Mouth Ulcers
Time asked: 15 days and 9 hours ago Offer Value: $0 Question i have a 2year old daughter,whos symptons are,persistant mouth ulcers,tiredness,complaining of feeling cold all the time,stomach pains,,alongside sore throats,temperature,swollen glands in neck,,,any Details i have a 2year old daughter,whos symptons are,persistant mouth ulcers,tiredness,complaining of feeling cold all the time,stomach pains,,alongside sore throats,temperature,swollen glands in neck,,,any ideas to what could be wrong? Submitted by missyrogue Comment by aperez1988 (Dr. A. Perez, Doctor) Details Hello Missy,
I know this is going to sound weird but next time ur daughter is brushing her teeth make sure she doesn\'t swallow the toothpaste and that she is thoroughly rinsing her mouth. I think shes having an re-action to the fluoride in the toothpaste.
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Depo-Provera Problem
Question I have been on depo provera for a year and have not had a period since my first injection.I have decided not to continue the shot so My last injection was in November and still have not had a period. Details I have been on depo provera for a year and have not had a period since my first injection. My last injection was in November and still have not had a period. I am having abdominal pain and feeling tired so could there be a chance that I am pregnant or is this the medicine withdrawing from my system? Comment by aperez1988 (Dr. A. Perez, Doctor) Details Marissa,
Sounds like withdraws. Doubtful of pregnancy.
Depo-Provera can affect menstrual bleeding. After a year of use, 55% of women experience amenorrhoea; after 2 years, the rate rises to 68%. In the first months of use \"irregular or unpredictable bleeding or spotting, or rarely, heavy or continuous bleeding\" was reported
While it has long been known that Depo-Provera causes bone loss, it has recently been discovered that the osteoporotic effects of the injection grow worse the longer Depo-Provera is administered, may remain long after the injections are stopped, and may be irreversible. For this reason, on November 17, 2004 the United States Food and Drug Administration and Pfizer agreed to put a \"black box warning\" on Depo-Provera\'s label
n the largest clinical trial of Depo-Provera, the most frequently reported adverse reactions (which may or may not be related to the use of Depo-Provera) were: menstrual irregularities (bleeding or amenorrhea or both), abdominal pain or discomfort, weight changes, headache, asthenia (weakness or fatigue), and nervousness. Other, less frequently reported adverse reactions are listed in the patient and physician label information for Depo-Provera
Hope this helps,
Dr. Perez
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Vomiting Black blood
Question Vomiting Black (blood?) Details Yesterday 3/26 at 1am I woke up with sever stabbing stomach pains. I started vomiting and having liquid diareah. I was up all night in the bathroom. At 1pm I took my temp and it was 99.1 by 5pm it was 102.1, with a fever reducer. I couldn't keep any liquids down at all. I went to bed and was able to sleep all night. I woke up this morning and felt alot better, still having nausea and diareah. Well at about 7pm I started feeling better and ate something, I took about 3 or 4 bites and went and threw up what I ate and about half a cup of black liquid. I can keep down water and don't have a fever anymore, I don't know if I should go to the doctor. I am fairly sure I have salmonella because I recently got a reptile, but have read they do not treat salmonella in healthy adults(I am 23) Answer by aperez1988 (Dr. A. Perez, Doctor) Details Susan
I recommend you read this article.
http://www.webmd.com/food-recipes/food-poisoning/tc/salmonellosis-topic-overview?page=2
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Menstration Problem
Time asked: 13 days and 10 hours ago Offer Value: $0 Question Menastration Details I am 38 years old and have been getting my period every two weeks for the last 2.5 years. I have taken different oral contraceptions since I was 17 and have been off for at least 2 years. I don't want any children and I also take tegretal for seizures. I have asked my doctor why this is happening but hasn't come up with an answer. Can you help me out. It is getting really annoying and want it too stop. Comment by aperez1988 (Dr. A. Perez, Doctor) Details Hi!
It is extremely common for women to have an usual cycle every now or then. But for 2.5 years...
I would chalk it up to be stress. If it starts to become a pattern that you bleed every two weeks, then it is time to check in with your gynecologist
. Even then it is much more likely to be a hormonal problem or polyp than cancer. So risk that this is cancer is close to zero! Or possibly... HIV of some type?
Good luck!
Dr Perez
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Old Head Trama Giving you problems?
Time asked: 8 days and 7 hours ago Offer Value: $0 Question I had a slight head trauma a month ago from falling. I had a 4 inch laceration above my right eyebrow extending upwards that required 4 stitches. While the numbness is starting to go away around the a Details I had a slight head trauma a month ago from falling. I had a 4 inch laceration above my right eyebrow extending upwards that required 4 stitches. While the numbness is starting to go away around the area, I still have a bump on the corner of my brow and sensitivity surrounding the laceration. I have also recently experienced extreme diziness over the past few weeks. Is this all related to my PCS? Should I be concerned? What can I do to make the diziness go away? Comment by aperez1988 (Dr. A. Perez, Doctor) Details Melbour,
Id recommend taking a multi-vitamin daily. The numbness should go away in time, injuries can take up to a year to heal. Give it time and take those vitamins.
Hope this helps,
Dr. Perez
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Teenage Acne
Time asked: 7 days and 10 hours ago Offer Value: $0 Question I'm a teenage boy who has acne problems every now then. I don\'t have a huge issue with it but I do have a moderate amount of small and mostly unseeable acne unless someone is close to me. But I do ge Details Again, if there is any easy treatmwnt for my acne, then please mention whatever it is. thank you Comment by aperez1988 (Dr. A. Perez, Doctor) Details Tknoppe,
Id recommend just a basic acne treatment, possibly pro-active? or skin-id. They are decently priced and you can purchase them over the counter. If your looking to not spend money, than id recommend just washing your face two times a day once in the morning and once at night. Use only warm water, dont use anytype of soaps. They can irritate or clog your pores.
Hope this helps,
Dr. Perez
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Genital Warts
Time asked: 7 days and 1 hours ago Offer Value: $0 Question what is the most effective way to rid yourself of genital warts? Details i have these funny bumps over my vagina, they sometimes bleed and i think i might have genital warts. they are in small clusters and have cauliflower like heads. Comment by aperez1988 (Dr. A. Perez, Doctor) Details farmers,
Genital warts (or Condyloma, Condylomata acuminata, or venereal warts, also anal wart or anogenital wart) is a highly contagious sexually transmitted infection caused by some sub-types of human papillomavirus (HPV). It is spread through direct skin-to-skin contact during oral, genital, or anal sex with an infected partner. Genital warts are the most easily recognized sign of genital HPV infection. They can be caused by strains 6, 11, 30, 42, 43, 44, 45, 51, 52 and 54 of genital HPV; types 6 and 11 are responsible for 90% of genital warts cases.[1] Most people who acquire those strains never develop warts or any other symptoms. HPV also causes many cases of cervical cancer; types 16 and 18 account for 70% of cases.
Genital warts often occur in clusters and can be very tiny or can spread into large masses in the genital or penis area. In women they occur on the outside and inside of the vagina, on the opening (cervix) to the womb (uterus), or around the anus. They are approximately as prevalent in men, but the symptoms may be less obvious. When present, they usually are seen on the tip of the penis. They also may be found on the shaft of the penis, on the scrotum, or around the anus. Rarely, genital warts also can develop in the mouth or throat of a person who has had oral sex with an infected person.
The viral particles are able to penetrate the skin and mucosal surfaces through microscopic abrasions in the genital area, which occur during sexual activity. Once cells are invaded by HPV, a latency (quiet) period of months to years may occur. HPV can last for several years without a symptom.[2] Having sex with a partner whose HPV infection is latent and demonstrates no outward symptoms still leaves one vulnerable to becoming infected.
Gardasil (sold by Merck & Co.) is a vaccine that protects against human papillomavirus types 16, 18, 6, and 11. Types 6 and 11 cause genital warts, while 16 and 18 cause cervical cancer. The vaccine is preventive, not therapeutic, and must be given before exposure to the virus type to be effective, ideally before the beginning of sexual activity. The vaccine is widely approved for use by young women, it is being tested for young men,[3][4] and has been approved for males in some areas, such as the UK.
There is no cure for HPV, but there are methods to treat visible warts. Genital warts may disappear without treatment, but sometimes eventually develop a fleshy, small raised growth. There is no way to predict whether they will grow or disappear.
Depending on the size and location of the wart, and other factors, a doctor will offer one of several ways to treat them.
* Imiquimod (Aldara) a topical immune response cream, applied to the affected area
* A 20% podophyllin anti-mitotic solution, applied to the affected area and later washed off
* A 0.5% podofilox solution, applied to the affected area but not to be washed off
* A 5% 5-fluorouracil (5-FU) cream
* Trichloroacetic acid (TCA)
* Pulsed dye laser
* Liquid nitrogen cryosurgery
* Electric or laser cauterization
* Condylox
* sinecatechins (Veregen) also Polyphenon E: ointment made of several green-tea-extracted catechines and other components. Mode of action is undetermined.[5] It is FDA-approved but very expensive.
Podophyllin and podofilox should not be used during pregnancy, as they are absorbed by the skin and could cause birth defects in the fetus. 5-fluorouracil cream should not be used while trying to become pregnant or if the person taking the medication could be pregnant.
Small warts can be removed by freezing (cryosurgery), burning (electrocautery), or laser treatment. Surgery is occasionally used to remove large warts that have not responded to other treatment. Warts found inside the urethra for men are usually the most difficult to treat, however it is possible to do so.
Some doctors inject the antiviral drug interferon-alpha directly into the warts, to treat warts that have returned after removal by traditional means. The drug is expensive, and does not reduce the rate that the warts return.[citation needed]
Although treatments can remove the warts, they do not remove the HPV, so warts can recur after treatment. Traditional theories postulated that the virus remained in the body for a lifetime. However, new studies using sensitive DNA techniques have shown that through immunological response the virus can either be cleared or suppressed to levels below what PCR tests can measure. [2] According to the Center for Disease Control\'s report on HPV to Congress in 2004, studies have shown that 70% of new HPV infections clear within one year, and as many as 91% clear within two years. The median duration of new infections is typically eight months. The gradual development of an effective immune response is thought to be the likely mechanism for HPV DNA clearance. The state of the immune system determines the chances of removing the virus entirely and can be affected by factors such as HIV infection, certain medications, stress, or illness.[3]
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