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

I'm really confused and a bit worried about something I've been experiencing for the past year. I've been having this floating sensation and imbalance when I walk. I got an MRI done for both my brain and cervical spine, but they came back normal. What's weird is that sometimes it goes away for about 15 days and then just comes back. It's driving me insane! I dont have headaches, blurred vision, hearing issues, high blood pressure, or diabetes. It all started with this spinning feeling when I got up from bed, but now it mostly feels like imbalance. I consulted an ENT doctor who said it's not BPPV. I've also been to 3 or 4 neurophysicians and tried some medications but they didnt help. One of them suggested it might be anxiety, but I'm really lost here and dont know what to do next. Could you please suggest any other possibilities or any other steps I should take? I'm honestly at a loss and could use some direction.

Accepted Answer

That could be BPPV or Anxiety,follow your doctors advice maintain proper posture,and stay physicially active and take adequate rest

Question 3

I'm experiencing a weird vibration sensation in the tip of my penisit's not painful, just really annoying. I haven't had unprotected sex or anything, but I do have a spinal issue from L1 to L5, where my spinal cord and nerves get compressed. Could this vibration be a new symptom related to my back problem, or should I be concerned about an infection? It's starting to worry me a bit.

Accepted Answer

Overcoming Functional Vertigo-Related Dizziness with Exercises

*Understanding Functional Vertigo*

1. _Inner ear and balance system_: Functional vertigo affects the vestibular system, which regulates balance and equilibrium.
2. _Dizziness and disorientation_: Symptoms include dizziness, lightheadedness, and disorientation.

*Exercises to Help Overcome Functional Vertigo*

1. _Vestibular rehabilitation therapy (VRT) exercises_:
    - Brandt-Daroff exercises: Repeat 5-10 times, 3 times a day.
    - Epley maneuver: Repeat 3-5 times, 3 times a day.
2. _Balance and gaze stabilization exercises_:
    - Stand on a foam pad or pillow with eyes closed.
    - Focus on a fixed point while moving your head.
3. _Canalith repositioning procedure (CRP) exercises_:
    - Lie on your side with the affected ear facing down.
    - Slowly turn your head to the opposite side.

*Additional Tips*

1. _Consult a healthcare professional_: Before starting any exercises, consult a doctor, physical therapist, or vestibular specialist.
2. _Start slowly and progress gradually_: Begin with gentle exercises and gradually increase intensity and duration.
3. _Practice regularly_: Consistency is key to improving balance and reducing dizziness.

What happens when you have a stroke?

Paralysis,numbness,trouble speaking, slurred speech, lack of balance

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