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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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I have braces and there is a tiny bit of my gum that is resting on my front tooth! I tried pulling it with twissors but it really hurts. Will it fall off? What should I do? Thanks

Dear Patient, Do not try to pull or remove the extended gum tissue all by yourself because an innocuous looking thing may lead to complication. The gum tissue it appears may be due to irritation of the gum with ortho wire or brace. It wont fall by itself but can easily be removed after using an anaesthetic spray by a Dentist. Please revisit you dentist and avoid future complications like laceration and in long run, aesthetics ...

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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 want to got for braces. Doctor advised to go for braces with tooth extraction and the duration is 18 months. Cant I go for 1 year braces

Braces treatment should be done with minimal forces on teeth so that there won't be any problems like bone loss or root resorption or mobile teeth or fenestration so please opt for longer duration braces treatment . ...

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I was prescribed betnovate for blackness under my eyes and as soon as i stopped, my cheeks were full of rashes and red bumps, then a dermatologist advised me momate. i have used for 4 years and it used to give me clear skin but now i want to stop using these steroids as i start getting rashes the moment i stop using them. From past 1 week i am facing the side effects of momate, my face is full of rashes and little red bumps. i know i used it for pretty long time now but please give me permanent solution to get rid of these steroids. My face is looking very ugly, please help me. Thank you

Hi again, Yes this is fine. The skin does dry and flake as it recovers from any inflammatory event like an anceiform eruption. You can use a bland moisturizer like Cetaphil cream for the dryness if you like and use a soap free face wash like Cetaphil-OS face wash. All the best and regards! ...

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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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Until 2007 when I first began taking medication to treat headaches caused from a brain tumor, did I have any major tooth problems. But in 2009 when I started having seizures and had to begin anti-convulsant medication, did I have problems with my teeth. Although, My dental care began at age 6 when my gums reseeded and braces were required, never pulled a tooth due to undisolved roots, various oral surgeries to pull teeth to there appriate places.

Medication used for seizures can cause gum overgrowth (gingival hyperplasia), but now a days with advent of Lasers, the treatment modality as improved saving time and is an absolutely painless procedure. ...

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