Doctor insights on:
Need Help With Fetal Hydrops
Neurologist: A neural tube defect is a congenital defect that appears at birth, and can be detected when the baby is still inside the mother in pregnancy, by ultrasound and mother's blood level of a protein associated with the spinal cord called alpha- fetoprotein, or AFP. A neurologist and neurosurgeon specialize in care of people with neural tube defects. You need to call your nearest specialty hospital ASAP ...Read moreSee 1 more doctor answer
Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more
No: Most fetal and infant hydroceles resolve spontaneously. Occasional very large, tense and tender hydroceles need early intervention by a pediatric urologist or surgeon. ...Read more
Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?
Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more
Support Networks: Jane, one of the best things you can do is to explore the resources available to you, so thank you for asking! many states and regions in the U.S. Have organized sickle cell groups that help educate and support sickle cell patients and their families. Of course, also ask your baby's future doctor. Try this national group as a stepping stone: http://www.Sicklecelldisease.Org/index.Cfm?Page=chapters. ...Read moreSee 1 more doctor answer
Please seek medical: Evaluation for these symptoms. Severe anxiety can impact bonding with your new baby. In the meantime, avoid caffeine & either eliminate or keep alcohol use moderate. Try deep breathing exercises and progressive muscle relaxation. Get out with your new baby in a stroller and walk. Physical activity in green spaces is especially helpful. ...Read more
Depends.: Depending on which trisomy syndrome you are referring to; if it is trisomy 13/18 (patau/edwards syndromes) my answer would be an unequivocal yes and asap. If you are referring to trisomy 21 (down syndrome), the issues are much more debatable and each option can be appropriate for different families. Keep in mind that >90% of families with down syndrome children end in divorce within a decade... ...Read more
Does a 40 y/o asymptomatic pt with antiphospholipid sd with h/o 3 first trimester miscarriages need to start any kind of chronic anticoagulation?
My wife was diagnosed with anhydramnios (16 weeks) either due to ruptured membranes or placental insufficiency. What are our chances/risks if we continue with the pregnancy?
Are any special tests needed, or can a regular obgyn doctor see me for my intrahepatic cholestasis of pregnancy?
Repair the defect : The approach to and reasons for repair for a ds kid is the same as for any other. The projected lifespan of a ds child with proper medical care for their main problems is >60 years. With holding care from such a child would violate federal "baby doe" statutes and place the licenses of any personnel involved at risk. Child & family services of the involved state would also become involved. ...Read more
Are there any nurses or therapist that will live with you for two weeks to help with acute panic?
I don't think so: You may want to consider a voluntary admission to a psychiatric hospital if the panic is that severe. Perhaps a day treatment program would be enough. Call a local psychiatric hospital and schedule an appointment for an evaluation. Good luck and let us know how it goes. It can be treated. ...Read more
FAS is one end of : The fetal alcohol spectrum disorders. Geneticists ; other pediatric specialists diagnose FAS 1 by: history of prenatal exposure, prenatal ;/or post-natal growth failure, evidence of central nervous system damage ; characteristic facial features. See http://www.Fasdcenter.Samhsa.Gov for the range of physical, neurobehavioral ; neurodevelopmental findings ; how best to help a child with an fasd. ...Read more
Yes: it is possible to see a portion of the ventricles, but there is very limited ability to specifically assess the ventricles on an abdominal US. Assessing the heart is, generally, not within the scope of an abdominal ultrasound. The heart will not be commented on, or imaged, unless a gross abnormality is noticed incidentally during the exam. ...Read more
Absolutely: Dehydration is a leading cause of abnormal lab work in an elderly patient. Dehydration can cause an elevation in a person's BUN and creatinine. These two lab values can determine if a person had renal failure. If the cause of the renal failure is truly dehydration, it can be easily corrected with drinking lot of water and re-testing. ...Read more
I have a mild case of cerebral palsy and need help with driving. What devices are out there to help me?
See below: There are many adaptive devices for people with CP who want and need to drive. These include: left footed accelerators, hand controls for brake and gas, steering wheel adaptors that only require one hand and more. The best person to see for this is a physiatrist who can then assess you and make recommendations specifically designed for your needs. ...Read moreSee 1 more doctor answer