Doctor insights on:
Stage 2 Hypertension
Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?
Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read moreSee 1 more doctor answer
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Not good.: When a liver with cirrhosis is having trouble doing it's job, it's called end-stage liver disease. This means that the liver is beginning to fail. Generally, patient in this setting will die or need transplant within a few years. Having cirrhosis, however, is not the same as end stage liver disease. Only when the liver starts to fail do we call it end stage. ...Read more
Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?
Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more
Hydrops fetalis, : Excessive fluid build-up in 2 or more body parts in a fetus, can be pretty severe, as you describe. Non-immune hydrops can be from heart or lung problems, severe anemia (alpha-thalassemia or infections), genetic syndromes or problems in fetal development. I'd seek evaluations of both kids by a geneticist to look for a cause ; by your state's early intervention program to assess their development. ...Read more
I say yes: This is one of the herbals that might actually have a real effect as claimed; since the active ingredient is just hydroxycitric acid which so far as i know isn't a kidney poison, it should be fine for you. Check with your nephrologist also. ...Read more
What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?
Depends: Any answer that includes a definite number would be questionable from my point of view; as it would probably not consider the subpopulations' future attitude and compliance, not to mention current overall health status/genetic of this "cohort". Meaning, life expectancy at this point may vary wildly for many reasons. It would be more useful to just optimize treatment in a multidisciplinary fashion. ...Read moreSee 1 more doctor answer
Yes: Multiple liver lesions can be treated by a number of approaches because what is in liver will not spread. Originally ligation of hepatic artery was used since portal vein supplies hepatocytes and hepatic artery the metastatic tumors.Can be used with SIRT which is a form of RT treatment wherein a dose of SIR-Spheres® microspheres are delivered up to 40 times higher than conventional doses. ...Read more
Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? No lymph nodes involve, stage 1b, grade 2, mastec done
Excellent: According to adjuvant online (www.Adjuvantonline.Com), you have about an 82% 10 yr survival rate based on your specific information provided. This is only an estimate since there are details I do not have such as type of chemotherapy being used. For triple negative breast cancer, these survival rates are quite excellent. ...Read moreSee 1 more doctor answer
Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!
Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more
Colon resection for ca showed 2 lymph nodes involved. What are chances of ca spreading to cirrhortic liver?
Can occur..: But hopefully your colon cancer was found before it could spread to the liver. Colon cancer can spread to the liver in any person, irregardless if you gave cirrhosis or not. See your oncologist to evaluate what the best treatments may be for your specific condition. Blood testing and x-ray tests such as ct, mri, or pet scans are indicated for some people. ...Read more
Is stromal fibrosis commonly mistaken with breast cancer? I was told about radiology pathology discordance
What kind: I am unfamiliar with also pressure hydrocephalus- did you spell the type correctly? For most causes of hydrocephalus, the type determines the treatment and forecast. The diabetes-how long, level of control, other vascular issues, and meds also figure in to the forecast you are seeking. Too complicated for this format. ...Read more
Type II diabetes: Please see your doc or a nutritionist. He/she will help you make healthy choices and also monitor and support you. There are many books on the market about this topic but having professional help and guidance is safest. ...Read more
Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient
Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read moreSee 1 more doctor answer
my mother was suffering from brest cancer and her reports are
metaplastic carcinoma with spindling &squamous metaplasia grade 3 suggest me?
Rare Breast Cancer: Metaplastic breast cancer is quite rare, representing less than 1% of all breast cas. It is so-named based upon its microscopic appearance. While the tendency is for these to be "aggressive" cancers, treatment and survival are based on the cancer stage, just like any other breast cancer. Once your mother recovers from her surgery, she will be referred to a medical oncologist for rx planning. ...Read moreSee 1 more doctor answer
I am 42 yr old, got a Prostrate Biopsy which possibly shows 2 or 3, 2 mm areas of cancerous cells with a gleason score of 7, My USG showed a N Prostra?
Physiogic: If you are angery or stressed. Your body release a lot of hormone like Epinephrine which cause vasoconstriction and tachycardiac resulting in elevation of the blood pressure. There are other hormones cortisol that also come into play. Stage 2 meaning BP is above 160/100. You need to see your pcp as soon as possible to manage the underlaying primary hypertension. ...Read more
Stage 2 HTN: 50 asks how long would pt with stage 2 HTN have till serious damage starts. Answer: Stage 2 ?160 systolic. Damage can already be detected in most with Stage 2. Trial in which one group got placebo and other got chlortalidone (SHEP study) it was clear that congestive heart failure was less likely by 3 months. So you have a little time. Stoke,Heart Attack took about 1 yr to begin to see protection. ...Read moreSee 1 more doctor answer
Are my symptoms heartattack or stroke? Have had tension in chest past 4 days, heartrate has been 100 to 129 bpm, eyesight slightly blurred, thoughts seem cloudy, blood pressure has fluxuated from normal to stage 2 hypertension. I am a 42 year old male 5f
Symptoms : Symptoms of a heart attack can include: chest pain; chest tightness or squeezing; shortness of breath, increased sweating pain or numbness radiating down the arm (more often left than right) and nausea. Some people dismiss the pain thinking it is indigestion. There can be pain in the top midline of the abdomen, as well as vomiting. Pain may not present in the chest but instead can be felt in the upper back, head, jaw or in the teeth. There may be a generalized feeling of unwellness and fatigue. One fourth of people have heart attacks without chest pain. Stroke symptoms can include a severe and sudden headache. There can also be nausea, vomiting & dizziness. A classic sign is numbness, weakness or inability to move one side of your body. Vision may be haywire with issues like double vision, blurred vision or seeing double. Your words could be slurred or you may have difficulty expressing yourself. Feeling confused is common. There could be loss of balance or lack of coordination. I recommend that you be seen at an emergency room immediately. ...Read more
Can stage two hypertension be controlled in a week as done my survival course to go offshore but need medical certificate as well,want it down fast?
Stage 2 hypertension: This depends upon your body and the chronicity of the hypertension. In principle, your BP can be brought lower with very low salt diet, minimal fat, minimal meat, and high intake of fruit and vegetables. And commencing medication can certainly bring BP down. ...Read moreSee 1 more doctor answer
There are a number: of medications to help reduce the symptoms and progression of diastolic dysfunction but this needs to be individualized for the patient. Make an appointment with your health care provider and ask for this to be addressed for you. ...Read more
I have hypertension and this weekend for some reason, it's shot back up to stage 2. Is there anything in Tang that interferes with Valsartan Hctz (hydrochlorothiazide)?
No ....: The list of ingredients for Tang includes sugar, citric acid, vitamin C, maltodextrin, calcium phosphate, guar and xanthan gums, sodium acid pyrophosphate and some coloring. Nothing that should affect blood pressure. Blood pressure does vary normally so just keep monitoring every day or two, and keep taking your medication. If it stays above 140/90 for two weeks, contact your doctor. Good wishes ...Read more
Hypertension: what do you think (in order) are the top two reasons why people may not regularly take their medications?
Why not take BP meds: 62 asks: What are top 2 reasons people don't take their meds for HTN. 1. They don't fell ill so why take BP meds? 2. They don't believe they really have an increased BP. One way to help with this is to show the patient data as to why HTN is bad 4 U. Then show data showing that lowering BP makes one live longer and healthier. Ask them to try to buy life insurance at regular rate with their BP. ...Read moreSee 1 more doctor answer
My BP always between 11-12 systolic and 7-8 disto
lic.last week for two days was 13.5/94 then normal again.is this hypertension?
Recheck your values: Those numbers don't make sense to me. But to answer the gist of your question, your BP can go up and down quite a bit over the course of a day, a week or a month. It's ok to have some "high" readings. That's a normal response to stress, anger, exercise , illness. What matters... Is it a sustained elevation? According to what you reported, it is not. Just something to watch. ...Read more
Is it alright to eat two eggs each day if I have hypertension? If I have hypertension, is it safe for me to eat up to two eggs per day?
Probably not: Two of the known contributors to heart attack are hypertension and high cholesterol. One egg yolk alone is said to contain nearly 300mg of cholesterol. We typically advise people to try and stay under that amount for the whole day. To know for sure though, ask your doctor to order both a fasting lipid panel and a high sensitivity CRP blood test. This will give you the answer to your question. ...Read more
PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is quite different from systemic hypertension which is assessed by cuff pressure in your arm. You should check with your physician to determine which you have. ...Read moreSee 2 more doctor answers
Does cost and negative side effects of prescription account for the top two reasons why many people with hypertension do not take their prescriptions?
Silent killer: One can't see it or feel it so why take a daily pill forever. ...Read more
Not necessary: but if you want a 2nd opinion, make an appointment ...Read more
After two days since I take Cozaar (losartan) for hypertension I felt depressed, can this be related?
What do you advise if I'm having hypertension and hypothyroidism..i was taking eltroxin 25mg and metolar XR 25 mg two times a day?
Go see your doctor: Eltroxin is a brand of Levothyroxin that is sold outside of US. Metolar appears to be a brand of Metoprolol sold only in India. You list yourself as from Louisville, KY which makes me worried about where you're getting your medications. Best advice is to take your meds as directed by your doctor. Check your blood pressure regularly (bring cuff into doc for calibration). Get blood tested for TSH. ...Read more
Have a haedache located in the back side of the head for the past two weeks so took hypertension drugs to control but now hypotension?
Now wait a minute: This is a little out of control: if you are 23 and have high blood pressure, this needs to be investigated. It could be your diet/salt, but it might be something else curable. But going on and off meds for hbp is not a great idea. See your primary care md & start. Isuspect neck strain as cause of headaches. Hrs, md www.Thepmc.Org. ...Read moreSee 1 more doctor answer
I have done urine routine: high URO(3+) and Epithelial cell(2+). I have hypertension for 1 year. And feel dizzy sometimes. Does these two related? How
May or may not: be but the high urobilinogen content may be an interference or it may denote broken down products of bilirubin. The bilirubin buildup may denote liver disease or hemolytic anemia. Either way liver disease could cause hypertension. or hypotension. Do you take any herbal medicines? ...Read more
I have hypertension and type two diabetes, occassionally, I have modetate swelling in my feet and ankles.Whats the cause?
Nephropathy: Diabetes damages the kidneys by elevated glucose and dehydration. Then, excretion of sodium becomes impaired, and volume overload results in the swelling you describe. Diabetic vascular damage also promotes the fluid leakage and peripheral edema.See your doctor for complete evaluation and aggressive dm management. ...Read moreSee 1 more doctor answer
I had a heart catheterization approximately two years ago. I continue to struggle with diabetes and hypertension (188/115) has been normal lately. W?
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