Mrs. Michelle Denise Hanson

This should be discussed with your daughter's doctor since he has done the testing. UTIs occur more often in girls because their urethras are shorter and closer to the anus. This makes it easier for bacteria to enter the urethra. The urethra doesn’t normally harbor bacteria. But certain circumstances can make it easier for bacteria to enter or remain in your child’s urinary tract. The following factors can put your child at a higher risk for a UTI:

-a structural deformity or blockage in one of the organs of the urinary tract
-abnormal function of the urinary tract
-vesicoureteral reflux, a birth defect that results in the abnormal backward flow of urine
-the use of bubbles in baths
-tight-fitting clothes
-wiping from back to front after a bowel movement
-poor toilet and hygiene habits
-infrequent urination or delaying urination for long periods of time

Just to clarify, "Asperger's" is a previously used diagnosis on the autism spectrum. In 2013, it became part of one umbrella diagnosis of autism spectrum disorder (ASD).

People with ASD often have problems with social, emotional, and communication skills. They might repeat certain behaviors and might not want change in their daily activities. Many people with ASD also have different ways of learning, paying attention, or reacting to things. Signs of ASD begin during early childhood and typically last throughout a person’s life. Children or adults with ASD might:

-not point at objects to show interest (for example, not point at an airplane flying over)
-not look at objects when another person points at them
-have trouble relating to others or not have an interest in other people at all
-avoid eye contact and want to be alone
-have trouble understanding other people’s feelings or talking about their own feelings
-prefer not to be held or cuddled, or might cuddle only when they want to
-appear to be unaware when people talk to them, but respond to other sounds
-be very interested in people, but not know how to talk, play, or relate to them
-repeat or echo words or phrases said to them, or repeat words or phrases in place of normal language
-have trouble expressing their needs using typical words or motions
-not play “pretend” games (for example, not pretend to “feed” a doll)
-repeat actions over and over again
-have trouble adapting when a routine changes
-have unusual reactions to the way things smell, taste, look, feel, or sound
-lose skills they once had (for example, stop saying words they were using)

This answer will depend on the work setting--hospital, clinic, home-health.... The basic difference is a nurse follows the instructions of the doctor while an NP will diagnose and treat patients.

Walking is great for varicose veins. Walking is a low-impact workout which means that you do not put stress or pressure on your legs. Walking strengthens your calves without placing undue stress on your veins

Tramadol is an opioid (narcotic) analgesics and is used to treat moderate to moderately severe pain. Tramadol may be habit forming, especially with prolonged use. So it should be taken exactly as directed. Do not take more of it, take it more often, or take it in a different way than directed by your doctor.

Adderall is an amphetamine (stimulant). If you are experiencing a fast, pounding, or irregular heartbeat or pulse, you need to contact your prescribing doctor.

Females usually reach their adult height around the age of 16 years, so you may be as tall as you will get. However, if you are going to do this, before starting HGH pills I would recommend seeing an Endocrinologist to check for Thyroid, Pituitary, or Adrenal gland dysfunction. Since HGH is produced in the pituitary gland.

The brief answer is: it depends on the cause of the inflammation--strep, nasal drainage, mono.... This would need to be evaluated by your Doctor

Tylenol or Motrin may help. Also warm salt water gargles every couple hours will help to reduce inflammation in your tonsils which will help in opening your eustachian tube helping to relieve the ear pain

Studies have shown a positive connection between T2D and pomegranates. Read this article "Pomegranate and type 2 diabetes" authors Saleem Banihani 1, Samer Swedan, Ziyad Alguraan

PMID: 23684435 DOI: 10.1016/j.nutres.2013.03.003

Apply ice to the ankle for the first 24 hours. Put ice cubes in a plastic bag and add a small amount of water to the ice. Wrap the bag in a towel and place on or against the ankle. After 24 hours, alternate 20 minutes ice, 20 minutes heat (a heating pad works well for this), and 20 minutes nothing and repeat.

From what you have written it sounds like frustration due to a lack of communicating with you. She may need to be evaluated by Psych to provide her with ways to express herself.

Rule of thumb--If you are concerned take him in to the ER. Strep will usually go away on its own in a few days, however antibiotics are given to protect the Heart and Kidneys.

Any vitamin is fine. I often recommend Flintstone vitamins with iron for my young patients esp. patients with anemia. To decide what is best for your child read the labels and compare the ingredients.

According to the American Academy of Pediatrics, healthy children who eat a well-balanced diet do not generally need vitamin supplementation, except vitamin D in infants and young children if they are not meeting the recommended daily value through food and beverages.

Some good vitamins are;
-SmartyPants Kids Complete Daily Gummy Vitamins
-L'il Critters Gummy Vites Complete Kids Gummy Vitamins
-Ritual Essential for Kids 4+
-MegaFood Kids One Daily
-Garden of Life Vitamin Code Kids
-Nature’s Plus Source of Life Animal Parade

"This too shall pass."
If the coin isn't blocking her airway it should pass in a couple days while having a normal bowel movement. To know if it has passed you will need to check every stool for the coin. If she doesn't have a stool in the next couple days it could be stuck. Take her to the doctor

Fever after a vaccination it perfectly normal. Treat the fever with Tylenol or Motrin. A rash may appear a week after the chicken pox vaccine--this is normal

To name a few, he is at risk for:
Type 2 diabetes
High blood pressure
Heart disease
Stroke
Sleep apnea
Metabolic syndrome
Fatty liver diseases
Osteoarthritis
Gallbladder diseases
Kidney disease

Dehydration is a loss of bodily fluids, it is similar to fluid volume depleting in a glass as the fluid evaporates and the fluid is not replenished. The fontanelle will depress or appear sunken as bodily fluids diminish.

A small pinch of nutmeg may be helpful, but teaspoons could prove dangerous. I have attached two links about nutmeg. The first one promotes the use of nutmeg but just a pinch. The second is a report of studies on the dangers of large amounts of nutmeg (1 - 3 teaspoons). Read them and discuss them with your parents and doctor.

https://gordanladdskitchen.com/knowledge/herbs-spices/nutmeg-tea/

https://www.delish.com/food-news/news/a54742/cinnamon-challenge-nutmeg-dangerous/