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Doctor insights on: Which Treatment Works The Best And Fastest For Pickwickian Syndrome

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Which treatment works the best and fastest for pickwickian syndrome?

Which treatment works the best and fastest for pickwickian syndrome?

Weight loss: There is no fast treatment for the pickwickian syndrome. The treatment of choice is weight loss through diet and exercise which can cure the syndrome. Weight loss surgery is sometimes necessary. If obstructive sleep apnea is present it should be treated with cpap, if significant carbon dioxide retention due to hypoventilation is present diamox, (acetazolamide) Progesterone and theophylline may be of benifit. ...Read more

Dr. Mohammed Parvez
25 Doctors shared insights

Pickwickian Syndrome (Definition)

Pickwickian syndrome (obesity hypoventilation syndrome) = Obesity with inability to breathe adequately enough to blow off carbon dioxide & to maintain normal blood oxygen levels. Sleep ...Read more


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What's the best treatment to get rid of pickwickian syndrome?

What's the best treatment to get rid of pickwickian syndrome?

Overweight: In this condition, the overweight person has trouble with respiration due to the extra weight. The only truly successful long term treatment is the arduous one of losing weight - a great american pastime. You will need the help of a bariatrician, a dietary specialist, an exercise instructor and a patient family. ...Read more

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What is the definition or description of: Pickwickian syndrome?

What is the definition or description of: Pickwickian syndrome?

Pickwickian syndrome: Pickwickian syndrome (obesity hypoventilation syndrome) = Obesity with inability to breathe adequately enough to blow off carbon dioxide & to maintain normal blood oxygen levels. Sleep apnea may also occur. ...Read more

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What is pickwickian syndrome that commonly affects overweight individuals?

What is pickwickian syndrome that commonly affects overweight individuals?

Restricts breathing: Obesity hypoventilation syndrome is a condition in which morbidly obese pts have difficulty breathing when lying flat. The weight of their own chest along with their large abdomen pushing up on their diaphragm resticts full expansion of lungs. They then don't get adequate oxygenation at night. Longterm the pts get pulmonary hyper tension and rt sided heart failure, if not treated. Weight loss/cpap. ...Read more

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Do a lot of people get pickwickian syndrome?

Do a lot of people get pickwickian syndrome?

Pickwick: The higher the weight the more likely there will be pickwick. This is a new mcdonald epidemic! ...Read more

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Does pickwickian syndrome usually cause many symptoms?

Does pickwickian syndrome usually cause many symptoms?

Yes: Shortness of breath, difficulty falling asleep and staying awake, and eventually lower extremity swelling (edema) and eventually right heart failure progressing to death. ...Read more

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I have pickwickian syndrome & had a blood gas test done today. What are normal results?

I have pickwickian syndrome & had a blood gas test done today. What are normal results?

Your normal: By definition in Pickwick syndrome your CO2 partial pressure will be higher than in normal individuals, what we call a chronic retainer. The trick would be to compare actual value with your previous values other than with normal values. ...Read more

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I have pickwickian syndrome & had a blood gas test done today PH 7.402 CO2 46 Oxygen 70 HCO3 28.9 Base excess 4.0 02 saturation 94 are my results ok?

I have pickwickian syndrome & had a blood gas test done today PH 7.402 CO2 46 Oxygen 70 HCO3 28.9 Base excess 4.0 02 saturation 94 are my results ok?

No.: No. These results show significant lack of oxygen in the blood, and a modest excess of carbon dioxide. Pickwickian syndrome appears as excessive sleepiness. It comes from sleep being constantly interrupted by a patient rousing to gasp, because the amount of oxygen in his blood is too low. It is a complication of obesity. A tracheostomy can prove life-saving. Significant weight loss is better ...Read more

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Can pickwickian syndrome get worse if I only rely on oxygen ventilator at night? I feel tired all day, morning headaches, dry throat. Should I see dr?

Can pickwickian syndrome get worse if I only rely on oxygen ventilator at night? I feel tired all day, morning headaches, dry throat. Should I see dr?

OSA: Your symptoms are classic for obstructive sleep apnea. If you are overweight or obese, then the diagnosis is near 100% certain with these symptoms. See a sleep clinic or ENT about a sleep study. Unless something else is going on, a 23yo female with Pickwickian syndrome should NOT be on home supplemental oxygen. It does make it worse be slowing your breathing. You need CPAP instead. ...Read more

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I have pickwickian syndrome & sleep apnea. Feeling sick. Headaches when waking up. Chest pain. Dry throat. Use oxygen at night. Should I see a dr?

I have pickwickian syndrome & sleep apnea. Feeling sick. Headaches when waking up. Chest pain. Dry throat. Use oxygen at night. Should I see a dr?

Yes: Do you use CPAP or BiPAP? If not then you probably need to be checked for that. If you're already using it, the pressure may need to be adjusted. See your sleep doctor ASAP. ...Read more

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Which treatment works the best and fastest for post concussive syndrome?

Which treatment works the best and fastest for post concussive syndrome?

Rest: The best treatment for post concussive syndrome is rest and avoidance of any further potential heavy contact or impact activities that caused it in the first place. I am not aware of anything else that would speed up recovery. Recovery often takes about 2-3 weeks minimum. ...Read more

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Which treatment works the best and fastest for compartment syndrome?

Which treatment works the best and fastest for compartment syndrome?

It depend: Acute compartment syndrome need to handle on emergency basis, the best treatment to do surgery. ...Read more

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Which treatment works the best and fastest for stevens johnson syndrome?

Which treatment works the best and fastest for stevens johnson syndrome?

Get to a burn center: 1. Stop the offending agent 2. Resuscitate and supportive mgmt 3. Infection control - restrict visitors 4. Transfer immediately to a burn center for further management. ...Read more

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Which treatment works the best and fastest for mumps?

Which treatment works the best and fastest for mumps?

Prevention: Mumps virus is reasonably preventable by receiving the proper doses of vaccine. This vaccine has decades of proven safety and efficacy. Keep in mind, it may be neccessary to boost your immune response with a booster dose in teens or adulthood. No good drugs exist to treat mumps virus. ...Read more

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Which treatment works the best and fastest for croup?

Which treatment works the best and fastest for croup?

Croup: The fastest treatment is aerosolized epinephrine. This will rapidly shrink airway swelling. It is normally on administered in ers. Another treatment is either oral or injected steroids to shrink the swelling. Those are prescribed or administered by you doctor. At home treatments are steam from a shower, or cold air exposure. ...Read more

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Which treatment works the best and fastest for anxiety?

Which treatment works the best and fastest for anxiety?

Anxiety: Combination of medications and therapy works the best. Medication, including antidepressants and benzodiazepines, may offer a faster relief from symptoms, but you will need therapy to achieve longer term sustainable results. ...Read more

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Which treatment works the best and fastest for lymphoma?

Which treatment works the best and fastest for lymphoma?

Different kinds: We have now identified many different types of lymphoma that respond differently to chemotherapy - and indeed, we often tailor the chemotherapy to the lymphoma type. So, not all chemotherapy works the same with lymphoma. Your oncologist will work with you to explain the various options. This is also why second opinions are sometimes a good option. ...Read more

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Which treatment works the best and fastest for drooling?

Which treatment works the best and fastest for drooling?

Close the mouth: Drool falling out of the mouth can occur by accident. It also can be due to muscular dysfunction of the facial nerve leaving the outside of the mouth drooped and causing uncontrollable drool. This can be fixed by a surgical support procedure. Your plastic surgeon or otolaryngologist can help you with this. ...Read more

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