Doctor insights on:
Kernicterus Talk Read Write
Mostly not: Most of chidren who survived kernicterus-severe bilirubin toxicity-develop sensorineural hearing loss and athetoid type cerebral palsy which adversely affects coordination of fine movements. Neuronal damage in cerebral cortex often associated in kernicterus results in hampering of higher cognitive function. ...Read moreSee 1 more doctor answer
NOT ABSOLUTELY: Necessary , but to monitor severity and response to treatment it is. ...Read more
Kernicterus tests: Kernicterus is a devastating chronic disabling condition characterized by the clinical tetrad of choreoathetoid cerebral palsy, central neural hearing loss, palsy of the vertical gaze, and tooth enamel hypoplasia as the result of bilirubin-induced cell toxicity. ...Read moreSee 1 more doctor answer
Prevention: Kernicterus occurs as a result of newborn jaundice of a severely high level that is untreated. I have not seen nor heard of a case in my entire career. Newborn jaundice is common and is easily treated with sun, phototherapy, or in severe cases exchange transfusion. (have not seen that in 20+ years). The best treatment is prevention. ...Read more
Term definitions: Kernicterus is a term uses to describe the effect that occurs when bilirubin rises to toxic levels in a baby and injures brain cells.It goes through several phases leading to a variety of permanent defects. These can include a movement disorder,deafness,visual problems and others. Recognition and treatment of high bilirubin levels can prevent this if done quickly. ...Read more
Kernicterus causes spasticity? Why is it sis basal ganglia considered in pyramidal tract? Why not causing rigidity instead like parkinsons?
Spasticity: Basal ganglia and substantia nigra are different structures. Injuring the basal ganglia, such as by stroke, may cause spasticity. Injuring the substantia nigra may cause parkinsons symptoms, such as tremor and rigidity. Rigidity and spasticity are not the same, as you recognize. These two different structures of the brain modulate movement differently, that is why the symptoms are different. ...Read more
Sometimes when I read, there are messages for me, or signs that talk to me, what does this mean ?
I think a lot faster that I can talk or read and I trip over words. I feel dumb because i cant express myself the way I want. Is there a solution?
See a psychologist : You may want to see a psychologist for an evaluation. Testing may be needed to evaluate your symptoms. There are a variety of conditions that need to be considered such as Bipolar Disorder, Attention Deficit Disorder, Dyslexia, etc. Your doctor can make recommendations when the correct diagnosis is made. Best wishes! ...Read more
Is it normal for a 4 year old not ready for potty training ? He can talk and is developmently normal. He can even read. It doesn't make sense .
Reading at age 4 is : not developmentally typical. Hyperlexia, reading decoding above age & grade level, sometimes occurs in kids with non-verbal learning disabilities, oddly enough, or Autistic Spectrum Disorder without cognitive impairment. Combined with a delay in self-help skills, it warrants evaluation by a developmental/ behavioral pediatrician & a child neuropsychologist for accurate diagnosis & treatment. ...Read moreSee 3 more doctor answers
When i read books too much and when talk too much i had tachycardia with termors at night why this happened and what to do?
Many possibilities: Again such a presentation and description can be associated with more than one condition, it is difficult to make a diagnosis online. Best for you if you can discuss this with a professional preferably a psychiatrist. Then he/ she will be in a better position to identify the disorder (if there is one ) and suggest treatment good luck and feel better. ...Read more
I have been given Clomethiazole I thought I was to cut down alcohol and it's working, now I read talking with alcohol can be fatal, what should I do?
Don't drink?: http://www.ncbi.nlm.nih.gov/pubmed/8679018 Clomethiazole is a sedative with overlapping effects of all sedatives including alcohol. As such, it is a "hair of the dog" treatment for potentially fatal alcohol withdrawal (like valium, ativan, (lorazepam) etc). It is used in this context for UNDER A WEEK, tapered and stopped. ...Read more
Should I worry my daughter still doesn't talk or interact with us. she's 2 year & 7month now.. but she can read letters & numbers. sing nursery rhymes?
Social development: I would never recommend that you worry, since it is a wasted emotion. However, your child's development is not normal. Her ability to sing rhymes paired with poor social interaction warrants a developmental evaluation for disorders like autism. Share your concerns at a visit with her pediatrician and request a referral to a developmental specialist. early intervention is key! ...Read more
I keep reading horror stories abt coming off effex XR my pdoc is doing it monthly with celexa (citalopram). Next lowdose is 37.5 but i want off all meds. Pep talk?
I think I'm manic and I have to wait until at least Monday to have it confirmed. I would like to talk to a specialist about this before then. If you're specialised in mania and read this before Monday 8th, please contact me for a consult.
Best to see MD: You should be seen in person as soon as possible by a psychiatrist to evaluate and diagnose your mental state. Diagnosing mania can be complicated, requiring a detailed history, physical and mental status exam. Tell a family member or trusted friend how you feel, ask them to go with you to urgent care or ER without delay. Mania is treatable. See: http://www.nimh.nih.gov/health/publications/bipolar-disorder-in-adults/index.shtml Be safe. I hope this helps. ...Read moreSee 2 more doctor answers