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Thread: Medical Questions with answers..4

  1. #51
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    Do I need to undergo a PCR test before going for IVF?


    Q. I am 36 years old. My first IVF cycle has failed. The doctor has advised me to go for a PCR test before going for the second cycle. Is it necessary? What can be the reasons for failure of the first IVF cycle?


    A. I don't think PCR for tuberculosis is required for IVF failure. One must go through all the factors that affect IVF results such as number and quality of oocytes and sperms, number of good embryos, endometrium, embryo transfer technique, and if problems are seen at any stage, these should be rectified to have a positive result in IVF in the subsequent cycle.

  2. #52
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    Does a thalassaemia patient need iron supplements?


    Q. What should be the dietary intake for a thalassaemia minor patient to ensure a good level of haemoglobin in the body?

    A. People with beta-thalassaemia trait (BTT) are not per se at greater risk of complications from iron in the diet than anyone else in the general population. In a rare instance, an individual with thalassaemia trait may also inherit the gene for hereditary haemochromatosis and then iron can accumulate to dangerous levels if dietary iron supplements are taken. In the absence of concomitant iron deficiency, iron supplementation will neither correct nor improve anaemia due to thalassaemia.

    Concomitant iron deficiency with BTT is quite common in our country. If the patient’s iron studies (serum ferritin, serum iron & TIBC) show concomitant iron deficiency, then iron supplement will help. The effect of iron deficiency in BTT is apparent as a significant lowering of the Hb concentration and an increased prevalence of anaemia. Iron therapy is warranted in such individuals as it helps to significantly raise their haemoglobin (Hb) concentration and lessen the severity of the anaemia. Once iron deficiency is corrected, the Hb will level off and no further improvement will occur. The individual should take a normal nutritious diet along with folic acid supplement twice a week

  3. #53
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    Why was my relative's son born without an ear?


    Q.
    A newly born male baby of my relative has no ear on the right side. Instead there’s a small hole. Please tell the cause and treatment for this.

    A. This condition is called Anotia. During the 40 weeks of gestation inside the mothers womb, the baby passes through various stages. Each organ of the body develops at different times. If any defect occurs at a particular period, all the organs developing at that particular period will develop wrongly. The plan must be to:
    Take the child to a paediatrician. He will specifically look for any associated anomaly. This is a priority.


    The combined hearing of both the ears can be tested even at this stage. Conclusive assessment of the hearing of the individual ears separately, at this age, may not be possible. However, it is not necessary at present.


    After assessing the structural extent of the defect in the ear, the ear lobe and the canal can be reconstructed and reshaped. This correction will be done in stages over a period of time. Plastic surgeons and some ENT surgeons have the experience and the skill to do this.

  4. #54
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    Can Botox cure my drooping eyelid?


    Q. I am a 30 years old female. I have drooping eyelid problem in my right upper eyelid. Can I take Botox for this problem?

    A. Botox does the opposite thing. In other words if an eyelid is retracted, Botox can produce drooping of the lid. Surgery is only way to correct this. Be very sure in getting this done cause even a little inaccuracy in the surgery can result in the eye not closing properly, which is much more serious.

  5. #55
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    Why do I have abnormal secretion from my breasts?


    Q. I am a 27-years-old woman. I am not pregnant and I have not been stimulating my breasts either. However, a few days back I noticed a secretion from my breasts that appears to be milk. I had been taking Ciplox 500 mg tablets when I first noticed this. I had previously been detected with hypothyroidism but a doctor advised that since the imbalance was marginal and I did not have any symptoms, that level might be normal for my body. I am not taking any thyroid medication currently. Please suggest.

    A. This is abnormal. You need to get your thyroid function tests and prolactin (blood tests) repeated. The milk secretion could be due to excess prolactin and this in turn could be due to hypothyroidism. It is important to differentiate between the 2 as excess prolactin resulting from increased TSH is treated by thyroid replacement; the other instance (not due to hypothyroidism) is treated with different medications. Prolactin has to be tested first thing in he morning - no sex nor breast stimulation on previous night. Thyroid tests should be done at same sitting.

  6. #56
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    What are the benefits of working out in a gym?


    Q. I am 28 years old. Is it true that if I go to a gym and do weight-lifting exercises, my height will decrease? What are the advantages and disadvantages of going to a gym?

    A. You are past the age when you should not be working out with weights. It is suggested that when the skeletal system is still in developmental stage, it is better not to use anything but your own body to train. But that does not apply to you now. So, you can safely train at a gym now. It would be advisable, however, to work under a trained instructor so that the risk of injury is low.

    The advantages of working out in a gym are many: seasonal changes do not hamper your workout, the factors that you encounter in a gym are constant and you can motivate yourself to work out in a crowd on the days that you are feeling down.

    The disadvantages are that the same conditions can work to be deterrents: the monotony of going to the same place every day as opposed to working out in the natural environment, the crowds can get too overbearing and if not ventilated properly, the gym environment can be detrimental to fresh breathing!

    All in all, you have to assess what suits you and go for it. Try it out and the best way to shake off monotony is to have variations in your workout.

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    How can my child get rid of the pain in his joints?


    Q. My son is five years old. From the past six months he is complaining of pain in his knees, feet and joints. The pain is not regular, but occurs once in a fortnight. What is the cause and treatment for this?

    A. Your son should be evaluated by a paediatric rheumatologist to ensure that there is no arthritis, though the history given is atypical. In children with arthritis the joint pain is more in the mornings and the child has early morning stiffness, and gets better as the day goes on. In children with benign joint hypermobility, the pain is more in the evenings and there is no early morning stiffness. On examination, children with arthritis have joint swellings and children with hypermobility have joints that are very supple and typically have no swelling. The latter is common and is usually of no significance.

  8. #58
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    Does my child need a growth supplement?


    Q. I have a 1-year-old baby girl. Her height is 50 cm and weight is 7 kg. I'm really worried about her weight. A paediatrician prescribed Mosegor syrup to be taken thrice a day. On opening the syrup bottle we found a pamphlet inside which said that it is not for children under two years of age. Is this true? Earlier, she was taking Heraclene but only once a day.

    A. I would strongly advise you against giving your child any of the two medications, Heraclene or Mosegor. From the information given by you, your child's length at present age of 1 year and 3 months is only 50 cm. I doubt very much if it is correct. Fifty cm is the normal length of a new-born baby. If it is correct, your child needs a thorough evaluation for such a short stature. My concern would be a lot more for length than weight.

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    What is the treatment for chronic renal failure?


    Q. My father is 49 years old. He is in the fourth stage of chronic renal failure. In the beginning, his feet got swollen and we met an orthopaedic surgeon. The doctor gave a high dose medicine. After this he suffered a kidney failure. My father was advised kidney transplantation, but due to financial problem we were unable to get it done. My father has high BP, too. The doctor said that the kidney failed as my father was not taking his BP medicines properly. My father is undergoing dialysis for around two years now. He has a lost a lot of weight. Now, he is also getting a lot of cough. Please advise a line of treatment for my father's condition.

    A. From the details that you have provided, it appears that your father is suffering from advanced stage of chronic renal failure. He has been on dialysis and now he needs a kidney transplant.

    In such a situation, it is not uncommon that patients develop water accumulation in the tummy and there is a state of fluid overload, which gives rise to breathing difficulty. The treatment for this is dialysis wherein the extra water in the body is removed. I think that you should remain in constant touch with your nephrologist who is the right person to guide your father's treatment.

  10. #60
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    Do I need a surgery for treating heartburn?


    Q. I am 25 yeas old. I am suffering from acidity since the last three months. I am having severe heartburn. I underwent endoscopy and the report was negative. The doctor prescribed Nexpro 40 mg. How long do I need to undergo this treatment? I have never encountered such problems earlier. My company physician said that I could go for a surgery for cutting the nerve that produces acid cells. Is surgery required? Nobody in my family and distant relatives had (or have) this problem. Please suggest a line of treatment.

    A. The symptoms that you have described are suggestive of gastroesophageal reflux disease (GERD).

    In most patients, good symptomatic relief can be offered with medications and lifestyle modifications. Sometimes there is a component of anxiety that further aggravates the symptoms. For this, the patient needs thorough counselling and sometimes anxiolytics to calm the nerves. I do not think that surgery is the right option in a young adult like you.

    Do follow dietary precautions such as avoiding hot and spicy food, avoid oily and fried foods, consume small frequent meals, avoid all cola beverages, and avoid smoking and alcohol.

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