Doctor insights on:
Signs Of Hoffman Present
Went to dr for clumsiness. I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. Ordered MRI.??
Good oral hygiene: Good periodontal therapy started with good oral home care. Oral hygiene, i.e. Brush and floss are the utmost important part of treatment. Brush both your teeth and your gum. This will alleviate the gingival inflammation and bleeding. Your dentist can perform more thorough subgingival debridement. The outcome of therapy depends on the diagnosis, identified the cause, treatment, and follow up. ...Read more
Bed bugs: Bed bugs, like any other insects are very hard to find but they always leave something behind. One of the biggest indicators that your mattress is infested with bed bugs is their droppings. Search your mattress for dark spots that can either be solid feces, eggs, shed skins and blood blots. If you find a handful, then there are more bed bugs than you expected. ...Read more
Treat Perio first!: Cosmetic dentistry as dependent on restorative crown/veneer design as it is in gum level / topology. The last thing you need is to invest $$$ and have your gum "design" be irregular. For me it is the easiest method to detect if someone has veneers! Get you gum tissue healthy then proceeed with your cosmetic care. ...Read more
Yes,: Antimicrobial rinses that contain Chlorhexidine have as a side effect staining of teeth. Your periodontist can advise you what he\she feels is the best regimen for you to maintain health gums and whether the benefits out way that disadvantage. The expert advice should come from someone who knows you, your medical and dental history and not by seeking help on the internet. ...Read more
What signs and symptoms must be present and observable for a person to be diagnosed with fibromyalgia?
Please see the article that follows. The diagnosis is by tender points or trigger points.
www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0001463
fibromyalgia is a common syndrome in which a person has long-term, . .. Tender points are found in the soft tissue on the back of the neck, . ..Best wishes. ...Read more
Developed nonsustained ankle clonus unilateral. 2 years ago had a neuro exam and this was not present. Is developing it a bad sign?
Sometimes it means something. Non sustained clonus sometimes does not hold up from exam to exam- some people are not good at detecting this.
Clonus of any kind should indicate something happening in the spinal cord or the brain. If you have it on one side, it should be the brain. Sometimes the cause is not found however.
If it was found in a new exam, a work up will be planned. ...Read more
Does herpetic whitlow present as a single lesion, no redness, no pain, w/ dots inside? When do redness and vesicles show up after first signs of inf.?
Herpetic whitlow: Herpetic whitlow is almost always painful and is always red, at least at its onset. Thee are usually blisters (vesicles) within a few days of the onset. ...Read more
Exam for leg extension problems and doc wrote Hoovers' sign and give-away weaknesses present. Does this mean doc thinks I am malingering?
Positive finding: No. The opposite. These represent positive physical signs verifying that something is wrong. ...Read more
What would be helpful when stress no sleep for several nights and signs of anxiety are present - situational stress, feel a little panicky as well.
Self-care/relaxation: When looking at the situation, identify what you can/cannot control. Cope with what you can control and let go of what you can't. Maintain your daily routine or adjust your routine to the circumstances, exercise, diet, relaxation, sleep hygiene, removing yourself from a stress-provoking situation to recharge (even if for 5 min). Good luck! ...Read more
Is gilberts disease present at birth or can you develop later in life? How high can bilirubin get? Mine was 1.99. Rdw was 14.4 is this a sign of gs?
Gilbert's syndrome..: Is a disorder caused by an enzyme deficiency. The enzyme is a glucuronyltransferase responsible for conjugating bilirubin (a breakdown product of heme generated with red blood cell turnover), making it water soluble and more readily cleared. The disorder is inherited, but is usually harmless. Patients may have a yellow hue to the skin (jaundice) or whites of the eyes (icterus). Illness may worsen. ...Read more
No sign of a present infection but after getting over a sinus infec. I'm still having intense sinus pain left side of face. Cause?
Blockage/discharge: If you have intense pain, that sinus might be blocked and depending on the type of anti-biotic and the course of treatment, the sinus infection might have not been fully treated. I suggest doing saline rinses (netti pot or ocean spray), warm compresses and decongestants like Mucinex (guaifenesin) d and if the pain persists, go see your doctor for evaluation. ...Read more
I have had a severe itchness all over my body specially on my legs. No signs of swelling but redness is present due to constant scratching. Please help.
I have this thick brown discharge present for about a week now n some signs my period is about to start, but I don't know if it's it plus unpro sex 2weeks ago?
Is it true that you may present symptoms of hsv2 years after contracting the infection? If so, after X amount of years, would the IGg test be lower or higher. I will preface this by stating I have not been tested yet, but I may be seeing the first signs
HSV Testing: You should get tested at a lab for HSV1/HSV2, HIV, Syphilis, Gonorrhea and Chlamydia. Are you sexually active? You should have your sexual partners for the past 60 days tested as well. You can tell them that your doctor thinks you should be tested to be safe. There are treatments for HSV 1 & 2. The testing IgG level is not exact for when you were infected. Most important is testing & treatment. ...Read more
I have copd. My recent xray said- No sign of active pulmonary disease is present. What does this mean?
Strictly: Speaking, that conclusion means that there is no acute or active process that requires treatment, but doesn't address any chronic changes (e.g. possibly COPD-type changes) that the radiologist considers not significant or at least not relevant to the current situation. Practically speaking, many radiologists use that, or similar, phrases for all normal chest xrays. Talk to your doc about results. ...Read more
Can excessive lymph node swelling in an unrelated area be a sign of cancer elsewhere, or would this only present at a very advanced stage?
What could frequent painful lymph nodes in the armpit mean? No other signs of infection present or obvious swelling.
Hard to say!: How long has this been going on? You may be causing irritation from shaving, a harsh soap, or scented soap, cream, detergent or deodorant. This can cause lymph nodes to swell Use unscented products, no fabric softener. Shave only after using a shaving cream or lotion (unscented) to soften, and don't use a dull blade. If the problem does not go away with these measures, see a doc to find out why ...Read more
I miscarried 9 weeks ago & my HCG levels are still present but they are dropping. Is this normal or signs or new pregnancy?
Probably Normal: As long as it is coming down it is not from a new pregnancy, because in that case it will be going up. It can take anywhere from 9 days to 35 according to American Association of clinical chemistry but it may take longer in some cases depending on how late in pregnancy was the miscarriage and how high hcg level was at the time of miscarriage. Why did the doctor ordered HCG level after miscarriage? ...Read more
Was wondering if I have signs present of minor periodontal will invisalign still work to sort out a cross bite and help re align my teeth?
# of considerations: No qualified orthodontist would consider corrective rx in the presence of infection...Gum disease must be resolved first. If cross bite is skeletal it cannot be resolved in an adult with tooth movement alone...Surgery is required. Clear aligners are less than 1/2 as effective as braces in correcting crossbites. Please see a qualified orthodontic specialist. This is beyond a gp's training. ...Read more
I have this insane itchy/tingly sensation on my face, jawline/ under chin area. No obvious signs of rash, dry skin are present. What could it be?
Paresthesia: You have a paresthesia. An abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that an individual experiences without the presence of a stimulus. It results from functional disturbances of sensory neurons. Causes include peripheral vascular disease, peripheral neuropathy, and nerve damage. ...Read more
I get genital hsv1 recurrent obs after sex. Does that mean hsv1 was more likely to be transmitted to my partner even if no signs were present during?
Herpes: The following is new information and not all physicians know this yet: Herpes contagiousness is called viral shedding. Viral shedding is not in anyway predicted by having an outbreak. One can be contagious just as likely without having sores and one can not have any viral shedding when they have sores. 90% of people with herpes have no recurrent outbreaks but still shed virus and can be contagio ...Read more
Last couple times having sex with my husband noticed a fishy smell during and after. No other signs of infection present (discharge/pain) we are TTC.?
Fishy vaginal smell: Fishy vaginal smell usually are due to Trichomoniasis or bacterial vaginosis or hygiene issues. Examination will help ...Read more
If an asd is causing a murmur, would a widely split s2 (racepinephrine) also probably be present? Even if missed on echo, would there be signs something was wrong?
Typically yes: A significant ASD should cause a murmur (although not usually a loud one) and wide, fixed splitting of the second heart sound. A small ASD may produce no signs or symptoms at all, particularly in someone your age. ...Read more
Hello, I have been trying to find out whether oral cancer can spread to the lymph nodes without any signs, or if there is always a sore present first?
Sometimes: Sometimes oral or nasopharyngeal cancer can spread to the lymph nodes without the primary tumor being detected. This is called cancer with an unknown primary. Most of the time a primary tumor is found. The oral and nasal cavities are so complex it is really impossible to do a thorough exam on yourself. ...Read more
I am almost 27. Will it help to still get the hpv vaccine if there are signs of the virus present?
HPV vaccine: The HPV vaccine (Gardasil) is excellent at preventing HPV caused by any of 9 different HPV types. However, it has no effect at all on an HPV infection someone already has. The vaccine is not normally recommended beyond age 26, but is harmless and still effective in people at risk for future exposure. ...Read more
Are the results of a PAP smear restricted only to the genital area, or can they present signs of a virus elsewhere in the body?
I started with a stuffy nose, now its a running nose, its been two days. Is this a first sign of the cold or flu? No other symptoms present.
Cold vs allergy.: 2 most likely causes cold vs allergy. Take OTC decongestant or allergy meds. No need to see MD unless symptoms progress. ...Read more
I have all the signs of anemia, but I'm worried about my heart palpitations. I do have gastritis, how does that make anemia more likely to be present?
Stressor: Gastritis, menstruation, hemorrhoids etc can cause blood loss and chronic anemia. This is a stressor on the heart. The heart senses the blood loss with not only volume loss but blood carries oxygen too. So the heart try's to circulate the blood it does have as quickly as possible. This can precipitate an arrhythmia ...Read more
Pars fracture L5 used to hurt on right side when raising left leg. Now it doesn't. Is that a good or bad sign bc pain is still present on both sides.
It is a good sign: Not to have pain in the back when you have this problem. ...Read more