Doctor insights on:
Sir Reporting Within 2 Hours Policy
Sirs since last two years my right eyelid getting flickering. Quite some time back I was a chronic migraine complained.
Myokymia: You probably experience myokymia of you eyelid, a benign event associated with eyestrain, fatigue, stress, metabolic imbalances, sleep disorders, and typically not a sign of any profound disease. See your ophthalmologist if too annoying. Likely has no relation to your history of migraine. ...Read more
Blood infection is the lay term for sepsis. The clinical picture of sepsis is a combination of infection, tissue destruction, release of mediators by the body and co-existing diseases. You may consult this site for more info.
http://www. Mayoclinic. Org/diseases-conditions/sepsis/basics/definition/CON-20031900 ...Read more
Yellow: Is yellowish skin coloration due to increase in the pigment bilirubin which is from the breakdown of red blood cells. This can happen before the Liver/pre hepatic (anemias) in the Liver/ Hepatic (hepatitis) or after the liver/post hepatic (gallstones) For more information see your kind doctor. ...Read more
Dear sirs need advices on ecgs of patients for rapid interpretation as I am a gp and need urgent advices. Please assist by any means.
Infectious source: Hi, SIRS is a set of criteria that, if met, indicate that there is an inflammatory process occurring in the body. If a patient meets the criteria for SIRS and there is a suspected source of infection then the patient will be in the state of sepsis, meaning the infection is causing the inflammatory condition. Hope that helps! ...Read more
My roommate tested positive for sirs should I go get checked too? I m feeling healthy and everything feels normal. Thank you very much for the help.
Can you clarify?: If this is a regional abbreviation for methicillin-resistant staphylococci, i'd urge you not to worry. These microbes are actually quite common and no one knows why occasionally one strain makes someone sick. Most important is that neither you nor your buddy be made to feel you're a danger to the health of others or about to get horribly sick yourself. Many think screening healthies is misguided. ...Read more
Respected sirs please expain about hapatitis B. how it comes. What to do and treatment? . for diabatis patient
Hepatitis B: This virus is transmitted by exposure to infectious blood or body fluids. Infection at time of birth is the most often way in areas of the world where the disease is common. In areas where the disease is rare intravenous drug use and sex are the most frequent routes of infection. There is now therapy available, see a specialist. Good luck. ...Read more
The conference concluded that the manifestations of sirs include, but are not limited to:
body temperature less than 36°c (96.8°f) or greater than 38°c (100.4°f)
heart rate greater than 90 beats per minute
tachypnea (high respiratory rate), with than 20 breaths per minute; or, an arterial partial pressure of carbon dioxide less than 4.3 kpa (32 mmhg)
white blood cell count less than 4000 cells/mm³. ...Read more
Can be: Systemic Inflammatory Response Syndrome which is either fever or hypothermia, either high or low blood count with many WBC band forms, tachycardia and tachypnea, can be seen in infections with sepsis and in noninfectious insults such as trauma or burns. Therefore depending on the cause it can be associated with pain. ...Read more
SIRS: Sirs may result from a myriad of underlying causes. Treating the cause and supportive measures are the mainstay of the treatment. ...Read more
Dear sirs and madam, will you please, please help me. I don't know who else to turn to. I have adult adhd, and being subject to?
To what exactly?: You seem very frantic (typing with all caps), and if you really need help then there's lots of help available out there. Have you discussed with your dr? If you don't have one, that's probably the best place to start. Adhd isn't usually debilitating so I wonder if there is something else which could diagnosed and treated. We cannot diagnose or treat here. For that, you need a physical examination. ...Read more
Need more info: Too many types of rashes to help, see an MD/dermatologist to help. Bring with photos along with the who what when where of your brother's story. How long has he had it for, does it hurt, sting, itch, anything help or aggravate, any travel, any medications? ...Read more
Can SIRS (systemic inflammatory response syndrome) be an underlying cause of delirium or be otherwise associated with delirium?
Delirium: In critically ill patients, delirium is a frequent occurrence. Investigators have found that the profile of increased inflammatory biomarkers changes in critically ill patients with delirium according to the presence or absence of clinical evidence of inflammation (either infection or systemic inflammatory response syndrome). Thus, there is a reasonable associate between the two. ...Read more
That is of concern.: How much do you drink? How often? See that you have both fatty liver ; difficulty breathing. Would encourage you to address your insomnia ; your alcohol use with your medical provider. Whether your insomnia is curable will depend on the actual causes of it. Alcohol is one of the major reasons for sleep problems in the us. ...Read more
Respected sirs my dad hv diabetes & hapatitis B but he got fever from last tow months. Why he got fever. Plz give me ur kind information sirs plz sir?
Dear sirs! I have had a goiter for years and now since last year one complex nodule been growing 2 cm. Biopsy not suff. Cells may 2012 -new biopsy?
Repeat: If the nodule grew 2cm since your last ultrasound, then I would surgically remove that part if your thyroid. If, however, your thyroid nodule grew and is now 1 cm in size, then I would repeat the biopsy one more time. If this is still insufficient, then I would proceed to surgery. ...Read more
Dear sirs, 2 years ago I suffered sudden sciatica for 3 wks. I never had it before. Since I have buttock/ groin numbness causing ed. Can you advise?
PInched Nerve: The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. Erectile dysfunction suggests a significantly pinched nerve (s) I would investigate obtaining an MRI and see specialist soon. ...Read more
Dear sirs, my daughter is 22 years old and she has MS (multiple schelerosis), so what is the best medicine for such case. Thanking you in advance.?
Many options: There are many answers to your question. Most neurologists would choose an immune suppressant medication (either an injection or a pill) and look after her vitamin D level. The answer depends on the patient and their history. ...Read more
Liver bx last year that triggered sirs. Sick already but within min of bx had severe pain all over abd and chest. Hosp x10d. Why happened?
See hepatologist: You had some indication for a liver biopsy - part of the answer is likely to lie there. What is the cause of your liver disorder that causes you to be on cellcept (mycophenolate mofetil)? This is a drug used to suppress the immune system (? Pbc, aih. Psc). You may have had some bacterial colonization of your bile ducts that caused systemic infection and the systemic inflammatory response syndrome you relayed. ...Read more
In the case of suspected sirs (systemic inflammation response syndrome) what should be done and how quickly? Is there a standard treatment?
Admission: People with sirs are acutely ill and need admission to a hospital. They need IV fluids and a work up for a source of infection. ...Read more
Hi sirs, I interested in feet fetish very much, but this sense destroied my life! Many times decided to release from but couldnt! Any treatment? Help!
Hello sirs how can I control my thoughts at night during sleep to prevent anxiety. I have meditation but wasn't able to control them?
Sleep Hygiene: Shutting down your brain at night is easy for some, but difficult for others. If you already use meditation, try pmr (progressive muscle relaxation).I recommend a 20 minute guided pmr--many are found on itunes, such as one by dr. Beth salcedo. In addition, there are many books out there written about how to have good "sleep hygiene"--the art of getting good rest. ...Read more
Hello doctors! Will u recommend lipotropic injection to an obese person? Is it safe and effective? Is there major side effects? Thank u sirs :)
Safe: Lipotropic injections are fairly safe, but unlikely to be highly effective. As they usually contain b12, they will give more benefit to someone who is low in b12. ...Read more
Respected sirs my father have diabetes &hapatitis B in which time he get jaundice? Plz give me ur kind information
See GI doc: Hi. I'm sorry about your dad. Is the hepatitis B chronic? If he is acutely jaundiced from chronic hepatitis B, that can signal something bad going on in the liver, such as cirrhosis or liver cancer, both of which hepatitis B can cause. I think he should see a GI doc for tests and liver imaging. The diabetes is unlikely to be related to the hepatitis B and jaundice, but could be. Good luck to him! ...Read more
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