Doctor insights on:
Tests For Adenoid Vegetation
Mum, 92, 2cm cancerous lump found in scan for gallstones. Waiting for colonoscopy & CT results, what treatment options are for such elderly patients?
Depends: Mostly depends on the person's overall health and activity level, not just age. Where is the lump? How is it known to be cancerous on only a gallbladder study? Would need more detailed information, but if it is a cancerous tumor that is contained or localized, then surgery should be fine depending on the overall health status (and depending on what organ may have the tumor). ...Read more
Adenoids are lymphatic tissue found in the airway behind the nose in the back of the throat. Adenoids are made up of the same type of tissue as the tonsils. Both help fight infections. However, unlike the tonsils, they cannot be seen by looking in the throat. Adenoids are found in children and begin to regress before puberty. In children, enlarged adenoids can cause obstruction of the nasal airway leading to difficulty breathing, breathing through the mouth, nasally voice, ...Read more
5yrold lymphocytes 23% neutrophils69% positive initial test for lymes but negative confirmation for lymes. Enlarged lymph nodes for 4 months. Causes?
Im having chronic cough since last 4 years.tested negative for Tuberculosis . CT scans show collapse and closure of RLL , RML. what is bronchi stasis?
Lung condition: Bronchiectasis is a chronic lung condition that develops slowly and makes you prone to lung infections. It can be managed by your Family Doctor or a Pulmonologist and usually doesn't interfere greatly with regular life. Here is a website to read more: http://www.lung.org/lung-disease/bronchiectasis/ ...Read more
Hormones and CT: Tests for adrenal function: blood and urine tests for catecholamines (pheochromocytomas produce elevated BP and other symptoms), aldosterone blood levels (conn's syndrome produces elevated BP and low potassium blood levels) and cortisol levels (cushing syndrome). Ct may be useful if hormonal abnormalities are detected. If cushing's is strongly suspected, additional blood tests are required. ...Read more
Sore throat for 9 years, no other symptoms . Normal cbc, thyroid, had a unevasive scope through nose done by ENT also CT scan with dye. Both normal. ?
ENA panel is usually requested following a positive ANAtest for people who have signs and symptoms of autoimmune disorder after ANA Test For DLE ?
Aeromonas found in stool. no gastro symptoms but fatigue/malaise for a year. autoimmune conditions ruled out. blood counts fine. treatment needed?
No.: Not all Aeromonas species are pathogens. Aeromonas has been isolated from the stool of asymptomatic individuals. Even if it does result in diarrheal disease, it is usually self-limited requiring only supportive care, such as fluid repletion. The only instances in which antibiotics are required include severe diarrhea or diarrhea in an immunosuppressed patient. Your fatigue/malaise is unrelated. ...Read more
Pr3 3.8 with elevated c4. To rule out vasculitis should ct scans for ear nose kidney and chest be done? 65 yr ESR 80 hscrp 8.5 crp .4. Biopsy a must?
Sketchy picture: Cannot tell, have a Rheumatologist on HT for virtual consult or your own Rheumatologist to explain, good luck ...Read more
Echocardiogram: Echocardiogram is the definitive test for hypertrophic cardiomyopathy. Hypertrophic cardiomyopathy is a disease whose greatest risk is that of fatal heart rhythm disturbance, regardless of whether it is obstructive or not. The presence of this abnormality on echocardiogram usually requires the placement of a defibrillator to prevent sudden cardiac death. ...Read more
DLE test CBC and Urinalysis Result good no ANA test or Biopsy.Only 2 of 11 Criteria SLE . Malaria yrs ago. Cortisone injec safe for itchy BCG area?
Yes: I would try high potency cream first before a shot, but if the skin is in bad shape, see a deermatologist ...Read more
My IGg blood test reveal candida albicans, then tested for stool fungi culture which show 'medium growth', I suffer from severe Brain Fog. Advise pls?
Get the right advice: For someone who has a symptom of brain fog, I recommend they meet with a psychiatrist and undergo cognitive testing. Vitamin B12 deficiency may cause this symptom, hopefully your level is normal, as you use supplements. Testing for stool fungi and IGG for Candida is not likely to help explain the cause of your symptoms. Try not to do self-diagnosis- it often leads to errors. ...Read more
What initial lab tests are required by immunologist for a weak immune system (recurring respiratory problems like pneumonia, acute bronchitis, cough)?
Initial evaluation: When assessing the immune system function, the most helpful tests are a CBC (complete blood count with differential), serum immunoglobulin levels (igg, igm, iga, ige), ch50-complement test and specific antibody titer to tetanus and pneumococcus. This will pick up more than 90% of immune problems. ...Read more
Throat culture: To diagnose acute infection with streptococcus you need throat culture, if the rapid step test is negative. Positive test result on either should be treated as infection. Aso occurs later in response to an infection. It is important to treat acute strep infections to prevent complications such as rheumatic fever. ...Read more
Quick diagnosis: A rapid strep test is a quick method of identifying a specific bacteria in the back of your throat. However, if you truly have a bacterial infection, this technique will miss other causes of infection. Furthermore, there are people who carry the organism in their throats and are asymptomatic. This is simply a quick method of ruling out strep. Infection when you have a sore throat. ...Read more
How come slightly enlarged deep cervical nodes in neck for months show no specific finding after tests (including biopsy)?
Normal: Because they are just healthy normal lymph tissue doing their job. Nodes are signs of immune health in almost all cases. ...Read more
Swollen lymph node for months. Tested -ve for mono, EBV and CMV. Biopsy says "Atypical reactive hyperplasia. Case for immunophenotyping." Meaning?
May help: Atypical reactive hyperplasia suggests that there is some pathologic process in place. Whether a lymphoma is developing remains to be seen. One of the more common viruses seen in the lymphocyte progressing to lymphoma is the MMTV virus. By employing IMMUNOPHENOTYPING one utilizes the technique of identifying molecules that are associated with lymphoma cells and that help to characterize them. The molecules are identified by using special antibodies that bind to them specifically . One is capable of discerning whether the process of lymphoma is in play. ...Read moreSee 2 more doctor answers
Are there other tests to detect throat, and lung , infection other then x.Ray and esr, ?I get regular sore throats and allergy test was also negative
Yws: Certainly cultures can be helpful. Also, you may need an immunologic work-up to determine whether you can make good quantity and quality anti-bodies. You may also have non-allergic rhinitis and though allergy shots won't help, the right combination of medication may make a big difference. See an allergist to be thoroughly evaluated. ...Read moreSee 1 more doctor answer
Recent test +Ig A for aspergillus by allergist. recur sinus/ lung probs inc past + cultures mucor, dematicus, & saprophytic. Who should see now.
2nd opinion/: The presence of IgA to Asp merely means exposure. If you have sinus & lung problems, you need to consult an ENT and another allergist who is more familiar with fungal issues especially if you have been exposed to water damage. ...Read more