Doctor insights on:
What Is The Best Treatment For Twins With Two Amniotic Sacs
Definition/Prognosis: Bronchopulmonary sequestration is a lump of lung tissue that doesn't connect to the windpipe, so it doesn't work like a lung. In most cases, it doesn't cause any problems. If it fills too much space in the baby's chest, or presses on a vital organ, it needs to be removed. How quickly to do surgery depends on whether the mass keeps the baby from breathing or circulating blood normally. ...Read more
My daughter is pregnant with fraternal twins. One has 1.4 amniotic fluid and is on bed rest for a week and to drink a lot. What is the progn?
Diet change: Gallstones and gallbladder inflammation during pregnancy is treated conservatively if possible with a reduction in fatty foods. If surgery becomes necessary because the gallbladder remains too inflamed it may be done laprascopically to minimize the incisions. But altering the diet and avoiding surgery is the preferred treatment during pregnancy. ...Read moreSee 1 more doctor answer
Need advice on what is the the difference between the gestational age of a fetus and how many weeks you are?
Same thing: The way you count is from your last period, it is 40 weeks from your last period until your due date so when you are 6 weeks gestational age it means 6 weeks from your last period which is how many weeks u are ( most people get pregnant 2 weeks after their last period ) but u always count from the 1st day of the last period, and in my office in coral springs, fl, i always do an early ultraosund. ...Read more
My wife TSH is 0.01 and she's suffering from hyperemesis and she's at first trimester. ..what is the best treatment for her?
TSH 0.01: With that information it is essential that your wife sees her obstetrician ASAP. It is most likely that both of the above issues can be corrected soon. ...Read more
For a miscarriage at 7 weeks with fetus still in uterus 1 week later, what's the best way to get it out, pills or D&C? What are pluses of each one?
None.: Vanishing twin syndrome is probably much more common that people think; it results in a singleton pregnancy and current evidence suggests it is rather the norm than the exception. No test can predict this, only serial prenatal sonograms can document it. No specific therapeutic intervention is warranted. ...Read more
What is the diff between oral and vaginal progesterone to support an early pregnancy? Is one better than the other?
Either one: Both work fine and the route of delivery will depend on your physicians preference. ...Read more
Depends on treatment: Clomid (clomiphene) ovulation induction may pose a 5-8% multiple pregnancy outcome. Injectable FSH treatment carries a higher risk of approximately 25%. In vitro fertilization carries a 30-35%, but this is highly dependent on number of embryos transferred to the uterus and several other parameters. ...Read moreSee 1 more doctor answer
UTI: During pregnancy you want to be sure that the antibiotic used will not hurt the fetus. Stay away from tetracyclines and fluorinated quinolones. Best would be either an oral penicillin derivative (amoxicillin, etc.) or an oral cephalosporin, but Bactrim (sulfamethoxazole and trimethoprim) or septra (trimethoprim/sulfamethoxazole) is probably ok although in fda category c, meaning do not use unless benefits outweigh risks. ...Read moreSee 1 more doctor answer
More complicated: When the babies are correctly positioned, with the first baby head down, or vertex, rather than breech, they can be delivered vaginally; otherwise a c-section may be required. This usually limits labor to twins. Most concerning is that the uterus starts to contract after delivery of the first infant, which can compromise the placenta of the twin still inside. Should only be done in hospital. ...Read moreSee 2 more doctor answers
Not clear: This is a complicated situation. First of all, is the 25 weeks the gestational age, or the chronologic age? If the gestation was 25 wks and there is cerebral atrophy, there are still a range of outcomes. Even with being born severely early, and having abnormal findings on imaging of the brain, babies can grow up to have normal thinking and movement. I would do all you can for a good outcome. ...Read more
Find a good surgeon: Early breast cancer is managed by surgeons with help from radiotherapists and medical oncologists in most cases. But the first decision should be about breast surgery options - lumpectomy with radiation or mastectomy with or without reconstruction (any of these options may be followed with chemotherapy later. Find an experienced breast surgeon that you are comfortable with. ...Read moreSee 1 more doctor answer
How is tuba aperta diagnosed and what ia its best treatment option? Rured of the clicking sound for every one to hear!
Go to ENT: Tuba aperta is also know as patulous eustachian tube. The tube usually is closed. In this condition the tube intermittently opens. "when this happens the pt experiences autophony the hearing of self generated sounds. These sounds such as ones own breathing, voice and heartbeat vibrate directly onto the the ear drum and create a bucket on the head effect" (wikipedia). Get cured go to ent. ...Read moreSee 1 more doctor answer
No treatment needed: Fetal cholelithiasis is relatively common (1 in 300 pregnancies). It is caused usually by hemolytic conditions of newborns or maternal hemolytic anemias. The prognosis is excellent, with most stones gone by the babies' first year of life. ...Read more
What is the outcome of most pregnancies diagnosed with t-16 m through amniocentesis if iugr and heart defects are already present .?
Consult specialist: If you mean trisomy 18, unfortunately the outcome is not good. You must consult a specialist in "maternal fetal medicine" for a detailed answer. Regardless, if heart defects and iugr are already present, consulting with a specialist in maternal fetal medicine is a must. ...Read more
Prognosis varies: The patients prognosis varies by how ill they are and why they have the blood clots in the first place. Patients with cancer who wind up on a ventilator and in shock do poorly, while those that don't even need oxygen and got it from travel or trauma do well. Treatment also varies: for those in shock tpa is indicated, for those with a malignant cause lovenox, and Coumadin (warfarin) for the rest. ...Read moreSee 1 more doctor answer
She is in 34 week of pregnancy but growth of baby is some what like in 39 weeks and weight of baby is 3.5.tell me what is the problem?
Eczema: Hydration is key for treatment and prevention. Your child should have a daily bath, and a good moisturizer, such as cerave, should be applied immediately after the bath. To treat eczema flare ups, normally, a topical steroid preperation is used. Depending on the severity of the flare up, oral antibiotics and/or oral steroids maybe needed. Prevention is key. ...Read moreSee 1 more doctor answer
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