Epilepsy and clinical neurophysiology

Questions
Doctors

Doctor my mother aged 63yrs have DVT. When scanned the report says following; 1- grey scale imaging shows enlarge diameter of Common Femoral Vein (CFV) & Superficial Fomoral Vein (SFV). 2- Color Doppler reveals non-fillilng of external lilac vein on the left side. Partial filling of colour is seen in the left CFV & SFV. The Popliteal vein does not show any colour filling. The Peroneal and Posterior Tibial veins are filling with the colour. Anterior tibial vein could not be identified on colour Doppler. 3- Doppler imaging shows mid respiratory plasticity in CFV. There is very poor Response to distal augmentation in the CFV. 4- Great Saphenous vein is Patent. IMPRESSION- Deep vein thrombosis in lower limb involving External lliac vein, CFV,SFV & Popliteal vein, and possibly Anterior Tibial Veins. There is partial recanalisation of CFV & SFV. Posterior Tibial and Peroneal veins are patent. Suggested clinical correlation. Scan copy added to the medical record in the profole. that the above is the report of the radiologist now what medicine you prescribe ,how to take and when to review the report? .whether the same will be cure or the patient should be in medicine for life long,what are the immediate risk?

Hi, The Doppler examination shows a thrombus in the deep veins with partial recanalization. This suggests that the thrombus is of a chronic nature. The Doppler can be repeated after one month of treatment to see residual thrombus. We do not provide any prescription. For this you have to visit an internal medicine specialist. Feel free to ask more questions. ...

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89 year old mother with history of epilepsy, breast cancer, peripheral neuropathy, arthritis, atrial fibrillation, anxiety; was recently diagnosed with lung cancer. Biopsy results not in yet. Miracle drug out there somewhere?

Hello, Let the reports of biopsy come in, only then various treatment options can be considered. Rather than hoping for miracle, treatment should be considered based on scientific evidence and rationale. ...

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Dear doctors, I am a research scholar and working on signal transduction studies and regularly use several irritants and ion channel blockers. I am suffering from excess keratosis on palms and soles and some times deep painful fissures from almost two years. It was started as a small thickening patch an left arm and recovered after treatment with moisturizing creams. After that I went to Japan as part of my research programme and one nurse given me creams with anti-fungal compounds and urea but the problem was enhanced and started the deep fisures on my soles. I came back to India and used homeopathy medicine for one weak and after that i visited a doctor. He suggested me to apply lemon juice trice daily and use vitamin C along with high doses of antifungal tablets and creams. I used this medicine for 6 months which further worsen my situation and my skin became very thick and appeared like toe nails and spread-ed to all areas of palms and soles. I changed the doctor and he given me the isotretinol for 2 months and given vitamin A and D combination for 4 months which improved my condition alot. Now I am taking a dosage of 6000 IU Vit A and 1000 IU Vit D once for every 3days. Whether I will completely relieve from my problem with these medicines or is there any permanent recovery in ayurvedic?

U had allergic dermatitis problem this might be psychosomatic disease. . Cause are both external allergies chemicals etc internal weakened immunity changed blood composition nutritional deficiency etc. U Need proper ayurvedic treatment diet suppliment and even counselling. We have very good medicines and suppliments for ur problem. For more information call or what's app me on this site : nine five three five four two zero seven seven zero. thank u ...

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It is my contention that rheumatoid arthritis is either caused by a potassium deficiency or is greatly enabled by one (Potassium in the etiology of rheumatoid arthritis and heart infarction. 1974 Journal of Applied Nutrition. 26; p40. ) (Potassium deficiency as a cause of rheumatoid arthritis. 2000 Townsend Letter for Doctors and Patients. 208; 74-76. ) ( http://charles_w.tripod.com/arthritis.html ). Dr. Reza Rastmanesh has performed a clinical trial that establishes this (Rastmanesh R. 2008 A pilot study of potassium supplementation in treatment of hypokalemic patients with rheumatoid arthritis: A randomized, double-blinded placebo controlled trial. The Journal of Pain. 9, issue 8; 722-731. ). Potassium should be automatically prescribed for rheumatoid arthritis because getting potassium up to normal from the low values in all RA patients (LaCelle PL et al 1964 An investigation of total body potassium in patients with rheumatoid arthritis. Proceedings Ann. Meeting of the Rheumatism Association, Arthritis & Rheumatism 7; 321 ) (Sambrook PN, Ansell BM, Foster S, Gumpel JM, Hesp R, Reeve J, Zanelli JM 1985 Bone turnover in early rheumatoid arthritis. 1. Biochemical and kinetic indexes. Ann Rheum Dis. Sep;44(9):575-9. ) is slow, even with a high unprocessed vegetable diet. There are tasty foods that are especially rich in potassium ( http://www.rheumatoidarthritisprogram.com/potassium-and-ra/ ). However it is important that thiamin (vitamin B-1) be adequate when supplementing with potassium because heart disease can not materialize when both are deficient, but will show up if only one of those is deficient (http://charles_w.tripod.com/kandthiamin.html ). This is probably the primary reason why heart disease is a main cause of death in rheumatoid arthritis patients. In view of the fact that this is not considered by current rheumatologists, it would be very valuable for you to bring it into your future research. It is not only that potassium is not considered by physicians in regard to RA, most of them do not even believe that a potassium deficiency is likely. This even though many of them prescribe what are actually supplements, but prescribed under euphemistic terms such as salt substitutes, sodium free baking powder, ORT salts (oral rehydration therapy for diarrhea), polarizing solutions, GIK (glucose, insulin, potassium) salts, vegetables, or glucosamine. A deficiency is further defined out of existence by defining the blood serum content normal as 4.2 when the actual figure is 4.8. Sincerely, Charles Weber 828 692 5816 PS You may find interesting an article that presents the history of arthritis research in http://charles_w.tripod.com/arthritis2.html

hi there is no RCT that food can affect Rheumatoid arthritis. ...

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Hi I was wondering if you can have rhinoplasty if you have epilepsy

Hi Leanne24, Yes you can have rhinoplasty done. You need a proper pre operative work up regarding the cause for your epilepsy and you will have to be under antiepileptic medications before and for a few weeks after the procedure. But those are the things your surgeon and anaesthetist will discuss examine you and your records and then do the procedure. If everything is in order then no reason why a rhinoplasty cant be done under proper medical treatment and antiepileptic medication cover. Plea ...

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Hi. I already asked a question before. I got reply for that and got expired. So i mentioned below my before question and reply:- Hi. i feel my nerves are weak. i'm 25 yrs old. My hands shake when i do some activities like when i take a tea cup my hands shake. When i'm drinking it slowly my hands shake. I feel very shy and afraid infront of everyone. I cant hold the pen and write normally as others do. I hold my pen very tight with my fingers and write. Then when i go in a bike, when i go in some speed i'm ok. When i go in a dead slow my hands shake. I feel more nervous when i stand in front of everyone. I also feel mild nerves pains in my legs and hands all the time. I'm about to marry in a year or two. I dont know why i get this. Is this occur due to i masturbate often? Is it curable? Can i get my nerves strong and hands without shaking? I'm not able to tell this to my parents. I'm very much afraid of this sir. Pls help me.. Reply for this:- Hi, First of all would like to clarify that it is not due to masturbation , it depends upon the cause whether it is curable or not. Do you feel any kind of numbness or any kind paresthesia in your hands or legs. Since how long are you having this problem and also describe in detail whether you are facing any other symptom or not and whether it was all of a sudden or the symptoms you are facing devloped gradually. Any problem in urine or dafecation ? Any history of trauma and is this pain bilateral or unilateral ? Any history of hypertension and diabetes ? You can get serum electrolyte level and vitamin d3 levels chceked in blood right now and also give me the awnser to above queries i asked you and then will let you know whether any other investigation is required or not. Would recomend you to have plenty of water and high protein diet and also one tablet of neurokind plus daily. My reply:- Yes i feel kind of parasthesia in my hands and legs. Actually i want to share a thing. I had laser surgery for my eyes before 2 years. That time doctor said my nerves are somewhat weak. May be its a family gene problem which could've occured for any others in your family. Anyway its not a problem for this surgery and they done it. I too okay with my eyes. As doctor said generally i feel nervous often. But last 6 months i feel kind of tickling or tingling in my hands and legs. I feel some like burning in my leg limbs. Others say all this occurs due to over masturbation. Help me..

Hi, Yes that much is ok no problems. ...

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Dear Sir / Mam....Help me please to solve my problem of hair attraction. Here I am want to tell you real and interesting story of my attraction of girls hair. Its happened with me in past. I am hair fetish. It starts when I was 14 years old. A girl about 20 years old was leaving near to my house. She has long and beautiful hair. Her hair length is up to her waist and her hair so smooth and silky. Whenever I saw her hair, I attracted to her beautiful hair and suddenly my penis is become tight. One day I went to her home for some work, at that time she was making her ponytail, my god itâ€™s nice to see her making ponytail, when I saw suddenly my penis tight, then after finishing her ponytail she goes to another room then I just saw her hair in her hair brush then I catch all hair in hair brush and came back to my home with that bunch of hair. I make round shape of that bunch of hair, because they going here and there. Then I so excited that I got bunch of her hair. Then first I smell that bunch of hair (BOH). My god itâ€™s so nice smell of that BOH. A clinic shampoo smell is coming from that BOH. Itâ€™s so nice feeling for me. When I touch her BOH then I feel her hair is so smooth and silky. Then I slept on bed in opposite direction and playing with that BOH, while playing that BOH, I was moving my penis here and there and I feel so nice at that time. Then my attraction of her BOH is going so strong thatâ€™s why I am going to eat that BOH, I took BOH in my mouth and trying to eating it. While playing, smelling, eating with that BOH I continuously moving my penis here and there. Then after some minutes my semen was ejected. Suddenly my attraction of that BOH is zero. Then I thought what I am doing, I am eating hair? Itâ€™s bad for my digestive system and harmful for my heath. Then I remove that BOH from my mouth and thrown into dust bean. Then next day I was thinking why I thrown that BOH into dust bean. Now what I do, my attraction towards her hair is going to strong. Then I went to her home for searching her BOH, and then I got it. But that BOH is now fresh, that BOH is 2-3 day old. I catch it and came back to my home. I took smell of that BOH but there is no good smell, but that BOH was bad smell like bun of hair. You know why that bad smell is going from that BOH, because that BOH in 2-3 day old and sunlight affected to that BOH. At that time I canâ€™t do masturbation on that BOH. But I am trying to searches fresh BOH. Sometime I got fresh BOH sometime I not. When I got fresh BOH then I did masturbation on that when I not then I didnâ€™t. Then I got new idea for hair masturbation that is when I didnâ€™t get hair then I just record long hair video and images in my mind. When I didnâ€™t have hair for masturbation then I used that recorded video and images which in my mind, means I didnâ€™t imaginary hair masturbation. I first saw all long hair girls which in my area and save their long hair videos in m mind. Then at the time of masturbation I used that recorded videos of hair. I just imagine that I smell play and eat that girlâ€™s hair and did masturbation on it. One day I saw a girl which was leaving near to my house and have nice hair, she cut her hair up to 4-5 inches. I was so sad but I am trying to search that hair pieces. Near to her house there was no girlâ€™s beauty parlor. That girl has one another sister which have also long and sexy hair. Then I thought I think she cut her hair at home with help of her sister because no beauty parlor in our area, and I was right I found her hair pieces, my god it was so nice and fresh. Clink plus shampoo smell was coming in that hair pieces. I am so excited I collect all hair pieces and came back my home and did 2-3 time masturbation on that hair pieces. Then I burn all hair pieces I donâ€™t know why I did this but I burn all hair. Then I am so sad because I donâ€™t have her hair pieces. I asking myself why I burn her hair. Then I went to another city for next education, I was leaving with my roommate, he is working in private company. Near to my room there are near about 6-7 ladies beauty parlors. One beauty parlor has open window means you can see from road girlâ€™s hair cut and their treatment. I always watch how girls cut their long hair and suddenly my penis getting tight while seeing their hair cut. I try to get that cut hair. One day I was wondering from one beauty parlor that beauty parlor is closed and outside that parlor then is one carry bag. I just thought definitely girls cut hair pieces in that carry bag. Then I tried to catch that carry bag. I woke up at 2.30 AM then went to that parlor at that time no one was there. Then I collected that carry bag and hide in my room. Then my room partner goes to his job then I open that carry bag and my god I was right there are lots of girls hair pieces, like 8-9 inches, 5-6 inches, 2-3 inches. I am so excited and suddenly my penis became tight. Then I just took smell of all hair pieces my god that hair was so fresh and smell was so nice. Some hair pieces has dove shampoo smell and some has different, but smell was good. Some hair pieces were wet. First sort all hair pieces according their type and did 2-3 times masturbation on that. I have one bad habit whenever I got hair pieces I did masturbation 2-3 times and thrown into dust bean. Now I donâ€™t have any hair pieces still I got neat about 10-15 times hair pieces but all hair pieces I thrown into dust bean after 2-3 masturbation. I have got lots of time BOH (Bunch of hair) but I thrown all BOH into dust bean after one masturbation. Now I came back to my home here there is no one beauty parlor so now I am doing hair masturbation on facebook videos, photos and imaginary videos and photos. A girls which is leaving near to my house is getting married and now is not here so now I donâ€™t have BOH (Bunch of Hair), Hair pieces. I have options for hair masturbation is facebook hair videos and photos also imaginary hair videos and photos. I can't control my sex emotions about hair....please understand me...When I saw beautiful and long hair photos and videos then suddenly my penis tight and want masturbates on that photo and videos ..please understand ..I can't control of this...how Can I control this ...help me ...please......

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Endometrial Hysteroscopy Patient Dear Sir, With reference to the above mentioned subject I want to inform you that I was undergone an operation of Endometrium Hysteroscopy on 24th July 2014 and admitted in Nursing Home for 2 days. My clinical symptoms were irregular bleeding, Clotted black blood, and severe pain in lower abdomen and back. My Endometrium Biopsy revealed: 1) Disordered proliferative endometrium and 2) No evidence of endometritis or granuloma or atypia; Type of sample - ENDOMETRIUM KOCH'S; Mycobacterium tuberculosis Complex - Not Detected Non tuberculous Mycobacteria - Detected After operation I experienced bleeding before Period, till August 11. After that, my heavy period persisted for another 10 days (upto 20th August). Presently I am under medication of Cabgolin 0.5 and already completed course of Krimson 35. On 6th of September my period was started suddenly and continued for 8 days upto 14th September. Today suddenly I felt severe pain in lower abdomen, back and legs with clotted smelly blood (black colour) again. I am worried. Please suggest what should I do.

Hi, are you looking for treatment in India? ...

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Dear Doctor, Kindly go through this lengthy letter to you with patience and kindly advise me proper advise to clear my mind . I am 72 year old male from India and strictly Vegetarian.I am not sedentary type and walks 4 Â½ km every day in the morning and always active. IHD and BP and TYPE II DIABETES I have had IHD (T wave inversion) in the year 1977 and mild hypertension in 1981. DIABETES IN 2010. The doctor who has attended then on me prescribed Aten 50 in 1977. Since then I have been using Aten 50 in one form or other like Aten 50/Atenlol/Stamlobeta. 37 long years have passed with out any problem with either of these two conditions . My BP is quite normal 120/80 and some times 110/70 and some times on very few occassions 140/80 or 90 and my pulse rate will be around 58 to 65 most of the time . My BP on the day of the visting my physician is 140/80 as on 12th dec 2014. My diabetes is under control and am taking glycomet 250 mg twice a day. The attending physician who is an MD has prescribed Cresar 40 mg (Telmisartan) and asked me to stop taking Stamlobeta 50 mg which i am taking from 2006 and further said since i am using this Amlodipine combined Atenlol ,its time to change the medicine and Cresar will also take care of the diabetes and kidneys and heart (IHD) besides BP. As on 12th july 2014 my Lipid profile is very normal. Cholestrol 123 , Tryglycerides 141 ,HDL 53 and VLDL 23. Kindly advise on the following. 1. Since I am taking Stamlobeta since 2006 and prior to that Aten 50 from 1977 to 2006., do I have to taper stamlobeta dosage besides taking Cresar 40 mg? 2. Do i have to continue taking Stamlobeta in small dosage along with Cresar 40 mg?.If so in which dosage do I have to take? 3.Is cresar 40 mg safe for IHD patients also? Please do not form the impression that i have no confidence in my Physician. But i have a tendency to go for second opinion on new drugs before starting a new one. I do not blindly or in hasty manner take any new medicine .Hence I require an expert advise in the matter on the following. If you require any further info, kindly advise me. sincerely somayajulu

Hi, Cresar medication is not only safe for IHD patients but also is beneficial, and it really takes care of kidney, protects kidney from diabetic damage. if your blood pressure allows you can take both Cresar 40 and Atenolol 25 mg once daily ...

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I hav a pcod and from 2003,2005,2015 epilepsy attack .in 2013 i conceived but after 4 month bleeding started.and miscarriage.but in 2015 epilepsy attack my medicine started for epilepsy.plz guide me.

You should definitely still take your anti-epileptic drugs. Stopping your medication will be detrimental. Your seizures will be uncontrolled. When you become pregnant, you should consult immediately your obstetrician and your neurologist so that your epilepsy drugs will be shifted to that which is safer for pregnant women. ...

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