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Doctor insights on: Remedies For Difficulty Making A Decision

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Unable to do things, due to recurrent allergic reactions such as severe nausea, fatigue, increased heart beat, difficulty thinking, throat swell.....?

Unable to do things, due to recurrent allergic reactions such as severe nausea, fatigue, increased heart beat, difficulty thinking, throat swell.....?

Vocal cord dysfunction vs. Idiopathic environmental intolerance: Could be worthwhile considering vocal cord dysfunction (paradoxical vocal fold movement) as a contributing factor. This condition is often acutely exacerbated by strong scents/odors. More common in females and tends to affect patients with a history of high anxiety. Might be worthwhile getting PFTs and having a laryngoscope performed. Idiopathic environmental intolerance is another consideration but this is a diagnosis of exclusion. There are a number of filters and personal wearable devices that can help the patient deal with exposures in her environment. ...Read more

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27 yr-old started having odiferous very yellow urine 6 months ago, treated in Nigeria for a Dx of gastrointestinal infection; looking for a cure.....?

27 yr-old started having odiferous very yellow urine 6 months ago, treated in Nigeria for a Dx of gastrointestinal infection; looking for a cure.....?

Smelly urine?: The odor in the urine often depends on the food ingested (Asparagus for example) and the color is more related to dehydration or vitamin intake. One other uncommon complication is a fistula developing between the rectum and the bladder but would expect you to be quite ill then with both fecal and gas with the urine. ...Read more

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28 yr-old had ACL repair 10 years ago, and has felt leaning and off-balanced since a second surgery 5 yrs ago, and hopes to find a cure.....?

28 yr-old had ACL repair 10 years ago, and has felt leaning and off-balanced since a second surgery 5 yrs ago, and hopes to find a cure.....?

Full ortho eval: Initial radiographs would need to include weightbearing views: Bilateral standing AP, PA Rosenberg, full extension lateral and bilateral sunrise views. If any hint of poor alignment noted, then proceed with full hip-knee-ankle bilateral mechanical axis views to determine where weightbearing line from center of femoral head to ankle crosses at the knee joint. This will help determine if an osteotomy in such a young patient is indicated or should be considered. After imaging and a full examination for motion strength, and laxity, an MRI would help finalize any plans for potential surgery by delineating the degree of any cartilage or meniscal and ligamentous pathology. With history of hyperextension, a definite concern is whether posterolateral corner (LCL, popliteus and popliteofibular ligament) is also involved or injured/loose. ...Read more

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21 year-old man with uncomfortable breathing sensations when inhaling cold air, with some history of sneezing and respiratory allergies.....?

21 year-old man with uncomfortable breathing sensations when inhaling cold air, with some history of sneezing and respiratory allergies.....?

Zen Breathing.: This sounds an awful lot like bronchitis or asthma brought on by breathing cold air, either with or without humidity. I suffered from this when I was about your age and occasionally have some symptoms even now, especially if the conditions are right. You need to control your environment and limit your exposure to triggering elements. Seek the help of a specialist to offer medication to help. ...Read more

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I was diagnosed by doctors in China of having allergic purpura (capillary toxicosis) , using OTC medicine called Trasfer Factor Oral Solution and Vita?

Hypersensitivity vasculitis?: Hypersensitivity vasculitis (which can be called allergic purpura) can occur after ingestion of certain medications/drugs. It can present with the rash like in the photos, also with fever, joint pain, belly pain, and swollen lymph nodes. The treatment is to stop the medication and the symptoms should resolve within a week. If it does not resolve with discontinuation of the medication, please go see your doctor again. ...Read more

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30 yr-old with chronic pain and narcolepsy who chooses to self medicate with marijuana. Feels strongly that cannabis is alleviating the symptoms.....?

30 yr-old with chronic pain and narcolepsy who chooses to self medicate with marijuana. Feels strongly that cannabis is alleviating the symptoms.....?

Undetermined: At federal level - marijuana is still illegal. At state level - legalized in some, not so in others. Therefore, physicians at this time are legally bound to not recommend marijuana for routine use. More importantly, marijuana has not been studied for treatment of chronic pain and we do not know if it truly helps. Jury is still Out there.. ...Read more

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How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

It depends on stage: There are several different scenarios when chemotherapy and or radiotherapy are used for the treatment of breast Cancer.When the breast tumor is still intact/visible, it is easy to see the benefit of treatment because the tumor will shrink in size if the treatment is working well. This takes about 6-8 weeks to determine. When the gross tumor has been removed, then chemo/Radio use is preventive onl ...Read more

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Why isn't diflucan (fluconazole) over-the-counter ? Why are some medication OTC and some precription only ? What goes into fda making a decision to go OTC ?

Why isn't diflucan (fluconazole) over-the-counter ? Why are some medication OTC and some precription only ? What goes into fda making a decision to go OTC ?

Side effects: The main reason medications are prescription vs over the counter concerns the side effects of the medication. If a medication has many side effects, it is the doctors responsibility to be sure it is safe for the patient to use. Otc drugs generally have less side effects or complications. ...Read more

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If my doctor offers me prostate screening, what should I think about before making a decision?

If my doctor offers me prostate screening, what should I think about before making a decision?

Prostat screening: First of all, 23 year olds dont need screening yet because prostate cancer doesnt occur in that age group. When you are closer to 50 years old, screening becomes a real issue. Most urologists firmly believe in dre/psa screening. The real controversy is what to do after a diagnosis of prostate cancer is made. If no one is screened, no one will be diagnosed at a treatable stage. ...Read more

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I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

Certainly. See your: Primary physician for a physical exam with baseline blood pressure, weight & height. Give your doctor any history of heart problems in your family & yourself & share your psychological evaluation. Your doctor may refer you to an adult psychiatrist for medication management. See chadd.Org for tips on medications, therapy & environmental manipulations for optimal multimodal treatment of adhd. ...Read more

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