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Doctor insights on: Top 10 Worst Addictions

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Dr. Vasu Brown
612 doctors shared insights

Addiction (Definition)

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. A person affected by addiction will be unable to consistently Abstain from use, will have Impaired Behavioral control, will have Craving or increased "hunger" for drugs or rewarding experiences, will have a Dysfunctional Emotional response, and will show diminished recognition of significant problems with their own ...Read more


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Left side chest pain over 10 years daily n/a. Chronic?

Left side chest pain over 10 years daily n/a. Chronic?

Chest pain over 10 years: Have you ever had chest surgery, and the pain is following the procedure?, or had chest trauma, like a MVA? or had shingles, or Herpes zoster?Some causes • Eophageal spasm • RefluxCervical spondylosis • Prolapsed mitral cusp • Da Costa's syndrome • Pulmonary hypertensionPeptic ulcer • Gallbladder disease • Chronic pancreatitisAnkylosing spondylitis • Tietze's disease • Lesions of sternum • Mediastinal tumor • Spinal disease • Spinal infection • Spinal tumor • Spinal spondylosis • Chronic trauma • Bronchial carcinoma • Rib metastases • Aortic aneurysm ...Read more

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Tooth pain front anterior (#26) - electric shock tooth pain -pulse of sort of pain - pain rating : 3 pain last about 1 sec ?

Tooth pain front anterior (#26) 
- electric shock tooth pain 
-pulse of sort of pain 
- pain rating : 3 
pain last about 1 sec ?

Visit your dentist: Did you have a trauma to your lower anterior jaw area? It sounds like maybe you may have a chip at the edge of the tooth, and you may even have exposed dentin (inside part of tooth under enamel) or even an exposed nerve. If not, you may have tooth abrasion caused by overzealous brushing or even an occlusal issue. Visit your dentist, and he/she can tell you what is going on. ...Read more

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I'm caged L5-L2. Now L1 on up slid forward off L2. Now surgeons want to cage L5-T10. I've developed bowel issues, neuropathy, leg numb. Is it related?

I'm caged L5-L2. Now L1 on up slid forward off L2. Now surgeons want to cage L5-T10. I've developed bowel issues, neuropathy, leg numb. Is it related?

Possibly: If the degree of impingement at L1-2 is bad enough it can definitely cause numbness in the legs, bowel or bladder problems in what us known at that level as conus medullaris syndrome. ...Read more

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Hi, I'm 23 and have had a headache for 10 days. Moderate pain, feels like all pressure all over, inc cheeks, top teeth & forehead. Is this serious?

Hi, I'm 23 and have had a headache for 10 days. Moderate pain, feels like all pressure all over, inc cheeks, top teeth & forehead. Is this serious?

Need to be seen: It may be related to a sinus infection given that cheeks, teeth and forehead involved. Those are all areas associated with sinus cavities. When there is congestion in nasal passages and sinuses cannot drain properly pressure will build up in the cavities which causes pain. Relieving the pressure will often relieve the pain and antibiotics may or may not be needed. See provider/ inbox consult. ...Read more

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I have really bad diabeties tape 1.Really bad open beb sore. Bloodey green puss is rolling out a lot. Hurts 2 sit on pain 10 . Pain is 10 on 10. Pluse 3 finger deep pluse tunulling?

You : You need to be seen immediately if you have diabetes type i and have a an open bed sore with bloody green purulent discharge. Please call your doctor and be seen immediately. If your doctor can't see you immediately, or if you have fever, pain, elevated glucose readings, or vomiting, then you will have to go to the er. ...Read more

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Nose feels tight & dry inside no discharge, pain across eyebrows, cheek bones, upper & lower jaws, back teeth & earache worse on one side, sinusitis?

Nose feels tight & dry inside no discharge, pain across eyebrows, cheek bones, upper & lower jaws, back teeth & earache worse on one side, sinusitis?

Sinusitis: It sounds like you have a cold or sinus infections. Most of these are caused by viruses. Treat yourself accordingly with otc medications as needed. You should feel better in a few days. ...Read more

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Dr. M Jones Dr. Jones
2 doctors agreed:
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I am 58 female w/ one small cavity upper back tooth and one filling lower back tooth w/ small cavity bottom side of filling. .? Is do I go composite or cerac? Price diff of 800+ per tooth

Dr. M Jones Dr. Jones
2 doctors agreed:
I am 58 female w/ one small cavity upper back tooth and one filling lower back tooth w/ small cavity bottom side of filling. .? Is do I go composite or cerac? Price diff of 800+ per tooth

Size Matters: Depending on the size of the cavity and how far is extends across the different sides of the tooth, a Cerec restoration could be worth the investment. When a dentist recommends a composite resin filling, it is usually the best treatment for that tooth to restore it to optimal form and function. We budget is a concern, sometimes a dentist will offer choices. Ask your dentist about each tooth. ...Read more

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Any suggestions for artritucs in wrist & hand pain? Best over-the-counter meds. Pain is 4 out of 10.

Arthritis?: Depending on age, general health and proper diagnosis of your arthritis, there may be many treatments. Pending any underlying kidney, heart or other problems, nsaid's and acetamenophen are good otc's for pain. Rest, ice, heat, splinting and other treatments may help. I would suggest getting a good exam and testing for diagnosis and go from there. ...Read more

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All solid zirconium that support span of 4 unit bridge covering teeth 11 to 14 broke after 10 weeks. Previous porc bridge also broken. Causes/options?

All solid zirconium that support span of 4 unit bridge covering teeth 11 to 14 broke after 10 weeks. Previous porc bridge also broken. Causes/options?

Dynamic forces: Many factors can lead to this, but most important are the support base and the bite. This is a long span to cover when starting with the canine, but do not expect the zirconium to fx. Likely clenching/grinding without occlusal guard/compliance . See the expert in reconstruction - Prosthodontist. Consider 2 crowns and 2 implants (12,13) with crowns and bite correction (lower arch). good luck. ...Read more

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Allergies (?) after a dental visit w/ extreme fat lip & blisters on gums, roof of mouth(front tooth cap cemented) - topical novicane only & cement us

Allergies (?) after a dental visit w/ extreme fat lip &  blisters on gums, roof of mouth(front tooth cap cemented) - topical novicane only & cement us

Allergies likely: Latex is the most common contact allergen in the dental office. Did you have a dental dam placed? These are often latex, also the providers gloves could be latex. ...Read more

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Herniation in neck in sneezing fit 1 yr ago. Tried pain mgmt. Am student & dealing w/ losing feeling & pins & needles in hands. Changing position not helped. Worse if writing. Would wrist braces help?

Herniation in neck in sneezing fit 1 yr ago. Tried pain mgmt. Am student & dealing w/ losing feeling & pins & needles in hands. Changing position not helped. Worse if writing. Would wrist braces help?

Possibly: Wrist braces could help if the pins and needles are coming from carpel tunnel syndrome cts verse the disc herniation. If the disc herniation is causing the parasthesias, bracing will not help. You need to see someone who can diagnose either cts or radicular symptoms. If writing makes worse, may be cts and bracing may help, but differentiation needs to be made. Ask doc for emg. Hope that helps! ...Read more

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Root canaled teeth upper molar a bit itchy half of time between gum& top metal crown. Eating, not itchy, strong bite. X-ray ok.9 months. What's next!

Root canaled teeth upper molar a bit itchy half of time between gum& top metal crown. Eating, not itchy, strong bite. X-ray ok.9 months. What's next!

Itchy?: Hard to know what that means. Dentist's understand pain and discomfort. If you are having a problem, you should see your dentist and possibly they can examine and figure out exactly what is bothering you. ...Read more

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I'm 7 mos post (2nd) midfoot fusion, bone graph just started fusing. Suddenly have hard, very painful area at incision site on inner foot. Any ideas?

I'm 7 mos post (2nd) midfoot fusion, bone graph just started fusing. Suddenly have hard, very painful area at incision site on inner foot. Any ideas?

Varies: there are many potential causes, i would certainly let your surgeon know. If this is the second surgery, presumably first surgery was not successful; and possibly this one may not be healing either, or it may be as simple as that you have broken up some of the scar tissue that may have developed form your surgery and probable prolonged immobilization. Discuss with your surgeon, CT may tell more. ...Read more

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47y/o, quitting smoking by tapering down. L side by tongue close 2 tonsil, feels like stuck food. 0 swelling,0 visual abnormality,0 fever. on/off.

47y/o, quitting smoking by tapering down. L side by tongue close 2 tonsil, feels like stuck food. 0 swelling,0 visual abnormality,0 fever. on/off.

See below: Know way to know what that is on healthtap. I would highly recommend seeing a dentist or your PCP for an oral exam. smoking can cause head and neck cancers. And good job on quitting smoking. ...Read more

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Ice pick headaches every 10 min left side of head, left groin pain every 10 min (no swollen nodes). also have 25 y/0 vp shunt left side. Help?

Ice pick headaches every 10 min left side of head, left groin pain every 10 min (no swollen nodes). also have 25 y/0 vp shunt left side. Help?

Shunt may be pulling: The shunt tubing might be being pulled and causing pain at the proximal and distal sites. Its prudent to meet your surgeon to see if they can revise the shunt tubing. But if the shunt has been there for 25 years, it might be best not to tamper with it, if it is working. It really depends on the severity of symptoms, and if your surgeon thinks its coming from the tubing ...Read more