Doctor insights on:
Severe Fixed Defect
Not generally: Ecoli is a bacteria generally found in the intestinal tract, it can cause many different types of infections, most commonly urinary tract infections. Any serious infection can increase the can of premature delivery, which can cause developmental delay, but this is generally avoided with prompt treatment. ...Read more
Pars defect: Pars defects are disruption of the bony connection between the front and back of the spine. These defects can be asymptomatic or cause back and leg pain depending on the severity or lack of associated nerve compression. Treatment for symptomatic lesions includes core strengthening, pain management with possible pars injection, or surgery. ...Read more
Big controversy!: With all the technology and genetic testing that can indicate fetal problems, we are now faced with the ethical dilemma of terminating pregnancy if a severe defect is found. Many people have extremely strong feelings on both sides. Honestly, it is up to the parents, the ob, the pediatrician, and the geneticist to sit down, explore the information and the parents decide. ...Read more
There's grade 2 anterolisthesis of L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defects l5. Needsurg?
Not necessarily: Those findings are relatively common, especially in persons who have practiced sports in their younger age. Surgery is only recommended on the basis of disabling symptoms, and after conservative treatment and alternative measures such as epidural injections have failed. ...Read more
No known value: There is no one value that one can say causes birth defects. More important is at what stage of fetal development exposure occured and how persistent it was. For prospective mothers with diabetes we advise to start paying close attention to their glucose control several months before trying to get pregnant. ...Read more
I have chf, ef 19%, latest tests say I have Severe global hypokinesis, left ventricular is enlarged. Lg anteroseptal defect, reperfusion?
Low ef: I need more info. Any history of heart attacks or cardiac interventions? Are you taking your meds and are you adherent to low salt diet? Sorry more info is needed.. ...Read more
Xray Report = 6 mm anterior listhesis of L5 on S1; evidence of spondylolysis defect at L5 level; severe interspace narrowing L5-S1." I'm in pain!
What categories does severe combined immunodeficiency fall under? (such as single gene defect, point mutation. Chromosome abnormality, sex-linked, etc
What's it mean if on whole body X-ray there is no defects except spondylitis? Now has severe pain on hip and leg muscles. Can it be multiple myaloma?
Doubtful: Spondylitis or spondylosis? Most commonly seen would be spondylosis, which simply means degenerative (aging) changes in the spine, which is normal at your age. If you have pain in your hips and legs, there may be pinched nerves in your spine, which may require further workup i.e. MRI. Unlikely to be multiple myeloma, since that would typically show characteristic lesions on whole body x-ray. ...Read more
Nuclear Stress w/ Lexiscan shows moderate to severe ischemia anterior/apical wall. Cath scheduled, doc thinks no blockage, why? I have LBBB; no other defects LV normal size and function, 50% EF. Y?
Need cath: I do not know why the doc feels no blockage. If the stress is abnormal you need to clear up why this is. If you are having these tests, you have had to have had symptoms. 50% Ef is good and the echo being normal does not tell us why. Have the cath. Males are more likely to have abnormal caths and may require some intervention. ...Read more
I have extra thoracic ribs and a 6 lumbar vertebrae. I have had severe neck back pain and for years. Are the congenital defects linked to a cause?
What's it mean if on whole body X-ray there is no defects except spondylitis? Now has severe pain on hip and leg muscles. Can it be multiple myeloma?
MM = lytic bone: In multiple myeloma (MM) the classical bone lesions are lytic -- "moth eaten" appearance on x-ray. There are other patterns in the bone found on MRI in MM patients. However, you can have MM without obvious bone lesions. And, musculoskeletal pain can come from many, many causes including non-cancerous causes, so see your physician and possibily physical therapists for help in diagnosing & treating. ...Read more
Is zika still a Concern at 24/25 weeks pregnant? The studies are confusing - are most of the severe birth defects seen with 1st trimester transmission
Confusing=yes: Zika like many viruses can infect a fetus at any point and the outcome is hard to define at this point. It seems to attack/damage the developing nerves within the brain more in their earliest stages. Such damage lessens brain growth and leads to the small head. Most older kids and adults have few if any symptoms when infected. When the nerves are safe or resistant to damage is not clear. ...Read more
Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?
Spinal pain: It certainly time to consider advanced treatments, diagnosis, and possibly surgery. You have a bad spine with multiple pathologies. It's important to figure out if you have active ongoing nerve damage. An EMG will give you the information that you need. If you don't have active nerve damage try everything else (injections, decompression, chiro, pt) before surgery as many can avoid surgery. ...Read more
Severe folate (folic acid) and iron deficiency now pregnant. Can I take extra to decrease risk of birth defects?
4 weeks pregnant, severe back pain. Waiting for doc to call back. Will taking 2.5mg Vicodin affect baby or cause birth defect?
Vicodin caution: vicodin contains hydrocodone, which is opioid, like morpheine, oxycodone, dilaudid, hydro morpheine, codeine, etc. They can cross the placenta and change the baby's chemistry. Taken chronically, they can cause opioid dependence in baby. Back pain in preg is usually mechanical. Ligaments and muscles are pushed around. A good osteopath or manually-trained physical therapist can often help. ...Read more
4yo has severe laryngomalacia, sleep apnea, aspirates, history of hypotonia & gross motor delay, MTHFR, midline defects, SPD, possible autism. Causes?
The severe laryngomalacia can cause and contribute to sleep apnea and aspiration. I would suggest an evaluation by ENT and a sleep study to evaluate the need for CPAP.
Speech and development can help with coordination/swallowing mechanisms.
A virtual appointment:
Code: NCYHPZ ...Read more
Piriformis or SIJ: Piriformis is a muscle that frequently spasms with improper sitting positions or pelvic imbalance. Sij stands for sacroiliac joint which may become dysfunctional for the above reasons. Treatment is nsaids with exercises that address the dysfunction. Physical therapist can teach you those. Google psoas stretches and piriformis stretches. ...Read more
Determine cause: By determining the cause of coughing spasms, a specific treatment can be used. Cough suppressants should be avoided as they may slightly "cover up" symptoms not treat the underlying reason. A cough specialist (allergist or pulmonologist) can assist in finding the reason through an exam, x-ray, lung function tests and perhaps blood tests. ...Read more
Too general: I am sorry but the description you provided is too vague to be able to provide a detailed response. In general, pain of side of torso is often related to musculoskeletal problems or issues related to internal organs. For severe or chronic pain please seek medical attention. ...Read more
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