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Multi-minicore disease Questions

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MD-Ayurveda, Bachelor of Ayurveda, Medic...read more

Sexologist•Haldwani
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Hello,
Nocturnal emission can be due to an upset stomach or indulging into porn etc. If the problem is not frequent and bot recurring in a set time interval,nothing to worry. Just improve your dietary habits and sleep timings. But if the problem is persistent,it's better to start medications.
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DM - Nephrology, MBBS Bachelor of Medici...read more

Nephrologist•Gurgaon
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The dose of ramipril can be optimised but only in consultation with your nephrologist. Also if BP is also high then salt restriction is helpful. But only in consultation with your nephrologist.
Asked for female, 35 years old from Mohali
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DM - Nephrology, MBBS Bachelor of Medici...read more

Nephrologist•Patna
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Dear Lybrate user. As I can understand that your daughter is now 2 years old and was diagnosed with nephrotic syndrome 1 years back at the age of 1 yr. Nephrotic syndrome is a condition where there is loss of lot of protein in the urine. Normally if the children present at the age between 2-8 years we start them on oral steroids giving it for 3-6mths. Majority (95%) of children get better with steroids. But a significant proportion do have a recurrence of disease and can be treated with a repeat...more
Asked for male, 51 years old from new delhi
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MS - General Surgery, FMAS.Laparoscopy

General Surgeon•Gandhinagar
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Hello dear Lybrate user,
Warm welcome to Lybrate.
I have evaluated your query thoroughly. As per your condition, you requires immuno suppressent medication which is best in form of azoran.* there are certain side effects which can be vary from person to person as
- skin rash - fever - itching - nausea, vomiting - loss of appetite - muscle ache -hair loss - muscle loss
cold peripheries - greasy stools - others. Hope this clears your query. Wishing you fine recovery. Welcome for a...more
Asked for female, 32 years old from Khammam
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Asked for Male, 43 years old from Guwahati
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MD Pediatrics

Pediatrician•Vadodara
Once a child is diagnosed with nephrotic syndrome the first line of medicines to be started for the child is omnacortil that is a steroid.
Nephrotic syndrome may relapse till 15 years of age and sometimes about that. It is very important for the parents to support the child during this phase. As the medicine omnacortil that is going on has got advantages for nephrotic syndrome and disadvantages as side effects.
If nephrotic syndrome is not controlled with the help of omnacortil then we h...more
Asked for female, 41 years old from Chennai
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MBBS, MS - General Surgery, MCh - Vascul...read more

Vascular Surgeon•Bangalore
It depends on what your complaints are. The basic investigation for the peripheral arterial disease is "Arterial Duplex scan of the affected lower limb" Depending on the doppler scan report, the vascular surgeon will assess and advise regarding the further management.
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Asked for male, 19 years old from Bangalore
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M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar
Because it usually takes some time for calcium to be deposited in a granuloma, it is generally assumed that a calcified granuloma is an old granuloma, or an old area of inflammation. For example, a calcified granuloma in the lung may be due to tuberculosis contracted years earlier that is now inactive and dormant.
Since a granuloma is a space occupying lesion in the brain, there are chances that it may press upon the adjoining tissues to produce symptoms.
Therefore, most of the patients ...more
Asked for male, 27 years old from Delhi
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Asked for male, 27 years old from Delhi
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Sir/Madam, This is regarding my mother who was diagnosed with Autoimmune hepatitis on 26th Sep. Her treatment is going very well. On 14th Sep, before her treatment started, her SGPT and SGOT were 616 IU/L and 361 IU/L respectively. Liver biopsy confirmed Autoimmune hepatitis. Her treatment started on 3rd Oct. Doctor started her treatment with Wysolone - 30 mg (1-0-0) for the first 2 months and when her SGPT and SGOT came under 50 IU/L, he switched to Budesonide (6 mg-0-3 mg). My query is regarding the side effects of the steroid use. My mother has been diabetic for the past 5 years for which she took glimestar M1. When the Doctor started her on Wysolone, in less than a week, the side effects started to show. Her blood sugar started to fluctuate uncontrollably. It goes from as high as 500 mg/dl to as low as 55 mg/dl. Doctor put her on Insulin (NovoMix 30 Flexpen). I was advised to constantly monitor her sugar and vary the units of Insulin as per her sugar level and that's what I have been doing ever since the treatment started. This sugar fluctuation thing is very unpredictable, so unpredictable that I have to constantly stay with my mother all the time. We don't even travel anywhere because of it. I have been telling our Doctor to do something about it but he says the same thing every time, control the sugar with Insulin. Is there any other way to minimize her sugar level fluctuation? Can you advice any medicine. Thank you.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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, With steroid treatment blood glucose does increase, because corticosteroids are diabetogenic. One of the possible ways is to reduce the dose of steroid to minimum possible, plus use a long acting Insulin like Basalog (Glargine) plus a short acting insulin to control post breakfast & post lunch surges of glucose Thanks.
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