Home › Archive for Medical Questions › Page 46

Medical Questions

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

Posted on by — 3 Comments ↓

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.



I get a headache when I concentrate for a long period of time?

Posted on by — 2 Comments ↓

I get headaches when I have to read something complex or long,memorize anything ,talk to more than one person or group of people ,try to study , even when to talk with someone in important issue.
when I know someone is going to tell me something that is important that I remember, I get an uncomfortable headache.
My biggest problem in exam period , It’s torture to study for days and try to concentrate and memorize things and on exam day it’s painful to recall things.
Age:22
Male
Medications: None



Severe headache starting at top of neck going up back of head?

Posted on by — 3 Comments ↓

History….fibromyalgia, arachnoid cyst base of brain, bicuspid aortic valve replacement with ascending aortic root replacement, history of tia, postural orthostatic tachycardia syndrome. Issue…severe headache starting at top of neck going up back of head then spreading out over whole head at top of head, dizziness, nausea, vomiting, little confusion, weakness and now an electrical probe feeling on head, severe pain in arm that comes and goes.



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

Posted on by — 3 Comments ↓

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

I had a cystoscopy for a prostatic enlargement, please advise?

Posted on by — 3 Comments ↓

Hi.
I am 65 year old. I referred to the clinic for pain while urinating. I saw a drop of blood later. The urologist required a cystoscopy. The final diagnosis read “Malignant neoplasm of bladder, part unspecified 188.9”. The doctor asserts me that i have no problems with the exception of a prostatic enlargement and gave me medicine for that.
I am worried about the final diagnosis.
Can you explain this to me with some plain English?
Thanks.



I have a rash on my face, is it a skin infection?

Posted on by — 3 Comments ↓

Had a rash appear on my chin two weeks or so go I thought it was deep cystic acne as it was very swollen red and hot with and orange coating over the top. it’s now scabbed and
Healed but I’ve not come out with it on my cheek? they are very sore to touch love
Never suffered from acne so maybe it’s a
Skin infection?
Age:29
Female
Medications: Sertraline 150mg



I hit the bottom part of my leg, could I have a stress fracture?

Posted on by — 3 Comments ↓

I hit the bottom part of my leg back in early April of this year on a wooden frame going around a settee. I went to A&E who said nothing was broken but no x-ray was taken. I’ve since seen two of my own gp’s as I’m still in pain, unable to touch it and still have a lump which they said was a collection of blood. They also refused me an x-ray stating ‘if you’d broken it, you’d certainly know about’. Surely 7 months of pain and swelling suggests otherwise? Could I have a stress fracture? How do I get a diagnosis when no doctor will send for an x-ray? The picture enclosed is how my leg was a few days after the accident and NOT how it looks now.

Age:42
Female
Medications: Levothyroxine, Citalopram



I have a few red/blood looking spots on the roof of my mouth, is this something I should worry about?

Posted on by — 4 Comments ↓

Hi,
The roof of my mouth slightly near the middle I have a few red/blood looking spots. I’ve only just noticed them today. The roof of my mouth has been itchy all day and only seems to of just occurred. One of the veins at the back of my throat is also looking really dark purple.
Age:21
Female
Medications: Prozac



I am suffering from anxiety, become confused and start shaking?

Posted on by — 5 Comments ↓

I see people’s body swapping with others and their souls . I take ever so long taking the body’s and souls out and put them in the right bodies . It is causing me anxiety when I go outside because I can see this picture of a person who looks bad and I get high anxiety when ever I see that persons body or that person in case the body might swap in another persons body please help. I go red and confused and start shaking

Age:22
Female
Medications: Escitelopram aripiprazole

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

Posted on by — 4 Comments ↓

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?

Posted on by — 3 Comments ↓

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?

Posted on by — 4 Comments ↓

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?

Posted on by — 3 Comments ↓

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?

Posted on by — 2 Comments ↓

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?

Posted on by — 3 Comments ↓

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.