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question:I have Myelomalacia, would this lower my Lymph down to 4.0 L , and my WBC 3.6, my Provider do not know what to do nor what is going on. She ordered EGD, and a Colonosccopy, the EGD found Polyp , ascending colon ,biopsy:Hyperplastic polyp.and Polyp, sigmoid colon , biopsy: Colonic mucosa with focal Hyperplastic changes but it did not have cancer cells at this time. It will be repeated in 5 years. Please let me know what is causing my systems to drop this low is that I can bring it to my doctor so she can run the tests, because she stated that she is up against a brick wall.
answer:Hi there, Myelomalacia refers to softening of spinal cord and would cause neurological symptoms.Lymph down to 4.0L and WBC 3.6 are in normal range and not related to myelomalacia. All the polyps are benign and are commonly seen and so not to worry about. If this doesn't answer you kindly provide detailed report of the tests which make you concerned and also what are the symptoms or problems you are suffering from? Take care. Regards
question:can you provide information on latest advances for the treatment of gall bladder cancer . My brother has gall bladder cancer of stage 4 with metastasis. 6 Chemo has been executed , but prognosis hasn't been improving very well. We are looking out for options to see if there are treatments that can be administered. Currently, he is having combination of gemcitabin and carbplatin
answer:Hello,Gallbladder cancer is supposed to be the most common and aggressive type among the biliary tree cancers.the best hope lies if the cancer can be completely resected,however only 10% cases present with early stage disease.Patients with unresectable or metastatic cancers have poor prognosis.The chemotherapy treatment is almost same in all most all centers however recently gemcitabane has been used in combination with cisplatin and this combination has proved to be better suited however drug like oxaliplatin is also being evaluated for the efficacy.My advise to you would be to rely on the wisdom and clinical acumen of the treating doctor and carry on with the treatment.Thanks
question:Hi Doctor, My boyfriend who lived in Ethiopia is suffering from AML, type M1. At the moment he get treatment in Bangkok, Thailand. At the moment he got his first chemottreatment 3+7 (2 weeks ago he finished) and now we are waiting for his white bloodcells, cause his level is under 4000. The chemo was really succesfull the doctersaid, total remission. There are till now no infections and he feels really fine. He has no any side-effects. After his WBC level is high enough, he can go out of the hospital and wait for his second chemotreatment with HIDAC. But at the moment there is no more money. The costs of the hospital are really high, and we do everything we can.. but.. we allready payed 35.000 USD. Is there a cheaper opportunity to get a next chemo therapy with tablets at home or something.. ?
answer:Hello,, Thanks for the query to H.C.M. Forum. Acute myeloid lukaemia is treatable disease. In India A I I M S ( ALL INDIA INSTITUTE of MEDICAL SCIENCES ) New Delhi will suit you most and at affordable price as it is an Indian govt institution and supposed to treat patient freely. So you can contact above said institute. Good luck. Dr. HET
question:My Cousin has been Diagnosed with Inoperable Stage 4 Small Intestinal Cancer with it having Metasticized in His Liver. His Dr. isnt telling him anything about possible Life Expectancy. He's currently going thru Chemo to try to "slow the Cancer and improve his Quality of Life". His Dr. Isn't very direct and you have to practically pry information out of him!
answer:Hello,Till date it was though that patients with liver metastasis from intestinal cancers were incurable and their prognosis very dismal,but things have changed dramatically and are continuing to change.Trials show that with advanced chemotherapy and good nutrition the mean survival rate has progressed from below one year to more than a year and may be even 18 months.Newer chemotherapy drugs are being evolved but still lot has to be done and patients still die from this dreaded disease.Just keep on giving medications with good nutrition and very good psychological support to the patient.Make his remaining life peaceful and happy.Best of luckThanks
question:I am having some pain, feels like it could possibly be a strained muscle in the lower right abdomen, between the bottom of my rib cage and the top of my hip, it hurts to touch it, it hurts to laugh and to cough, at times there is some sharp pain. I am concerned that it could be some problem with my appendix. My question for you is, is there even a muscle that could be strained in that spot, and how likely is it that it is strained? I have read about appendicitis and I have not had any other symptoms like nausea, vomiting, or fever. The pain is not severe, it only hurts when I laugh,cough, and hurts just to touch it.
answer:hello user,As per your history it is likely not an appendicitis as it presents with nausea, fever ,vomiting etc and you are not having that.And regarding your query about muscle present in that region, there are 3 layers of external abdominal muscles(external oblique,internal oblique and transversus abdominus) present in anterior side and a muscle called Psoas major present in back side. The sprain of these muscles can also give rise to pain.I would rather advice you to have a x-ray or ultrasonography done of your abdomen, to rule out two things which you are missing i.e. renal stones and some lesion in intestine.(and it can also rule out appendicitis,if at alll its present.)hope my info helped youregards,Dr Hari Om ChandrakarMBBS
question:Hi,I am a 40 yr old African American woman with no known history of breast cancer on either side of my family. That being said, I recently experienced some tenderness and itching around my right breast nipple. i noticed after a few days of my hand constantly going to that area of my body that I should probably look further into it. so I fully examined my breasts for lumps and felt none. Didn't really feel any significant amount of pain either, but there was this constant..discomfort. I began to squeeze my nipple on the right breast, and to my surprise, a little black bead of liquid oozed out! When I squeezed the nipple on the left breast, and it too was black. not green..black. not a significant amount comes out when squeezed and I really have to work for it to produce another sample, but still, I am very upset and apprehensive about it cause. I read online that it could be a known benign breast condition called Mammay Duct Ecstasia that could be treated with anti biotics, but Im still apprehensive. Please advise.
answer:Hi,From your history it seems that you require evaluation of your case.As you are 40 years so any thing abnormal should not neglected.Consult your Gynaec and get your both breasts thoroughly examined.Go for cytology examination of fluid coming out from your nipples.You may require Mammography of your breasts as well.Ok and take cae.