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Clear aligner

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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...

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Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...

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I've been recommended to have a wisdom tooth pulled because it has long roots and is near a nerve (and artery?). I'm living in South Korea so it's hard to understand exactly whats up. If this is the case, is this an emergency or could I wait 6 months until I'm back in the USA to clear it up.

Hello there, First of all let me assure you that whenever any doctor inspects a patient, he or she will usualy recommends a procedure which is in the best interest of the patient on a longer run, this is also known as an ethical approach & practice(This totally depends on the doctors practice, individually). Secondly as you have mentioned there is no pain in the wisdom tooth, there may not be an immediate nerve involvement for that tooth but there is a certain possibility ...

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how much it cost for applying ceramic or clear braces in teeth in mumbai

Dear friend there are 2 type of braces one is metallic and ceramic both braces are same except colour.every dentist has there own charges it may start from 25 to 45 thousand . ...

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I need a clear definition about that and need a solution for the following lines. Umbilical cord loops seen at back of the neck

Hi, There is a part inside the female uterus which devlops during pregnancy known as placenta that derives nourishment from the mother and hence supplies nourishment to the baby by the cord know as umblical cord. Now at times the cord rolls around the babies neck and this can be considered a little high risk delivery and the doctor would be cautious during your delivery that umblical cord should not stretch much as that can cause compression of neck of fetus which can be dangerous for the fetus ...

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Am 21yrs old female.. I had lasik surgery (myopia) two months ago, still my vision not perfect.. Not able to see longer. If i put my drops vision will clear for a minute, again back to unclear.

Hi, What did your doctor say about your result? You could read upto which line on vision chart (say 20/20, 6/6). From your description , it seems your eyes are going dry frequently. This is a known side effect of LASIK surgery. However, it is usually not very serious, the condition is likely to improve gradually, may take several weeks. Until then, lubricant eye drops instilled in the eyes on an 'as needed' basis can help. You can also use lubricant gels just before going to bed. ...

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Dr. Opinder Singh Thind

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