Doctor insights on:
Medical Treatment For High Ige
ACE or ARB: Any of them would work but ace or arb would also treat the chf and protect the kidneys so they would be a first choice. ( one or the other, not both). Most patients need more than one drug. ...Read more
Azotemia: High blood urea nitrogen and creatinine together. Please keep in mind that today's "normal creatinine / normal estimated gfr" make all well-muscled men into instant kidney patients, and that eating a big steak can raise your BUN above the reference range. Common sense and a basic knowledge of biology's central to understanding labs. ...Read more
Acetaminophen and: Find the cause asap.Get a more detailed answer ›
High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose chronic myelogenous leukemia and follow it after treatment.?
Nccn.org: Awful predicament. CML is one of the success stories with the new therapies, but proper follow up is important to assure optimal long term survival on the new oral agents. There are good patient assistance programs to assist with your medications. Review the web address above and CML page with your doc to plan the needed tests. ...Read more
I am an eczema patient should I go for ALLERGY ECZEMA COMPREHENSIVE PANEL, SERUM (FEIA) or ALLERGY COMPREHENSIVE PROFILE, SERUM
None of these: Eczema---atopic dermatitis----is NOT an allergy. Allergy tests are not useful, often harmful, for eczema. It is not related to foods. Not "stress" either. It is a genetic defect in the surface of the skin. We have very good technology to help eczema, but no cure. SEE A DERMATOLOGIST. Meanwhile use skin cleansers with pH 6 to 7. Apply a liberal amount of a ceramide cream after washing. A prescripti ...Read more
Please clarify: I am unclear as to what your question is. Please clarify. ...Read more
Low Testosterone ,me: There are several brand name testosterone products available. There are injections which do not provide a smooth level of testosterone. Better are the topicals of which there are many. Cheapest is in the form of a cream or gel which can be compiled by your local pharmacy on your doctors prescription. The brand products are much more expensive and arguably no better. ...Read more
Would a high IG (.03 10*9/L) and high Eosinophils (.92 10*9/L) suggest any specific condition or disease?
Yes but: The diagnosis of a disease depends on the symptoms and physical findings. Tests are mostly used to confirm the diagnosis or assess the disease activity. If you do have very high IgG and persistently elevated eos ( your are more compatible with allergic rhinitis and asthma) but are otherwise healthy, just monitoring would be sufficient. ...Read more
What is the best treatment for hyperthyroidism, particularly for autoimmune thyroiditis unresponsive to drug therapy?
Furhter eval: Hashi and most autoimmune illnesses stem from undiagnosed food allergens or environmental toxins stored in the body. Go to a4m.Com and use doctor locator function to find a local functional medicine doc to help you order specialized testing for gut like genova cdsa as well as metametrix igg food allergen testing to discover real cause. If not "fixed" other autoimmune illnesses will be in upcoming! ...Read more
Lupus anticoagulant: Lupus anticoagulant (LA) are a group of autoimmune antibodies directed against phospholipids in the body. The name is confusing because its name come from lab tests used to detect it in blood samples since it prevents normal clotting outside of the body. LA actually increases risk for developing blood clots within blood vessels. IgA is one of several types of antibodies (others are IgM, IgG, IgE) ...Read more
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
High deductible. Limited coverage of outpatient care. Would really help to know what tests, evaluations are required to diagnose autoimmune diseases and follow it after treatment.?
Can a person have anaphylaxis and survive without medical treatment (presuming medical treatment isn't available)?
Yes: A person can survive. Death is usually from cardiac arrest, which is caused by the body's reaction to the trigger. Normal physiological "breaks" will reverse the reaction, but anaphylaxis is deadly because cardiac arrest can occur before the "breaks" go into effect. Even if survived, the next anaphylactic reaction to the same trigger can be even more exaggerated and the luck may run out ...Read moreSee 3 more doctor answers
Yes: First is appropriate diagnosis. Make sure that the patient's blood sugar is repaetedly low and that they are not taking Insulin or other drugs. Next, scans may be useful for localizing the tumor. Only then - an experienced endocrine (or hepatopancreatobiliary) surgeon should remove it. These tumors are very rare, often hard to find, and you should go to a specialized center for surgery. ...Read moreSee 1 more doctor answer
Treat the cause: Kidney disease is the most likely cause of high creatinine. Treating obstruction of the urinary tract, infection of the kidneys and possible drug damage or autoimmune diseases like lupus need to be considered before committing to life long dialysis. A discussion with your doctor is needed. You need to be certain that you need dialysis in order to tolerate the life style changes coming to you. ...Read moreSee 1 more doctor answer
Too many options: If you have resistant blood pressure, you may need to make sure you do not have a secondary cause such as a kidney or hormonal problem. Undiagnosed sleep apnea can do also be a cause. Obesity and failure to lose wight with diet and exercise can also prevent medication from working. You may need to be on at least 4 types of drugs to lower your blood pressure. You may need to see a hypertension. ...Read moreSee 1 more doctor answer