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question:I've had side pain around my lower left side and now spread to my back and kind of upper back and my stomach on my left side. Maybe something is ruptured, not sure. The pain is tolerable to a certain point but ive been smoking marijuana for 2 years and have had this pain for about the same but it got much worse today and spread
answer:Hi,there are two possibilities. Either pancreatitis or mesenteric vascular thrombosis.You need to get a CT and a abdominal doppler examination done to determine the exact cause.Regards
question:My mother recently had an MRI with contrast of her brain for neurologic reasons. The appointment with the results was today. Aside from some small "bleed" spots, there was a white spot almost the size of a nickle on the front ofhr skull above her right eye. They have requested that she have another MRI in July (six months from the time of the first one) and do not believe it is neurologic. Should I be worried?
answer:Hi, Thank you for posting your query. The description of MRI is incomplete for us to give any opinion. So, I would appreciate if you can upload a pdf copy of the MRI brain report. However, if the doctor has said to wait for six months, then there is no need to worry, as it would be a minor or insignificant finding. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected]
question:Hi... my grandfather is a stroke patient. He had his stroke last year. He has now difficulty in swallowing and everytime he eat and drinks he cough so much. After his lunch we gave him meds, a capsule it is called dr shultze, it helps him to soften his stool bec his having severe contipation.. after 15 mins of giving the capsule he is okay, no cough or anything then he drink water and started to cough, cough and cough until his eyes turns to red and he is sweating, he cough also the capsule but it breaks already.. my question is how he cough it out the capsule if 20mins after he took.thank u so much Doc
answer:Hi, Thank you for posting your query. Difficulty in swallowing can occur due to stroke. This is common with strokes in medulla oblongata region of brain or strokes affecting both sides of brain. It takes at least about 30 minutes for the capsule to get digested, so, an undigested capsule may regurgitate with severe coughing from stomach. It may be a better idea to feed your grandfather through Ryle's tube (naso-gastric tube) to prevent aspiration pneumonia. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected]
question:Hello, I have been treated for a macroprolacinoma over the past year. At first my levels were at 1300! They are now down to normal, however I have naturally lost around 20 pounds over this time. I take cabergoline 2 times per week 1/2 a pill. Is this weight loss alarming or is it most likely caused by the normalization of the prolactin in my body? All of the weight loss started after I received treatment. Also I am a type 1 diabetic in good control.
answer:Hi, Thank you for posting your query. Prolactinoma with increased prolactin levels may be responsible for weight gain in some cases. Treatment with cabergoline (dopamine agonist) would result in normalisation of serum prolactin levels along with weight loss. So, there is no need to worry about your weight loss. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected]
question:i have been having these spells as I call them for going on 3 years and cant get no answers... I have trouble with my speech I have memory lost ,get small shakes, I get confused, I have went into stores and got lost due to them ... they last any where from an hour to a few days... and after they go away its like I have lost a day or so and they make me very tired afterwards and information would help me................ and to let you know alittle about my health I have had 4 heart attacts anemia depression and have a family history of cancers heart problems....Thank you bonnie
answer:Hi, Thank you for posting your query. Based on the symptoms, there are two possibilities: 1. Transient global amnesia (TGA)- in this condition, there is lack of blood flow to left side of brain, leading to various symptoms as you described. 2. Seizures- episodic confusion with shakes can occur, but they do not usually last that long. Evaluation would include MRI brain and EEG. You are likely to do well with medical treatment. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected]
question:I have just bee diagnosed with the symptoms of temporal arteritis. I had a bioposy done today but they have started me on prednisone which has helped with the tenderness on the temples. The problem is that I am to fly out for vacation that day after I see the Dr for the results. Is there anything that should preclude me from flying?
answer:Hi, Thank you for posting your query. Temporal arteritis responds well to oral steroids. It is good to note that you have started to show improvement. There is no contraindication to flying, should you wish so, after temporal artery biopsy or while on steroid treatment. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected]