Doctor insights on:
If reeval needed for larger uterus than should be will doc do ceaserian? Due march 11, says sonograms may b wrong, both had same due date, 1st, at6wks
Depends: First sono at 6 wks has established your dates and is the best estimate of the true dates. If uterus is larger than expected, need to see if fetus is large or amniotic fluid volume is excessive. Increased fluid most likely related to diabetes in mother, rarely with problems with fetus swallowing. If fetus is too large for your pelvis then C-section could be required but your dates have been set! ...Read more
Yes you can.: Solpadeine is tylenol with caffeine. Targin is a trade name for oxycodone with naloxone (the former is an opiate analgesic, the latter is a receptor blocker to prevent addiction or overdose). Solpadeine will augment the 5mg targin and make it work better without any severe side effects in the short term, with the possible exception of caffeine induced insomnia. ...Read more
This: This question is hard to figure out. More info would help. ...Read more
Should I be worried about itchy underarms? No noticeable rash, they just itch, usually more so in the evening. Thank you, paul
What does "adequate hydration" have to do with preventing vomiting? [not dehydrat from, paul cohen? ]
Nothing: When vomiting you must provide adequate hydration; otherwise you will become dehydrated. If you are not able to keep fluids down and replace the losses you would need to be in the hospital getting IV fluids until the problem is passed and you can again take your fluids orally. To prevent vomiting you may need assistance with medications such as phenergan (promethazine). ...Read more
One dr one your board (Paul grin) says the mortality rate for cleft palate surgery is 1 in 300 while another says 1 in 100, 000. Huge discrepancy. Why?
Studies: I cannot speak for any doctor nor the actual figures reported. First, I do not believe there is any consensus on the figures as such studies of mortality rate for this procedure are scarce and will vary based upon who does the study, the size of the sampling, the geographic sampling, the year of the study, how the information was collected, etc. Concentrate on the need and benefit of the surgery. ...Read more
Hi doctors, my baby is 1 month old, has flu or cold, the symptoms are, green mucus, wet cough high temp, please help thanks paul?
If had swollen glands for about nine weeks. Paul bunnell test came back positive, fbc came back normal is it normal for my glands to still be swollen?
Could tomatos and related foods cause skin breakouts including large pimples, blackheads, etc. I am 53. Thank you, paul?
Rarely: Tomatoes can cause food reactions. Although I have never seen a reaction like your describing in over100, 000 patoents anything is possible. Avoid all tomato products for now and even use an elimination diet see dr doris rapps book for elimination diet. ...Read more
Hey I'm Paul and 16 yrs. I was playing soccer and while running I hurt my toe it isn't swollen or red put hurts when I try to walk on it?
Let it recover...: You need to stay off of it, apply ice to the area in question rest and elevate it. If the problem does not improve in a day, you should have it evaluated. If the toe improves, then you can hold off for another day or two. As long as the toe is improving with time, it is probably not seriously injured. To remove all doubt have your family doctor or a Healthtap specialist evaluate it. ...Read more
Dr. Andrew reeves lt sd paralysis caused by blood clot rupture on facial nerve surgically confirmed. Pushing up on forehead/brow helps nose brow lft?
Myofascial Therapy: Think flesh not bone! Wellness is vital to controlling any headache or pain issue. Magnesium is also vital. It will help relax the associated muscles, decrease stress, stabilize sleep and help other meds and therapy to work efficiently. Self or profess massage, chiropractor, yoga, heat, stretching all are needed. My favorite in my practice is acupuncture and myofascial tissue release. ...Read more
Surgery: Basically, if your pain is due to the gallbladder, there is little medical treatment other than surgically having it removed. Sometimes the attacks can be avoided by staying away from fatty foods, large meals, etc. But once a true attack occurs, qfew things are effective. ...Read more
Many ways: Everything from yoga to natural pain relievers & anti-inflammatory herbs like curcumin can help, depending on the cause of pain. Osteopathic docs also use hands-on diagnosis & gentle manipulation to help relax injured tissues, improve blood flow, lymphatic return (reducing swelling), & nerve function to improve the body's ability to heal itself. It doesn't get anymore natural than self-healing :). ...Read more
Find Origin: This is too braod a question. Where is the pain, how long have you had it, what helps, what makes it worse. Always my answer is tofind the source and treat as conservatively as possible. Rarely do pain pills help. They mask the pain but usually do not effect a cure. Anti inflams or anti spasmodics can help in the short term. Answer is to find a reputable md. ...Read more
Otc: Nonsteroidal anti-inflammatory drugs (NSAIDS) can help with both pain relief and in reducing inflammation. Examples are ibuprofen (like Advil, Nuprin or Motrin), Naproxen sodium (like Aleve, (naproxen) Naprosyn, Anaprox) or Asprin (such as Bayer, Ecotrin, Ascriptin). Avoid NSAID's if pregnant or allergic to them. In that situation can consider acetaminophen. ...Read more
Let explain?: Transient receptor potential (trp) channels play central roles in nociception under physiological and pathological conditions including inflammation and neuropathy. In this chapter, we will highlight the enormous progress in understanding the role of trp channels in nociception. We will mainly focus on two trp channels (trpv1 and trpa1) that have been particularly implicated in transducing signals. ...Read more
Which pain?: Please re-ask and be more specific about what you would like to know. For an in-depth discussion consider discussing with your medical provider or asking a provider on Healthtap Prime or Concierge. ...Read more
OTC Help: Absolutely. For a minor acute problem an otc such as advil (ibuprofen) can work well to reduce the swelling and thus the pain. Do not continue for mare than 3 to 5 days since overuse can cause other problems and may be masking a greater problem. See a specialist if the otc's do not help in just a few days. Your pcp is a great resource here. For more chronic issues see a reputable pain management speciali. ...Read more
Usually do to. ..;: Secondary to friction of diaphragm rubbing against capsule of liver (rt) or spleen (lt) do to heavy rapid breathing. This tends to wear off with time and occurs commonly in people beginning an exercise program. It should not last for more than one-two months of activity. If it does, see your doc! ...Read more