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Doctor insights on: Rutledg

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What could this pain if the gallbladder has been ruled out?

What could this pain if the gallbladder has been ruled out?

More info needed: Describe your pain, location, movement of the pain to somewhere else, quality and severity of pain, what provokes it, what relieves it, when does occur and how long does it last. Gallbladder pain is usually in the right upper abdomen and is pretty consistently brought on by eating a fatty meal, may last up to 24 hours. ...Read more

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Is every country ruled by the same guidelines when prescribing medications and performing operations?

Is every country ruled by the same guidelines when prescribing medications and performing operations?

No: Things are not done exactly the same throughout the world. For instance there are medications that have been approved for use in other countries that have not been given fda approval in the us. Or herbal medications fall under the federal institute for risk assessment jurisdiction in germany but they don't fall under the fda in the us. ...Read more

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I'm 16 and have migraines for 4 months and have tried many medication and ruled out other problems. What can I try now? Should I be hospitalized?

I'm 16 and have migraines for 4 months and have tried many medication and ruled out other problems. What can I try now? Should I be hospitalized?

Some approaches: Easiest was to help migraine is to break up pattern, and OTC remedies have worked very well in my experience. Using riboflavin, Co-Q10, butterbur, feverfew, or rarely magnesium on regular basis may prevent the HA's. I doubt your doctor would be interested in placing you within hospital environment, as a good headache specialist can truly create an impact as outpatient. ...Read more

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Can you have both ist and pots syndrome together was diagnosed with ist but wanted pots ruled out first. Then was diagnosed with pots! Not sure now?

Can you have both ist and pots syndrome together was diagnosed with ist but wanted pots ruled out first. Then was diagnosed with pots! Not sure now?

Dysautonmia: Ist ;pots are both poorly understood conditions - that may indeed overlap. Pure ist - patients are continuously tachycardic - or a sig higher baseline pulse. With simple exertion the heart rate can soar, very challenging to treat - bblockers etc have only modest efficacy. Ablation is sometimes required. Pots is likely a disorder of vascular resistance - measures to increase fluid intake can help. ...Read more

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Still having pain after tests ruled out cad? Why?

Still having pain after tests ruled out cad? Why?

Other reasons: Can be pericarditis, or inflammation of the sac around the heart... Could be pleurisy, or inflammation of the lining of the chest cavities. Could be musculoskeletal, including pain related to the cartilage connecting the ribs to the sternum (costochondritis) e.g. From excessive coughing. Could be a tumor. Variety of reasons that could be narrowed down based on characteristics of the pain. ...Read more

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What needs to be ruled out when making a diagnosis of Lyme disease?

What needs to be ruled out when making a diagnosis of Lyme disease?

History: The dx of Lyme disease needs to first raise the suspicion (the characteristic rash or symptoms are present and whether the person had been in area infested by the tick carrying the virus). Blood tests will then be required to confirm the suspicion. There are many other condition to consider but too numerous to be included in this conversation. ...Read more

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Can PID be ruled out with a manual exam? If there is no pain and everything feels normal to the touch?

Can PID be ruled out with a manual exam? If there is no pain and everything feels normal to the touch?

No: Mild cases of pid might not have any pain associated with the exam. Cultures might help as well as other tests to determine if pid is present. ...Read more

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Pheochromocytoma was ruled out. Still have all the symptoms. Also BP dips low and I pass out. What's the next step?

Pheochromocytoma was ruled out. Still have all the symptoms. Also BP dips low and I pass out. What's the next step?

More tests: Unfortunately you have a complex problems, cause of sudden fall of BP, and syncopal attacks, your doctor (s) will do series of tests evaluating your blood vessels, various hormone levels, hormone producing tumors etc, will find the cause and cure you, be patient good luck. ...Read more

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I have siezures. But the tests come back normal. Then I'm refused to be seen because they're ruled nonepileptic. Why? I still need help w/ them!

I have siezures. But the tests come back normal. Then I'm refused to be seen because they're ruled nonepileptic. Why? I still need help w/ them!

Seizures: Seizures might be a presentation of Epilepsy, or it might be caused by other problems, like metabolic or structural issues of the body; mental stress as a cause of seizure might be another one to think about
Having normal testing is reassuring, and I would like to suggest to see your doctor to assess for the possibility of mental stress and get it sorted ...Read more

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I'm 16 and had migraines for months and tried many medication but they didn't work and ruled out sinus. What should I do next? What can it be?

I'm 16 and had migraines for months and tried many medication but they didn't work and ruled out sinus. What should I do next? What can it be?

Migraine treatment: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an orofacial pain or headache specialist for evaluation and professional management. ...Read more

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What physical illness could be causing my cortisol to go extremely high when I undertake any normal activity or task? Cushings has been ruled out.

What physical illness could be causing my cortisol to go extremely high when I undertake any normal activity or task? Cushings has been ruled out.

Cortisol: Will go up with any stress. I don't know what you mean by extremely high. If you don't have cushing's, the chances are your cortisol levels are a normal response by your body, but unfortunately I don't have enough specific information to tell you more. Check w/your doctor. ...Read more

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How can molluscum re-appear after all growths have been eliminated (perhaps from a towel when I was infected??) Person to person contact ruled out..

How can molluscum re-appear after all growths have been eliminated (perhaps from a towel when I was infected??) Person to person contact ruled out..

Recurrent molluscum: Probably you didn't catch it again; more likely your previous infection has recurred. It takes the immune system several months to become fully effective against the molluscum contagiosum virus, and new lesions can reappear for quite a long time. Eventually it will stop, however. In the meantime, see a doctor, preferably a dermatologist, for treatment advice. ...Read more

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Once endometriosis is ruled out, what is the next step for infertility?

Once endometriosis is ruled out, what is the next step for infertility?

Fertility workup: See a gynecologist if you seem to have difficulty getting pregnant. Three main areas of testing will be suggested, after reviewing your situation carefully. Male factor is checked with sperm analysis. Ovulation is checked with hormonal testing and "tubal factors" like blockage and endometriosis are checked with imaging and minor procedures, like hysterosalpingogram, ultrasound and laparoscopy. ...Read more

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How is paternity of a child determined ruled out by blood type analysis?

How is paternity of a child determined ruled out by blood type analysis?

There are some...: ...Impossible outcomes: for example, an ab father cannot have a type o child, and vice versa. If mother's type is known, more combinations become impossible: a+o or a+a cannot yield a b or ab; o+o can only yield o, etc. ...Read more

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Can having nocturnal enuresis just b psyhcologicol if everything else is ruled out?

Can having nocturnal enuresis just b psyhcologicol if everything else is ruled out?

Yes: But this does not make it any less troublesome. We have treatments that may help. Speak to your dr. ...Read more

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Can stress cause a crawling skin sensation? Everything else ruled out by neuro and rheumy.

Can stress cause a crawling skin sensation? Everything else ruled out by neuro and rheumy.

Stress: Can cause just about any symptom. Each person responds differently to stress. But if all else ruled out. It may be the source ...Read more

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What is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

What is the most common etiology of hyponatremia once you have ruled out medication and fluid overload?

Kidney disease: If you don't have too much water, and your salt intake is adequate (you only need 100 mg of sodium per day, average american diet is 3000-10, 000 mg per day), then evaluate the kidneys. Sounds like they are leaking sodium. ...Read more

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Can you have pleuritis with the reason being you have had it previously? Dr has ruled out everything else.

Can you have pleuritis with the reason being you have had it previously? Dr has ruled out everything else.

Pleuritis: There are many causes of pleuritis, but a common one is viral infection, and viral infections can recur. A wide variety of other medical conditions can cause pleuritis. ...Read more

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Can my delusional disorder be ruled out if I have a problem of high cortisol levels in my body i.E cushings syndrome?

Can my delusional disorder be ruled out if I have a problem of high cortisol levels in my body i.E cushings syndrome?

Maybe: How do you know you have high cortisol levels in your body? If you have seen a doctor who has done tests to determine this, then it is important that they also attempt to determine why you have these high cortisol levels. Then it is important for you to be treated appropriately based on what they find. Your delusional disorder should then go away if it is the result of elevated cortisol. ...Read more

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I've had anxiety about ALS lately. How do I get tested for this? So it can most likely be ruled out and I can take my life back

I've had anxiety about ALS lately. How do I get tested for this? So it can most likely be ruled out and I can take my life back

ALS: As far as I know no one be will put through the extensive and, sometimes, uncomfortable tests for ALS unless they are truly symptomatic and all other possibilities have been ruled out. I would suggest speaking to your primary care physician to discuss whatever symptoms you may be experiencing. If nothing else shows up, locate a good therapist to work on anxiety reducing strategies. ...Read more

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Cholesterol lvl continues to drop;down to 73total cholesterol. Dr ruled out malabsorption. What other causes for hypocholesterolemia?

Cholesterol lvl continues to drop;down to 73total cholesterol. Dr ruled out malabsorption. What other causes for hypocholesterolemia?

Many, get work up,,: There can be many causes for this. One is liver disease, another can be leukemias and other hematologic (blood) disorders. Malnutrition can do it also, along with genetic beta lipoprotein deficiencies which can cause cholesterol levels below 50 mg/dl and manganese deficiency. You have enlarged liver so it would be wise to see your doctor and get a complete work up to find out the cause. ...Read more

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Lightheadness. They have ruled out vértigo. They are checking my heart. It has been 6 months of these episodes. What else could it be?

Lightheadness. They have ruled out vértigo. They are checking my heart. It has been 6 months of these episodes. What else could it be?

Adrenal issue: Do you have lightheadedness when you get up? How many hours do you sleep? Do you sleep flat or on a 45 degree angle watching TV. Are you drinking enough water? Do you consume enough fruits? Do you have intake of Sea salt? Do you eat enough greens to get Vitamin B? These are all factors that your adrenals need. If you do not follow the regimen for your adrenal concerns, you will be lighhead ...Read more

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What are possible causes of a lifelong tendency to misplace or permanently lose things? (ADHD diagnosis ruled out via neurocognitive testing)

What are possible causes of a lifelong tendency to misplace or permanently lose things? (ADHD diagnosis ruled out via neurocognitive testing)

Many causes: There are numerous possible causes for chronic problems with what is considered to be working memory deficits. These can include psychiatric illnesses other than ADHD such as anxiety and depressive disorders. A long history of poor organizational skills can also come from a learned behavior that you need to correct by actively working in your organizational skills. ...Read more

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Have symptoms of IC, ruled out most other bladder conditions thru testing. I can't bear to have cystoscopy. Will a DR dx/treat for IC without one?

Have symptoms of IC, ruled out most other bladder conditions thru testing. I can't bear to have cystoscopy. Will a DR dx/treat for IC without one?

Maybe: Depends on the doctor, generally we recommend cystoscopy to complete the evaluation for reversible causes but some doctors may decide it is ok to trial some treatment for symptom management while awaiting cysto. Depends on your symptoms too because the medical treatment choices vary depending on which symptoms are most dominant in your case. Wouldn't hurt to ask them. Hope this helps ...Read more

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Dr thinks I have AET close to sinus node. Ruled out all other possibilities of the elevated hr I experience during exercise. Would cyroablation be bette

Dr thinks I have AET close to sinus node. Ruled out all other possibilities of the elevated hr I experience during exercise. Would cyroablation be bette

Maybe: Yes cryoablation is the best treatment for true ectopic foci, but make sure the rapid heart rate is not due to something else first. I have had patients with that symptom caused by thyroid, adrenal, anemia, mitral valve, and vitamin/electrolyte problems and lupus. ...Read more

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My grandson urinates the bed in his sleep. He says he does not feel the urge to go. Is this normal we have taken him to dr and ruled out any infections

My grandson urinates the bed in his sleep. He says he does not feel the urge to go. Is this normal we have taken him to dr and ruled out any infections

This happens: Your grandson's pediatrician will know how to treat it. It is not at all unusual and no need for deep concern. It does not indicate an underlying deep psychological issue. It just occurs in deep sleep when the urethral sphincter relaxes. A couple of treatments include DDAVP (desmopressin) or Imipramine in low doses. ...Read more

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