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Ask the Medical Expert Archives 2000-2004

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Week of July 9, 2001

    Question:   I have blood in my stool daily and it is a bright red color. I don't have any dizziness or faintness. What does this signal? Should a doctor be consulted if the condition stops?    Dr. McLaughlin's Answer

    Question:   I am a 34-year-old woman who woke up this morning with a headache around my left eye and temple. When I stood up, I briefly had some unusual spots around my upper peripheral vision, after which for a few moments I felt unable to speak correctly. This passed, and now several hours later I feel fine (only a slight headache). My husband says this is a migraine, but I have never experienced migraines before. Is this something I should be worried about? How is this treated?    Dr. McLaughlin's Answer

    Question:   Kindly guide me regarding the management of Hepatitis-B carriers in following respect: Is it possible to have HbeAg negative while HBV DNA positive or vice versa in same patient? Which one of these more sensitive? Is it possible to have very low AST/ALT in presence of marked HBV replication and hence high HBV DNA (When cell mediated immune response is poor)? Who are the ideal candidates among the carriers in terms of Viral markers and Liver function tests. Who should be given anti-viral? Inteferons vs. Lamivudine - Which is better for such patients? What should be the strategy to manage non-replicators in terms of Hepatocellular carcinoma?    Dr. McLaughlin's Answer