Doctor insights on:
Medicine For Pregnancy Associated Osteoporosis
Fracture: Osteoporosis in anyone is silent until there is a fracture. Even many spine fractures are silent insofar as the person didn't know they had osteoporosis until an x ray showed collapse of a vertebra or even multiple vertebrae. The classic " doweger hump" can be the only clue to the the diagnosis. In pregnancy this would not likely occur. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
6-12 months: Pregnancy associated osteoporosis is usually transient and resolves spontaneously. There's no standard treatment. Symptoms begin in the last trimester of pregnancy. It may persist six months to a year after pregnancy. After you have delivered you may take nonsteroidal anti-inflammatories for it. Make sure you are getting adequate nutrition during and after pregnancy. ...Read more
See below: Osteoporosis is a condition in which the density of the bone is decreased leading to a weakening of the bone and predisposes one to fracture. There is a type of osteoporosis that is associated with pregnancy and is known as pregnancy associated osteoporosis. ...Read more
Calcium: This osteoporosis is short term and not usually treated with potent medications, unless very severe. The diagnosis warrents a bone density exam and consultation with someone versed in osteoporosis. Bone density exams have less radiation than a dental xray and you can be shielded as well. ...Read more
Yes: Osteoporosis can occur after pregnancy due to changes in calcium metabolism and bone reabsorption which provides calcium for the baby. It can increase the risk of fractures but tends to resolve on its own without medicine. It is a good idea to get at least 3 servings of dairy (for calcium) daily in the diet and make sure vitamin d level is optimized. ...Read more
Hi. Am only 34 and only just found out I have secondary osteoporosis. I was due to start second ivf. Is pregnancy a good idea?
Your answer to the question of PG should be addressed by the physicians who are treating you.
They have all your medical history and the results of labs and testing. ...Read more
28 yr old diagnosed w severe pregnancy/lactating associated osteoporosis is there anyway to heal my bones without fosamax (alendronate)? Will my bones even return
Yes, a long time: Prior to Fosamax Rx. Patients with severe osteoporosis consumed Vitamin D and calcium for long periods of time with very very slow resolution of the disease. Most notably, many patients had spontaneous fractures during the "slow" method of Rx. Thank goodness for Fosamax that can "speed up" the new bone deposition and avoid the consequences of fractures and immobility. ...Read more
Upset stomach.: The most common side effect of anti-osteoporosis drugs is an upset stomach from bisphosphonate (fosamax, actonel, (risedronate) boniva) drugs taken by mouth. This occurs in 5-10% of patients. Bisphosphonate drugs given intravenously may produce fever and muscle aches for 1-2 days in about 40% of patients. Jaw problems and unusual fractures of the thigh bone rarely occur with long-term use of bisphosphonates. ...Read more
I have hip osteoporosis Tscore of -2.8, FRAX of 2.2, started (Bon Viva) with very unpleasant side effects. Any other drugs with less side effects?
Why would a general medicine internist be favourable vs a rhematologist regarding my secondary severe osteoporosis and various other sec health issues?
Osteoporosis: Both are equally good as internists training include in depth in various sub specielties fields and are very competent in handling such issues. ...Read more
Alendronate (Fosamax (alendronate): In my practice I have good luck with fosamax (alendronate). ...Read more
Mostly heartburn: Alendronate is generally well tolerated. Reflux is the most common side effect. It can also cause bone pain, esophageal ulcers or narrowing. The generic alendronate may have more GI side effects because it is not coated. This concern has not been answered adequately enough in large studies. It is very important to discuss these issues with your physician. ...Read more
Many 2 choose..: ..from. The proper 1 depends on many factors. Including family history, history of prior fractures, and age is always a factor in the decision making. All have pros & cons, so C an internist who specializes in treating osteoporosis/osteopenia.Hosteopenia. Have a discussion of Rx choices & make Ur decision on hes/her recommendations. ...Read more
Exercise and vit D: Weight-bearing exercises will help strengthen your bones. Calcium and vitamin d supplements also help-i recommend a blood test for vitamin d (25 hydroxy vitamin d), it should be 30 or higher. Some people need much more vitamin d than what is recommended to get their level up to 30. You can use the frax calculator to determine your fracture risk: http://www. Shef. Ac.Uk/frax/tool. Jsp? Country=9. ...Read more
What are alternative ways to treat osteopenia (or osteoporosis) without using prescription drugs?
No: First, with osteoporosis, the bone I not dead it is only decreased in amount bone is living and has the ability to heal. People with osteoporosis will heal a fracture. Boniva (ibandronate) slows the rate of bone loss but does not stimulate the growth of new bone. However, since the body continues to make bone, the density usually goes up with Boniva (ibandronate) and similar meds. Few treatments have proven to make new bone. ...Read more
Read online that by inhibiting gut serotonin cure osteoporosis, is the drug already available in the market?
In 2010,: There first appeared some reports about inhibiting intestinal serotonin and the favorable effects on bone density. In the reports this drug was named LP533401. I am not able to find a drug by that name in the approved drugs products listed by the FDA. I would be surprised if this drug was available now. Continue to use your apparent on-line searching skills to learn more:) ...Read more
What is benefit of human parathyroid harmon injection and use in osteoporosis and whether it is recommended for taking that medicine for two years.
There are several: A diet rich in calcium (dairy, dark green vegetables, fortified foods) and vitamin d (fish, eggs, liver, fortified foods) can help. A little sun exposure stimulates your skin to make vitamin d. Avoid or limit smoking, alcohol, and sodas. Muscle building exercises stimulate bones to take in more calcium. Many prescription meds can cause bone loss; talk to your doctor about these. ...Read more
Many RA drugs can cause osteoporosis, as well as lack of activity. There are drugs to prevent this! What RA drugs cuz osteoporosis and what to prevent?
Some is true: Corticosteroids including Prednisone or Prednisolone can cause loss of bone density. There are medications that can cause osteoporosis which we call giop glucocorticoid induced osteoporosis. The medications do not necessarily slow you down. Your rheumatologist can clarify the for your own condition. The who has included RA as a risk factor for osteoporosis. ...Read more
Do the drugs you take for osteoporosis once a month have less side effects than the daily or weekly pills?
Not necessarily: Oral medication for osteoporosis (bisphosphonates) all have similar side effect profile. Of course, if you take a medicine only once a month vs. Once weekly, the frequency or occurrence of side effects will be less. When taking bisphosphonate, important to take with water, stay upright or active afterwards and not lay down, to minimize most common side effect of reflux symptoms ...Read more
I've been hearing about new drugs that can help treat osteoporosis some are taken weekly, monthly or even annually. Which is the best one?
Great concern!: This is best determined by your personal need, current medical condition and "risk". After your screening, family history and medical history review -you and your clinician may seek what works best for you. Often the 1st choice may not be suited for your individual profile. ...Read more
57 year old Asian woman with osteoporosis. Any studies that show that diet & exercise alone can maintain health, i.e., drugs aren't necessary?
Possibly: Although there are studies showing that calcium and vitamin d slow the loss of bone after menopause, recent studies have been suggesting that taking calcium supplements is not the same as getting calcium through foods in your diet. Calcium supplements may be associated with a higher risk of cardiovascular disease, whereas high calcium diet is not. At your age you should be concentrating on diet. ...Read more
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