Doctor insights on:
What Can Be Done For Sickle Cell Pain That Occurs During Menstruation
See a hematologist: If your periods are heavy, they may recommend birth control to limit bleeding. It may also be a good idea to see your hematologist the week before your periods start so that your blood counts can be checked. It may be hard to predict when that is, but keep it on a calendar to see if you can start to predict it. You need to take pain medicine during your cycles on a regular basis. ...Read moreSee 1 more doctor answer
The menstrual cycle begins with the shedding of the uterine lining, resulting in bleeding from the vagina. A few weeks later, one ovary releases an egg and the uterine lining thickens in preparation for a potential pregnancy. Pregnancy can occur at this stage if sperm fertilizes the egg. If the egg is not fertilized, the egg will leave your body and ...Read more
Is anemia always present in sickle cell anemia? And for how long can i experience pain without this being a crisis for sickle cell?
They call it sickle: Cell anemia because, indeed, patients essentially all have anemia. The anemia actually improves the rheologic (flow) properties of blood in these patients, whose rbcs are otherwise rigid with reduced degrees of freedom for deformability. Sickle cell pain occurs due to microvascular occlusion and tissue compromise. Oral opiates/ nsaids may provide relief, but IV opiates may be needed (pain crisis). ...Read moreSee 1 more doctor answer
If a pt has known chorioamnionitis during pregnancy, what treatments can be done during to treat the infection & inflammation?
Antibiotics&delivery: Effective antibiotics can be given to minimize the risk to the baby. Delivery does not have to be done emergently by c-section, but the baby should be delivered as soon as possible if it is mature. ...Read more
Is severe hip pain normal during pregnancy and is there anything that can be done besides suffer until the baby comes out?
Deep pelvic pain during sex. 7.5 mos after c-section. Is this normal? What can be done? Swab test and physical exam were ok. What could be the cause?
Is it common for a reproductive endo to test for elevated natural killer cells? Has it been proven that these cells can cause an early miscarriage?
Not common: It's not common, though it could be useful in specific cases. No 'proof' at all has been established of a link, but it's also not implausible. ...Read more
Hiya, what are the causes of sickle cell anemia? I know it is inherited but i need it explained in a way that can tell me the causes of gene mutation.
Gene mutations: are random. The sickle gene confers some resistance to malaria due to the abnormal configuration of hemoglobin. Sickle trait/sickle cell anemia is most prevalent in populations where malaria is or was endemic. It is likely that the mutation conferred some competitive advantage due to its antimalarial effects and was promulgated through natural selection. ...Read moreSee 1 more doctor answer
What is the best fluid for a sickle cell patient to drink to prevent pain crisis or during a pain crisis?
Creatinine level is 12.6. Can this be brought down? Can it be a case of acute renal failure and things get back to normal after some treatment?
Should successful conceive &implantation associated with pain &cramps?And at what days of cycle can be felt? If it till d21 and end what that indicate
Implantation: Implantation isn't usually associated with cramping or pain. It may be associated with some spotting but most patients don't have any symptoms. If you are having pain, you should talk to your doctor about other possible causes. ...Read more
Is there blood work that can determine if someone has any form of cancer.......An where can this be done?
It depends.: This depends on the type of tumor being checked for. Some, like ovarian cancer have tumor markers that can be checked, but they must be combined with other tests. Others have antigens, like psa or prostate specific antigen for prostate cancer, that can be measured, but they can be high in other conditions, like hyperplasia of the prostate, or can even be low in cancer. Others have no marker. ...Read moreSee 1 more doctor answer
Change positions: There can be several causes. Most likely it is anatomic; depending on size and where you hurt. Make sure you do enough foreplay to feel aroused, use lube (astroglide) and try different positions so it stays comfortable. If it hurts try something else. Sex should not be painful. If you have an abnormal discharge see your doc. ...Read more
I know that the typical test for sickle-cell anemia is a hemoglobin electrophoresis, but will you be able to see the sickle shape of the blood cells?
Yes: Sick led cells are readily seen on a peripheral blood smear. It's worth knowing that the irreversibly sick led cells that you see on a smear are not necessarily the ones that cause the problem. In order for a cell at risk for sickling to occlude the small blood vessels (capillaries), they first must be able to enter them. In other words they must be deformable. They become occlusive in the vessel. ...Read moreSee 1 more doctor answer
Urine dips always show 1+ or moderate blood in urine, but usually no RBC. What could be the cause? This is NOT during my menstrual cycle. Thanks
Microhematuria: If you exercise heavily, you will secrete myoglobin in your urine and as a UA can not distinguish between hemoglobin (from blood) and myoglobin (from muscle), UA will be positive for blood but no RBC seen. If your UA however reveals both blood and RBC then you need to seek a urologist's care for further evaluation and workup. ...Read more
Is it possible to be diagnosed with sickle cell anemia at 43? Even without ever experiencing any symptoms of the disease?
Possible, but...: Most people will have symptoms of enough severity to be diagnosed before adulthood. That being said, there is variation in the severity of sickle cell disease, most likely due to a number of other genes that modulate the symptoms. Thus, it probable is quite rare, but there could be that individual with a particular genetic makeup that has minimal disease that goes undiagnosed. ...Read moreSee 1 more doctor answer
Can my regular ob-gyn test my ascites for cancer cells in the office, or does it have to be done in a surgical type environment? It's a new symptom.
Can ovulation take more than1day in abnormal conditions,that can cause late menstruation? Is it always14day after,or it varies in abnormal conditions?
My wife is pregnant for 7 month,kindly explain common discomfort that can occur during this time?
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