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question:Hello , i have had IBS since i was around 20 and have always suffered with it but what im experiancing now is a major life changing thing ! i have slipped discs and had an epidural steriod injection last year in june , since then ive had nothing but trouble with my stomach and chest ! ive had barium swallows ecg`s and chest xrays but all come back inconclusive , as i type i have this pain in my stomach upper abdo and in my cheast like stabbing pains i been experiancing this since june ! im only 28 years of age but its getting me so depresed as my doctor doesnt really know what it is i just had some blood tests and the results come back ok , this is really affecting my life and just wanted to know what you htought about it ? im due for an endoscopy end of this month where they want to film how my stomach is working does this sound right ? Thanks
answer:Hello, If you have had a series of tests already which have failed to show any definite pathology in the stomach or related organs and you have been examined by a doctor who wishes to perform an endoscopy then. By all means have that particular test completed before anything else. However, if this is also unable to demonstrate any pathology then, I believe you may wish to consider that anxiety and stress may be to blame for the symptoms. Abdominal pain, bloating, gassy feelings can be brought about by such psychological pressures and it may be worthwhile speaking to someone on how to perform relaxation exercises and on how to use breathing techniques to feel more comfortable both physically and mentally. You may wish to become part of a gym and get into a workout routine as well as this can also divert painful vague symptoms away from the referred area and improve your ability to relax once you've exerted yourself a bit. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
question:I am a 23 year old female who has been experiencing headaches for several months now. I went to the clinic and found out it was due to tension reflected from my job in the office and bad posture. I have been maintaining my posture and with workspace assessments I have been slightly relieved from these tension headaches. Often I do get them back strong my head with a very hot tempurature. The swelling is what concerns me because 5 months ago I landed on my ribs from a 2nd story balcony. Just under my left armpit. It put pressure on my ribs where it connects in the middle. I have been to emergency room for chest pains associated with my headache. Everyday aches and pains in my neck and shoulders some tingling in my face and a crunching sound when I turn my head. Difficulty breathing some feelings of vomiting recently. Is this all anxiety? That is the answer I got from the emergency room. The Doctors somewhat laughed at my situation. Felt a little betrayed by the healthcare system. There s nothing wrong with my bones it s an issue with my tissue. Is this seriously all just anxiety?
answer:Hello, Your symptoms could be related to anxiety. Nevertheless, I recommend performing a chest X-ray study and inflammation tests (complete blood count, PCR, ESR) for inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
question:I started getting these dizzy spells about two maybe I think it s been longer than that. Today last night I had gotten a little talkative with my son and his friend. I went to my room and started cleaning up and I have some things happen back far in the past that for the last two years I would once a month and sometimes a few days and sometimes a little longer except in the beginning. I have done all the research that would put a organization on blast to the world. I go in to hyper focus most of the episodes and others I get memory after memory that I see a lot clearer today than when it happened. So I want to use the one time of what I thought was so scary kinda because it was everything I would say and something I wanted to do with most of the really intelligent way I was saying these findings or whatever I would at the end of this statement or finding something was a whole different because I never got to finish because I went completely blank and could not remember what I was even talking about. I just looked at something while I was thinking and remembering things I would go blank. I said at least thirty times throughout this going on with me. I think it was around 1:30am and I didn t notice when or why it just stopped but 5:34am is the only thing I remember from that time this morning until I went down and ate something and I came and this was on my iPad when I opened it and I remember what happened to me and how worried I got. I said earlier about the example for maybe you will see the degree of how fast I would forget what I wanted to say or do. I got a number I needed to hurry up and right down so I didn t forget because I all of the sudden had it pop in my mind. I picked up a index card and pen and before I even got it half way off the dresser I said I completely forget the number like it was never even thinking about writing down at all. That happened again a few hours later. I jumped from something I was thinking, to a complete different thought or subject as if the first thing I was thinking never existed. So, I don t know if you hear how much this was a concern because of the complete loss of any thing I just had been saying to myself and then I was completely lost and could not remember what I was even thinking to get to the end of all the thoughts or numbers and whatever I was doing, I could have been almost to the end of a well known story and before I got to the end to finish the story it was a complete mystery to me what I was even thinking about. Hopefully my very long and sorry for that, explanation of what was happening will give you a good idea of what I was going through. I thank you for your time and your opinion on what you think or say about this.
answer:Hello, First of all, you should measure your blood pressure, and if it were high you should receive a medical treatment, take Aspirin twice per day after meals and do an ECG and an ECHO on your heart, besides decreasing salt and fat intake every day. If you are a woman and you take oral contraceptive pills or hormonal replacement therapy, you should ask a gynecologist for help. Second, you should take vitamin B complex once per day after meals and Benfotiamine 40 mg twice per day after meals. Vitamins B complex are essential for memory. The results of the ECG and the ECHO can help us with your diagnosis.I hope I answer all your questions. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist
question:22 years old l5-s1 disc prolapse went to see my specialist today says my whole disc is degenerative pushing on one nerves on the left side my pain 3 months ago was sometimes unbearable but recently been sitting less walking more lying down pain is tolerable again will my condition ever heal itself? i cant even lift up my leg off the floor more than 10 cms help please
answer:Hello, It is known that up to 50% of compressive neuropathies (i.e. disc degenerative disease pressing on nerves) will resolve within 3 years using conservative approaches to therapy such as medication, physical therapy, rehabilitation exercises, AQUATHERAPY with water jogging. I believe there is an excellent chance that you can get quite a nice outcome after the next few months or perhaps a bit longer if you're already showing the above improvements. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
question:my cousin has had 2 brain surgeries for brian tumors the dr told her yesterday that another has grown back bigger and more aggressive she radiation but now they want her to have aggressive chemo and told her she has 3 to 6 months i am her caregiver and she asked should she take the chemo ,I don t know what to do
answer:Hello, This is a very difficult question to answer since ultimately the decision must be that of the patient. She, unfortunately, she has been given a TERMINAL prognosis of these tumors which are obviously no longer surgically amenable and sound as if they are growing rapidly. I believe an important question the patient will want to ask the doctor is how much additional time do they think she can extend things by going on chemotherapy. Also, she should ask the doctor to be very upfront about the expected side effects and how those are likely to affect her quality of life. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
question:Its for someone else but he has severe pains in his stomach and cant walk properly, hes experiencing some shortness of breath and back ache. He says hes going to the toilet normally but it feels like his stomach has moved he is really pale and sick looking.
answer:Hi.In such conditions always go for a detailed CT scan of the abdomen as you have to diagnose a lots of things or rule out: like Infection of the vertebrae, psoas abscess, kidney infection appendicitis and so on. Thorough clinical examination and investigations will lead to a cause and this will give proper guideline for management.