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Doctor insights on: Wht Kin Of Doctor Quarterizes Stomas

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My trach stoma hasn't closed & it's been 18 days. Stoma site feels hard, almost bone like. Should I contact my doctor?

My trach stoma hasn't closed & it's been 18 days. Stoma site feels hard, almost bone like. Should I contact my doctor?

Not excessive: Trach sites can take 6-8 week to close and completely heal. But, if you have and questions or concerns its good to check with you surgeon ...Read more

Dr. Adam Lewis
29 doctors shared insights

Stoma (Definition)

A stoma is a surgically created hole that creates a connection between the digestive tract and the skin so that liquid food can be put into the stomach, or liquid waste ...Read more


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Hi, I have abused laxatives. (stimulant type). Will my doc know from a colonoscopy? Does this abuse cause Crohn's disease or result in stoma.

Hi, I have abused laxatives. (stimulant type). Will my doc know from a colonoscopy? Does this abuse cause Crohn's disease or result in stoma.

Usually not: By a colonoscopy we usually can't tell if you take too many laxatives, however in some people the colon becomes "black" from longterm laxative use (melanosis), but this is benign without clinical significance.
Abuse of laxatives does not cause Crohn's ...Read more

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Hello doc Multiples small follicles of less than 0.6cms seen in both ovaries with echogenic stoma resembling morphologically polycystic ovaries means?

Hello doc
Multiples small follicles of less than 0.6cms seen in both ovaries with echogenic stoma resembling morphologically polycystic ovaries means?

Polycystic ovarian: Syndrome is a complex disease involving many hormonal pathways in your body, thereby affecting your weight, your metabolism, your reproductive cycle, your hair growth, your mood/ psychological well-being, and your skin. Here is a link to learn more: https://www.womenshealth.gov/publications/our-publications/fact-sheet/polycystic-ovary-syndrome.html ...Read more

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I took a quarter strip of 8mg suboxone at 4am yesterday and nothing can I take a 10mg perc. Today at 6am doc said it was fine but double checking?

I took a quarter strip of 8mg suboxone at 4am yesterday and nothing can I take a 10mg perc. Today at 6am doc said it was fine but double checking?

What is the problem: For which you are on these medications, and are they presribed? Suboxone is indicated for the treatment of people who have had opiate use disorders, often from medications like oxycodone, the active opiate in Percocet. If you have an opiate problem, you need to be taking suboxone under a doctor's prescription, together with counseling and urine drug monitoring. Suboxone blocks oxycodone actions. ...Read more

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Hello doctor, I am having pain in the right bottom quarter of my abdomen, it has stayed for almost a month now. What could this be?

Hello doctor, I am having pain in the right bottom quarter of my abdomen, it has stayed for almost a month now. What could this be?

See details: Pain in this area is often either GI or urologic in origin in a 25-year-old male. I hernia is also possible. It needs to be evaluated now see a doctor, get it examined and have a ct scan done. ...Read more

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Sir, what is query essential tramur, what are the symptoms of above said disease. Why my doctor prescribed par kin medicin?

Sir, what is query essential tramur, what are the symptoms of above said disease. Why my doctor prescribed par kin medicin?

Essential tremor?: About 1% of humankind develops a shakiness of the hands, it is hereditary (50% to pass to each child). It is not parkinson's and is seldom a major problem. It is likely to appear at age 20 and gets a little worse as life goes on. It can be made to disappear with a little Propranolol or Primidone but this might be worse than the tremor itself. Katherine hepburn (photo) was affected. ...Read more

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On the front part of my left shoulder my doctor pointed out a lump, the size of a quarter, 1/4 inch thick, she referred to as "non-cancerous" growth.

On the front part of my left shoulder my doctor pointed out a lump, the size of a quarter, 1/4 inch thick, she referred to as "non-cancerous" growth.

Unclear question: The doctor who examined you would be in a better position to tell you more than one of us on this forum who has not examined you.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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Burned arm on an iron yesterday. Quarter size Blister formed and ruptured and area is now raw, red and painful. Time to see a Doc or treat at home?

Burned arm on an iron yesterday.  Quarter size Blister formed and ruptured and area is now raw, red and painful. Time to see a Doc or treat at home?

Home management: Without seeing, it; sounds like you have a partial thickness 2nd degree burn.

You can use something like bacitracin or polysporin (bacitracin and polymyxin). Home management challenge is finding the right type of bandage that won't stick to the wound.

Also, obviously use an oral analgesic like acetaminophen for pain.

May take 2-3 weeks to heal.

Doc visit will hep determine if it needs excision and/or skin grafting to heal ...Read more

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58y/o female- sore, warm to the touch, quarter sized lumps below her Achilles' tendon. Will call doc Monday if not gone, but could this be gout?

58y/o female- sore, warm to the touch, quarter sized lumps below her Achilles' tendon. Will call doc Monday if not gone, but could this be gout?

Is it possible? Yes: Does it sound like it? Not really. First off that's not really a joint area and gout usually affects joints. Without seeing the lumps it is hard to take a guess.... I am it sure why hey would "disappear" by Monday.....if there is anyway you can show us a picture that would be helpful in us helping you. ...Read more

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I am a heavy drinker, I drink half a glass of neat vodka and chase it with a quarter of coke and now I have spots on my liver... Doctors say cancer?

I am a heavy drinker, I drink half a glass of neat vodka and chase it with a quarter of coke and now I have spots on my liver... Doctors say cancer?

Time to find out: Unless the radiologists has told you they are confident that this is hepatocellular carcinoma, then your physician will proceed to biopsy. It may be totally benign. The fact that you have been a drinker is immaterial. Don't give up hope. Exercise your autonomy, get all the facts from your physicians, and make the treatment / non-treatment decisions that are right for you. ...Read more

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I developed a quarter sized rash 2 days ago by the bend in my forearm. It is red and bumps that look like small blisters. Should I go to the doctor?

I developed a quarter sized rash 2 days ago by the bend in my forearm. It is red and bumps that look like small blisters. Should I go to the doctor?

Itchy?: This sounds like it might be contact dermatitis.... your skin may be reacting to something it came in contact with, like poison ivy, metals, detergents, etc. If it is itchy, try hydrocortisone 1% cream. If that doesn't help, or it is very warm, painful, spreading, or draining pus, it may be infected and you should get it checked by a doctor. ...Read more

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I've had what I thought was ingrown hair on leg, red around it size of quarter, a little warm and swollen, had since yesterday. Should I go to doctor?

I've had what I thought was ingrown hair on leg, red around it size of quarter, a little warm and swollen, had since yesterday. Should I go to doctor?

If worsens: Draw a line around the red swollen area on your leg. If the area grows, gets more red, stays warm, or you develop a fever, then I would go to see your Doctor as you may need antibiotics or debridement. ...Read more

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I have a hard lump under the skin on m calf approximatelyt size of a quarter it has been there about a yearand a half a tarted the size o dime I saw urgent care last week and the doctor was concernedand refered e to a dermatologis th dermatologs wants to

I have a hard lump under the skin on m calf approximatelyt size of a quarter it has been there about a yearand a half a tarted the size o dime I saw urgent care last week and the doctor was concernedand refered e to a dermatologis th dermatologs wants to

Needs a biopsy: Although this is most likely a benign lesion called a "dermatofibroma", the lump should be entirely removed. Your dermatologist will probably refer you to a surgeon to have this done, because the lump is large. The procedure can most likely be done with local anesthesia (similar to novocaine) in the surgeon's office. ...Read more

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I have a boil the size of a quarter on my armpit and its very red and sore. Some red goes up my arm. Cant get to a doctor for five days?

I have a boil the size of a quarter on my armpit and its very red and sore. Some red goes up my arm. Cant get to a doctor for five days?

Go to ER: You have a spreading infection which can become very serious if not treated promptly- later the harder. Go to an urgent care center or ER now. Don't wait another day ...Read more

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Dad had x-ray of shoulder & doctor found spot on lung-quarter size. They are doing full x-ray soon. Is this likely cancer? Could it be the scar on his

Dad had x-ray of shoulder & doctor found spot on lung-quarter size. They are doing full x-ray soon. Is this likely cancer? Could it be the scar on his

A full x-ray is the : Next step. A CT or MRI may follow. Usually a cancer diagnosis requires a piece of tissue be put under a microscope to see if it is benign or malignant. Be sure to follow-up with these diagnostic tests. If he has a prior chest x-ray to compare it to this new full x-ray, it is very helpful to the Radiologist. Get that to the Radiologist, if possible. Any weight loss, night sweats, or any other sympt? ...Read more

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What's a Transpelvic ultrasound? Does it hurt? Doctor sending me due to quarter size clotting during my period

What's a Transpelvic ultrasound? Does it hurt? Doctor sending me due to quarter size clotting during my period

Transvaginal US: You will be lying on your back on the ultrasound table, probably knees-up. The cylindrical probe will be covered with a "condom" and then ultrasound gel, which also serves as lubricant. The tech will gently insert the probe into the vagina. Images will be generated by the probe. The tech will gently move/tilt the probe to visualize the necessary areas. ...Read more

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I have a painful lump about the size of a quarter in my left calf. I had a vascular ultrasound and everything was normal. My doctor does not know what it is. Other symptoms I have are nausea and fatigue. I was camping in the woods and swam in the lake 2

I have a painful lump about the size of a quarter in my left calf. I had a vascular ultrasound and everything was normal.  My doctor does not know what it is. Other symptoms I have are nausea and fatigue. I was camping in the woods and swam in the lake 2

Lump: Vascular ultrasounds often don't address bumps like this. They often look at vessels and nothing else. If symptoms persist you can either get an MRI or see someone with expertise in musculoskeletal ultrasound. ...Read more

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I have an urge for frequent urination wch doc should see nd wht tests need to be conducted?

I have an urge for frequent urination wch doc should see nd wht tests need to be conducted?

Urologist: Urine should be tested first to rule out infection. Ultrasound of a full bladder will demonstrate bladder outline. Then urodynamic testing will give information about bladder capacity and whether you have an overactive bladder. ...Read more

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Got high level of hb & doctor advised me to repeat the fbc test in april2014 again. Now I got 17.6% hemoglobin level wht food u recommend, names plz?

Got high level of hb & doctor advised me to repeat the fbc test in april2014 again. Now I got 17.6% hemoglobin level wht food u recommend, names plz?

A little high: Forget diet as an approach. I am going to assume that you are not taking unknown "health" drinks at the gym -- these may be steroid-laced. Trust you weren't dried out from heavy sweating when CBC done, or mountain-dweller. You'll need to be evaluated for a possible right-to-left cardiac shunt, sleep apnea (would hate to miss that) or some other lung problem, a high-affinity hemoglobin. ...Read more

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Hi few weeks ago I had a bloodtest doctor said your kidney function is low it's 26% I got jst 1 kidney wht prcaustion I need & wht kind of food I eat?

Hi few weeks ago I had a bloodtest doctor said your kidney function is low it's 26% I got jst 1 kidney wht prcaustion I need & wht kind of food I eat?

Solitary kidney: Your single kidney is 50 percent impaired. So it is at risk to lose more function. YourBP must be 120-130/70-78 all the time. Eat a strict diet of low salt, low saturated fat, low phosphate, low potassium, foods. Be modest with animal protein — only 4 oz per day maximum. See a dietitian. Precisely diet should be 2000 mg sodium, 2000mg potassium, 800 mg phosphate, 50 gram protein. ...Read more

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Are you doctors real?

Are you doctors real?

Of course: I do not understand what do ou meant but doctor is real, of course. ...Read more