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A 39-year-old female asked:

i have had constant pain in my left bicep primarily, but sometimes shooting pain down to my wrist, sometimes in my shoulder. this has been going on 3 months. i have seen doctors, had xrays (no mri), am in physical therapy. no pain medication has brought

2 doctor answers4 doctors weighed in
Dr. Jeffrey Wint
Hand Surgery 35 years experience
AN : An infection is unlikley to linger for three months untreated unless it were a slow growing process such as a fungal or atypical bacterium. These however are rare and it would be unusual to had an isolated infection of this type in the shoulder. There may be more than one issue. A primary problem rested to the impingement that was diagnosed and referred pain form elsewhere. The neck may give referred pain to the shoulder as can believe it or not abdominal or gastrointestinal issues such as the gallbladder. Referred pain is not usually mechanical i.e. It downs not worsen with shoulder movement. But it is possible to have both things going on at once. Finally the way in which pain is tolerated or not by different people is...Different if things don't seem right...Talk to your current treating physician for this problem if you think you may need to follow up earlier that you both had planned.
Dr. Qamar Khan
Pain Management 17 years experience
Evaluate Neck: If you are not improving have your doctor order a cervical spine mri. Many times a herniated disc in the neck can cause arm pain especially if you have not improved with the medications and physical therapy. If it is a herniated disc you may need evaluation from a spine specialist to determine what other options might be needed (injections, surgery, etc) to help reduce pain.
Dr. Timothy Silver
Physical Medicine and Rehabilitation 24 years experience
Also would consider carpel tunnel syndrome, it has variable presentations and can sometimes fool us until we do the nerve conduction studies and electromyograms. These studies may assist in helping define the neck as a source as well.
Sep 7, 2013

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A 23-year-old male asked:

I injured my back weight-lifting four days ago. I've had pain, minor spasms, and loss of appetite. Advil (ibuprofen) was giving me heartburn. What shoul I do?

2 doctor answers6 doctors weighed in
Dr. Allen Fein
Specializes in Family Medicine
See MD, Stop Advil (ibuprofen): Sounds like you have already done enough watching and waiting. Go to your physician for an examination to check for disc injury and other problems. Over the counter analgesics, physical therapy, massage therapy, yoga and acupuncture may help. Initiall cold, then warm compresses after a day or two. If not resolving, i send my patients for x-ray, mri, and referral to ortho and/or pain clinic.
A 32-year-old member asked:

I have dull sciatic pain from left back to left ankle, acute pain in left butt bone when sitting/sleeping, and sharp groin pains from full bladder!?

2 doctor answers4 doctors weighed in
Dr. Paul Cohen
Family Medicine 28 years experience
Self diagnosis?: The symptoms you are descrbing sound like classic sciatica. The remedies are various; my favorite is lyying on your stomach and sliding as far to the left of the bed as possible so your left leg can hang off the side(without falling off of course). Simply allow the leg to 'hang' off the side and you should feel the strectch through your low back including the pyriformis muscle pinching your nerv.
A 25-year-old member asked:

I'm 25 my bones ache.. have lots of headache migraines eye twitches ..body aches a lot no strength ..weak. no energy what should I do?

3 doctor answers6 doctors weighed in
Dr. James Marx
Pain Management 48 years experience
Need Testing: Sounds like some sort of electrolyte(minerals in your blood like sodium, potassium or calcium) disturbance. You need to see a doctor to get this sorted out asap.
A 42-year-old member asked:

Is nitroglycerin spray ever used for anything other than angina heart pains?

1 doctor answer7 doctors weighed in
Dr. Bennett Werner
Cardiology 44 years experience
Yes: It's also effective for esophageal spasm which may accompany gastroesophageal reflux disease. In contrast to angina, which often improves with a single dose (0.4 mg), it's not uncommon for esophageal disease to require 2 or 3 doses which must be given at 5 minutes intervals to avoid hypotension (low bp) and syncope (passing out).
Dr. Bennett Werner
Cardiology 44 years experience
Provided original answer
There's no hard and fast rule - no published guidelines. A 90 year old (from your earlier posts?) is likely to have rigid arteries with labile HTN. In general, BP should not exceed 220 (systolic) or 120 (diastolic) but, again, please see comments above. And, if we're talking about someone 90, you're more likely to do harm than to help by acutely lowering the BP. BP needs gradual control.
Mar 28, 2012
A 27-year-old member asked:

Symptoms:abdominal pain lower back pain heavy clotted bleeding after period ended light headed nausea difficulty breathing while standing.Retain water?

1 doctor answer4 doctors weighed in
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Not normal: Definitely needs to be evaluated by your doctor. Difficulty breathing does not really go with gynecological issues. I would start with your pcp for that then see obgyn for the rest, .

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Last updated Oct 3, 2016

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