Extracting codeine from paracetamol

I need an explanation

2024.05.11 19:59 No_Trip8989 I need an explanation

I live in a 3rd world country, had my lower right wisdom tooth surgically extracted 8 days ago, it was impacted. The procedure was so painful insipte of local anesthesia, i almost fainted from the pain by the time it was over. I was given no post-op instructions whatsoever, and was prescribed Steroids and antibiotics to take for the following 5 days after the procedure. My pain kept getting worse every day, so would go to any emergency dentist that was open because the one who did the extraction closes early, and when I finally get a hold of her she'd rince the hole, and remove the anti pain medication (aveogil) that was applied to me saying my body was considering it as a foreign body and it was causing me the pain even though i was told it desolves on its own. By day five i was still waking up from the pain despite taking the meds, so i was concerned how bad it's gonna be now especially that i was supposed to be stoppping the meds, so i went the dentist, she did the same thing (remove the meds and rince) and when it comes to the pain she said to stick to paracetamol šŸ˜€. In the mean time all of the emergency dentists i went to kept giving contradictory advice (apply meds locally/the wound shouldn't be touched, brush your teeth/don't brush your teeth, take anti-inflammatories/dont take them ....) all of my concerns about the increasing pain being a sign of complications were ignored and my questions kept going unanswered. Today, i went to another dentist that was recommended by a family member, i was told that my healing is delayed because of the pain, so he perscribed me more steroids and still it wasn't enough for the pain to go away completely, all the while making me feel like i was crazy for being concerned about the incrising pain and the delayed healing. This whole experience was demoralizing, and i feel gaslit by all of dentists i went to, and still non of them is giving any satasfying explanations nor meaningful solutions to the the problem, i would appreciate any help from your past experiences or knowledge.
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2024.05.11 08:19 NatashaBezukhova Intermittent fever - not sure what it is

Iā€™m 31F in the Uk and have had a fever that goes up and down since Thursday morning (varies from 38.3 degrees Celsius to 36.4 degrees) and keeps changing rapidly. Only other symptoms are just general aches, headache, fluttery feeling in chest, not feeling hungry and feeling faint.
I just feel something is wrong as I never get fevers and this isnā€™t like any cold or flu or Covid Iā€™ve had. I was out on Monday and had pain swallowing in the evening but it went away overnight after I took codeine/paracetamol. Iā€™ve also had constant headaches for the last few days. Then i woke up on Thursday with a temperature of 38.3 degrees Celsius. I am regularly taking paracetamol and flu capsules but itā€™s not making any difference.
I went to see an out of hours GP who found I had low blood pressure and palpitations as well but couldnā€™t see any physical causes for my fever etc. He didnā€™t do any bloods or urine test.
Any idea what this could be or if I need to try and get it checked asap?
Thank you!
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2024.05.11 00:14 letskeepitasecrett How can I help pain and temperature from sunburn?

Complaint : I sunburn very easily and also get a reaction when in the sun. I wear SPF and stay covered as much as I can but I am in a warm climate and it is not always possible.
Today my legs were covered but still got very red, itchy and are swollen in some places. I have a temperature of 39 Celsius (102.2f). My arms are red too but not so bad.
Apart from pirotin , paracetamol and aloe Vera gel, what can I do to help the pain?
Background : Severe allergic asthma (consistent high IGE levels), diagnosed with Sjogren's. History of anaphylactic allergy to codeine, ibuprofen and aspirin (was ventilated after one episode). Suspected hidranditis superativa (not diagnosed or assessed by a dermatologist).
Currently : 200mg bd of plaquenil, symbicort (previously trelegy), singular. Pirotin (antihistamine ) once daily. Applying aloe Vera gel a lot. Took 1 g of paracetamol nearly 4 hours ago and another 1 gram now.
29 female. White European. Non-smoker. Consume alcohol in moderation socially.
(I am using a translation for some of this so I am sorry if it is not totally correct)
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2024.05.09 19:35 IMissHope Overdose

Iā€™ve tried overdosing on sleeping meds (a good amount of melatonin gummies and valerian extract) I woke up fine with a mild pressure on my stomach area and a fever. Iā€™m thinking about overdosing on paracetamol and multivitamins alongside what I have left of my sleeping meds. Iā€™m worried about long term side effects if I survive. From what Iā€™ve heard is that the main reason people survive overdoses on these meds is because they go to a hospital. Itā€™s either this or jumping/laying down on the train tracks, Iā€™d rather avoid traumatising the train driver and passengers tho.
Is there a better way for me to end my life. Everything seems so hard, like the easiest option literally seems to take skydiving lessons until u can do it solo and just enjoy the flight. Idk the only other option Iā€™ve considered is hanging or jumping but I canā€™t really find accessible tall buildings and hanging seems scary
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2024.05.09 15:33 Fullyarns What is the name of this pain I'm experiencing?

What is the name of this pain I'm experiencing?
Bit of context to start with. 32, male, have seen doctors many times but they don't know and I am months away from my booking with a pain specialist. Been suffering with these types of headaches (or close to they evolve over time) for about 15 years, and headaches in general my entire life.
Have been to the dentist, my teeth aren't great but they shouldn't be causing this much pain, and a sinus xray showed nothing. Have had a head and neck mri, showed nothing.
The only medication to ever effectively help in a remedial sense has been eletriptan which i take 3-4 times a week as needed. Nothing has worked as a preventative. Have seen a neurologist who suggested i try amitriptyline but i can't because it interacts with my anti depressants (fluoxetine). Medications that have so far not worked are - Propranolol, Topiramate, ibuprofen, paracetamol, codeine variants of the same, and a few others i can't think of now because im in pain haha
In the attached picture is drawn the lines and points along where I feel my pain my pain. usually its only one pain type at a time, one side of the head at the time, but there are anomalies. these types of pain can range from nothing more than alight nuisance 2/10, to a 10/10, sobbing, rolling around in bed, vomiting, extreme nausea and going to the hospital because the meds aren't working fast enough.
Pain type 1 feels like a strong blunt external pressure bearing down on my skull along those lines, tension in the neck, and i guess tension in all the fascia muscles affected, including my gums, it feels like my teeth are being pulled.
Pain type 2 feels like jamming a tablespoon into the back of your head where the neck meets the skull and and doing the same thing but above the eye into the bone of the eye socket on top of and behind the eye. with a line of pain over the top of my hea and down the neck into shoulders.
The pain can come during the day, can be triggered by stress both mental and physical, can be triggered by an errant thought about the pain itself, but 80 percent of the time i wake up with them as the main cause. Most of the time sensitive to light and sound, but sometimes not at all. I know that's a fucking wall of text but cheers if you read any of that.
TLDR - What pain do you think I'm experiencing based on the drawing? my best guess is occipital and/or trigeminal neuralgia. Any help massively appreciated, cheers.
https://preview.redd.it/sm3jk9xujezc1.jpg?width=1205&format=pjpg&auto=webp&s=1be9466ef6dd46ad080bb4a42d5ea77a2964027d
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2024.05.08 14:04 rockinghusky Dentist couldnā€™t pull out wisdom

I recently went to the dentist as he advised getting my wisdomā€™s taken out. They were never really bothering me but I wanted to get them over with in case they could cause issue in the future.
He easily extracted my top right no pain/issue. My bottom left he attempted to pull but after attempting for a while, said to just leave it as bone was covering it and it was too close to a nerve. He stitched it up, prescribed me ibuprofen 800, amoxicillin and acetaminophen codeine. Gauze up every 30 mins till bleeding stops.
My right side is fine but my left is sore, every time I swallow it hurts. Iā€™m struggling to figure out what to eat/drink and im afraid to get either side infected. I also am scared to take the acetaminophen, as my GP in the past has warned me to keep it at bay, as my liver has signs of showing damage from it.
I think Im freaking myself out. Will I be okay? Any advice on what I can eat?
48hr Edit: still have some pain, mostly swallowing hurts. Im still really scared.
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2024.05.07 01:10 Beautiful-Cabinet795 Prescriptions drug

Where can I get codein/ paracetamol Pharmacy say that they are empty I have prescription from doctor but impossible to find in pharmacy Need help?
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2024.05.06 20:13 xyyy777777373 Nerve damage or problem with another tooth?

Had a wisdom tooth extracted 4 days ago due to pain in my lower left jaw and numbness on the left side of my face. Having experienced this pain before I knew it was caused by a tooth and went to the dentist. They told me my wisdom tooth was inflamed (it was impacted) and needed to be taken out. The thing is, I also have a one year old root canal on that side which has been sensitive ever since it was finished (Iā€™ve been to several dentists over the year about this issue and they all told me to wait for it to settle).
4 days post removal, my cheek is tingling and numb and every once in a while there is a sharp stabbing pain in my lower left jaw. I had a very smooth recovery up until this point, slept like no problem, only needed one paracetamol the first night and hadnā€™t needed any other ones because the pain was very mild, no swelling, no throbbing pain, no signs of infection. So this stabbing pain is new. I googled it and it seems the symptoms, along with the sharp throbbing pain could be nerve damage caused by the tooth extraction, however from my experience it could also be a problem with another tooth, most likely my root canal. Without opening up my root canal is there any way the dentist can figure out which one it is? Is there a way to check for root canal?
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2024.05.03 12:11 BaioC Hemorrhoidectomy madness (and a question on fissures)

I had a hemorrhoidectomy on 3 grade 3 internals a few weeks ago - I only went in for a THD procedure but they said they might need to do the full whack if they were bad and guess whatā€¦
Trying my best not to discourage people who are thinking about surgery here, but recovery has been pretty horrendous:
Day 1: Procedure went fine, they woke me up and I got driven home. Arrogantly thought I could avoid taking the codeine theyā€™d given me at the right time and ended up in complete agony (it takes about an hour and a half to kick in). Thankfully passed in a bit.
Day 3: Still hadnā€™t had a bm and strained a bit trying to get it out (with no luck). Iā€™d also under-anticipated how much the codeine would bung me up so was a bit behind on the laxatives - waited and managed to go a couple of times, the second time being very bloody.
Day 5: Maybe the worst day of the lot - had a BM during a painkiller lull and honestly was begging for death - I think itā€™s the closest you can get to feeling like youā€™ve actually been stabbed.
Pain started to drop around day 7-8 and I could reduce the amount of painkillers I was taking, but had a few days of intense pain/spasms in my lower back/tailbone.
By day 9 I was just about dealing with pain enough to work from home, but still getting really bad pain during and after bms - and itā€™s more or less been like that for the last 10 days.
Bleeding stopped at around day 14, but then restarted a few days later. Itā€™s generally a really sharp pain during a bm, which then goes away pretty quickly. But over the next few hours I get this burning/throbbing that crescendos about 3 hours after, and then subsides again. Itā€™s manageable with paracetamol (although I have had to take codeine a couple of times) but itā€™s very frustrating that it doesnā€™t seem to be getting better.
Iā€™ve also got an external hemorrohoid since the second or third day that wonā€™t budge (having never had one before).
Ended up going to the hospital last night (day 19) as I had a random, sharp pain in the middle of the day that I hadnā€™t had before.
The surgeon said he couldnā€™t see any evidence of a fissure but couldnā€™t rule out there being one higher up, and gave me some creams to deal with the swelling.
At this point itā€™s hard to say that the surgeryā€™s been worth it, and I kinda wish Iā€™d had something less invasive done by a private doc. Iā€™ve had the mentality of being willing to take short term pain to be better in the long run, but if I come out of this with a fissure and an external hem (or huge skin tag) Iā€™m gonna be pretty bummed.
My question is really how a fissure is any different to an open hemorrhoidectomy wound, and whether this is just the latter and itā€™s being slow to heal?
My other hunch is that Iā€™ve been going too hard on the fibre, and I actually need to cut down on that and I actually need to cut down on that and the stool softeners. Gonna be three weeks tomorrow, praying thereā€™s some sort of turning point soon.
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2024.05.02 03:39 thanskforalthefish Kidney damage in healthy 22yo?

Please help. My boyfriend is really ill and we don't know what may have caused it or which specialists to see / what tests to run. The NHS have been useless.
Male Caucasian from South Africa, we live in the UK 22 years Height 190cm weight 100kg Has occasional Migraines No other conditions Never touched steroids or anything close No drugs or smoking. Drinks occasionally. Drinks at least 3L or 4L water a day.
Healthy and works out regularly. Used to gym and take 2 scoops of protein powder, 1 scoop preworkout and sometimes, creatine (a normal amount). Hasn't touched it for months and the ER ruled it out as a problem.
April 8th: After having a cold, so not working out or taking supplements for 2 weeks, he had a sharp pain in his head for 5 days on and off and a fever of 38.6 and so went to A&E for suspected meningitis (he didnt have it). They gave him IV antibiotics and while there found his kidneys were not working properly. Bloods showed kidney damage. They said it was maybe from his height.
EFGR was 58. His WBC normal. No infection or kidney infection. No diabetes etc. Did a CT scan of his head which was normal so sent him home with a diagnoses of cluster headaches and acute kidney injury.
The next day he had extreme pain in his kidneys so went to GP. They gave him antibiotics for a kidney infection (even though it had been ruled out) and said it was due to stress. They didn't help.
Since then he has had regular fevers (36.5 - 38.6c), lots of thirst, fatigue, headaches and unable to sleep regularly as well as extreme kidney pain, mainly on the right side but a little on the left too at times. He is exhausted doing anything (eg unloading dishwasher) and can't work. He is taking paracetamol and codeine for the pain on and off but nothing else works.
Dr did a full blood panel and even tested for Malaria and all normal except kidney results.
He had an ultrasound 2 days ago and was told there is extreme scarring on both kidneys but they need to send it to the dr to analyse.
The gp are very overbooked and won't give him an appointment for 8 days so we can't even see the results.
Please help.
He is getting private health insurance tomorrow. What specialists can help and what tests can we get done? Any ideas what it could be? I a'm really worried it may be permanent and we don't understand how it's happened. He is a fit and healthy 22 year old but now he can't do anything at all. His work won't pay any more sick leave. The GPs have been useless and don't know what is wrong and don't seem to care. We came back from a trip to Mozambique, Swaziland and South Africa in Jan. Could it be related to that?
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2024.05.02 03:36 thanskforalthefish Kidney scarring, fevers and fatigue at 22?

Please help. My boyfriend is really ill and we don't know what may have caused it or which specialists to see / what tests to run. The NHS have been useless.
Male Caucasian from South Africa, we live in the UK 22 years Height 190cm weight 100kg Has occasional Migraines No other conditions Never touched steroids or anything close No drugs or smoking. Drinks occasionally. Drinks at least 3L or 4L water a day.
Healthy and works out regularly. Used to gym and take 2 scoops of protein powder, 1 scoop preworkout and sometimes, creatine (a normal amount). Hasn't touched it for months and the ER ruled it out as a problem.
April 8th: After having a cold, so not working out or taking supplements for 2 weeks, he had a sharp pain in his head for 5 days on and off and a fever of 38.6 and so went to A&E for suspected meningitis (he didnt have it). They gave him IV antibiotics and while there found his kidneys were not working properly. Bloods showed kidney damage. They said it was maybe from his height.
EFGR was 58. His WBC normal. No infection or kidney infection. No diabetes etc. Did a CT scan of his head which was normal so sent him home with a diagnoses of cluster headaches and acute kidney injury.
The next day he had extreme pain in his kidneys so went to GP. They gave him antibiotics for a kidney infection (even though it had been ruled out) and said it was due to stress. They didn't help.
Since then he has had regular fevers (36.5 - 38.6c), lots of thirst, fatigue, headaches and unable to sleep regularly as well as extreme kidney pain, mainly on the right side but a little on the left too at times. He is exhausted doing anything (eg unloading dishwasher) and can't work. He is taking paracetamol and codeine for the pain on and off but nothing else works.
Dr did a full blood panel and even tested for Malaria and all normal except kidney results.
He had an ultrasound 2 days ago and was told there is extreme scarring on both kidneys but they need to send it to the dr to analyse.
The gp are very overbooked and won't give him an appointment for 8 days so we can't even see the results.
Please help.
He is getting private health insurance tomorrow. What specialists can help and what tests can we get done? Any ideas what it could be? I a'm really worried it may be permanent and we don't understand how it's happened. He is a fit and healthy 22 year old but now he can't do anything at all. His work won't pay any more sick leave. The GPs have been useless and don't know what is wrong and don't seem to care. We came back from a trip to Mozambique, Swaziland and South Africa in Jan. Could it be related to that?
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2024.04.30 16:03 spunkymcblacka Day 5 post upper molar extraction

Day 5 post upper molar extraction
Am I good? Is it dry socket? Today was the first day I was not woken up by a lot of pain very early in the morning. Aside from that, I have been taking essentially the max amounts of painkillers possible (paracetamol & ibuprofen) along with my prescribed antibiotics.
Have not smoked/sucked through a straw etc and have been regularly rinsing with salt water.
Pain is manageable with painkillers. Had bad taste/smell in mouth a few times in the 5 days since extraction. Have had pretty regular headaches but no fever.
Still some noticeable swelling in cheek but feels like it's on its way down.
Thanks!
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2024.04.29 15:20 Itzn0tnat Is a painful vibrating sensation normal? Wisdom Tooth Removal First Timer (UK)

Male 24 (please scroll for other information that may or may not be needed for the advice you give me)
On day 6 of recovery from wisdom tooth extraction and Iā€™m both confused and agitated. Today I woke up at 4 am to the feeling of my jaw on the side of extraction site vibrating but itā€™s painful like a ā€œcutting the skin to bleedā€ type of pain
Is this normal? How can I stop it? When should I worry?
If youā€™re asking me if I am able to ignore it the answer is no; nothing is distracting me from this pain.
Allergies and Intolerances: Used to be midly allergic to eggs (can eat them now) Lactose Intolerance
Daily Medications: Mirtazapine 30mg AntiDepressants
Pain Meds I have been taking: 2x Co-Codamol (8mg of Codiene mixed with 500mg paracetamol in the non-coated pill form) when I wake up and before I go to bed 2x Ibuprofen 200mg liquid capsules every 4-6 hours (an hour after taking the Co-Codamol in the morning and an hour before taking the Co-Codamol for bed)
Extraction information: Bottom Jaw on the left side; tooth was growing horizontally pushing my nearest molar also called an ā€œangular impactionā€
Remedies I have been suggested to use by dentist and my personal results:
Daily salt water rinse - causes pain when the water touches the cut and hits the stitches and well as a gagging sensation opted for orthodontist and dentist approved mouthwash appropriate to use after a tooth related surgery or extraction which hasnā€™t caused any pain or gagging sensations
Ice pack on the site for 25 minutes on then 30 minutes before using it again - minor improvement in terms of swelling, pain management quality sub-par
Increase protein for 2 weeks to help with healing and recovery
Any of other advice you think would be helpful is appreciated.
Thank you
Edit in accordance to rules: Not a drinker, only smoke weed and use an reusable vape with regulated e-liquids. I donā€™t have a picture of the X-ray and not comfortable showing my face.
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2024.04.27 00:11 isabelgibneyta My surgery experience through to 5 days post op (an essay!)

This is LONG! But I found this sort of thing very helpful to read when others posted so I want to give a bit back now. This is the first time I've ever been in hospital for any sort of procedure so I didn't know what to expect, and reading other people's experiences made me less fearful than I would have been.
The basics:
Caucasian 49f, 5' 8"/173cm tall, wearing a correctly fitting UK 34H bra before surgery. Aiming for a 34D (my preference) or DD (what my surgeon thinks is achievable). Surgeon advised that an FNG will be necessary because my natural breasts are a bit too long to safely move the nipples without detaching them first.
Private procedure, private hospital in New Zealand. I have no insurance coverage for this and am not eligible to have it on the public health system due to having no serious problems leading up to this. I don't even have back pain. All credit to my Panache Tango bras which have kept everything supported and contained for many years now.
Sunday 21 April:
8pm: Finished dinner. No more food now until after my surgery although water is allowed until 5am. I thought I'd be really nervous and unable to sleep, but actually I went to sleep no bother.
Other than not eating or drinking in the hours beforehand I had no pre-surgery instructions except to cease any sort of self-medication or taking supplements for two weeks in advance of surgery.
Monday 22 April (surgery day):
Pre surgery
4am: woke up for a pee, had a few sips of water, then went back to sleep
6am: alarm woke me up. Had a shower and changed into my going-to-hospital clothes. I was glad that I'd planned ahead and thrown a tea towel over the kettle so I didn't make myself a morning coffee on autopilot!
6:30am: my friend came to pick me up to go to the hospital. I had planned to walk myself there but he wouldn't hear of it and in the end it was nice to not be walking alone in the dark for 45 minutes.
6:45am: arrived at hospital, gave my friend one last squishy-boob hug, and went in. I was a bit apprehensive but not too bad. I used box breathing to keep my body calm.
7:00am: nurse escorted me upstairs to have my pre-op consultation. This involved going over my health (good), allergies (none), existing medications (none), and what to expect from the surgery process. There were no tests other than checking my height and weight, which confirmed that my pre-surgery stress eating has definitely had an impact! No pee tests, no blood tests. She asked could I be pregnant, I said definitely not, and that was the end of that line of questioning.
7:15am: nurse gave me a block of foam infused with antiseptic soap, and instructions to wash my torso and under my arms at the sink before changing into the hospital gown and dressing-gown and compression stockings that she provided. She had already left the room before I realised that I didn't know if I was meant to rinse off the soap, and the packet didn't give that level of instruction, so I just towel-dried myself and the soap turned the towel pink. Oops.
7:30am: anaesthetist came in to talk to me. Went over my health/allergies/medications again, and he also had me move my head and mouth in various ways to make sure there'd be no issue with getting a breathing tube in there or whatever else he might want to do. I told him I was very nervous about getting the IV needle inserted, so he offered to give me gas first and I gratefully accepted. He also gave me an anti-nausea patch to stick just below my right ear, and a couple of sedative tablets to settle my nerves. I have a history of my brain overriding sedative tablets, probably due to all the adrenaline in my system when I'm anticipating being jabbed with a needle, but I took them anyway because I was so thirsty that I wanted the little cup of water that arrived to wash down the tablets with.
7:40am: my surgeon came in with his indelible marker (an office supply bog-standard marker, which I found very amusing as it was so very ordinary and not like a special surgical tool) to mark me up. We confirmed what size I would like to be after surgery, a D cup or thereabouts, and he marked all the places where he would cut and sew me and drew a few other things on my skin to remind himself of what to do. He did this while I was standing up. He used a wire template for the new areola/nipple area on each breast so they will be the same size and shape after surgery. The nipples will be a lot higher than what nature provided for me!
7:45am: another nurse came in and helped me to settle into a trolley bed, and tucked me in under a nice smooth sheet and a lovely self-warming blanket so I was cosy and relaxed.
8:00am: the nurse wheeled me to theatre. At no point did I notice any effects of the sedative and I was sitting up on my elbows as we travelled so I could see where we were going. We arrived into a clean, modern-looking operating theatre with a feature wall and lots of people and machinery. I scooted over from my trolley onto the operating table and lay down. People fussed over machinery (as the anaesthetist said, it was like the sudden flurry of activity when an F1 car comes in to have tyres changed). Somebody put calf pumps on my lower legs to keep blood flow moving during and after surgery. The anaesthetist put a mask over my nose and mouth, and poked me in the corner of the eye as he did so which I didn't enjoy very much, but before I had time to protest he was instructing me to puff out all the air in my lungs and then breathe in enough to deflate all the air in the gas bag attached to the mask. I did so and felt very claustrophobic immediately because my brain and body could tell that it wasn't normal air I was breathing. It was heavy and smelled unpleasant and all my natural instincts were telling me to get away from the poison. Thankfully this didn't last long, because by the time I started drawing my second breath I could already tell that it was working. I don't remember finishing the second breath or anything after that.
Post surgery
10:20am: I woke up in a recovery ward and it took a moment to remember where I was or what I was doing there, as I'd been having pleasant dreams up to that point. I asked the nurse what time it was, which is how I knew the time. She said that everything had gone well and she gave me an ice block which went down very nicely. I was in no pain or discomfort but I was in and out of sleep - I actually woke myself up snoring at one point because of course I was on my back. My surgeon came in and said everything went perfectly and I didn't even need the FNG in the end. I asked how much weight he took off and he said 1.1kg from my right breast and 850g from my left, so almost 2kg or 4.4lb in total.
11am ish: at some point I was moved to my own private room but I don't remember this. I feel like I was awake at the time but I just can't remember any details now. I woke up again in bed with the calf pumps working away on my lower legs and a drain coming out of each side of my ribcage to drain fluid into bottles on the floor on each side of the bed.
My incisions were all taped up so nothing was visible. There was also a wide tape across my upper chest which gave lots of support. My nipples had no feeling in them but that is normal for my body, and they had blood supply and were reacting to changes of temperature or sensation so that's all looking really good.
11:30am: by now I was mostly awake and taking selfies with my phone. My "emergency contact" friend came to visit, as the hospital had phoned her to say I was out of surgery, so that was a nice surprise. I was probably not making a great deal of coherent sense yet but I remember talking to her and also flashing her because I wanted to show off my new boobies!
1:30pm: time for lunch, which turned out to be a selection of finger sandwiches, a bowl of fruit salad, and a glass of orange juice. Perfect!
A nurse helped me to the toilet, as I needed to have my calf pumps temporarily disconnected before I could get out of bed. Being upright and mobile was no problem, and I was glad that I'd practised so many squats before surgery because I could easily lower myself to put the drain collector jars on the floor and then pick them up again after I'd washed my hands.
The rest of Monday was me having hourly nurse checks for the first four hours, then four-hourly for the rest of my stay, and eating delicious food. Dinner was a sweetcorn and coconut chowder followed by beef brisket with mashed potato and salad, and a blueberry and lemon cobbler for dessert. I had an evening supper of cheese and crackers.
I received IV antibiotics through the peripheral IV port in my left wrist. This port was the only really uncomfortable part of my whole experience and definitely gave me more pain overall than anything else. I was given alternating codeine and paracetamol to keep my pain manageable, but there was almost no pain the majority of the time and I never rated it higher than 2 out of 10 apart from that IV port.
Another friend came to visit that evening, which was very welcome. I hadn't told many people that I was having this surgery so I wasn't expecting any visitors, but it was really nice to see familiar faces and to have them see that I was in great form!
Tuesday (1 day post op)
After being woken at midnight and again at 4am for checks, I gave up on getting much sleep (but also didn't feel very tired), so I pressed my call button at 5:30am and summoned sandwiches and a mug of tea. Breakfast proper, muesli and toast and yoghurt and a pot of coffee, arrived at 7am.
My drains had drained almost nothing in the past 24 hours, so it was no surprise when my surgeon visited and said that I was cleared to have them taken out and to go home. He said I'd have a blood test before leaving and I immediately got extremely anxious as there had been no mention of any blood tests before this point so I wasn't at all prepared. After some discussion he said that, as it was only a routine check that he does for all his patients and he had no particular concerns about me, we could skip that. He said that I might be a touch anaemic but I didn't lose much blood during surgery so it's probably not a big deal. I eat a lot of red meat anyway so I think that will sort itself out without any intervention.
By 9.30am I had the calf pumps off and was getting ready to be discharged. The nurse came to give me more intravenous medication of some sort, this time injected directly into the IV port rather than dripped in from a bag. First she flushed the port with saline, which was fine, then injected the medication, which was fine, then she followed up with another saline flush which was really painful. It felt like she was jabbing me with a needle. I loudly protested so she had another couple of attempts but with the same painful result each time. Then she brought in a different nurse who had a go, but I was almost crying with pain and eventually they stopped. I don't know what changed and they could not offer any explanation, but I assume the needle implanted in my wrist got moved somehow after the medication and before the second saline flush. Thank goodness they decided to just let it go as they'd got a couple of ml of saline in there already so the medication was probably all in me as it should be.
After this drama I was glad to lie and rest for a while. The nurse gave me some codeine before having my drains taken out; I had the choice of one drain at a time or both at once, so I chose both at once and a pair of nurses had them whipped out in no time. They taped up the drain sites and then I could have a shower, although it was really more of a flannel bath because the shower head was at waist height. That was fine and it was lovely to freshen up with my own Fenjal shower gel and put on some moisturiser.
Last step before being released was to have that IV port removed. I was so glad to see it go. After that, my friend came to collect me, we went by the pharmacy to pick up my prescriptions (codeine, laxative, and anti-inflammatory tablets) and off home. I felt alert, mobile, almost pain-free apart from some stinging in my incisions if I moved to quickly, and very much ready to go home.
This was the last day that I had any codeine. I just took paracetamol from then on. I did not experience any constipation.
Wednesday (2 days post op)
I took it very easy today. Friends came to visit in batches and I received them while lying on the sofa, and allowed them to bring me cups of tea and clean the kitchen for me. I was worn out by 6pm and went to bed early but was awake again by midnight. Then back to sleep from around 4am to 7am. I'm not in any pain but am taking paracetamol every 8 hours just to keep it that way.
Thursday (3 days post op)
I cautiously walked a couple of kilometres to the local supermarket and back, which turned out to be no problem so long as I walk gently and slowly. My underarms are very bruised from the small bit of side lipo that my surgeon does as standard, but I can easily reach up or out so long as I'm careful, and changing clothes is no problem. I don't need to wear button-front tops as I can pull a t-shirt over my head without any discomfort. I did not receive any instructions from my surgeon about how to sleep, how to move, what to avoid, or anything other than "wear a stretchy zip-front bra and do less than you think you can", so I'm listening to my body and letting it set the pace.
Saturday (5 days post op)
This is today! I am now 5 days post op and feeling great. I can easily move around the house and go out for walks, although I wouldn't want to do anything even close to strenuous just yet. Even the prospect of walking up a flight of stairs would make me think twice and then look for an elevator. Mentally I feel fine and could easily have resumed my remote WFH job by the end of the week, but it's nice to have some time to just enjoy my new body and let myself heal with no pressure.
I've been sleeping slightly raised up on a pile of pillows with a maternity pillow bolstering me on either side. This is mainly so I don't roll over on my side in my sleep. This happened twice last night so my body obviously wants to get back to normal, but it would be far too painful so I'll stick with the pillow nest for the time being.
My chest is starting to get itchy now so things are definitely healing. I'll be taking a daily antihistamine tablet from now until whenever that stops being so annoying!
EDIT
Thursday (10 days post op)
Today is day 10 post op for me, so I obediently trotted along to my surgeon's rooms to have my original dressings removed and replaced with Mefix tape. Everything is healing perfectly and there are no concerns either from me or from the surgeon. On the way home I stopped off to do some clothes shopping and was trying on tops and dresses that are three to four sizes down from what I was wearing a fortnight ago. It's amazing.
Thank you for coming to my TED talk, LOL. Feel free to ask any questions!
submitted by isabelgibneyta to Reduction [link] [comments]


2024.04.26 10:01 LandscapeTop797 9 weeks post op still in constant pain

Hi guys, seeking some support, maybe from people whoā€™ve been through similar and had improvements. Had a non scalpel vasectomy 9 weeks ago all seemed ok, rested, iced, painkillers, supportive underwear etc.
after initial 2 weeks or so of post op pain Iā€™ve had constant pain 2-3/10 from area vas cut both sides up to lower abdomen. Weird, uncomfortable nerve type pain. Plus both balls ache over epididymis which is the real killer - this fluctuates but worse as day goes on, after sitting, pressure, stretching horrible pain. A few nights been 6-7/10.
I canā€™t exercise/canā€™t walk fast, in fact canā€™t even walk kids to school on flat as flares it up. Canā€™t get comfortable in bed, having to have pillow between legs etc, affects sleep. Getting me down and having massive impact on me/wife/kids - that is hardest part I have regrets I have done this and mourn my previous lifestyle/physicality that I took for granted.
Taking paracetamol +/- codeine, was taking ibuprofen 400mg three times a day but switched to naproxen 500mg twice daily and got some pregabalin (lyrica) yesterday. Hot baths/ice etc. Might be helping take the edge off things but pain still impactful.
Have USS booked and might get some antibiotics for epidydimitis to see if they help. If ongoing long term like this I will look at a reversal but really hoping settles with time. Thanks guys
submitted by LandscapeTop797 to Vasectomy [link] [comments]


2024.04.25 14:02 Rbglone How to easily extract Codeine from pills containing Caffeine without any equipment at home.

Almost all the Codeine you can get in many countries has 8mg of Codeine, 30mg of Caffeine, and 500mg paracetamol, which would probably give you a heart attack If you preformed a CWE and consume it without removing the Caffeine in them.
I recently came up with an extremely easy tek that should remove more than 90% of the Caffeine and not lose any Codeine in the process.
General info about the solubility of both compounds before starting the extraction.
Solubility of Caffeine in room temperature water is 2170 mg/ 100ml where as in 0c water is only 600 mg/ 100ml.
Solubility of Codeine in room temperature water is 1000 mg/ 0.7 ml of water only!
Step 1: preform a regular CWE as if there is no Caffeine at all.
Step 2: take your end solution containing the Codeine and Caffeine and measure the total volume of your solution. For example, let's say your total volume was at 50 ml.
Step 3: Pour your solution into a Pyrex plate or any long plate to expose as much of the water as possible to begin the evaporation process. You can place a fan to speed up the evaporation process, or you could place your solution in a dehydrator like how i do it.
You should aim to reduce the total volume of water by at least 50%, but obviously the less water there is, the less caffeine will be in your final solution.
Step 4: after evaporating the solution by 50% at least, place your solution again in the freezer to begin the precipitation process. MAKE SURE YOU DO NOT FREEZE THE SOLUTION TO A SOLID. GET IT AS COLD AS POSSIBLE WITHOUT IT FREEZING COMPLETELY. this is very important as we want to precipitate the Caffeine out of the solution.
Edit: you can also shake or agitate the solution every 30 minutes to make the process faster.
After some time, you will notice that your solution has turned very milky looking, this is the Caffeine being precipitated from your solution. (If the solution is still clear give it more time as sometimes Caffeine will precipitate slower depending on your total volume)
Step 5: take your solution and quickly filter it out using a 20cc syringe with a paper filter towel placed at the bottom. Slowly push the syringe and watch it drip, if the filtered water looks clear. You have removed most of the Caffeine from your solution and now your product is safe to consume. Alternatively, you could filter it out using a coffee filter and a cup. But I wouldn't recommend it.
submitted by Rbglone to bizzybees [link] [comments]


2024.04.24 07:57 ervarebruid Tips for pain management during MC

I wanted to share this because I searched online while in the trenches and this may help someone. Full disclosure Iā€™m not a medical professional.
I had a missed MC at 9w5d with baby measuring 6w4d. I elected to do the pills at home since it feels less invasive to me and dr said I was a good candidate for it.
First tip - take the first dose of pain meds and anti nausea tablets about 30min before you take the misoprostol. I started throwing up within an hour of taking it.
In terms of pain meds my doc gave me paracetamol with some codeine. This is my next tip - ask your doc for an alternative pain med if the initial one doesnā€™t help. Pain started within about 2-3 hours. I was in excrutiating pain, felt like labor. The paracetamol and codeine just did nothing. But then out of desperation I took an ibuprofen and that changed everything for me. What a relief.
Next tip - have a hot water bottle or some heat pack. This is truly essential, helps so much.
Also expect to initially have some chills so have a warm blanket. It doesnā€™t last too long, about an hour for me.
Also try to get a labour comb or something similar. This really helps distract from the cramps.
Final tip is donā€™t be scared to tell people what you need, whether that is space or company. If yourā€™re reading this because you are about to or did go through this Iā€™m sending you all my love, you can do this! Xx
submitted by ervarebruid to BabyBumps [link] [comments]


2024.04.24 00:42 blankbrit Ankle injury not improving with physio

21M No current ongoing medical conditions.
Meds - Fexofenadine 120mg daily for allergies. Paracetamol 1g 4x/day & Ibuprofen 400mg 3x/day (increased to 600mg if needed) as required for pain, with the occasional use of 2.32% Voltarol instead of Brufen. Omeprazole 20-40mg as required.
Hi all, sorry to be a pain, but I was just wondering if anyone might have any advice as what to do as I'm a bit lost with regards to next steps.
Basically back in December (2023) I slipped and fell at a party and injured my ankle. Immediately following the injury I had an almighty sharp pain shoot up my entire leg, but was able to stand (albeit with a little pain - though this significantly worsened as the night went on). Pain worsened as the ankle swelled up, and once I'd sobered up I could no longer mobilise/weight bare on the ankle. My foot was also numb with the only sensation being pins and needles, as well as being colder than usual to the touch from the point of injury downwards, with pain also shooting up to my knee and sometimes higher (the numbness and colder than usual temperature resolved itself after 1-2 weeks, and the shooting pain going up the leg resolved after 2-3 weeks. The swelling did go down as well but there's still a sort of lump/swelling next to the lateral malleolus).
I tried self care for the first two days afterwards, initially taking Paracetamol (swapped after 1 day to Co-codamol 2x 8/500mg) & Brufen for the pain. This failed and I ended up going to hospital and was sent home without an x-ray and told to "walk it off". Few days later I saw my GP/PCP and was sent to hospital for an outpatient x-ray which had no obvious fractures, and ultimately had a diagnosis of a couple of torn/snapped ligaments & tendons, and was referred for physiotherapy and given a short term prescription for Codeine 15-30mg 3x/day.
That was back in late Decembeearly January. I've been doing my physio as prescribed and using Paracetamol and Ibuprofen as required ever since but I still struggle with pain and the lateral malleolus area still appears and feels a bit lower, larger and slightly further forward than it was before and in comparison to the other side (if that makes sense, I did try capturing it on camera but its not as cleaobvious as it is in-person). The area around the lateral malleolus is also kinda weird to touch and palpate in comparison to the other side.
Admittedly I've been putting it off as I thought it would've improved by now, but now that its been around 20 weeks without a full recovery I'm just wondering what would be the best course of action to take.
submitted by blankbrit to AskDocs [link] [comments]


2024.04.23 23:07 isabelgibneyta 2 days post op and feeling great

I am so very happy with my recovery so far and want to shout from the rooftops, but shouting here will have to suffice.
On Monday morning I had my UK 34H or HH chest brought down to what will probably settle as a DD, with a tiny bit of side lipo under my arms (standard approach from my surgeon). He prepared for an FNG but didn't need to do that in the end. My nipples have always been without sensation and that hasn't changed, but they are reacting to touch and temperature change just as designed!
I had no nausea (got a patch behind my ear before surgery), no pain in hospital, and no pain now other than the liposuction bruises. On a 1 to 10 rating I never went above 2 and have been mostly just on paracetamol (had three 60mg doses of codeine in total so far and one of those was pre drain removal, not because I was already in pain).
It's now Wednesday morning here so I'm almost 48 hours post op. Other than not wanting to move my arms I feel completely normal and have been comfortably mobile since I got home yesterday morning. The advice here to practise squats beforehand has really paid off and I have no problem getting myself up and down even from ground level without involving my arms at all, so thank you all for that little gem!
I'm heading out on foot shortly to the nearest shopping mall (10 minute walk each way) to check out the range of zip front bra tops I can now wear, while wearing a trench coat that actually fits me now instead of looking like I shoved a cushion in there šŸ˜
submitted by isabelgibneyta to Reduction [link] [comments]


2024.04.23 22:29 Standard_of_Care Antidote

An antidote counteracts a form of poisoning.
Antidotes for anticoagulants are sometimes referred to as reversal agents.
Antidotes are substances or treatments used to counteract the effects of certain poisons or toxins.
The antidotes for some particular toxins are manufactured by injecting the toxin into an animal in small doses and extracting the resulting antibodies from the host animalsā€™ blood.
This results in an antivenom that can be used to counteract venom produced by certain species of snakes, spiders, and other venomous animals.
Some animal venoms, especially those produced by arthropods: spiders, scorpions, and bees, are only potentially lethal when they provoke allergic reactions and induce anaphylactic shock.
Therefore there is no antidote for these venoms; however anaphylactic shock can be treated with epinephrine.
Some toxins have no known antidote.
Ingested poisons are frequently treated by the oral administration of activated charcoal, which adsorbs the poison and flushes it from the digestive tract, thereby removing a large part of the toxin.
Poisons which are injected into the body are usually treated by the use of a constriction band which limits the flow of lymph and/or blood to the area, thus slowing the circulation of the poison around the body.
Agent Indication
Activated charcoal with sorbitol Used for many oral toxins
Acetylcysteine: Used as an antidote for acetaminophen (paracetamol) overdose, preventing liver damage.
Theophylline or Caffeine Adenosine receptor agonist poisoning.
Antimuscarinic drugs (e.g. Atropine)-Organophosphate and carbamate insecticides, nerve agents, some poison mushrooms
Atropine: Used as an antidote for certain types of poisoning, particularly from certain insecticides or nerve gases.
Beta blocker Theophylline
Calcium chloride Calcium channel blocker toxicity,black widow spider bites
Calcium gluconate Calcium channel blocker toxicity counteracting the dangerous effects on the heart, hydrofluoric acid burns
Chelators such as EDTA, dimercaprol (BAL), penicillamine, and 2,3-dimercaptosuccinic acid (DMSA, succimer. Heavy metal poisoning
Cyanide antidotes (hydroxocobalamin, amyl nitrite, sodium nitrite, or thiosulfate) Cyanide poisoning
Cyproheptadine Serotonin syndrome
Deferoxamine mesylate Iron poisoning
Digoxin Immune Fab antibody Digoxin poisoning, Oleander ingestion
Diphenhydramine hydrochloride and benztropine mesylate Extrapyramidal reactions associated with antipsychotics
100% Ethanol or fomepizole Ethylene glycol poisoning and methanol poisoning
Flumazenil Benzodiazepine overdose, reversing the sedative effects of these medications
100% oxygen or hyperbaric oxygen therapy (HBOT) Carbon monoxide poisoning and cyanide poisoning
Idarucizumab Reversal of dabigatran etexilate, an anticoagulant
Insulin + Glucagon Beta blocker poisoning and calcium channel blocker poisoning
Leucovorin Methotrexate, trimethoprim and pyrimethamine overdose
Intralipid Local Anesthetic toxicity
Methylene blue Treatment of conditions that cause methemoglobinemia
Naloxone hydrochloride Opioid overdose, reversing the effects of opioids and improving breathing.
N-acetylcysteine Paracetamol (acetaminophen) poisoning
Octreotide Oral hypoglycemic agents
Pralidoxime chloride (2-PAM) When given with Atropine: Organophosphate insecticides, nerve agents, some poison mushrooms
Protamine sulfate Heparin poisoning
Prussian blue Thallium poisoning
Physostigmine sulfate -Anticholinergic poisoning
Pyridoxine-Isoniazid poisoning, ethylene glycol, accidental hydrazine exposure
Phytomenadione (vitamin K) and fresh frozen plasma for Warfarin overdose and some rodenticides
Sodium bicarbonate-Aspirin, TCAs with a wide QRS
I.V Silibinin-Amatoxin ingestion
Succimer, Dimercaptosuccinic acid (DMSA) Lead poisoning
Vitamin K: Used as an antidote for anticoagulant overdose, promoting blood clotting.
Digoxin immune fab (Digibind): Used as an antidote for digoxin overdose, binding to the digoxin and preventing its toxic effects.
Pralidoxime: Used as an antidote for organophosphate poisoning, reversing the effects of certain insecticides or nerve agents.
Protamine sulfate: Used as an antidote for heparin overdose, neutralizing the anticoagulant effects of heparin.
Dimercaprol (BAL): Used as an antidote for heavy metal poisoning, such as lead, mercury, or arsenic.
Idarucizumab Dabatigatran bleeding reversal
Idarucizumab-Apixaban and Rivaroxaban reversal

https://standardofcare.com/antidote/
submitted by Standard_of_Care to u/Standard_of_Care [link] [comments]


2024.04.23 04:13 StatisticianNo738 csf leak? pots?

I 17M have been experiencing multiple symptoms roughly starting back in covid time and they have progressively worsened.
SYMPTOMS:
The worst symptom I have is a never ending headache. The pain never completely goes away however it does get worse. The pain is hard to describe but i will try. The pain starts where the head and neck connect and wraps around the top of my head to my forehead(almost feels like it is in my skin). The pain is like electric/fire and if i touch my scalp even slightly my head will hurt immensely where i touched it. Also there feels as if there is a general pressure within my head which accompanies the scalp pain. The pain gets worse if i stand up or keep a very straight back for 10-20 minutes and becomes unbearable. Some days i just lay in bed because it makes it slightly better.
something that seems to be directly related to the headaches is pretty constant vertigo that is pretty bearable when sitting or laying down however if i stand up for too long it can start to feel like the world is spinning a bit. i thought that it could be related to blood not getting to my head but my heart rate doesn't seem to get much higher and my blood pressure seems to be fine when standing/sitting.
i also experience eye pain that feels like it is behind my eye this isn't intensified when i stand up like the headache and vertigo and isn't always there (seemingly more in the morning when i wake up). Hurts more if i try to move my eyes.
Another thing i experience is visual snow which is a condition where you see TV static overlaying your vision.This also never goes away however i believe that it doesn't really change in intensity. i struggle to read and it is very difficult during college. the vision has caused me to be very night blind as when it gets dark enough i am pretty much blind. this simulator is simular to what it is like. https://visionsimulations.com/visual-snow.htm?background=night1.jpg . This symptom is so disruptive and i would probably say it is the second worst thing i experience beaten by the head pain.
i also have ringing in my ears which i dont mind too much as it is nothing compared to the pain and vision however it is a consistent high pitched note that is noticable in quieter places which can be very annoying sometimes.
i also seem to have constant neck stiffness as if it try to move my neck at all it feels sore and slightly painful. this extends a little bit to my upper back. have been seeing a physiotherapist a few times over the course of a few months but hasn't helped one bit or made it worse.
should probably mention that my heart rate is quite high normally like 90-110 even when sitting down a while or doing anything. does not increase significantly if i stand up.
i for some reason have lots of tremors and twitching muscles throughout my entire body where many times throughout the day a random muscle will start spasming for a minute and then stop.
dont really think that it is relevant but i'll mention that i have been depressed for as long as i have experienced these symptoms and i want to make it clear that the depression is a symptom of the problems and these problems are not a symptom of the depression. haven't had this treated but honestly dont think there is any need to as i believe that as long as i have these symptoms i will be miserable.
another issue is that i really struggle with sleep and its really disruptive with my life. i believe the reason i cannot sleep is due to the pain and if the pain is gone then sleeping would be easy but i cannot be sure as i can never escape the pain. i can lay in bed at night and not fall asleep at all for like 6 hours(pretty usual) however as soon as i get to sleep i have no problem staying asleep.
i feel generally tired most days however i am very hesitant to say this is a symptom and not just due to the depression and the atrocious sleep schedule however the fact that i can sleep for 12 hours for weeks and still feel tired makes me think possibly something else is at play.
another problem i seem to have is generally poor memory and concentration. i dont think this is due to the pain even though it can be debilitating as i will so often forget what i was doing or struggle to find the word i was looking for and this is really stressing me out as i sometimes just dont feel like myself at all.
finally i will say that all these issues have gotten slightly worse over time i believe and not all of them were present at the start.
MEDICAL CHECKS AND MEDICATION:
i have had a brain MRI 2022 and a cervical spine MRI 2023 which both came back as normal according to neurology.
i have had a full blood count which was unremarkable apart from low but not deficient b12 which i have now been taking supplements for(couple months now) (haven't noticed a difference).
neurologist wants to check my head again with another mri. dont have a date yet.
seen neuro opthamologist several times and had eyes checked with like a million different machines all coming back normal.
i have taken pizotifen and amitriptyline which were taken separately and i honestly didn't feel any different (took them both for a couple months i think).
also paracetamol and ibuprofen dont seem to help the pain at all.
currently sometimes use codeine as it does help the pain slightly but makes me lethargic which helps sleep a bit but i need to be as awake as possible usually so dont like to rely on it.
am being referred to pain management and headache clinic however i really just want to find the cause of the problems as i feel like if we find that then we can figure out how to fix it.
CONCLUSION:
thank you if you read this far i can tell you that this was a pain to write as reading is SOOO annoying so there are probably so many spelling mistakes. i would really appreciate any help or suggestions as to what could be causing all this as i am so fed up of this as i feel like my life has been destroyed and all i want to is get it back.
a question i do have is could this be related to csf leak? because from what i have read if you stand up it can cause a worsening of headache however it also says when you sit up which isn't always the case for me
another question is could this be POTS? however that says that if you stand up your heart rate must increase by 30 which isn't the case for me.
submitted by StatisticianNo738 to AskNeurologists [link] [comments]


2024.04.23 00:55 Stary_pie Our Kevingellina Family friend

One day when I was ten my mother braught a Kevingellina to sleep over. In the three days she spent in our house she made some very interesting stupidities, but one really got me questioning how she functions as a human being.
From the first moment she arrived she was claiming to have some pain in her eyes. She said she wasn't seeing well and I could confirm they were red and teary. So straight to the act, after some thirty minutes Kevingellina asks for painkillers and we had some Panadol (painkiller containing some codeine and paracetamol usually used for headaches, etc) pills at home, we kept around for occasional headaches. I gave them to her, thinking she was having a headache from the pain in her eyes. I then watched this lady GRIND three pills and SPRINKLE the powder into the inside of each lower eyelid. Her eyes got so sore and red I thought she would cry blood, but the lady remained calm and collected, as silent tears flowed from each eye. Didn't even wipe her nose which equally leaked.
submitted by Stary_pie to StoriesAboutKevin [link] [comments]


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