Molecular pathology

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3 years ago i had pain with swallowing, nause ,burning pain and i was diagnosed as GERD. i treated with naxium 40mg , fluxopride tabelts for 8 weeeks. my burnibg sensation&nausea dissappear but my pain with swallowing still&i have a pain in my ear like inner otitis media ...3 months ago i had upper GIT endoscopy ,it show that i had an upper esophgeal ulcer just below hypopharnex and a mass about 3 cm in lenghth..pathology of biopsy ,Erosive esophgitis,marked inflammatory activity associated with mucosal keratosis and basal dysplasia...i need your opinion please Asked by:- nesreen 1 day ago

Thanks for your query. Esophageal ulcer with a mass is an alarming sign. It may be a malignant ulcer. I suggest you to review the histopathology slide from a different pathologist and get a second opinion. Thanks. ...

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3 years ago i had pain with swallowing, nause ,burning pain and i was diagnosed as GERD. i treated with naxium 40mg , fluxopride tabelts for 8 weeeks. my burnibg sensation&nausea dissappear but my pain with swallowing still&i have a pain in my ear like inner otitis media ...3 months ago i had upper GIT endoscopy ,it show that i had an upper esophgeal ulcer just below hypopharnex and a mass about 3 cm in lenghth..pathology of biopsy ,Erosive esophgitis,marked inflammatory activity associated with mucosal keratosis and basal dysplasia...i need your opinion please Asked by:- nesreen 1 day ago

Hi nasreen, esophageal mass with ulcer is an alarming feature. It is really a great news that histopathology shows no malignancy. But for your safely, I suggest you to review the report by another pathologist. Thanks. ...

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22 yr old male , student. I have musular pain and weakness since 7 years started around lower back and and neck region for episodes of 5-10 minutes then it gradually increased to full body over 2-3 years. Have anxiety , stress, severe insomnia and headache from 4 years. Also have tremor and dropping of eye lids for around 2-3 years. Have problem waking up in morning sometimes as I feel no energy to do so. Speech is very slow and dull. Sympotms relieved by proper sleep and repetead movement of the painful area. Does not respond to supplements and improvement in all symptoms from benzodiazapenes etc. And heat therapy , ultrasound massage therapy but it stops responding after 2-3weeks or goes back to normal after stopping the treatment. Muscles affected are which are excessively used like eyelid and back shoulder and quadriceps and gastrocnemius shows fatigue. No family history or any systemic disorder. No history of alcoholism or drug abuse. I suspect muscular pathology, some type of myopathy maybe. Have consulted with various doctors multiple times but unable to identify cause only provisional treatment. Suggest what should I do.which investigations should I go for.

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Dr. nishit gupta

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