Top
20
Doctor insights on: Oral Cholecystogram Ocg

Share
1

1
Why is the oral form of insulin or an oral hypoglycemic agent contraindicated to pregnant women?

Why is the oral form of insulin or an oral hypoglycemic agent contraindicated to pregnant women?

Lack of studies: There is no oral form of insulin. There are oral agents that have been studied and found to be safe in pregnancy (metformin, glyburide), however, they do not have FDA approval because no company has submitted studies for approval. Many ob/gyn and endocrinologists use these medications in gestational diabetes (instead of insulin injections) ...Read more

2

2
Oral thrush after oral sex, antibiotics would work?

Oral thrush after oral sex, antibiotics would work?

See below: If you actually have oral thrush and you have not been on steroids (oral of inhaled), are not under chemotherapy then you have a problem with your immune system and need to be checked for immune related issues asap. ...Read more

4

4
Can bioidentical progesterone, Biest, testosterone, Ativan, Prozac, allergy nasal sprays slow tracer from entering gallbladder during HIDA?

Can bioidentical progesterone, Biest, testosterone, Ativan, Prozac, allergy nasal sprays slow tracer from entering gallbladder during HIDA?

Not really: no most of the medicine you are taking could influence the liver but not the HIDA scan or stopping the gallbladder from filling most likely you have severe chronic cholecystitis or a stone blocking the gallbladder ...Read more

5

5
What makes oral contraceptives only 97%-99% effective and not 100%?

What makes oral contraceptives only 97%-99% effective and not 100%?

Life is not perfect: Life is never perfect nor 100%. Things just happen, sometimes. Each woman's body has to respond to the artificial hormones in the pills, and maybe once in a rare while she still manages to ovulate. The percentages are about a population of women, NOT about one woman. Medical statistics have to be interpreted this way, because nobody knows what the percentage effectiveness is for a specific woman. ...Read more

See 1 more doctor answer
9

9
Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?

Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?

Never required: Surgery is not required for this. Your doc should be able to give you some statistics on how likely he is to fix your problem with surgery. Might be about 50/50 chances although he will know your case better and more specifically. ...Read more

See 1 more doctor answer
10

10
When treating PID, is intravenous infusion(cefoxitin/cefotetan) + oral pill therapy more effective than injection(ceftriaxon) + oral pills therapy?

When treating PID, is intravenous infusion(cefoxitin/cefotetan) + oral pill therapy more effective than injection(ceftriaxon) + oral pills therapy?

Severe PID: For severe PID (lots of pain, high fever, etc), IV treatment for 2-3 days (sometimes longer), e.g. with cefoxitin or cefotetan, is preferable to a single ceftriaxone shot plus oral treatment. But each case is different; ask your doctor and follow her advice. Good luck! ...Read more

12

12
Is a biliary scan a pipida or hida with cck injection?

Is a biliary scan a pipida or hida with cck injection?

Biliary scan=hida : Yes a biliary scan is a hide or pipida scan. Cck may or may not be used during the study. If they are going to calculate how well your gallbladder contracts to stimulation...They very likely will use cck. ...Read more

See 2 more doctor answers
13

13
Is it generally just protocol for a general surgeon to do CT w/Wout oral and IV contrast for dx acalculous cholestitis? HIDA labs and US nml- . Scare

Yes It Is: Cat scan is considered a test of choice as you mentioned for diagnosing Acalculous Cholecystitis if Hida Scan and ultrasound are negative and the surgeon wants to confirm the Diagnosis as suspected.It gives the advantage of evaluating the entire chest and abdomen. To diagnose AAC with CAT SCAN neds 2major criteria or1major&2minor criteria A good Radiologist will often make the correct Diagnosis ...Read more

15

15
4 weeks pregnant, low progesterone, light bleeding, & cramping, prescribed progesterone, which way is most effective vaginally or orally?

4 weeks pregnant, low progesterone, light bleeding, & cramping, prescribed progesterone, which way is most effective vaginally or orally?

Vaginal: My understanding from studies as well as talking to colleagues, the best way to take this medication is vaginally. The problem, of course, is the messiness. ...Read more

16

16
Is it normal for oral surgeons to administer nitrous oxide in conjunction with local injections?

Is it normal for oral surgeons to administer nitrous oxide in conjunction with local injections?

Yes: Many oral surgeons administer nitrous oxide with local anesthesia for procedures. The nitrous oxide may help alleviate some of the anxiety associated with the procedure and make the injections as well as the actual surgery a more pleasant procedure. ...Read more

See 1 more doctor answer
18

18
What oral contraceptive requires 2 pills per day?

What oral contraceptive requires 2 pills per day?

Don't know any: Not sure of any "daily use" pills that use a 2 pill a day dosing, although it might be recommended by a doctor for a specific reason in a special case. ...Read more

19

19
Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.

Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.

Not by most: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons. ...Read more

See 2 more doctor answers
20

20
Could oral progesterone tablets be taken vaginally for perimenopause?

Could oral progesterone tablets be taken vaginally for perimenopause?

Progesterone. : Oral Progesterone would not cause harm if used vaginally, but it would make more sense to have it compounded specifically for vaginal use. ...Read more