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Doctor insights on: What Is Constrictive Pericarditis Why Is It Such A Big Deal

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What is constrictive pericarditis? Why is it such a big deal?

What is constrictive pericarditis? Why is it such a big deal?

Limited treatment: Constrictive pericarditis describes a situation in which the sac around the heart has gotten very stiff - usually as a result of prior inflammation from either infection or maybe open heart surgery - and as a result does not allow the heart muscle to expand whenever it needs to in order to accept more blood returning from the body or the lung. Surgery is the only effective treatment once symptoms. ...Read more

Dr. Steven Sahn
46 doctors shared insights

Constrictive Pericarditis (Definition)

Constrictive pericarditis is a condition where there is inflammation of the pericardium, the fibrous sheath (outer covering) around the heart. This inflammation makes the pericardium more stiff and constricts the ...Read more


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What is anaphylaxis? Why is it such a big deal?

What is anaphylaxis? Why is it such a big deal?

You can die.: Anaphylaxis is a severe allergic reaction affecting many organs at once. Most serious is swelling shutting off movement of air through the windpipe & leakage of plasma out of the bloodstream leading to catastrophic loss of blood pressure, shock & heart stoppage. Death occurs in 1% of all episodes of anaphylaxis. Its victims are often children and young adults in the prime of life. ...Read more

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What is behcet’s syndrome? Why is it such a big deal?

What is behcet’s syndrome? Why is it such a big deal?

Inflamation: Bchecet syndrome is a rare disorder that leads to chonic inflamation of the blood vessels of the entire body. The symptoms can come and go. Areas effected include, eyes, skin, joints, digestive tract. If the inflamation is left untreated it can lead to permanent damage to the organs involved. If you have this, and have not consulted a rheumatologist, you should. ...Read more

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What is dislocated shoulder? Why is it such a big deal?

What is dislocated shoulder? Why is it such a big deal?

Instability: Shoulder dislocations are really only a problem when they become recurrent. Many individuals experiencing dislocation for the 1st time can recover fully after this event with restoration of strength and motion. However the younger the individual the more likely this will become a recurrent problem requiring surgical stabilization, especially in the young athlete involved in collision sports. ...Read more

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Subclavian aneurysm. How scary is this? What is operation and recovery like? Is it hereditary? What causes it?

Subclavian aneurysm. How scary is this? What is operation and recovery like? Is it hereditary? What causes it?

Many causes: Aneurysmal disease associated with cigarette usage and high cholesterol. No specific cause defined See vascular surgeon. Many can be treated by endovascular procedures ...Read more

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Is there such a thing as severe menopause?, and if so, what is it? How serious is this, and is there a good prognosis associated with it ?

Is there such a thing as severe menopause?, and if so, what is it? How serious is this, and is there a good prognosis associated with it ?

Your own opinion: The "severity" is entirely a personal opinion. Different people react differently to the same degree of symptoms. If you think yours are "severe", consult your physician. ...Read more

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What happens if herpes is so common, is it a big deal?

What happens if herpes is so common, is it a big deal?

Psychological impact: Good question. The large majority of herpes simplex virus (HSV) infections are mild, with minor or no symptoms. Serious complications can occur, but the biggest problem is often psychological, a sense of contamination and fear of transmission to others, especially for genital herpes. Most people with oral or genital herpes are not seriously affected and live pretty much normal lives. ...Read more

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Anyone know what is a tenkoff catheter and why is it used related to kidney disease?

Anyone know what is a tenkoff catheter and why is it used related to kidney disease?

Tenkoff catheter: Tenkoff catheters (t) are placed in the peritoneal cavity (pc) in patients with renal failure that want to be on peritoneal dialysis. The (t) is the tube that clean peritoneal dialysate is infused into and removed from the pc. ...Read more

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What is pitting edema and what causes it. Is a bad heart?

What is pitting edema and what causes it. Is a bad heart?

Can be cause by an : Increase in intravascular pressure like congestive heart failure, decrease oncotic intravascular pressure like liver disease( cirrhosis), kidney disease( nephrotic syndrome, renal failure), simple vascular venous insufficiency, venous clot, allergic reaction, pregnancy, drug induced like ibuprofen(mild). See your physician for a good history and physical exam. ...Read more

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What is pulmonary fibrosis? Is it often fatal or just chronic?

What is pulmonary fibrosis? Is it often fatal or just chronic?

Scarred Lungs: Pulmonary fibrosis is essentially scarring of the lungs. There are many different causes for the lungs to scar. The disease can be a long-term chronic problem however in certain cases if the underlying cause of scarring is not addressed, it can be fatal. Furthermore, idiopathic pulmonary fibrosis is almost uniformly fatal. Lung transplantation may be a final resort. ...Read more

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Is CMV (cytomegalovirus) really that big a deal? Or is it only a big deal if you're pregnant?

Is CMV (cytomegalovirus) really that big a deal? Or is it only a big deal if you're pregnant?

Depends: Most have this as a benign viral illness in childhood. They develop antibodies to it and if normal, never need to worry about it. If you get it for the FIRST time while pregnant, it can pass to the fetus and cause a variety of problems from deafness to brain damage. It is from a family of viruses that hibernate in your body and can make you sick later if you are ever immune suppressed. ...Read more

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Can there be really no cure for the common cold, or is it a big conspiracy?

Can there be really no cure for the common cold, or is it a big conspiracy?

No conspiracy: There are over a 100 viruses that cause the common cold. Viruses can mutate. Severity of common cold symptoms are usually not extreme and the disease is usually self- limiting. These are reasons why it wouldn't be a high priority to look for this cure. ...Read more

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There is blood block in brain, what treatment s d best? Is it a very serious problem or a small problem which can be solved?

There is blood block in brain, what treatment s d best? Is it a very serious problem or a small problem which can be solved?

Worrisome: Blocks are strokes - is this the cause of your weakness?You may recover and never have another, but this could also be a warning of another stroke and that could cause loss of function that might not recover. Control your high BP and you may be started on aspirin. At the time of a stroke, you may start on blood thinners and tpa (alteplase). Post stroke rehab activities are valuable but may take effort. ...Read more

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What is a heart murmuring, and is it a condition which is serious?

What is a heart murmuring, and is it a condition which is serious?

It depends: A heart murmur is an extra sound that is not normally heard when listening to the heart. There are many situations where the murmur is normal and it is referred to as an "innocent" murmur. Alternatively, the murmur may be due to abnormal valve function, an abnormal blood vessel or a hole in the heart. It is important to have an evaluation to know for sure. ...Read more

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What is early repolarization- high take off? What are the risks? Is it a desiese? Can it lead to a heart attack?

What is early repolarization- high take off? What are the risks? Is it a desiese? Can it lead to a heart attack?

ECG : Early repolarization is an ECG finding which is usually benign. As you note chest pain in your presentation, you should ask your doctor if it is a benign finding in you. ...Read more

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Hardening of stool is what is worrying me a lot. How to deal with it?

Hardening of stool is what is worrying me a lot. How to deal with it?

Stool hardness: Increase fluid intake and increase dietary fiber to at least 20 to 35 grams of fiber daily. Eliminate foods that are high in fat and low in fiber, like cheese and other dairy products, processed foods, and meat. They can make constipation worse. Avoid laxatives and other 'home remedies'. Bowel frequency is what is normal for you, not what is written in a medical book. ...Read more

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Is there such thing as the "Old Hag Syndrome" while sleeping? What is it and what causes it?

Is there such thing as the "Old Hag Syndrome" while sleeping? What is it and what causes it?

Yes, sleep paralysis: When we are sleeping our body is mostly paralyzed. If you dream you are running your brain sends out signals telling your body to run; if these signals were not blocked you would actually run. Sometimes you wake but that paralysis has not turned off yet, leading to what is commonly called "Old Hag Syndrome." See http://www.sspri.org/blog/sleep-paralysis-old-hag-syndrome for more and comment: ...Read more

Dr. J. patrick Tokarz
208 doctors shared insights

Pericarditis (Definition)

A condition in which you experience an inflammation of the pericardium, two thin layers of a sac-like tissue that surrounds the heart, holds it in place ...Read more