Doctor insights on:
--: Anemia means low oxygen carrying agents in the blood and this is then compounded with the heart effort to maintain the oxygen delivery to other organs especially the brain by increasing its cardiac output -- and in the presence of a weak heart or other stress factor such as trauma or infection, the heart is overwhelmed and congestive heart failure ensues. ...Read more
Awesome question!: Recent study supports the emerging model that chronic stress exposure promotes oxidative damage through frequent and sustained activation of the hypothalamic-pituitary-adrenal axis. It also supports the less studied model of 'eustress' - that manageable levels of life stress may enhance psychobiological resilience to oxidative damage. Best regards. ...Read more
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?
For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
Over-treatment: In patients with adrenal insufficiency because of adrenal cortex dysfunction or central acth deficiency, over treating with steroids (ie: hydrocortisone, prednisone, dexamethasone) can certainly lead to osteoporosis. Patients with adrenal insufficiency are closely followed by their endocrinologists. ...Read moreSee 1 more doctor answer
What is thebest method to balance autonomicnervous system(sympathetic hypertonia due to chronic stress formany years)? Symptoms:anxiety,tachycardia...
Lowdose Beta/Calc bl: Lowdose Beta Block may work. Might start w Metoprolol Succinate (not Tartrate) at 25mgs/d. Physiology: Neg feedback is if U go off equilib U come back. Positive FB is if U go off equil, U go further off. Tachycardia frm Sympath nerves due to anxiety tends to be positive: U feel worse& increa sympa output. With Beta block (CaChan Blk if Beta counterind) can keep sympath system at bay. ...Read more
Nitric oxide supplements -- what is their role in reducing hypertension and cardiovascular disease?
Nitric oxide: Nitric oxide was thought to be an endothelial relaxation factor which is released from endothelial cells to smooth muscle cells and relaxes them to lower resistance and lower blood pressure. There has been no randomized controlled study to test the benefit of supplements in reducing hypertension or cardiovascular disease. ...Read more
Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read moreSee 1 more doctor answer
By definition: Hi. Yes, adrenal insufficiency is the state of the adrenals being incapable of making enough adrenal steroid hormones (cortisol & aldosterone in primary adrenal insuffic. and cortisol only in pituitary/secondary adrenal insuffic.). Obviously no effect on gonadal steroid hormones. ...Read more
Geriatric epilepsy unknown etiology patient on TEGRETOL . Short memory loss and signs of poor brain circulation(MRI), drugs advised?Cavinton ?
Cerebral blood flow: Carbamazepine is a good agent for seizures, but can be associated with cognitive side effects. If the issue is with blood flow in brain, additional details need to be provided. As for Vinpocetine (Cavinton) there is anecdotal evidence of improvement of blood flow, but there is less experience with that drug in regulated markets (eg US FDA) to comment on usage. ...Read more
Yes it can: Stress can disturb your sleep, and create too much cortisol in your system. If on top of this you overeat (especially processed junk foods) you can gain weight and become Insulin resistant. This paves the road to type ii diabetes. Best to get a handle on your stresses -- and build resilience with exercise, consistent rest, and healthy eating. ...Read more
Male 22. Nuclear stress show myo ischemia and angina. Coronary arteries clear and perfect? Have postural orthostatic tachycardia syndrome. Ideas?
"human pancreatic exocrine response to nutrients in health and disease" bmj 2005 figure 2 says lipase post-lundh meal should rise 5x. Is this correct?
Maybe, but...: That graph is a generalization, based on other scientists' studies (one would have to review the original studies). The graph shows pancreatic "enzyme delivery into the duodenum increases rapidly and reaches maximal values within the first postprandial hour", which means it's an estimate of the amount of enzyme put into the small intestine to digest food... Not a measure of lipase on a blood test. ...Read more