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Doctor insights on: Medicine For Twin To Twin Transfusion

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How is amnio used for twin-twin transfusion?

How is amnio used for twin-twin transfusion?

Amnioreduction.: Before laser therapy became trendy for ttts management, serial amnioreductions with or without amnioseptostomy were successfully used to increase perinatal survival in such complicated twin pregnancies. The decrease of amniotic fluid volume in the recipient's sac alleviates the pressure on the placenta and helps prolong the pregnancy while avoiding fetal demise; neurological damage can still occur. ...Read more

Dr. Juan Merayo-Rodriguez
321 Doctors shared insights

Transfusions (Definition)

Sometimes babies are given whole blood to supply what they are lacking, and sometimes only components of blood, such as platelets or ...Read more


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What is twin-twin transfusion syndrome?

What is twin-twin transfusion syndrome?

AKA TTTS: Ttts is when twins share abnormal blood vessel connections allowing one baby to "steal" blood from the other. Another name for this syndrome is poly/oli twins because one will have too much amniotic fluid (polyhydramnios) and the other too little fluid (oligohydramnios.) this is a high risk situation that will need to be carefully monitored by serial ultrasound and may require early delivery. ...Read more

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What are the tests for twin-twin transfusion syndrome?

What are the tests for twin-twin transfusion syndrome?

Ultrasound.: Determining the type of twins and their condition by prenatal ultrasound is the only way to diagnose ttts. ...Read more

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What are the symptoms of twin-twin transfusion syndrome?

What are the symptoms of twin-twin transfusion syndrome?

Large uterus.: Rapidly enlarging uterus is the hallmark of ttts and results from massive polyhydramnios in the recipient's gestational sac. Prompt expert medical care can help avoid death to both twins. ...Read more

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What is the treatment for twin-twin transfusion syndrome?

What is the treatment for twin-twin transfusion syndrome?

Laser, amnioreductio: Laser to try to separate the two fused placentas and/or amnioreduction can help manage ttts to a certain extent. Laser is preferred but both methods have pretty high failure an complication rates. Ttts is a bad diagnosis to have.. ...Read more

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What is twin-to-twin transfusion syndrome?

Blood problem: When blood from one twin is going to the other twin. One twin grows the other does not
twin-to-twin transfusion syndrome

ttts; fetal transfusion syndrome

last reviewed: september 12, 2011.


Twin-to-twin transfusion syndrome (ttts) is a rare condition that occurs only in identical twins while they are in the womb.


Causes, incidence, and risk factors

ttts occurs when blood moves from one twin. ...Read more

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What is the definition or description of: Twin to twin transfusion?

TTTS: Twin to twin transfusion (Feto-Fetal Transfusion Syndrome or Twin Oligohydramnios-Polyhydramnios) occur when twins (identical) or higher order multiples share a placenta. One receives more blood flow & the other receives too little. ...Read more

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What future disabilities can development from twin to twin transfusion syndrome?

What future disabilities can development from twin to twin transfusion syndrome?

Probably none: One will always be larger than the other. Congenital heart and brain defects are more common, but not frequent. These will usually be evident soon after birth. You and both children are fortunate to have survived this. It is so rare most Drs never even heard of it. ...Read more

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Perfect twins by. Csect.; wife alert, /but placenta removal: severe hem 4.5l &, bp=29/15 no transfusion wife unconscious ever since -> now 32 hours?

Perfect twins by. Csect.; wife alert, /but placenta removal: severe hem 4.5l &, bp=29/15 no transfusion wife unconscious ever since -> now 32 hours?

You need answers.: Please understand that I am a family physician, not an obstetrician. If I understand you, your wife had a serious post-partum hemorrhage after a c-section delivery of twins. I would imagine that blood would be given unless there was a specific reason not to. My questions would pertain to her neurological status, and the possibility of bleeding into her pituitary gland. Talk with the doctors asap. ...Read more

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What medicine should be given before blood transfusion?

None "required": Many practitioners will give tylenol (acetaminophen) & Benadryl dose prior to transfusion, to reduce chance of low grade temperature or minor incompatibility reaction--but this is not necessary/essential. ...Read more

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People have anti-rejection drugs for organ replacement why can't you have the same for blood transfusions?

People have anti-rejection drugs for organ replacement why can't you have the same for blood transfusions?

It's not necessary: Rejection of a blood transfusion is called a "transfusion reaction." blood banks can almost always find a donor blood product which won't cause a reaction so anti-rejection drugs are usually not required. ...Read more

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Is a simple HIV antibody blood test enough for virgins not involved in drugs n blood transfusion to confirm absence of hiv? Not had any sex untill now.

Is a simple HIV antibody blood test enough for virgins not involved in drugs n blood transfusion to confirm absence of hiv? Not had any sex untill now.

See below: If you have not had sex, have not injected drugs, have not received blood transfusions, and have not been injected with any thing by some one other than a doctor, you do not need an HIV test.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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What are pros cons of drug procrit (epoetin alfa) to treat 88 year-old man whose chronic leukemia is now becoming acute where he needs transfusions every two weeks?

What are pros cons of drug procrit (epoetin alfa) to treat 88 year-old man whose chronic leukemia is now becoming acute where he needs transfusions every two weeks?

Limited value: Procrit (epoetin alfa) is commonly used in patients with cancer. But it is not always effective as it helps to raise red cell counts (hb) in most pateints but takes 4-6 weeks before it has any visible benefit. A patient with acute leukemia has more urgent needs which are best met with a blood transfusion as needed. But his age is against him to achieve much benefit from anything further that can be done for him. ...Read more

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I have hep c from transfusion at birth. Blood levels ALT 131, GGT 235, AST 29, billrubin 0.5 - should I worry about my liver? Never drink or do drugs.

I have hep c from transfusion at birth. Blood levels ALT 131, GGT 235, AST 29, billrubin 0.5 - should I worry about my liver? Never drink or do drugs.

Yes: Hi, your alt levels are high that implies that your liver is getting damaged. Depending upon the subtype of the hep c virus ; the stage of liver damage, you could be offered treatment, which could be potentially curable. See a hepatologist or GI who takes care of liver diseases urgently as new potent medications have recently come on the market. Make sure you are vaccinated for hep b.Best of luck. ...Read more

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Healthy 27 YO, AA Fem. +RF 30 (1-14) ALT 12 AST 10 ALP 45. CBC Norm. Neg. HBsag, HIV, Syphillis, MCTD. ANA. No drugs/transfusions. Hep C possibility?

Get tested: There is a blood test to diagnose infection with hepatitis C. Nothing in the results you provided, indicates active Hep C infection, however, Hep C can remain asymptomatic for years. If you have any concern get tested for Hep c.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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For ge reflux 4weeks twin baby 2.5 kg what medicine to be tried. ...

No meds: Keep patient upright after feeds for at least one hour, patient doesn't necessarily need medication unless they aren't gaining weight, refusing to feed. For irritability and fussiness. Keep head of bed elevated 30-40 degrees. These simple moves, should help improve the reflux. Also don't over feed a child. Stomach can't take more than 4-5 ounces a feed at this age. ...Read more

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Please I would like to have twins or triplets, could you tell me the best fartility drugs for that?

Please I would like to have twins or triplets, could you tell me the best fartility drugs for that?

Clomid/HMG if needed: These two drugs should only be used if you are not ovulating and it is indicated by a md. ...Read more

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I have twins a boy n girl of12 yrs. In weight n height they r lesser then a normal child. How to improve there health any medicine?

I have twins a boy n girl of12 yrs. In weight n height they r lesser then a normal child. How to improve there health any medicine?

Probably normal: Especially since you have twins and both of them are lower on the growth curve for height and weight this is likely a normal pattern of growth. You would still need to have a discussion with you pediatrician to make sure, but there a certain number of kids who are above or below the curves and it is a normal pattern of growth. ...Read more

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Is there a medicine to increase my chance of havings twins?

Is there a medicine to increase my chance of havings twins?

Yes.: A medication used to help infertile couples, called Clomid, (clomiphene) when given to a normal woman can increase her chance of having twins to about 33%. See your OB/Gyn for other, more natural ways to increase your chances of twinning, including dietary strategies. Yams, or cassava, for instance increase some people's chances of having a twin pregnancy fourfold. Eating dairy also increases your chances. ...Read more

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What fertility drug effect on twins?

What fertility drug effect on twins?

Increased risk for!: All fertility drugs and assisted reproduction technology lead to increased multifetal pregnancy rates (twins, triplets, quads etc). ...Read more

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Over the counter fertility drugs for twins?

Over the counter fertility drugs for twins?

Cross your fingers: The frequency of natural twinning is between 1-2%. Use of prescription medications can increase that chance to as high as 25%, but most us docs feel its inappropriate purely for conceiving multiples. There is nothing otc that will affect your twin chances. ...Read more

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What are the chances of having twins without using fertility drugs?

What are the chances of having twins without using fertility drugs?

About 1%: Natural twins occur in about 1 in 100 pregnancies. Identical twins are roughly 1/3 of these. ...Read more