Doctor insights on:
What Are The Risks With Herceptin Therapy
Heart failure: About 4% of women treated with Herceptin (trastuzumab) develop some weakness in their heart as measured by a muga test. This decrease in heart function is reversible when the drug is stopped. Other side effects of Herceptin (trastuzumab) can include allergic reaction, fatigue, headache and diarrhea. Most of my patients have no side effects! ...Read moreSee 1 more doctor answer
Can't answer without: Knowing: 1) what allergy is being addressed; 2) what treatment options have been offered; 3) what therapeutic approach has been recommended (e.g. What do you mean by "oral allergy therapy" anyway?). ...Read more
Avoid using them: They have little benefit and there is a risk of burning the skin. ...Read more
I was wondering what are the risks of radiation therapy for orbital inflammatory disease and scleritis?
What are the risks or possible side effects of hyperbaric oxygen therapy? Does it hurt? And what side effects are there?
Treatment : Treatment of hyperbaric oxygen therapy (hbot) is generally safe and painless. The most common side effect would be the risk of injury to your ear drums during the compression phase of the treatment. This is because compression of the hyperbaric chamber is similar to when an airplane lands, or when you dive to the bottom of a swimming pool. As pressure builds up outside of the ear, you will have to equalize pressure by "popping" your ears. If you can do this, there should be no problems. If you cannot because you have a cold, aren't paying attention, or because you are not properly trying to equalize pressure, you can have pain, bleeding, swelling, or in a worst case scenario - rupture of the ear drum. These can all be easily avoided by communicating with your hyperbaric chamber operator, who will monitor your progress and adjust your compression or decompression rate. If you cannot successfully equalize your ears, you may be referred for pressure equalization tubes, which will eliminate this risk. You may have similar discomfort in your sinuses, which is more difficult to manage because it is not possible to actively equalize pressure in your sinuses. In this case, your treatment may have to be postponed until you can decreased the amount of inflammation around your sinus cavities. People who get hbot may also be at risk to damage to their lungs if there is a history of spontaneous collapse of the lungs, or damage to the lung tissue such as emphysema or COPD or asthma. If you have any history of lung disease, you should tell your treating physician ahead of time so that they can screen you for safety. We have noticed that there are some people who develop mild nearsightedness as a result of hbot. This usually is in the elderly or diabetic patient but can happen to anyone who has had a multi-week series of hbot. These effects are generally temporary and revert back to pre-hbot vision. You should be aware of these changes so that you can plan for alternative transportation in case your vision changes. You should not have to get new glasses, as vision will generally return to baseline after you have stopped your hbot. As with any medication, too much medicine may result in an toxicity. In the case of oxygen, you can get a case of oxygen poisoning of the brain, which could result in a seizure. This seizure is strictly related to the oxygen and will stop once the oxygen levels are decreased. You won't have to take any medications or be at any higher risk of seizures in the future. The risk of an oxygen induced seizure has been estimated to be about 1 in 3, 000 to 1 in 5, 000 treatments. Your treating physician may modify your treatment profile to use less oxygen, or institute more frequent or longer air breaks to temporarily lower the dose of oxygen to your brain. ...Read moreSee 2 more doctor answers
What are the risks of slit therapy for allergies? I'm allergic to pretty much everything and have hyper reactive airway disease. Should i take slit?
SLIT: Sublingual immunotherapy (allergy drops) is new compared to subcutaneous immunotherapy (allergy shots). Only a few grass pollens have been studied in the slit group. Both have been shown to be effective in treating hay fever symptoms. However, not much is known about the effectiveness of other allergens in the slit group. A much higher dose of allergens are required in slit to induce tolerance. ...Read more
I have osa and am on cpap therapy, my pcp just prescribed me Ambien (zolpidem) 5mg. Is it safe to take Ambien (zolpidem) with osa ? If not what are the risks?
FATIGUE WITH OSA: Provigil iand nuvigil help with energy and fatigue Also adderal/Ritalin/Starttera. Start a gluten free diet WEIGHT LOSS IS CRITICAL .Wholeapproach.com gut loss.com. If CPAP or BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. Limit use of sedatives/hypnotics like ambien/lunesta/rozerem. D/W your doctor all options if RLS is present neurontin/Topamax may help ...Read moreSee 3 more doctor answers
Depend on medication: Unfortunately the medical treatment for gastroparesis is limited both in terms of efficacy and safety profile. Macrolide antibiotics has been associated with QT prolongation. Cisapride is no longer available in the US b/c of sudden death. Reglan (metoclopramide) has the potential for devastating neurologic side effects. Domperidone has fewer side effects but not approved for use in the US. ...Read moreSee 1 more doctor answer
Radiation & pregnant: The risks of exposure to radiation during pregnancy depend on how far along you are and the amount of exposure the baby has. The earlier exposure and the greater amount of radiation can cause miscarriage or birth defects. You should discuss with your doctor if you think you might be pregnant and if not, discuss if becoming pregnant is advisable at this time. ...Read more
Bleeding: Infection and pain.Get a more detailed answer ›
What are the risks and appropriate treatment if an 8 year old child licks blood from the floor of a public toilet?
Dysentary: I'd not worry about aids from this encounter as the virus is fragile & likely dead within minutes on the floor. The salava also has enzymes that supress it. The more likely outcome if any, is infection by a collection of gut bacteria that would be on the floor, like e.Coli;salmonella;shigella; hepatitis a or other germs.Diarrhea would be the expected outcome.If tough immunity, kid may have no sx. ...Read more
What are the risks of radio iodine treatment? As i don't know whether to choose that or thyroidectomy.
Works: It's the treatment of choice for graves. It's usually successful. It can't be given during pregnancy but there's no problem with a later pregnancy after treatment is complete. Be aware that you will almost certainly need to take a thyroid supplement for the rest of your life afterwards. ...Read more
PCOS: It may be present in up to 30% of women. It is an Insulin resistant state that is characterized by weight gain, irregular or absent periods, hair growth, infertility and predisposition to diabetes. Diet, exercise and weight loss will help, as will metformin which can reduce Insulin resistance and regularize menses and even fertility. Education and other medication may be needed for high glucose. ...Read more
Too many!: Looking good & staying healthy need not be mutually exclusive goals, & the evidence shows that bkt may not be safe for anyone, least of all pregnant women. I always counsel my patients to very carefully consider what they "feed" not only their mouths, but also their skin and scalp- which are highly vascular and large "consumers" of products. Most products are never going to be tested on preggos.. ...Read moreSee 1 more doctor answer
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