Question 1

I'm really worried about some symptoms I've been having. There's swelling in the gland under my jaw at the mandibular angle, and my lymph nodes on the right side of my neck are enlarged. I've been dealing with a discontinuous fever, a headache, and I just can't seem to eat muchIve lost some weight and feel fatigued all the time. I have a history of typhoid, and sometimes I get a sore throat. Theres been a slight decrease in the gland size after some treatment, but Im still concerned. What could this be, and should I be doing anything else?

Accepted Answer

Considering your wife's fibroid condition, I'll provide a brief overview of the two surgical options:

*Myomectomy vs. Hysterectomy*

1. *Myomectomy*: Removes only the fibroids, preserving the uterus. Suitable for women who want to maintain fertility.
2. *Hysterectomy*: Removes the entire uterus, eliminating the risk of future fibroid growth.

*Risks Associated with Myomectomy*

1. _Bleeding and hemorrhage_
2. _Infection_
3. _Adhesions and scar tissue_
4. _Fibroid recurrence_

*Recovery Time for Myomectomy*

1. _Hospital stay_: 2-3 days
2. _Recovery time_: 4-6 weeks
3. _Return to normal activities_: 6-8 weeks

*Considerations for Your Wife*

1. _Age and fertility desires_: If your wife wants to maintain fertility, myomectomy might be a better option.
2. _Fibroid size and location_: The size and location of the fibroids may impact the complexity of the surgery.
3. _Overall health_: Since your wife's surgical profile is normal, she may be a good candidate for myomectomy.

Question 2

I'm really worried about my syphilis tests. About two months ago, my TPHA level was 1320 and RPR was 12. My doctor put me on doxycycline, 100 mg twice a day for 21 days. After finishing the treatment, I tested again and my TPHA had increased to 1640, with the RPR still at 12. They then gave me a penicillin injection, 2.4 mu, and told me to get tested after another two weeks. This time, my results were TPHA 1640 again, but RPR went up to 14. I even did a test at a different lab and the TPHA was 12560 there. I'm scared and not sure what's going on. Can you help me understand these results?

Accepted Answer

Your test results indicate a persistent syphilis infection, and the treatment outcomes are concerning; the increasing RPR titers (1:2 to 1:4) and varying TPHA results (1:320 to 1:640 to 1:2560) suggest that the infection may not be responding to the treatments administered; consult a specialist,

Question 3

I've got some redness and pain on the spot where I had a Mantoux Test done about two days ago. The redness has spread to roughly 15 mm. Could this mean something I should be concerned about?

Accepted Answer

Normal,nothing to worry ok.

I'm a bit worried because my dog, who I've already gotten vaccinated, bit me again within ten days of its last vaccination. Do I need to get another round of anti-rabies vaccinations for myself, even though my dog's vaccinations are up to date?

depents on depth of dog bite visit your doctor

More Infectious Disease Health Queries

I've got some redness and pain on the spot where I had a Mantoux Test done about two days ago. The redness has spread to roughly 15 mm. Could this mean something I should be concerned about?

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