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question:I have had stomach pain in my right side for over a year and a half right under my ribs but now it s sensitive to the touch and will double me over when the pain hits..I don t have a big appite and when I do eat I feel nauseas.I have went to a doctor but no test were run and they said it was anxiety..
answer:Hi.Thanks for your query, albeit short and specific. Read and understood that you have pain in the right side of abdomen and the lower chest, you Doctor has opined that it is due to anxiety. Yes, this looks to be a costo-chondritis wherein there is inflammation of the cartilage part of the ribs. The cause are post-viral flupost -infective pathology like Enteric fever.Most of the patients already suffer from IBS and some psychosomatic problems. I would suggest you the following:-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Diuretics to reduced the edema.-Control of stress and anxiety helps a lot.-Local rubrafacient liniments if the area is not covered by strapping. -Confirmation of the diagnosis by local Doctor on palpation and clinical evaluation and to get prescription based medicines after discussing the above points.
question:I have been having lower right abdominal pain the past two days. It is the worst at night when I lay down. Then it tends to lessen in pain. This has happened off and on over the last few year and it gets to the point that I almost go in to the hospital thinking I have an appendicitis. Then I lay with my feet up and apply ice and the pain alleviates. Is this something I need to have seen or do I just keep doing what I am doing?
answer:welcome to Health care magic.1.Similae symptoms can be seen in the recurrent kidney stones / andexal cysts / mass lesions.2.I n this case i would ask my patient to get an ultrasound abdomen done to rule out all the above causes.3.After that there can be bowel pathology like diverticulosis / diverticulitis.4.So get an appointment with your doctor as soon as you can, and get an ultrasound abdomen pelvis and if needed CT.5.Try to avoid junk food / spicy food and alcohol for at least 1 month and see if you find helpful. Anything to ask ? do not hesitate. Thank you.
question:I am having severe leg cramping in my legs mostly at night. I shoot our of bed because they wake me and try to work them out. My feet, ankles, legs are swollen to the point that my skin feel stretched and I have itching behind my left knee. I have swelling of my face, around eyes. I just had back surgery, extensive, so if I stay on my legs too long they swell, etc. I also have angioedema, the Osmoalality of my blood is 310 & my vasopressin is low, my thyroid is swollen on rt. side with a 2mm and 6 mm nodule. I have Diabetes with delayed Hypothalamic reactions of abt. 4 hours. I just stared taking Desmopressin. This happens every night & I m not getting any sleep. Just had EKG that was OK. Blood work showed high Myoglobin (87) and CPK of 184. I also had a skin biopsy that shows leukocyto classtic Vasculitis, and my leg looks like and upside down coke bottle. Anyway, the Lasix doesn t work, nor does the Dyizide sine my back surgery. Oh. I also fell twice recently effecting both sides. I m exhausted, cry when pain meds wear off, feel wobbly when I walk, disoriented. I looked at a long list of possibilities, but and confused. What do I have? A Heinz 57?
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This can be related to electrolyte imbalance or a nerve related cause. Few investigations and consulting a neurologist will help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal
question:I’ve been experiencing pain and swelling from my elbow to my fingers and tingling in my fingers. I haven’t been able to sleep due to this what can I do? I’ve tried the epsom salt and hot water, been doing the excercises for the hands I’ve put ice packs and I am not a pill popper but I have taken ibuprofen for pain what else is there to do?
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms you have can be related to tennis elbow and due to a nerve irritation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal
question:My rotator cuff has been inflamed & sore for the last few months and I take Percocet 10mgs for the pain of my disk problems in my neck & back. My Dr. have me some lidocaine cream to apply to all my sore spots. Neither seems to be working on this shoulder pain. In fact, it s just getting worse. What am I doing wrong?
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to know your age? Rotator cuff pathology is common after 50 year and it can be traumatic or degenerative. For confirmation of diagnosis Mri of the involved shoulder is needed which van be done from radiology centre nearby you. Treatment depends on cuff pathology. If there is inflammation rest for few weeks with ice compression and then physiotherapy with cuff strengthening exercises is needed. If there is cuff tear treatment depends on size of tear and condition of muscle. please consult shoulder specialist nearby your area. Meanwhile start tab ultracet twice a day for pain relief. Hope I have answered your query. Let me know if I can assist you further.
question:I have had pain in the outside of my right knee which goes away with ice packs, rest and elevation... At the moment I am pain free.. I also take ibuprofen to help if I m having a bad day... Should I continue to ice my knee even tho it s feeling ok right now? I m afraid it will return. Thank you.
answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all you need to mention your age and duration of your symptoms. Age is important factor in diagnosing knee pathology. On and off knee pain can be attributed to inflammation within your knee. Have you sustained any recent trauma? If yes X-ray of right knee anteroposterior and lateral views is needed to rule out bony abnormalities. Meanwhile start tab ultracet twice a day for pain relief. You need to consult orthopaedic surgeon nearby your area for detailed clinical Examination. Hope I have answered your query. Let me know if I can assist you further.