Ultrasound of my kidneys provides different results, please advise?

Hello in 2010 I had an ultrasound after seeing a nephrologist. My right kidney measured 10×3.6 cm and my left 9.8×3.8 cm…the notation said slight increased echogenicity of both kidneys in prominent pyramids. And the impression was suggesting medical renal disease…now the nephrologist said that I had significant scarring in both kidneys. Which baffled him because my blood work was great. Now a few days ago after getting an ultrasound of my kidneys there was nothing it was all normal. And while I’m thankful I’m confused and no one seems to be able to tell me why this can occur. Can you tell me why this might be the case?

Age: 29
Medications: Methotrexate, prednisone, gabapentin
General Information: I was diagnosed with fibromyalgia in 2017 and my Rheumatologist thinks I may have RA or sarcoidosis.

Suffering from a terrible pain in lower back that lasts a second or two, please advise?

I have been suffering from a pinpoint pain in my lower back, at exactly the same location at least 3 to 4 times per day. the pain stays for a second or two and then goes away. But it happens often, several times a day. I had a lumpectomy and lymph node operation 2 months ago. Can it be related to my operation. My doc thinks no.

Age: 38

I have severe narcolepsy as well as CFIDS, need second opinion?

Are Doctor’s paid to research? i.e. when they have a patient who has an illness they are not familiar with can they bill for the time spent learning as much as they can about it? I ask this question because I have severe narcolepsy as well as CFIDS; what is considered “invisible” illness. I was recently hospitalized for an acute and unrelated condition – a severe GI infection. I was NPO and unmedicated for any and all symptoms which as you know can mimic psychiatric disease. For the first time in decades I suffered – without medication, from symptoms of automatic behavior, hallucinations at night and during the day, disrupted nighttime sleep and more. I recently received a copy of my inpatient records and also of outpatient visits and tests too – all of which indicate I have now at age 64 been adjudicated with “mental illness of long standing duration,” “bipolar disease unspecified.” The discharge summary states, “Patient states history of narcolepsy and chronic fatigue, however psychiatry indicates diagnosis of bipolar disease…and so forth. There are statements such as how I am unable to follow a conversation, appear confused, inappropriate at times; of course I was; my prognosis was initially guarded and my husband was called regarding code status as I was deemed incapable of making decisions. I asked as did my husband that my providers familiarize themselves with the symptoms of my chronic illnesses. An outpatient visit with a gynecologist (!) states bipolar disease, in partial remission, most recently depressed, indicating this was discussed during that visit – which was not. (Nor has anyone informed me I am bipolar or is treating me for it…). My other questions are: What would you do and what should I do?

Age: 64
Medications: n/a
General Information: no

CT scans show enlarged spleen and enlarged axillary and chest lymph nodes?

I know you cna’t really diagnose someone without seeing them, but I am really worried.

I have recently had two CT scans, and they showed i have an enlarged spleen and enlarged axillary and chest lymph nodes. I’m also getting heavy night sweats ( int he day now too), and have lost a lot of weight. I’ve also developed reynauld’s phenomenon in the past year ( I’m 46 and nave had it before).

I had some blood work done, and my c-reative protein level was high, my WBC and Lymph
values were low. I’m tired all the time ( not sleepy, just tired)

I recently had a biopsy for lymphoma ( am waiting for the results), but I was wondering what else can cause these types of symptoms. As I was adopted, I don’t know my parent’s medical history, but two of my three childrne have autoimmune issues ( finbromyalgia and autoimmune ion channelopathy in nerve cells).

Any input would be appreciated.

Age: 46
Medications: none
General Information: yes…she scheduled a biposy for lymphoma

I haven’t been feeling well lately, lack of energy, headaches and some chest and stomach pain?

I haven’t been feeling well lately, lack of energy, headaches and some chest and stomach pain. I had a bloodwork done and got my blood pressure tested by the local clinic and here are my results. My blood pressure is between 170/110 mmHg and 190/115 mmHg. My tests showed hemoglobin 18, platelet 150, MCH 26 and others normal. What should I do next.

Is Transurethral resection of the prostate (TURP) the right procedure?

I’m 67 years old with an enlarged prostrate. I’ve taken tamsulosin 2x a day for 5 years but the problem has gotten to the point that I admit that I need to take more effective measures. Because I also have a 2mm stone in my bladder my urologist says TURP is the procedure of choice. My question is this, is it obvious that TURP is the way to go or are there alternative procedures to explore? My urologist is quite competent but he is semi-retired “old school” and I’m not confident that he knows about the most recent developments in the field.

Age: 67
Medications: Tamsulosin HCL 0.4mg twice a day
General Information: Except for the enlarged prostrate I am in very good health

I had spine surgery exposing my spine, is there risk of infection?

I recently had surgery to confuse five vertebrae in my neck the problem is is my incision started to create a big hole looks like it was infected my surgeon told me it was not infected but he put me on antibiotics anyway. So I have this big gaping hole it is exposing my spinal cord and my spine.I’ve had surgery once to correct it and close the incision, he cleaned it out and closed the incision and stitched it. Well the hole has returned. I was supposed to go out of town to a plastic surgeon to close the incision again but I haven’t heard back from my surgeon’s office for 2 days. What is my risk of infection from my having my spine exposed? I like my surgeon and I don’t believe that he’s trying to hurt me in any way, but should I be seeking second opinion or another doctor to close this incision and should I be doing it faster than it’s being done? it’s now been seven days since the last time I was in surgery to have it closed.

Age: 56
Medications: None

I was injected intravenously with iodine for CT scan, now having side effects?

I had a CT of my chest and abdomen. I was injected intravenously with iodine contrast twice. The next day I was having constant palpitations, my heart felt like it was racing and bogged down. I was short of breath and lightheaded, I also felt a weird pressure in the arteries in my neck. I was having mood swings and very stressed and depressed. This was constant for a week and a few episodes the next week. This week, the third week seems to be more frequent. I read that iodine contrast can trigger hyperthyroidism, since they injected me twice I think it is probably the case. How long will this last and do I just wait it out? It feels awful. I emailed my Dr and she just said to drink a lot of water to flush it out, I don’t see how that can help.

Age: 42
Medications: Singular, pulmicort inhaler.
General Information: I had constant fatigue and brain fog for several years. I started taking 1 gram of l-arginine in September and felt a little better. I have b-12 anemia but b12 shots made me feel worse. I take deplin methelfolate. I got sick with a respiratory infection and had to be put on 10 days of prednisone at the end of october, it has cured my fatigue and brain fog. I had my CT

Is it correct that I could be retaining fluid while at the same time being dehydrated?

I have always had a problem with fluid retention and take medicine for it. Last summer I started having a rapid pulse for no obvious reason. Since I have hypothyroidism my doctor lowered my dose of medicine. That worked for a short time but then the rapid post came back so again my dose of medicine was lowered. This happened three times and I was referred to an endocrinologist who felt that the lower dose I was on was appropriate. Now my rapid pulse has returned. I did some research and learned that if I was dehydrated it would also cause a rapid pulse. Since I am tired all the time and unable to lose weight I am concerned that my thyroid medicine does is not correct. My problem may stem from dehydration as it seems every time I am admitted to the hospital for some other reason I am told I am dehydrated. I am 77 years old and have CLL and am on Imbruvica for that plus many other medical problems including stage three kidney disease. Is it correct that I could be retaining fluid while at the same time being dehydrated. I try to drink as much fluid as I can but obviously it must not be enough. I am afraid if I go to my doctor they are just going to lower the thyroid medicine again and if they do that I will probably be sleeping 20 hours a day due to tiredness.

Age: 77
Medications: Imbruvica, gababentin synthroid, Welbutrin, sulfasalazine, lasix, acyclovir,pristique, eliquis buspirone, valsartin,,prilosec

I had electrocautery to remove genital warts, should my partner do the same?

I had undergone electrocautery for genital warts some weeks ago and have follow ups as well. As of now my Dr said that my wounds from the surgery have healed good and also just had my pap smear results and it was negative or normal however suggestive of bacterial vaginosis. I am currently on antibiotics for bv. My concern is the Dr doesn’t want me having sex with my partner who still has genital warts. The Dr is also intent on doing the electrocautery for my partner too but i think he is hesitant. My question is if my partner chose not to do the surgery, will i get genital warts again? Are we just going to pass it to each other back and forth? Please help…

Age: 29
Medications: Metronidazole vaginal suppository

I had a vasectomy now have blood in my semen (seminal fluid), will it stop?

I am 65 yr old i had a vasectomy 40 years ago. And about 3 yr ago I had blood in the semen. A urologist gave me Procar 5 mg and it slowly stoped after 2 1/2 years. Then it was just a small amount of clear flood, and now it has a tint of red in the flood. I did not think the Doctor took it very seriously. Will it just go away in time? thank you.

Age: 65
Medications: Tramidal for R L, lycenipril for bd.

I have ED issues and experience pain during orgasm?

I have ED issues, cannot get fully erect.
I have blood pressure issues and m on medication for it but I slowly started having erection issues. before I was on the medication.

I can come to an orgasm of sorts but when I do I have pain in my inner thighs at the time of orgasm.
The pain goes away in a second or 2.

Is there anything I can do or a medication available to help with the pain at orgasm?
As far as the ED I have tried the common pills from my doctor, viagra, cilalis, etc they works somewhat at first but got to where they no longer do. If there is a treatment for that I would be happy but at the least I would like to not have pain at orgasm.
I eject no semen by the way, Is it “going the wrong way”?

Age: 59
Medications: Tresiba – metformin – Glemepiride – asprin – atorvastatin – lisinapril – carvedilol – gabapentin

My son broke his tibia and fibula, is it safe to manually manipulate the fragment in place by hand?

My son recently broke his tibia and fibula in the lower part of his leg requiring extensive surgery that included utilization of steel plating and several screws. Afterwards, upon reviewing his post op x-rays, it was discovered that a large splinter from the back side of his fibula had separated from the main bone and was in essence floating in the surrounding tissue (see attached). In response to our concerns regarding the same, my son’s followup physician has advised him to manually manipulate the fragment in place by hand. Our concern is that doing so could possibly result in further damage to the surrounding tissue and prevent fusion to the main bone. Is this really a safe and soundly establish practice in regard to such injuries, or should we be considering looking for a second opinion?