15 September 2003
Dear Readers: Sincerely,
Dr. Warren hopes to help all who ask his advice and to enlighten all who read Ask Dr. Warren. For your own well being please keep in mind that
advice you read here may not apply exactly to your own situation, and that if you are sick, no information on the web can take the place of a hands on examination by your physican who knows you and cares about you.
Dr. Warren
And if I used to see a lot of sexy picture and my dick get draw up (stand) you understand me. Does that cause after while that my dick will not stan?. Or became weaker than first?
And what is the most effective medication for the acne and the red spots?
Hope to hear from you soon.
Thank you very much
Yours faithfully,
-Mohammed
Dear Mohammed: Masturbation does not cause any ill effects to your health or the health of your future children. It does not cause acne. It does not effect your brain or your children's brains. There is no limit to the number of times you can have an erection in your life. Your erections will not become weaker in the future by having frequent erections now.
The best over the counter medication for acne is benzoyl peroxide. This can be found in Clearasil and a variety of other acne medications. If you have severe acne which is not controlled by benzoyl peroxide, you will need to see your doctor for treatment.
Sincerely,
Dr. Warren
-OM
Dear OM: I was unable to find any reference to a third fontanel in any of my texts or on-line. The fontanels are actually places that several bones of the skull come together. There is no such place anatomically between the posterior and anterior fontanel. In some infants, the entire sagittal suture is open connecting the posterior and anterior fontanels. The parietal bones on both sides of the head come together at the sagittal suture. Unless there is an irregularity of the parietal bones, there would not be an additional fontanel since a fontanel occurs where three or four bones come together. If the sagittal suture closes with fibrous bone formation, this may, I suppose, create an island that feels like an additional fontanel.
Since I was not able to find any reference to an additional fontanel, I cannot provide you any additional information beyond my interpretation of what may have happened.
Sincerely,
Dr. Warren
Thank you.
-Jason
Dear Jason: I don't know if there's a physiologic reason that people rub their eyes when they are tired. They don't teach that in medical school. But I do know that when you're tired your eyes begin to feel heavy. Rubbing at them stimulates the area and helps make the feeling go away temporarily.
Sincerely,
Dr. Warren
-L
Dear L: If your friend's daughter has eosinophilic gastroenteritis and is very sick with it, she may need to take the prednisone. The symptoms may be caused by eating foods to which she is allergic, and a diet that eliminates those allergens may help. If an elimination diet does not help, the only treatment options are to treat with corticosteroids like prednisone or wait to see if the symptoms improve. It is unlikely that the MMR or flu shot caused the problems since they are not administered through the intestinal tract and are so highly purified that their is little risk even to egg sensitive patients.
Sincerely,
Dr. Warren
-DP
Dear DP: To the best of my knowledge, polyester is inert and not likely to cause allergic reactions. Hives are generally a response to something internal such as a food. Infectious illnesses may also provoke hives. For persistent hives, consult an allergist for further evaluation.
Sincerely,
Dr. Warren
She feels a sudden urge to go and is unable to make it to the bathroom most of the time, and ends up wetting her clothes. This started 4 days ago, and has happened continually since. It happens at home, and school. Unlike most bedwetters, which she has never been until this problem, even in the middle of the night she trys to make it to the bathroom.
Her description is that she when she realizes she has to go, it's ready to come out, and it hurts a little after she goes.
Our pediatrician suspected an infection, but the urine sample turned up negative for bacteria.
Other possible relevant facts:
-JH
Dear JH: Make sure that the urine test which was negative was a culture and not a urinalysis. Only a culture can rule out or establish the diagnosis of urinary tract infection.. If a culture wasn't done, it should be. If your daughter had a negative urine culture, it should be repeated. Make sure your daughter does not drink excessively before the culture. Some people encourage fluids to ensure that they'll get a specimen, but this may dilute the specimen, causing a false negative culture.
Virus infections can cause urine symptoms, but that is not common. If your daughter's cultures are negative and her symptoms persist, you will need to consult a urologist to determine if there is any cause of bladder irritability causing these symptoms.
In the meanwhile, make sure your daughter gets in the habit of emptying her bladder regularly. This can help avoid urgent trips to the bathroom where she can't get to the toilet on time.
Sincerely,
Dr. Warren
My daughter is 2 years old and has been treated for asthma now for a year and a half. She was put on the albuteral syrup but only when I heard he wheezing and that I did but after a while we noticed she got colds and bronchitis more often. She would experience coughing spells while playing, and the doctor decided he wanted to put her on a nebulizer. I have since taken her off the syrup because her little hands were shaking like she had alztimers. I haven't noticed very much wheezing but she does still have a deep cough every now and then. My mother in law said that I should not put her on this machine because she will become sickly, I am just worried that we might be going a little to fast with the nebulizer. My mother had asthma and my sister has asthma and I just don't know what I should do.
I would appreciate any advice you can give me in this matter.
-EK
Dear EK: Nebulizer treatment does not make children sickly and it does not cause a progression of asthma. Severe asthmatics use nebulizers because they need them. They are not severe asthmatics because they use nebulizers. Your mother-in-law has the order of cause and effect reversed.
The nebulizer is the best way to deliver aerosol medications to young children. Older children can use sprays. Use of the nebulizer allows a young child to take a preventive medication like cromolyn (Intal). Albuterol is used for treating symptomatic wheezing. The most effective way to give albuterol is by nebulizer. Albuterol taken by mouth (the syrup) is less effective and causes more side effects. There is no reason to use both the nebulizer and the syrup.
If the nebulizer is being used just to administer albuterol, the key to effective use is to recognize when your daughter is wheezing. By the time you hear a wheeze, your daughter is having more severe wheezing. Often wheezing starts with frequent coughing. The wheeze then is only audible with a stethoscope. That's the point at which you want to start albuterol treatments to see if you can avoid more severe wheezing and complications like bronchitis.
Sincerely,
Dr. Warren
-AS
Dear AS: Rotavirus is the most common cause of severe diarrhea in children in the United States. Virtually all children have one or more rotavirus infections in the first 5 years of life. Each year in the United States, rotavirus is responsible for approximately 500,000 physician visits and 50,000 hospitalizations (30-50% of all hospitalizations for diarrhea in children under 5 years of age). Children aged 3 to 24 months have the highest rates of severe disease and hospitalization.
As with most viruses, there is no specific medication which alters the course of the infection. The management of these infections involves supportive care: antipyretics like Tylenol for fever, electrolyte solutions like Pedialyte or Kaolectrolyte to prevent dehydration, IV fluids for those too sick to be rehydrated orally. As sick as these kids get, as long as they are treated to prevent dehydration, they recover completely.
Sincerely,
Dr. Warren
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