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Doctor insights on: Paul Southall

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Can I take solpadeine tablets with targin 5mg for severe pain regards Paul?

Can I take solpadeine tablets with targin 5mg for severe pain regards Paul?

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

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I have had a circumcision Operation and I want to know how to avoid a erection thanks Paul Goyne?

I have had a circumcision Operation and I want to know how to avoid a erection thanks Paul Goyne?

You Can Not: You can not avoid erection and that's it. Erection after circumcision can be uncomfortable and sometime painful but you can not stop it ...Read more

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What does "adequate hydration" have to do with preventing vomiting? [not dehydrat from, paul cohen? ]

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

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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?

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

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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?

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?

Yes: It takes a while to recover from mononucleosis. Glands serve as a immunity organ and during infection are deactivated ("at work").It take a gradual recovery and getting lymphatic nodes back to normal size ' if any doubt, see your physician ...Read more

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Could tomatos and related foods cause skin breakouts including large pimples, blackheads, etc. I am 53. Thank you, paul?

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

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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?

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

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During my softball game I was rounding first base and felt a pop in my calf. The pain is still intense and I can't flex or bear weight on it. What2 do?

During my softball game I was rounding first base and felt a pop in my calf. The pain is still intense and I can't flex or bear weight on it. What2 do?

Seek treatment: This is likely a gastrocnemius (outer calf muscle) tear which despite significant pain heals well without surgery or treatment. This should be seen to make sure it is not an achilles rupture. Visit www. Aofas. Org to find an orthopaedic foot and ankle specialist. ...Read more

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Just got done with pt for knee last Month I still do exercises but I just started softball and the pain is really bad gets to 8 on scale Help!!

Just got done with pt for knee last Month I still do exercises but I just started softball and the pain is really bad gets to 8 on scale Help!!

Listen to ur body.: Time to return to your Orthopoedist for an exam and reevaluation. Stop doing what really hurts, in the mean time, till u get seen. ...Read more

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Knee hypertends very often hurts but pain subsides shortly after I have a physical next week but I need her to sign off for softball. Do I tell her?

Knee hypertends very often hurts but pain subsides shortly after I have a physical next week but I need her to sign off for softball. Do I tell her?

Yes: If your knee hyperextends you may have one of the hyperdistensibility syndromes which can affect other joints as well. And in any case you should have a physical therapist show you proper muscle building exercises and possible splinting during sports. The exercises will build muscle and ligament and tendon strength to protect your joints. An arthroscopy means an Orthopedist who can refer you. ...Read more

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Bad knee pain during softball help?

Bad knee pain during softball help?

See details: See an orthopedist and have the knee properly evaluated. There are possible causes in your age group. ...Read more

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My 8 year old cousin got hit in the face by a 16 in softball there is a bump some swelling and pain?

My 8 year old cousin got hit in the face by a 16 in softball there is a bump some swelling and pain?

Closed head: Trauma- apply ice pack on the swelling and observe for the next 7 days- for excessive vomiting, headaches, pupil size change, lethargy, slurred speech, gait disturbance, incoordination. To emergency room if these are present. Try to avoid taking medicines that can cause drowsiness or alter mental status. ...Read more

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Haven't played softball in 1 month but shoulder pain is intense&constant. Can't sleep on it, lift things or put weight on it. Help?

Haven't played softball in 1 month but shoulder pain is intense&constant. Can't sleep on it, lift things or put weight on it. Help?

Consult with an: Orthopedic surgeon. Anti inflammatory meds, physical therapy, and injections are mainstays of treatment. In rare cases, it could be bone infection, tumor, or even occult fracture. You need full evaluation. ...Read more

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I'm a former softball catcher and collegiate athelete. I still workout 4 days a week. I have kneecap pain. Sounds like rice crispies. Any advice?

I'm a former softball catcher and collegiate athelete. I still workout 4 days a week. I have kneecap pain. Sounds like rice crispies. Any advice?

Crepitus: Kneecap cartilage degeneration (patellofemoral arthrosis) can cause your kneecaps to hurt and make noise like 'rice crispies' (orthopedic term is crepitus).Very common and sometimes hard to treat. Please see my previous discourses on this topic... @ age 51 (i)would see an experienced ors who can discuss options (nsaids, pt, surgery)... If u have swelling, locking or >pain consider knee arthroscopy. ...Read more

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I am wondering if my leg is broken. I was hit by a softball and it has been bruised for over a week. I feel some pain still as well.?

I am wondering if my leg is broken. I was hit by a softball and it has been bruised for over a week. I feel some pain still as well.?

It is possible: Depending on where you were hit, it is possible to fracture your leg if there was enough force. More than likely, you just have a deep bruise from the hit. The only definitive way to rule out a fracture would be to get an x-ray of the leg. ...Read more

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Playing softball today, went for grounder, picked up & threw. Back in IMMEDIATE INTENSE PAIN. Stabbing feeling. Crumpled over. Have taken pain meds. Help?

Playing softball today, went for grounder, picked up & threw. Back in IMMEDIATE INTENSE PAIN. Stabbing feeling. Crumpled over. Have taken pain meds. Help?

Varies: Ou have obviously injured the back, but the nature of the injury can vary from a strain of a muscle in the back to an injury to the disc such as an annular tear or herniation. I would not hesitate to be seen for a more specific diagnosis. ...Read more

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Shoulder issues ok I have played softball 7 years. Going on 8.I am now a junior. My 8th grade year I started to get a real sharp pain in my shoulder. It got worss and worss I couldn't even sleep at night. I went to the doctors, got m.R.S and they all told

Shoulder issues ok I have played softball 7 years. Going on 8.I am now a junior. My 8th grade year I started to get a real sharp pain in my shoulder. It got worss and worss I couldn't even sleep at night. I went to the doctors, got m.R.S and they all told

I: I recommend that you see a orthopedic sports medicine physician. I am very concerned about your symptoms. I don't believe that as motivated as you are that the shoulder is normal. It sounds like you have some form of rotator cuff tear, or a torn labrum (cartilage).
Often this requires surgery. Putting your arm in a sling will probably be a bad thing as you will lose mobility in your shoulder. See the physician soon, as your season is truly at risk. Best wishes. ...Read more

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Having pain in my right foot after getting hit by a softball. Should I get an xray?

Having pain in my right foot after getting hit by a softball. Should I get an xray?

Yes: Good idea, maybe a bruise, but you may of fractured something..., you can ice it and wait a few days if you so desire. ...Read more

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I am having pain in the distal bicep tendon. I do not think its a tear, what can I do to help it? I did it playing softball.

I am having pain in the distal bicep tendon. I do not think its a tear, what can I do to help it? I did it playing softball.

Try these- apply: Cold packs the first two days then hot compress thereafter. Take tylenol (acetaminophen) or nsaids as needed for pain. Apply ace wrap where it hurts. If it gets worse, see your boyfriend, I mean your dr! ...Read more

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54 yo male, softball sized swelling in left abdomen a few inches below his ribcage. Rapid onset (one day), no diarrhea, pain or other symptoms.

54 yo male, softball sized swelling in left abdomen a few inches below his ribcage. Rapid onset (one day), no diarrhea, pain or other symptoms.

Get checked: Well, you certainly would want to be checked immediately. There are so many possibilities and an exam and appropriate studies can help to diagnose the problem. Some potential causes could be quite simple and others much more ominous, please get checked. Thank you for your question. ...Read more

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21 yo F. Hit in head with softball above forehead on hairline 8 hrs ago. No loss of consc. Only symptoms are headache and local pain. Should I worry?

21 yo F. Hit in head with softball above forehead on hairline 8 hrs ago. No loss of consc. Only symptoms are headache and local pain. Should I worry?

Persisting Headache: Persisting headache after head injury needs to be checked
To be on safe side if the headache is persisting after 8 hours you should get checked preferably in ER where they can do a Cat Scan quickly
It may be nothing but do not take chances ...Read more