I have fatigue and muscle aches, could it be Fibromyalgia?

Fatigue and muscle pain with normal test results

I have fatigue and muscle aches. I have had several blood test and all have come back normal. I was told it could be Fibromyalgia. I read about adrenal fatigue online and it fits my symptoms also, however, I have read some that say it is a real condition and some who say it is not. Is adrenal fatigue a real condition?



Suffering of high-grade fever 39.5°C most of time for 5 weeks, all tests normal, blind treatment of bacterial infection ineffective?

Suffering of high grade fever 39.5°C most of time for 5weeks

Suffering of high grade fever >39.5°C most of time for > 5weeks
She has no any signs or symptoms of infection or inflammation anywhere in her body , and all possible investigations done and all results within normal levels including : CBC, ESR, CRP, U/E/CR, LFT, TFT, BLOOD FILMS, LP, BLOOD CULTURES, URINE R/E, VIRAL SCREEN, EB VIRUS WIDAL TEST, Weil–Felix test , Brucella test, ABDOMINAL U/S, HIP JOINTS U/S, THYROID U/S, CHEST X-RAY, HIP JOINTS X-RAY, LUMBER VERTBERE MRI ( and some tests repeated many times )
She also received multiple antibiotic course as blind treatment including ( septren, cloxacillin, claforan, meronem, clarithromycin, procaine penicillin, ospen …… )
Clinically : except of her body temperature 39 -41°C despite paracetamol ( iv, orally and suppositories ) and ibuprofen syrups, she is stable , no complaint , no rash , no any significant symptom .
Note : 6 month ago she starred to gain weight and get obese , now her body weight = 30kg.
Female



I am having trouble breathing and have two holes in my chest?

Having trouble breathing and have two holes in my chest

I have 2 holes in the left side of my chest and 4 gashes on my upper left torso, also have a few gashes on my left shoulder, and my ribs are broken on the left side as well. Every time I take a breath, a weird blowing sound, along with frothy blood comes out of the holes in my chest, making it hard for me to breathe. The holes are in my upper left chest area and near my left nipple. They both blow bloody bubbles out in spurts each time I breathe. The holes are about the size of a half dollar coin and make blowing sounds each time I breathe. I called for an ambulance and the EMTs cut my shirt off completely and are saying I need to go to the hospital. They said I need to have oxygen and might have a “punctured left lung” and a “sucking chest wound.” What do these terms mean and why was my shirt cut off? What will the EMT’s and doctors do to treat my condition, and after I leave the hospital, what can I do for self care at home? Male



I have elevated Creatine phosphokinase (CPK) and Sed rate (erythrocyte sedimentation rate) along with muscle soreness and pain?

Elevated CPK and Sed Rate along with muscle soreness and pain.

For the last 11 months I’ve had varying degrees of muscle soreness and pain. My CPK rate was 1276 last July and has been between 300-700 for the last 10 months. My peak sed rate was 35 and has never gone below 20 in the last 11 months. 35 year old male. Had electro muscle test that came back negative. It’s not debilitating but it’s annoying and painful on some days.



My second daughter is seven years old and has hormonal problems, please advise?

GnRh stimulation test and its results

My second daughter is seven years old. She has some hormonal problems. May be you can help us in this matter. Briefly I will describe the situation for you and attached some analyses tests:
1) Since 8 months she got treatment. I took her to endocrinologist. After analyses hormonal, Brain and Adrenal CT they decided that she has hormonal problems. Brain and adrenal CT were normal. But they said adrenal material is now so developed and it could not produce hormones normally.
2) Since 8 months doctor started treatment with hydro cortisol tablets for regulation Cortisol, DHEAS and other hormones. During 2 years my daughter got this treatment. After this they stopped it and started Norditropine injection for growing. About 2 years she got this injection. And when we discovered liver infiltration after sonography doctor stopped all treatment and said every think is ok now. About 1.5 year she did not get treatment and everything was ok. But recent 3 months we discovered the menstruation in my daughter and make test. The Estradiol level increased and after sonography we find out that she has a small cyst in uterus.
3) Additionally we mad GNRH stimulation test (0, 3 and 24 hours). LH level is under 4 but estradiol is high. Doctor recommended injection but I am hestitating because I read if LH level is under 4 it does not importatant the injection. For now doctor prescribed Medroxyprogestrone



After staph infection, I have been getting pressure and sharp or dull throbbing pain in my upper left leg?

I have pain and pressure in upper left leg

I am a 30 yr old nonsmoking female who is a couple of pounds underweight but not malnourished. I don’t take any prescriptions or drugs and only drink about once a month. About two years ago, I had what doctors thought was a staph infection due to an ingrown hair in my groin area (it was never tested for staph, but he told me I had one and gave me antibiotics, which I took as prescribed). Ever since the staph infection, I have been getting pressure and sharp or dull throbbing pain in my upper left leg. The pressure/pain is on the very top and the inside of my leg. Before the last two weeks or so, the pressure and pain would only occur for a couple of minutes in very sporadic intervals. Sometimes I would go several days without any pain or pressure. However, in the last two weeks or so, the pressure and pain has been in my leg more often than not, so I am a bit concerned. When I press on the area, it doesn’t hurt, but is a bit tender. There’s no redness, sores, or puffiness there or anywhere on my body, and it doesn’t appear that I have another ingrown hair. When I walk, the pain lessens or is the same. When I sit, the pain/pressure usually gets a little worse. Also during the last couple of weeks or so, there have been sharp pains in my left armpit. The pain only happens approximately once a day for a few seconds. I can feel small nodules in my groin, neck, and armpit they don’t hurt. I’m not sure how new the nodules are. A few years ago or so, a doctor told me I had permanently swollen lymph nodes, and he thought it was because of a tonsillectomy that I had as a little girl.



I’ve been diagnosed with Relapsing-Remitting Multiple Sclerosis (RRMS), losing weight can it be Lyme Disease?

MS multiple sclerosis or Lyme disease

Hello doctor, I’ve been diagnosed with Relapsing-Remitting Multiple Sclerosis (RRMS), I make 2 MRI’s brain and spinal cord and found lesions both of them..since august I’ve been diagnosed I’ve noticed some strange things happened to me..first of all I’ve lost weight, more than 15 pounds in a year, second I’ve noticed a light face atrophy in the left side, arm and legs weakness and tremors..is it normal..does multiple sclerosis affect the weight I am taking Tecfidera for ten months Age:38 Male



My immune system is deficient in the 1gG3 classification, please advise?

Chest congestion, sinus congestion, inner ear canal has fluid moving around.

My immune system is deficient in the 1gG3 classification. Currently, I cough and have to hold my chest because of the pain. I seem to be on a 3-4 week cycle of getting sick. I call my asthma doctor who prescribes an antibiotic over the internet. I had this 3 weeks ago but it was better for a week or so after an antibiotic and prednizone. Getting into the doctor takes days and I don’t trust the urgent care facilities. The doctors seem to be inexperienced. Should I go to the emergency room this time? How do I know if I am in real danger of the congestion affecting my ability to live?



Bone Tuberculosis (TB) Diagnosis cannot be confirmed, do we opt for surgery or TB medication?

BONE TB DIAGNOSIS CANNOT BE CONFIRMED

My name is (…) from Australia. My nephew – (…), (male) aged 16 year, living in Bangladesh, has been suffering an acute pain in his spine. Doctor in Bangladesh wasn’t able to unambiguously diagnose his disease, however based on some of the medical investigation such as MRI scan and assessing the symptoms they strongly suspect that (my nephew) has been suffering from Bone TB. As the diagnosis was not unequivocal so the prescribed course of the treatment given by the doctors in Bangladesh doesn’t build a solid confidence in us. In that circumstance my sister brought him to Hyderabad, India as India is deemed to be better than Bangladesh in regards to medical science. However, the outcome is almost absolutely identical. In this circumstance we are seriously confused and cannot take our decision, whether we should go for surgery or TB medication. We are even thinking about taking the patient to Bangkok as Bangkok is even better than India.
Please give me a guideline.
Kindest regards,
(…)

I was recently diagnosed with an Atypical Mole (Dysplastic Nevi), please advise?

Questions about atypical moles

I was wondering if you can help me with some (mostly neurotic) questions pertaining to some dysplastic nevi which I was recently diagnosed with. I’m currently suffering from health anxiety and tend to make the mistake of googling these health conditions as well. My dermatologist recently removed three nevi at my request, primarily for cosmetic reasons but also because I didn’t want to obsess over them changing anymore. She did shave biopsies, one came back as mild dysplasia and the other two as mild/moderate dysplasia. She indicated that no further treatment is needed. Last year, I had two other larger moles removed which were biopsied and normal, and I had about five larger (but no bigger than a pencil eraser) removed by my primary care doctor seventeen years ago (a dermatologist had actually clinically diagnosed them as normal a year prior to that). Unfortunately, he had used electrodessication and currettage without biopsies after saying they were normal clinically (not sure if they were moles anyways, possibly seborrheic keratosis?); all that are left now, seventeen years later, are flat white hypopigmented areas and no reoccurrence of pigment or other changes has taken place where they were removed ( I would think if they had been dangerous I would have seen major changes by now and perhaps wouldn’t even be here). Given the above, that is a total of about ten larger -sized moles which I’ve had; any other pigmented spots which I have are sun spots, freckles, etc. There is no history of diagnosed melanoma in my family — my father did have some strange pigmented lesions on his back, but I know for a fact that he had them for over twenty years (he would’t go to a dermatologist) and he died from cardiac arrest — I’m thinking that perhaps they were seborrheic keratosis, which I understand can resemble melanoma. I am vigilant about having professional skin cancer screenings done, and as a matter of fact just had a free one which a local cancer hospital sponsored…all was fine.

Based upon all of that information, do you feel that there is any need for me to be concerned about FAMMM
(familial atypical mole malignant melanoma syndrome)

I also see that there is an atypical mole syndrome which increases your chance of melanoma. So far I’ve only had ten larger moles (about the size of pencil erasers), all of which have been removed– two were normal on biopsy, three mildly dysplastic, and the five removed by my primary care doctor 17 years ago were not biopsied. Other than that I have about 35 other smaller freckles/moles (I’m not sure how to distinguish them), the largest of which look like the ones in the attached image of my arm. Is it safe to say that I don’t appear to have atypical mole syndrome (I understand that usually has HUNDREDS of moles)?

I’m attaching an image of my back; you may see some hypopigmented areas from where my doctor removed lesions seventeen years ago and red spots, which are areas which my dermatologist just treated with cryosurgery and some with electrocautery. The second image is of my upper arm, just to show you the other types of freckles and sunspots which i have in other locations. Age:50 Female

Based upon all of that information, do you feel that there is any need for me to be concerned about FAMMM
(familial atypical mole malignant melanoma syndrome)



Low resting heart rate can it be a secondary adrenal insufficiency, if not what is cause?

Low resting heart rate (woke up with it week ago)

Last Thursday, I woke up short of breath and lightheaded, so I checked my heart rate about an hour later, and it was only at 43, and My normal resting heart rate is 78 or so. It’s stayed between 40 and 55 since then. Two days later, I went to the ER where they did a blood test and an xray of my heart. They released me saying I was stable, and that there was no signs of heart damage nor signs of any clots, but to see a physician within 3-5 days. I am unable to see a doctor due to the lack of insurance, so I am wondering if anyone could tell me what this is. I had a traumatic event happen to me 4 days before the first day if the symptoms, and I was in pure “fight or flight” mode with my adrenaline pumping almost nonstop. I seem to have a lack of it, so I brought up secondary adrenal crisis to the ER and it was dismissed. Please help Age:30 Female



I have some hip pain 9 weeks. Had MRA image recently, would welcome second opinion?

Some hip pain 9 weeks. Had MRA image recently, would welcome second opinion.

Hello, I kindly request a 2nd opinion for my hip pain. Attached is MRA image recently done of Labrum. I would like opinions if they feel it is torn, freyed or not affected. My doctor is unsure and i dont want to have unnecessary surgery. I am 48yr old male.



I am facing breathing difficulties for last 1 year, my doctors can’t identify problem?

I am 27 years old boy. I am facing breathing difficulties for last 1 year. Pressure and tightness on left and middle chest. Discomfort on upper back and neck. If I sit on chair I can not keep my spine straight, feel very weak. Also after walking some distance feel breathing difficulty and chest pressure. I have visited chest specialist, cardiologist. I have done some test like chest xrays, ECG, ECHO Color, Blood test. All reports are ok. Done MRI of spine. Report comes with disk bulge in c4-c5 level. Others are ok. I also visited physical medicine specialist and he gave me Brufen SR tablets and some anti depression tablets. I have little chest pain not much. But discomfort on back and chest and breathing difficulty making my life very miserable. Sometimes I feel very awkward like 1 or 2 kicks(bits or vibration like for 1 or 2 seconds) on middle of my upper chest which feels like I am getting heart attack. When I hear any bad news and then feel very bad on my left chest.
I am a software engineer and I can not work effectively in my office. Please advice me what I have to do and what is causing this problems.
Thanks in advance.



My mom has, kidney failure diabetes sarcoidosis heart failure she now has these big knots why?

My mom has a lot of problems kidney failure diabetes sarcoidosis heart failure etc she has these big knots as I should say every where in her body ? The doctors are not doing everything about it and don’t know what it is . It’s everywhere and I could also send pics it’s that big any thoughts of what it could be ?



I had cold coagulation for (cin) cervical intraepithelial neoplasia, I have bleeding since that day?

Hi my name is (…) I am 25 years old exactly 11 weeks ago today I had cold coagulation for (cin) cervical intraepithelial neoplasia 3 on my cervix I have bleeding since that day I finished my contraceptive injection one week ago aswell
I have bleeding every single day for 11 weeks solid it’s has been pink red and brown I’ve had some cramping some back pain but there isn’t a pattern sometimes I can stop for a few hours then it starts again last week was the heaviest it has been and now it has turned back brown and black blood
I do t know what else to do I’m not in any pain now