Omeprazole cause abnormal bloodwork

Celiac disease, wheat allergy, gluten sensitivity: what are the differences according to a gastroenterologist?

2024.05.16 19:32 smirse Celiac disease, wheat allergy, gluten sensitivity: what are the differences according to a gastroenterologist?

Wheat is the basis of our diet. World Celiac Day, May 16, is an opportunity to take stock of its involvement in several pathologies. Wheat allergy, gluten sensitivity or intolerance, how to navigate it? A gastroenterologist helps us see things more clearly.

Celiac disease (gluten intolerance)

Its causes
This autoimmune disease specifically linked to gluten (notably gliadin ) occurs in a genetically predisposed area . We also talk about gluten intolerance.

Its symptoms

Celiac disease can begin at any age, including in the elderly (20% of people affected are over 60 years old) and affects women more frequently than men.
The diagnostic assessment is less and less often carried out (less than 20% of cases) in the face of classic manifestations: weight loss, bloating, diarrhea, deficiencies, etc. It is most often carried out in the face of non-specific digestive symptoms, symptoms extra digestive (sterility, alopecia, early or severe osteoporosis, recurrent mouth ulcers), or even biological abnormalities (iron deficiency anemia, liver problems, etc.).

The treatment

Strict exclusion of gluten (wheat, spelled, wheat, kamut, rye, barley) for life.
Oatsare tolerated if they are certified gluten-free .

Wheat allergyWheat allergy

Its causesIts causes
Different proteins contained in wheat can cause an allergy: albumins, globulins and gliadins and glutenins (gluten proteins).
Its symptomsIts symptoms
In infants, it can manifest in a chronic form, such as enteropathy, with symptoms similar to those of celiac disease: weight loss, abdominal pain, bloating. ..
In children, various symptoms occur within 2 to 4 hours after ingestion, often within the first year of life. They are similar to those of a classic food allergy : burning and itching in the mouth, rhinoconjunctivitis, eczema, skin rashes, abdominal pain, vomiting, diarrhea, and even in severe forms anaphylactic shock.
In adolescents and adults, wheat allergy generally takes a particular form which results in symptoms which only appear when the ingestion of wheat is associated with rather intense physical effort, or after taking alcohol or anti-inflammatories. They are varied: digestive disorders, generalized urticaria, difficulty breathing, even anaphylactic shock.
The treatmentThe treatment
In children: elimination of wheat, rye, barley and oats. After the age of 16, 96% of adolescents become tolerant and recover.
In the case of exercise-related allergy: no consumption of wheat in the 4 to 5 hours before or after significant physical exercise.

Non-celiac wheat sensitivity (gluten sensitivity)Non-celiac wheat sensitivity (gluten sensitivity)

Its causesIts causes
It has no clearly defined basis at the moment. The following are implicated: gluten, ATIs (amylase/trypsin inhibitors) and fructans (which are fermentable carbohydrates falling into the category of FODMAPs.
The diagnosis is only made after elimination of wheat allergy and celiac disease.
Its symptomsIts symptoms
Sensitivity to wheat combines:
The treatmentThe treatment
After the elimination of celiac disease and wheat allergy (essential condition), start with a strict gluten-free diet (wheat, rye, barley, oats) for 6 weeks, to confirm the diagnosis in case of disappearance of symptoms.
Then, reintroduction, starting with foods containing traces of gluten and, depending on tolerance, with very gradually increasing quantities, each person having to find their tolerance threshold.
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2024.05.16 19:19 ASRoots Why is my cat doing this (see desc for more info)

Why is my cat doing this (see desc for more info)
my cat is panting and drooling very heavily and quickly. this is the third time this has happened in a month. We have had MULTIPLE trips to the vet , had bloodwork done and all test have come back normal/healthy. He is otherwise an extremely happy and cuddly cat, has an appetite and has not gotten into anything he shouldnt have. What is could be causing this?
Not sure if this is related, although he has been vomiting up his food , hes been better recently, although this panting has suddenly started again
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2024.05.16 18:25 EebamXela You should connect with the VA

https://www.patientcare.va.gov/lgbt/
I get 100% of my healthcare through the VA. I have no service connections (disability). It’s pretty crazy how much they have under one roof. All providers are able to see your entire chart and I’ve been helped out by many with getting referred to specialists I would never have thought to ask for, simply because they’re all able to see everything.
General primary healthcare
Nutritionist
Case management (super helpful for navigating the VA system as well as getting veteran resources outside the VA)
Hormones
Therapy
Psychiatry
Voice feminization training
Laser hair removal
And several other things including various therapeutic group things
Another fun bonus thing is that your health information can be synchronized to your Health app on your phone. I have a complete medical history right there for me to keep track of including all bloodwork and diagnostic stuff and literally any bit of information that they add to your chart. Right there.
Sadly they don’t yet offer gender affirming surgical services yet except for every specific cases. See link down below.
You’d be surprised what things count as a disability. I’m about to be connected for having astigmatism in my right eye caused by months of being on a periscope. I didn’t think simply “now I wear glasses” would count as a disability but hey I’m not complaining.
You can also be referred to civilian providers on the VA’s dime if they don’t have the means to provide it themselves within a reasonable drive distance.
You can get reimbursed for literally any mile you drive to any scheduled appointment. My VA doesn’t have the equipment so I drive from Albany to the Manhattan clinic for laser and get roughly $180 back every time.
I completely get the skepticism of the VA but for real they’ve changed A LOT especially for LGBT vets.
Each clinic has an LGBT coordinator who can be a fantastic way to start the process.
https://www.patientcare.va.gov/LGBT/VAFacilities.asp
Copied from their website:
Gender Affirming Care at VA Information for Veterans VA provides a wide range of treatments to all eligible Veterans. Gender-affirming transition-related care plans are personalized based on your goals and your health. Talk to your treatment team to see if these services are right for you.
• Gender-Affirming Hormones: Your primary care team can help you with hormone therapy if it is right for you. Medications aren’t a goal for everyone and they have both risks and benefits. The team may involve an Endocrinologist. Talk to your treatment team about your family building goals and fertility before starting treatment.
• Pre-treatment Assessments for Gender-Affirming Hormones: In the U.S., all prescriptions are linked to a diagnosis the medication is treating. Providers will talk to you about your gender identity and your goals for treatment and consider if a diagnosis is appropriate. Blood work and other tests may be needed before hormones are prescribed.
• Voice and Communication Training: Speech Language Pathologists trained in gender- affirming treatments can help you train your voice and movements to align with your identity. This care is sometimes delivered through telehealth to your home.
• Fertility Preservation/Family Planning/Lactation Support: VA has services to help Veterans store eggs and sperm, as well as build and support families. These are coordinated through VA Women’s Health. Talk to your doctor about your options.
• Gender-Affirming Prosthetics: Several items are available through the VA when medically needed. These can include, but are not limited to, breast forms, chest binders, dilator sets for post-vaginoplasty, gaffs, packers, surgical compression vests, and wigs. Talk to your treatment team about what is right for you.
• Medically Necessary Hair Removal: Hair removal often happens through referrals to community-based centers. While availability varies, VA is working to improve access for all eligible Veterans.
• Letters of Support for Gender-Affirming Surgery (outside of VA): Some Veterans use their private health insurance or pay out-of-pocket for surgical treatments. Most surgeons and private health insurance companies require letters from your current treatment team, both medical and mental health (if applicable). VA providers can coordinate care with your surgeon.
While VA cannot yet provide initial gender-affirming surgical procedures, VA does provide surgical care for the following:
Some complications of surgeries, including revision surgeries for unexpected problems
Removing testicles or ovaries for hormone management if prescription hormones aren’t an option for you
Needed surgeries for other medical reasons (e.g., cancer, back pain) that are also consistent with your transition goals
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2024.05.16 18:18 superspy5904 Opinions Please?

Ok, I'm going to try and sum this up as quickly as possible. In December my doctor prescribed me 325 mg iron pills for ongoing anemia. They destroyed my stomach and exacerbated my GERD/LPR. I decided to get an upper endoscopy which was done on Jan 4th. They found a small hiatal hernia and mild chronic gastritis (No infections i.e parasites or H.pylori, no celiac disease either), was sent home with 40mg of Nexium twice a day and Carafate (also checked gallbladder all clear). After 2 months I didn't see much relief so I was switched to dexliant and then omeprazole which also showed no relief. My main symptoms are pain in the upper left quadrant of my abdomen, feeling of food being stuck (tight throat), burning in stomach and chest, as well as severe reflux (refluxes up into throat causing burning with regurgitation). Currently, I can't eat much without exacerbating my hiatal hernia, reflux, or stomach pain. I tried to start the gastritis diet (I have the book) but those foods were causing me pain. Currently, the only foods that cause me the LEAST amount of distress are potatoes and white fish but I still experience some symptoms like reflux and tight throat feeling. I tried zucchini and carrots last week boiled to a mush and it was horrible on my stomach and reflux but they are suppose to be safe??? I've tried white rice which gives me reflux, left abdominal pain, and tight throat as well. Also cannot tolerate gluten of course lol. And bone broth gives me heartburn made with just bones and salt (my body won't give me a break)!
I am writing this post to ask if this seems normal at all for chemical-induced chronic gastritis or if something else is potentially going on. I know gastritis can take a while to heal and in the beginning, everything hurts but it has been almost 6 months and I'm not getting any relief. I want to follow the gastritis diet but even that causes me pain. I went to get a second opinion and they want to do a CT scan but do you all think that is necessary? Do I need to just keep holding on and it will get better? If you have any advice or have experienced something similar please chime in. I'm losing hope! Thank you all.
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2024.05.16 18:11 WhiteFoxWolf Disappearing Coolant in 2018 Elantra

Disappearing Coolant in 2018 Elantra
I'm dealing with a disappearing coolant problem for the past 3 years that started with me paying for a coolant flush service at the dealership. Many parts have been checked and replaced.
Have you had an issue like this and have you found a solution? What should I look for or do next? (Read the full problem description below for more details)
2018 Hyundai Elantra Sport, 1.6T GDI, 7-Speed Dual Clutch Automatic
2018 Hyundai Elantra Sport - Picture for reference
tldr: 3 years of troubleshooting and part replacement hasn't solved my problem of slowly loosing coolant. Hoses have all been checked 5+ times by me and master mechanics, radiator was found damaged and replaced, heater core was (needlessly) replaced, a loose hose caused heater core to blow coolant into my face but was then fixed, engine was checked for warping caused by overheating but was normal, exhaust was checked for burning coolant and came back "within normal acceptable range" (they might have also said compression tested?). I'm still slowly losing coolant.
Additional Info:
  • There doesn't appear to be any visible leak puddle under my car, (I haven't been super consistent with checking but I have checked regularly and have never seen anything suspicious).
  • I still faintly smell coolant when I turn on the heater, but I'm not sure if that is just residue left over from when it was leaking recently.
  • Engine oil doesn't appear to have any coolant in it when checked.
Long story short: Car overheated one day and found it bone dry. Dealership needlessly replaced my heater core before discovering there was a leak in my radiator and then finally replaced my radiator. They also checked to see if my engine was warped from overheating but it came back within factory spec. That didn't solve the full problem and I continued to slowly loose coolant. About One year went by without much incident (however whenever I go in for an oil change they always top off my fluids and might have topped off the coolant reservoir). Suddenly a few months ago my car started spewing coolant in my face and when I brought it in they only found a loose hose on the heater core (but no major leak or evidence of a leak). A month after that my car was almost bone dry of coolant, I took it back, they ran a diagnostic on the exhaust to see if it was burning coolant and they said it came back within the normal acceptable range (they couldn't tell me how close to the abnormal range it was though).
They also said that they had another test they could run (I can't remember what it was) but the person who runs the equipment was not there. They told me that since their diagnostic of checking the coolant particles in the exhaust came back normal (and I think they said they did a compression test as well) that they don't think that other test would find anything and that I would have to pay for that test.
Since then I've checked coolant levels regularly and it appears to be somewhat stable after one week, but the leak seems to happen over the course of a month or more. Levels have appeared to drop very slightly, but could simply be normal variation.
The dealership who screwed up my car but who have honestly also been pretty great with the help (even continuing to fix my car and replace parts at no cost after my warranty expired) have basically told me they can't solve the problem and that they can't keep looking at my car for free. All the dealership's master mechanics and all the sales-men, couldn't put humpty-dumpty-elantra back together again.
My ignorant opinion: I'm no mechanic, but I have worked on cars my whole life so I'm not incompetent. I feel like the surface level explanations to me are:
  • Burning coolant in the engine with a small leak somewhere that isn't big enough to register as abnormal by a machine.
  • Heater core really does have a small leak and is just blowing the coolant in my face/lungs.
  • A witch cursed the coolant levels of my car and magic is to blame.
What do you think?
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2024.05.16 18:09 Jhonjournalist Wildfires Burn Thousands of Acres in Western Canada

Wildfires Burn Thousands of Acres in Western Canada
https://preview.redd.it/1hjeiv6ibt0d1.jpg?width=800&format=pjpg&auto=webp&s=ba147d6c6ca76636925ceb46784a6bb216fdff27
  • The provinces of Manitoba, Alberta, and British Columbia (BC) have been the worst affected.
  • At least 4,800 people were forced to evacuate due to a fire in the vicinity of Fort Nelson.
  • Firefighters from other nations deployed as part of the firefighting effort to help Canada contain its flames.
There are more than 130 active wildfires in Canada as of May 15. The provinces of Manitoba, Alberta, and British Columbia (BC) have been the worst affected.
At least 4,800 people, including the Fort Nelson First Nation, were forced to evacuate due to a fire in the vicinity of Fort Nelson, British Columbia. Over 6,600 people have already been evacuated from Fort McMurray due to a 51,000-acre wildfire in Alberta, and the remaining residents are on an evacuation notice.

Wildfires

The fires are similar to the record-breaking ones from the previous year, which destroyed 5% of Canada’s forest, or about 185,000 km2 (71,414 mi2, or 45.7 million acres). Almost the entire nation was impacted by the smoke from these fires, and after crossing the Atlantic, several parts of the US and Europe also experienced smoke pollution. Firefighters from other nations deployed as part of the firefighting effort to help Canada contain its flames.
Known as “holdover fires” or occasionally “zombie fires,” some of the fires this year are rekindled versions of last year’s that blazed deep underground before erupting again when spring arrives.
With the May–July season being the warmest on record in Canada in 80 years, climate change is still a major contributing factor to the wildfires. Early in the year, exceptionally high temperatures combined with abnormally dry circumstances created an ideal environment for the spread of fire in many parts of Canada, especially in the west and north.
Prior to 2023, the Albertan government implemented a number of cuts to different wildfire services. The Rappel Attack Program (RAP), which had been in operation for almost 40 years, was terminated in 2019 after government funding was reduced.
Further budget cuts in 2021 compelled Alberta Wildfire to let go of some permanent employees, and in 2022, a 10% reduction in the length of the wildfire season caused serious issues.
Learn More: https://worldmagzine.com/canada/wildfires-burn-thousands-of-acres-in-western-canada/

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2024.05.16 18:07 She-Her-Queen At a crossroads

So I’ve had my ups and downs with breastfeeding from initial latch issues, frenectomy (lip and tongue), having to see a chiropractor because my baby was so tense at the breast, multiple blebs and clogs, being hospitalized for mastitis. At 6 months pp, I was finally in a groove and getting the hang of it, still able to EBF through it all despite baby not following her growth curve super closely (she was still gaining). My daughter is now 7 months and we had a visit from our IBCLC, did the weigh in only to find out she has lost weight. 😔 I’m so emotional about it because I had a goal to EBF for at least 1 years and it seems we can’t catch a break and this journey has been so fucking difficult. However, I don’t want to allow my ego to get in the way of getting her what she needs because ultimately it’s about feeding the baby for her growth and development. We have a pediatrician visit next week for another weigh in and potentially bloodwork to determine if there are any underlying causes of the weight loss. For context, I WFH, nurse on demand and we started to incorporate a 4-6oz bottle of expressed milk before she goes to bed each night (she sleeps thru the night in her crib). IBCLC also suggested incorporating additional expressed bottles throughout the day to ensure she is getting a certain amount.
Pumping issues: I simply don’t make enough. And my freezer stash is quickly dwindling. The more frequently I pump, the less there is per pump if that makes sense. If I go a while without pumping, I can get a good 4-6 oz total. But if I pump around the clock for multiple days I’m only getting 1-2 per pump and it’s just not worth the sore, raw nipples for me. Plus I’m still nursing on demand so it’s like an all day irritation and pain for the same amount of milk.
I should also add that baby is meeting all her milestones like rolling, sitting, crawling, and she is even pulling up now at 7 months. She is just a tiny thing I guess.
Any suggestions from mamas who experienced dips in weight while EBF? It pains me to know she may be losing weight because my milk is not enough for her. Thanks so much.
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2024.05.16 18:07 alkalinefx pain management

asking here on behalf of my spouse, but some background here:
my spouse has been on remicade for a couple of years now. some increases in dosage, and time between infusions. there's a pesky spot of inflammation that increases and decreases in how severe it is, and a colonoscopy is coming up to determine if it warrants a resection. they also recently had a seton placed for a fistula that came back (my spouse has also inquired about switching to a different biologic because they feel as though the remicade isnt really doing its job, but to no avail).
this past week i came with them to their most recent GI appointment because they feel their doctor dismisses them, and frankly i agree with them. figured my being there would 1) make her less dismissive because now there's someone else there and 2) i could speak up for my spouse, as they struggle with asserting themselves in medical settings
we discussed weight loss, of which theyve lost about 20-30ish lbs or so since February - spouse is fat, so the GI kinda responded with "well it'll make surgery easier" which is kind of disheartening to hear considering weight loss is a pretty big red flag for CD patients (as far as ive been made aware, anyway). i kinda pushed the topic and she agreed to doing some bloodwork, at least. then onto pain management, my spouse has two spots on their stomach that often cause trouble. they have dicyclomine, but its not something they can take before work or anything since it makes them incredibly drowsy. they only take it if we're at home and there's no problem if they nod off. i had asked about some other options for pain management, expecting a better option for medication in particular. the GI suggested that their pain is either psychosomatic or entirely external, plus something about other Crohn's patients she see "having it worse" than them, and to ice the area. her only other suggestions were peppermint oil and IBGuard. the peppermint oil felt a bit of an odd suggestion considering my spouse has reflux issues she literally prescribes omeprazole for, and i'm not overly familiar with IBGuard other than its marketed for IBS....so not sure how well it would work for CD.
anyway, long winded post to ask about some pain management yall do that is probably more holistic since we can't seem to get their GI to do much for that. being told it's essentially in their head was a bit of a slap in the face considering she's supposed to be a crohn's specialist. i'm looking for a new GI for my spouse, but it will likely take some time before any in our area can take them and we unfortunately don't have a vehicle that can do longer distance driving at this time.
TL;DR spouse's GI sucks and makes my spouse feel unheard, and isn't really providing us with any real options to address pain. what do yall do that isn't prescribed but helps at least somewhat?
thanks in advance!
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2024.05.16 17:47 annie_banannie_123 DHEA supplementation caused my DHEA-S and total testosterone levels to skyrocket and I'm not sure where to go from here

I am seeking advice on supplementing with DHEA. Specifically, it would be helpful to know whether other folks who also have diminished ovarian reserve have found it helpful, and if so, what dose you would recommend given my situation (described below). How DHEA supplementation affected your AMH (especially if you took too much, like me) would also be helpful to know.
I started supplementing with 75mg DHEA per day about two months ago, and a recent lab test showed that this caused my DHEA-S and total testosterone levels to skyrocket. I reduced my dose to 25mg/day a couple days ago upon receiving my test results, but I'm worried this may still be too high. I haven't had any of the nasty side effects people talk about with DHEA (acne, new body hair, etc.). For reference, here is the test history:
March 13 (before DHEA supplementation):
May 9 (7 weeks after starting DHEA):
I started taking DHEA because my DHEA-S and total testosterone levels were previously on the low side and (my understanding is that) DHEA has been shown to help with aneuploidy (at least 1 of my 3 miscarriages was due to a genetic abnormality, though fetal tissue from the other 2 pregnancies was never tested). I was following the guidance on DHEA from It Starts with the Egg. They list the optimal DHEA-S level for fertility as around 180 mcg/dL and for testosterone around 25 to 45 ng/dL. They also say DHEA supplementation "may be helpful if your total testosterone is below 25 ng/dL [and your DHEA-S is over 90 mcg/dL but below 180mcg]," which was my situation pre-supplementation, hence why I started taking DHEA.
My RE, who I just started seeing in April, told me he doesn’t recommend DHEA and that he suggests I stop raking it given the change in my DHEA-S and testosterone levels. However, he also told me DHEA “is not associated with improving aneuploidy rates,” which I don’t think is true. Maybe it hasn't been tested directly but this study at least hints at aneuploidy reductions, noting that "DHEA supplementation improves pregnancy chances in women with diminished ovarian reserve (DOR), by possibly reducing aneuploidy." This more recent study also documents a number of benefits of DHEA. I generally like my RE and feel awkward being at odds with him on this. Though I clearly need to reduce my dose, I feel like there's good evidence DHEA could help me, so I would like to keep taking it (but in a smaller dose) and try testing my DHEA-S and testosterone levels again in a few months. I don't know whether he would mind if I told him I want to continue taking it, but I certainly need to tread carefully since he is the expert here.
Also, as I wrote in another post, my AMH dropped to 0.31 in May 2024 (it was 0.67 in December 2023). Could taking too much DHEA have played a role in this drop? I know DHEA is supposed to raise, not lower, AMH, but I’m wondering if the relationship can invert if one takes too much. Any information on this would be super helpful.
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2024.05.16 17:28 Sumguyhi abnormal causes of Hypertension in healthy adult?

hello all, frustrated and turning to the hive mind to see if anyone has any experience or insight into abnormal causes of hypertension. i am 35 male, Bmi is normal, i exercise regularly, usually get 8 hours sleep, eat fairly healthy, generally appear healthy. for over a year now i have had mild hypertension like 140-60/90 ish. started taking medicine and it hasn't helped really. I have no family history of hypertension, my parents don't have it nothing. I can't just accept the doctors shrug off of this just happens who knows why, I can't help but feel there's some underlying imbalance vitamin mineral gut health testosterone, parasites who knows?? i'm generally healthy and not overweight don't smoke exercise etc. so i'm wondering if anyone has any experience with a similar situation that they solved. also been taking TMG for a few weeks cause that's supposed to lower homocysteine levels which can be a cause, to no avail. thanks for any insight/ help! i'll try anything, any naturopaths, experts whatever.
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2024.05.16 17:14 RighteousDude77 General Anxiety Disorder and Meniere's

Well, I'll give a little insight into my journey. My brother has been diagnosed with Meniere's but i haven't yet. I have an appointment scheduled with ENT in July, pretty certain I have it though. I have constant tinnitus and a almost constant weighted feeling that starts from my right eye which feels like it has been punched and this feeling connects to the full feeling of my inner right ear, also i get vertigo after tilting my head or making a sudden or jarring movement. I'm almost 47 and I just started experiencing these symptoms, which sounds almost common with the disease but I've also happened to be pretty sedated and anxious for the last 20 years. I was honorably discharged from the army and diagnosed with ptsd and general anxiety disorder and right away fed benzos and i anxiety can mask dizziness but i think benzos can also turn off transmitters in your brain or sedate them at least. Anyways, i quit Clonazepam about two years ago now and seems that the neurotransmitters have fired back up a bit and i feel these sensations just fine now. I also see that my underlying condition of anxiety is very much still there.
So to begin this new chapter in my battle with anxiety i went to see my mental health doctor who prescribed me Buspar for it and has subsided it somewhat again but not sedated me so much that i can still feel my arthritis, which has helped me discover psoriasis and good old restless leg syndrome. I have appointments scheduled with rheumatology and neurology. I was diagnosed with the psoriasis from dermatology but was told it wasn't severe enough to put my body in fight or flight mode. I'm not sure how they can tell that by just looking at the skin though. I have had lab work done which said i have inflammation and all my life I've had abnormally high white blood cell count. I know that psoriasis alone is a autoimmune disease and thought it could be the cause of my anxiety but i guess my whole purpose of this rant is to see if anyone else has had this experience and if maybe by luck they got a clue to look at it a way i haven't yet. I've been called a hypochondriac and I've gotten my blood pressure super high from researching this but i feel it's up to me, my doctors are too busy.. they just want to put me back on klonopin. So yeah if you have any guidance for general anxiety disorder with Meniere's and how to help it.. i'd greatly appreciate it. Thanks in advance!
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2024.05.16 17:08 Serious_Fix_74 Do you have constant abnormal headaches that are caused by paranormal means?

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2024.05.16 17:07 ionlymidSYD Questions About Diagnosis

About 6-8 weeks ago I noticed a lump on my lower left testicle. I already had an appointment scheduled with my doctor as a follow up to medication I was taking and so I brought it up to her at the appointment a few weeks later as the lump hadn’t gone away and felt like it was getting bigger. Initially it felt like a bug bite on the surface of my scrotum, then I started noticing my groin was very sensitive and was having heaviness in my pelvis. I began examining more closely and I could feel a mass inside the scrotum that was more than just a surface level lump. I didn’t think to mention it to my doctor as she didn’t seem concerned about the lump at the time and she gave me a requisition for an ultrasound.
Over the next week the heaviness in the pelvic area became painful at times. Not excruciating but enough where one night I couldn’t sleep so I drove myself to the hospital. They ran a urine test and ruled out infection and told me I may have a hernia but wanted me to expedite my ultrasound appointment so they did it in house the next day (was supposed to be a week later).
They did find some small fat hernias and an 8mm nodule that they said was likely a granuloma but neoplasm couldn’t be ruled out and was still possible but less likely. The doctor told me it was extremely unlikely that the small hernias I had were causing the pain I was describing.
Since that appointment, the lump has grown some more. I used to be able to touch the lump with just a single finger tip but now I need two to feel the whole lump. The pain has gotten consistently worse over time and I’ve started to get weird stabbing pains all over my body that come and go and vary in intensity. I’ve also noticed they sometimes happen in my testicles at the same time as other parts of my body. I’m still waiting to see a urologist but while I was waiting I was taken to hospital by ambulance for severe chest pains. It was like no other chest pain I felt before, I couldn’t breathe well and it got better when I sat down. They ran bloodwork on me and a chest xray, ruling out infection again and blood clots among a bunch of other things.
Not once have I had blood work done for cancer markers though and I’m wondering why. I’ve seen four doctors now in the span of 8 weeks and they keep feeling me I’m fine but the pain keeps getting worse. I have another appointment tomorrow but I’m getting annoyed with the lack of answers I’m getting about my pain. I also had issues with my testicles descending as a kid which I know puts me at an increased risk.
Should I just be waiting for the urologist to confirm or should I get another opinion and ask for other tests? Or am I just worrying for nothing?
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2024.05.16 16:59 Some-Loquat-4439 DNA Fragments 14% do we still need icsi and Zymot?

I’m 36(f) and my husband is 43(m). We have a healthy 2 year old son conceived naturally. We’ve been trying for baby 2 since the fall last year and have had 2 losses due to chromosomal abnormalities. We are getting ready to start ivf but wanted to make sure it wasn’t my husbands sperm causing these losses. The dr just called and said his sperm is excellent.
What are your thoughts? They suggest conventional ivf and not using icsi.
If we want Zymot we have to use another clinic that is literally triple the price so I’m hoping we can just do conventional ivf or ivf with icsi.
Thoughts??
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2024.05.16 16:35 4gnieshk4 Lost hand precision?

I'm suspected mainly for AxSpa but I have some peripheral involvement as well. I would generally consider it mild - a bit of pain and stiffness, only on a few occasions I had my finger joints red and swollen (and clearly small joints rather than dactilitis, although that happens too).
What worries me is that it feels like I'm losing some precision in my hands and fingers. At the beginning I noticed that only during flare ups and with very specific activities (like building Lego with my kids). But recently I have noticed that everyday I've had problems with using a computer mouse as previously as I used to, missing keyboard buttons or clicking then twice (and I've been a software developer for my whole life, I know how to use a mouse and a keyboard!). I don't have any other neurological symptoms and I've had a basic neurological exam recently and it didn't show any abnormalities (like reflexes and stuff).
Has anyone experienced this? Should I be worried? I'm still fighting for SpA diagnosis (we all know it really can be a fight). I dread thinking I'd have to now tell my doctor that something else is wrong with me. They already consider me a hypochondriac (cause you know, my blood tests are normal, which OBVIOUSLY mean that years of my working hip and back pain is anxiety; I just need to sleep more and eat better 😒).
submitted by 4gnieshk4 to ankylosingspondylitis [link] [comments]


2024.05.16 15:29 PlaneLawyer4217 My angel bite piercing WILL NOT go back in, please please help me.

OK, so first I will include the information on the piercing. The age of the piercing is past the two month mark by most likely a few weeks I believe I have a Labret metal, but I’m not entirely sure what it’s called, it’s the one that curves. I have two kinds of the metal bar one is longer and one is shorter and I prefer the shorter one and so does my piercer. It’s a really sweet family run local piercing place where absolutely everyone gets their piercings done where I live. In my aftercare process I was just spraying saline on it and padding a dry. I never ever took the piercing out and the only time it came out was when I was given the shorter bars. And I have no clue what this threading business means all I know is that this piercing is internal.
Now, I’m going to get into what actually happened on why my piercing is even out. So I received a comment from my friend yesterday and she told me I should shave my mustache because it’s really bad and I explained to her I can’t really do that with the piercing when I got home I decided I was gonna shave it because I was embarrassed of my mustache so I took them out. I shave my mustache. It hurt a little bit when taking the piercings out but nothing abnormally painful just a little sting.
And when I tried to put them in one went in, but I had to push it through and I struck a nerve in my mouth, causing me to become faint and drowsy in the moment. I also heard a really loud noise in both of my ears. I don’t remember what the noise sounded like, but there was a very loud noise. The top of my head also felt like I was suffering from a chemical burn.
My grandpa threw or lost one of the two piercings.
Please please please help me on what to do. I really don’t want to get rid of this piercing and I don’t want to go anywhere without the piercing in and I have to go somewhere very soon so if anybody has any tips or help on what I can do, please let me know and I tried contacting the piercing shop, but they are closed today until 11 so when they open, I will try to message them.
Thank you for reading this post, if you have any suggestions, please let me know because I’m willing to try anything. All I’ve been doing is crying for yesterday and today because I just want these piercings back and I’m terrified that if I wait too long, I’m gonna have to pay to get them re-pierced and I really don’t have the kind of money for that.
submitted by PlaneLawyer4217 to PiercingAdvice [link] [comments]


2024.05.16 15:17 PlaneLawyer4217 My angel bite piercing WILL NOT go back in, please please help me.

OK, so first I will include the information on the piercing. The age of the piercing is past the two month mark by most likely a few weeks I believe I have a Labret metal, but I’m not entirely sure what it’s called, it’s the one that curves. I have two kinds of the metal bar one is longer and one is shorter and I prefer the shorter one and so does my piercer distortio two kinds of the metal bar one is longer and one is shorter and I prefer the shorter one and so does my piercer distortion piercings and polish. It’s a really sweet family run local piercing place where absolutely everyone gets their piercings done where I live. In my aftercare process was just spring sailing on it and padding a dry I never ever took the piercing out and the only time it came out was when I was given the shorter bars. And I have no clue what this threading business means all I know is that this piercing is internal.
No, I’m going to get into what actually happened on why my piercing is even out. So I received a comment from my friend yesterday and she told me I should shave my mustache because it’s really bad and I explained to her I can’t really do that with the piercing when I got home I decided I was gonna shave it because I was embarrassed of my mustache so I took them out. I shave my mustache. It hurt a little bit when taking the piercings out but nothing abnormally painful just a little sting.
And when I tried to put them in one went in, but I had to push it through and I struck a nerve in my mouth, causing me to become faint and drowsy in the moment. I also heard a really loud noise in both of my ears. I don’t remember what the noise sounded like, but there was a very loud noise. The top of my head also felt like I was suffering from a chemical burn.
My grandpa threw or lost one of the two piercings.
Please please please help me on what to do. I really don’t want to get rid of this piercing and I don’t want to go anywhere without the piercing in and I have to go somewhere very soon so if anybody has any tips or help on what I can do, please let me know and I tried contacting the piercing shop, but they are closed today until 11 so when they open, I will try to message them.
Thank you for reading this post, if you have any suggestions, please let me know because I’m willing to try anything. All I’ve been doing is crying for yesterday and today because I just want these piercings back and I’m terrified that if I wait too long, I’m gonna have to pay to get them re-pierced and I really don’t have the kind of money for that.
submitted by PlaneLawyer4217 to piercing [link] [comments]


2024.05.16 14:37 hammer82016 Relactation on one side only after breast biopsy

Hi all! I have kind of a unique situation and am wondering if anyone has any advice or experience with something similar.
In 2022, I had two breast biospies on my left breast. The first after my OB felt a lump at my annual exam and the second after a follow up ultrasound showed another spot of concern. Since then I have been following with the breast doctor and having scans every 6 months to check for any other abnormalities. I had my baby in April of 2023 and have been exclusively breastfeeding him since, pumping 2-3x a day during the week after I returned to work in September.
My December 2023 ultrasound showed a spot of concern that the doctor agreed to watch for a few months before deciding to biopsy it since I was still breastfeeding. It was still visible on a scan in March of 2023 so the doctor said it should be biopsied and that she wanted me to wean on that side because having the biopsy done while still breastfeeding could cause a milk fistula or abscess. I agreed and weaned over a few weeks, having the biopsy done this past Monday. I got the results back yesterday that the area is nothing abnormal, the tissue just showed hormonal changes consistent with lactation, so that is a relief.
So, as my biopsy site heals, I'm wondering if it's possible to relactate my left breast? If so, how would I go about doing this? My baby is 12.5 months old and between still pumping/nursing, I'm removing milk about 5 times a day total. I have no plans to wean him at this point.
ETA: The last time I nursed him on the left was one session before bed about one week ago, on Wed 5/8.
submitted by hammer82016 to breastfeeding [link] [comments]


2024.05.16 14:33 Octopus299 Immobile ovaries, adhesions and lesions (no surgery)

A really quick rundown: 22F, chronic pelvic pain and other symptoms for 2+ years.
I had a TVU (transvaginal ultrasound) and this is the first thing they’ve actually found from a scan or test, before the specialists and Drs were just guessing based on symptoms.
Can someone firstly help me understand my report?
Anteverted uterus. My metric is homogeneous. No abnormalities in the cervix. Endometrium is regular and measures 9mm in thickness. My right and left ovaries are both immobile. No free fluid in the pouch of Douglas. Adhesions have been found.
I’ve never had surgery before or anything relatable to that area that could’ve caused adhesions so is it pretty much likely it’s endo? The doctor said this but of course, I know it is only diagnosed via a laparoscopy. PCOS, PID and Adenomyosis have been confirmed not present according to doctors.
I’m following up with a specialist but I just thought I’d ask for advice and share. I’ve waited 2 YEARS for some validation of my pain, I feel scared but relieved. I’m not crazy. My pain is real despite not knowing the 100% cause, I just feel a little acknowledged.
My mother has the same symptoms as me but never bothered getting diagnosed and now she’s in diagnosis but they’re telling her she can’t possibly have endometriosis because she’s in menopause. My younger sister is now experiencing similar pains but nothing diagnosed. I’m terrified of surgery and hormonal bc really messed with my mental health despite me trying it for majority of my life!
How likely is it to be endo? Do immobile ovaries, lots of adhesions and “normal” cysts raise a lot of concerns for endo? The doctor basically said there’s no other reason I would have these adhesions.
submitted by Octopus299 to Endo [link] [comments]


2024.05.16 14:32 Octopus299 Immobile ovaries, lesions and adhesions (no surgery)

A really quick rundown: 22F, chronic pelvic pain and other symptoms for 2+ years.
I had a TVU (transvaginal ultrasound) and this is the first thing they’ve actually found from a scan or test, before the specialists and Drs were just guessing based on symptoms.
Can someone firstly help me understand my report?
Anteverted uterus. My metric is homogeneous. No abnormalities in the cervix. Endometrium is regular and measures 9mm in thickness. My right and left ovaries are both immobile. No free fluid in the pouch of Douglas. Adhesions have been found.
I’ve never had surgery before or anything relatable to that area that could’ve caused adhesions so is it pretty much likely it’s endo? The doctor said this but of course, I know it is only diagnosed via a laparoscopy. PCOS, PID and Adenomyosis have been confirmed not present according to doctors.
I’m following up with a specialist but I just thought I’d ask for advice and share. I’ve waited 2 YEARS for some validation of my pain, I feel scared but relieved. I’m not crazy. My pain is real despite not knowing the 100% cause, I just feel a little acknowledged.
My mother has the same symptoms as me but never bothered getting diagnosed and now she’s in diagnosis but they’re telling her she can’t possibly have endometriosis because she’s in menopause. My younger sister is now experiencing similar pains but nothing diagnosed. I’m terrified of surgery and hormonal bc really messed with my mental health despite me trying it for majority of my life!
How likely is it to be endo? Do immobile ovaries, lots of adhesions and “normal” cysts raise a lot of concerns for endo? The doctor basically said there’s no other reason I would have these adhesions.
submitted by Octopus299 to endometriosis [link] [comments]


2024.05.16 14:26 thelansis Tonic-Clonic Seizures – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033

Tonic-Clonic Seizures – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033
https://preview.redd.it/c881k7cv7s0d1.jpg?width=1275&format=pjpg&auto=webp&s=ee9939b3feca90e646de338c5e3833226a92985c
Tonic-clonic seizure is characterized by a tonic phase and clonic muscle contractions, which was once referred to as a grand mal seizure. Of all the seizure kinds, they are the most feared by patients, families, and onlookers. They are typically linked to either total loss of consciousness or diminished awareness. In the most recent categorization published by the International League Against Epilepsy (ILAE), they fall within the category of seizures with a generalized onset. Motor and non-motor (absence) seizures are subtypes of generalized onset seizures. The majority of generalized tonic-clonic seizures are caused by underlying hereditary epilepsy, which was previously classified as idiopathic epilepsy. Even if a CT scan is negative, further imaging, such as magnetic resonance imaging (MRI), must be performed if there is a high suspicion of localized abnormality. When a patient experiences focal neurological abnormalities that cannot be explained by a structural abnormality or variable mental state or does not return to baseline 30 to 60 minutes following a seizure, emergency electroencephalography is advised. The first line of treatment are benzodiazepine, such as intramuscular midazolam, intravenous lorazepam, intravenous diazepam, intranasal midazolam or rectal diazepam. Second-line therapy should start if seizures last longer than twenty minutes. One of these three antiepileptic medications is intravenous fosphenytoin, levetiracetam, or valproic acid—which can be administered as a single bolus dosage; however, there is no evidence-based recommended second-line therapy.
  • In the United States, seizures make up 1% to 2% of all emergency room visits. It is estimated that 11% of Americans may experience a seizure at some point in their lifetime. Males are more likely than females to experience acute symptomatic seizures at a ratio of 1.85 to 1, with a lifetime risk of 5.0% for men and 2.7% for women.
Thelansis’s “Tonic-Clonic Seizures Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033" covers disease overview, epidemiology, drug utilization, prescription share analysis, competitive landscape, clinical practice, regulatory landscape, patient share, market uptake, market forecast, and key market insights under the potential Tonic-Clonic Seizures treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).
KOLs insights of Tonic-Clonic Seizures across 8 MM market from the centre of Excellence/ Public/ Private hospitals participated in the study. Insights around current treatment landscape, epidemiology, clinical characteristics, future treatment paradigm, and Unmet needs.
Tonic-Clonic Seizures Market Forecast Patient Based Forecast Model (MS. Excel Based Automated Dashboard), which Data Inputs with sourcing, Market Event, and Product Event, Country specific Forecast Model, Market uptake and patient share uptake, Attribute Analysis, Analog Analysis, Disease burden, and pricing scenario, Summary, and Insights.
Thelansis Competitive Intelligence (CI) practice has been established based on a deep understanding of the pharma/biotech business environment to provide an optimized support system to all levels of the decision-making process. It enables business leaders in forward-thinking and proactive decision-making. Thelansis supports scientific and commercial teams in seamless CI support by creating an AI/ ML-based technology-driven platform that manages the data flow from primary and secondary sources.
Read more: Tonic-Clonic Seizures – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033
submitted by thelansis to u/thelansis [link] [comments]


2024.05.16 13:53 aed15 Were these Quora users making fun of/bullying me when answering my question?

My question was ‘Why do people seem to now speed a lot in vehicles? I feel like they've done it more since the pandemic, but I could be wrong.’
These 2 answers were collapsed and they read: ‘Because it is really, really hard to speed on foot?’ and ‘Maybe the pandemic has caused your abnormally slow mind to speed up to normal.’
This other answer wasn’t collapsed but it’s been getting on my nerves for some reason (maybe the person who wrote it was trying to be funny or something): ‘They want to get from point A to point B a fast as possible since they don’t know when the next pandemic will take them out of this world. A live for today mentality!’
I’m not sure if this person was bullying me or anything but I asked another question which read: ‘How can I make my fridges silent? If saying what brand they are, they seem to be Hotpoint. They make mooing/knocking noises (I’m not sure how to describe it any better than that) when running and it’s really stressing me out.’, they asked me if I’m a TI (it was collapsed) and I’m not sure what that could mean.
I’m struggling to tell if they were and if something about my question caused them to answer like that. It doesn’t help that you can’t delete your own question on Quora if it has answers and I’m worried people might see it and share it or criticise what I asked.
submitted by aed15 to RandomQuestion [link] [comments]


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