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Doctor insights on: Liesa Harte

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Dr Harte, I have been dealing with recurring uti/bladder infection, but all my provider does is give me abx, but once the abx is complete, the infecti?

Dr Harte, I have been dealing with recurring uti/bladder infection, but all my provider does is give me abx, but once the abx is complete, the infecti?

Flow is often: A problem. A blockage or an area that doesn't get flow. This can include kidney stones, outpouches anywhere along the urinary tract, infected cysts being one of these, etc.
Studies of the shape of the system and flow along it are helpful (IVP). ...Read more

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I am taking corex and spasmo-proxyvon for the past 20 yrs. But in limited quantity. What are the ill effects of this? Out of this 2 which is less harmf

I am taking corex and spasmo-proxyvon for the past 20 yrs. But in limited quantity. What are the ill effects of this? Out of this 2 which is less harmf

Side effects: Corex is basically an antihistamine and codeine, and people use it as a cough suppressant. Google anticholinergic toxicity and opiate toxicity for side effects. They both are harmful if used in excess acutely, but long-term use isn't known to cause severe end-organ damage as much as cause problems from the common side effects (dizziness causing falls, respiratory depression from opiate, etc). ...Read more

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Medications to avoid with my heart condition--need list?

Medications to avoid with my heart condition--need list?

Pseudofed: It would depend on the specifics of your heart condition. The most common over-the-counter medicines that affect people with heart issues are those that contain pseudo-ephedrine, commonly called pseudofed. These are usually cold and flu preparations. Ask the pharmacist to direct you to brands without pseudofed, or look for ones labelled "hbp", as this typically means its safe for heart pts. ...Read more

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I have a hole in the heart it is less than 1cm do I need to get it closed?

I have a hole in the heart it is less than 1cm do I need to get it closed?

Requires expert: Many people with small ventricular septal defects -- I'm betting this is what you have -- tolerate them perfectly well through their lives. I'd urge you to get a few opinions, and also find out whether there's a technology available or on the horizon that would make repair easy. ...Read more

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Why is isotritinoin called a very harsh medication? What are its side effects? Please frankly list them all?

Why is isotritinoin called a very harsh medication? What are its side effects? Please frankly list them all?

Many but well-known: The most common are effects on rising triglyceride and cholesterol levels ; dryness of the skin and lips, decreased night vision, muscle aches, sensitivity to sunlight, rashes occassionally hair loss and possibily depression. There have also been reports of irritable bowel syndrome but that attribution is controversial. ...Read more

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What to do if I have been having this problem for a long time, sometimes my heart stops for less than a milisecond, I freak?

What to do if I have been having this problem for a long time, sometimes my heart stops for less than a milisecond, I freak?

????: If you have a normal heart rate (let's say, 72 beats per minute), your normal heart stops for 830 milliseconds between every beat. That's how it works. ...Read more

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What do you suggest if I have been having this problem for a long time, sometimes my heart stops for less than a milisecond, I freak?

What do you suggest if I have been having this problem for a long time, sometimes my heart stops for less than a milisecond, I freak?

Skips: Consider this: if your heart rate is 60, you have 1 full second (1, 000 milliseconds) between each heart beat. If your heart rate is 80, you have 0.75 seconds (750 milliseconds) between beats. Most likely, what you're feeling are simple interruptions in your rhythm, usually caused by a premature beat followed by a compensatory pause as your heart resumes its cadence. If you're bothered, see a doc. ...Read more

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I've been to cardio dr. He didn't find anything, but I at times have a short pain right where heart is. Doesn't last long when it does. Less than a min?

I've been to cardio dr. He didn't find anything, but I at times have a short pain right where heart is. Doesn't last long when it does. Less than a min?

Sounds like Angina.: Angina is short for the term Angina Pectoris which means "chest cramp". It is a discomfort you experience when your heart cannot get enough blood. The discomfort does not damage your heart but is a warning symptom that there is a problem with the blood supply to your heart. Angina usually happens when people are walking or doing something that takes some effort. It lasts longer than few seconds. ...Read more

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Why are heart diseases in women less frequent compared to men?

Why are heart diseases in women less frequent compared to men?

They are not,: They occur later in women. Most feel that women catch up to men after menopause. ...Read more

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My heart rate usually sits in the 70s, but when I lie down, it increases to 80-85. Why is this happening? Should I be concerned?

My heart rate usually sits in the 70s, but when I lie down, it increases to 80-85. Why is this happening? Should I be concerned?

Heart rate: Such minor heart rate variations are not abnormal. The mentioned heart rated are all within normal range and not cause for concern. You should consider seeing your doctor if you have any other symptoms. ...Read more

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Small bump no pain itched on and off. Hot bath/compression helped went away less than a week tested postive for herpe culture partner is clean false?

Small bump no pain itched on and off. Hot bath/compression helped went away less than a week tested postive for herpe culture partner is clean false?

Hard to say: Yes it is possible this was herpes. I would wait to see if it happens again and then see a doctor. Herpes looks like a group of small blisters in one area only usually. ...Read more

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Is brintellix too new yet to trust? I hate to try something if it's only approved less than 1 year. Is it safe to take? Would you prescribe? SEs?

Is brintellix too new yet to trust? I hate to try something if it's only approved less than 1 year. Is it safe to take? Would you prescribe? SEs?

Play it safe: Your concerns seem reasonable to me. I hope you also hold a conservative stance w/ respect to more established drugs. Have you explored psychotherapy? It has no side effects or potential for long-term surprises. Use your discernment to interview and select a good psychotherapist with whom you can develop trust and work on learning moos mgmt skills. A time w/ meds might help, but maybe not needed. ...Read more

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I am just wondering between wellubutrin and Prozac (fluoxetine) which drug is less harsh or should I say safer to take, and for long term use which one is better?

I am just wondering between wellubutrin and Prozac (fluoxetine) which drug is less harsh or should I say safer to take, and for long term use which one is better?

Relative safety: Within appropriate dosage limits, both are safe and effective for depression. However, they have different neurotransmitter profiles. Prozac has anti-anxiety effects which wellbutrin (bupropion) does not have; wellbutrin (bupropion) has less potential effects on sexual function. If you have a seizure disorder, brain tumor, or an eating disorder, wellbutrin (bupropion) would not be safe for you but Prozac might still be. ...Read more

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Patent Forman ovale if small is it of concern in a healthy person? What, if any, are the implications? Would betablockade be useful in keeping heart less forcefull and chance of stroke if over 50?

Patent Forman ovale if small is it of concern in a healthy person? What, if any, are the implications? Would betablockade be useful in keeping heart less forcefull and chance of stroke if over 50?

How do you define: Small? Smaller than a cerebral artery so if a clot goes through it you won't have a stroke? There are always implications and risk associated with PFO. Beta blockers do not change this risk. Stay on your ASA. ...Read more

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List of all heart disease names?

List of all heart disease names?

Need more space...: This is not a practical forum for this curious question--you probably better off googling it. But to name a few: coronary artery disease, hypertensive hd, valvular hd, cardiomyopathies (dilated, hypertrophic, tachycardic types), endocarditis, atrial fibrillation, flutter, wolf-parkinson-white syndrome, r or l bundle branch block, pvcs, pat, 1st/sec/3rd heart block, heart failure. Have fun learning. ...Read more

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Can you please list the common causes of heart disease?

Can you please list the common causes of heart disease?

Risk factors: Atherosclerosis (hardening of the arteries) occurs when the walls of blood vessels thicken due to deposits of fat and plaque. This narrowing or blockage of the arteries causes heart disease. The risk factors for heart disease include smoking, high blood pressure, high blood cholesterol, obesity, physical inactivity, and diabetes. ...Read more

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How can you feel less stressed and get your heart rate down?

How can you feel less stressed and get your heart rate down?

Stress: Learn about stress, and meditation to relieve stress. Regular aerobic exercise at least 30min a day also helps a lot. ...Read more

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How is the heart rate slowed when the body needs less oxygen?

How is the heart rate slowed when the body needs less oxygen?

Our body: Maintained a biological balanced status through a variety of different mechanism. Our heart rate is control by different mechanism. One is the autonomic nervous system. Parasympathetic decrease and sympathetic increase. A well balance o2 delivery: o2 demand will keep hr normal if no other stressors to the body (diseases). ...Read more

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How can you give more control to your mind and less to your heart?

How can you give more control to your mind and less to your heart?

Tried hypnosis?: Hypnosis, transcendental meditation, yoga, psychotherapy, psychoanalysis, bio-feedback, prayer.
Any/all can help. ...Read more

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A heart scan showed a LAD score of 350 while the others are 5 or less. Is this serious?

A heart scan showed a LAD score of 350 while the others are 5 or less. Is this serious?

Could be.: There can certainly be discrepancies between different coronary arteries in their calcification. I hope you had some symptoms if you went ahead and had a scan! Otherwise it is a good example of finding trouble where there may not have been any! ...Read more

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Can someone give me a list of GI problems that mimic heart problems? Just for self knowledge

Can someone give me a list of GI problems that mimic heart problems? Just for self knowledge

Do you have DES?: Spastic motility disorders are defined by esophageal manometry, but can be intermittent like diffuse esophageal spasm (des). Of course, esophageal spasm pain can mimic coronary artery disease sufficiently that a cardiac evaluation should first rule out heart ; vessel problems. Also, consider gerd, esophageal tears, acute foreign body impaction or penetration, acute gastro-esophageal hernia, more. ...Read more

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Why does my heart slow to half the rate of a normal person in the daytime when I lie dow to go to sleep?

Why does my heart slow to half the rate of a normal person in the daytime when I lie dow to go to sleep?

Bradycardia: The "normal" heart rate during wake is 60-100 beats per minute. This is not the same for sleep. Sinus bradycardia (heart rate less than 60) can be completely normal during sleep. This being said, many medications slow the heart rate on top of this. It is not uncommon when I look at a sleep study that someone can have heart rates in the 30s and be asymptomatic. ...Read more