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Investigation

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1 Answer

Our baby is 7weeks old.One day we sow on our baby buttom these blue marks,we call to the hospital straightaway,they ask us to bring her to the hospital.These bruises a really large on both buttocks,we never harm our baby.After few hours me and my husband were arrested for child cruelty,now its been 4weeks and our baby is in foster care while they do investigation.Its heart breaking,we have no idea how these bruises emerged in the first place,could it be these birth marks that everyone is talking about?but she is white skin,we both from eastern europe.Police took her infant baby bath,cous we told them it my be cous of the bath.Any advise or anything that could help us please?we try to get help for her and look whats happend,i never imagen in a million years they can do this.thanks

Hello, I'm really sorry to hear about what happened. Well babies often have spots known as Mongolian Spots on the lower back and buttocks. These spots are usually present at birth but can develop even afterwards in the first week of life. These spots are harmless and disappear over a few months to years and no treatment is required. The medical name for the problem is Congenital Dermal Melanocytosis. Here is a link with more information regarding Mongolian spots: http://en.**url**/wiki/Mongoli ...

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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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i had a perianal abscess operation around 5 weeks back. I have been off antibiotics and the regular dressings for around 10 days. However, I still have pain around that area as well as regular little discharge of pus from the wound. . The histopathology report mentioned the following: Nature of Material received: Left perineal abscess wall Gross description: Received a single greyish brown congested irregular ring 1.7 x 1.5 x 1 cm Microscopic description: Biopsy shows fibrosis in skeletal muscle and adipose tissue. One of the fragments shows a sinus tract with a foreign body type granuloma The discharge summary was as follows: Diagnosis Left perianal abscess + Left middle finger abscess Presenting Complaints: Left perianal abscess + Left middle finger abscess incision and drainage Patient had fever since 3-4 days Condition on admission: O/E-GC: T: Afebrile at admission P: 80/min RR: 20/min BP: 120/80 mmHg Pain + S/E: CVS: NAD RS: NAD P/A: NAD Treatment given during hospitalization: Inj. Metrogyl Inj. Formic Inj. Perfalgan Inj. Pantop Inj. Emeset Inj. Tramadol Course of hospitalization: Uneventful Pus c/s (Perianal abscess) E-coli, ESBL producing sensitive to augmentin Investigation reports: Hb: 14.2 WBC: 14700 - (N) 80 Plt: 158 RBS: 95.5 Condition at discharge: O/E-GC: T: Afebrile at admission Pain at operated site P: 89/min BP: 120/80 mmHg S/E: CVS: NAD RS: NAD P/A: NAD Treatment at discharge: Augmentin 625 mg 1-1-1 Zorno 200 mg 1-0-1 Voveron 1-0-1 Pantop 1-0-1

Hi, If you still have pain and pus discharge around that area then , either the infection is there again because it was not cleared properly( the pus drainage was not done properly ) or either it might have formed again because you might be having some co exsistent problem which probably went un diagnosed . Are you a diabetic ? Any other problem you might be having or any disease treatment you might have taken for pretty long in past ? Treatment givento you otherwise medically was fine no pro ...

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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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1 Answer

i had a perianal abscess operation around 5 weeks back. I have been off antibiotics and the regular dressings for around 10 days. However, I still have pain around that area as well as regular little discharge of pus from the wound. The histopathology report mentioned the following: Nature of Material received: Left perineal abscess wall Gross description: Received a single greyish brown congested irregular ring 1.7 x 1.5 x 1 cm Microscopic description: Biopsy shows fibrosis in skeletal muscle and adipose tissue. One of the fragments shows a sinus tract with a foreign body type granuloma The discharge summary was as follows: Diagnosis Left perianal abscess + Left middle finger abscess Presenting Complaints: Left perianal abscess + Left middle finger abscess incision and drainage Patient had fever since 3-4 days Condition on admission: O/E-GC: T: Afebrile at admission P: 80/min RR: 20/min BP: 120/80 mmHg Pain + S/E: CVS: NAD RS: NAD P/A: NAD Treatment given during hospitalization: Inj. Metrogyl Inj. Formic Inj. Perfalgan Inj. Pantop Inj. Emeset Inj. Tramadol Course of hospitalization: Uneventful Pus c/s (Perianal abscess) E-coli, ESBL producing sensitive to augmentin Investigation reports: Hb: 14.2 WBC: 14700 - (N) 80 Plt: 158 RBS: 95.5 Condition at discharge: O/E-GC: T: Afebrile at admission Pain at operated site P: 89/min BP: 120/80 mmHg S/E: CVS: NAD RS: NAD P/A: NAD Treatment at discharge: Augmentin 625 mg 1-1-1 Zorno 200 mg 1-0-1 Voveron 1-0-1 Pantop 1-0-1

hi bobby, your perianal abscess surgery would take atleast 2-3 weeks to heal and slowly the soreness and pain will come down day by day as the wound heals. regular dressings especially after motions is the key to successful healing. The very fact that your pus c/s report mentions E.coli, I just want to make you aware that these bacteria are from the large intestine. The basic question is from where did the bacteria get into the perianal area?? the answer is that there is a small hole in the anus ...

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1 Answer

Dr. Ramesh Madan

  • Internal Medicine
  •  New Delhi, India
  •  525 Doc Points

Dr. Vivek Nair

  • Dermatologist
  •  Gurgaon, India
  •  844 Doc Points

Dr. Pravin Gore

  • Colon and Rectal Surgeon
  •  Mumbai, India
  •  474 Doc Points

Dr. Alok Kalyani

  • Rheumatologist
  •  New Delhi, India
  •  455 Doc Points

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