Doctor insights on:
Risk Of Falling With Osteoporosis
Rare, but: It is rare with oral bisphosphonates like Fosamax (alendronate). More common with IV bisphosphonates. However, medicine related osteonecrosis of the jaws (MRONJ) is suck a devastating disease, that precautions are in order for any dental extraction procedure. Oral surgery evaluation recommended for any patient on Fosamaz. ...Read moreSee 1 more doctor answer
depends: Not sure what you mean by arthritis osteoporosis. Rheumatoid arthritis and its treatment with steroids decreases bone density and strength (osteoporosis) and increases risk of fractures. Being elderly, having low sodium, family history of hip fracture and excessive alcohol intake also increase risk of osteoporosis and broken bones. ...Read more
Triplets: The biggest risk factor for preterm delivery with triplets is - having triplets. I'm not a maternal-fetal specialist, but as an rei i've seen this alot - the main risk factor is the triplet; age, weight, etc, contribute a very small risk above and beyond. ...Read moreSee 1 more doctor answer
Multiple: Family history (if your parents, grandparents, kids, or siblings have it), if you ever had gestational diabetes, if you are overweight, if you are sedentary, if you have high cholesterol / blood pressure, and if you eat a high carbohydrate diet. Some things you can control, some things you cannot. Absolutely control the things that you can! ...Read more
Thyroid cancer: If you are hyperthyroid, the chances of thyroid cancer are low. It is even lower if you have a diffusely enlarged thyroid without any nodules (grave's disease) as opposed to a multinodular goiter. Thyroid cancer tends to not produce hormone. However, this field is somewhat complicated, and you should go with the advice of your endocrinologist. ...Read more
Earlier age of birth: The care of premature birth babies is a battle between things known to increase survival including oxygen administration versus the risk of this life-saving oxygen cause retinopathy. No intervention is as good as oxygen and so this is an assumed risk. Treatment for this is possible including bevicizumab. ...Read moreSee 9 more doctor answers
Do people with severe endometriosis have a higher likelihood of developing cryofibrinogenemia due to years of taking estrogen/progestin supplements?
Is there a higher risk of depression when taking Accutane for those with a history of depression?
Maybe: The literature varies. Some point to no association, others to a idiosyncratic one... I.E. Hard to predict who would have such a response. However the majority of articles appeared to support some incidence of depression, mania and psychosis, such that treatment of patients with a psychiatric disorder, especially bipolar disorder, appears to pose a higher risk for exacerbation of symptoms. ...Read moreSee 1 more doctor answer
Mutations accumulate: ... during our lifetime in bone marrow stem cells. Like all cancers, leukemia typically requires multiple unlucky mutations to occur in a single cell. With age the chance of a stem cell getting the right combination of mutations goes up exponentially. When we begin life, as a single cell embryo, we start off with a clean slate, free of somatic mutations. ...Read more
The increased risk of having a child with genetic defects like down syn. Also applies to men over age 40?
Yes: The simple answer is yes, but for different and incompletely understood reasons. "advanced paternal age" has been associated with genetic defects in general, though not specifically down syndrome as in women. The reasons remain to be determined, but as with anything else, scientific literature suggests that sperm "quality" degrades over time with increased risk of various defects. ...Read more
Ischemic stroke at 90, pelvic fracture and cerebral contusion at 92. If risk of bleeding from falling > risk of tia/stroke from clot, baby aspirin ok?
Judgement: There's no answer to your question. No one has collected a series of 5, 000 people like you and tested the two options. This is where having a doctor whom you trust and who knows your history and all about you makes all the difference. (your question exemplifies why computers are never going to be able to practice medicine!). ...Read moreSee 2 more doctor answers
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