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Dallas, TX
A 20-year-old female asked:

have anxiety disorder. i've been on vyvanse for awhile recently prescribed effexor (venlafaxine). took it heart racing, hands shaking, arm tingles, is this normal?

1 doctor answer5 doctors weighed in
Dr. Arlene Martinez Delio
Psychiatry 39 years experience
Drug interactions: vyvanse and Effexor (venlafaxine) can both increase heart rate, blood pressure, anxiety and other undesirable symptoms. Vyvanse is not indicated for anxiety. Therefor try to have your diagnosis and medicines check by your doctor.

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A 21-year-old member asked:

Why can arm swelling and pain happen after breast cancer surgery?

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Lymphedema: An essential part of breast cancer staging is the removal of some of the lymph nodes under the armpit. The lymphatic system's job includes draining tissue fluid and bringing it back into the circulation. Lymph node removal short-circuits this process leading to the risk of chronic swelling, or lymphedema. The less nodes removed, the lower the risk.
Dr. Barry Rosen
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Provided original answer
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In select patients, even a positive sentinel node may not mandate completion axillary node dissection. Also, with modern chemotherapy, even patients with gross positive node disease up front may be converted to node negative status with neoadjuvant therapy and spared axillary node dissection given a negative sentinel node following neoadjuvant therapy.
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A 35-year-old member asked:

How do I know whether the pain i'm having is a heart burn or something more serious like angina or coronary artery disease?

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It's difficult: Depending on the nature of the pain, additional testing such as a stress test could be useful to help figure out where your chest pain is coming from.
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A 46-year-old member asked:

Can adrenal insufficiency cause mood swings accompanied by anxiety and pain in the chest?

2 doctor answers6 doctors weighed in
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Chest pain?: The mood swings and anxiety are very commonly associated with adrenal and thyroid problems while chest pain may accompany the anxiety, it needs to be evaluated separately to rule out other causes including those related to the heart, lungs or stomach.
A 39-year-old member asked:

I got a hand fracture. I had surgery with metal pins. When will it heal fully?

2 doctor answers4 doctors weighed in
Dr. David Yan
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6-8 weeks: Usually the pins/k-wires stay in for about 4 weeks. After that, you'll likely be pretty stiff. After a few weeks of occupational therapy, you should be pretty close to normal. Most people are fine in about 8 weeks.
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A 18-year-old female asked:

My body keep on giving odd reaction, it trembles up from my chest through the throat until the jaws, so to the hands. Could it be hyperthyroidism?

1 doctor answer2 doctors weighed in
Dr. Francine Mosley
General Practice 20 years experience
...: Could mean fatigue, are you sleeping 6h-8h every night? Do you wake up at the same time most days? Do you drink 3qts/water daily? Do you walk 30 minutes every day? If not, your body is tired and wants to sleep, so will have to be shaken, or shivered, to wake up. If you walk 30min daily, avoid fried & sugary food, drink 3qts water daily, you see the difference.

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Last updated Apr 10, 2017

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