Question 1

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel this wave-like sensation in my back, too. Along with that, I've been having neck and back pain. Can you help me figure out what's going on? I'm really curious and a bit worried about these symptoms.

Accepted Answer

Gout arthritis management:
 
 _Current situation:_
 
 1. High uric acid levels
 2. Recurring gout attacks (right knee, now left knee)
 3. Febuxostat (Febustat) 40mg daily provides relief
 
 _Concerns:_
 
 1. Dependence on medication for pain management
 2. Intermittent dosing (2 timesday) may not be optimal
 3. Potential kidney stone risk with high uric acid
 
 _Recommended adjustments:_
 
 1. Consult rheumatologist or primary care physician.
 2. Consider:
 - Increasing Febuxostat to 80mg daily (if tolerated).
 - Allopurinol (alternative uric acid reducer).
 - Probenecid (uricosuric agent).
 3. Lifestyle modifications:
 - Hydrate adequately (2-3 litersday).
 - Low-purine diet (limit organ meats, seafood).
 - Maintain healthy weight.
 - Exercise regularly.
 - Limit alcohol intake.
 
 _Additional considerations:_
 
 1. Colchicine for acute gout attacks.
 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.
 3. Corticosteroids (oral or injected) for severe inflammation.
 
 _Monitoring:_
 
 1. Regular uric acid level checks.
 2. Kidney function tests.
 3. Liver function tests.

Question 2

My child was just diagnosed with mitochondrial progressive external ophthalmoplegia and they're recommending surgery for drooping eyelids. How bad does this condition usually get over time? Could it become fatal or lead to complete vision loss? I know there's no cure yet for this rare disorder, but I'm really worried about how it progresses and what to expect in the later stages. Can you give some insight on what the final stages might look like?

Accepted Answer

Mitochondrial disorders progress slowly‚Äîeyelid surgery may help vision, but long-term effects vary‚Äîregular neuro follow-up is key.

Question 3

I've been having this weird feeling in the front part of my head, like it's being pulled, and it's really sharp when it happens. It occurs every 10 minutes, and I've also noticed some small boils. I'm not sure what's going on  any idea what might be causing this or what I can do about it?

Accepted Answer

Dermatologist opinion

What drugs release dopamine in the brain?

Dopamine agonists.

More Neurology Health Queries

I've been having this weird feeling in the front part of my head, like it's being pulled, and it's really sharp when it happens. It occurs every 10 minutes, and I've also noticed some small boils. I'm not sure what's going on any idea what might be causing this or what I can do about it?

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