Datasets:

abhiram973

/

MedicalQA

like 1

what effect does a hysterectomy have on sexual function?

many women experience changes in sexual function after a hysterectomy (surgical removal of the uterus). these changes may include a loss of desire as well as decreased vaginal lubrication and genital sensation. these problems may be associated with the hormonal changes that occur with the loss of the uterus. furthermore nerves and blood vessels critical to sexual function can be damaged during the surgery.

i was wondering why i feel spaced out all the time it feels like a drunk or high feeling? it is all day long. i do suffer from anxiety but this feeling is all day and night. it is very scary it also makes me feel somewhat tired or fatiged

i also have severe anxiety. i am only 17 so i do not know what a drunk/high feeling is like. however i am familiar with the spaced out sensation. these are factors that contributed to my spaced out feeling: hyperventalating chronic insomnia comorbidity in the anxiety spectrum (adhd in my case) in addition depending on what form of anxiety you have perhaps your worried thoughts are always on your mind and thus prevent you from staying in the moment. this was true for me - i have ocd. i think it would be in your best interest to see a psychiatrist.

what increases the risk of getting chlamydia?

risk factors for getting chlamydia include: having unprotected sex (not using condoms ). having more than one sex partner. having a high-risk partner or partners. this includes people who have more than one sex partner or sex partners who have chlamydia. starting sexual activity before age 18. any child with chlamydia needs to be seen by a doctor to determine the cause and to assess for possible sexual abuse. for more information see the topic child abuse and neglect. webmd medical reference from healthwise this information is not intended to replace the advice of a doctor. healthwise disclaims any liability for the decisions you make based on this information. © 1995-2011 healthwise incorporated. healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated.

have diarrhea 2-8 times/day watery to pastey & gas all day long over past 3 mos. also nausea & bloaty. not contageous.

i think it's time for you to make a trip to the doctor to find out what's going on. the symptoms you describe can be caused by many things. your doctor will want to examine you and possibly run some tests to determine what's causing your nausea diarrhea and bloating. please call soon for an appointment. meanwhile be sure to drink plenty of liquids. diarrhea can cause dehydration and you want to avoid that. you can drink plain water or if you're having long severe bouts of watery diarrhea try a sports drink like gatorade or powerade. your symptoms sound miserable. i hope you can see a doctor soon! it sounds as if you have ibs (irritable bowel syndrome) there is medication available and diets that can help resolve your issues

could i have mononucleosis again after being better for just two weeks? . i got mononucleosis nearly four weeks ago took about two weeks off school and have been back for two weeks. now i am beginning to feel symptoms like i did at the beginning last time headache tired and runny nose i thought his might just be a cold but now my throat is starting to hurt. i don't have a fever but i didn't have much of one last time is it possible it has come back so quickly?

hi mono can last from 1 week to 4 weeks and a lot longer i don't think you was really clear of it properly and this is why you still have it. but it is a bit of a bugger to get rid of and can keep repeating sometimes even years later so do watch out in future. but please get your self well. good luck

i’m hardly eating anything and when i do i feel nauseous?

hi this may be due to gerd with reflux. liver/gall bladder related causes also should be considered. get a endoscopy with usg of abdomen done. liver function tests will assess the proper functioning of the liver enzymes. thanks

can post-traumatic stress disorder affect the adrenal glands? i have ptsd and have difficulty handling stress.

ptsd is an example of the overstimulated fight/flight center and stress hormones. all the more reason to try to offset this effect with careful attention to good eating and exercise habits.

what happens if you purchase a plan and then in the middle of next year your needs change?

there will be open enrollment periods during which you can select and purchase a health plan. the first year the aca takes effect it will run from october 1 2013 through march 31 2014. unless you experience what's called a "qualifying event" -- you get married have a baby divorce or otherwise lose existing health insurance coverage -- you will only be able to switch plans during the open enrollment periods.

how are arrhythmias diagnosed?

tests used to diagnose an arrhythmia or determine its cause include: electrocardiogram holter monitor event monitor stress test echocardiogram cardiac catheterization electrophysiology study (eps) head-up tilt table test

what is vitamin b12?

vitamin b12 one of the eight water-soluble b vitamins contains the mineral cobalt which is why it is often referred to as "cobalamin. " all b vitamins are involved in cell metabolism but b12 plays a key role in keeping nerve and blood cells healthy. adequate vitamin b12 also prevents megaloblastic anemia a type of anemia that occurs with larger-than-normal red blood cells. vitamin b12 can only be found in foods of animal origin so vegans (vegetarians who omit all animal products) need to eat foods fortified with b12 or take supplemental b12.

what do you recommend i use to keep my hands moist longer?

depending on your job it may be difficult to keep your hands moist throughout the day. generally it's best to moisturize after each hand washing while the hands are still a little wet. try switching from a hand lotion to a cream that is rich in ceramides. these sophisticated ingredients work better to help restore the skin’s barrier. also make sure that the soap you're using is not too drying. some of the more harsh antibacterial soaps can actually strip the skin of its natural oils.

will hot baths permanently damage sperm?

sperm producing cells in the testicles are very heat sensitive which is why a human male's testicles are in the bottom of the scrotum. when cold they pull in tight. when hot they relax and pull away. the thin wrinkled skin of the scrotum also allows for rapid heat dissipation like radiator fins on a car or air conditioning unit. the type of underwear you wear makes no difference in many studies. hot tubs are indeed bad for fertility but only for the few months after until you can make new sperm (the sperm production cycle is 74 to 90 days long). i tell my fertility and vasectomy reversal patients to avoid hot tubs hot baths jacuzzis or hot saunas.

does vinegar stop hair loss in women?

there are soooooo many causes of hair loss including normal hair loss that occurs in everyone that often mimics some of the medical reasons. if you are experiencing patchy hair loss or even general hair-thinning it would be wise to try and find the reason first. before delaying effective treatment by unproven concoctions. vinegar is not a panacea for hair loss but it is harmless if you want to try it. women generally applies vinegar for increasing hair shine and softness. getting yourself diagnosed for hair loss and then starting a treatment under doctor's prescription is the safest way to prevent hair loss.

i'm 12 days late but have a negative pregnancy test. it has always been 28 days between my cycles. can i be pregnant?

it definitely is possible to receive a false-negative result on a home pregnancy test. some things that can cause a false-negative result are not following the package directions (especially the ones that say how long to hold the dipstick in the urine) and testing diluted urine (such as if you drank a lot of water during the day you tested). testing first thing in the morning is a good idea because that's when your urine is most concentrated. your best bet at this point is to see a health care provider for a more precise pregnancy test in a medical setting. while you're waiting to do this be sure to live as if you are pregnant -- in other words eat healthy don't smoke and avoid drinking alcohol. until you know for sure you should err on the side of caution. hope this helps!

i hit my right hand on a metal fixturea few days ago now im having a hard time opening and closing my hand. i am unable to grip items i have pain to the entire hand and my hand and arm is cold.

i'm sorry about your accident. i think you need to get this checked out by a medical professional. the coldness of your hand and arm could be a sign of poor blood circulation related to your accident. poor blood circulation can lead to tissue death and other complications. the only way to find out for sure if your injury is serious is to see a health care provider as soon as possible. particularly if your hand is grossly swollen a trip to an urgent care facility would probably be a good idea. take care!

i have 2 month old that has had issues with keeping breast milk and now formula down have done everything doctors say

when you say can't keep food down i'm not sure if it is forceful vomiting or frequent spit up. gastro-esophageal reflux (ger when food comes back up is common in babies occurring in half of babies under 6 months old. some are referred to as "happy spitters" meaning they frequently regurgitate (2 or more times per day) but are growing and eating without other issues. but if it gets worse with time or is more projectile or is accompanied by other symptoms (wheezing gagging etc. ) and there is poor growth it's a problem. gastro-esophageal reflux disease (gerd) is ger coupled with problematic symptoms and needs a doctor's attention. if you suspect your child has gerd or some other problem see your doctor again. for more on gerd see this webmd article. you also might want to see a lactation consutant for tips on breastfeeding positions and feeding techniques (like pumping before feeds) to decrease spitting up after feeding. good luck!

my ears stay infected all the time they swell and hurt really bad and the ear drops don't help so what will help. my ears swell and hurt all around my ears and goes down my face

i am sorry but i have no way of blindly diagnosing your ear problem over the internet let alone treating you. if your current medical provider is not helping please ask for a referral to an ent (ear nose and throat) specialist.

i can pay for any health plan. which is the best health plan for insurance to join? i'm from wisconsin.

the best plan varies so widely based on a person's medical and financial needs. i suggest you work with an insurance agent -- if you'll qualify for a subsidy based on your income (though it sounds like you might not) find one certified to sell insurance both on and off the marketplace. here are two places to look for help from a licensed insurance agent knowledgeable of the plan options in your area: www. nahu. org and ehealthinsurance. com.

i have cramps with no period back pain and nausea and etc what could it be. frequent urination at times been mood toward people and fatigue

most helpful answer pregnant?

are lipotropic b -12 injections safe for weight loss?

safe? yes. effective? no. if you lose weight it will be because of the calorie restriction and exercise not b12.

took pills late 2 days in a row after sex with a maybe leaked condom. chance of pregnancy? have been on yaz for 2 years. i've also had strange symptoms unrelated to sex in the last few months. this includes digestive problems and pointed unfamiliar breast pain. i was on cryselle for around a year and half and had side effects occur towards the end of taking it as well. is this my body getting used to yaz or what is the chance of pregnancy?

50/50

i have experienced headache/ migraine at least 3 days a week for the past 5 years?

com i think you are on the right treatment now. a good healthy diet and exercise will be beneficial. concerning the glasses. it is very normal to gave this sensations in the first few days of using it. until your eyes are used to them. no need to worry and keep using your glasses.

can we use glycerin suppository twice a week for my 2 month old daughter?

this must probably be your first child that is why this query. please note that children under the age of six months may pass stools either 10 to 15 times a month or once in 2 to 3 days. and it is absolutely normal. you should be worried only if the child has not passed stools is vomiting and has abdominal distention. otherwise it is fine. also you can give neopeptine (combination of simethicone amylase and papain) and decolic (combination of diazepam and dicyclomine) when required. no harm would be done. for further queries consult a paediatrician online --> <link>

is estrogen therapy an option for all menopausal women?

only women who no longer have a uterus should consider using estrogen-alone therapy (et). for women with a uterus the option they might consider is estrogen plus progestogen therapy (ept). progestogen is needed to protect the uterus and balance the effects of estrogen. using et alone for 5 or more years can more than triple the risk of developing cancer of the uterus but adding progestogen prevents the uterine lining (endometrium) from thickening and greatly reduces the cancer risk. then of course each woman must determine (with her healthcare provider) if ept is right for her.

i have high risk hpv. can i take a bath with my 2 yr old daughter or could she catch it and if she did is it dangerous? . i've had high-risk hpv had for years and i can't seem to be able to get rid of it. there's a famous french gynecologist who is convinced that you can transmit hpv in water. she says she's seen kids with hpv warts who had not been abused. do you think it is possible and in that case should i avoid baths with my daughter? if she caught my high-risk hpv could it potentially be dangerous to her? could she get cancer before she's even old enough for the vaccine or smear tests to detect a problem?

i'd suspect the accidental sharing of wash cloths or towels before i'd ever suspect transmission in water. if i were you i'd look at the evidence the gynecologist provides in support of her theory.

boy(13)has bald spots on his head. skin smooth. dr said not thyroid. should we try another pediatric or dermotology?

read about alopecia areata. assuming this boy is not pulling out his own hair (a nervous habit) alopecia areata tinea capitus and other skin disorders should be considered.

i had rta and broke my right homers after nell’s fracture still moving?

hi in my opinion bones won t heal unless you fix your renal tubular acidosis by potassium citrate and sodium bicarbonate to fix ph levels also your x ray show sever osteoprosis also there is a huge separation between fracture lines cast is a must after a wire fixation surgery bones should heal in 3 month cast post wire fixation surgery. good luck

augmentin pediatric dosage. child weight is 18 kg. what should her dosage range be for an recurring ear infection. .

augmentin has two drugs: amoxicillin and clauvulate. amoxicillin is dosed from 50-80 mg per kilogram (2. 2 pounds) in a child with recurrent ear infections. assuming an antibiotic is even needed. you can do the math. newer recommendations do not favor using antibiotics unless the child meets certain medical criteria. you can find the new recommendations -- just published a few days ago -- by an internet search or read my blog on family webicine.

why isn't my baby sleeping through the night?

is your baby sleeping through the night? it’s the question every parent of a newborn gets. how well does he or she sleep at night? and every new parent asks the other related question: when will my baby sleep through the night? ever? (never? ) no two babies are alike. that’s true when it comes to sleep as well. i’ve heard from parents whose babies sleep well like a baby — through the night — as early as six weeks old. and then there are those parents who still struggle to get a full night of uninterrupted sleep more than a year after their baby’s birth. what gives? in the first few weeks of life babies don’t have a circadian rhythm going yet which helps them to know the difference between daylight and nighttime. this rhythm or body clock starts ticking at around six weeks of age. but what’s more critical to the sleep rhythms of infants is their need for nourishment. in other words it’s not so much that babies are missing the “on” and “off” switch that adults have when it comes to day-and-night cycles. it’s that babies cannot hold enough food (i. e. breast milk or formula) in their bellies to get through the night without needing more calories for growth. it takes a baby a few months to grow a belly big enough to accommodate enough calories so they may rest for longer periods without needing to fill up again. and because breast milk in particular gets digested more quickly than formula moms who exclusively breastfeed typically find themselves tending to their tots more frequently than those who are formula-fed. but here’s some good news for new parents who worry that they may be doomed to years of sleeplessness: a new study published in the journal pediatrics and done by researchers from the university of canterbury new zealand states that by the age of 5 months over 50 percent of all infants are following their parents’ sleeping times — and sleeping right through the night. sound too good to be true? well this also means that 50 percent of infants are not following their parents’ sleeping schedules and are not sleeping through the night. there’s a difference between a baby matching his or her parents’ sleeping schedule and sleeping “through the night. ” the researchers noted that achieving non-stop sleep does not take that long but its coinciding with the parents’ schedule takes longer. for example a baby who sleeps for six straight hours but does so from 6 pm to midnight is not going to please most parents who would prefer to go to bed at 10 and get up at 6. but a baby who sleeps for six straight hours from say 11 p. m. to 5 a. m. may be a lot easier to handle than a baby who has a parent (or both) up in the dead middle of the night. despite the statistics sometimes babies just don’t comply with what’s considered “average” or “normal. ” and sometimes you just have to stick it out until your baby gets on the same playing field as you. hopefully that’s sooner rather than later. but there are a few things you can try to get your little one to fall into that first 50 percent category — the 50 percent of infants who sleep relatively well through the night. here they are: * get a. m. light: make sure your baby gets a dose of morning light. this will help set the body clock up and reset a body clock that may be ticking a tad off schedule. * preserve nap time: babies nap routinely throughout the day usually once in the morning and another in the afternoon. though you may be tempted to cut back on nap time in order to “save” sleep time for the night this will backfire. babies who get the full extent of their naps in sleep better than those whose naps are cut short. and they just might grow up smarter thanks to their naps. * cluster feed: to overcome the challenge of keeping your baby’s belly satiated through the night see if you can feed him in small clusters in the evening hours and then “top-off” his belly close to bedtime so he goes to sleep with a full belly. that way he or she is less likely to wake up within a couple of hours hungry. * try the eat sleep play method: we used this method in our house and found it to be extremely helpful. the key here is consistency in the schedule: if it is sleep time and you are out get home and get them to bed it will pay off. and for those who try everything and nothing works consult your pediatrician there could be reflux (sometimes called colic) or any number of digestive disorders that could be waking your baby. then be patient. one night your baby will surprise you. you’ll wake up to the sound of nothing and worry that something happened to him or her. as you rush to the crib to check on your little one you realize that all is well. all are asleep. and so should you be too.

i want to be ugly. i want some kind of potion that gives me rashes and red spots all over my body for one day. please. i'm not happy looking like a beautiful guy. i want to be ugly and not stand out in the crowd positively. is there something i can take once per day that will give me all kinds of ugliness? . i see people getting rashes from all sorts of places but not on purpose. i don't want to poison myself too much by experimenting so i need help with having a not-too-painful way to do this. please. this is serious.

this is a serious response. medical professionals do not provide potents that make people ugly for a day or at least not since the dark ages so you may need to see a theatrical make-up artist.

i have sharp stinging pain in my thigh after professional massage therapy is it a nerve injury?

hi this is probably just muscle tension from the firm massage other possibility is that it is a dvt but first i need to know why did you have the abilation to try consider the chances of having a dvt in your age good luck

i’m 25 yr old had heart attack heart rate at rest 85-90 chest pain is it caused by energy drinks?

hi 85-90 heart rate is borderline high and i dont think there is anything to be worried about it. it may also be due to anxiety or stress. try doing mediatation yoga and deep breathing exercises. salt restricted diet should help. thanks

how is coronary artery disease treated?

medicines used to treat angina reduce the heart muscle's demand for oxygen to compensate for the reduced blood supply. three commonly used classes of drugs are the nitrates beta blockers and calcium blockers. nitroglycerin (nitro-bid) is an example of a nitrate. examples of beta blockers include propranolol (inderal) and atenolol (tenormin). examples of calcium blockers include nicardipine (cardene) and nifedipine (procardia adalat). unstable angina is also treated with aspirin and the intravenous blood thinner heparin. aspirin prevents clumping of platelets while heparin prevents blood clotting on the surface of plaques in a critically narrowed artery. when patients continue to have angina despite taking maximum medications or when significant ischemia still occurs with exercise testing they usually need coronary arteriography. during coronary arteriography doctors decide whether the patient should be considered for percutaneous coronary intervention or percutaneous transluminal angioplasty (ptca) where a small balloon is used to inflate the blockage. angioplasty (ptca) is usually followed by placement of a stent or coronary artery bypass graft surgery (cabg) to increase coronary artery blood flow. angioplasty can produce excellent results in carefully selected patients. under x-ray guidance a wire is advanced from the groin to the coronary artery. a small catheter with a balloon at the end is threaded over the wire to reach the narrowed segment. the balloon is then inflated to push the artery open and a steel mesh stent is generally inserted. cabg surgery is performed to relieve angina in patients who have failed medical therapy and are not good candidates for angioplasty (ptca). cabg surgery is ideal for patients with many narrowings in multiple coronary artery branches such as is often seen in patients with diabetes. cabg surgery has been shown to improve long-term survival in patients with significant narrowing of the left main coronary artery and in patients with significant narrowing of multiple arteries especially in those with decreased heart muscle pump function.

are std's detected in a urine dipstick test? . i went to the er for pain in my lower stomach. i thought it may be a std due to a new partner. the doctor said it could be a muscle pull from exercise or mesh pulling on scar tissue from hernia repair surgery. no signs of infection on test results. is this accurate without swab test?

gonorrhea and chlamydia can be detected by a urine test (dna probe) but not a simple urine dipstick test.

does menstruation affect a mammogram? . my daughter age 34 has found a lump in her breast. she is going for an ultrasound and her first mammogram on the second day of her period. would this affect the results of these tests?

if her breasts become sore/tender with her menses having them squeezed to the size of pancake during a mammogram may not be pleasant. have her call the mammogram technician for advice. her period should not affect the accuracy of the test but it can affect her comfort.

what can be the reason for back pain and stiffness?

from the way you described it seems that you have a locked back. so you need a few medicines and physiotherapy. instructions to reduce back pain and stiffness are as follows: avoid lifting heavy weights sitting for a long time and two wheeler rides. avoid arching your back; instead bend your knees to pick up something from the floor. improve your posture while sitting and try to get up from your chair for every 20 minutes. take a quick walk around then continue working and always sit on a chair with back support. do not get up suddenly from a sleeping position. rather turn to the side and then get up. take bed rest if you feel severe pain. do hot fomentations locally over the affected area at least twice a day. i suggest you to apply oxalgin gel (diclofenac) for local application twice a day. i also suggest tablet pregabalin 75 mg one tablet at night for 15 days before food at 7 pm every day and tablet etoricoxib 60 mg one tablet at morning and night for 10 days after food. you can take rabeprazole 20 mg one tablet at night for 10 days before food and shelcal (calcium carbonate and vitamin d3) 500 mg one tablet at morning and night for 30 days before food. take d-shine 60 k one tablet daily for ten days and then once a month for 11 months. take these tablets only if you are not allergic to them. consult your specialist doctor discuss with him or her and take the medicine with their consent. these tablets will also help the heaviness of the head. if back stiffness does not reduce then you will need some blood investigation. do physiotherapy like mckenzie back extension exercises back core strengthening exercises glute strengthening exercises and passive straight leg raising exercises. these exercises can be done initially under a supervision of a physiotherapist or learn to do it at home. only regular exercises can give the result. once the pain gets reduced then do the following activities like swimming yoga and walking which are good for you. jogging running and weight lifting may aggravate back problems. the probable causes:1. locked back. 2. ankylosing spondylitis. regarding follow up:revert back if stiffness persists even after seven days to a orthopaedician and traumatologist online. ---> <link>

can i use testosterone cream while taking ortho novum 777. i am going back on birth control pills and am currently using a testosterone cream. can i still use the cream while taking ortho novum 777?

that's a question only your health care provider can answer. i'd suggest you contact the person who prescribed the birth control pills and ask them about the testosterone therapy. your question illustrates why it's so important to provide a thorough health history before leaving any clinic with a prescription in hand. your health care provider needs to know about all the medications (over-the-counter and prescription) and supplements (vitamins herbs etc. ) you take before he or she can safely give you any kind of prescription medication -- including birth control pills. wishing you all the best!

should my goal weight increase when i hit midlife?

a better goal than focusing on scale weight is to keep track of body fat. the goals should be to decrease body fat and optimize bone strength. for a man a body fat percentage of 18% to 25% is not bad for 40-plus. for women 40-plus 22% to 27% is not bad. to get that body fat percentage you need to have excellent fitness to maintain a good muscle base. also a man should have a waist circumference below 40 inches and a woman below 35 inches.

i think my shampoo is stripping my hair color. is there something in shampoo that's wrecking my hair color?

it's probably not so much the shampoo as it is the water that's affecting your hair color. i have actually inquired from a lot of different companies and most of the shampoos; if you look at head & shoulders for example does not affect your hair color. so that's something that's very important to understand. but what happens is when you color your hair the hair can become more porous and that means that everything you do to your hair can affect it more. so sun exposure will make your hair more brassy and more dry. because the sun also dries out your skin and takes the water out of your skin and your hair as well as well as the ultraviolet rays changing the color. so that's something you want to be careful about. don't stay in the shower for too long and don't let the water just run over your hair for more than ten minutes at a time. use a conditioner and a shampoo that are specifically designed for color treated hair because they will coat the hair and give it some strength and volume and help protect that color from fading over time. but it's more the water than the shampoo that's the culprit.

suffering from nocturnal emission…on homeopathy medication

hi. urinary tract infection can cause night emissions but it should not occur for so much prolonged period of time. for urinary tract infection you should have other symptoms like fever with chills burning micturition. bilirubin levels has nothing to do with these complaints. what i feel is the sphincter muscles of your bladder aare weak and you need to undergo bladder training exercises yoga. avoid drinking fluids and water after 3 pm. consult a neurologist if this doesnt help. thanks

i have osteoarthritis my hips literally lock and i can not get up?

osteoporosis and osteoarthritis beside your overweight. are your main trouble u need to take osteocare osteonate decrease your weight physiotherapy. get better soon 🙂

can a brain blood clot cause low blood pressure?

i just know a clot slows or even blocks blood flow so yes.

for a urine sample does a time lapse between when you last drink and when the sample was taken affect the results? . 5days ago a healthscreen urine dip indicated 3times the normal white blood cells and blood so i was referred to my gp. today at the gp nothing was noted. is there a reason why this would happen? . 2. 5hrs before the sample was taken i went to the bathroom an 1hr before the sample i had a drink so that a sample could be given

the timing of the last time you had something to drink would not likely affect thes urine results. while urine dip stick tests are good tests they're not perfect. it's possible you had what's called a false positive test the first time. this means it detected something that wasn't actually there. however it's possible to have blood or white blood cells in your urine with no symptoms. a repeat (third) test may be warranted to confirm or possibly even blood tests to make sure nothing shows up there. there's a good chance the first test was just wrong. it happens and that's why your gp repeated it. but continue to work with your doctor to get to the bottom of it.

is it possible to fracture a rib from vomiting?

well chances of rib fracture are less but in a rare case it can be a possibility. however rib bruises can also be the cause. so to be on a safer side get an x ray done for confirmation. for now take painkillers for pain relief. hope this helps.

where are cases of viral hemorrhagic fever found?

taken together the viruses that cause viral hemorrhagic fevers are distributed over much of the globe. however because each virus is associated with one or more particular host species the virus and the disease it causes are usually seen only where the host species live(s). some hosts such as the rodent species carrying several of the new world arenaviruses live in geographically restricted areas. therefore the risk of getting vhfs caused by these viruses is restricted to those areas. other hosts range over continents such as the rodents that carry viruses which cause various forms of hantavirus pulmonary syndrome in north and south america or the different set of rodents that carry viruses which cause hemorrhagic fever with renal syndrome in europe and asia. a few hosts are distributed nearly worldwide such as the common rat. it can carry seoul virus a cause of hfrs; therefore humans can get hfrs anywhere where the common rat is found. while people usually become infected only in areas where the host lives occasionally people become infected by a host that has been exported from its native habitat. for example the first outbreaks of marburg hemorrhagic fever in marburg and frankfurt germany and in yugoslavia occurred when laboratory workers handled imported monkeys infected with marburg virus. occasionally a person becomes infected in an area where the virus occurs naturally and then travels elsewhere. if the virus is a type that can be transmitted further by person-to-person contact the traveler could infect other people. because more and more people travel each year outbreaks of these diseases are becoming an increasing threat in places where they rarely if ever have been seen before.

is zerit safe during pregnancy or while nursing (breastfeeding)?

it is not known if zerit can harm a human fetus. pregnant women have experienced serious side effects when taking stavudine (the active ingredient in zerit) in combination with didanosine and other hiv medicines. zerit should be used during pregnancy only after discussion with your doctor. tell your doctor if you become pregnant or plan to become pregnant while taking zerit. because studies have shown zerit is in the breast milk of animals receiving the drug it may be present in human breast milk. the cdc recommends that hiv-infected mothers not breastfeed to reduce the risk of passing hiv infection to their babies and the potential for serious adverse reactions in nursing infants. therefore do not nurse a baby while taking zerit.

lupus symptoms. pain on the left side is worse than the right i have fibromygila and the bottom of my feet feel like i am walking on pins and it hurts to walk some times first thing in the morning very thirsty all the time i have had 3 strokes already but it hit on my right side this is on my left side have chest pains from time to time my colestrol is way off the charts i am not over weight

common signs of lupus are: joint pain and stiffness with or without swelling. muscle aches pains or weakness. fever with no known cause. feeling very tired. butterfly-shaped rash across the nose and cheeks. other skin rashes. unusual weight loss or weight gain. anemia (uh-nee-me-uh) (too few red blood cells)

there is a tooth decay started in my all tooths on lower backsides

if you think it is a decay that has started in your teeth i would like you to go to your nearby dentist and get it confirmed. if it is decay then your dentist might suggest you to get some dental fillings done. if it is just stains that you are noticing then the stains could be removed by dental scaling that is cleaning. decay can be formed due to lots of food impaction in the back tooth regions which is a very common complaint. sometimes even though we are good in brushing there are areas where the brush cannot reach. for further information consult a dentist online --> <link>

when is the right time for elective plastic surgery?

“why did i wait so long? ” over my many years of highly specialized practice i have heard that comment very often nearly word for word. patients can procrastinate and delay having elective procedures because their need is not related to serious medical illness or dangerous consequences. if you broke your arm you would need an orthopedic surgeon to set the fracture. if your appendix burst you can’t dilly-dally and put off having a general surgeon perform your appendectomy. but cosmetic plastic surgery is always elective. what that means is that you “elect” to have it done when you want to have it done by whom you want to have it done and how you want to have it done. it is all a matter of choice — not necessity. however what we have learned from patients is that often they waited too long. they could have enjoyed the benefit of the surgery much earlier. one patient said “for years i didn’t like my nose and i couldn’t breathe through it. why i waited so long to have it corrected makes no sense. ” another patient who was having the chemical skin peel a non-surgical process to permanently remove wrinkles age spots and other facial imperfections said “all these years i spent a fortune on makeup and skin treatments both prescription and non-prescription and they didn’t do a darn thing. i should have just gone ahead and had the right procedure done. ” here are the five most common reasons people delay defer and procrastinate: 1. they have more pressing issues in their life. certainly a sick child a divorce or a parent who needs help are reasons that come first. 2. finances. not everyone has the discretionary funds to do it at a given point. often there is a right time and a wrong time to do it depending on how much money you have in the bank. i never recommend doing cosmetic elective surgery with “your last dollar. ” 3. patients have an unrealistic fear of anesthesia. today anesthesia is safer than ever. cosmetic elective procedures are done under very light anesthetic techniques with rapid recovery and very little chance of nausea and vomiting. 4. “i was always afraid of what i would look like. ” well that shouldn’t be a mystery. with computer imaging you can see the predicted results of your procedure on a computer screen even yours at home. and if you have seen surgical results that don’t look right to you just don’t go to the surgeon who showed you those results. if patients look unnatural over-done with a too-tight face lift or an overpinched and scooped nose just stay away from that doctor. 5. “i was afraid of what other people might think. ” to me that is a weak reason. you do it for yourself. not for your parents not for your friends not even for your spouse. you do cosmetic plastic surgery because you want it.

can i give my 14-year-old son acetaminophen for fever if i gave him ibuprofen earlier this morning?

as long as it has been six hours since the ibuprofen you can give him acetaminophen now.

hello. i am an 18 year old cheerleader. i haven't seen my period since late october last year. any advice? . hello. i am an 18 year old cheerleader. i haven't seen my period since late october last year. since then i had protected sex once. the condom didnt burst or anything and i took two pregnancy tests that came out negative. also since october i had two serious falls on my back due to cheerleading and a chest infection. i was given two different sets of medication for these incidents. i'm a bit worried as to why my period is so late. any advice?

do not pass go; do not collect $200; go directly to your gyn.

what happens if a broken leg is not ever set in a cast? . a psychiatric patient who is anxious and uncooperative with caregivers decides not to go to an orthopedic doctor for evaluation of an already diagnosed broken leg and ankle. he stepped in a pothole outside fell and broke lower leg and ankle and had it put in a stabilizer boot only. he refuses to go have it further examined and set in a cast. what is his prognosis?

unless i was able to examine the leg/ankle and have an x-ray as a guide there would be no way to guess at an prognosis or outcome. some minor fractures can be managed in a boot but i would not know if this treatment would be appropriate for this particular patient -- all fractures are different.

what is the source of bronchitis

in the vast majority of cases the source is a respiratory virus.

can a torn rotator cuff heal on its own

it depends on the extent of the tear but usually surgery is required. i just had two rotator cuff repairs. if it could have healed without surgery i would have been on-board. discuss any non-surgical options with your orthopedic surgeon but i suspect you will be seeing the inside of a surgery center soon.

i have had diarrhea for 4 days. i have taken pepto for it. no fever. just cramping til i relieve myself. should i worry?

hi as you have had these symptoms for 4 days yes i think its about time to get checked out take a stool sample with you it could help. good luck

psychology: is it healthy for kids of divorce to continue spending time with both parents together? . i know that kids will never give up hope that their parents will get back together some day. wondering if anyone on here could provide a professional opinion if it is healthy or unhealthy for kids of divorce to continue spending time with both parents together. is it good for them or is it only feeding that hope in a bad way? . in the particular case i am wondering about both parents have new partners.

it is always better that both parents remain involved in the children's life after a divorce spending as much time as they can. ideally they should live in close proximity so that the children can attend the same schools and have the same friends. should either parent re-marry or develop new relationships the children should be involved as well. age-appropriate communication is the key to post-divorce child-rearing. the divorced parents should never bad-mouth each other use the children as informants etc. shared parenting requires commitment. to the kids. they need to come first.

my baby’s arms measure 7 weeks behind and her legs 2 weeks behind?

it could be achondroplasiado 4 d us

while pregnant can i use otc products containing benzoyl peroxide or alpha beta hydroxyls? what about retinol?

many pregnant women struggle with acne. so one of the common questions i get as a pharmacist is can i use these type of products? i really don't recommend and the reason why what a lot of people don't realize is that they can actually be absorbed through the skin and travel into the blood stream they can cause some harm to the baby. so i would just basically recommend using a basic moisturizer. i know it's tough when you have acne but it's worth it because you don't want to harm your baby. so i really caution against these type of products being used especially the night cream with a retinol. that is actually a derivative of vitamin a and there have been studies that have shown.

i had unprotected sex and after 2 days my virgina started itchying its now a week and it itches only at nyt shud i worry

you should always be concerned when you have unprotected sex. the risk of an std is not worth the worry so why not just use condoms and protect yourself? your symptoms could indicate a yeast infection since itching is a primary symptom but there is really no way of knowing if you have contracted other stds unless you were properly examined and tested. it is sooooo much easier to use condoms.

what happens to someone when they get bacterial vaginosis?

ok what is vaginosis and can a long term of antibiotics cause this?

i've had hypothyroidism and noticed palpitations after i had my medication dosage lowered. should i be worried?

although there are many causes of palpitations they can occur if you are taking more thyroid hormones than you require. this may cause your heart to beat faster than you are used to. by decreasing your dose of thyroid medications there is a likelihood your palpitations will subside provided they were caused by your higher dose of medication. because of the long half-life of synthetic thyroid hormones like synthroid or levoxyl it may take a few weeks to notice whether the change in your dose is making a difference. if your palpitations continue or worsen in severity or frequency you should see your primary physician to look for other causes.

is there a product i can use or something i can do to help make my crow's feel less noticeable?

many factors contribute to crow's feet including sun exposure squinting and menopause. solar radiation damages the elastic and collagen in your skin which leads to "lax skin" rather than tight skin that is adherent to the underlying muscles. sun exposure is probably the easiest to address. you should incorporate sunblock in your daily skin regimen. squinting results in contraction of the muscles around the eyes. years of squinting can lead to hypertrophy or enlargement of the underlying muscles which will lead to the noticeable grooves on the skin surface. menopause affects estrogen levels which is critical for maintaining collagen levels and skin hydration.

what causes gallstones?

the primary function of the gallbladder is to store bile a brown or yellowish fluid that helps the body break down fatty food. when you eat a meal the gallbladder releases its stored bile into the cystic duct. from there the fluid passes through the common bile duct and into the small intestine to mix with food. chief among the ingredients of bile are cholesterol and bile acids. normally the concentration of bile acids is high enough to break down the cholesterol in the mixture and keep it in liquid form. however a diet high in fat can tip this delicate balance causing the liver to produce more cholesterol than the bile acids are able to handle. as a result some of this excess cholesterol begins to solidify into crystals which we call gallstones. about 80% of all gallstones are called cholesterol stones and are created this way. the remaining 20% consist of calcium mixed with the bile pigment bilirubin and are called pigment stones. gallstones can form even in people who eat properly. and as researchers have found a diet extremely low in fat can also contribute to gallstone formation: with little fatty food to digest the gallbladder is called into play less frequently than usual so the cholesterol has more time to solidify. other factors that can reduce activity in the gallbladder possibly leading to gallstone formation include cirrhosis the use of birth control pills or hormone replacement therapy and pregnancy. family history diabetes sudden weight loss and cholesterol drugs and older age can also increase risk for gallstones.

my sis is 4 months pregnant n has a really bad tooth ache what can she do? she is anemic and has gained 3-5lbs over

it is safest to have dental work done during the 2nd trimester.

what is the swine flu (h1n1) virus?

this is a virus found in pigs that causes swine influenza. the swine flu (h1n1) virus is different from the human flu virus. there are many different strains of swine flu (h1n1) virus (e. g. h1n1 h3n2). h1n1 is the most common. usually a swine flu (h1n1) virus infects only pigs or in rare cases those around pigs. but a new type of swine flu (h1n1) virus has been spreading from person to person.

i brush my teeth twice daily. even then my teeth are yellow. what to do?

even after brushing twice daily if your teeth remain yellow then there are chances of calculus deposits on your teeth. brushing alone does not remove calculi. a painless dental procedure called scaling has to be done immediately. scaling is a must for you at this stage because calculi left untreated will cause gum problems. consult a dentist online to know more about scaling --> <link>

is there a relationship between excessice coffee drinking and high blood pressure? . my daughter-in-law makes 5-6 pots of coffee daily. she has high blood pressure and gets headaches. is she drinking too much coffee that would cause the elevation in blood pressure? she also takes a lot of prescription pain medicine and a sleep medication.

caffeine can increase the blood pressure but the effect usually only lasts for a short time. experts have yet to make a strong link between caffeine and long term high blood pressure. that being said a lot of doctors tell patients that have high blood pressure or heart disease that they should limit their caffeine. a boost even a temporary one in blood pressure may not be a good idea on top of already high blood pressure. besides coffee caffeine is found in tea energy drinks soft drinks and even in chocolate. some headache/pain medicines also have caffeine in them. your daughter-in-law should let her doctor know how much coffee she drinks as well as other sources of caffeine in her day. too much caffeine is often a cause of sleep problems or can make existing sleep problems even worse. hope this helps!

if you are receiving social security benefits via medicare can you receive benefits under the affordable care act?

on medicare you're covered and don't need to shop for any other type of insurance.

hi i had sex yesterday and after that got little blood but i am not virgin. hi. anyone please help me! . i had sex yesterday and after that got little blood but i am not virgin. today morning too i noticed little blood. and upper part of my stomach is paining. i took pregnancy test today morning it is negative. my period is irregular after marriage. will i be pregnant? . or any other problem?

hi for one thing you cant get pregnant in 24 hours. this bleed may just be from having sex if it was a bit dry can happen sometimes. this sex you had was it unprotected and do you want to get pregnant? have you ever been on the bc pill if not perhaps you should see your doctor it should help level out your periods should with luck get you working like clockwork being the 28 day period. do hope this helps you. good luck

i posted do me and my boyfriend have a chance of pregnancy but along with that. i have really bad breast tenderness and sharp shooting pain in my breasts too and lower stomach cramps and randomly feel nauseous is this from missing 4 birth control pills or could i be pregnant help please.?

hi miranda just try getting an hpt or a pregnancy test done at your doctors this way you will know for sure if you are pregnant and its not a phantom one. good luck

i have alternating irritated and bloodshot eyes?

aee you allergis? any history of allergy? is there any purulent discharge? do you have any error if refraction wearing glasses or lenses? if yes myopic or hypertropic. try to use fresh tears untill we find out. see an ophalmologist please…

does geographic tongue cause bad breath?

no. geographic tongue will not cause bad breath.

what causes acne?

the cause of acne is not fully understood. though stress can aggravate acne it clearly does not cause it. hormones. common acne in teenagers starts with an increase in hormone production. during puberty both boys and girls produce high levels of androgens the male sex hormones that include testosterone. testosterone signals the body to make more sebum a waxy substance that helps the skin retain moisture. bacteria. excess sebum clogs the openings to hair follicles -- especially those on the face neck chest and back. bacteria grow in these clogged follicles. this makes blackheads or whiteheads form on the skin's surface -- a condition called non-inflammatory acne. sometimes the follicle wall breaks under the pressure of this buildup. when this happens sebum leaks into nearby tissues and forms a pustule -- this is called inflammatory acne. this can create cysts. ruptured cysts can leave temporary or permanent scars. depending on the type of pill oral contraceptives may trigger acne in some women but suppress it in others. steroids taken by some bodybuilders and other athletes can also lead to severe outbreaks. acne has many subtypes. acne neonatorum and acne infantum occasionally affect newborns and infants usually boys. a pimply rash appears on the face but usually clears within weeks with no lasting effect. people who escaped their teen years almost pimple free may develop persistent adult-onset acne as they get older. despite the normal increase in androgen levels during puberty some doctors believe that flare-ups of acne have less to do with androgen levels than with how a person's skin responds to an increase in sebum production. the bacteria propionibacterium acnes and staphylococcus epidermidis occur naturally in healthy hair follicles. if too many of them accumulate in plugged follicles they may secrete enzymes that break down sebum and cause inflammation. some people are simply more sensitive than others to this reaction. sebum levels that might cause a pimple or two in one person may result in widespread outbreaks -- or even acute cystic acne -- in another person.

can i get any hepatitis or std from surfaces in public if i have any open cuts or pop pimples? what are the odds? . if went to a public place like a theatre or restaurant and made contact with the surfaces of these places and i had any open cuts or popped pimples could i contract any hepatitis or std is it possible to contract hepatitis or other stds in this way? . what are the chances? is this realistic?

stds? no. there's a reason why they are called sexually transmitted diseases you don't generally pick them up off of surfaces. hepatitis is a remote possibility but the odds are really against it. if this is a concern to you there are some simple things to keep yourself safe. wash your hands after you go to the bathroom and before you eat. try not to touch your eyes mouth and pimples without washing your hands first. cover your cuts. besides a cut would have to be open and bleeding to be much of an entrance to your body. skin and scabs make a pretty good barrier to disease. and many viruses die quickly. so. hand washing cover your cuts don't touch your eyes nose and mouth very much. simple as that!

vitamin b12 shots for weight loss. 12 vitamin d injections with lipo b12 vitamin c and b-complex. i was contemplating on taking this shot for weight lose like to know if there is any side effects medical provider said the only side effect is bruising of skin by injected area. i like to know if there is any dangers side effects. thanks.

no dangers other than your wallet will likely shrink more than your weight. there are no scientifically-proven studies that show that vitamins cause weight loss.

i haven’t had a period for 4 months?

has to be pregnancy. get b-hcg test done in another laboratory. usg of abdomen will also help localise the ovum inside the uterus.

how can i shorten the duration of my menses? . i am a 40 yr. old woman that has had long heavy periods since the age of 11. i am exhausted and a bit disgusted by this. i have migraines and am crabby. its hurting my sex life and therefore my marriage.

i'm sorry you're going through this. it sounds like you're fed up and i don't blame you! i'd suggest you have a talk with your gynecologist. certain types of birth control cause shorter lighter periods (such as the vaginal ring). even if you're not interested in birth control per se (for instance if you've had your tubes tied) using one of these types of birth control might solve your heavy periods problem. you might also join the conversation at webmd's women's health community to find out how other women have dealt with the problem of heavy periods. i hope you find a solution to this issue soon and wish you all the best!

i care about my skin but the products are so expensive. can you give me some tips for saving money?

there are many excellent products that are available from the drugstore. the single most important thing you do to help your skin age successfully is to use adequate sun protection. also if you smoke quit. as for products there are excellent choices available at the drugstore. look for ingredients such as retinol niacinamide peptides vitamin c and hyaluronic acids.

is there a safe dosage of benadryl i can give my 5-month-old baby who is battling a very congested nose?

benadryl is not a nasal decongestant and will do nothing for the stuffy nose (not to mention this medication should not be given to a child this young. ) you want to use saline drops to help thin out the mucus in the nose and then use a nasal aspirator to help clear the passageway. i also recommend running a vaporizer in the baby's bedroom -- that usually helps a lot as well for congestion. parents need to be very careful about cough and cold medications in infants and children so take the time to talk to your pharmacist.

a month ago i had a uti i was given distaclor la forte 500mg. i have had diarrhea very loose stools with crampingsince. explosive diarrhea or at the very least very loose stools haven't had a normal stool in a month feeling very blotted and uncomfortable. i have been eating yogurts and eating bland or crackers and toast. won't go away and hits out of the blue.

i strongly suggest you return to your health care provider to make sure you have not developed a clostridium difficile infection as a result of your antibiotic therapy. watery diarrhea that lingers for a month after taking antibiotics can be a sign of this infection which is highly contagious. meanwhile be sure to maintain vigilance with handwashing. antiseptic hand rubs are not effective the c. diff infection. you need to wash your hands frequently with plain soap and water then dry thoroughly. this will help you avoid passing the infection to someone else if in fact you have it. you also need to maintain your hydration. be sure to drink plenty of plain water and have a sports drink when the diarrhea is particularly bad. if you do have c. diff your doctor can treat it with a different antibiotic. i wish you all the best with this!

i have some lorazepam from a few years back. how long can medicine be stored?

most medications are good for about a year after you get them from the pharmacy that is if they are stored properly away from direct heat or light and in a cool dry place. i do not recommend keeping medication longer than a year because passing time increases the likelihood that mistakes can be made while taking it. if you haven’t used the lorazapam in years most likely you don't need it. so i would recommend discarding it. the best way to dispose of medication is through a local drug take-back program. or mix the pills with an undesirable substance -- like kitty litter or used coffee grounds -- wrap it all up and throw it away. flushing medications down the toilet is not recommended.

my granddaughter has been diagnosed with coxsackie disease?

cbc is important coz it most probably idiopathic thrombocytopenic purpura self limited condition no worries just full examination and investigation s should be done cocksakie sometimes affects the heart on the long term. follow it up later

my mom has kidney failure diabetes sarcoidosis heart failure she now has these big knots why?

hi this is probably swollen lymph nodes from sacroidosis also if she is on corticosteroids then she can have pumps like this all over if i am here doctor i would not focus on this instead i would focus on the bigger issues good luck

how can i prevent high blood pressure?

you can prevent high blood pressure by: maintaining a healthy weight. getting regular exercise. reducing salt intake. drinking alcohol in moderation if at all. reducing stress. other things like dietary supplements may also help prevent high blood pressure. here's a roundup of what's being said about them. potassium. eating foods rich in potassium will help protect some people from developing high blood pressure. calcium. populations with low calcium intakes have high rates of high blood pressure. however it has not been proven that taking calcium tablets will prevent high blood pressure. but it is important to be sure to get at least the recommended amount of calcium from the foods you eat. dairy foods like low-fat selections of milk yogurt and cheese are good sources of calcium. magnesium. a diet low in magnesium may make your blood pressure rise. but doctors don't recommend taking extra magnesium to help prevent high blood pressure -- the amount you get in a healthy diet is enough. magnesium is found in whole grains green leafy vegetables nuts seeds and dry peas and beans. fish oils. a type of fat called omega-3 fatty acids is found in fatty fish like mackerel and salmon. large amounts of fish oils may help reduce high blood pressure but their role in prevention is unclear. taking fish oil pills is not recommended because high doses can cause unpleasant side effects. the pills are also high in fat and calories. of course most fish if not fried or made with added fat is low in saturated fat and calories and can be eaten often. garlic. there has been some evidence to suggest garlic’s effect in lowering blood pressure in addition to improving cholesterol and reducing some cancers. always talk to your doctor before taking a dietary supplement or alternative herbal treatment. some may interact with other medications you may be taking or have harmful side effects.

can vitamin overload cause muscle cramping? ( ribs legs feet hands)

muscle cramps can occur from low levels of minerals in the blood such as potassium but i have not heard of it being caused by an excess of vitamins. there really is no reason to take large amounts of vitamins so it makes sense to stop or just take the recommended daily allowance. if the cramping continues see your doctor to determine cause. this article provides various reasons for muscle cramping. usually muscle cramps do not occur due to excess of vitamins. although muscle weakness is one of the symptoms of hypervitaminosis e. however anything excess in the body causes imbalance and can lead to untoward effects.

what are the symptoms of viral hemorrhagic fever illnesses?

specific signs and symptoms vary by the type of viral hemorrhagic fever but initial signs and symptoms often include marked fever fatigue dizziness muscle aches loss of strength and exhaustion. patients with severe cases of vhf often show signs of bleeding under the skin in internal organs or from body orifices like the mouth eyes or ears. however although they may bleed from many sites around the body patients rarely die because of blood loss. severely ill patients may also show shock nervous system malfunction coma delirium and seizures. some types of vhf are associated with renal (kidney) failure.

how can i stop nasal spray addiction?

you will first need to voluntarily reduce your daily use. your medical provider can prescribe a nasal corticosteroid spray that can help you stop this nasal decongestant dependency.

brownish vaginal discharge every two weeks in my 12 year old. is this normal?

this may be small amounts of menstrual flow. older blood can be brownish and at age 12 her cycle may be very erratic and unpredictable.

what's the link between smoking and heart disease?

about 30% of all deaths from heart disease in the u. s. are directly related to cigarette smoking. smoking is a major cause of atherosclerosis or hardening of the arteries. among other things the nicotine present in smoke causes: decreased oxygen to the heart. increased blood pressure and heart rate. increase in blood clotting. damage to cells that line coronary arteries and other blood vessels triggering atherosclerosis and heart disease.

i have been told that i have a cervical pregnancy. what does this mean?

it is a very dangerous type of pregnancy which is not associated with the ability to have a live baby. the longer this type of pregnancy goes the higher the risk of major complications to the mother. this type of pregnancy is associated with a very high risk of significant vaginal bleeding and need for blood transfusion. i would suggest you see a high risk obstetrician (maternal fetal medicine) to assess the pregnancy. if they agree it is a cervical pregnancy you will need to have it removed with great care. there are a number of ways of handling this. medication can be given (a chemotherapeutic agent-medicine to treat cancer) to kill the active cells. a dilation and curretage can be performed and a foley catheter can be placed to prevent the heavy bleeding. .

is it possible for an insurance company to cover a medication to treat something other than the initial use? . how can one find out if medications are being tried for ailments other than the conditions approved by the fda?

it is possible that insurers will cover medications for off-label use. medicare for example has expanded its coverage of off-label drug use of cancer drugs. generally you would need to provide a compelling medical reason for the need backed by some scientific evidence of the drug's effectiveness and a lack of other treatment options. always check with your insurer about its rules for gaining approval for medications. and in such cases you would definitely need the participation of your doctor who will need to write a letter explaining your condition and why the medication in question is required. as far as finding information about medications being used for ailments other than those for which they've obtained fda approval you might try clinicaltrials. gov a clearinghouse of clinical trials maintained by the national institutes of health. you can also search medical journal articles that support the treatment’s use by searching pubmed a service of the u. s. national library of medicine at www. pubmed. gov.

can poison ivy rash return same place after 2 months? . rash returned same places on arms after 2 months since had first rash. . haven't been any where near any plants no pets to come in contact with poison ivy. any one ever hear of this happening?

i have recurring poison oak on my hands every few months. use mean green hand cleaner. it won't prevent recurrences but it will give you instant all day relief and it's cheap compared to drug store remedies. i do not work for them. this stuff has saved me multiple times. google it if you don't believe me.

can eating large amounts of orange vegetables such as sweet potatoes carrots and pumpkin cause jaundice?

it is not technically jaundice. the yellowing of the skin (never the white part of the eyes as seen in true jaundice) from eating sweet potatoes carrots etc. is called by carotene (called carotenemia). this is an innocent yellowing of the skin and is unrelated to liver disease or other causes of jaundice.

i am unemployed and can’t get insurance. i have social anxiety gad and depression. how can i get help i can't afford?

a lack of insurance and an inability to pay more than a minimal amount should never prevent you from getting the help you need and deserve. licensed professionals including psychologists have an ethical responsibility to take a number of "pro-bono" cases. this means for little or no fee. of course there is a limit to the number of these cases that anyone can take but it's worth asking. you can call your local psychologists association explain your situation and ask for the names of psychologists in your area who would be willing to help you. you can also check social service agencies as well as any major hospital center because these entities generally have access to mental-health providers who require minimal fees. hello -- in the depression community <link> (first and tenth posts) we have a list of resources for finding free/low-cost medical care including counseling. take a look there for some other ideas. i'm so sorry you are suffering such heartache. -- susie margaret

cannot get an erection. cannot get a hard erection

there can be a large number of reasons for you difficulties but unfortunately it is not possible to do an erectile dysfunction medical work-up over the internet. my suggestion to you since i do not know anything about you or your medical history (not even your age) is to make an appointment with a urologist. in the meantime do an internet search of medical sites under the search engine of "erectile problems" to see if you may have one of the more common causes (medications alcohol drug or cannabis use certain underlying medical diseases psychological issues etc. ) so that you can be better informed when you see the urologist.

having recurrent urinary tract infections (utis) this has been going on for the last 3 years?

first do not take muscle relaxants as they have drug interaction with cifran second you need to preform bacterial culture to decide which antibiotic is best good luck

for the past 3 days i have had an intense pain in a specific spot- on the inside right below my right eyebrow?

hi are you on progestrone for stability of your pregnancy? (it can cause your problem) i recommend you see a neurosurgeon to check for brain aneurysm if it is an abscess formation due to an infection you should have eye and vision problems try applying hot packs and tell me if it improved or gotten worsegood luck

i have been diagnosed with barrets esophagus and severe acid reflux are ppis safe for me?

yes it is safe to go back on proton-pump inhibitorsgood luck

i started getting mild sickness after eating about 1 year ago. it has now progressed?

these symptoms almost referring to gastritis with or without gerd. i recommend just taking the following (ganaton50mg before meals 3times. and zantac 300mg after dinner) if you can not see a gi doctor… then in the nearest possible chance see a gi specialist. avoid caffeine and citrus food. tomato sauce based foods. and increase your fiber intake as well as eating small meals every 3hours.

at what point do the early symptoms of pregnancy begin? . is the earliest sign of pregnancy a missed period or are there observable symptoms of fertilization and/or implantation that can occur before a period is missed? how early in a pregnancy can the usual symptoms start? . . . . thank you <positive_smiley>

every woman is different but most symtoms start about 4 to 6 weeks after conceiving. as far a being fertile your body temp will go up a few degrees while ovulating. hope this helps.