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Infectiology

Can my unsteadiness and imbalance be due to only spine issues or Parkinson’s or both?

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I am 46 years male. I have been experiencing unsteadiness and imbalance for about 2 years now. This is the main symptom. I also have severe sleep apnea. My right hand has a reduced swing while walking. I have a postural tremor, but it has been there for many years. My speech sometimes chokes up suddenly while talking, and i have to clear my throat to continue. I also feel light headed once in a way, this is diff from the unsteadiness and is independent of posture etc.

My doctors suspects it is early Parkinson’s.

A spine MRI showed cervical compression in c6-c7, c5-c6 with myelopathic changes last year. This year I repeated MRI, but now it says myelomalacic changes in c6 c7. A spine surgeon advised me surgery.

Can my symptoms be due to only spine issues or Parkinson’s or both? What are myelomalacic changes? What will it lead to if I do not have surgery? I don’t have any significant pain symptoms. But hand is slightly weaker (weaker grip). Doctor says 4 out of 5 (strength).



I have been suffering from prostatitis, there is presence of pseudomonas fluorescens, need second opinion?

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Hello. I have been suffering from prostatitis with many symptoms (painful urination and after urination, sometimes painful ejaculation, right testicle pain, genital tenderness…). I have done many exams such as urine test, blood tests, semen tests, prostatic fluids exam after prostatitc massage. I have been on various antibiotics for various duration, but condition never gets really better. I did last week new prostatic fluid exam and the results are presence of pseudomonas fluorescens. My doctor here in Japan says that it is present is all people and therefore not the cause of my pain. He doesnt prescribe me antibiotics but since I have bacteria which has been cultured, I wonder why I dont get antibiotics medication. I read that this bacteria is mild and not very harmful but also quite resistant to antibiotics. Every urine test comes back negative with no infection and semen testing doesnt show bacteria either, only the expressed prostatic fluids come to the conclusion of this Pseudomonas Fluorescens. Your advice would be really helpful, thank you !



I may have henoch schonlein purpura, need confirmation and advice?

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Here’s when it all started. I was 14 years old and I noticed millions of red spots all over my legs from the knees down. Me and my mom were worried on what it was so we went to the ER and they said possibly it was henoch schonlein purpura but they didn’t diagnosis me with it. I am now 18 years old and they still haven’t gone away. One doctor told me it would go away on its own so it did a week later and then another week passes by and then they come back. I get bad joint pain in my ankles and knees I’ve only gotten the rash from my knees down and I get stomach pain and just recently I noticed blood in my urine. The picture I have uploaded it 3-4 days after they have shown up on my legs they get blood red.



My baby had immunization in UK and he should have done the third shot but can’t?

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Im a mum living in UK. I would like just ask something about my baby. He started his vaccine for the immunisation in UK and he should have done the third shot on the 18th of January but we are in italy for family problems and we will back in UK at the end of February. Is it a problem? My son has to repeat all of the shots if we are so late? Please can you help me? From here i can t contact the doctor



I have diarrhea and found lumps on rectal area?

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I recently have been having a lot of diarrhea and has.causing me to wipe a lot for several days. I started to feel a burn in my anal area which I assumed was from wiping so much. But then I felt these bumps so now I’m worried. I think they were once filled with clear fluid and then popped (so the picture was taken after being popped) and there’s also more bumps than shown in the picture on the outside.



I have pain throughout my body, I don’t know what it is?

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It all started from the age 19, i had pain on my knee,left/right suppose right knee and the after few days it circulated to my right elbow then to the left elbow and then to the left knee and the pain vanished. It kept occurring in about 2 weeks, then slowly the pain started increasing it started hurting from my knee below, the circulation occurred and vanished. I used to apply gel and bandages because i thought its jus the normal pain. It continued and almost after 2 years or so the pain started getting extreme and the whole leg and hold hand started paining. I realized its not usual pain so i went and checked, because it started from the knee they inspected my bones and all my results were clear. After going to few doctors they said its not a bone problem may be nerves, i went to check again and they suspected it to be arthritis but since nothing could be seen on my bones they weren’t sure about it. The pain now attacks my whole leg and my lower back, if my hand then whole hand my upper back. Many times i have had very severe pain throughout my body and i freeze i cannot move anything and if i do it hurts even more. I feel like someone is poking me with a very sharp thing all over my body, all i do is take a painkiller and sleep. Once when it was paining so much i happened to take 3 painkillers in the difference of an hour and my face started swelling like an allergic patient and i was rushed to the hospital and given allergic stuffs which cooled it down i just wanted the pain to cool down so i took unknowingly that these things might happen. I don’t know what it is and haven’t figured it out. Do you have any idea?i am 27 now.



My 13 year old daughter has been having a shooting pain on the top right of her head?

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My 13 year old daughter has been having a shooting pain on the top right of her head since last march or april. The spot was probably about a inch big. When we first noticed it there was a bump but it went away within a month so we didnt worry about it until a few months later. The doctor had us follow up to take her for a MRI but they did not find anything so we left it alone and a few weeks to a month later, the dot extended to about three inches and goes to the back right of her head. We do not know rather to follow up with the doctor again or leave it alone because they did not find anything in the MRI . Is there any other tests they could do? What could it be?



I have a cerbaseous cyst on my back that has developed an infection?

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Male 65 .. I have a cerbaseous cyst on my back that has developed an infection … Swollen, red, warm, extremely painful to the touch. Can’t get into the Dr for a week. He will not give me any advice over the phone other than warm compress. I saw online Fluconazola would be an antibiotic to treat the infection. I have sealed packs of Fluconazola exp date 12/2018 but cannot find a dosage amount. I used the Fluconazola before without any complication for skin tinnea(SP?) and had these on hand for future possible flare ups. What would be a proper dosage to start eliminating the infection?



my father has wounds on both of his ankles. its been more than 8 years?

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hello doctor
im (…). my father has wounds on both of his ankles. its been more than 8 years and he had gone grafting two times and had undergone homeopathic allopathic and ayurvedic treatment also. he is not a diabetic patient. his age in 52 and weight is 100kg and height is about 6ft.
now he taking ayurvedic medicien from last 3 years. but its not working. had gone so many tests and all.
please help to cure this . and tell us which disease is it ?



Small Insect bite, itching resistant to epinephrine injection, pills and creams, getting worse?

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Hi , I am (…) from china , my Girlfriend has been bit by very small insect look like mosquito in a park , after two hours she begin scratch but it is not so bad as it is at night until morning its worse , it has swollen , itchy very reddish , she went to a clinic doctor inject a epinephrine , and three other injections. it was ok and comfortable till 4 to 5 hours then again she wants to scratch she injected second day then doctor said now just take pills and it will be fine , but it could not even no after a month its still like this in between some days it was just ok she thinks it almost recovered but no after a month gradually it is worse and worse now this is her second day to inject but she still want to scratch , My question is what we should do ? why it is not recovering , we used different pills and cream but for some time till that cream is there no itchy but later on it again itchy …



Over a year ago I started experiencing fatigue, heart flutters, weight loss?

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Hello, I am a 27 year old female. Over a year ago I started experiencing fatigue, heart flutters, weight loss and a few other small symptoms that lead me to be concerned about my health. I was given a test for Addison’s disease which came back twice as inconclusive and was told it must be stress. I then spent a year with a psychologist going weekly and attending coping skills courses. Some symptoms lessoned. I honestly lost faith in going to the doctor and hadn’t been in over a year until I developed a UTI, which I have been treating with antibiotics for close to 3 months now. I just finished my 4th type yesterday and it is already showing symptoms again. I also found a small hard lump at the bottom of my right breast that causes me no pain and moves. I just received blood work back today that says I am now anemic. I have an appointment Wednesday and I would like to know what type of tests do I ask for. There is an underlying issue that is causing my weight loss, poor immune system and these issues and I feel that they are only treating the symptoms instead of taking me seriously and looking for a cause. Please help me I am lost and tired of this stuggle and I have no medical background to help me figure this out on my own.



I have severe peripheral neuropathy symptoms after HIV exposure?

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I am a 32 years old male. I have severe peripheral neuropathy symptoms since 2 months of my hiv exposure. Had a ptotected sex but I am not sure on hiv status of the sex worker or the condom status during sex(broke or any hole).

I am everyday feeling burning pain in feet, extreme body twitching cramps in thighs, tingling in feet leg and hand fingers. Sometimes burning pain in thumb also.

My doctor told it is not hiv but stress but it has never happened before and non ending. I am now 5 months hiv negative by duo test and pcr test. I also did std panel tests twice for hcv, hsv, vdrl, chlymdia and it was negative too.

Please suggest what to do as this problem is affecting my daily activities and even sleep. Is this HIV? How long do I need to do the tests to be 100% sure I do not have hiv?

Lab tests performed:
4th gen duo – 2 month, 3 month and 5 month Pcr dna – 3 month Pcr rna – 4 month



I have gastric problems with itching and breathing problems, getting worse?

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2 months back, at night I faced severe stomach ache in the middle of my stomach. My mom thought at first it was due to gastric problems and gave me the medicine but it didn’t work. I tried passing excreta and after a lot of attempts it passed, and I was expecting my pain to reduce by then but it got severe. My dad gave me some pain killer for stomach ache and then finally it reduced. After 2 weeks or so, I again faced the same problem and I took the same tab again and the pain reduced again. It repeated the same way after 3 weeks and I took the medicine but this time it didn’t reduce. After some time, I drank a little ajwain in water and it reduced a little and slowly disappeared. The next day, I got the same pain.
When my stomach had pained for the first time, my whole body had started itching and I had allergy tablet and it reduced for 2-3 days, but it started again. Currently the itching isn’t much, but whenever it itches, the small part of skin in that place swells and turns red like how it happens when a mosquito bites.
Since few days, I am even suffering from back pain and lower abdominal pain, in the absence of stomach pain and I even face breathing difficulties since few months. At the beginning I wasn’t able to breath in absence of wind, but now I feel suffocated more.
I even feel very hungry at times, my stomach gets hot and it won’t get even half filled despite eating a lot of things and I feel a little weakness in my arms and legs. Can you please tell me what might be the problem?



I have strep throat (Streptococcal pharyngitis) prescribed Clindamycin, now feel awful?

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I am an 18 (I’ll be 19 on the 18th of January) year old woman, and I am currently taking 300 mg clindamycin (3x a day for ten days), 300 mg bupropion (1x daily), .25 mg alprazolam (1x daily as needed). I have an allergy to penicillin, I have had ENT problems for as long as I can remember — when I was a toddler, I had to have tubes implanted in my ears due to frequent infections — as well as a weak immune system and a history of depression, anxiety, and OCD. Eight days ago, I went to a walk-in clinic for tonsil stones. The doctor there swabbed my throat, found out I had strep (which surprised me, my throat was barely sore), and prescribed me clindamycin. Just three days later I felt awful (it’s alright as long as I stay completely still in bed, which I’ve been trying to do for the past few days, but if I move, I get pain in my abdomen that’s so intense I can barely move anyway. This has been accompanied by other fun symptoms, like gas, bloating, and yellow-looking diarrhea) but a quick google search told me that was fairly standard of the drug so I tried to stop panicking. It hasn’t worked too well (I’ve pretty much convinced myself that I’m dying, so that’s been an absolute joy), and the symptoms haven’t let up over the past five days. Am I reacting badly to the medication? Should I stop treatment, even if there are only two days left to go? Do I need to see someone about this? What’s going on?