Doctor insights on:
People With Osteoporosis
Not usually a proble: Generally, people with this condition carry out normal lives with regards to daily activities. ...Read more
Osteoporosis: The reduction in calcium with osteoporosis increases the risk for fractures in all parts of the spine. Osteoporosis also increases the complexity of surgical repair by requiring the inclusion of more levels to spread the load and may also require cement to augment the pedicle screws. Healing time for the fracture or surgical fusion can also be much longer. ...Read more
Why are individuals who have severe physical disabilities (non weight bearing) more prone to osteoporosis or osteopenia?
If don't use it ....: Lack of force applied to bone over time causes loss of mass and strength: simular to muscle. ...Read more
Kidney and growth: While growth hormone will not improve kidney disease and is a diabetogenic medication, we use it in children who have poor growth due to renal failure. It helps to promote longitudinal growth in such patients who would otherwise be small. The use of hgh in children with growth failure secondary to kidney failure is fda approved. ...Read moreSee 1 more doctor answer
Why are some people who are diagnosed with diabetes mellitus not compliant with their dietary regimen?
If only I knew...: Compliance with physician advice (dietary or otherwise) is very individual. Some patients lack confidence in the advice they are given, some choose to eat what tastes good and makes them happy, some lack self-control, some are sabotaged by other friends/family who set them up to fail. The only difference between my health today & my health in 7 days are the choices i make every day this week. ...Read more
Rheumatoid arthritis and depression commonly occur together: Although this is known, people with rheumatoid arthritis often aren't screened for depression, so it may not be diagnosed or treated. Studies show that if depression occurring with rheumatoid arthritis isn't addressed, the treatment for rheumatoid arthritis itself can be less effective. It's unclear whether people with rheumatoid arthritis have a higher incidence of depression and anxiety as a result of their physical symptoms, or if depression is itself a symptom caused by the chronic, systemic inflammation of rheumatoid arthritis. Researchers believe that people who had depression before the onset of rheumatoid arthritis may be less responsive to their rheumatoid arthritis treatment. More research is needed to determine the exact connection between all types of arthritis and depression. Left untreated, depression in people with rheumatoid arthritis may result in: Greater pain, Greater risk of cardiovascular disease and heart attacks, Loss of productivity at work, Increased risk of economic hardship, Deterioration of relationships with friends and family, Sexual dysfunction. What is known is that people who have rheumatoid arthritis and depression that occur together respond better to treatment when both conditions are addressed. Although different medications may be prescribed to treat rheumatoid arthritis and depression, many activities can be helpful in addressing the physical and emotional effects of both conditions, such as: Regular exercise, Stress management techniques, Friends and support groups familiar with the challenges of both conditions. People with all types of arthritis are at high risk of depression and anxiety. If you have been diagnosed with rheumatoid arthritis and are feeling depressed or are worried about developing depression, it's important to talk to your doctor. With medication, support and a personalized plan of action, depression and rheumatoid arthritis are treatable conditions. ...Read more
Its the reverse: Cachexia is a sign of either nutritional deficiency or severe chronic underlying disease which releases inflammatory compounds that cause loss of muscle tissue and body mass. A large number of diseases do this, like cancer and advanced heart disease. This condition will lower the ability to fight infection and increase the risk of all infections including pneumonia. ...Read moreSee 1 more doctor answer
Yes: Steroids play a role in both the short and longterm treatment of ra. We use steroids for flares of the disease but also in newly diagosised patients to get control of disease. The higher the dose and longer use of Prednisone increases the potential side effects of ra. The good news we have multiple other medications to treat RA and we use these meds to try and get patient off or down on steroids. ...Read moreSee 1 more doctor answer
Yes: Depression often precedes the development of dementia in alzheimers disease. In early alzheimers it can be difficult to diagnose the dementia though the depression is easier to see. In later alzheimers, the symptoms of depression may be there but a depressive illness is much less common. Some patients with advanced alzheimers benefit from antidepressants though these medications do have risks. ...Read moreSee 2 more doctor answers
Rain trigger: Please specify what symptoms occur with rain and resubmit your question. ...Read more
Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?
Sometimes, no choice: Antipsychotics are best avoided in managing agitation in dementia. However, if the agitation is the result of actual psychosis i.e., delusions and hallucinations, the risk/benefit ratio often shifts in favor of using antipsychotics, as untreated psychosis itself is a risk of factor for serious injury to self/others. Hope this helps. ...Read more
Can be: If you've had a prior thyroid problem, make sure your thyroid has been returned to normal before you attempt to get pregnant. Then it's just as if you didn't have a problem. The one exception is rare anti-fertility antibodies from hashimoto's thyroiditis, but they can check for those and treat if necessary. ...Read more
Yes: Eventually all of us end up with some degree of arthritis from normal wear and tear. People with hypermobility are at increased risk to develop arthritis sooner. It can help to work with a physical therapist to teach good body mechanics and give a home exercise program. ...Read moreSee 1 more doctor answer
Probably..obesity: Unfortunately, america has the most number of obese people in the world and this is is still increasing rapidly, especially in the young kids, which will cause trouble in their joints as they get older. I anticipate that the cost of osteoarhritis will approach of heart disease some day, maybe more. Stay tuned! it is sad. ...Read more
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