5year old male child with a recurrent GIT and Respiratory infection?

Hi….dear dr…5year old male child.presented with a recurrent GIT and Respiratory infection.anemic some are Iron def.immunological assy show.IGA:57mg(lab.ref.90-450)
IGM:54mg(ref.60-280)
IGG:1361mg(ref.800-1800)
Zinc:52(ref.70-125)
All screening tests for coeiliac disease are neg.what is the diagnosis?what is the next step….Does he need replacement or not if yes how long?God bless you and my great thanks



I’ve got a wrist and palm injury in my right hand?

I’m 19, Female
i’ve got a wrist and palm injury in my right hand
Doctor gave me ” No-Dol Codeine ” and ” Brexin ” Medications for pain
the cause of my injury : i was riding last Monday on longboard with a high speed and i fell quite hard on my hands, which i tried to brace my fall with both hands.
i went to see many Doctors some of them said that i broke my wrist ( right hand ) and some said that i bruised my hand..
ive already put Crepe Bandage yesterday at the hospital – Thursday- in the morning but after 3 or 4 hours it gave me a sharp pain and my hand become like a balloon so i removed the Bandage and i put it again gently
i felt relieved ..
I hope someone help me please , and Thank you!



CT scan found a 5mm Stone in left kidney (oxalate stones) took antibiotics but pain is now back?

I am 25 years of age male from India, In the year 2016, that is exactly in the month of May i had a mild pain in my left abdomen and later in the end of the month, it eventually the pain was increased and on june i consulted my family doctor for the treatment, later after CT scan, there was 5mm Stone in left kidney (oxalate stones) and for 3 months have took the antibiotics and followed the treatment also. Later i could see there was no pain at all in my abdomen.

Then i have transferred to another state of India from my hometown on November 2016, where after that there was a pain in same lower abdomen on left side and continued for a month, so again on december 2016 i had a CT scan, bu the result shows that i don’t have an stones at all in my kidney.

But for the past one month i have a pain in my same place and once in a week , there is a digestive problem also . So kindly guide me what i have to do.



I have a rib insertion/vertebra problem that give me so much pain?

I am 35 years old female, I have a rib insertion/vertebra problem that give me so much pain and symptoms since 1 year now. I had x rays (attached) and where there is the arrow it is where I have the pain. The ribs seems out of place or weird curve to it. Obviously family doctor don’t see that it can cause me pain but all the therapists I’ve saw told me it does! I did lots of manipulations, correction with physio, Osteo and chiro, without results. Can I have your opinion and help. Do you see something special about it and what’s your thought on the upper curve of the rib and asymmetric to the left side…? Thanks so much for your help. I’m suffering a lot, everyday, every night.



Diagnosed with breast cancer, will a natural remedy wellness clinic work?

My aunt has just been diagnosed with breast cancer. can you kindly explain what this measurements are on the biopsy report? 5s/2c and further stated 1.3 x 1.1.

She is planning on using another method of treatment at a wellness clinic called Utopia in Florida, which treatment involves natural remedies and vitamins minerals etc, for a period of 8 weeks. If it is not successful, will her cancer spread during that time? How fast does cancer spread?



I have osteoarthritis my hips literally lock and I can not get up?

I am 66 years old, white, female and until this past summer of 2016, had rarely seen a doctor in 10 years. When I had MRI and X-rays of my back during the summer, I was told I have osteoarthritis of my back; primarily Lumbar 4 and 5 – degenerative disk disease – it was verified that it is not rheumatoid arthritis by blood work. Nothing was said about any disorder of the hips. Lately, if I sit too long as in even for 15 minutes or if I stand too long (while waiting on corner for light to change) – my hips literally lock and I can not get up out of the chair and if I am standing too long, my legs try to lock – it is like I HAVE to keep moving or lay down for any comfort. I am five 5 8 and I have gained 22 pounds since all this started. I can still walk fine even though I am not sure what is good for me to do or not do. From what I have read, I think it is bursitis as it is in the exact location in each hip – would an X-ray or MRI show this?



Cough that won’t go away, doctor prescribed decongestants, antibiotics and steroids, need second opinion?

Hi, I’m a 26 years old that have a productive cough that won’t go away.

When it first started the doctor prescribed me antihistamines, after a month of those, I felt worse and another doctor prescribed decongestants, antibiotics and steroids. Those helped for a little, but once I finished the cure, the cough came back and another doctor gave me antihistamines and nasal spray which didn’t help at all,
I don’t know what to do anymore.
In attachment there is a Xray I did when it first started.



I have Acoustic Nouroma Tumour, should I have full surgery or partial with radiation?

hi i`am a 31 year male that has been diagnosed with an Acoustic Nouroma Tumour which is 4 inches in size, that sits next to my brain stem 2 options for surgery 1) full removal with lots of risks 2) Middle of tumour removed with radiation but unsure how much radiation had when was a child with all cancer please advise on what choice I should make very unsure I have no records of how much radiation I have has in Sydney Children’s Hospital In 1989-1991.



I had a face lift two weeks ago I now have nerve damage on left side of my face?

I underwent to face lift two weeks ago. I have nerve damage on my left side of my upper lip when I talk and when I smile. When you look at me at rest I look perfectly fine. My main problem is when I speak, the right side of my mouth works perfectly fine, but the left side still moves but not as much as the right looking like I talk out of the side of my mouth. Will the nerves ever reattach?



My antidepressants destroyed my libido, what other medication can help me?

I am 27 year old man and have been diagnosed with paranoid schizophrenia, although what troubles me the most is anxiety and depression. Very strong versions of them! I have been hospitalized 21st of October 2016. for 3 weeks in psychiatry because of intense stress which manifested as strong tremors and huge sweating without temperature. I am in really stressful condition basically whole past year and still. I take Geodon (ziprasidone) 2x40mg and fluvoxamine 150 mg, often abusing promazine as I have intense problems with falling asleep. After two weeks in hospital, on weekend release home, I took in desperation in two days 2 pills of Proscar (finasteride). I must be honest and tell that even before taking this two pills I felt huge decline in my sexual function. Since hospitalized couldn’t get any real erections… But when I took the pills it went all the way down. I lost all sexual functions including sexual thoughts. After 3 weeks of taking it I could maintain barely erection so when I masturbate I hardly orgasm. But I thought I was recovering. Now, since beginning of this year I became totally impotent, even strongest visual, aural and tactile stimuli couldn’t do anything not even little erection. So I got really psycho after that! I cried, I don’t know the reason which caused it! These two pills? Or what? Geodon and Fluvoxamine aren’t new in my therapy. In fact, they didn’t add or remove anything from therapy while I was hospitalized that last time. I tested my hormones which I am attaching to this question. It’s in Croatian, but you will know what each word means. It’s global language, medicine. Doctor told me I need to go to my psych immediately tomorrow for change of therapy. That it is the cause, receptors in my brain that hold me from getting erection and by the way I lost all emotions of love! I don’t know what it feels to be loved. So he suggested switching medicine. I was taking fluvoxamine whole my life since I got first symptoms, since I was 14teen. I just wanted to ask, is it possible that brain and depression, anxiety or whatever psyche did this to me? And shall I change both AD and AP or just change antidepressant? And which one I would be best on, since I tried once for few days paroxetine and I couldn’t orgasm at all! So no to paroxetine. Is there any antidepressant that would help me with severe depression and one that doesn’t destroy my libido or orgasm ability? I just still can’t believe that I became impotent and lost emotions just because of psyche. If you can, please explain it to me bit more, cause I really do not understand that it is possible. It’s like telekinesis! Doing stuff physical with psyche!



I had a semen analysis, not convinced lab analyzed it correctly?

31 male. No medication. I had a vasectomy 2 years ago and it took roughly 6 months of semen analysis saying 1 or rnms. My urologist had me bring a sample and said I’m sterile. He used a microscope. I wanted a clear lab result so at a year I went and received 2 clear samples!! After the lab spilled 2 of them in transit. I thought about the issues and had 1 more test done last month to make sure and the result was sperm present. So again my urologist had me bring a sample in and he said without a doubt I’m sterile. I asked why the lab said there were sperm and he said sometimes they don’t know what they are looking at. It was quest diagnostics. Now I’m unsure. Can a lab be wrong? Or trust my dr.



I have been dealing with a shaking sensation when my muscles are under stress/load?

22 y.o. male. No PMHx besides fractures of lower leg and left wrist. Recently I have been dealing with a shaking sensation when my muscles are under stress/load. For instance, when I slowly walk down the stairs or if I were to squat for an extended period of time, the muscles in my legs will become very shaky. Another time I notice it is while laying down, if I were to sit up slightly to grab something, such as my phone, the muscles in my abdomen do the same thing. I have also noticed it when lifting heavier objects. While I know if it were just my legs, I could attribute it to weakness perhaps, but with it seemingly effecting all the muscles in my body, I do not feel as though this would be the cause. I met with my PCP a few times about this, and so far all blood work as been normal with the exception of my Vitamin D level which was low. I have been taking a 50 IU Vitamin D pill 1 time per week for a month now (4 doses) and my symptoms do not seem to be improving. I have also noticed a shake, or almost a tremor in my hands/fingers at times. As I am typing this when I have my wrist/palm on the table and my fingers above the keyboard, I notice a shakiness in my fingers. Im beginning to feel slightly worried that I might be dealing with something a lot more serious than a vitamin deficiency, like a neurological disorder. Any insight or ideas would be greatly appreciated. Thanks in advance.



My son is 5 years old nausea, vomiting, loose motion, accompanied by constipation?

my son is 5 years old. He is suffering from severe abdominal pain for about 3 years along with nausea, vomiting, loose motion, accompanied by constipation. He resists urination to avoid pain. According to local doctors there is viral infection because of excessive retention. There is no cure yet so far, we can send you the reports



I developed pneumonia, wheezing, doctors don’t know what is wrong?

In October of 2015, I developed pneumonia. After that, I developed a intermittent wheeze. Since then, I have had pneumonia two more times. I have a history of smoking, I am a 32 year old male, and I have no pain or discomfort. I only have wheezing (more of a rattling) that only occurs a few times a week, no shortness of breath, no pain or tightness in the chest, and white to yellow mucous that is produced when I do cough, which usually occurs only when I wheeze. Albuterol inhalers seem to work, but the doctors don’t seem tow know what is wrong. I have had pneumonia 3 times. I take Lunesta, Prazosin, Celexa, and Welbutrin.



I was diagnosed with epilepsy, I’m not sure of this diagnosis?

Im an 18 year old woman. I started having migraines for 7 months now with all of its symptoms . I was taking sanmigran . 3 months now i had a mild urinary tract infection and we found out that I have kidney stones. Now i have no kidney stones and no infection. But I still get migraine so I had an MRI done. nothing was found. that was 6 months ago. Now i experience sever back and limb pain that comes a goes. confusion inability to focus joint pain and insomnia. sometimes i get limb jerks and unsteady walking and incontinence and vision issues even though my eyes are healthy. I also get mood swings and my urine is abnormal and smells weird. I went to a doctor 4 days ago and got diagnosed with epilepsy. I’m not sure with this diagnosis. I got prescripted Tegretol and Sanmigran again.