[SS-Traveller]

Originally Posted by neofromcapone

...duflon every 4 hours. What i can give her for a 12 hour relief so that she can sleep. Thanks in advance

Duflon? or is it Daflon?

She might need a prescription painkiller which you'll have to ask your dentist to make out a prescription for. Or an intramuscular injectable painkiller...

Originally Posted by absynthguzzler

Dad's been bitten buy a monkey.We've cleaned the wound , it is a deep scratch on the arm due to the moneky's teeth . The wound has been cleaned with tincture and dad's also taken a Tetvac injection.

Question is ... Is it necessary to take an anti-rabies injection within 24hours or can we wait? and any other steps to follow ?

He definitely needs a course of anti-rabies vaccine injections (something like Rabipur). Do not take a chance on this. Talk to your doctor ASAP.
Rabipur(R).pdf

[Thad E Ginathom]

When a stray cat that I feed bit me at 1.00am, I went straight out, immediately, to the hospital to start a course of vaccine. Even in the middle of the night I dragged my poor wife out of bed to come with me. By the way, all I could think of was rabies --- but they gave me tetanus too, which had been on my to-do list for a while as my last one had expired.

[Rodie09]

Dear Bhpians,
My 3 month old son has been detected with a heart condition yesterday, and I really need your help to direct / guide me on what should be our future course of treatment.

I am directing my question more specifically to drasitkhanna because he is a practising interventional cardiologist, but inputs from everyone are welcome...specially if anyone has been through such a situation.

It all strated with a heart murmur detected by the pediateric, and we were directed to get an echo doppler done. We got it done at a reputed hospital in Pune and here are the findings.

- Male / 3 Months
Findings:
1.Situs Solitus. SDS Subset.
2.Pulmonary veins drain normally in LA
3.Vena Cavae drain normally in RA.
4.Atrioventricular and Ventriculoarterial concordance.
5.Great Vessels are normally related
6.Aortic arch is left sided
7.Dilated RA and RV. Mildly dilated LV Cavity
8.Trivial mitral regurgitation
9.Moderate sized ostium secundum atrial septal defect measuring 9 mm with left to right shunt. Suspicion of additional small defect in the upper part of IAS.
10.Mild tricuspid regurgitation, Grade I/III
11.Mild Pulmonary Hypertension
12.Good LV systolic function
13.LV Ejection Fraction 55%
14.No VSD, PDA, or coarctation of the aorta.
15.No effusion, clots, or vegetations.

To give you a brief history, at around 1.5 mths age the kid had a bout of sepsis for which he was hospitalised and was given antibiotics course.... just in case this has any relation to his condition now.I can provide you more details on this if required. He is doing fine otehrwise and is weighing exact 5kgs now... he could be on lower side due to illness in past, but recent weight gain has been very good.

The cardiologist here has shown concern only about point number 9 and said that the hole may fillup on its own. We need to re test after 3 months.

Please advise . 9 mm looks like a big size. can it fill out on its own? what happens if it doesnt fill on its own ? any precautions we need to take ? Can you suggest a good cardiologist for kids in Pune.

me and my wife are very stressed out at this moment.

Thanks

[f1fan]

Originally Posted by Rodie09

Dear Bhpians,
My 3 month old son has been detected with a heart condition yesterday, and I really need your help to direct / guide me on what should be our future course of treatment.

I am directing my question more specifically to drasitkhanna because he is a practising interventional cardiologist, but inputs from everyone are welcome...specially if anyone has been through such a situation.

It all strated with a heart murmur detected by the pediateric, and we were directed to get an echo doppler done. We got it done at a reputed hospital in Pune and here are the findings.

- Male / 3 Months
Findings:
1.Situs Solitus. SDS Subset.
2.Pulmonary veins drain normally in LA
3.Vena Cavae drain normally in RA.
4.Atrioventricular and Ventriculoarterial concordance.
5.Great Vessels are normally related
6.Aortic arch is left sided
7.Dilated RA and RV. Mildly dilated LV Cavity
8.Trivial mitral regurgitation
9.Moderate sized ostium secundum atrial septal defect measuring 9 mm with left to right shunt. Suspicion of additional small defect in the upper part of IAS.
10.Mild tricuspid regurgitation, Grade I/III
11.Mild Pulmonary Hypertension
12.Good LV systolic function
13.LV Ejection Fraction 55%
14.No VSD, PDA, or coarctation of the aorta.
15.No effusion, clots, or vegetations.

To give you a brief history, at around 1.5 mths age the kid had a bout of sepsis for which he was hospitalised and was given antibiotics course.... just in case this has any relation to his condition now.I can provide you more details on this if required. He is doing fine otehrwise and is weighing exact 5kgs now... he could be on lower side due to illness in past, but recent weight gain has been very good.

The cardiologist here has shown concern only about point number 9 and said that the hole may fillup on its own. We need to re test after 3 months.

Please advise . 9 mm looks like a big size. can it fill out on its own? what happens if it doesnt fill on its own ? any precautions we need to take ? Can you suggest a good cardiologist for kids in Pune.

me and my wife are very stressed out at this moment.

Thanks

Just to give you some support: On the 7th day of the birth of my son, the doctors noticed a small murmur and after more tests we were informed that my son has a small hole in his heart. We (me and my wife) were completely shattered at that time but the doctors gave us hope that the hole is small and the same would heal on its own. We were told to do repeat the tests when my son becomes 5 yrs old (yup, we were told to do nothing till he turns 5).

My son is now 6 yrs old and the hole has healed on its own. Pls note that all along my son did everything that a kid does and there were no restrictions on his activities.

Hope this information helps and gives you courage.

Cheers
f1fan

[Rodie09]

Thanks f1fan for your support. From whatever I have read so far, the smaller holes are almost likely to close down on their own. But in this case its a moderate sized one, in fact, to me 9mm appears to be too big for an infant's heart. thats what is worrying me... I am not sure how different sizes are classified. The report calls it a moderate sized.

What I am trying to find is if there is a line of treatment which can accelerate the natural closing process, or we just have to wait and watch. And how long one should wait for it to heal naturally before going for a surgery or anything similar.

[f1fan]

Originally Posted by Rodie09

Thanks f1fan for your support. From whatever I have read so far, the smaller holes are almost likely to close down on their own. But in this case its a moderate sized one, in fact, to me 9mm appears to be too big for an infant's heart. thats what is worrying me... I am not sure how different sizes are classified. The report calls it a moderate sized.

What I am trying to find is if there is a line of treatment which can accelerate the natural closing process, or we just have to wait and watch. And how long one should wait for it to heal naturally before going for a surgery or anything similar.

In our case, we were told that the hole was small and there was nothing to do from our end. We were told to let the kid be a kid ( i.e. don't restrict him in any way) but monitor him i.e check whether he gets more tired while running and outdoor activities (which he never did) and do the necessary tests when he was 5 years old as it would take approx that much time for the hole to heal on its own.

[drasitkhanna]

dear Rodie09,

A 9 mm ASD in a 3 mo baby has a high chance of healing on it's own . i.e. the hole will most likely fill up by itself. There are no medicines for filling up the hole and neither is any medicine required. What is required is just regular Echo imaging of the hole to see it's filling up as long your baby does not keep having repeated bouts of Pneumonia (sepsis) , which are very unlikely in this hole condition.
Rarely this 9 mm hole does not fill up, then in that case it can be very safely and effectively closed without "operation" by device closure... but we will cross this bridge when(and if) you need to cross it !

i will bet my money on it closing on it's own.
It may take upto 3-4 years for that !.
Cheer up

[Rodie09]

Originally Posted by drasitkhanna

dear Rodie09,

A 9 mm ASD in a 3 mo baby has a high chance of healing on it's own . i.e. the hole will most likely fill up by itself. There are no medicines for filling up the hole and neither is any medicine required. What is required is just regular Echo imaging of the hole to see it's filling up as long your baby does not keep having repeated bouts of Pneumonia (sepsis) , which are very unlikely in this hole condition.
Rarely this 9 mm hole does not fill up, then in that case it can be very safely and effectively closed without "operation" by device closure... but we will cross this bridge when(and if) you need to cross it !

i will bet my money on it closing on it's own.
It may take upto 3-4 years for that !.
Cheer up

Thank you doc. your words have been really comforting to us and we have been told the same by a leading cardiologist in Pune when I met him on Sunday.
As suggested by you, I'll continue to get his echo done every few months and I hope we'll see positive results within a year or so. but yeah, we may have to wait much longer to see it closing completely.
Thanks again!!

[hdnivara]

Hi all,
I just extracted one of my molars in the lower right. The docs are advising the to go for a bridged type for filling up the empty cavity. i.e., RCT on two teeth present on the either side and three crowns - one for the empty cavity and two for the teeth on the either side. This is costing a bomb! Comes around 24K
They gave an alternative, which is like a denture that I will have to remove on every night and put it back in the morning. This doesn't appeal me, but, its a very pocket friendly. Just 3000 bucks
So, which one can I go for? Pros and cons of them would be helpful.

Next one, I'm told that I have a small pulp kind of formation in one of my molars in the left upper side. Though, I don't feel any pain, the doc advised me to go for an extraction for this too! I'm in a fix on this. Should I go get a second opinion from some other doc or shall I proceed with an extraction? Not to forget the after extraction procedure which is same as I mentioned above.

Any help would be greatly appreciated.
P.S: I have an OPG X-ray taken too.

[neofromcapone]

The cold weather has taken down most of my guys at home major issue has been, pain in the Throat which feels choked and hurts and feels like dry cough , with a lot of difficulty some flem comes out one or twice a day. Did do a hot water gargle with salt, also did take a teaspoon of ginger juice with honey.
No good, guess need the experts, Doc pls advice.

Thanks

[amitpunjani]

Dear Doctors,

Firstly i would like to thank you all for your valuable contribution on this thread.

Doctors over the period due constant smoking, i have developed stain on my teeth. I have already done scalling ones that about 6 months ago, now the stains have come up again. Also my teeth are pale in color?

I would really be obliged if you could kindly share some of your valuable suggestions to remove those stains and ligthen the pale color. I am really against Bleaching as it reduces the life of Dental Gums.

Thanks

Amit

[SS-Traveller]

Originally Posted by hdnivara

...RCT on two teeth present on the either side and three crowns...

Are these two teeth decayed or otherwise damaged? Why would they need RCT before placement of a bridge?

Originally Posted by neofromcapone

...pain in the Throat which feels choked and hurts and feels like dry cough , with a lot of difficulty some flem comes out one or twice a day. Did do a hot water gargle with salt, also did take a teaspoon of ginger juice with honey.

For a sore throat like yours, even us doctors put a lot of faith in the healing power of a hot-water-and-lots-of-salt gargle, and a few over-the-counter cough lozenges like Vicks or Strepsils. Try steam inhalation also, 3-4 times a day.

Originally Posted by amitpunjani

Doctors over the period due constant smoking, i have developed stain on my teeth. I have already done scalling ones that about 6 months ago, now the stains have come up again. Also my teeth are pale in color?

Tejas has already answered your queries here some two years ago: http://www.team-bhp.com/forum/shifti...ml#post1089010.

[hdnivara]

Originally Posted by SS-Traveller

Are these two teeth decayed or otherwise damaged? Why would they need RCT before placement of a bridge?

Thanks for your response. They are perfect and no decays on them. Still, they're insisting on a RCT, as they are going to be covered (crowned )
So, they will kill those teeth and cover them.

[SS-Traveller]

Originally Posted by hdnivara

...they're insisting on a RCT...

Get a second opinion.

RCT'ing a tooth is NOT a pre-requisite before placing a crown on it, unless the tooth needs to be RCT'd for reasons unrelated to the fact that a crown is being placed on it. OTOH, a RCT'd tooth almost invariably needs a crown.

[hdnivara]

Originally Posted by SS-Traveller

Get a second opinion.

RCT'ing a tooth is NOT a pre-requisite before placing a crown on it, unless the tooth needs to be RCT'd for reasons unrelated to the fact that a crown is being placed on it. OTOH, a RCT'd tooth almost invariably needs a crown.

Thanks for your suggestion and will double check with any other dentist. BTW, which one would you suggest, the bridge type filling or the removable one? Pardon me as I don't know the exact tech terms for those.