Doctor insights on:
Treatment Of Rigor
My 4 year old son was in a pool of cold water. He has been shivering for 1 hour. His lips have gone blue and his entire body has turned bluish. He has no CHD. What is the diagnosis and prevention/treatment? Should I get an echodone?
Acrocyanosis: A 4 year old will not typically present with heart disease after being in a pool. Acrocyanosis is when a patient appears blue in the extremities, often after being in cold environments. If it resolves and the child is otherwise fine, i would bring it up with the pediatrician, but otherwise not necessarily do anything else. If other problems occur, then please discuss with the pediatrician. ...Read more
Time: Aloe vera, Ibuprofen or Aspirin to reduce redness and inflammation causing fever, cold compresses or cool showers to try to reduce the temperature of your skin, drink plenty of fluids including low cal sports drink to avoid dehydration and imbalance of electrolytes. Invest in proper clothing, hat, and sunscreen to avoid another sunburn. There is no amount of safe sun. ...Read more
I'm getting Vitamin C therapy while I'm in ketosis (as alternative cancer therapy, on top of chemo, etc.) Experiencing chills/shivering. Related?
I have low vitamin B12- 190 and hyroxy vitamin D- 10.49. I feel pain, less confident, shivering, loss of memory. Is it due to that V. low. Its treatmt?
No but painful: A gout attack is one of the most severe joint pains that you can experience. The most common site is the big toe. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin ( painful if large and draining through the skin). Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. Gout is not fatal. ...Read more
Very rarely.: But it has been reported.Get a more detailed answer ›
Psychotherapy, maybe: Not being able to cry in and of itself doesn't mean treatment is indicated, but it might, possibly, be a marker of other difficulties associated with the healthy expression of feelings. Consulting with a psychologist or psychiatrist could be one option to determine if treatment is necessary, and how it could help. ...Read more
Not necessarily: Breast conservation and mastectomy are the 2 primary local therapy options. While for treatment of noninvasive disease (dcis) this may suffice, w/invasive disease systemic therapy must also be considered to address microscopic disease elsewhere that can't be reached w/surgery or xrt. More advanced (ie. Large tumors, multiple nodes +) may warrant post mastectomy XRT to maximize local control. ...Read more
Need evaluation: Do you have culture proven UTI or just symptoms similar to UTl? Either way you need to have upper tract evaluation with CT and cystoscopy. Need to see a urologist for evaluation because tumors, stones, fistulas can be cause of symptoms similar to UTI or cause UTI that doesn't respond to therapy. ...Read more
Hernias: Will enlarge and become painful or cosmetically unacceptable. If it becomes painful, then it can incarcerate to strangulate, so it becomes urgent that you undergo surgical repair. Show it to a surgeon for an opinion on when it needs to be repaired. ...Read more
It is Common: for a slight increase of bp when you come to the dentist (we don't mean to but we seem to have that affect on people). We have guidelines that allow for that and it is rare that it keeps us from being able to treat you. There are times/procedures that we must either sedate or refer you for treatment or get your bp in range to complete the procedure safely but worrying will not help it be better! ...Read more