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Doctor insights on: What Finally Kills An Als Patient

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What is the cause of death for ALS patients?

What is the cause of death for ALS patients?

Pneumonia: Most ALS patients who die naturally do so of pneumonia, because they are too weak to cough or breathe deeply which a healthy person does naturally to prevent lung infections. ...Read more

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What treatments are currently available for ALS patients?

What treatments are currently available for ALS patients?

Not many: Sole FDA approved in US is Riluzole, and some pts feel that gabapentin and memantine make them feel better due to glutamate inhibition. But the Riluzole merely delays need for tracheostomy and does NOT improve strength. Sorry, but not much else available here. ...Read more

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Do ALS patients suffer painful, suffocating death?

My view: Yes, many ALS patients suffer pain, but they rarely suffocate, as typically, when needed, a tracheostomy tube is placed. But demise can often be due to pneumonia. ...Read more

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What's the prognosis for ALS patients with and without treatment?

What's the prognosis for ALS patients with and without treatment?

See below: At this point there is no cure for als. There is a medication that may slow the progression but it is not a cure. Als can progress at different rates in different people. I have known some people who lived much longer that was predicted. There is a lot of research being done and someday in my lifetime, I hope there will be a cure. ...Read more

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Can a twitch be induced for people with benign fasciculatiom syndrome or only ALS patients?

Can a twitch be induced for people with benign fasciculatiom syndrome or only ALS patients?

No: Muscle fasciculations can be seen in a variety of situations ranging from muscle overuse and fatigue to electrolyte imbalance to denervation issues (I.e. Damage to the nerve that connects to a specific muscle). In a person with no overall medical issues, the muscle twitching is most likely benign unless other symptoms such as weakness and loss of sensation are present ...Read more

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Is creatine Kinase typically elevated in ALS patients?

Below: Serum creatine kinase (CK) levels were recorded in 100 patients with amyotrophic lateral sclerosis (ALS). CK concentrations were elevated in 43% of the patients, with a mean level of 240 U/liter and a range of 59-1, 327 U/liter (male normal less than 95 U/liter, female normal less than 59 U/liter). All patients with elevated CK had muscle weakness. Seven patients were initially misdiagnosed as hav ...Read more

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My sister is a patient of als, she is taking rilutek (riluzole) tablet. Is there any other treatment of this disease?

My sister is a patient of als, she is taking rilutek (riluzole) tablet. Is there any other treatment of this disease?

Unfortunately no: Due to concern regarding glutamate toxicity, other meds have been added on occasion, such as gabapentin, memantine, Lyrica, (pregabalin) but little proof these provide additional value to the riluzole, which remains the main FDA approved chemical. Just a theoretical long-shot, and not researched at all, but the medical food MetanX and vitamin D-3 supplements might be considered. ...Read more

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My personal doctor is starting me on nplate (romiplostim) next week for my low platelet count. Do you know how sucessful this drug has been for other patients? Als

Platelet: For the right setting/ condition, the response is good. In the study 9 out of 10 patients would respond. Discuss further with your hematologist for possible adverse events etc. Good luck ...Read more

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Is it possible that hemochromatosis could kill patients?

Is it possible that hemochromatosis could kill patients?

Yes: Over time, excesses of iron build up in major organs such as the heart, liver, pancreas, joints and pituitary. If the extra iron is not removed, these organs can become diseased, causing conditions like diabetes mellitus, irregular heart beat or heart attack, arthritis, cirrhosis of the liver or liver cancer, gall bladder disease, depression, impotence, infertility, hypothyroidism, hypogonadism. ...Read more

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Why do some mental patients kill themselves when confronted with loss and other mental patients kill other people?

Why do some mental patients kill themselves when confronted with loss and other mental patients kill other people?

Different illnesses: It's near impossible to specifically answer your general question aside from following: all "mental" patients are not the same b/c not all "mental" conditions/diseases are the same. In fact, they're all very different. Depression is what makes someone kill him/herself while paranoid psychosis can lead one to kill others. ...Read more

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If you keep a patient hydrated, will their antibiodies eventually kill cholera on their own?

If you keep a patient hydrated, will their antibiodies eventually kill cholera on their own?

Usually: Per the CDC- "With prompt rehydration, fewer than 1% of cholera patients die." REF: https://www. Cdc. Gov/cholera/general/index. Html. Oral and intravenous hydration is the key to treatment. Antibiotics can help to shorten the course of illness. ...Read more

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I have severe acidity in my stomach its killing me I am severe patient of this please help me?

I have severe acidity in my stomach its killing me I am severe patient of this please help me?

NeedPrescriptionMed: You are 16 years old and you need to talk to your parents with this acidity problem. They should take you to your family doctor or Pediatrician to get you checked thoroughly
There are Medications like Ranitidin orOmeprazole or esomeprazole
See the doctor asap ...Read more

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How does prostate cancer kill a patient?

How does prostate cancer kill a patient?

What is Cancer?: Cancer is the uncontrolled growth of a part of the body, with the potential for spread locally or to distant locations, causing dysfunction or organ failure and, ultimately, death. Any cancer increases the risk for blood clots, which can flow to the lungs and kill a patient (pulmonary embolism). Cancers tend to deprive a patient of nutrients, damaging the immune system, increasing infection risk. ...Read more

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Bilirubin rising in mcrc patient. Now 85 from 12. No blocked bile duct. If keeps rising does this kill?

Bilirubin rising in mcrc patient. Now 85 from 12. No blocked bile duct. If keeps rising does this kill?

High bilirubin..: ..in the blood causes jaundice. The yellowish discoloration of the skin, mucous membranes and whites of the eyes. The rise in bilirubin is not lethal; it can be very uncomfortable with severe itching. This can be treated. But you are correct; this is typically something that occurs late in the course of metastatic liver cancer. Death likely results through a combination of many factors. Take care. ...Read more

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From initial onset of symptoms, how fast does pancreatic cancer tend to spread and kill in a patient when diagnosed (i know if varies, but generally)?

From initial onset of symptoms, how fast does pancreatic cancer tend to spread and kill in a patient when diagnosed (i know if varies, but generally)?

See below: Pancreatic cancer is the fourth most common cause of cancer-related deaths. Pancreatic cancer has a poor prognosis: for all stages combined, the 1- and 5-year relative survival rates are 25% and 6%, respectively. For local disease the 5-year survival is approximately 20% while the median survival for locally advanced and for metastatic disease, is 10 and 6 months. ...Read more

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Can inhaling Tobramycin kill MRSA? I am a pedi trach patient. Will it kill Kleb Oxytoca that is ESBL?

Can inhaling Tobramycin kill MRSA? I am a pedi trach patient. Will it kill Kleb Oxytoca that is ESBL?

Tobi (tobramycin) Nebs: Inhaled tobi (tobramycin) is used mainly to reduce pseudomonas colonization in cf. As noted, it is not active against gram positives like staph (mrsa or not). Kleb may be suceptible, but is not usually treated in this way. Kids with trachs grow a lot of organisms; agree that sorting out "infection" from "colonizer" is key. Both MRSA and kleb are often found in cultures but may not be the specific problem. ...Read more

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Should a patient w/CHF, kidney failure, and lung failure w/30 yr. Alcohol abuse history be told by their doctor that continuing alcohol will kill them?

Should a patient w/CHF, kidney failure, and lung failure w/30 yr. Alcohol abuse history be told by their doctor that continuing alcohol will kill them?

That is not all: All of these have risk of death. Alcohol is part of the risk but we need to know about the patient, the compliance to all of their healthcare issues and he extent of each disease ...Read more

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16 yrs old pcos patient, on a diet for insulin resistance weight reduction. Its hard to be on track and my craving for chocolate are killing me!

16 yrs old pcos patient, on a diet for insulin resistance weight reduction. Its hard to be on track and my craving for chocolate are killing me!

Not suprised: You already know you are Insulin resistant, so you need to modify your diet appropriately and maybe take metformin (glucophage) to modify this consequence of pcos. Losing weight and staying active, and certain foods/medications can decrease your appetite. Ask your pcp. You have a genetic challenge, so get your head around it, and follow well established guidelines for pcos. ...Read more

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Is ALS painful?

Is ALS painful?

Usually not: Pain is not usually a prominent presenting symptom in ALS, but can occur due to spasticity, muscle spasms, and even co-morbities. About 50% of cases experience some pain. One caveat, pelvic pain may herald infection, especially urinary, and chest pain, possibly pneumonia. ...Read more

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Is ALS hereditary?

Can be: Fals - familial is rare, less than 10%. 90% are sporadic sals with unknown cause. There are some generic tests available. ...Read more

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What is bulbar als?

What is bulbar als?

Very worrisome: When ALS begins to destroy nerve cells in the base of the brain, the patient develops loss of ability to swallow and eventually even breathe. This is indeed ominous when it occurs and often leads to early demise. ...Read more

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What are ALS symptoms?

ALS symptoms vary: ALS symptoms may vary from person to person. For some people muscles throughout the body may be affected, in others, it may only be in the arms or legs. Shared symptoms include painless weakness, muscle wasting, weight loss, and spontaneous muscle contractures (fasciculations). Sensation is not affected. ...Read more

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What is the cause of als?

Not really known: We do know that 90% of all cases are sporadic, and that 10% are familial ALS, and have found rare mutations of the gene encoding copper/zinc superoxide dismutase. ...Read more

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What are some signs of als?

What are some signs of als?

Muscle problems: Weakness, loss of muscle bulk, flickering of muscles, increased reflexes, problems swallowing and breathing seem to proceed over months to years. ...Read more

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What are symptoms of having als?

Muscle weakness: Als (amyotrophic lateral sclerosis) is a nerve disease that causes increasing muscle weakness (eventual paralysis). There can be difficulty moving the toes or lifting up the foot. Then the feet, ankles, and legs get weaker. The hands get weaker and can become uncoordinated. Problems with speech & swallowing show up. Patients are usually in the 40-60 year-old range. 90-95% of ALS occurs randomly. ...Read more