Doctor insights on:
Treatment For Oculogyric Crisis
Dyskinesia: It's a type of dyskinesia (movement disorder showing either diminished movement or too much movement, with tics and jerks, etc) involving the muscles of the eye. It's acute, and can be relieved quickly also. It's most commonly seen with medicines that block the neurotransmitter dopamine, such as haldol, stelazine, and thorazine -- but also newer antipsychotics, as well as the GI drug reglan (metoclopramide). ...Read more
Usually it doesn't: Zoloft (sertraline) inhibits serotonin reuptake, and in that way can also affect dopamine. The resulting increase in serotonergic activity can inhibit both nigrostriatal and tuberoinfundibular dopaminergic neurons, resulting in extrapyramidal symptoms (eps). Balance between these systems is extremely important. Akathisia is the most common kind of eps from zoloft, (sertraline) rather than oculogyric crisis. ...Read more
That'd be very rare: The usual suspect in a category: any antipsychotic. Take care. ...Read more
EPS from zoloft (sertraline): Extrapyramidal symptoms are rare with antidepressants such as zoloft (sertraline) & occur in less than 1%. Is seen if high dose zoloft (sertraline) or if zoloft (sertraline) is taken along with other medications that inhibit liver breakdown of zoloft (sertraline) and hence cause accumulation in body and side effects. ...Read more
My 18mths old son has oculogyric crisis almost every 3 days. He is developmentally delayed. He is not on any medications. How do I treat his crisis?
Possibly but unlikel: It is always possible but in this case it is very unlikely. Would look for another cause. ...Read more
Let help you: Standard therapy involves intravenous injections of glucocorticoids and large volumes of intravenous saline solution with dextrose (glucose), a type of sugar. This treatment usually brings rapid improvement. When the patient can take fluids and medications by mouth, the amount of glucocorticoids is decreased until a maintenance dose is reached. If aldosterone is deficient, maintenance therapy also. ...Read more
Addisonian crisis: Addisonian crisis is treated primarily with cortisone medication (iv and pills). The cause of the crisis is an inadequate amount of cortisone produced naturally by the body. Treatment and prevention of addison's disease and addisonian crisis must be managed very carefully by a physician (usually an endocrinologist) in order to maximize safety and minimize side-effects. Cortisone has many. ...Read more
Hubby's hlth screen shows 7.1 A1c level. Is this an urgent crisis? Going to disney fd/wine fest in oct. Does he have to miss out? Can treatment wait?
Not crisis: But why wait. There will always be another reason to wait further, until he develops preventable but uncorrectable problems. Why not start now? He can easily continue treatment at disney or anywhere else in the world. Stop making excuses for denying his illness -- it will shorten his life unless you acknowledge it and treat it properly. ...Read more
Supportive care: It depends--sickle cell crisis can manifest as pain crisis, acute chest syndrome, stroke, priapism etc. But basically supportive care like- vigorous hydration, pain medication, adequate oxygenation, are needed. Exchange transfusion vs simple transfusion often times also has to be done depending on the level of hb. ...Read more
Great question!: Even people with adrenal problems often make a little bit of cortisol. This little bit can be enough to keep them from getting very sick. In hypothyroidism the body's need for cortisol goes down and the little bit you make lasts longer. So if a person has both thyroid and adrenal disease, treating the thyroid without treating the adrenal problem first causes the little cortisol to run out quicker. ...Read more
Find cause: Hi. Wow, for a young patient, you're using an antiquated terminology! SGPT is now referred to (and for YEARS has been) as ALT. ALT is liver specific. Why it is elevated needs evaluation, but can include fatty liver, viral hepatitides, iron overload, autoimmune hepatitis, etc. Treatment very much depends on underlying etiology. Good luck! ...Read more
S.O & I trying for baby#2 for 8 mths now & Dr found a cyst & wants me to take B.CFor 3mths won't that affect me trying to convince after the treatment?
Ah, PCOS: Would be treated that way. Certainly birth control will prevent pregnancy by giving hormones all the time and messing up cycling. Some people have part of the ovary making high amounts of hormones...making their own internal birth control pill. The hope (it is at best 50/50) is that stopping everything w. birth control hits the reset button. ...Read more
Contraindications: Ifc should be avoided on individuals with pacemakers & near the low back or abdomen of pregnant women. This modality should be avoided where there is any possible risk of tumor metastasis. Arterial ds & DVT may have increased risk of emboli; current may increase infected areas; large open wounds may concentrate the current & distort the if field; ifc may worsen skin conditions in treated area. ...Read more
Many options: First, find out what's causing the cushing's syndrome. If it's due to overuse of steroids, cut down on the dose. If it's due to a tumor, surgery is the best treatment. Tumor in the pituitary can be removed by neurosurgeons, tumors in the adrenal, pancreas, lung can be removed by surgeons. Radiation therapy is used if surgery is not complete. Last but not least, medications can be used. ...Read more
Multidisciplinary: The best treatment is a combination of antipsychotic medications to treat psychotic symptoms and antidepressant medications to improve mood. Group or individual psychotherapy can be helpful in making goals, solving problems, and maintaining relationships. Support and work training may be helpful for work skills, money management, and maintaining independence. ...Read more
Def (British) (of a place or surroundings) simple but cozy and comfortable, as in one's own home. (NorthAmerica):unattractive in appearance
eat a Mediterranean diet preponderant in plant based foods with small amounts of animal product. Get regular aerobic exercise. It won't be attractive and you might feel cozy and comfortable ...Read more
No cure: Assuming no other cause for ongoing cough: Post-viral cough can persist for many weeks. Also we are experiencing an epidemic of the '100 day cough' (Whooping Cough). Your age group is considered to be the vector for this infection and also, there is no cure. Cough syrups containing pholcodeine (available over the counter) may give you some slight symptomatic relief but are not really very effective ...Read more
Training Not Treat: You mean leaving him alone when he is awake? Not picking him up? Waking him up when sleeping too long in the daytime? Not interacting with him during the night time when he should be asleep? ...Read more