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Doctor insights on: Is Lateral Teeth Before Central A Symptom Of Normal 04 Mo

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Left side of upper lip has twitched for several mins at a time 3 or 4 times in the past week. is this likely benign? I'm female, 40, thyroid is fine.

Left side of upper lip has twitched for several mins at a time 3 or 4 times in the past week. is this likely benign? I'm female, 40, thyroid is fine.

Lip twitching: It can be due to injury, irritation, stress and intake of caffeine & alcohol. In my experience most cases are due to hyperventilation 2/2 stress which could cause transient drop in blood calcium, My suggestion would be to decrease Caffeine and alcohol intake, try meditation and relaxation. Make sure you Potassium level is ok and your Thyroid function is normal (u said it were). Good luck. ...Read more

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Mouth (Definition)

Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more


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I got this feedback from an X-ray. There is Lumberization of S1 with spina bifida occulata there is anterior wedging of the T12 body mild ddd at L5S1. Should I be concerned?

I got this feedback from an X-ray. There is Lumberization of S1 with spina bifida occulata there is anterior wedging of the T12 body mild ddd at L5S1. Should I be concerned?

Lumbarization: of S1 is an anatomic variation, usually of no concern. Likewise, spina bifida occulta is a minor variant, usually an incidental finding of no concern. Mild "ddd" is mild degenerative arthritic changes at that level. T12 anterior wedging could also be an anatomic variation, or indicate prior compression fracture, would need to evaluate the xrays to try to determine which. ...Read more

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Nose numb/tingly following extraction of 4 wisdom teeth (25 yrs of age). Is this normal or a sign of something bad?

Nose numb/tingly following extraction of 4 wisdom teeth (25 yrs of age). Is this normal or a sign of something bad?

It is possible: Nose numbness after wisdom tooth extraction is rare, but it is possible. However, if this numbness lingers for more than 48 hours, you may actually be suffering from temporary prosthesis. In this case you should see your surgeon for an evaluation. ...Read more

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Numbness/tingling of inner portion of big toes (bilateral): Is this a temporary side effect of a combination epidural (from 2 weeks ago)?

Numbness/tingling of inner portion of big toes (bilateral):  Is this a temporary side effect of a combination epidural (from 2 weeks ago)?

Doubtful: For the most part, I would expect any side effects from an epidural to have resolved by the 2 week point. I think it's more likely that your symptoms arise from the underlying spinal pathology that caused you to seek treatment in the first place. Your treating physician will be in a better position to clarify this. ...Read more

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Is it normal for a vesicular rash to erupt 7-10 days at the site of varicella vaccination in a 15 month old? The overall size of the rash is 1cm.

Is it normal for a vesicular rash to erupt 7-10 days at the site of varicella vaccination in a 15 month old? The overall size of the rash is 1cm.

Yes it can be: Varivax is a live virus vaccine. The incubation for natural chickenpox is 10-21 days. To have a little chickenpox rash at the site of the vaccine 7-10 days afterwards does happen in about 10% of cases. Some will develop mild chickenpox and break out all over the body. ...Read more

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What is the cause of an asymmetrical smile after wisdom tooth extraction? Like muscle on one side of face are weak. Procedure done 2 months ago.

What is the cause of an asymmetrical smile after wisdom tooth extraction? Like muscle on one side of face are weak. Procedure done 2 months ago.

See dentist: What you described suggests damage to a nerve. You should consult your dentist for an evaluation and if that does not satisfy you may need to see a neurologist. ...Read more

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In a MRI of the cervical spine, what it means “regressive phenomena with initial slight reduction in the tone of water, but with thickness retained are obvious by the disc interspace of L3-L4”? is something serious in a 37 years old man?

In a MRI of the cervical spine, what it means “regressive phenomena with initial slight reduction in the tone of water, but with thickness retained are obvious by the disc interspace of L3-L4”? is something serious in a 37 years old man?

Get an explanation: A most important part of any trest or imagry is to provide a clear explanation and treatment recommendations. Only the Dr who ordered the MRI can help you know the next step. Don't worry until you've heard a Dx and prognosis. Call now so you can relax. Best! ...Read more

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Is mild atrophy of both frontal lobes normal at 51, no symptoms? My doctor (not a neurologist) said "normal at my age, as brain stops developing at 25

Is mild atrophy of both frontal lobes normal at 51, no symptoms? My doctor (not a neurologist) said "normal at my age, as brain stops developing at 25

Brain atrophy: Cannot be determined using a single neural imaging study contrary to popular belief as one must demonstrate that there has been an actual loss of brain substance over time rather than the lack of development of a particular area of the brain. My suggestion to you would be to arrange to have a consultation with a cognitive neurologist to address the matter of frontal lobe impairment. ...Read more

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What disease could produce painless- rigid-unilateral inflammation of the first and second toes? prescription shows no fractures in a 57 year old man

What disease could produce painless- rigid-unilateral inflammation of the first and second toes? prescription shows no fractures in a 57 year old man

Hallux Rigidus: 1-hallux rigidus/limitus involves the 1st metatarso-phalangeal joint. This joint is located at the base of the big toe. Hallux rigidus/limitus causes pain and stiffness in the big toe, and with time it becomes increasingly harder to bend the toe. This is a progressive condition during which the toe's motion decreases as time goes on. 2-are you diabetic if so there could be another explanations. ...Read more

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Should i get surgery? I was in a car accident 2 months ago and had an MRI 1 week ago. These is the impression: 1. At the c6-c7 level, posterior broad-based annular disc bulge noted with moderate posterior central disc protrusion component. Moderate cent

Should i get surgery? I was in a car accident 2 months ago and had an MRI 1 week ago.  These is the impression:
1. At the c6-c7 level, posterior broad-based annular disc bulge noted with moderate posterior central disc protrusion component.  Moderate cent

There : There is no way i can give you an opinion on this matter solely based on the MRI results. There are many factors to consider here, namely the level/intensity of your pain, response to treatment, past medical history, etc. This is something that should be discussed with your doctor. All the factors should be taken into consideration and the doctor will give you his/her opinion, give you all the pros and cons, and answer any questions you have. The rest is up to you. Good luck. ...Read more

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Could I still fuse and eliminate the pain? Or is at this point 10 mos Post Op( L4-LF PLIF), that I'm not? My CT only showed lack of bone growth. Tx

Could I still fuse and eliminate the pain? Or is  at this point 10 mos Post Op( L4-LF PLIF), that I'm not? My CT only showed lack of bone growth. Tx

Delayed fusion: Discuss a magnetic bone stimulator with your doc. Sometimes an external or internal device speeds up delayed bone healing. ...Read more

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Prominence of the sulcal and cisternal pattern is slightly more than expected for my age? (23) should I be concerned?

Prominence of the sulcal and cisternal pattern is slightly more than expected for my age? (23) should I be concerned?

Abnormal MRI: ABNORMAL MRI: this subtle abnormality can be seen in a patient with MIGRAINES/AFTER HEAD TRAUMA IE MVA/EARLY NPH . If you are having symptoms of unsteady gait/HA/vertigo/bladder issues., follow up with your doctor to get full exam and labs. And discuss the next steps in your work up and treatment options. ...Read more

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Is lateral discoid meniscus definitely a condition that could existed at birth or within 1 year of birth. Is this a developmental condition?

Is lateral discoid meniscus definitely a condition that could existed at birth or within 1 year of birth. Is this a developmental condition?

Yes: No one is really sure what causes a discoid meniscus. Some doctors think that because there is an abnormal ligament attachment, the meniscus stretches out while a child is developing (after birth) and a discoid meniscus forms. ...Read more

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I have a developmental venous anomaly left temporal lobe. Got the MRI for headache x10 days and fasciculations x7 months. Is the dva the cause?

I have a developmental venous anomaly left temporal lobe. Got the MRI for headache x10 days and fasciculations x7 months. Is the dva the cause?

Depends on where: The fasciculations are. You should discuss this with the neurologist who referred you for the testing. Based on your clinical exam they can see whether it correlates with the radiological findings. Best wishes for a happy new year. ...Read more

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My wife, 27 has some white secretion comes out of eyes, very itchy.Starts in the interior part of the upper eye lid, after a while settles, sinus op 2 years ago.Happens less when she wears glasses.

My wife, 27 has some white secretion comes out of eyes, very itchy.Starts  in the interior part of the upper eye lid, after a while settles, sinus op 2 years ago.Happens less when she wears glasses.

Meibomian galnds: This is strange to have them without glasses and not have them with glasses on. The eye lid margin has a row of oil glands behind the eye lashes, these may just be congested. If problematic see an ophthalmologist. ...Read more

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18 mo old has no history of tooth trauma.His top&lower central incisors seem a bit more mobile then the rest.is this normal as his teeth are shifting?

18 mo old has no history of tooth trauma.His top&lower central incisors  seem a bit more mobile then the rest.is this normal as his teeth are shifting?

An 18 mo old's: teeth should not be moving, especially if he has not fallen. I would recommend you have his pediatrician check them or see a pediatric dentist. ...Read more

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I've tongue twitches every days since 1.5 month. Normal neuro exam and clean EMG 1 month after the onset. I'm a 28 y-o man. Could it be bulbar ALS ?

I've tongue twitches every days since 1.5 month. Normal neuro exam and clean EMG 1 month after the onset. I'm a 28 y-o man. Could it be bulbar ALS ?

Movement disorder: If you had tongue weakness with fasciculations, that might be worrisome, but your twitches are far more benign. These kinds of movements might be seen from medication, such as tardive dyskinesia, or even secondary to dental issues. ...Read more

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Is a popliteal angle of 150° in a 5 year old normal? What does it indicate?

Is a popliteal angle of 150° in a 5 year old normal?  What does it indicate?

Discuss with MD: A popliteal angle of greater than 50 degrees in this age group may indicate abnormal hamstring tightness. Please discuss with your pediatrician or specialist. ...Read more