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Medical Second Opinion

My sister has attacks with severe headaches and sudden chills then it ends with shivering like fits?

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My sister has attack of severe headache with sudden feeling of chills then it ends with shivering like fits and after painful stimulation she regain her breathe and coniousness.
In-between she is alert but drowsy with continous feeling of mild headache , nausea with vomiting sometime
The attacks at first was irregular bs later they became in fixed times between 2-3 pm and 2-3 am but we noticed when she make some physical activity she might have one attack again
All of her investigations are normal like
MRI/blood picture/CSF/liver & kidney functions/urine & stool and also her EEG was normal waves
They began with antiviral and anti bacterial with steroids and saline for 5 to 6 days with no response
Then recently thery started with her valporic acid 500 mg and the attacks stoped but at their times she have the same symptoms of severe headache and nausea
And in between she sleeps alot and still drowsy
Aslo there are some little symptoms like tinnitus and slight abdominal pain put not tender
My questions is those symptoms now from ther valporic acid ? Or the symptoms remain but the medication maken it little ?
Is there a psychic problem that can cause such attacks and she is only stressed or depressed ?
I hope you help me or advice to search for something the doctors are missing



I have been getting pain in the left side just below the second rib in the back?

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i been getting pain in the left side just below the second rib in the back for 4 months plus the pain is worse after food i have had ct scan i have blood in my stools there try to give me a colonoscopy but it felt like it was going to come out my side where i get the pain i have had it for 7 year the pain use to go away after i had big bleed but since December it has not gone the pain make me past out iam waiting for another colonoscopy to see if they can get further in the colon please help



Ive been having left chest and shoulder pain, and now severe left flank pain possible kidney damage?

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Im a 32yo female. Have been having problems for a few years, very vaguely. But recently Ive been having left chest and shoulder pain, and now severe left flank pain. My last bloods showed high creatinine levels but dr didn’t care. I have gone to another gp ans she has redone these but i don’t have results. I’m in so much pain and am on my own with 6 kids. First gp mentioned possible kidney damage? I pass urine a lot, I’m very thirsty, forgetful/foggy, so tired. I don’t know if its worth going to the hospital for though.



I was diagnosed with cerebral venous sinus thrombosis by MRI?

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I was diagnosed with cerebral venous sinus thrombosis by MRI in early October after suffering severe headaches. I have never had headaches in my life, with the exception of very occasional tensions headaches. No cause was determined, which I understand is not unusual. I have been taking warfarin since. I had a follow up MRA at the end of December. The radiologist report:
“Improvement in previously seen dural venous thrombosis with residual
nonocclusive filling defects within the superior sagittal sinus and
torcula and extending into the proximal right transverse sinus.”

Initially, after having been placed on warfarin, my headaches pretty much went away. I have, however, woke in the morning with the occasional bad headache. Somewhat confused as to why this would happen, I did some reading to find out that headaches could continue for quite some time due to scar tissue. What confuses me about this is that if it is scar tissue, then the scar tissue is always there. In that case, why would the headaches come and go? I spoke to my doctor almost 2 weeks ago, because acetaminophen does not help the headaches and they can sometimes be quite painful. At the time of our conversation, I had had a headache that lasted three days followed by about three weeks headache free and then another headache. However, in the past week I have had three headaches bad enough that I have had to take prescribed Vicodin for them. The one I have this morning came on in the middle of the night and I resisted taking medication for as long as possible. I did take Vicodin 2 1/2 hours ago and I still have pain. Is it normal for me to still be having severe headaches six months into treatment? I have five children to care for and my husband works out of town most of the time. The headaches, while not completely debilitating, make it difficult for me to go about my normal duties. Can you shed any light on this? I cannot find any good information to help me understand why I am still having headaches that hurt just as bad or almost as bad as the ones that sent me to the doctor in the first place six months ago.



Dark spots appear on my kid’s skin No fever or any changes on his health?

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Dark spots appear on my kid’s skin, they start from light to dark in hours until they flake. there are no itching, swelling, or bleeding. No fever or any changes on his health or daily activities. he had the same problem 3 months ago and continued for a week, a doctor said it’s fungi and will disappear without any intervention. after 3 months they start coming back on groups. if a spot shows up in right cheek, another one will shows up on the opposite side (left cheek). he lives in a dry environment and until now they show up in this winter.
please I need a second opinion.



My cell phone caught fire and I was exposed to chemical fumes?

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I went to the E.R. last week. My cell phone caught fire and I researched what was in the fumes after I decided to go to the hospital. I told the E.R. doctor that I was exposed to these fumes long enough for my eyes, ears, throat to burn and skin to be irritated. I also lost a sense of time and felt dizzy with chest pains. Should they have done toxicology screenings with blood and urine tests since I said I was exposed to chemicals?



I have got pimples all over my face.. I changed my dermatologist twice since they proved me of no help?

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Hello I am a 25 years old female.. I have got pimples all over my face.. I changed my dermatologist twice since they proved me of no help and have taken every possible medicines bt of no use.. My wounds won’t heal soon.. I have undergone every possible test related with the same like Blood,thyroid,sugar,HB,some test related to kidney function as well.. Yet the tests proved nothing wrong. My body is functioning all good.. I really don’t know what’s wrong with me.. My face is still full with pimples and dark spots.. I look ugly as hell.. If you have any solution then please help..?



I had a lot abdominal pain and the blood test results for my liver were at 72?

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About two years ago I had a lot abdominal pain and the blood test results for my liver were at 72 and should have been around 15. I had a scan but they could not see my liver Cleary as I have a high diaphragm and by chance they saw a lump in my gallbladder. They forgot about my liver issue and concentrated on gall bladed which has now been removed and the biopsy was all clear. I assumed everything else was okay but the past 4 weeks I have been having slight abdominal pains but what I am more concerned about is that I have been getting shooing pains in my legs and arms and also the back of my calves have been burning. In addition have been very tired and falling asleep in the day. I have been to the doctors for more blood tests and my folate is low but my liver reading is 79, which is very high, I don’t drink alcohol or smoke. The shooting pains and burning sensation my not be related to the liver issue. She has not give me any indication what could be wrong but send me for another scan. what if it is something really bad and it has got worse over the two years? I am only 32 and have 4 kids and just want to be okay. Any thoughts would be really welcomed.



I’ve been having progressive symptoms for almost 2 years now doctors don’t know what’s wrong?

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Hi I’m a 23 year old female I’ve had chronic insomnia since I was 16. For almost 2 years now I’ve been having progressive symptoms. It started with frequent infections and infections that lasted longer. Then I started having dizziness and fainting recurrently. Palpitations And low blood pressure. I started having acute body pain lasting only a few minutes feeling like a shock went through my body. Then I got easy and spontaneous bruising mostly localized to my arms. Having recurrent fevers with chills. Bleeding gums and a weird feeling of fullness in my abdomen on left side. And sometimes I now get an itchy throat from foods I’ve always eaten which improves with antihistamines
Problems in childhood
I’ve had migraines since early childhood.
Sinusitis since early childhood
I didn’t have a lot of infections as a child i only had a recurrent diagnosis of glandular fevers.
My migraines got worse since puberty and I had irregular heavy menstrual cycles also causing fainting.
I’ve had a few orthopedic and dental surgeries. Woke up during the last surgery at age 14.
Medications
The only treatment i am on is antihistamines. I do not use pain medication. I was on amitrypteline for 1 year for insomnia with no effect.
I was put on depo provera injections at age 18 to stop my periods but stopped using it 2 years later because my migraines got worse
Lifestyle
I don’t use recreational drugs and drink alcohol occasionally like once every 4 months.
I have been a smoke since age 14
I’ve never been sexually active and don’t use contraceptives.
I am a shift worker at an active profession
I exercise routinely except when I am too sick
My bmi is 25
I eat healthy foods but only supper as I don’t have an appetite earlier during the day
I use to drink water constantly now i struggle to consume as much.
Investigations
Since 2014 i had routine cbc tests as an abnormality was picked up on 1 test I had a recurrent elevated WBC count of about 14. Also having high RDW 18 high hematocrit 0.510 and low mchc 30. On some occasions having elevated platelets of 110.
I had 1 labtest only with elevated alp 122
And recurrent lft with low ast and bilirubin.
On my kidney functions only having low bicarbonate high anion gap recurrent with some instances of elevated potassium of 5.3. Urea is always 2.4 or lower reaching 2.0.
Had 2 tft one showing hypo other hyper 3rd normal
Calcium and phosphate normal
Iron studies normal with ferritin 33
Inr and ptt normal
Had crp of 58 and esr 28 a while ago
Hba1c 6.0%
Negative ana
Neg hep a,b and c
Neg Elisa HIV.
Tsh 0.6

Now i am still having the symptoms but cbc normal with wbc count at 8. The doctors don’t know what is wrong since everything comes back normal. The symptoms are mostly intermittent only insomnia is persistent. I’m starting to feel like I’m crazy I just want to be healthy. I need answers if anyone can please give me advice.



Concerned about my daughter’s recent blood work?

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Concerned about my daughter’s recent blood work. My daughter is Caucasian, 7 years old, about 50″ tall, and 54 lbs. She is taking Vyvanse 20mg for ADHD and Zarontin for CAE. She just started the Zarontin early February. Recently she hasn’t been sleeping well. She has swollen lymph nodes on her neck (one has been there for a while, and she is due for an Ultra Sound of neck soon). Her PCP did some blood work yesterday, and some of the results make me wonder what is going on with me baby? Today she was sleepy most of the day.
The numbers that have me the most concerned are:
ANC (absolute Neutrophil count) – 1.0 Low
WBC (White Blood Cell) – 2.6 Low [yet was 4.8 three weeks ago] -what can cause this drop?
Globulin 1.9 Low
Monocyte 19.0% High

What can cause this deviation from the normal ranges? and the big drop in WBC?



My son had his aortic valve replaced with a mechanical one last year. His L 4-5 disk just went out yesterday?

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My 22 year old son had his aortic valve replaced with a mechanical one last year.
His L 4-5 disk just went out yesterday.

Can he receive acupuncture treatment to deal with the pain?

Thank you for your consideration.



I was admitted to ICU in a hospital Diagnosis: VBI, BPPV, need second opinion?

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I was admitted to ICU in a hospital with below conditions at night 4 AM: BP: 90/60 mmHg, Temp: Afebrile, PR: 80/min,CVS,R,PA: NAD
Giddiness, started generalized itching, nausea.No history of headache, visual disturbance, weakness of limbs, bowel and bladder disturbances.No history of DM/HTN/epilepsy/drug allergy/thyroid illness
There was blood and urine analysis, brain CT, abdominal ultrasound done – no problem found

Diagnosis: VBI, BPPV
Please let me know if i was diagnosed right.



High thyroid level, is surgery or nuclear medicine better?

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am suffering from last nineteen years hyper thyroid first year am taking neo mercazole 5 mg tablet ( 3 numbers ) propal10 ( propatheline ) TAKE THE MEDICINE IN 6 MONTHS AFTER TO STOP MEDICINE. TWO YEARS LATER THE symptoms have begun again I am taking medicine neomercazole 20 mg and atonale 50 mg,
now my thyroid level is high my physician advises me surgery to remove the gland can you suggest is better nuclear medicine or is better in surgery



I was recently in the ER for a bad infection, concerned about atrophic liver?

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Hello. I am a 25 year old male and was recently in the ER for a bad infection. I had a CT scan with contrast and the ER doctor said I should follow up with my primary care because of the result but didnt explain it. What does it mean? I was concerned to see atrophic liver, but wasn’t sure if this is something serious. Here is the result:
“The left lobe of the liver is atrophic. No suspicious liver lesion identified. The gallbladder, biliary tree, pancreas, spleen, and adrenal glands are normal. Kidneys are normal. The abdominal aorta, IVC, and mesenteric vasculature appear normal. The bowel is patulous and fluid-filled throughout the small bowel without obstruction. Surgical clip is seen in the right lower quadrant likely from prior appendectomy. Mild increase and stool right colon with normal caliber left colon. The bladder appears normal. Prostate mildlypr ominent. Minimal fat within the inguinal canals without sniffing hernia. No free fluid or pneumoperitoneum. No pathologic adenopathy.
IMPRESSION:
1. Minimal prominence of fluid-filled small bowel without evidence of obstruction. This could represent a mild enteritis or small bowel ileus.
2. Atrophic, somewhat lobular left lobe of liver.
3. Mildly prominent prostate



I was told my ongoing chest pain is not cardiac related, need second opinion?

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Hi I’m a 57 year old male non smoking in previously good general health. In late jan 2017 I experienced a nstemi HA I had two stents fitted and was informed my HA was mild with mininal damage my EF was 45. I felt good for about a week but then began experiencing chest pain again I returned to the ER and was taken to the Cath lab and was informed all was good. About two weeks later I again returned to the ER with chest pain I was given an echo stress test which I passed with no problems. My EF was 60. I was told my ongoing chest pain is not cardiac related. Since then I have still been experiencing on going chest pain with no answers. I have previously been diagnosed with ptsd and anxiety disorder which has led me to the ER several times in previous years with chest pain.
I know I can’t keep going back to the ER with chest pain but it’s hard to know the pain is now daily.
I have been given nitro to take but it doesn’t seem to do anything to help me with pain. The only thing that’s seems to help is Ativan but I know you can’t take this everyday. I guess I’m just asking for a second opinion. My GP is not to concerned as he believes my ongoing pain is anxiety related.