Does acute pancreatitis predispose to pancreatic cancer?

There may be the slightest increase in the risk of pancreatic cancer after a single episode of acute pancreatitis. But if it exists at all, that risk is extremely small. However, people with chronic pancreatitis have about 5% lifetime risk of pancreatic cancer according to some studies.

Content restricted. Requires subscription

Is multiple sclerosis hereditary?

The cause of multiple sclerosis is unknown though it is considered an autoimmune disease, in which the body’s immune system attacks parts of the nervous system.

The disease may be hereditary. There are hundreds of genetic variants linked to the development of multiple sclerosis and in up to 20% of cases there is a family member with the disease. A sibling or a non-identical twin of a person with multiple sclerosis has a 3% to 5% risk of developing the disease (approximately 30 to 50 times higher than expected) while an identical twin has an even higher risk, in the range of 20% to 40% (approximately 200 to 400 times higher than expected).

Content restricted. Requires subscription

What is a treatment for painful intercourse during menopause?

Painful intercourse, also known as dyspareunia, is especially common after menopause. In fact, one-quarter to one-half of postmenopausal women experience some pain during sex. Causes include hormonal changes, medical conditions, medications such as antihistamines, and anxiety or depression. As estrogen levels fall with menopause, the vaginal tissue becomes thinner, less lubricated, and less elastic, leading to vaginal dryness, burning, itching, and pain. Using lubricants during intercourse can help reduce friction. Extended foreplay can help with vaginal lubrication. Certain sexual positions may be more comfortable than others. And sex doesn’t have to involve penetration. Oral sex and masturbation are other ways to achieve sexual pleasure that may be less painful.

Content restricted. Requires subscription

Is meningitis frequently caused by back abrasions?

Abrasions of the skin on the back or any other part of the body should not cause meningitis, infection of the fluid around the brain and spinal cord. If the abrasion became infected with bacteria, it’s possible to imagine that the bacteria might get into the bloodstream and then into the fluid that surrounds the brain, causing meningitis. But this would be an extremely rare event.

Content restricted. Requires subscription

Can clinical depression be cured?

There are very effective treatments for the different forms of depression, including major depression, which can lead to complete resolution of all symptoms. However, symptoms of depression can return even if they are not present for a long period of time. Therefore, one cannot use the term cure for depression.

Content restricted. Requires subscription

What is the progression of dry macular degeneration?

The macula is a part of the retina in the back of the eye that is responsible for seeing sharp details directly in the center of the field of vision. In dry macular degeneration, the cells of the macula slowly break down. This produces blurring then blank spots in the eye's central vision. The symptoms are subtle at first then become more noticeable over time.

Content restricted. Requires subscription

Does macular degeneration cause blindness?

There are two forms of macular degeneration, both of which can lead to significant vision loss. Dry macular degeneration tends to cause subtle symptoms at first that become more noticeable over time. Wet macular degeneration is usually more serious, with a greater chance of more rapid vision loss.

Content restricted. Requires subscription

Are there several different types of Parkinson’s disease or parkinsonism?

Parkinsonism is a broad term used to describe any condition in which a person’s movements are impaired by rigidity, tremor, or the slowness of motion known as bradykinesia. Parkinson’s disease, the most common form of parkinsonism, results from the selective death of cells in the brain’s substantia nigra . But parkinsonism can result from other types of brain damage caused by another type of neurological disease, side effects from antipsychotic drugs, and a rare form of viral encephalitis.

Content restricted. Requires subscription

Is it necessary to drain a moderate pleural effusion?

A pleural effusion is an accumulation of fluid in the space between the lungs and chest wall. The decision to drain a pleural effusion is based primarily on whether the cause of the pleural effusion is already known and whether the amount of fluid is large enough to compromise lung function. Most moderate effusions would likely be drained. But there are situations when it would not be necessary. For example, a moderate effusion might not be drained if the effusion was caused by heart failure that could be treated with diuretics.

Content restricted. Requires subscription