Archive for the ‘Other’ Category

Prevention

Question: Good afternoon, doctor! "Now I'm 42 years old, from childhood I had a record for the cardiologist, and every half year was in the hospital with a diagnosis of metralnogo valve insufficiency, circulatory failure, anemia (unfortunately, I I do not remember) and every spring and fall I do bitsilin-5 for prevention. Since then, much time has passed, I felt great and managed to forget all his childhood illnesses, but last time (half year) nebylo day that I am not clinging to the heart, pain in the heart, the lack of oxygen, dizziness, and sometimes a feeling that heart turning over in his chest (davolno still not pleasant), but it's the lyrics, I have a question for you, please tell us what makes Bitsilin-5 and whether it can now poke for prevention, especially as winter this year is more like the fall? Yours Elena.

Answer: (05. 02. 07) of objective justification for prophylactic use bitsillina not see.

Medical center address?

Question: doctor! "Thank you for having responded to my previous question. And once again appeal to you. I would like to hear from you one more tip: medical center may want to contact me. The following quote a previous letter, your response and some of my comments. Question: Perhaps I speak to a specialist is not the direction. But the fact is that doctors could not diagnosed me. Everyone says: "Not my profile. I live in the region and ready to go to Moscow. But to some professional contact? I am 53 years old. At night, very sore feet – from the knee and below. The pain inside, bursting. Feet with blush. Sometimes a little swelling. The pain intensifies during the summer. Assists and cold contrast baths. said that the vessels are normal. Varicose no. However, watching TV transmission, which lists all of my symptoms and said that this vascular disease. So what is this disease? Just in case: I have a hemoglobin of 142 – 148. Thanks in advance. Answer: It is essential not only you listed, but also the prescription of disease, body weight, blood levels of glucose and uric acid, hematocrit. Would you like to say that the doctors refuse to treat you, and any attempts to treat, successful or unsuccessful, is not it? In the clinic nearest medical school and did not request? My clarification: I live in Saratov region and the local doctors actually refuse to treat me, as each of specialists (surgeon, neurologist), to which I addressed, believe that it is not their profile. She did dopplerograms – showed that the disease is so small that they can not cause such pain. Have medical tests, of which you speak, no one offered. Accordingly, I do not know to which institution to apply. Could you tell what an expert can help me. Is there any institute in Moscow, which deals with these problems – I'm ready to go. My weight – 68 kg with height 164 cm pain appeared in 35 years, which is about 15-20 years ago, as time progressed. Many thanks again. I really hope that you will help me.

Answer: (08. 02. 07) had in mind the Saratov State Medical Institute (possibly now – the academy or university). I think initially need an experienced neurologist because it is described resembles chronic peripheral neuropathic pain, caused by damage to nerve tissue. In particular, the complex regionarny pain syndrome is manifested in the extremities (often in the lower parts), burning sensation, aching or bursting pain in conjunction with violations of sensitivity, swelling, change in color and skin temperature, etc. There are several groups of drugs that are used with neuropathic pain inside and injections. Independently cream can test locally emla, instillagel, lidohlor.

increased pulse

Question: I'm 45 years old. weight of 100 kg growth 178cm. I feel good, blood pressure 120/80, 130/90, but the pulse in the dormant 100-105. When loads increase. Pain in the heart did not feel. There dyspnea, even at small loads. Recently made a cardiogram Community Health Center, nor any abnormalities except for pulse no. often recommended to measure the pressure – but it is always normal. Weácan пожайлуста where I go, what to get tested? can it any other bodies give way about me know? Thank you in advance for your reply, Regards Peter.

Answer: (25. 02. 07) The doctor may prescribe treatment slowed heart rate, without a survey. If you think that there is a shortness of low load, then go veloergometricheskuyu ECG test.

Help, please (question)

Question: doctor! Help, please!! I am 25 years old. I have 3 weeks inflamed toes, they are red, sometimes swollen and painful attack, it all started with one finger, then 2, now on both feet, and becomes worse from the heat, the fungus does not seem to TC there is no rash, but just in case mazhu their antifungal ointment. Also drink-allergy pills, too, just in case, though earlier I had no allergies. Last year in the same month was just as well. Then I thought that froze, but this was not exactly cold. In the hospital does not pay, TC did not even know which doctor, and we have a small town, there are no such specialists. Please advise if there than cure and that it is a disease. Veronica

Answer: (25. 02. 07) Specialists do not need special and show the surgeon: this is similar to Raynaud's phenomenon. In the meantime, you can try yourself to take tablets papaverine (in 0. 4 g) – 1 pc. 3-5 times a day.

Doctors did not diagnose

Question: Perhaps I speak to a specialist is not the direction. But the fact is that doctors could not diagnosed me. Everyone says: "Not my profile. I live in the region and ready to go to Moscow. But to some professional contact? I am 53 years old. At night, very sore feet – from the knee and below. The pain inside, bursting. Feet with blush. Sometimes a little swelling. The pain intensifies during the summer. Assists and cold contrast baths. said that the vessels are normal. Varicose no. However, watching TV transmission, which lists all of my symptoms and said that this vascular disease. So what is this disease? Just in case: I have a hemoglobin of 142 – 148. Thanks in advance.

Answer: (05. 02. 07) is essential not only you listed, but also the prescription of disease, body weight, blood levels of glucose and uric acid, hematocrit. Would you like to say that the doctors refuse to treat you, and any attempts to treat, successful or unsuccessful, is not it? In the clinic nearest medical school and not treated?

Rheumatology

Question: Help please. My husband has pain in bones. It began with that swollen joints in the leg. Swelling and pain shot Nimesilom. Now he occasionally hurt all the bones, the body begins shivering, and temperature 35. 7. Urologist or anything not found, ESR 55 mm / h, stab neutrophils 23. What is it?

Answer: Hello! <br> This may be a systemic disease of the joints. You need to urgently address the rheumatologist with the data that you have. Dopolinitelnoe survey appoint rheumatologists.

Weakness, sweating, pain in my heart

Question: Plaintive pain in the heart, weakness, sweating, anxiety. This state lasts I had a fourth week. Pot sticky shower. Lack of appetite – although previously been overweight. Weakness, sometimes such that it is difficult to say. Sleep was scarce. I can not concentrate, distracted aching feeling in my heart. I am 53 years, such states have been several times in the past. Pulse high – somewhere 95 attacks. The pressure is 140 over 60, 120 80. Did EKG – say, turned out okay. I would like to know can be a weakness, through the pain to make a move and make physical activity? Or is it better to wait, may be held itself?

Answer: Hello, Alexander! The symptoms described by you can be in different diseases. Infectious diseases, heart problems still can not be excluded, vitamin deficiency but may be more serious condition. You should not zalatno relate to health, go to the doctor should be. Loading organism does not need too.

Intraventricular block

Question: my son 2.5 months. They made an electrocardiogram, in the opinion written: sinus rhythm, HR = 120-150 beats per minute, local intraventricular block. Please, suggest what is it? Our doctor is still on vacation for a month, all my hopes on you. Thanks in advance!

Answer: local intraventricular block – slowing of electrical impulses within the ventricles, a benign variant has no clinical significance, especially at that age. Make ECG again next year.

IRR and the chord

Question: My daughter is 4 years. Diagnosis of the IRR, the pain in his head, raising blood pressure to 130/78 and pulse of the case that comes to 140. An examination of pathology in the kidney, thyroid and adrenal glands do not. In the heart There are 2 chords themselves so they can be? M what to do?

Answer: No, because the chords themselves can not exercise. The child must examine in more detail for the cause of hypertension, the Council requested a specialized children's cardiology hospital, so as not to lose time. I think the reason can be found and it is curable, but the delay is not necessary.

Complete blockade of right bundle branch block

Question: I am 52 years old. Almost 17 years when I was given EKG – partial blockade of right bundle branch block, with this defect, I even passed a medical commission in flying school. This year, during the passage of the commission of Seafarers in the ECG have written complete blockade, and rejected. In March, I did ultrasound of the heart, while examining any comments on the work of the heart was not. I feel good. In principle, not limited by physical exertion (of course within reason). Also, when the last recorded ECG, EKG that carry the load is prohibited. Please, explain to actually complete blockade so dangerous, or doctors are reinsured, and if any restrictions. What you can give advice. Sincerely, Valery.

Answer: It's good that you feel well. Doctors, of course, to a greater extent reinsured, but strictly speaking, they are right: the progression of partial to full blockade may be indicative of a developing pathology of the heart. If you are a smoker, then this is the first step towards the development of chronic pulmonary heart, we must think about this. The sample load in the blockade of right bundle branch block is not dangerous, and impractical, because it allows us to estimate changes in the final part of ventricular complex on ECG under load, ie, to diagnose coronary artery disease. Councils can give only a general nature, not seeing you: do not smoke, drink no more than 20 ml of alcohol in terms of pure alcohol per day (if more – then the inevitable early death), eat less and move more. Trite, but it is much cheaper and more effective than a long, costly and of little help treating the consequences of heart attacks and strokes.