Question 1

My wife has been dealing with TB Meningitis for the last two years. She completed the TB medication course, but she's still struggling with a lot of neural and back pain. An MRI showed signs of myelitis and some changes in her spinal cord, which has us really concerned. The doctors say that while the TB bacteria is gone, the damage might be beyond repair and her chances of recovery are slim at best. They've recommended physiotherapy and visiting pain management centers for her current pain. For about a year and a half, shes been on Gabapin 300 and Gabantip AT. Can you suggest any pain management centers, or maybe share your thoughts on any potential for recovery?

Accepted Answer

Unexplained bruising can be caused by various factors.

Possible reasons for bruising without injury include:

Vitamin deficiencies (e.g., vitamin C, K, or B12)
Blood clotting disorders
Medication side effects
Liver or kidney issues
Easy bruising syndrome (a condition that affects blood vessels)

Consult a doctor or a hematologist for a comprehensive evaluation and blood tests to determine the underlying cause.

Question 2

I've been having trouble with oversleeping and started taking modalert without talking to a doctor first. I'm wondering if there are any potential side effects I should be aware of. Should I keep using modalert since it's been working for me so far, ...

Accepted Answer

#NAME?

Question 3

I'm 30 and have been dealing with a gastric problem for the past 6 months. My endoscopy shows acute fundal erosion, and the ultrasound points to changes in the liver, saying I have a fatty liver. I'm taking medication, but I'm not seeing any improvem...

Accepted Answer

For your gastric issue with fundal erosion, you can try taking a proton pump inhibitor like Omeprazole to reduce stomach acid and promote healing. Additionally, you can take an antacid like Maalox to help with symptoms. For your fatty liver, you can try a medication like Ursodiol to improve liver function and reduce the accumulation of fat in the liver. It is also important to make lifestyle changes such as maintaining a healthy diet, exercising regularly, and avoiding alcohol to improve your liver health. It is important to follow up with your healthcare provider regularly to monitor your progress and make any necessary adjustments to your treatment plan.

Question 4

Can someone explain what it means if my chest X-ray shows prominent bronchovascular markings? I'm not sure which type of doctor I should consult for this.

Accepted Answer

A 3.7mm gallbladder polyp is relatively small.

_Doctor's Recommendation_

1. _Monitoring_: Your doctor's approach to monitor the polyp's size every 6 months is a reasonable strategy.
2. _No immediate concern_: The small size of the polyp (less than 10mm) suggests a low risk of malignancy.

_Possible Reasons for Polyp Presence_

1. _Cholesterol polyp_: Most gallbladder polyps are benign and composed of cholesterol.
2. _Inflammatory polyp_: Inflammation in the gallbladder can cause polyp formation.
3. _Other factors_: Genetics, obesity, and high cholesterol levels might contribute to polyp development.

_Further Investigation_

1. _Not necessary for now_: Given the small size of the polyp, further investigation might not be warranted at this time.
2. _Consider additional tests if_: You experience symptoms like abdominal pain, jaundice, or fever, or if the polyp grows significantly during follow-up.

_Consider a Second Opinion or Further Discussion_

1. _Ask about polyp characteristics_: Discuss the polyp's characteristics, such as its shape, size, and location, with your doctor.
2. _Understand the follow-up plan_: Clarify the follow-up schedule and criteria for re-evaluation.
3. _Seek a second opinion if unsure_: If you're concerned or unsure about your doctor's approach, consider consulting a gastroenterologist or a general surgeon for a second opinion.

Question 5

I'm dealing with irregular periods and haven't had them for two years now. It's been really worrying me, and I'm not sure what to do. Can you suggest a solution or any options I should consider?

Accepted Answer

#NAME?

Question 6

I'm a 40-year-old guy dealing with joint pain, stiffness, and it's making it hard for me to get around. The doctor prescribed dart tablets, but they leave me feeling really anxious, agitated, and nauseous. Any ideas on other meds I could try that mig...

Accepted Answer

Seems like you are experiencing side effects from the dart tablet. An alternative medicine you can try for joint pain is Celebrex (Celecoxib) 200mg once daily. It is a nonsteroidal anti-inflammatory drug (NSAID) that can help relieve pain and inflammation in the joints. Make sure to take it with food to reduce the risk of stomach upset.

Related Questions

I've been having trouble with oversleeping and started taking modalert without talking to a doctor first. I'm wondering if there are any potential side effects I should be aware of. Should I keep using modalert since it's been working for me so far, ...

I'm 30 and have been dealing with a gastric problem for the past 6 months. My endoscopy shows acute fundal erosion, and the ultrasound points to changes in the liver, saying I have a fatty liver. I'm taking medication, but I'm not seeing any improvem...

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I'm dealing with irregular periods and haven't had them for two years now. It's been really worrying me, and I'm not sure what to do. Can you suggest a solution or any options I should consider?

I'm a 40-year-old guy dealing with joint pain, stiffness, and it's making it hard for me to get around. The doctor prescribed dart tablets, but they leave me feeling really anxious, agitated, and nauseous. Any ideas on other meds I could try that mig...

General Physician/ Internal Medicine

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