Autonomic Function Tests

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Doctors

My mother is 75 yrs old and she regularly complains of pain in her joints for the the last 3-4 years.she has normal blood pressure and is not diabetic.kindly advise any blood tests and medications for her ?

Dear patient Your mother is suffering from post - menopausal senile osteoporosis. her bones have become weak due to deficiency of calcium and vitamin D. this usually occurs in old age and after menopause.get the following investigations done: dexa bone scan , vitamin D level , blood calcium , complete haemogram and blood urea.Consult a orthopaedic surgeon who will advise you medications according to your test reports. ...

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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...

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Sir i am suffering from knee sweeling in my rt knee for 6 month,two times i hv removed water(aspiration) from it bt never found relief.some time it decrease and some time increase.all tests x rays,crp,esr are normal not yet i found any relief.4 years ago same problem were in my lft knee and dr. Removed 2 pieces(tissue) from lft knee which were found normal(non specific),till one month after surgery i couldn't bent knee even a little bit,i took physiotherapy by wax and till 9 months i could bent it onle 80% after 1.5 or 2 year i could bent it properly 100 bt with pain,still there is pain when i bent it proper,and also swelling in rt knee.Dr.'s Of hospital in which i get surgery 4 yrs ago said that same surgery will pass in rt knee,bt i am afraid because still there is pain in my lft knee,if i pass again surgery in rt knee i will face same problem of pain in my rt knee,please advice me sir if there another way to get treated without surgery like med. Or i should get treated by surgery,i am just 23 yr old boy,still there is whole life for me to live please help me.

Try with some good physio therapist ,with CPM and manual therapy skills. ...

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Hello. I am 29 years old from Australia and currently am in Tokyo. I had protected sex with a hooker a few nights ago and a hand job from one last night. I am overweight and chafe a lot when walking a lot but I have noticed itchy red lines have developed behind my knees on both sides. Red rashes are between my legs (but is usual for my chafing). Please note I have been walking around all day long in jeans in cold/warm weather so I am not sure if red is inflammation or the start of an STD? Please advise if you think I need to return home immediately for tests or if I am overreacting ? Thank you

Hi, Please tell about your diabetic status. Rashes between your legs, at the back of your knees,in armpits are common, as the area is usually moist and allergic. Rash is common at such a location,and you already told me that chaffing is common to you then it can be because of that only. Looking at your condition that you are unable to wear loose clothes all day long. try and wear loose cotton clothes at some part of the day so that your body can be exposed to fresh air . Try to keep you geni ...

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I have an irregular heart beat that on occasion has been making my chest feel like someone is poking it. The poking pain feeling only occurs in a single location (right side of my sternum next to my nipple) and goes away in a few seconds. Went to the ER but the blood tests found nothing. This has been going on since 8pm Tuesday. I had issues sleeping until my wife came in, and when she laid down next to me I fell asleep. I have no issue staying asleep. Also, I have little to no appetite and I also have to burp a lot.

Hi, For the symptoms you are presenting, we need to rule out the presence of angina in such a situation since you have told me that your blood tests revealed nothing. I also hope that you must have got an ECG done(which can only rule out presence of any heart disease). Excessive burping and such symptoms can also be due to gerd(gastro esophageal reflux disease). First of all you will have to rule out any associated heart disease,since you are in high risk group(diabetic,mildly hypertensive). ...

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Hi, I stared the HCG diet 10 days ago using the drops. I also am trying to have a baby so I had sex three times during the week of ovulation. Last period was on January 8. I have had pregnancy symptoms, five positive pregnancy tests, no period. I did have some spotting but it was brown which makes me think that I am pregnant. I am not sure if it is the HCG drops causing a false positive test. Last night I put some of the drops on a pregnancy test and it was a faint positive. My dr. recommended a blood test and then another 48 hours later. I have poor insurance coverage as I am a business owner, and I don't want to spend the money on the blood tests this early. I usually have a 28-31 day cycle. I am thinking of just waiting a couple of weeks, I live a healthy lifestyle. Advice, sorry to ramble on. Jaclyn

Hi Jaclyn!! your issues as to whether the test for pregnancy is actually positive or not are actually confirmed by the serum beta hcg which if doubles in 48 hours means a viable and growing pregnancy. please get the blood tests for the pregnancy done as told. Also ,i hope you had rhogam after in your 1st pregnancy and after the miscarriage. Also your previous pregnancy with history of incompetent os means that this condition is likely to happen again so go in for prophylactic encirclage of the ...

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I think i have bipolar disorder i have done several tests online and everytime so far it says i have bipolar disorder. I read about it and a lot of the same symptoms. i recently went to the doctors and i only talked for three minutes and he said i'm just depressed but i feel like its more than just depression. what do i do?

Hello. I understand what you are going through. I am an experienced therapist and mental health counsellor at Kaadambari Centre for Mental Health. Please email us on *********@*****.com or whatapp us on + **********. ...

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I let an abcessed tooth go untreated for about six months and during that time i had an exam for a life insurance policy. The blood test revealed that I was having liver function problems, everything on the test was perfectly normal except my ast and alt levels were really high. Could that be because the infection had gotten into my body?

Not just the tooth but infection on any part of the body will surely lead to changes in antigen- antibody levels. The retained infectious tooth needs to be treated as soon as possible and you need to start with antibiotics. Based on the extent of the damage either a root canal treatment, apicoectomy or extraction maybe needed. ...

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My father had black stools (upon test it had occult blood), they did endoscopy and found an ulcer in lesser curvature. they did sclerotherapy. after couple of days the stools were normal in color. he got discharged. biopsy showed H.pylori and he was given h.pylori kit, orafer xt and cobadex since he had become anemic. after 2 days he fell unconscious, pissed in pants and later passed stools brown again. hospitalized him again. occult blood was present in stools from tests. they did endoscopy and found no bleeding from ulcer where sclerotherpy was done. everything normal in the stomoch and in both duodenum. he is still passing brown stools. donot know why ? please give your opinion.

Hi, Brown coloured usually may be even normal because of a little high billirubin content in stools. But there is also occult blood in stools so the blood must be coming from some place(intestines,stomach,duodenum) and it has been seen by a endoscopy that your oesophagus and stomach and duodenum are normal,now there can be blood from other sites, from lower gastro intestinal tract (colon,rectum). However if the occult blood is less or if it does not come again then you might not worry about it ...

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GERD. It has been on and off since 2008. The condition worsened last month in Jan 2013 and I could hardly swallow any solid food. It just gets stuck in the throat and feel like I am choking till I push the food down with water. Liquids and semi solid foods are ok. The doctors did Nasal Endoscopy, Normal Gastro Endoscopy, Esopheagal Manometry, Barium Swallow X-Ray and all tests came up normal. I was told the swallowing problem is primarily related to GERD and I was advised Cintapro 1 mg tablet for 1 month. So far as I take the tablet, I am able to take in selected solid foods fine, but not all foods. If I do not take this tablet for one day, the problem recurrs back. Question 1: How long will this motility disorder be related to GERD ? Question 2: Are there any side effects of taking this Cintapro 1 mg to help in motility on a long term basis (Say if I need to take this for some more time) Questionj 3: Are there any other tests that will show the proper reason for this motility disorder of the esophaegus (Apart from Esopheagal Manometry, Gastro Endoscopy, Barium Swallow X-Ray) etc.

GERD will persist but the effect can be decreased by life style modification like good brisk walk for 40 mins, avoiding fat, consuming more curd and buttermilk rather than milk and keeping a gap of 2 hrs between food and sleep. Cintpro is by and large relatively safe drug for long term use till now. We need to see the reports of existing tests before we proceed with further tests Stress has significant role in symptoms so please be relaxed. ...

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