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Doctor insights on: Treatment Of Convergence Insufficiency

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I have tired eyes from mild convergence insufficiency. Are there other options beside expensive in office therapy or shady looking websites?

I have tired eyes from mild convergence insufficiency. Are there other options beside expensive in office therapy or shady looking websites?

Exercises or glasses: Convergence excises such as near point focussing performed several times daily can strengthen your convergence , your other choice would be reading glasses with weak prisms to alleviate symptoms they would be prescription and not over the counter. ...Read more

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Doctor says that my nine year old has convergence insufficiency and should go for vision therapy instead of Prism in her glasses. Agree?

Doctor says that my nine year old has convergence insufficiency and should go for vision therapy instead of Prism in her glasses.  Agree?

Get another opinion.: I will make a guess that the doctor who said that is an optometrist and not an ophthalmologist. Many well designed research studies have proven that vision therapy is not effective (and it's usually expensive). Please take your child to an ophthalmologist -- if there is an eye muscle imbalance, they can explain what treatments WILL be effective. ...Read more

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Convergence insufficiency after prk?

Not caused by it: Prk does not cause convergence insufficiency. It was probably there before, and just showed up after surgery. ...Read more

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Why do not all optometrists specialize in convergence insufficiency?

Why do not all optometrists specialize in convergence insufficiency?

Why should they?: Why can't optometrists and ophthalmologists choose their focus of practice? We are not a communist country, y'know. ...Read more

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Can convergence insufficiency be the cause of my daughter's nystagmus? it only presents when looking near and all her tests have came back normal.

Can convergence insufficiency be the cause of my daughter's nystagmus? it only presents when looking near and all her tests have came back normal.

No: Convergence insufficiency is a common cause of visual complaints such as the following list on a standard screening questionnaire. * one eye drifts or aims in a different direction than the other (this can be subtle). This is significant even if it only occurs when tired or stressed. * turns or tilts head to see * head is frequently tilted to one side or one shoulder is noticeably higher * squinting or closing or covering of one eye * excessive blinking or squinting * short attention span * daydreaming at school/work * poor handwriting * poor visual/motor skills (often called "hand-eye coordination") * problems moving in space, frequently bumps into things or drops things * clumsiness While reading or doing close work: * holds the book or object unusually close * closes one eye or covers eye with hand * twists or tilts head toward book or object so as to favor one eye * frequently loses place and fatigues easily * uses finger to read * rubs eyes during or after short periods of reading * reversals when reading (i.e., "was" for "saw", "on" for "no", etc.) * reversals when writing (b for d, p for q, etc.) * omitting small words * confusing small words * transposition of letters and numbers (12 for 21, etc.) * loss of place when reading, line to line and word to word. * child's ability to learn verbally surpasses his ability to learn visually. Frequent complains of: * only being able to read for short periods of time * headaches or eyestrain * nausea or dizziness * motion sickness * DOUBLE VISION! It is not a cause of nystagmus. If your daughter has true nystagmus she should have an examination by an ophthalmologist to determine the cause. One can have both conditions but the CI does not cause nystagmus. ...Read more

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What is the treatment for venous insufficiency?

What is the treatment for venous insufficiency?

Close bad veins: When superficial veins are insufficient, they are structurally broken. The vein walls are too stiff and don't have enough elastic in them. Vein valves that keep blood from flowing backwards are broken too. Nothing works right in these veins and we don't the technological ability to fix them yet. So we remove them. This can be done with surgery, sclerotherapy, and/or thermal ablation (laser/rf). ...Read more

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What is the best treatment for venous insufficiency?

What is the best treatment for venous insufficiency?

See vein specialist: Your best choice is to see a vein specialist and be evaluated. Then you can get a recommendation that is specifically tailored to your needs. You will need a venous ultrasound evaluation to see if you have any underlying vein trouble that isn't visible at the surface. If you do and you have symptoms, treatment should be considered. Otherwise, compression stockings might be considered. ...Read more

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What are the treatment options for venous insufficiency?

What are the treatment options for venous insufficiency?

Vein treatment menu: Venous insufficiency in the superficial system consists of endovenous thermal, chemical or mechanical abletion of saphenous veins. Smaller branches are eliminated by injections or surgical removal (phlebectomy). Deep veins are treated by compression. Conservative treatment is compression, elevation, weight loss or pain medication. ...Read more

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What is the treatment for ovarian insufficiency?

What is the treatment for ovarian insufficiency?

Trying to conceive?: If not trying to conceive: bone density scan, calcium, vitamin d, and hormone replacement with estrogen and progestin. We look for and treat any adrenal insufficiency. If you're trying to conceive, 5-10% of women with poi will get pregnant on their own after diagnosis, but if you truly have poi we don't have good fertility treatments using your own eggs. Egg donation or embryo donation are best. ...Read more

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What is the best treatment for vascular insufficiency?

What is the best treatment for vascular insufficiency?

Prevent/intervention: Vascular disease, like dr. Peter corrado states, needs a team approach as its a silent disease. Medical therapies; antiplatelets, antihypertensives, blood sugar control and lipid control/statins. Monitoring; ultrasound and vascular exams to intervene with stents, balloons or surgery before a cardiovascular event. Most important stop or decrease the nictotine addiction. ...Read more

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What is the treatment for primary ovarian insufficiency?

What is the treatment for primary ovarian insufficiency?

Trying to conceive?: If not trying to conceive: bone density scan, calcium, vitamin d, and hormone replacement with estrogen and progestin. We look for and treat any adrenal insufficiency. If you're trying to conceive, 5-10% of women with poi will get pregnant on their own after diagnosis, but if you truly have poi we don't have good fertility treatments using your own eggs. Egg donation or embryo donation are best. ...Read more

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What is the difference, both in symptoms and treatment , between addisons disease and adrenal insufficiency ?

What is the difference, both in symptoms and treatment , between addisons disease and adrenal insufficiency ?

Same thing: Addison's disease is the name given to adrenal insufficiency, a condition recognized by traditional medicine. Adrenal exhaustion & adrenal fatigue are terms coined by anti-aging to describe a lesser degree of insufficiency. Consider addison's disease or adrenal insufficiency as a failing grade or f. Adrenal exhaustion & adrenal fatigue would then be suboptimal c or d grade but still normal. ...Read more

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Is there a best natural treatment for adrenal insufficiency?

Is there a best natural treatment for adrenal insufficiency?

ADDISON' DISEASE: Treatment consist of hydrocortisose usually 15 to 30 mg daily. Normal hydration, prevent hypotention, parenteral therapy for nausea and vomiting. ...Read more

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I discoveredthat my ed condition is caused by arterial insufficiency on the left side of my penis. The right side is ok. Is pentoxifyline a lower cost alternative? How about shockwave treatment?

I discoveredthat my ed condition is caused by arterial insufficiency on the left side of my penis. The right side is ok. Is pentoxifyline a lower cost alternative? How about shockwave treatment?

Lower than what?: Lower cost than what? Pentoxiflyline 400 mg 3X a day as a generic meds cost $120 a month and is indicated for claudication, not ED. I'm not aware that either pentoxifyline or shock wave treatment is effective. How was the diagnosis made? If you had an arteriogram, I suspect angioplasty is your best bet, but at your age, 37, I suspect either you have small vessel disease or the dx is wrong. ...Read more

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Can whole body itching (without a rash) be caused by hashimoto's/adrenal insufficiency? and would this indicate under-treatment?

Can whole body itching (without a rash) be caused by hashimoto's/adrenal insufficiency? and would this indicate under-treatment?

Depends: When you thyroid is underactive, your metabolism is operating at an abnormally slow rate. Your skin is unable to grow and replace itself as it should. Additionally, your sweat and oil-producing glands are unable to function as efficiently as they could otherwise. Dry itchy skin is most often associated with hypothyroidism, but your lab values are better indicators of disease control. ...Read more

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My condition - aortic valve insufficiency and mitral valve insufficiency, is it ok to undergo warfarin treatment?

My condition - aortic valve insufficiency and mitral valve insufficiency,  is it ok to undergo warfarin treatment?

Yes,it is often used: Warfarin is an anticoagulan twhich is commonly used if your heart rate/pulse is irregular due to atrial fibrillation or if you have artificail heart valves placed in your heart.It prevents the risk of blood clots/ emboli which tend to form under the above two conditions and these emboli can lodge in the brain and cause a stroke. So it is an important blood thinner that you need to continue to use. ...Read more

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Tachycardia, hypertension, trace to mild tricuspid regurgitation, trace pulmonic valvular insufficiency on ecg. What's this mean and what treatment?

Tachycardia, hypertension, trace to mild tricuspid regurgitation, trace pulmonic valvular insufficiency on ecg. What's this mean and what treatment?

Probably nothing: Mild degree of tricuspid and pulmonic regurgitation are often seen normally on echocardiogram in the absence of any other finding. At your age,hypertension and tachycardia ,often labile , are often emotional/psychological but needs to be determined if you do not have medical conditions such as thyroid that can give the same symptoms.See your MD ...Read more

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I have been put on cortef (hydrocortisone) for adrenal insufficiency? How long is the treatment? I'm worried it is permanent.

I have been put on cortef (hydrocortisone) for adrenal insufficiency?  How long is the treatment?  I'm worried it is permanent.

Might be Permanent: Different things can cause this. If you have addison's disease then this is most certainly permanent. If you were previously on a long course of steroids for immunosuppression, this may be temporary, in an effort to prolong the steroid weaning process. Please ask your physician to explain the cause and what to expect from your adrenal insufficiency to you. ...Read more

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