Doctor insights on:
Msud Express Cooler Medication
3y old smelled strongly maple syrup until age 2. She no longer does. I found out about msud and asked her dr. He said she would have other symptoms?
MSUD: MSUD is an inherited metabolic disorder that allows for build-up of certain proteins and subsequently their toxic by-products. Untreated, it leads to severe mental and physical disability and eventual death. There are several variations of the disease, one would expect symptoms of the toxin build-up (seizures, vomiting, lethargy etc) to be strongly prevalent the same time the urine smelled strongl ...Read more
1, 6, and 19: Msud is caused when a tightly clustered group of proteins [branched-chain ketoacid dehydrogenase] does not work properly. This multienzyme complex has three subunits encoded by four different genes. Three of them - on chromosomes 1, 6, and 19, have been found to have mutations that can result in msud. The msud family support group (http://www. Msud-support. Org/) has more information. ...Read more
Chromosome 19: Msud results from a defect in chromosome 19 in one if the 6 subunit genes in the bckhda complex. ...Read more
I've had alot of pain in my lower left side, and my urine smells really sweet and its cloudy is possible this is msud? I am 26 yo male
No: Infants with msud need special formulas look in amino acids. ...Read more
Probably not: This disease is because of a defect in metabolism of leucine, isoleucine and valine, all present in protein. I believe that mead johnosn may be making a diet for this disease but it is a long time since I had the care of a msud patient----- a very difficult disease to treat and only diet can prevent the mental retardation that is otherwise inevitable. ...Read more
I'm struggling to produce milk for my recently born twins. I can only express about 10ml. What medication can I take to help me?
Lactation: Patients struggling for lactation may be assisted with medication. The medication that have been found to help is metroclopramide. You can ask your doctor for the medication. ...Read more
Very tempted to drink a shot, a wine cooler, etc. What can drinking alcohol do to someone on medications?
Depends on meds: Alcohol has a large number of drug interactions that can effect many medications, reducing their concentrations in the body and thus their effect. In some cases the interaction can be very dangerous, others less so. One shot, or one wine cooler, is very unlikely to do much of anything, but I suspect you are talking larger amounts of alcohol. If you have problems, seek help through your doctor. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more
RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more
Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more
Elimiron: Elmiron (pentosan) is a medication that is fda approved for ic (interstitial cystitis). The main way it works is not truly known, but it may help with coating the lining of the bladder. In ic, inflammation may be the main cause of pain. Have you seen a doctor in regards to this? Hopefully, you can get the proper testing and see if this med would work well for you. ...Read more
Some people do: ADD medications, stimulants in particular may change the way you feel. Some feel calmer or less restless or agitated. Some feel more focused. Some feel increased restlessness. But in short, yes, stimulants can make you feel differently than prior to taking them. ...Read more
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