Question 1

My husband has been struggling with swelling and a burning sensation in his wrist for the last couple of weeks. His recent blood work showed a high CRP of 7.12 mgL and an ESR of 11 mgL. Plus, he's got a very low vitamin D level, sitting at 9.23. I'm worried about what might be causing the high CRP, especially since I've noticed his skin turning red near the painful area. The doctor recommended he take Calcirol, CoQ10, and Shelcal HD 12. Could these actually help in reducing his CRP levels?

Accepted Answer

A small, hard, and painless lump under the skin can be concerning.

_Possible causes:_

1. _Ganglion cyst_: A common, benign lump that can develop under the skin, often near joints.
2. _Lipoma_: A harmless, fatty lump that can grow under the skin.
3. _Calcification_: A small deposit of calcium that can form under the skin.
4. _Benign tumor_: A non-cancerous growth that can develop under the skin.

_What to do:_

1. _Consult a doctor_: Schedule an appointment with a primary care physician or a dermatologist.
2. _Examination and diagnosis_: A doctor will examine the lump and may order imaging tests (e.g., ultrasound or X-ray) to determine the cause.
3. _Treatment options_: Depending on the diagnosis, treatment may involve monitoring, removal, or other interventions.

_When to seek immediate attention:_

1. _Rapid growth_: If the lump grows rapidly or changes in size.
2. _Pain or tenderness_: If the lump becomes painful or tender.
3. _Redness or swelling_: If the surrounding skin becomes red, swollen, or inflamed.

Question 2

I'm a 29-year-old guy, and I spend a lot of time sitting in front of a computer because of my software job. It's been about a year since I found out my uric acid levels were high, so I cut back on protein and I'm eating vegetarian now. I don't smoke, and I'm not really working out currently. My last uric acid level was at 7.0. I just got some blood work done, including Liver Function Tests, and it showed my globulin level is low at 1.81, and my albuminglobulin ratio is 2.81. Everything else in the LFT was okay. Is this something to be worried about? Should I be doing other tests to figure out what's happening, or could this all be related to my diet? What lifestyle or dietary changes do you recommend? And which kind of doctor should I get in touch with for advice?

Accepted Answer

Anal Itching and Bleeding

_Possible Causes_

1. *Anal Fissure*: A small tear in the lining of the anus, often caused by hard stools, constipation, or anal trauma.
2. *Hemorrhoids*: Swollen veins in the anus or rectum, which can cause itching, bleeding, and discomfort.
3. *Anal Abscess or Fistula*: A collection of pus or a tunnel-like structure in the anal tissue, which can cause itching, bleeding, and pain.

_What to Do_

1. *Seek Medical Attention*: Consult a doctor, preferably a gastroenterologist or a proctologist, for proper evaluation and treatment.
2. *Practice Good Hygiene*: Keep the anal area clean, and avoid scratching or rubbing the area.
3. *Stool Softeners*: Consider taking stool softeners to prevent hard stools and reduce discomfort.

Question 3

I'm 52 and my ASO titer is 459. Could this affect my heart or kidneys? What precautions should I take?

Accepted Answer

An elevated ASO (anti-streptolysin O) titer can indicate a recent streptococcal infection. This infection can potentially lead to complications such as rheumatic fever, which can affect the heart and kidneys. To prevent complications, it is important to treat the underlying streptococcal infection with antibiotics. In this case, you can take a course of antibiotics such as Penicillin V at a dosage of 500mg four times a day for 10 days. Additionally, it is important to follow up with your healthcare provider for monitoring and further management. It is also advisable to rest, stay hydrated, and maintain a healthy lifestyle to support your recovery

I've been feeling weak ever since I got a viral fever 10 days ago. I'm also experiencing joint pain when I walk, which started around the same time as the fever. Should I be worried about this, and what should I do to start feeling better?

take healthy food and plenty of fluids ,viral fever episode lasts 2 to 3 wks and it subsides on its own

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I'm 52 and my ASO titer is 459. Could this affect my heart or kidneys? What precautions should I take?

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