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Doctor insights on: What Sickness Is Going Around In Mo

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What is the typical day care illness in the first year. My son has been sick since day care 10 mo-18 mo. Typical or poor hygiene?

What is the typical day care illness in the first year. My son has been sick since day care 10 mo-18 mo.  Typical or poor hygiene?

Fairly typical: Kids in day care can have a new cold every month. Ultimately this is a good thing (so long as they're otherwise healthy) as the broad exposure to different viruses and "germs" helps their immune system to develop as it should - robust and able to handle lots of stuff later on. Kids who are raised in "sterile" surroundings often end up having problems like asthma and lots of allergies. ...Read more

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I am pretty sure my 5 year old has fifth disease. Is there anything I should do? I also have a 8 mo old will she be ok if she gets it?

I am pretty sure my  5 year old has fifth disease. Is there anything I should do? I also have a 8 mo old will she be ok if she gets it?

Not to worry: Since fifth disease is caused by a virus and is generally a mild, self-limiting disease (that means you really don't need to do anything about it!), no need worry. That goes for your 8 month old as well. Only problem that is serious is if a pregnant woman who has never had it gets a primary infection. That can pass to unborn baby and cause problems with the blood cells. If pregnant, let doc know. ...Read more

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Psychology:Adult acquaintenance with daily manic episodes is visiting for one mo. Besides empathy for this person with the disorder what else helps?

Psychology:Adult acquaintenance with daily manic episodes is visiting for one mo. Besides empathy for this person with the disorder what else helps?

Be clear w/in: yourself about how much time you will spend w/friend when manic. If not, he will run your schedule and your day. You can give him 1/2 hour, for example, when he's like that and then have him entertain himself until later. You can tell him this beforehand. Sounds like he is being treated professionally. If not, provide a referral. Peace and good health. ...Read more

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How often is chronic cough indicative of serious fatal or non-fatal illness? 27 yr old, have GERD, stopped Prevacid (lansoprazole) 2 mo ago. SCARED

How often is chronic cough indicative of serious fatal or non-fatal illness? 27 yr old, have GERD, stopped Prevacid (lansoprazole) 2 mo ago. SCARED

Chronic cough...: The most common causes of chronic cough are bronchospasm from any etiology, GERD, post-nasal drip or a combination of factors. Untreated GERD can definitely lead to chronic cough so see your doctor so the GERD can be treated. If cough persists despite treatment of GERD, see your doctor or a lung doctor for diagnosis and treatment. ...Read more

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Tachycardia 40 yr female. Started 8 mo ago w/pneum. No meds no illness.Lay down heart rate 60s. Immed stand and 120. Cardio &electrophys no idea. What?

Tachycardia 40 yr female. Started 8 mo ago w/pneum. No meds no illness.Lay down heart rate 60s. Immed stand and 120. Cardio &electrophys no idea. What?

More info needed: If associated with near fainting symptoms like dizziness and your BP drop over 10 mmhg may be is a autonomic dysfunction problem. Associated with hypertension, diabetes, renal disease and few congenital diseases. Should consult your physician asap. ...Read more

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Cf would be evident if it existed in my 14 mo old right? He's had periods of vomiting w/out illness, constant resp infect, coughing. All since birth.

Cf would be evident if it existed in my 14 mo old right? He's had periods of vomiting w/out illness, constant resp infect, coughing. All since birth.

Workup/M.D. visit: CF is one possible cause of frequent respiratory infections and a sweat chloride test is used to help diagnose CF in addition, there are many forms of immunodeficiency which can cause frequent infections. I also would suggest a chest xray to view the thorax. Reflux and possible aspiration into the lungs is another possibility. Records can be reviewed by prmg/pediatr resp @8582599689. ...Read more

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Normal ultrasound 8 mo. ago, Dx celiac disease 5 mo. ago, lab values normal, recent x-ray shows hepatomegaly. Is this possible, should I be checked?

Normal ultrasound 8 mo. ago, Dx celiac disease 5 mo. ago, lab values normal, recent x-ray shows hepatomegaly. Is this possible, should I be checked?

Yes: It appears that the hepatomegaly is a new development since 8 months ago. This requires an investigation. Contact your doctor or a GI specialist with special interest on the liver. ...Read more

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2nd opinion. High ASO titre 6+mo despite tx w/ pen per Infect disease Dr. Cont to have weakness/fatigue, night sweats, excess hunger/thirst, achey,?

2nd opinion. High ASO titre 6+mo despite tx w/ pen per Infect disease Dr. Cont to have weakness/fatigue, night sweats, excess hunger/thirst, achey,?

Something else: Whatever it is , your symptoms are not caused by a strep infection. Suggest you get a comprehensive by an internist since you may have an infection other than strep (the ASO titer). ...Read more

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My heart rate is 120+ and I am 8 months pregnant. I have been breathing hard since 2 mo.thyroid disease runs high in my family should I be concerned?

My heart rate is 120+ and I am 8 months pregnant. I have been breathing hard since 2 mo.thyroid disease runs high in my family should I be concerned?

Hyperthyroidism?: To have you thyroid gland function checked would be a good idea to start with to rule out an oveactive thyroid gland. See your doctor for a medical evaluation. ...Read more