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Doctor insights on: National Down Syndrome Day

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My heart rate runs between 120- 140bpm during 30 minute run. Cool down it goes to 95-101. I average 10 incline and 4.8 mph. Good pace? My % runs 70-80

My heart rate runs between 120- 140bpm during 30 minute run. Cool down it goes to 95-101. I average 10 incline and 4.8 mph. Good pace? My % runs 70-80

How do you feel?: This sounds like a reasonable regimen - how do you feel during and after you run? If you have not had a stress test recently, you should see your doctor to discuss this. It helps to see you ECG and exercise tolerance in a monitored setting. Also, does your heart rate slow down in the later evening? Monitor these and share with your doctor soon! ...Read more

Dr. Kathryn Akin
655 doctors shared insights

Down Syndrome (Definition)

A genetic Chromosome 21 disorder causing ...Read more


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Pre diabetic with 4 times loo visit at night, must cut down on fruit, which has the highest sugar level.?

Pre diabetic with 4 times loo visit at night, must cut down on fruit, which has the highest sugar level.?

Glycemic index: Avoid fruits with a high glycemic index - these fruits raise blood sugar fast and are not good for diabetics or pre-diabetics. There are great lists online that have the glycemic of all foods, not just fruits. Dates, watermelon, raisins, any canned fruit in syrup, cherries, mangos, bananas - try to avoid. I'd also avoid any fruit juice (even if "natural") - stick to water instead! ...Read more

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Took at least one 8+ hour flight per year in the past. Then 911, dollar decline, etc. At 60 are there new risks from plane travel?

Took at least one 8+ hour flight per year in the past. Then 911, dollar decline, etc. At 60 are there new risks from plane travel?

I'll say no...: Air travel remains one of the safest ways to get around. At the spry age of 60 you should be fine! remember to be mindful of hydration, get up and walk briefly around every hour or two while awake, and don't start your trip already exhausted, as many do. Travel well! ...Read more

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My friend is 6'1" and 110 pounds, with a BMI of 14.5, runs 3 miles per day along with Yoga. Is he headed down a dangerous path?

My friend is 6'1" and 110 pounds, with a BMI of 14.5, runs 3 miles per day along with Yoga. Is he headed down a dangerous path?

Sounds good: "Body mass index" was never intended to be applied to individuals, though in non-athletes it is a crude measure of obesity / malnutrition. If your friend is light-framed and has this level of athleticism, stop worrying and be glad for his good health. The stuff about "low BMI people die sooner" just reflects the high mortality of cancer patients, deteriorated alcoholics and so forth. ...Read more

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Can restless leg syndrome carry on through out the day after suffering all night?

Can restless leg syndrome carry on through out the day after suffering all night?

RLS symptoms: can persist. Be sure to have your iron and ferritin levels checked to exclude Ekbom syndrome (RLS due to low levels of the cofactor (iron) for tyrosine hydroxylase (the enzyme that converts Tyrosine to L Dopa.) ...Read more

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My pulse rate in the evening runs 58-64 per min. In morning, pulse runs 48-54 per minute..I do run 6 day's a week in the fl heat is this normal?

My pulse rate in the evening runs 58-64 per min.   In morning, pulse runs 48-54 per minute..I do run 6 day's a week in the fl heat is this normal?

For you, may be ok: Very athletic and healthy people can have a lower resting heart rate. The Professional bike rider, Lance Armstrong in his prime, had a resting heart rate in the 40's. As long as you have no symptoms, you stay fit and in good shape, you should be fine. If you get any symptoms of fatigue, lethargy, tiredness, shortness of breath, lightheadedness, etc. than you need to se the Dr. Good luck. ...Read more

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Can withdrawal symptoms from co codamol fluctuate while I am reducing dose ? I'm down to half a 500/8 tablet per day. (burning/prickling symptoms. )

Yes: Withdrawal is highly variable, and symptoms can come and go. If you are down to that low a dose, it should be over soon. I always recommend against people tapering themselves off opiates or benzos without supervision, since there are potential adverse consequences to withdrawal. ...Read more

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I lift weights 4/5 times a week.is 4 liters of water too much?im exhausted from drinking that much,i wake up 3 times from sleep.whats the minimum?

I lift weights 4/5 times a week.is 4 liters of water too much?im exhausted from drinking that much,i wake up 3 times from sleep.whats the minimum?

For you, maybe...: Drinking plenty of water each day, even up to 4L per day at your age has been shown to reduce your chance of chronic kidney disease later in life by 2.5x. However, the danger in your case is that you are on quetiapine, that may put you at risk of hyponatremia (low sodium in the blood). So drink during the day, and just make sure you get your blood checked periodically by your doctor. ...Read more

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In bed last night, heart rate increased and stayed that way for an hour or so, average 95 bpm resting. woke this morning with migraine, related??

In bed last night, heart rate increased and stayed that way for an hour or so, average 95 bpm resting. woke this morning with migraine, related??

Headache, lack sleep: Having a poor night's sleep is a likely link between the headache and what occurred overnight.
Generally we would consider a heart rate up to 100 to be normal. If it was going well over this or you felt it was irregular this may be worth getting an ECG (heart tracing) for. Presume you already passed through menopause? This could be another link. ...Read more

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Nale 22. At night my resting hr can go down to 50. Any reason at night?

Nale 22. At night my resting hr can go down to 50. Any reason at night?

Healthy young men: There is absolutely nothing here to be worried about. Slow or 'athletic' heart rhythms are common in someone your age. ...Read more

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I drink more than 3 drinks per day on average (working on cutting down). I took 1 325mg Acetaminophen pill this morning at 8AM. Any concerns of OD?

I drink more than 3 drinks per day on average (working on cutting down). I took 1 325mg Acetaminophen pill this morning at 8AM. Any concerns of OD?

No: Even small amounts of alcohol daily may affect the liver and while taking acetaminophen of that amount may not cause an overdose, it may be dangerous for you if you have liver problems. I commend you on your effort to cut down,but more help may be needed. Your local AA is a good place to start for excellent support. There are also inpatient and outpatient rehab centers all over the country. ...Read more

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wake up at night with spasmic pain in the anus @ night every few monthsLasting few mins, earlier relief when bending. M,31,healthy,Levator syndr?!

 wake up at night with spasmic pain in the anus @ night every few monthsLasting few  mins, earlier relief when bending. M,31,healthy,Levator syndr?!

Ouch!: Since ano-rectal spasm, while very painful, doesn't last long, medication isn't too helpful. Sitting on "the throne" and straining as if you were trying to have a bowel movement may help. It works the same way as flexing your ankle does if you get a Charlie Horse in your calf: by actively stretching the contracted, cramping muscles. What you describe is typical for levator ani syndrome. ...Read more

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Male 22. I have postural orthostatic tachycardia syndrome. Heart rate goes to 100 when i stand. Will regular excercise bring it down at all?

Male 22. I have postural orthostatic tachycardia syndrome.  Heart rate goes to 100 when i stand. Will regular excercise bring it down at all?

It should help: There is a long list of therapies and medications used in pots, partly because no single approach has been found to work in all patients, but one important component of treatment is regular exercise to improve cardiovascular conditioning. That, combined with increased fluid and salt intake, as well as medications as determined by your md will be your best bet to improve your symptoms. ...Read more

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She ran temperature of 100 -102 through the night. Give her 1 teaspoon of Child Advil at 9pm. Another around 11:30pm. Checked her temperature around 5:15 am it was 102. Normally, her doctor Evenly William Neal, prescription for ibuprofen?

She ran temperature of 100 -102 through the night. Give her 1 teaspoon of Child Advil at 9pm. Another around 11:30pm. Checked her temperature around 5:15 am it was 102. Normally, her doctor Evenly William Neal, prescription for ibuprofen?

Incorrect Dosing: Hi, You need to call and speak to your doctor or nurse at the practice. Advil (ibuprofen) is Ibuprofen and should be dosed every 6-8hrs. Please call for advise. - Your dose should be based on weight. Persistent high fevers is a concern, please CALL ASAP. ...Read more