Doctor insights on:
Management Of Angioedema
What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?
Causes rarely known: We rarely find the cause for hives that last longer than 4 weeks. Individual hives last less than 24 hours and don't leave any scars are usually benign (not due to some bad disease), even if they are very itchy and make you miserable. Initial treatment is with high doses of antihistamines. If unsuccessful, there are protocols as to how to proceed. See a board-certified allergist/immunologist. ...Read more
Depends: If by complimentary therapies you mean "alternative medicine" i would say there is not much of a role, if you mean medicines that add to the usual asthma treatment (eg immunotherapy, etc), those can change the course of the disease. So called alternative medicine is useful when there are no effective treatments, and asthma has a host of treatments that work well. ...Read more
Autoimmune diseases : Treatment in autoimmune diseases 1. Reduce eliminate the immune system attack on one's cells ( platelets , WBC etc) , tissues ( muscles , nerves, joints, blood vessels) , organs ( pancreas, thyroid, kidneys adrenal) 2. Reduce or eliminate acute destructive ( inflammatory ) process .3 preserve immune function 4.Replace products insulin, thyroid , B12 lost. Rx with steroids cytotoxics. ...Read moreSee 2 more doctor answers
Behavoir problems: An experienced pediatrician can begin a work-up of a child with behavior problems. Depending on the severity of the issues with the child, a psychiatrist or psychologist may also need to be involved. If autism is suspected, then a developmental expert at a pediatric hospital can provide helpful information to discover why a child and family are struggling with certain behaviors. ...Read more
They can be: Chronic hives are thought to be an autoimmune reaction to the cells that make histamine, and can be associated with swelling of the lips and tongue. This type of angioedema is usually itchy and rarely affects the back of the throat or causes trouble breathing. The hereditary form of angioedema does not cause hives and does not itch, but can cause trouble breathing. See an allergist for more info. ...Read more
3 levels: 1. Avoidance - if it is possible to limit exposure to what you are allergic to that is the place to start -> works best for animals and dust. 2. Medical - antihistamines (benadryl, allegra, Claritin are common ones), intranasal steroids (flonase, Nasonex (mometasone) or similar) and variations of these 3. Immunotherapy - "allergy shots" or similar. ...Read more
What are the possible pharmacological basis of a patient's complain of non response to Sildenafil recommended for management of sexual dysfunction.
Other illness: When a medication for erectile dysfunction doesn't work, assuming the person took the medication as directed, it may be because there are other medical illnesses. Diabetes, high blood pressure, alcohol dependence, or other medications interfering with the sildenafil. Discuss all of this with your treating physician to determine the cause, and you should be able to get this cleared up. ...Read more
Neither: Thiis is a reflex that occurs occasionally after surgery due to irritation of the larynx. It causes "roaring disease"in horses when they eat a plant that contains an enzyme that destroys vitamin b1. It is beause of an irritability of the recurrent laryngeal nerve that innervates the cords. Get rid of all sugar "junk" and try taking b1. See a nutritionist for details and look it up in wikipedia. ...Read moreSee 1 more doctor answer
Severe reaction: An anaphylactic reaction is an allergic reaction to a trigger such as a food (peanuts, tree nuts, shellfish) or stinging insect (wasp, honeybee, etc.) that involves multiple body systems at the same time. Thus, you might experience hives/rash (skin), cough/shortness of breath (respiratory), vomithing/diarrhea (gastrointestinal)--these symptoms usually occur within minutes of exposure to a trigger. ...Read more
Multitudinous: I think you mean hypotension (drop in blood pressure), since spinal anesthesia paralyses the nerves maintaining blood pressure, and so, naturally, it drops. By implication, these drugs "squeeze" blood vessels, to raise resistance, and therefore increase pressure. Commonly used drugs might be ephedrine, (ephedrine sulfate) or phenylephrine. In more extreme cases, epinephrine or norepinephrine might be used. ...Read more
22yr female. Experience the following symptoms: angioedema, chronic urticaria, anaphylaxis, bone/muscle pain etc, is this systemic mastocytosis?
Serum tryptase level: You're certainly describing an entity that sounds histamine mediated but of course can be due to other causes and mediators. Does she have urticaria pigmentosa? Have you done a serum tryptase level? To my knowledge the one definitive diagnostic is a bone marrow bx. The other lab i look at to asses a histamine mediated process is anti high affinityfc epsilon receptor antibodies. Any meds? ...Read moreSee 1 more doctor answer
Cardiologists treat cardiac conditions & pulmonologists treat lung diseases. What is the name of the type of specialist who treats sirs (systemic inflammatory response syndrome)?
May be lifetime: This helps control the airway remodeling in this group of illnesses. Some people with previously difficult disease do well on this treatment for years or decades, and low doses are said to keep the disease at bay even if there are no acute attacks. If your physician has recommended this, don't hesitate. ...Read more
Several items: There are several levels of the evaluation and management of neonatal sepsis. Sepsis can be suspected, presumed, or proven depending on the situation and degree of risk or confirmation (positive blood tests, x-rays, spinal fluid tests, & cultures). Careful monitoring, antibiotics, and supportive measures like respiratory support, shock treatment, ivs, & temperature support may all be necessary. ...Read more