Patient discussion about down
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Q. Can Down syndrome occur again?
A few years ago, at the age of 32 my sister gave birth to a child that was diagnosed with Down syndrome. Now, at the age of 37 she's pregnant again. Can she have another baby with Down? Does the fact she has a baby with Down means she has higher risk for a second baby with Down?
|A1||- Older women especially after 35 years |
- Previuosly child with Down Syndrome
|A2||Just by the fact she's older now means she has higher risk for another baby with Down syndrome, so anyway at her age she may need to undergo more examinations, and maybe even amniocenthesis.|
|A3||Yes, as far as I know your sister has a higher for another child with Down syndrome. She should informe her gynecologist about this and she may need to perform more tests during pregnancy.|
Q. assessment of down syndrom
|A||down syndrome is a very easy diagnosis - it just need a chromosome check and seeing 3 (instead 2) chromosomes number 21. -|
Q. what does enlarged heart mean? is it linked to down syndrome?
My wife is 16 weeks pregnant. we did a prenatal US and we were told that the baby hes an enlarged heart and that we are advised to do amniocentesis. A friend of mine had a baby with down syndrome, and he was toled that if they have done this procedure, the doctors could have find it on time and abort the pregnancy. Is there a clear connection between the enlarged hart and the fact that the doctor advised us to do this procedure to down syndrome?
|A1||Down syndrome is associated with several kinds of heart problems. those problems can cause an enlarged heart but usually it will appears as a post-natal complication. |
The protocol that most obstetrics use is that if there is anything abnormal in the US there is an automatic referral to an amniocentesis procedure.
the US has a lot of false alarms, so they must check with the more accurate procedure.
|A2||Enlarged heart means that the heart is bigger than normal. It might be connected to down syndrome but it is not very likely. Usually in down syndrome the US will reveal impaired Nuchal translucency (which mean "thick neck" in normal English).|
On the other hand you can never be sure and as our physician told us when my wife was pregnant: "In medicine it always better safe than sorry"
Q. can he simply cut down?
When a problem drinker take effort to stop his habit, can he simply cut down?
|A||It can be appreciated if he is not toooooo late. So it depends. If that person has been diagnosed as an alcoholic, the answer is "no." Alcoholics who try to cut down on drinking rarely succeed. Cutting out alcohol--that is, abstaining - is usually the best course for recovery. People who are not alcohol dependent but who have experienced alcohol-related problems may be able to limit the amount they drink. If they can't stay within those limits, they need to stop drinking altogether.|
Q. When it may turn the drinker down?
what are the nutritional aspects of beer and when it may turn the drinker down?
|A||Well…….I do drink beer ……you know why………….it has been found with lowering the risk of cardiovascular diseases and improves bone density. Beer gives you alcohol metabolized energy in calories and protein, carbohydrates, minerals -- calcium, magnesium, phosphorous, potassium, sodium, zinc, vitamins—B1, B2, B3, B5, B6 if you take in limit say a mug per day. But if it goes over then you will have chances of liver damage, cardiovascular disease, osteoporosis, pancreatic disease and some cancers.|
Q. How can alzheimer's disease be slowed down?
My father has alzheimer's disease, but only not for a long time. Is it still possible to stop it from progressing? how to do it? He is still ok, recognizing everybody just not remember many things.
|A||There are several drugs (including choline esterase inhibitors etc.) using to slow down mild-moderate Alzheimer’s disease, although these medications can't totally prevent the progression of the disease. Vitamin E is also generally recommended to Alzheimer disease patients. However, these drugs must be prescribed by a doctor so consulting one may be wise.|
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Q. i am a size 12 and i need to get down to a size 4 fast how do i do it??
|A||you are 15- try not to develop an eating disorder..i'm not sure that size 12 is considered overweight for age 15.. (depends on height and some other things) but size 4 is extremely thin for a 15 years old. i mean- an anorexic skeleton. that's not even the least attractive, if that is what you want to accomplish. loosing weight "fast" is always- ALWAYS!! a bad idea. it should be done moderately so your body will have the time to adjust, unless you look for severe health problems.|
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