Doctor insights on:
Why Do I Randomly Feel High For No Good Reason
Woke up just now in the middle of the night with my back hurting a lot for no good reason. What can I do? My mid to high back is hurting very much, and there has been no recent trauma to it or reason that I can think of for it to be hurting. This happened
Pain in the thoracic spine may be from a compression fracture. Sometimes compression fractures happen from very minimal trauma. I would recommend seeing your primary care doctor in the morning. If you develop bowel and bladder retention or incontinence or weakness or simply can not handle the pain then you should immediately go to the emergency room. Good luck!
please see my health guide on compression fractures. ...Read more
Can I get a hysterectomy out of random or do I have to have a good reason? I need more information to help with my decision.
How are mthfr mutations and chiari malformation related? Should I get tested if I have chiari? (and high B6 levels, for no good reason)
Forgive my frankness: One lab is promoting testing for mthfr mutations despite the fact that they merely identify folks who may be at slightly extra risk for this-and-that and who need to be extra-sure they get enough nutrients. A majority of people carry at least one 'mutant mghfr' and this is generating all kinds of scares. No relatioship to your chiari. ...Read more
I want to know the reason behind that my temperature is high inside my body but not high when I measure it?
Feeling hot?!: What you have noticed is the difference between "running a fever" (being febrile in medical language), and "feeling feverish." the former points to having an elevated body temperature confirmed by thermometer, while the later describe the sensation of having a high temperature when the thermometer says you don't. Both bodily states can mean infection, and neither should be ignored. ...Read more
My weight keep increasing even though I exercise every other day. I wonder what can be the reason. I don't eat lot of unhealthy food or high quantities of food?
Keep a record: Of ALL the calories you consume and the exact amount of exercise and type and take this to a nutritionist or a clinician. You don't give your age or gender, but women over 50 must exercise at least 45 minutes a day to keep from gaining weight. And it could also be another medical condition. ...Read more
Not a reliable test: You will find easier to follow your hemoglobin (Hgb) level instead of RBC numbers. Hgb is a more reliable test than RBC numbers. ...Read more
Good question: There has been a communication breakdown. Try to find out what is really going on. ...Read more
My body temperature rises very high for no apparent reason. I has only happened twice about 8 weeks apart?
High temp: Not sure what you mean by "high" but if over 101 f and it occurs again you need to be evaluated for a possible occult (hidden) infectious process. It is preferable to have blood tests (including possible blood cultures) at the time your fever is spiking, so if it happens again, be seen immediately (same day). ...Read more
May need slt in the future. 80% success rate doesn't seem that high to me. Any specific reason why it doesn't work 20% of time?
There's no guarantee: In any procedure, in medicine or in life! ...Read more
I have always had high pressure and I don't know why, any reason. Today was 162/113? what are main reasons for constant high pressure,
Second. Hypertention: At 25 years, you seem too young for usual causes of hypertension like hardening of arteries etc. Pl get yourself evaluated by your PCP for your kidney functions for conditions like renal artery disease or Pheochromocytoma etc. Pl see attached for further info. Hope you feel better, soon:) ...Read more
My pressure is high during early morning 140/105, during the other part of the day it's normal, what could be the reason please advise?
Maybe a dosing issue: If your on BP meds you need an evening dose to protect you over night and thru the "golden hrs" where a great deal of pts have heartattacks and srokes. Your morning meds drop the daytime BP but by end of day and into next am your BP rebounds. Twice daily BP rx will fix this. ...Read more
I have diabetes since 2008.I use 28 unitslantus on 9pm per day. All was ok but I get up with high bloodsugar last 2months. What could be reason of it?
Not enough insulin: If you have true type 1 dm, you need rapid acting Insulin before each meal in addition to the nightly lantus (insulin glargine). If you have type 2 diabetes, which is more likely if you've significantly overweight, you need meal time Insulin and/or other medication -- in either case, you need to be following a diet and exercise regimen as well as monitoring, prevention, etc. ...Read more
Benadryl (diphenhydramine) would not: Be anticipated to make someone feel "high". ...Read more
HCG: Human Chorionic Gonadotropin is a hormone that normally supports the development of the egg in the ovary, its release and then helps support pregnancy. However, some abnormal tissues can also produce this hormone or one very similar to it. Most pregnancy tests are based on this hormone. It use as a tumor marker requires a different setting and test system. ...Read more
Watch portion sizes: Monitor you glycemic index. Watch your glycemic load. Check you basal metabolic rate. You may be eating the wrong foods. Exercise if possible. Calculate your bmr, and make sure your calorie count stays less then this. Eat foods that have a low gi. Lots of chicken, fish, vegetables. If this fails, you may need medication. New one is qysmia now fda approved. ...Read more
Irritation: The key question is whether you are more "irritable" than usual - in other words are you more sensitive than usual to others. A few questions to ask yourself - do you notice that the drivers are particularly stupid, when someone asks you a questions are your more irritated than usual... One of my patients described irritability this way - doc you are not doing a very good job today. ...Read more
I have always had a hard time concentraiting, what is a common reason for this in young adults and a good remidy?
Unfocused: Common reasons for problems concentrating include: poor sleep, lack of exercise, inadequate nutrition, supplement/vitamin misadventures, substance abuse, caffeine/energy drinks, stress, depression, and anxiety. Underlying medical disorders can contribute. Add can be meaningfully evaluated via self-report scales/psychoeducational tests. Excellent prognosis with stimulants + metacognitive therapy. ...Read more
Many possible causes: There are many things that could cause the skin to itch. Several types of inflammatory conditions of the skin, allergic reactions, and sometimes bacterial, viral or fungal infections can cause rashes on the skin. Insect bites can also be the cause of a rash on the skin. Have it evaluated by a professional and get the appropriate treatment. ...Read more
Usually one: Identifies a prolactin secreting tumor by galactorhea, milk from the nipple, and in women, amenorrhe, no periods. Prolactin is a pituitary tumor, so imaging the brain, specifically sella turcica, is first step, visual fields can be done in the office to discern optic chiasm pressure, check other pituitary hormones. ...Read more
Not sure about that: Low seratonin causes depressive symptoms. We use SSRI medications to increase the amount of seratonin available in the brain and this improves mood. When there is an abnormally high level of seratonin you get agitation, rapid heart beat, diarrhea, high blood pressure, fever, sweats. ...Read more
Rx person, not labs: If you do not have symptoms or signs of gout, and the value is only slightly high, and you're not drinking a lot of alcohol, and your kidney function tests are otherwise normal, i'd remember this but not try to alter a lab value. Should it persist, consider some modest dietary alterations that might lower your uric acid output ("low purine). If gout does develop, long-term rx usually works well. ...Read more
My fasting sugar was 136 or 7.5. This is high. So, is this the reason I get vomitish every morning? Thanks
My BP suddenly went dangerously high after living at high altitude for over 6 months. What is the reason for this?
Not the cause: It's unlikely that altitude is the cause. See this science-based article from the u of hawaii: http://www. Ncbi. Nlm. Nih. Gov/pubmed/10453102. ...Read more
What illness increases libido? Recently for no reason my libido has become extremely high all the time. What could cause this?
Most likely your age: While there are some rare physical causes which can intensify sex drive, most likely it is within normal range for your age or may be related to psychological factors. If your physical health is ok you should have a mental health evaluation if this has become a problem for you. ...Read more
Would there be any value/reason to having a crown with porcelain fused to a gold crown vs. Porcelin fused to a high nobel metal crown?
My sgpt test value is 89 but I never had alcohol what can be the reason for this high value and how should 've take ca're and test of my test are ok
Cpk level 856. I did pt for 3 days rested 3 days and did 1 day of pt and the next day I had my levels checked. Could this be the reason they are high?
Of course: The reference range is set for people who do not exercise. When I've tested medical students, essentially everybody who exercises strenuously is above "normal", with values up to 5000 in one guy who'd just spent a weekend cutting and hauling lumber and 3000 in a guy who'd just done 450 lb squats for 45 minutes. Stop worrying about this. ...Read more
Causes: Overweight, artifactual measurement, cuff too small for arm, excess salt in the diet, excess alcohol consumption, use of non-steroidal anti-inflammatories in susceptible people, genetic predisposition, most any form of kidney disease, licorice. There are other causes but those are the most common. ...Read more
High WBC with abnormal neutrophils suggests your body is fighting hard for infection for you, and high creatinine indicates impaired kidney working ability now. But how do these numbers hold for the future? That will depend on the result of follow-up clinically along with further tests as needed. So, work with doctor closely.
Best wish. .. Always. ...Read more
Low potassium: Potassium is a necessary ion (electrolyte) which is necessary for all cells but especially cardiac conduction. Low potassium raises the risk of arrhythmias. Kidneys very closely regulate potassium. Diarrhea, diuretics, vomiting, severe sweating, nasogastric drainage and (maybe) bizarre diet can cause a low potassium. If a measured potassium is low, supplementation with diet or meds is advised. ...Read more
It could be a sense: Of relief. Someone who feels empty inside may cut to feel "something". Someone who is hurting emotionally may cut so that the physical pain will distract them. Some cut to punish themselves. One may cut in the belief that they will let out negativity or evil. Regardless of why you use cutting to cope it is unhealthy. There are better ways to cope and to feel better. Please get help. Dialectic. ...Read more
Many possibilities: Need to see a neurologist....Many possible causes. ...Read more
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