[scorpion_blore]

Originally Posted by archat68

Have you checked your pillows, mattresses and sleeping posture?

Pillows and mattress might not be a problem since I have been using them for quite some time now and never faced any problem before. Even my wife has no problem with them.

I'm not sure if there has been any change in my sleeping posture. My wife keeps telling that I start snoring off the moment I go to sleep. Not sure if this is connected in any way with my headache.

[ksmrsm]

Originally Posted by scorpion_blore

Hi TBHP docs,

I need some help with an issue I have been facing for some time now.

Sometimes I have headaches, usually starts the time I wake up from bed. I have been having this problem for almost over a year now. I initially suspected it to be a problem with my eyesight and went for a eye checkup at Nethradhama, Bangalore. The test results indicated that my eye power is normal. The doctor told that I have dry eyes and suggested to use "Glytears" daily. She clearly suggested that the headache problem is not related to eyesight.

I was in US for a couple of months and came back to India recently. I never had headache in USA. But from the past 3-4 days the problem has again come back. My family physician has also not been of any help.

Would really appreciate if you could point out the possible problem.

Hi, Though I am not a doctor, this could possibly be due to some allergen in the air, like pollen. Do try some anti allergic medicine. It might help.

[Arch-Angel]

Originally Posted by Raghav_K

Hi, can you please elaborate?

How old are you?

I am 25 years old

What work do you do?

I work as a programmer.

How long you are having these symptoms?

A year or so. I had a gastroenterinal infection nearly 3 years back which i feel has been the cause of all this. I still have acidity and a problem i feel where food i eat doesnt seem to assimilate.

Have you changed anything from your routine recently - workwise or eating habits or any other? how is your sleep at night?

I stopped working out for a while because of the symptoms of weakness that have been persisting. I don't eat food or take water outside just to avoid such problems.

My answers are inline. Thanks for replying Dr Raghav

[avingodb]

Docs,
I recently underwent medical checkup using the coupons received from ICICI-Lombard Mediclaim. The results show me as fit in general. I am overweight and 31.x as per the BMI.
My question is wrt to the Cholesterol number which showed as 156 (whereas the scale showed below 200 as normal). I later learnt that this figure is meaningless unless HDL- LDL are listed separately.
Should I get a recheck with focus on HDL-LDL levels for a better understanding of my health status?

[Raghav_K]

Arch-Angel:

You forgot to add how is your sleeping pattern!!

anyways you are too young to have any serious problem, and i still don't understand why you IT guys have so many health problems :P I have met a lot of young it professionals with hypertension, infertility, whatnot!!!

regarding acidity, some measures like avoiding too spicy or salted food, having a gap of 1.5 - 2 hours between dinner and lying down, eating a light dinner and using a bigger pillow so that your head lies above will help. Was an upper GI scopy done before?

And taking breaks while using a computer, making sure your monitor is at your eye level, or below eye level, reduces eye strain.

I cant think of anything else for now, will add more later.

[ontheroad]

Dear TBhp Docs,

I have been suffering from left shoulder pain for about 4 years. Has undergone many treatment like ayurveda and allopathy. Lately I am consulting a Neuro consultant and on his recommendation, did a MRI and MNCV, SNCV and FWave test. The MRI test impression is 1) Minimal posterior central annular bulge at C4-C5 2) Mild diffuse posterior disc bulge with small broad based posterior central protrusion atC5-C6 level mildly indenting cord and C6 nerve roots 3) Tiny posterior central protrusion at C6-7 level. The MNCV, SNCV and F Wave test results are normal.

Doc prescribed Pregabalin capsules and Deflazacort tablets for 15 days. But i don't feel any relief even after 13 days. Also I do feel weakness in left shoulder and left legs. Anything more to be checked and any recommendations?

[Arch-Angel]

Originally Posted by Raghav_K

You forgot to add how is your sleeping pattern!!

Oops sorry doc, I sleep pretty peacefully but i dont have that rested feeling when i wake up.

Originally Posted by Raghav_K

anyways you are too young to have any serious problem, and i still don't understand why you IT guys have so many health problems :P I have met a lot of young it professionals with hypertension, infertility, whatnot!!!

I hope its nothing serious. Thankfully, I hope i dont have the other two problems you mentioned .

Originally Posted by Raghav_K

regarding acidity, some measures like avoiding too spicy or salted food, having a gap of 1.5 - 2 hours between dinner and lying down, eating a light dinner and using a bigger pillow so that your head lies above will help. Was an upper GI scopy done before? And taking breaks while using a computer, making sure your monitor is at your eye level, or below eye level, reduces eye strain.

I already have cut down a lot on spicy/salted food and i quit eating lays/kurkure(which was a favourite) so i hope that isn't the issue. I'll follow your suggestions and let you know of improvements. I had a upper GI(i guess it was called esophagagastroduodenoscopy) and it showed that i had a damaged valve or something at the top of my stomach. Doc at that time said it was the cause of my reflux symptoms.

Originally Posted by Raghav_K

I cant think of anything else for now, will add more later.

Thanks a million doc. It's nice to have someone to consult with during these times.

[JMaruru]

I have been using the sensodyne toothpaste for the past 2+ years. I prefer this paste, coz i have sensitivity when i take cold liquids. I would like to know from the doctors/dentists, does it have any chemicals(eg. potassium nitrate) which is harmful to the kidneys. I saw a recent ad which says, that chemicals in our toothpaste diffuses into bloodstream from beneath the tongue.

Please advise.

[Raghav_K]

Arch-Angel:

Your condition is exactly what i suspected. It is called as gastro esophageal reflux disease or GERD.

Basically, your stomach has acid, and most other parts of the body cannot tolerate it. So when the valve does not work, the acid goes back into the food pipe and causes problems. This happens especially when you lie down immediately after food.

Your stomach has the capacity to process whatever you throw at it, in about 45 minutes. So if you give a gap between eating and sleeping by about 1.5 - 2 hours, you should be fine.

And welcome, happy to help

[alphadog]

Originally Posted by fine69

Hi Dr. Vinod,

I'm suffering from some fiber tear (possibly) and some fluid accumulation in my right shoulder, just below the collar bone towards the right, where we have the shoulder joint (towards the front). Now I don't face any problem when the doctors try to check the shoulder movements and no matter how much pressure I apply during those diagnotic steps, there is no pain.

However, when I do push-ups or burpees the pain starts within 4-5 days and I have to stop doing any workout. The pain also starts if I start lifting heavy weights.

The first doctor suggested some anti-inflammatory medicines and a gel. The second doctor recommended similar medicines along with 10 days Ultrasonic treatment with physio. I did the US treatment for ~10 days along with some physio however the pain didn't go away completely.

Now the third sports injury specialist I visited suggested that I get Ultra-sonic treatment done along with IFC (I'm assuming its inferrential current therapy, is it?) and physio.

My dilemma and question is - Is Ultrasound & IFC really beneficial. I read about it and realized that it wasn't as conclusive (as mentioned in various forums). I'm going to start with it again as I have no option left but wanted to get another opinion.

Hi there fine69

Thank you for asking me.
You have not mentioned your age, if you've had any injuries in the past and I do not have the benefit of examining you.
However,from what you have described, it sounds like your shoulder warrants further investigations rather than blind physiotherapy of all sorts.
Three possibilities with regards to the problem
1) something called a biceps tendon sheath inflammation.
2) SLAP tear
3) AC joint problem.
Things to do are, to stop loading your shoulder with push-ups or lifting weights, get an MRI scan (or better still is an MR arthrogram where an MR scan is done with dye injected into your shoulder, but if this is not possible, then atleast an MRI scan).
Once this is done at a reputed centre and reported by a good radiologist, you will have a better idea of the problem we are dealing with.
This is what I recommend. Do let me know if you need more any more advice/opinion once the scan is done.
Regards

Dr Vinod Kumar
Aster Medcity, Cochin.

[fine69]

Originally Posted by alphadog

Hi there fine69

Thank you for asking me.
You have not mentioned your age, if you've had any injuries in the past and I do not have the benefit of examining you......

Hi Doc,

I'm 28 and did get an MRI scan but the observations from the scan were that there was a "possibility" of a tear. None of the 3 doctors that I consulted (2 big hospitals, B L Kapoor and Fortis and 1 independent sports injury specialist - A+ something is the name of the clinic) could tell from the MRI scan that there was any major tear. The doctors told me that there is a possibility of a minor tear along with some fluid accumulation as well but nothing was standing out in the MRI scan.

If it would help I can send you the scanned copy of the observation that came along with the MRI scan.

I'm postponing the physio + US + ICF therapy simply because its going to cost 600 per sitting and the last doctor suggested I do it at least for 10 days and if there is improvement then another 10 days. I thought I'll get another opinion before spending 12k.

The pain is when I rotate my shoulders and as soon as I start moving it backwards the pain comes in. Its like when without moving my hand, if I just take my shoulder back and a little upwards, there's significant pain.

This pain subsides when I stop working out but the moment I start back again, it starts paining within 3-4 days of working out. Again, no problem in any of the movements I do with my shoulder but at times there's a dull pain and otherwise the pain is only felt when I move my shoulder back, like when we wake up and stretch ourselves (angrai) and move the shoulder back, only in my case I have to move the shoulder back and a little upwards when I feel the pain.

[sudeep.pandya]

The patient in question is my mother - Age 56

Since 1 year, she is suffering from reoccurring fever which lasts for 7 days and repeats in 21-25 days. Almost all tests are done and culture tests always shows no growth even if sample taken during temp running. Doctors are clueless and say it is viral but how a viral can be so persistent and appearing at fixed intervals.

She looks fit and no unusual weight loss has been observed, her BMI is 23.

I am looking forward for a complete root cause analysis but unable to find a direction as I am done with all the body tests which are required for a patient to be called fit.

[drsingh]

Originally Posted by sudeep.pandya

The patient in question is my mother - Age 56



I am looking forward for a complete root cause analysis but unable to find a direction as I am done with all the body tests which are required for a patient to be called fit.

The diagnosis of PUO or Pyrexia of Unknown origin is a diagnosis of exclusion and requires minute study of almost all systems of the body.

I would recommend you visit a Tertiary care Centre {like a medical college}. And let the Internal Medicine guys come to a diagnosis. They may refer you to different departments in the institution for consultation but it is better than going from one doctor to another who will always start from the baseline investigations.

[blorebuddy]

Originally Posted by blorebuddy

Thank you Saket77, one-77. It is few more days since then, I am seeing it coming down day by day. hope it will be alright in few more days as you have mentioned.

Docs, it is few weeks over and day by day the swelling has come done but it is not fully disappear. If I compare with my left there is a very small bit still there. Not sure whether it is ok. It is not giving me any trouble.

[greenhorn]

I had a root canal done a year or so back, and after that, there had been a recurring pain in the replacement tooth. the first couple of times, my dentist ground the teeth to adjust for correct fitting, but after seeing there was no change, he checked the gums, and said there was some decay or growth there, and treated it using some laser. and adviced me to use a chlorhexidine gel.

The pain gets dulled to manageable levels when I use the gel, but is there a better and more long term solution to this?