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Doctor insights on: Normal 03 Wk Smile Responsively

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Baby Smiles Responsively (Definition)

This is a developmental milestone. Most babies smile responsively eg at someone, between ...Read more


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Olmesartan when started worked fine, it was 115 / 75 but within 7 days gradually both sys and dia reached at 150 / 90. Is this normal ?

Olmesartan when started worked fine, it was 115 / 75 but within 7 days gradually both sys and dia reached at 150 / 90. Is this normal ?

Diuretic?: You list amlodipine, atenolol, and chlorthalidone - are you taking all 4 drugs every day? In particular, your olmesartan will be more effective if taken with a diuretic. Also, is your BP being measured by a validated cuff at complete rest for 10 minutes? Is the elevated pressure an average or an isolated finding? Always take it 3 times and average -this helps reduce reflexive anxiety interference ...Read more

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Labile bp. Controt by am carvedilol/amlodipine n pm .ok 12 months . Now upward trend. Aft 30 mins walk 160/90p78. 1 to 2 hour to normaok? 67 age

Labile bp. Controt by am carvedilol/amlodipine n pm .ok 12 months . Now upward trend. Aft 30 mins walk 160/90p78. 1 to 2 hour to normaok? 67 age

HTN: Increase in blood pressue is normal but going back to baseline happens in a couple of minutes usually 5-10. In this case Holiday food and stress might be playing a roll in the equation. You need to go see your md again to possibily tweak these medications. Remember lifestyle, diet, low salt intake, exercise are key players decreasing bp ...Read more

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Bp before exercise: 130/83, after exercise: 100/60. 2 hours after that time: 95/60, heart rate 85 bpm. Without beta blocker. Is it normal / abnormal?

Bp before exercise: 130/83, after exercise: 100/60. 2 hours after that time: 95/60, heart rate 85 bpm. Without beta blocker. Is it normal / abnormal?

BP should be high : You are in beta blockers. Medications that will decrease the normal response of blood pressure and heart rate to exercise. If no beta blockers your blood pressure should be a little higher right after exercise. Have you have a stress test? What are the echo results? Any other symptoms? Dizziness after standing from chair? Check with your doctor. ...Read more

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19 y.o. female with 50 bpm @ rest. Feel tired a lot but normal ekg,echo, &holter monitor. Doc said its ok. workout 5 days/week (25 min). Normal?

19 y.o. female with 50 bpm @ rest. Feel tired a lot but normal  ekg,echo, &holter monitor. Doc said its ok. workout 5 days/week (25 min). Normal?

Normal HR.: You're young and you exercise and you're female. These all contribute to your lower resting heart rate, which is normal and actually quite healthy, especially knowing the normal results of all those tests. ...Read more

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3 months 10 days old premature delivered boy have frequent ankle clonus but other neurological exam normal n he behaves a normal attitude..is it norma?

3 months 10 days old premature delivered boy have frequent ankle clonus but other neurological exam normal n he behaves a normal attitude..is it norma?

Normal: I'm not a neurologist and someone here will correct me if I'm wrong, but if I remember correctly to my medical school days: clonus is normal in neonates. ...Read more

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My granmother had a surgery 3 weeks ago her blood examinations are HB : 7.3 gm/dL HB : 46 % P.C.V : 25% E.S.R: 110 mm/hr. Is this bad?

My granmother had a surgery 3 weeks ago her blood examinations  are  HB : 7.3 gm/dL HB :  46 %  P.C.V :  25% E.S.R: 110 mm/hr. Is this bad?

Seek attention: The ESR being high is normal after surgery to a certain degree. Your grandmother needs to see her doctor to determine if she is having effects from a low hb, what her normal is, and to evaluate to see if a transfusion is needed. If she has no other symptoms than it may be normal for her. Seek physician attention ...Read more

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My 2 yo Shone's Complex child has been vomiting all night & his HR seems elevated. Breathing seems normal. Should we go to ER?

My 2 yo Shone's Complex child has been vomiting all night & his HR seems elevated. Breathing seems normal. Should we go to ER?

Yes, ER: His heart rate is probably elevated due to dehydration. Yes, I would take him to the ER due to his probable stomach virus, dehydration and his complex cardiac disease. Please keep us posted. ...Read more

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My 21 month old just had his coags done his pt and INR were normal but his PTT was 43 & 45 seconds ( we did it twice ). Is this normal?

My 21 month old just had his coags done his pt and INR were normal but his PTT was 43 & 45 seconds ( we did it twice ).  Is this normal?

Yes, nearly so.: Children often have longer PTT. As long as the child does not have abnormal bleeding, it is not worth pursuing lab values. Keep a watch for teeth related bleeding. ...Read more

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My 3 days baby has irregular breathing pattern she experienced single episode of bluish lips for 10 min then disappear is this normal?

My 3 days baby has irregular breathing pattern she experienced single episode of bluish lips for 10 min then disappear is this normal?

Certainly: Also known periodic breathing of infancy... Very physiologic... Goes away on it own as the respiratory centers of the brain become synchronized and matures..Just needs some tincture of time and lots of hugs ! ...Read more

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Hi. 50. Male. Very fit. CTA: clear arteries, normal BP, no structural issues. But EF of 32%. Flu and pneumonia 6 mos. ago. Global Hypo? Why?

Hi. 50. Male. Very fit. CTA: clear arteries, normal BP, no structural issues. But EF of 32%. Flu and pneumonia 6 mos. ago. Global Hypo? Why?

Cardiomyopathy: There are many reasons for Cardiomyopathy. Ischemic heart disease is only one. Alcohol, viral, toxic, idiopathic. It sounds like you have a health care professional taking care of you but if you do not you should! You need medications and if they are not effective you should have an ICD implanted to protect you from sudden cardiac death. Please seek appropriate medical attention. Don't wait! ...Read more

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Dropped cell on 2 week old baby head, small dent is seen. Baby cried for less than a sec & resumed feeding.Now week 4 baby seems normal.should I worry?

Dropped cell on 2 week old baby head, small dent is seen. Baby cried for less than a sec & resumed feeding.Now week 4 baby seems normal.should I worry?

No: A cell phone should not cause serious trauma. It is reassuring she is well. Take care and all the best. This sounds like a scalp contusion. ...Read more

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2yr-old has had 4 drops/faints in 6 months lasting 30 sec. To 90 seconds:body is limp, eyes open, unresponsive, has had two normal eeg's, what's wrong?

2yr-old has had 4 drops/faints in 6 months lasting 30 sec. To 90 seconds:body is limp, eyes open, unresponsive, has had two normal eeg's, what's wrong?

Best to have : Neurologist check her out . Your child needs supervision for safety issue. Need more details , circumstances. Could be metabolic or other causes aside from neurological ...Read more

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44y male have low temp for periods 34.5 - 36c. Fit, clean life, no stress, rhr 50 and BP 110/70. Feel poor. No brain. Blood done T3 (liothyronine) slightly low?

44y male have low temp for periods 34.5 - 36c. Fit, clean life, no stress, rhr 50 and BP 110/70. Feel poor. No brain. Blood done T3 (liothyronine) slightly low?

Was TSH checked?: Check the tsh. If your T3 (liothyronine) level was slightly low you may have hypothyroidism, but cannot be diagnosed with only a T3 (liothyronine) level. Your symptoms, however, can be signs of hypothyroidism. The low rhr and BP may be due to your physical good health. Agree that further evaluation is necessary. Pituitary disease can cause low temperatures. Where temp taken can influence result (ie. Ear, armpit, mouth). ...Read more

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Grandchild age 12 1/2, b/p 80/46 pulse 75, 77/49 pulse 81..Is 5'3 weighs115, isn't b/p too low for her age? She is in puberty, good appetite, moody, keeps a lot inside, seems depressed at times, is usually tired.

Grandchild age 12 1/2, b/p 80/46 pulse 75, 77/49 pulse 81..Is 5'3 weighs115, isn't b/p too low for her age? She is in puberty, good appetite, moody, keeps a lot inside, seems depressed at times, is usually tired.

As : As long as she is not symptomatic from her blood pressure (fainting or dizzy spells), than this is nothing to worry about. Many young healthy people (especially women) will have low blood pressure readings. If she is fainting or having dizzy episodes, give her doctor a call. Good luck! ...Read more

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9mo is feeding ~24 oz of formula now & has never gone beyond 32 oz. Consulted ped multiple times and said vit D are not necessary. No teeth yet. ?

9mo is feeding ~24 oz of formula now & has never gone beyond 32 oz.  Consulted ped multiple times and said vit D are not necessary. No teeth yet. ?

Feeding: 24 ounces of formula is about right for this age. Is he eating baby foods or table foods as well? He should be getting the Vitamin D in the formula. Is he gaining weight well- that's the most helpful way to know if he's getting what he needs. It's common for children not to have teeth yet- the average time for the first one is between 6-9 months, but they can certainly be a bit later. ...Read more

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19 month old speaks 15 words and many protowords, understands one step commands and 100 words. Tested, and is socially fine. Speech delay or normal?

19 month old speaks 15 words and many protowords, understands one step commands and 100 words. Tested, and is socially fine. Speech delay or  normal?

Possibly delayed: At 19 months, one would expect a toddler to know 50-75 words, understand up to 200 and be able to follow a two step command. These are only general guidelines, as speech development can vary in certain situations, such as bilingual households, multiple siblings, etc. Excessive pacifier use has been linked to delayed speech development as well. Here is a link for you: http://www.asha.org/public/speech/disorders/LateBlooming.htm ...Read more

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What is the definition or description of: Baby smiles responsively?

What is the definition or description of: Baby smiles responsively?

Milestone: This is a developmental milestone. Most babies smile responsively eg at someone, between 6-8 weeks of age ...Read more

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How come some babies giggle more than others? My baby is 6 months and is always smiling and babbling but giggling .. Not so much.. Is this normal?

How come some babies giggle more than others? My baby is 6 months and is always smiling and babbling but giggling .. Not so much.. Is this normal?

She may just have: A quiet temperament. She should be able to laugh out loud, blow "raspberries" (" bronx cheer"), fake a cough, & babble strings of consonant-vowel sounds. Look for reciprocal social communication (mimicking your sounds while you're looking at each other), raising her arms to be picked up, the ability to learn behaviors, & stranger anxiety.See the healthy child section at aap.Org. Or firstsigns.Org. ...Read more

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How does smiling often make a person's life better?

How does smiling often make a person's life better?

Many ways: Need to get the psychologists/psychiatrists in on this. Smiling projects a positive and friendly attitude. This becomes contagious. Before you know it, you have everyone feeling better. Positive reinforcement this is. How many times do you see a baby smiling and find yourself smiling back, and maybe talking baby talk. You just feel better. I do believe there is also a chemical change which occurs. ...Read more

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But they are in reality not smiling inside. What can cause this?

Social smile: People smile to ease tension in social situations, sometimes when they are nervous or embarrassed, sometimes to defer to others. These are situations when the feeling inside is not happiness, joy or delight, but something else. ...Read more

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Does smiling help reduce stress?

Does smiling help reduce stress?

Try it & see: People naturally & automatically smile to reduce stress (nervous smiles), and cognitive-behavioral theory suggests that acting relaxed may help you truly feel relaxed. But smiling is even better if it's honest — by participating in activities that are enjoyable and make you smile genuinely. ...Read more

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Why do they take pictures of you not smiling at the orthodontist?

Why do they  take pictures of you not smiling at the orthodontist?

Facial balance: It is necessary to see the strain or lack of strain of the muscles of the face when closing the lips. It is also necessary to evaluate facial proportions. We need this for diagnosis and treatment planning, it is also necessary to have a starting record and final record to view the changes that orthodontics made in facial balance. ...Read more

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I have a problem showing my teeth while smiling. Is there any way to correct this?

I have a problem showing  my teeth while smiling. Is there any way to correct this?

GET EVALUATED: You may either have short teeth, a collapsed bite or a low lip line. See a cosmetic dentist who has training in facial aesthetics and dental occlusion. There may be many facets to giving you what you want. ...Read more

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Trembling and pain in left cheek while smiling and cheek goes higher than right one.?

Trembling and pain in left cheek while smiling and cheek goes higher than right one.?

Sttoke: The major concern i would have is to rule out a stroke or other neurological condition immediately. ...Read more

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Why does smiling, laughing cause my severe pain from C.R.P.S. to lessen substantially?

Why does smiling, laughing cause my severe pain from C.R.P.S. to lessen substantially?

The gate control: theory by Melzack and Wall . When the nociceptive (pain) signal arrives at the gate, it is subject to modulation by descending neuronal signals from cortical areas that act to amplify or reduce the intensity of the nociceptive signal coming from the periphery. In your case smiling and laughing are pain inhibitors at the gate. Hope it makes sense. ...Read more

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Which part of the brain/cortex is responsible for the action of smiling (not emotions)?

Which part of the brain/cortex is responsible for the action of smiling (not emotions)?

Motor cortex: ALL motor activity - not just smiling - is mediated by the motor cortex. The primary motor cortex is Brodmann area 4 in the precentral gyrus. There are 2 kinds of smile: voluntary (cortically mediated) & emotional (mediated by the thalamus). The brain is way, way, WAY more complex than just "action of smiling" vs "(not emotions)." That's a massive oversimplification. ...Read more

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One minute i'm running and smiling, and the next I just want to break down and cry. Will ssri's help?

One minute i'm running and smiling, and the next I just want to break down and cry. Will ssri's help?

Not needed: This kind of thing has become extremely common in the U.S. Because of our appalling diet. You are right! I am repeating myself in answering many questions. :your brain is suffering from oxidative stress. See my blog "oxygen the spark of life". ...Read more

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My 4 month old baby fell from couch, flat on his back and hit his head,he was crying for 3-4 minutes then he was smiling and giggling.is he ok?

My 4 month old baby fell from couch, flat on his back and hit his head,he was crying for 3-4 minutes then he was smiling and giggling.is he ok?

Impossible to tell..: Intracranial brain damage, called concussion, such as contact athletes commonly suffer, disrupt neural circuits & may tear the crucial fragile capillaries producing cerebral microhemorrhages/?more bleeding. Likely there is not anything useful that anyone can do after the fact, though the younger people are the more they seem able to recover, partially at least, from injuries. Minimize recurrence. ...Read more

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Baby fell off bed and hit back of head. About 28inch high He screamed and cried and then seemed better... He is walking and smiling Will he be ok?

Baby fell off bed and hit back of head. About 28inch high He screamed and cried and then seemed better... He is walking and smiling Will he be ok?

Yes: No loss of consciousness, no sustained irritability or progressive change such as lethargy are signs that he will be OK. If he becomes suddenly tired or lethargic- consult with your physician. ...Read more

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My digital ovulation stick just came up smiling face this morning...im day 18. And my cycle is usually 28 days. Is it possible to naturally conceive?

My digital ovulation stick just came up smiling face this morning...im day 18. And my cycle is usually 28 days. Is it possible to naturally conceive?

Yes, possible: Yes still possible to conceive. Not every menstrual cycle is going to be the exact same length. The follicular phase (1st half) of your menstrual cycle is variable and is determined by how long it took you to grow a mature follicle. If you still have a 28 day cycle this month then you might have a luteal phase defect and you would benefit from ovulation induction meds (i.e. Clomid). ...Read more

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I feel a gum graft is needed but it will not re-attach to a very long & front crown. It would form a "pocket". I do not show this area when smiling. ?

I feel a gum graft is needed but it will not re-attach to a very long & front crown. It would form a "pocket". I do not show this area when smiling. ?

See the dentist.: Gum grafts are usually done for two reasons. Either there is not enough of the "attached" gum present to protect the underlying bone from disappearing due to trauma or it is done for cosmetic reasons. Since you do not show this spot, i would only recommend it if you need more attached gum tissue. ...Read more

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Can being drugged several times impair you mentally? find it hard to have conversation now, very quiet not the same personality or smiling or laughing

Can being drugged several times impair you mentally? find it hard to have conversation now, very quiet not the same personality or smiling or laughing

Depends: Depends on the drugs used and number of times. Some have far more chemicals than others that directly damage the brain. Good information can be found at -> http://addictionblog.org/ ...Read more

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Do my photos look ok if I am not smiling? Embarassed about yellowish teeth

Do my photos look ok if I am not smiling? Embarassed about yellowish teeth

Ok...: If the only reason for not smiling is because of yellow teeth, then why not correct it? If you walk into a room & there's 2 people to talk to. One is smiling & the other isn't, who is more approachable & comes across friendlier? Your dentist can help you come up with solutions to fix your yellow teeth from bleaching to conservative restorative options in addition to professional cleanings. ...Read more

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Im bipolar & PTSD. Why is it so easy to go from smiling to wanting to hurt someone? Any little thing sets me off.

Im bipolar & PTSD. Why is it so easy to go from smiling to wanting to hurt someone? Any little thing sets me off.

See your doctor : What you are describing are mood swings. It is possible to have what is called rapid cycling Bipolar illness. You will need to see your doctor to determine if you have this or if something else is going on. Also, you may want to see a therapist in addition to taking medicine to help you stabilize your symptoms and to improve your quality of life and relationships. ...Read more

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Can smiling actually help you live longer?

Can smiling actually help you live longer?

The How of Happiness: Book reported 180 women entering the school sisters of notre dame as nuns in 1932 wrote autobiographical sketches. The amount of positive feeling expressed in the narratives predicted longevity. 90% of the most cheerful were alive at age 85 versus 34% of the least cheerful. Similarly, 54% of the most cheerful quarter were alive at age 94, as opposed to 11% of the least cheerful. ...Read more

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