years. This is a very difficult problem to care for because it takes years. I recommend MiraLAX (polyethylene glycol) (otc) daily for 6 months to years as necessary to maintain a normal stool and normal daily stooling pattern. May want to discuss this with you pediatrician. ...Read more

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I sweat a lot around chest area at night. What could br the reason?

I sweat a lot around chest area at night. What could br the reason?

Anything: If you have this symptom for a long time, please check your TSH level as the first step of the evaluation. ...Read more

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Hi to of my sons have been coughin most of the night a dry cough no other symtoms I am wondering if it could br hayfever?

Hi to of my sons have been coughin most of the night a dry cough no other symtoms I am wondering if it could br hayfever?

Cough: Three most common causes of cough are post nasal drip, gastroesophageal reflux disease, asthma although other infectious and non infectious etiologies can be the cause. Hay fevers can cause post nasal drip and thus cough. You should bring your son to see a doctor to get a proper diagnosis and treatment. ...Read more

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For the past 4 or 5 days I've been bloated and very gassy with discomfort. I have had trouble using the br too, which is normal for me.

For the past 4 or 5 days I've been bloated and very gassy with discomfort. I have had trouble using the br too, which is normal for me.

Symptoms caused by..: There are lots of reasons for gassiness & bloating, & not all of them are due to the GI tract. Even "functional" syndromes may be present without underlying "disease." however PSBO (paralyzed gut) due to metabolic & inflammatory conditions nearby (like an untreated infection of gyne or urinary tract) must be considered. See doctor, esp. If persistent & unexplained by diet, circumstances, meds. ...Read more

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I am bleeding so heavy I'm having to change a super plus tampon every two hours! And when going to BR bowl is filled with so much blood I'm scared : (?

I am bleeding so heavy I'm having to change a super plus tampon every two hours! And when going to BR bowl is filled with so much blood I'm scared : (?

Bleeding: Don't be scared. Has it happened with just this cycle or many? If many, then I would see a gynecologist to have hemoglobin checked and there are ways to treat excessive bleeding. I know it is alarming to see so much blood, but don't panic! ...Read more

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FEV1 was 35, but improved to 38 after a br trtmnt. He was given some new medications. Can this really change the FEV1 or will it get just get worse?

FEV1 was 35, but improved to 38 after a br trtmnt. He was given some new medications. Can this really change the FEV1 or will it get just get worse?

Bronchodilators: Medications that help open up the airways when treating diseases such as asthma or COPD are available with a few different mechanisms of action. It depends whether the person is acutely sick on top of underlying lung disease or if it's stable underlying lung disease. Most of these medications are meant to slow further decline of FEV1. ...Read more

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I am a 42 year old woman who has been experiencing some discomfort in chest area and abdomen the whole week. It travels around, sometime it's above br?

I am a 42 year old woman who has been experiencing some discomfort in chest area and abdomen the whole week. It travels around, sometime it's above br?

Time to see doctor: Chest pain means she should talk with her doctor, or go to an ER if pain is moderate or worse. In young adults aged 20-35 years, chest pain is less likely a heart attack, but many people in their 40's have a surprise heart attack. If it turns out to be anginal heart pain, costochondritis, myocarditis, anxiety attack symptoms, collapsed lung, or stomach reflux, the ER can help determine the cause. ...Read more

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This morning during my third period and went into the locker room and went to go to the br really quick and I m not sure if my tampon fell out but I couldn t find the string so I put another one in but now I m not sure if it did fall out or the other one

This morning during my third period and went into the locker room and went to go to the br really quick and I m not sure if my tampon fell out but I couldn t find the string so I put another one in but now I m not sure if it did fall out or the other one

Get it checked: It is possible that the first tampon is still there. You can feel inside your vagina with your finger and try to locate and remove it. If you can't tell for sure if it is still there or not you should go to an ob/gyn or women's healthcare nurse practitioner and have an exam. A "lost tampon" in the vagina will typically cause foul discharge and odor but you shouldn't wait for symptoms. ...Read more

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Should there br concern when a 33 month old starts to studder, only seems to be when excited.?

Should there br concern when a 33 month old starts to studder, only seems to be when excited.?

Depends: Common at this age. If the child stammers at the start, then begins talking, not serious. It lasts 6mos to a year. If longer or the child contorts to begin and still has trouble, should a therapist.Often worse when tired or under stress. ...Read more

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Does herpes br mistaken for syphilis in a blood test?

Does herpes br mistaken for syphilis in a blood test?

No: The tests for herpes simplex virus (herpes) and t. Pallidum (syphilis) are completely different and cannot be confused or mistaken for one another in a blood test. ...Read more

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I keep getting ovarian cysts, is that a bad thing? Will I still br able to have kids?

I keep getting ovarian cysts, is that a bad thing? Will I still br able to have kids?

No, Yes: Not all ovarian cysts are bad, especially the ones at your age are functional cysts that come and go. Ability to have kids depends on various factors, history of functional cysts should not make you infertile ...Read more

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Hello I got low "Hematocrit" in my blood test What should I do? Is it risky? BR, Vered

Hello I got low "Hematocrit" in my blood test What should I do? Is it risky? BR, Vered

How low?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it is likely that you are deficient in iron. However to cover other bases also, you should take oral iron supplement and a multivitamin pill daily for about a year. You may take more than one iron pill daily, take it with meals. ...Read more

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What is the infection accenntadactor they said it was very contagious and can br deadly is this true?

What is the infection accenntadactor they said it was very contagious and can br deadly is this true?

Acinetobacter: Acinetobacter is a type of bacteria that often can be resistant to many antibiotics currently used. The "deadliness" comes from the relative lack of therapeutic options and if it is not covered with the standard regimen for broad spectrum antibiotics. ...Read more

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Howtoconvice my doc to screen me again for br annie? Last screen was 6 years ago- dr is not concerned. Grandma/2nd cousin on same side died from them.

Howtoconvice my doc to screen me again for br annie? Last screen was 6 years ago- dr is not concerned. Grandma/2nd cousin on same side died from them.

Brain aneurysm?: If you mean a brain aneurysm and you've already been screened, I agree with your doctor that you needn't be concerned. It is unusual for these to be familial and usually occur randomly. Control of high blood pressure is the most important risk factor to control. ...Read more

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39wks I went to the br an when I wiped it looked like I had a little lugi about the size of the tip of my pinky I could that be part if my mucus plug?

39wks I went to the br an when I wiped it looked like I had a little lugi about the size of the tip of my pinky I could that be part if my mucus plug?

Possibly.: Typically the plug looks like opaque mucus and has some blood associated with it. It is a marker of early labor and contractions, so at this advanced gestational age please see your obstetrician to assure that you are not in early labor. Best of luck! ...Read more

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I am on the contraceptive pill. I had been accidentally taking 6 day breaks for the past year and a half and I only realized I need to take a 7 day br?

I am on the contraceptive pill. I had been accidentally taking 6 day breaks for the past year and a half and I only realized I need to take a 7 day br?

It's fine!: There's no magic about 7 days. Some pills are packaged as 24 days on and 4 off. This schedule may even be slightly more effective for contraception. The only downside if 21 days on, 6 days off, is that every pack starts on a different day of the week. But that's fine too! Don't worry about it. ...Read more

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I took a pregnancy test at 3/4 weeks and it came back negative. I don't know if this matters, but I didn't test in the moring and used a dollar store br?

I took a pregnancy test at 3/4 weeks and it came back negative. I don't know if this matters, but I didn't test in the moring and used a dollar store br?

Time and Technique: If you had unprotected sex since your last period and missed a period, it would be useful to repeat the test. If is better to use first morning urine. It is important to follow the instruction for the test. Dollar band should not matter. If you do not wish to be pregnant, use contraception all the time, every time. You may consider implanted contraceptive, or IUD.
Practice safe sex.
Get HPV vaccine. ...Read more

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Br red raised dots in a cluster. Started in1spot. Notitchy. Gets bigger n spreadsout, goesaway, then more popout been on trunknlegs.-lymes -resp antbiotics?

Br red raised dots in a cluster. Started in1spot. Notitchy. Gets bigger n spreadsout, goesaway, then more popout been on trunknlegs.-lymes -resp antbiotics?

Many Possibilities: This is a tough scenario and I need more information to help out. Red dots in a cluster could be insect bites of some sort, but could also be cold sores. That they are itchy favors bites, but allergic contact dermatitis is also possible. Lyme is rarely itchy and the lesions do not come and go so this is probably not it. You need to see a dermatologist who should be able to diagnose and treat. ...Read more

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This may sound odd, ever since I cut dwn on coffee I feel I'm backed up. It'd give me energy + run to b.R. - empty a few times. Should I add it back in? I also gained 29 lbs+ can't lose 5lbs in 1 yr

This may sound odd, ever since I cut dwn on coffee I feel I'm backed up. It'd give me energy + run to b.R. - empty a few times. Should I add it back in? I also gained 29 lbs+ can't lose 5lbs in 1 yr

Gastrocolic reflex: Coffee prompts a strong gastrocolic reflex in many people, leading to bowel movements. You mention feeling "backed up, " and I see that you're on morphine and other medications. Morphine can certainly lead to constipation. I suggest talking with your physician about the dose and your bowel function. Going back to coffee is not the path to weight loss. ...Read more

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Low d2 & D3 vitamin counts. Can this br causing my lightheadedness and body tremors?

Low d2 & D3 vitamin counts. Can this br causing my lightheadedness and body tremors?

Not these symptoms: Low vitamin d levels do not cause these symtoms, unless there is associated abnormality in serum calcium.Lightheadedness and fatigue could be the result of celexa. Tremors need to be explored more ie the duration and type of tremors. ...Read more

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I lost my hear, " baldness "what is the possibility to restore it? Is there any medicine? BR// Ghaith

I lost my hear, " baldness "what is the possibility to restore it? Is there any medicine? BR// Ghaith

Yes!: Go to a Dr. Get some tests, stop stressing, eat vitamin B, lots of whole grains, and healthy, leafy green foods. Quit stressing! ...Read more

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My 1yo has a fever of 101.7. he's being fussy doesn't want to eat and won't take fluids well. All He wants to do is br laying down.

My 1yo has a fever of 101.7. he's being fussy doesn't want to eat and won't take fluids well. All He wants to do is br laying down.

Teething Possibly: Hi Julie, I also have a one year old. When she is teething she gets a fever sometimes and doesn't want to eat. Try giving him some tylenol (acetaminophen) for children and look to see if his gums are red and sore. Place a small wet washcloth in the freezer and he may suck on it to help with his gums. They also make little ice containers he can suck on. If his fever gets worse see your family doctor. ...Read more