Loss of taste / smell
Dear team, I have lost my taste and smell for 10 months now. I am an adult with CF, have polypes, have been operated twice on those polypes and it should not be done another time; because in the MRI it was not looking that bad. You have already answered me in October 2016, and I did everything that you proposed. Twice daily inhalation with Pari Sinus, with saline solution, pulmicort and tobramycin. After 6 months of this therapy, my mucosa in the nose is totally irritated and I could scratch all the time. However, smell and taste are still gone. In the meantime I took oral cortisone for 3 weeks in spite of my difficulties with that - however this was successful for only two days and nothing else than sleeplessness and unrest occurred. Then it was closed again. I really do not know what else to do. Before, I had a social life, ate a lot with peolpe, the small nice things, that remain. I am really down with my mood, feel like being cut from life, as I am really a sensible human. (And also the pulmonal finding is already in your mind.) I have the impression, nobody can help me (ENT) resp. takes it really for serious (hospital). Do you have an idea? Thank you again.
Orkambi and diabetes
Hello, my son takes Orkambi for a short time period. He has CF and diabetes, that is treated with Repaglinide (3 x 0.5mg). Among the drug interactions of Orkambi is is written, that is decreases the effect of Repaglinide. Is it therefore sensible to go on taking Repaglinide or are there any alternatives? Many thanks and best regards,
Amount of daily drinking
Hello, I would like to know for my friend, who suffers from CF, how much water one has to drink daily in case of CF?
Lung produces since recently extremely much mucus, why?
Dear expert team, my brother, my sister and me, we suffer from CF. Unfortunately the condition of my brother worsened extremely in the last 4 weeks. The reason is until now not really clear. He got 5 weeks ago ORKAMBI as a new drug. Unfortunately it seems that at the same time a pneumonia came up. This had seemingly the effect, that his lung produces extremely much mucus. This had been mixed with blood in the beginning, now it is brownish. He expectorates the mucus with inhalation and physiotherapy. Unfortunately the lung goes on in producing much mucus and our physicians of the center cannot explain this. Is there a reason known to you why such immense amounts of mucus are produced? Actually my brother is transferred to a center in order to get prepared for lung transplantation. Many thanks for your help!
Compund heterozygous for F508del and R117h
Dear ladies and gentlemen, the above mentioned mutations have been found in my case, when I (32 years old) had already been pregnant via IVF (in-vitro fertilization). I did the investigation, as these mutations had also been found in my brother when he was investiagted in a clinic for reproduction as he wished to have children. These mutations are in trans. During my pregnancy, I visitied a CF center. All investigations were not pathological, a sweat test had not already been done. However, a colonization with Staph. aureus had been found. My question: Is this a combination of mutations in which sooner or later classical symptoms occur or is this rather an atypical form? Best regards,
Hello, what are the symptoms of sputum in a baby? Best regards
Since very young, my 5 year-old daughter performs 5 physiotherapy sessions per week, all over the year with only exceptionally on Wednesdays take away the summer. I have another CF center closer to our home which is much less strict with only 1 to 2 sessions per week. Why is such a difference between the different centers? Is there research, about what is the best follow-up? I am very pleased with its follow-up but I do not understand this difference on a primary treatment in cystic fibrosis children.
Heterozygous fetus of 14 weeks
After a trophoblast examination the results were negative for Down syndrome, but the fetus is heterozygous for CF. Will the baby always remain a carrier? Is there a chance for the baby to have CF? Its sister is 20 months old and normal. An amniocentesis was performed and a molecular karyotype was checked.
Experimental treatment
Hello I’ve got cystic fibrosis with F508del and Q1411X mutations. I was sfor one year and a half under Ataluren experimental-treatment. Yesterday, I was told that the protocol is ending immediately because of a lack of significant results from the clinical trial. Nevertheless, for me I saw a reduction of exacerbations. I’m extremely disappointed by this news. This is my question: regarding my mutations could I take part in ongoing clinical trials? Thank a lot for your answer.
How to disinfect sofas
Hello I’d like to know how to clean textiles, in particular pillows and sofas?
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