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Doctor insights on: When Is Disease So Severe Pelvic Exteration Not Appropriate

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Is it possible that changing positions would cause an erection to cease example it ceases upon standing? Diagnosed with mild venous leakage

Is it possible that changing positions would cause an erection to cease example it ceases upon standing? Diagnosed with mild venous leakage

Yes but don't worry!: This is not uncommon. With or without mild venous leakage, getting distracted, decreased stimulation, changing positions, slight pinching, which can occur with shifting positions, etc. Can often cause the erection to be lost. Even alcohol use, poor sleep or stress can make this happen. So lighten up and laugh it off, then get your partner to help you pay attention to the business at hand! ...Read more

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What's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

What's the sign in physical exam with which we can say aortic stenosis in a case is not severe?

Echocardiogram: In order to evaluate the severity of aortic stenosis you must have an echocardiogram. Several measurements are performed, including jet velocity and aortic valve area, that will determine the severity of stenosis. Physical exam findings are not consistent enough to be used as a determining factor for the degree of stenosis. ...Read more

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If a person cannot have an erection at all, does it means its not due to severe venous leak? Most probably atherosclerosis in terms of organic cause?

If a person cannot have an erection at all, does it means its not due to severe venous leak? Most probably atherosclerosis in terms of organic cause?

Multiple causes: While atherosclerosis in the arteries supplying the penis is a possibility, this is unlikely at your age. More likely are medication side effects or even psychological. See your doctor. ...Read more

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What is the most unsual rare and disabling autoimmune disease and as a neurologist you were even surprised the immune system can be so powerfull ?

What is the most unsual rare and disabling autoimmune disease and as a neurologist you were even surprised the immune system can be so powerfull ?

Autoimmune: There are several autoimmune neuropathies that can be very disabling, in particular guillain barre syndrome, due of its fast progression, can be very dramatic. Paraneoplastic encephalopathies and some aggresive necrotizing myositis can also be very disabling and difficult to treat. ...Read more

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Have pid. Pain in rectum is decreasing with pain killers. Does it mean PID is gone? Will pelvic ultrasound show if there is any damage?

Have pid.  Pain in rectum is decreasing with pain killers.  Does it mean PID is gone? Will pelvic ultrasound show if there is any damage?

Worth an exam: Early Tx w/ a full course of antibiotics can stop the infection and limit further damage. It doesn't correct damage done. Pain pills only relieve pain! The infection can continue - see a Dr ASAP. It's very important and your partner needs Tx too! I hope you catch it in time to be well. ...Read more

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It is possible, even with emg, to not be able to distinguish the cause of extreme hand pain when carpl tnl and cervical issues exist?

It is possible, even with emg,  to not be able to distinguish the cause of extreme hand pain when carpl tnl and cervical issues exist?

Possibly : Common causes if hand pain can be neuropathic (cts), arthritic (bones), tendonitis (tendons), or a combination. When you have both cts and cervical issues i recommend treating the easy one first. Cts surgery is easy for the surgeon and the patient. It will yield results that will either resolve your problem or identify that your cervical issues are the predominate cause if your pain. ...Read more

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If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

If severe osteoporosis which is secondary was left untreated, what is the worse that can happen? And why would a doctor not treat it?

Fractures: The worst that could happen is a hip fracture which can be very difficult to heal and limits mobility greatly or compression fractures of the spine which leads to chronic pain. It is difficult to say which it was not treated. You should discuss with your dr. And consider seeing a specialist like an endocrinologist to discuss treatment and risk/benefits of treatment. ...Read more

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Is schizophrenia i disease or condition ? Is schizophrenia inherited from family members to others , what is it ? Is it true that could lead to complete mental disability if not treated on time and correctly ?

Is schizophrenia i disease or condition ? Is schizophrenia inherited from family members to others , what is it ? 
Is it true that could lead to complete mental disability  if not treated on time and correctly  ?

Well,,,,: Schizophrenia is a syndrome. A syndrome is a collection of symptoms for which there is no known cause genetics of schizophrenia can be inherited or from spontaneous mutation. Schizophrenia is a leading cause of medical disability. ...Read more

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Just why is it that periodontal disease can only be maintained and not cured? Once a few teeth are involved, the disease will always be there?

Just why is it that periodontal disease can only be maintained and not cured? Once a few teeth are involved, the disease will always be there?

Periodontal disease: Periodontal disease is a chronic disease. Chronic dis ashes such as diabetes or heart disease can be treated, managed and controlled but the tendency for these diseases is always present. Following the recommendations of your dentist or periodontist will help you control this. ...Read more

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Is it possible to physically see bone loss from periodontal disease, even if it is mild, or can it only be seen through an X-Ray?

Is it possible to physically see bone loss from periodontal disease, even if it is mild, or can it only be seen through an X-Ray?

Radiographs: Radiographs are an important part in diagnosing all dental problems. Without films, it's like driving a car with your eyes closed... you're bound to have no idea what is going on. With visualization of the gingiva and periodontal pocket measurements, radiographs not only show bone loss, but how much root is still embedded in the bone. Short rooted teeth are affected more than long rooted teeth. ...Read more

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Do you feel pelvic pressure all the time or is it more intermittent when you have an enterocele?

Do you feel pelvic pressure all the time or is it more intermittent when you have an enterocele?

Highly variable: The symptoms from pelvic organ prolapse are highly variable. Some have lots of symptoms such as vaginal pressure and constipation. Others have none. The symptoms do not always correlate with the severity of prolapse. Have your doctor to a pelvic exam to confirm the diagnosis. Then treatment options can be discussed ...Read more

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Is it possible for someone to have munchausen syndrome by proxy but instead of phyically causing damage, menally causing it?

Is it possible for someone to have munchausen syndrome by proxy but instead of phyically causing damage, menally causing it?

Proxy Munchausen: This is a factitious emotional illness where someone falsifies or even induces illness in another to get emotional satisfaction. They may also enjoy deceiving individuals they perceive as more important/powerful. Typically during preschool years, the adult care provider or parent (mother 90%) presents that they have witnessed the symptoms of the illness. Evaluate child, parents, family dynamics. ...Read more

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When a doctor diagnoses peyronie's disease in the initial stages, what would they typically do to fix it? Assuming the case wasn't severe?Nothing?

When a doctor diagnoses peyronie's disease in the initial stages, what  would they typically  do to  fix it? Assuming the case wasn't severe?Nothing?

Nothing : If the symptoms are not severe most will choose to wait and see if there will be a problem. If you are not having any functional difficulty then there isn't a rush. Continue to see your doctor for this. ...Read more

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Can proctalgia fugax be the reason for painful bowel movements? Pain is not severe and doesn't last long.

Can proctalgia fugax be the reason for painful bowel movements? Pain is not severe and doesn't last long.

Probably not: Proctalgia is a spasm of the muscles around the rectum. Generally it is like any muscle cramp (leg, foot) - spontaneous and without any precipitating reason. Pain with a bowel movement is more likely from anal irritation at the rectal orifice. Any more specifics requires a bit of detective work with a good history of when, what makes it better, worse, etc. ...Read more

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What is the worse scenario for bones with severe osteo and degenerative discs that have not been treated for 3 years that have a secondary cause?

What is the worse scenario for bones with severe osteo and degenerative discs that have not been treated for 3 years that have a secondary cause?

Not sure: Not sure i understand your question, but if you are asking what's the worst case scenario with osteoporosis, I have seen patients paralyzed below the level of the fracture from something as seemingly trivial as hitting another boats wake. ...Read more

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What is gait instability? How can I treat it if the patient is not suffering from sever disease but he is 77 yrs.Is there any supplments to be given?

What is gait instability? How can I treat it if the patient is not suffering from sever disease but he is 77 yrs.Is there any supplments to be given?

Not simple: There can be many causes for inability to walk without assistance, and experience risk of toppling over. If b-12 deficiency, injections might help, if due to degenerative brain problem, stroke, normal pressure hydrocephalus, brain tumor, binswanger's encephalopthy, thyroid problems, need to get this diagnosed. See a neurologist. ...Read more