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I have Obstructive sleep apnea syndrome, how serious is this?

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I am 64. Three years ago, I had a CT scan (or MRI) on my lungs to check for lung cancer (former smoker). It showed I had emphysema. I then went to Mayo Clinic in MI for assessment and was told it was mild and I may never be bothered by it.
Two weeks ago I did a sleep study at home. I did the unattended home portable study.
The Nurse called and said I did not have sleep apnea, but
The report states, “Primary Diagnosis as Obstructive sleep apnea syndrome”.
Report Results are:
02 sat less than 90% 481 minutes, less than 88% 202 minutes. Average 02 sat 88%. Average respiratory rate 12, pulse rate was about 65 plus or minus.
Respiratory events:
No obstructive apneas, 70 hypopneas.
AHI – 7.3 supine for 178 minutes AHI 7.1
Assessment:
Borderline obstructive sleep apnea G47.33
Hypoxemia G47.34
Recommendations 02 at 2L/min
Nocturnal oximetry study at 2 L/min

My question is, How serious is this, am I going to be dragging around an oxygen bottle in a couple of years?
How could I have “obstructive sleep apnea syndrome or Borderline obstructive sleep apnea if the results showed “no obstructive apneas?”
Being my AHI was 7.3 does that mean my case is “mild?” Is my oxygen saturation of 88% really bad?
I am 20-25 lbs overweight.



Found blood in urine with some enlarged lymph nodes, what tests need to done?

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My question is regarding my mother; she is 62 yrs. old with no previous medical concerns, non-smoker, and non-drinker. However she does not regularly see a doctor for annual check ups. Just this month she cancelled a trip over seas due to finding blood in her urine. Ever since then she has had all kinds of testing done including: a physical with breast exam, blood work (Glucose-fasting, cholesterol, TSH, CBC), urinalysis, mammogram and bone densitometry, seen an OBGYN and had a pap, and a pelvic/abdominal ultrasound. Out of all these tests the bone densitometry showed signs of osteoporosis and the abdominal ultrasound showed some enlarged lymph nodes, everything else was normal including WBC. So her doctor recommended an abdominal/pelvic CT scan to “rule out malignancy” we did the CT and everything was normal except “at least 3 enlarged lymph nodes within the root of the small bowel mesentery the largest measuring 3.3x 1.8 x 2.9 cm. There is no pelvic or inguinal lymphadenopathy by size criteria. No ascites” –this is quoting the radiologists report. In this report he recommended we follow up with a chest CT to look for any other lymphadenopathy or overt intrathoracic malignancies and also that we biopsy the abdominal lymph nodes by ultrasound guided fine needle aspiration. So we did the chest CT and it came back as a normal chest CT with “no signs of intrathoracic lymphadenopathy”. Now we are booked in for the Fine needle biopsy on Thursday. My question is have we missed looking into anything that may have caused these 3 enlarged lymph nodes or could this be a purely isolated case? Would a PET scan help diagnose anything lurking that we may have missed? I understand that lymphoma could be a possible diagnosis and that is why they are doing the biopsy but does lymphoma generally start in the abdominal lymph nodes?
Thank you very much

My wife and I are trying to have a baby, are my semen analysis results ok?

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Hi my wife and I are trying to have a baby. She had a miscarriage last year. Her TVS result indicated that there is no heartbeat. After that she had been trying to get pregnant until now. Today I had semen analysis just to make sure I have contributed my part . I am concerned about my ph of 8.5 is my result okay? I uploaded my sperm analysis report.
Age:36
Male
Medications: multivitamins



After the first bite of food, throat will block up?

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My son is a 32 yr old 6′ 2″ 195 lb seemingly healthy man EXCEPT sometimes when he eats within the first bite of food his throats will block up. It will constrict causing pain but relax. Sometimes after a minute or more the food will work it’s way down and he can continue to eat but on many occasions the food will not go down. He can not eat or drink anything as nothing will pass he then will have to make himself throw up to dislodge the food. But will not then be able to eat for a long while. This might happen15-20 times a month. He has tried drinking before he eats but makes no difference. He has had the problem for about 8 years. Because of no insurance he has not tried medical treatment. As his mother, I am very concerned for his health. There doesn’t seem to be any particular food that triggers the problem.



I sleep more than usual 10 hours daily and lose concentrate quickly, are my high LDL and low HDL the problem?

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Hello Dr, can you advice please,
my complain that I sleep more than usual 10 hours daily and lose concentrate quickly
I did blood test and found
Haemoglobin 13.7 g/dl
Haematocrit (PCV) L 40%
MCV L77.6 fl
MCH L 26.5 pg
MCHC 34.2 g/dl
Platelet Count (EDTA Blood) 204
Comment : in blood test report
RBCs SHOW MILD MICROCYTOSIS

how do i reduce the LDL and increase HDL, my tall 176 cm and weight 79 kg ( i am slim) I don’t eat meat too much very rare because i don’t like it, I wondered how this fat come
**I have FMF since i was 3 years old, and taking 1 mg colchicine daily

Can you advice and how much vitamin i need to take, some times i take multivitamin as daily bases like Centrum..
Age:36
Male
medications: None



Bad pain in my left ear, loss of appetite, feeling bloated?

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Hello. I have been unwell for about 4 days. Bad pain in my left ear, my left top wisdom tooth is through and c ausing pain jaw stiffness hurts to open my mouth, nausea s, vomiting yesterday loss of appetite, feeling bloated, headache/pain up through left temple, no energy feeling tired constantly. Single mum to 5 year old so i need to get better. I dont have the money to get to other side of town to see my gp or to hospital. Any help would be much appreciated. I am asthmatic, and on microgynon 50mg contraceptive. And may have lowcase of thrombocytopenia. (My platlets).

Age:30 years old
Female
Medications: microgynon 50mg, panadol (which does not help) and was on Tranexamic acid tablets (which i had to take for 4 days).



I have an issue with my finger It’s tender to touch and I have a headache that won’t go away?

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I have an issue with my finger and can’t seem to figure out what it is. I think I may have been attacked by an angry ant but unsure. It’s tender to touch and I have a headache that won’t go away and I have a 100.2 fever. I just started using beynadrly orally and Cortizone10 on the skin.



I started coughing, had x ray, please explain results?

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My Dr never mentioned anything about my chest x ray showings. Upon reading the report from the radiologist his report shows: biapical pleural thickening, perihilar interstitial prominence, mild hyperaeration. I don’t even know what any of this means. I haven’t had any symptoms until recently I started coughing and getting winded going up stairs, but aside from that I’m healthy.




My gums are swollen all over my mouth, is it the flu or a bug?

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Ok so I am in pretty good health from what I know and I have felt absolutely normal until this last Monday morning I wake up my gums not just in a few places they are swollen all over my mouth, I had oral thrush on my tongue, on that day I had 1 sore middle bottom lip small but painful today is Wednesday 2 days later I have 2 sores on my tongue and 1 inside my upper lip and 2 inside my lower lip. On top of just that. Monday even until today I have been dizzy, minor headache, lots of stomach pain but randomly, have a hard time eating when I do it causes my stomach pain I have had maybe 10-12 bites of food in the last 4 days. Yesterday I was throwing up for about 8 hours I hadn’t eaten much food but the color every time was dark brown like beef broth only a little darker and had a weird medicine type taste not like when I’ve ever thrown up in the past and I hadn’t taken any medicine or anything at that point. My temperature has been a steady 100 degrees Fahrenheit since Monday morning at 5:00am. Whole body has been weak and muscle soreness since Monday. Yesterday on Tuesday after I finally stopped throwing up my lower abdomen and my groin were in major pain so much so that I couldn’t get much needed sleep. It wasn’t until last night that it went away and I slept almost the whole night. I did have a root canal 2 years ago and only got as far as the temporary filling after and couldn’t afford the replacement tooth that area doesn’t look very good but I can’t imagine this many symptoms happening literally overnight. Had none of it Sunday night woke up Monday like I was attacked by the plague or poisoned something crazy. Please help I don’t know if this is like a flu or a bug or it will go away I feel better today than the last 2 days but still not better at all and more sores keep appearing in my mouth in random places for no reason.

Age:31
Male
Medications: None



I didn’t really have a period this month, could this be a sign and symptom of hiv?

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My period was very spotty this month/I didn’t really have one and my period has always been regular. Could this be a sign and symptom of hiv (I’m not pregnant). I just got a yearly TB test at the hospital I work at and I never saw the LVN draw up the medicine into the syringe to inject in me. So now I’m wondering if she used a dirty needle. Three weeks after my TB test I broke out with a cold sore. I don’t know if it’s just wrong ytiming I mean I usually get cold sores maybe 1-3 times a year since I was a child. I didn’t think anything of the cold sore until my period got all goofed up. Please help! Thanks!

Age:31
Female
Medications: None



I had laparoscopic myomectomy, I have now been diagnosed with a large 10cm pelvic hematoma?

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I had laparoscopic myomectomy five months ago for a large subserosal fibroid- surgery went well with no complications. Three days ago I had abdominal pain and after going to the ER, I’ve been diagnosed with a large 10cm pelvic hematoma. After being monitored for 24 hours with regular bloods, temperature, blood pressure and ultrasound I was considered stable and able to leave hospital. I return tomorrow for further ultrasound and bloods to see if it’s still the same. I am not in my home country and do not have access to my surgeons. What is the best course of action for a stable but large hematoma? I’m now just in mild pain, resting with a heatpack and panadol, and no fever or nausea.

After tumor removed from spinal cord, developed tingling in my left foot and leg?

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2 months ago I had a tumor on my spinal cord and had it removed. At that time I had swelling from t2-t5 and the tumor had compressed my spinal cord and caused spinal stenois. My surgery went as planned, but 2 months later I developed tingling in my left foot and leg, why is this happening?



I have Cervicitis And Bv. Does this mean that my boyfriend has NGU (nongonococcal urethritis)?

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I recently had my first pelvic exam they told me I have Cervicitis And Bv. Does this mean that my boyfriend has NGU? If so is it possible that my Cervicitis was caused by NGU. I recently was tested for chlamydia, gonorrhea and trich and syphilis and HIV all came back negative. Do I need to get tested for other std s that I’m not aware of?



Do I need a Saline Ultrasound with a 14 mm polyp?

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Do I have to do Saline Ultrasound if my transvaginal results (this ultrasound was done on cycle day 13) said “possible 14 mm polyp, repeat cycle day 5-10. If persistent do sonohysterogram”. I just did my repeat regular transvaginal ultrasound at cycle day 8. I hope it comes back fine. I do not want to do Saline ultrasound at all.

If these second results come back fine. Am I okay not to do the Saline ultrasound?