Question 1

I recently found out that my aso titre came back positive in a test my doctor ordered because I've been having joint pains. I've looked up some information online about what aso is, but I'm still unsure about how it develops, the reasons behind it, and what effects it might have on my body. Is this something I should be really worried about?

Accepted Answer

Burning Sensation around the Anus

_Possible Causes_

1. _Anal fissures_: Small tears in the anal lining can cause burning pain.
2. _Hemorrhoids_: Swollen veins in the rectum or anus can lead to burning sensations.
3. _Anal abscesses_: Infected pus-filled pockets near the anus can cause pain and burning.
4. _Proctitis_: Inflammation of the rectum lining can cause burning pain.

_Immediate Relief_

1. _Warm water baths_: Soak in warm water for 10-15 minutes, 2-3 times a day.
2. _Stool softeners_: Take stool softeners like psyllium husk or methylcellulose to ease bowel movements.
3. _Pain relief creams_: Apply topical creams or ointments containing lidocaine or hydrocortisone.

_Medical Consultation_

1. _Consult a doctor_: Visit a gastroenterologist, proctologist, or primary care physician for a proper diagnosis.
2. _Get a physical exam_: A digital rectal exam (DRE) and visual inspection can help identify the cause.

_Please Note_

1. _Don't delay medical attention_: Burning sensations and pain around the anus can be symptoms of underlying conditions that require medical attention.
2. _Avoid self-medication_: Refrain from taking medications without consulting a doctor, as they may mask symptoms or worsen the condition

Question 2

I recently got my blood tests back, and I've noticed that my uric acid levels have been high for the last two cycles. My SGPT is at 55, which Ive heard is elevated. I'm not a frequent drinker, maybe just once every couple of weeks, and there's no family history of this either. What do you think might be going on, and should I be concerned about these results?

Accepted Answer

To address high uric acid levels and elevated SGPT (55), consider lifestyle modifications: increase water intake (8-10 glassesday), reduce dietary purine intake (organ meats, seafood, sugary drinks), limit fructose consumption, exercise regularly, and maintain a healthy weight; also, consult your doctor to discuss potential medications, such as allopurinol for uric acid, and to investigate the cause of elevated SGPT, which may include further liver function tests or an ultrasound.

Question 3

I'm experiencing a strange cold, wet sensation just below my right knee, and I've been having some pain in both knees, especially when climbing stairs. My calf muscles also feel warm. I've had my vitamin D levels checked, an MRI of my back, and some physiotherapy, but everything seems normal. Why am I feeling this sensation in my knee, and which type of doctor should I consult?

Accepted Answer

You may be experiencing nerve-related symptoms in your knee. The sensation of coldness could be due to nerve irritation or compression. Since your MRI of the back is normal and you have already undergone physiotherapy, it may be helpful to consult with a Neurologist for further evaluation and management. In the meantime, you can try taking a medication like Gabapentin to help with nerve-related symptoms and pain. Additionally, you can apply a topical medication like Capsaicin cream to the affected area for pain relief. It's important to follow up with a Neurologist for a comprehensive assessment and tailored treatment plan.

I'm feeling pretty anxious right now. My ESR level came back at 63, and I'm not sure what that means. I had a fever when they did the test. Can you help me understand why my ESR might be high?

A high erythrocyte sedimentation rate (ESR) is usually a sign of inflammation in the body, which can be caused by infection repeat when you become fine

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