Doctor insights on:
Vipoma In Children
It Can Be Fast: 60-80% of vipomas are malignant and have metastasized by the time of diagnosis. Diagnosis usually takes years because of the insidious onset. They are also associated with men-1 (multiple endocrine neoplasm) syndrome, which is associated with other cancers of the pituitary and parathyroid glands. ...Read more
Resection: VIPomas are neuroendocrine tumors that secrete vasoactive intestinal peptide (VIP) autonomously., They originate in amine precursor uptake and decarboxylation (APUD) cells of the gastroenteropancreatic endocrine system and in adrenal or extra-adrenal neurogenic sites. Whwn defined because of the symptoms produced, surgical resection is indicated. ...Read more
Maybe: Hi. VIPomas are rare. The symptoms of chronic watery diarrhea with dehydration and flushing often prompts the evaluation. I can'r see a physician LOOKING for a VIPoma in a patient with no symptoms! So I don't want to say VIPoma without symptoms is impossible, but if that's the case, why was the VIPoma ever looked for??? Best of luck! ...Read more
I don't have diabetes however my c-peptide test was high. I have been sick for over 1 year now. Can a vipoma cause this?
Not a key finding: Vipomas by producing vasoactive intestional peptide (vip) can increase glycogenolysis from the liver which increases a person's blood sugar. An increased blood sugar would stimulate more Insulin secretion from the pancreas which would increase the serum c-peptide level. There are much more common reasons for an elevated c-peptide level, you should discuss this with your dr. If you are worried. ...Read more
What test would you do to diagnosis vipoma? 1 high VIP & chromogranin, hypok be enough to confirm? How long does diagnosis take?
VIPoma: This is complicated. You may not have the satisfaction of "a diagnosis" until your doctors have found a tumor, removed it and the symptoms have resolved. As I mentioned to you before, you should be seeing someone who specializes in these kinds of tumors. Good luck. ...Read more
One high VIP blood test one normal. Was told VIP can fluctuate & retested when symptomatic. Is this the only way they can officially diagnose VIPOMA?
VIPoma: Presumably you have the cardinal symptoms and signs: watery diarrhea and low K. Yes, plasma VIP should be measured during symptoms, and it should be high. If this is a VIPoma or other neuroendocrine tumor, then it becomes important to localize it. CT/MRI/somatostatin receptor imaging. Most important: go to a center that specializes in this. These are rare, and average doc doesn't see much. ...Read more
Could you have Vipoma w/ out diarrhea? I have had low pottasium, numbness, weakness, hot flashes, high vip test, temp paralysis, low heart rate, dehyd
It comes and goes: VIP levels and diarrhea fluctuate. This is an uncommon condition best managed with a team approach. Adrenal insufficiency and other conditions that cause diarrhea have by now been excluded I would assume. You should have a good talk with your gastroenterologist about what to expect. ...Read more
Should I go to ER? Possible vipoma diagnosis took 2 packets of potassium chloride & still having numbness in fingers and hand, shortness breath.
I am married in 1 year no children en problem in my health would you eat that type of food can be eat him in my husband and me?
Chocolate: This is not scientific but neither is having babies! Try anything chocolate. Eat romantic foods. Avoid alcohol and stimulants. Relax. Enjoy being married without children. The more you relax and enjoy your spouse the better your marriage will be and the more prepared you we be to be a parent. You are learning patience and you will need it! OB doctors have solutions for you when wanted ...Read more
Vertigo?: Many children get very dizzy at times without definite cause. Some are due to ear infections or ear fluid pressure. Other times it may happen because of spinning around. Episodic vertigo is a very dramatic event in some children when they look terrified and have to hold on for a few moments, then return to normal. This is usually benign but needs a good evaluation. ...Read more
Vomiting: For a simple gastroenteritis, gut rest (nothing to eat or drink for 2-3 hrs) followed by small sips of clear fluids, frequently (goal depending on age of child 1-4 oz/hr). The presence of pain is more worrisome and I would recommend taking the child to their doctor for a hands-on examination to rule out anything more serious. ...Read more
Safe/locks: A good gun safe can double as a home for some family valuables. There are a number of trigger locks and quick entry safes on the market that provide quick access but eliminate child entry. As mentioned, kids taught gun handling and safety as early as age 4 are less likely to play with any gun they find anywhere. ...Read more
Ringworm is actually not caused by a worm at all, but is caused by a fungus that lives on the skin called tinea. People can get a tinea infection from skin to skin contact with an infected person or pet or by sharing personal items such as towels, clothing, and combs.
Clotrimazole is the generic name for the over the counter cream that treats ringworm. Apply 2-3 times a day for a few weeks until the lesion disappears completely and then some. Keep it covered for the first day of treatment (or longer if you want to) to prevent spread. Your child will need to see his doctor for a stronger medication if the ringworm is on his scalp, continues to spread after treatment at home or if it doesn't get better after 4 weeks of treatment at home. ...Read more
Inherited or steroid: The common cause is congenital, but it can also be caused by maternal steroids passed on through breast milk to the newborn. It is different from breast milk jaundice (breast-fed infants have higher bilirubin levels than formula-fed ones). If inherited it is a recessive gene. ...Read more
Structure: It is not necessarily that kids are "lazy". It may be as simple as a schedule and expectations problem. Some kids are in so many activities they are burned out and have little time for anything else. Most kids nowadays live to be on a wireless device and that takes a chunk of time. Have clear expectations of your child and let him know what they are. Unplug the tv, limit the phone gaming time. ...Read more
Age 12 & older: This topical corticosteroid is prescribed for adults & children age 12 & older with certain skin conditions. It can be used for up to 2 weeks in adults. I do not know if dermatologists lower the duration of use for teens. It should be used only by the patient for whom it is prescribed. ...Read more
Rosacea in children: Although the incidence of rosacea in adolescents and children is infrequent, such cases have been documented in the medical literature. Eyelid styes may be one form. Rosacea often runs in families, and rosacea sufferers would be wise to be on the lookout for early signs in children in order to seek diagnosis and treatment before the condition worsens. ...Read more
UTI's in kids: Children do not get urinary tract infections for most of the same reasons that adults do. First and foremost, anatomical issues such as vesicoureteral reflux, posterior urethral valves and others issues must be investigated. Otherwise, UTI's in children are often due to poor hygiene/wiping, masturbation, infrequent diaper or pull up changes, or chronic urethral irritation. ...Read more
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