FAQ - ophthalmoplegia, chronic progressive external
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How do I get rid of chronic external otitis?


I had never had ear problems until last year. I have seen 2 specialists and they told me it was "swimmers' ear". I don't swim and they reccomended I wear ear plugs while showering. I did this and it didn't help.
It constantly feels wet and itchy in there. Sometimes it swells, sometimes it is painful, sometimes it drains a fluid, sometimes it bleeds. There is constant ringing. It's driving me mad.
I've paid hundreds of dollars for drops to put in there. I've put alcohol in there. I've put paroxide in there. These things help, but if I stop, it comes right back.
A co-worker mentioned that I may be allergic to my pillow. I bought a new hypo-allergenic one, but nothing changed. I haven't changed my soap or shampoo or hairspray in years, so it's not that either.
I'm willing to try anything. Any suggestions?
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I just heard this one the other day. An alternative medicine Doc says to dissolve sea salt into warm water and drop into ear, leaving it for a minute. He swears that it will kill the infection... It's cheap and won't hurt you!! You might try taking allergy medicine as well... Something has to be causing it!  (+ info)

What is : "a focus of chronic lacunar infarct in the left external capsule" - from MRI. Thanks!?


I think that's something that only your doctor should explain. You want to get the most accurate information. Good luck to you.  (+ info)

Is Vertigo ever a chronic condition? How is treated by meds and by natural alternatives? Is it a?


If I write a book it will be Used to Think I had ADD/Bipolar. I think I have had D’- Harder I Try D’ Worser It gets Syndrome. An Audiologist Associate had the rare integrity and acumen to suggest to me I had vertigo, suggesting that is why I had wide range fluctuations in visual acuity, hearing, and equilibrium.
I have done so miraculously better since the old diagnosis has been shed like a ragged garment and the new one tried on for fit. Vision, hearing and equilibrium still vary with fluctuating levels of fatigue, but have each shifted from worsening trend to resolving trend—even with increases in external levels of circumstantial stress stimuli.
The dismal side of my clinical history started in 1994 with concurrent, yet mutually contricated prescriptions by physicians of Prozac and Cylert, the latter being Ritalin’s “other brand”; running through such things as Wellbutrin and Depacote; eventually working up to the Hard Stuff, Lithium Carbonate.
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Go for it! misdiagnosis can be a huge problem (see anti-psychiatry movement for good review) and I can't see why further knowledge and insight won't help.

Perhaps suggest to the audiologist to publish some work in the field too!!

Good luck!!  (+ info)

progressive chronic kidney disease; Anorexic, but gaining weight...why?


* 46-year-old Aboriginal
* type 2 diabetes mellitus
* Eight weeks ago she had an arteriovenous fistula
* past week she has experienced anorexia, nausea, vomiting, problems with concentration and pruritus
* Complains of swelling in her feet and hands
* Has gained 4.5 kg in the past 2 weeks
Can somebody please help? Ta
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What are the symptoms of CKD?
Most people may not have any severe symptoms until their kidney disease is advanced. However, you may notice that you:

-feel more tired and have less energy
-have trouble concentrating
-have a poor appetite
-have trouble sleeping
-have muscle cramping at night
-have swollen feet and ankles
-have puffiness around your eyes, especially in the morning
-have dry, itchy skin
-need to urinate more often, especially at night

Symptoms of uremia include anorexia, nausea, vomiting, malaise, asterixis, muscle weakness, platelet dysfunction, pericarditis, mental status changes, seizures and, possibly, coma. These symptoms result from the accumulation of several toxins in addition to urea; thus, no strict correlation exists between clinical presentation and plasma blood urea nitrogen (BUN)and creatinine levels.

Acute uremia or uremia resulting from progressive disease is an indication for immediate dialysis. Patients with kidney failure should be evaluated for kidney transplantation.


The person in question is at high risk for chronic kidney disease due to her DM type 2 and because she belongs to the population group. with a high risk for DM and hypertension.


Look at the criteria list below:


Anyone can get chronic kidney disease at any age. However, some people are more likely than others to develop kidney disease. You may have an increased risk for kidney disease if you:

have diabetes
have high blood pressure
have a family history of chronic kidney disease
are older
belong to a population group that has a high rate of diabetes or high blood pressure, such as African Americans, Hispanic Americans, Asian, Pacific Islanders, and American Indians

Type-2 diabetes is the main factor attributed to more African American women experiencing kidney failure. Usually brought on by obesity, diabetes is the number one risk factor for chronic kidney disease. High blood pressure is the second most common risk factor for kidney disease. Making women aware of the risks of chronic kidney disease and the measures to prevent CKD will hopefully reverse this upward trend.


What can kidney patients do to help themselves?
Take an active role in learning about kidney disease and treatment. Follow the prescribed diet and fluid limits. Take all medications properly and tell the doctor of any side effects. Ask for an exercise program to help muscle tone, strength, and endurance. Your doctor and dietitian can suggest a weight gain or loss program, if needed. Lead a healthy lifestyle. Be aware of other things that could affect your sexual functioning, such as drinking too much alcohol and smoking.


Side effects of certain medicines and complications from uremia can cause fatigue, menstrual irregularities and decreased sexual desire.

Uremia

Despite optimal treatment, kidney function may continue to deteriorate. Ultimately, patients may develop uremia and kidney failure. Symptoms of uremia include anorexia, nausea, vomiting, malaise, asterixis, muscle weakness, platelet dysfunction, pericarditis, mental status changes, seizures and, possibly, coma. These symptoms result from the accumulation of several toxins in addition to urea; thus, no strict correlation exists between clinical presentation and plasma blood urea nitrogen and creatinine levels.

Acute uremia or uremia resulting from progressive disease is an indication for immediate dialysis. Patients with kidney failure should be evaluated for kidney transplantation.

Her classical symptoms including anorexia, nausea , vomitng, decreased cognition-are that of an acute uremic state. That's why an A-V fistula or shunt is placed most likely on her arm as an access for immediate hemodialysis treatment to remove excess fluid and waste products such as creatinine
and BUN from her body.

Her decreased cognition or concentration is due to anemia. Anemia can also lead to fatigue. Anemia can be treated with erythropoietin ( a type of protein hormone produced by specialized cells in the kidneys) However, sometimes the actual dialysis treatment is the cause of fatigue.

Use of steroids may cause weight gain, acne, and unwanted hair growth or loss. Swelling or pedal edema of the hands and feet could contribute to the weight gain.

In addition, the edema is due fluid overload and salt retention. Puffiness around the eyes and swelling of the hands and feet is one of the six warning signs of kidney disease. She might not be adhering to her strict prescribed diet of salt and water restriction.

Nausea and vomiting and edema is due to electrolyte and acid-base imbalance; hyperkalemia( high potassium), hyperphosphatemia ( high phosphorus)and metabolic acidosis.


Pruritus is common due to uremia and the build-up of nitrogenous waste products.and diabetic hyperglycemia. The kidneys are failing and are not capable of adequately getting rid of body waste products such creatinine and BUN. .

Leg cramps on her calves are due to hyperkalemia and hyperphosphatemia. She might experience these also during the tx due to the sudden removal of waste products. by the dialysis machine.( artificial kidney)


The chemical changes that occur in her body with kidney disease affect hormones, circulation, nerve function and energy level. These changes would account for her decreased appetite. Her anorexia might also be due to depression.


Some women become anxious about changes in their appearance, such as weight loss, or in the case of some PD patients, weight gain from the sugar in the dialysate. The catheter in the abdomen or fistula in the arm may also create anxiety either because a woman believes it is
unattractive or is afraid it could be damaged


Patients with chronic kidney disease are at risk for malnutrition and hypoalbuminemia. Both of these conditions are associated with poor outcomes in patients who are beginning dialysis

Hope this helped. This involved a lot of research on pathophysiology.  (+ info)

My mom has just been diagnosed with Chronic Airway Obstruction. What is this?


She smoked when she was younger. Is there medication that makes breathing easier for her? Is this an illness that is progressive? She is 75 years old.
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Chronic asthma, emphysema or bronchitis are considered conditions that are chronic obstructive airway disease. Basically what it means is this. The airways are lined with mucous membrane going from your mouth and nose right the way down into the lungs. This is the pink lining that you see inside the mouth as well. When irritated this lining with swell up, become red and produce mucous that will then block the airways causing difficulty breathing. People who smoke or who are exposed to pollution, or people that have had repeated lung infections such as pneumonia or bronchitis will have the mucous membrane lining swelling up so often that it eventually becomes damaged. When damaged it becomes scared. The scar tissue will cause a permanent narrowing of the airways in the lungs. This combined with mucous production will cause permanent breathlessness and a need to cough up mucous frequently. The sufferer is always breathless and the slightest exertion will leave them exhausted. This is treated by administering broncho dilators, which are drugs that are inhaled and cause the airways to dilate. Oxygen is also administered and expectorants which will help them to cough up excess mucous. Oxygen can be prescribed by the GP and the patient will have a tank in their own home. Unfortunately this is not a curable condition. It puts a lot of strain on the heart which has to pump blood through the now congested lungs.  (+ info)

A question for those with experience of chronic progressive illnesses?


I'm talking about long-term, incurable illnesses like Multiple Sclerosis, MND etc.

I've suffered with a neurological illness for around 10 years. Generally I'm very fortunate to have had more good phases than bad, but at the moment I appear to be hitting a rather severe bad patch.

My question is this - am I wrong to "play down" my symptoms and the severity of my illness for the sake of my partner who I met last year?

Don't get me wrong, he has been brilliant about it and has all the facts but I hate worrying him more than is strictly necessary. He on the other hand, says that he wants to know exactly how things are because "forewarned is forearmed".

Has anyone been in this situation (either as the patient, or as someone close to the patient)? And do you have any advice on what to do for the best?
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I would say it's very important to keep your significant other informed. If you have any longstanding disease, that is progressive it will only get worse. I think you should let your partner know if for nothing else than to give you some relief..(botteling those feelings/fears sucks)

I can't say too much though. I'm currently seeking a diagnosis for similar stuff, looks like MS. For my wife I tell her how I'm feeling..but for my friends, I downplay it as much as I can and even lie a little...so I'm not doing much better, heh.

I'd ask your partner if they want to know what you're going through or not. My wife and I are both nurses, and she will tell me every now and then to keep her in the dark about it for awhile so she can have a break. It works out pretty well...helps me vent and she gets her breaks as she needs them.

It may be us that are suffering from these diseases, but I'm sure our loved ones hurt more than we ever could from it.  (+ info)

i'm wondering if there may be a connection having had severe mono 20 yrs. ago and progressive chronic medical.


issues. necrotic bones, osteoarthritis, severed femoral head, in need of knee replacement, can't donate my own blood for my surgs. b/c my blood won't flow enough to store it.... i'm only 38. i also have a 2 level fusion, scerosis,too. will you all please brainstorm with me. thank you everybody!!!
auto-immune .....i understand that. what about blood? a vampire would have no use 4 me. my mom had a stroke at 37. grandma with rheumatoid arthritis.
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sorry u have all that,but mono is a virus.the other conditions u mention are autoimmune and inflammatory in nature.i have seen many patients who have had mono when young,with none of the symptoms u have mentioned.im sorry u have to go through all this,but i dont think mono caused it.  (+ info)

what is the difference between progressive lenses and no line bifocals?


my mom has progressive lenses and hates them. she previously wore reader glasses and this is her first pair of "real glasses." she hates the progressive lens, and is considering taking the glasses back. any suggestions? and also, what is the difference between the progressive lenses and no-line bifocals? thanks.
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Progressive lenses have less power at the top edge and maximum power at the bottom edge. The power of the lens increases gradually from top to bottom. The idea is that you can adjust your head so that you are looking through the part of the lens which is just right for the distance of the thing you are looking at. Most people don't like these at first because it takes a change in the way glasses are used. Older people do not like change. However people who will work with the progressive lenses and learn to use them usually end up liking them.

A no-line bifocal lens is one which does not have a distinct line between the top and the bottom lens. It has a more gradual change from upper to lower, like the progressive, but not totally, it is a compromise between bifocals and progressive lenses.  (+ info)

What is Chronic pain and do I fit into the classification?


I've had headaches everyday for 6 years and I'm not sure what kind of headaches they are and neither does my neurologist. The levels of pain vary everyday. They are kind of a mixture of migraines, tension headaches and sinus headaches. I was just wondering if I could call that chronic pain.
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Chronic pain is continuous pain affecting the same area every day. Yes, you do fit into that classification.  (+ info)

What's the difference between regular stress and chronic stress?


If there is 1 thing that is constantly stressing you out, let's say, you're unemployed for 6 months, then you have chronic stress? So when you find a job, you no longer have chronic stress? So chronic is a time factor? I'm always stressed about the amount of $$ I make, and that I have no friends or a boyfriend. Do I have a chronic stress?
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I wrote an article that may be able to answer your questions. Here's the link...

http://www.associatedcontent.com/article/42529/the_physical_and_emotional_symptoms.html  (+ info)

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