- Male
- 33 Years
- 29/01/2025
I've noticed that when I wake up in the mornings, my spit is kind of reddish, like there's a bit of blood in it. After that, everything seems normal and my spit isn't red anymore. What could be causing this? Should I be worried or do something about it?
Answered by 1 Apollo Doctors
- Over-supplementation: Taking high doses of vitamin B12 supplements, like your 1500mcg methylcobalamin, can cause elevated levels.
- Kidney or liver issues: Although your reports don't indicate any problems, kidney or liver dysfunction can affect vitamin B12 metabolism.
- Other medical conditions: Certain conditions, such as leukemia, lymphoma, or polycythemia vera, can cause elevated vitamin B12 levels.
Potential Risks of High Vitamin B12 Levels:
- Interference with diagnostic tests: Elevated vitamin B12 levels can affect test results for other conditions.
- Increased risk of cancer: Some studies suggest a potential link between high vitamin B12 levels and increased cancer risk.
Recommendations:
- Consult your doctor: Discuss your test results and supplement regimen with your doctor.
- Re-evaluate your supplement dosage: Consider reducing or adjusting your vitamin B12 supplement dosage.
- Monitor your vitamin B12 levels: Regularly check your vitamin B12 levels to ensure they return to normal.
Dr. Ibrahim Suggests...
Consult a Ent Specialist
Answered 04/07/2025
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I'm really struggling with my vertigo, specifically BPPV. I had an episode in the past and was on Vertin 16mg and Stugen for about 20 days, and it seemed like it went away completely. But then, after stopping the medication, it came back a week later. I've done all the tests, like CT scans and X-rays, and they're all normal. I'm worried because the vertigo just won't go away permanently. Could you suggest any way to get rid of this for good?
To achieve permanent relief from benign paroxysmal positional vertigo (BPPV), consider the following steps: 1) consult an ENT specialist or a vestibular rehabilitation therapist; 2) undergo the Epley maneuver or other canalith repositioning procedures (CRPs) to help relocate the otoliths in your inner ear; 3) perform vestibular rehabilitation exercises (e.g., Brandt-Daroff exercises) to improve balance and reduce vertigo symptoms; 4) consider lifestyle modifications, such as avoiding triggers (e.g., sleeping on your side), reducing salt intake, and increasing water consumption; and 5) if symptoms persist, discuss with your doctor the possibility of a vestibular suppressant medication, such as betahistine, to help manage symptoms.
Answered by 1 Apollo Doctors
I'm really struggling to understand what's going on with my preauricular sinus pit. I've had it since birth on my left ear and for years, it would drain and I'd have to use medications. It stopped leaking around 5 to 10 years ago, but I started dealing with swelling instead, and tried more meds. Then in 2017, it got infected and turned into an abscess, so I went through surgery for an incision and drainage. The surgeon said they removed the entire tract, but I'm still getting swelling that won't heal, even with meds. It's really confusing and frustrating. Given that this seems to be a rare issue, what steps should I take? Who's the best surgeon to reach out to about something like this?
A preauricular sinus, also known as a preauricular pit, cyst, or fissure, is a sinus tract that runs under the skin and starts with a small opening in front of the ear. It's a common congenital malformation that occurs when the ear develops abnormally early in gestation. You should consult a specialist ENT surgeon for confirmation of appropriate treatment if required
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.