Doctor insights on:
Isi After Trigger
Try not to overdo: At times after surgery patients can tend to get too eager or impatient and try to push too hard. One can cause inflammation in related muscles. Scapular muscles are commonly inflamed. Talk to your therapist, modify or back off of some exercises for a few days and likely will see improvement so progress can resume. ...Read more
Can gluten exposure cause systemic arthritic type flare-ups days after exposure? Lupus & RA negative labs.This has happened 3 times last year.
By Gluten "exposure: i assume you are referring to Gastrointestinal ..ingestion and gluten intolerance (adult "coeliac" disease and other Gastro-intestinal disorders leads to GI symptoms..not arthritic flare ups as commonly associated problems! Talk with your PCP about a referral to a Board Certified RHEUMATOLOGIST for further evaluation! Hope this helps! Dr z ...Read more
Eggs, spice, caffeine & alcohol cause intestinal spasms. Started 4 years ago after brain surgery. What has caused this. Didn't happen before surgery?
Brain surgery: Brain surgery to repair a chiari i malformation does not cause intestinal spasms with certain foods. Another cause for the spasms arose around this time. See your medical doctor or a gastrointerologist for evaluation of the intestinal spasms. ...Read more
Yes: Allergy injections to anything can cause headaches if the dose is too strong. You may also get larger local reactions at the site of the injections. Tell your allergist and they can reduce the dose of the injections from the present dose but still make progress by increasing the dose slowly. ...Read moreSee 1 more doctor answer
If esr, crp, &c3, C4 were mostly normal during flares even prior to starting the methotrexate, why is methotrexate contolling all my flare symptoms & fatigue?
See below: I am assuming that you have lupus because you are having c3 and c4 measured. Some lupus patients can have impressive synovitis or joint swelling by exam and an ultrasound or MRI can demonstrate it as well but labs would be normal. You did not mentioned if a dsdna level is being measured regularly. Unfortunately in lupus, we do have not have other tests available outside of a research to look fo. ...Read moreSee 1 more doctor answer
It's possible that 2 months after Botox for migraine was injected ... can cause shortness of breath?
Unlikely: If you were to develop shortness of breath due to Botox it would happen most likely about 1 week after the injection. Peak of activity and adverse events is between 4-6 wks, so 2 months post injection it's therapeutic as well as potential adverse effects are close to wearing off and some patients even require q2 month re-injections. ...Read more
On average when does ovulation occur after an HCG trigger shot? I took 5mg of letrozole days 3-7, two mature follicles on day 11, had trigger that day
Get frequent mild hives, but recently also had flushing. How would a chronic hive sufferer know the diff between impending anaphylaxis & my reg hives?
I had trigger thumb and carpal tunnel surgery on March 17, 2015. I still have numbness,tingling, tightness,sensitivity,is this normal ?
Yes: It takes time for the inflamed tissue to heal both from where the surgery was done and from around the nerve that was injured. Then it will take time for the nerve itself to heal. I just had this discussion with my hand surgeon. The nerve heals approximately 1-2 mm a day not counting the first month after surgery. Give it time. ...Read moreSee 1 more doctor answer
Have external fixator in left wrist and left-sided numbness for hours after my avonex (interferon beta 1a) injection. Related? Can avonex (interferon beta 1a) cause infection in said situation
Explanation: If you just started Avonex (interferon beta 1a) for ms, may be transient ms flares after the first series of injections, which is not unexpected. Would be surprised if your injection caused any infection, and do not believe the external fixator relates at all. However, I have a very negative opinion of avonex, (interferon beta 1a) which does not work very well to stabilize ms, as all the other dmt's work far better. Talk with doctor. ...Read moreSee 1 more doctor answer
Been diagnosed w/ reactive arthritis. Joint pains since I was 17. No recollection of any preceding infection. How often does it become ankolysing spon?
See below: Reactive arthritis often doesn't have an obvious infection because not all infections have been identified. Reactive arthritis often involves the spinal joints but ankylosing spondilitis does not usually involve a lot of peripheral joints or have skin lesions or other extraarticular manifestations that reactive arthritis has. ...Read more
Severe frequent hypoglycemia. I've had it documented as low as 39. It occurs most commonly after eating. Abdominal CT was normal. Causes?
"REACTIVE": hypoglycemia in response to a sugar "load:" is a very early sign of Type II Diabetes. Suggest you consult your PCP for a Glucose tolerance test with INSULIN LEVELS (there RARELY is a condition which causes this condition ..called "INSULINOMA" a benign growth which can be VERY TINY and NOT picked up with CT scanning! Hope this is helpful Dr Z ...Read more
Twice I have had bad urinary burning 24 hrs after receiving Cortisone injs in periformis and my SI joint. Is this normal??
Pericarditis for 12years w/ pericardial effusions, but I have only had the classic symptom of pain when laying down once. That was w/ last flair. why?
Effusion: Subacute or chronic effusions are often painless ...Read more
Is post strep agn connected to juvenile arthritis?I had post sterp when i was 8. And had arthritis when i was 16. Is there a connection?
I usually experience Vaso Vagal reaction after having blood drawn. My latest reaction was flu-like symptoms. Should I do more research into this?
Tell phlebotomist: Such a reaction is not uncommon and is not a disease. Next time you need to have blood drawn, tell the person drawing blood that you tend to faint. After having your blood drawn, rest in the chair for 5-10 minutes. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
Can listeria infection trigger an autoimmune response like gullain barre syndrome and show symptoms after 2 days post infection?Does it affct nerves?
Guillian Barre: Yes listeria can trigger a guillian barre syndrome affecting peripheral nerves. ...Read more
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