Doctor insights on:
Treatments For Quadriparesis
My gf hd TB meningitis 1 yr bck nd her doc jst told me tht hr biggest issue is spastic quadriparesis. She cn move all limbs bt can't walk straight. Dey gave baclofen+tizanidine. Any other treatment?
Post-meningitic: TB affects multiple areas and can damage the nervous system by both direct damage and vasculitis of penetrating vessels from the meninges to the brain resulting in infarcts (killing of brain cells). This is not generally fully reversible and must be treated symptomatically. The only person who can determine what is necessary is the neurologist seeing her. Stick with them and be hopeful. ...Read more
Asymmetric= Not BOTH sides at the same time. First one side, then, the other then, a leg followed by some arm or possibly the other leg....ASYMMETRIC.
quadriparesis- Weakness in a limb (usually taken to mean, motor movements are weakened).
So essentially it's describing onset of a disease causing limb weakness which starts in a fashion that does not include BOTH sides of the person at once. ...Read more
My mother age 65. She got quadriparesis 2months back. Because of central pontine. What does it mean and she is diabetic and high BP patient.
Gf hd TB meningitis last yr nd she HS nw sum degree of quadriparesis as her doc said. She can move all limbs, cn go upstairs with no support, cn walk a while with support of wall but cries, any hope?
I have spinal cord injury with quadriparesis. Now getting back and abdominal wall pain with negative work up. Mri, CT scans negative. What to do?
Distorted sensation: A partial regeneration of neural tissue gives bizarre symptoms. Anticonvulsants might help. There are also spinal stimulators. ...Read more
Both: A cath will allow them to look inside the arteries. If there is a significant blockage they can fix it. ...Read more
Both: A cath post NSTEMI is done for "early definitive diagnosis and therapy". a non-invasive risk assessment will provide similar intermediate term mortality benefits, but may have more hospitalizations for chest pain and the patient will be on more meds for angina. in a young active person, the invasive approach is often reasonable. In an elderly sedentary person, I'm comfortable with noninvasive. ...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
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
See a Rheumatologist: The triad of urethritis, iritis and arthritis are the hallmarks of reiter's syndrome. Each one can be treated by a specialist in that area but for the best success and prevention of symptoms a rheumatologist should direct and manage your condition. Eyemds are skilled at treating the iritis or inflammation of the iris using dilating drops and steroid eye drops the other issues must be treated too. ...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
Wilson's Disease: The problem is a build up of copper in the body, especially in the liver. Your doctor will prescribe a chelating agent that binds and gets rid of the copper, such as trientine. Once the levels are down, you will likely be given another medication to keep the copper levels low, such as zinc acetate. ...Read more
Depends: The treatment options depend on the cause of the cushing's syndrome. If the cause is due to overuse of steroids, then the treatment is to lower the dose. This is the best case scenario. Other treatment options involve: surgery (pros: cure possible, cons: surgery +/- complications), radiation therapy (cons: side effects), medications (cons: usually not a cure, side effects from med)... ...Read more
Wait and see: Imply means that yoru lymph nodes are enlarged due to an acute Infection or inflammation in a speciifc site of your body. Usually that would mean as the infection or inflammation resolves the lymph nodes should regress to their normal size. Usually these findings will be described on a CT scan. If they do NOT return to normal may need biopsy. ...Read more
Usually harmless: These very seldom cause disease, and normally life on our bodies as harmless little passengers. Your physician is your best guide. ...Read more
Hands & feet warm: Keep your hands and feet warm. When exposed to cold weather, wear warm gloves and stockings. Use chemical warmers for hands and feet. Medication, (vasodilators) may help but not too much. ...Read more
Risky: Starting just prior to 1900, topical anesthesia was available so cataract surgery could be performed painlessly. The procedure at the time involved opening the eye and bluntly removing the entire lens and hoping that would be all that would exit the eye. A strong eyeglass was required afterwards. Now with ultrasound and microscopes, etc. Cataract removal can be done safely and predictably. ...Read more
1. As always, treat the MS with a potent disease modifying agent, such as Gilenya, Tysabri, (natalizumab) or Lemtrada.
2. The hip issue is not caused by the MS but needs orthopedic attention, and if surgery needed, there is NO contra-indication for anesthesia or surgery. Neither will affect the MS. ...Read more
Mrsa treatment? A minor medical prescribed minocycline because my white count was in the 9000's. Is this the best treatment?
Does an elevated systolic BP need treatment if diastolic in 70's. How is this treated to prevent diastolic getting pushed too low?
Yes...: Systolic is the one which causes acute problem....has to be controlled. Diastolic is related to the atherosclerotic stiffness of your vascularsystem.....it is good that, yours is low. There are some disease entities where only systolic high pressure occurs......your PMD will look for them. ...Read more