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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22242
Experience:  Over 20 yrs of Family Practice
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Good morning. I slept okayish last night

Customer Question

Good morning. I slept okayish last night
Submitted: 11 months ago.
Category: Health
Expert:  Dr. Chip replied 11 months ago.
Good morning to you. Good to hear
Customer: replied 11 months ago.
Im having a lot of intestinal cramping and diarrhea.
Expert:  Dr. Chip replied 11 months ago.
Much blood? And did you start the Cipro and Flagyl?
Customer: replied 11 months ago.
A medium amount. I did start the cipro and flagyl
Expert:  Dr. Chip replied 11 months ago.
So remind me--your GI called the antibiotics in but we have no idea exactly why?
Customer: replied 11 months ago.
Exactly
Expert:  Dr. Chip replied 11 months ago.

I haven't got a clue why

Customer: replied 11 months ago.
Could it be the antibiotics causing the cramping and diarrhea
Expert:  Dr. Chip replied 11 months ago.
Could be, yes
Customer: replied 11 months ago.
Im really pukey feeling as well
Expert:  Dr. Chip replied 11 months ago.
What are your plans for today?
Customer: replied 11 months ago.
Nothung
Expert:  Dr. Chip replied 11 months ago.
All day just sitting at home?
Customer: replied 11 months ago.
Yep, i should probably clean and make supper
Expert:  Dr. Chip replied 11 months ago.
Why not get out for a couple of hours to do whatever?
Customer: replied 11 months ago.
Cuz i dont feel well. The teens are going to the fair
Expert:  Dr. Chip replied 11 months ago.
Just a suggestion. MN state fair?
Customer: replied 11 months ago.
No that too far away. Just the county fair
Expert:  Dr. Chip replied 11 months ago.
I was at the state fair once back in the early 80's
Customer: replied 11 months ago.
I was there once too. I didnt think it was anything too amazing. Way too many people
Expert:  Dr. Chip replied 11 months ago.
Good movie out now--you could go see it
Customer: replied 11 months ago.
Ill prob just stay home and clean and cook
Expert:  Dr. Chip replied 11 months ago.
Well, so long as you stay busy
Customer: replied 11 months ago.
Do you got any plans for today
Expert:  Dr. Chip replied 11 months ago.
That movie--The Butler--tonight. Laundry and cleaning this afternoon. Some piano in between
Customer: replied 11 months ago.
Fun deal
Expert:  Dr. Chip replied 11 months ago.
Well--just my life away from work
Customer: replied 11 months ago.
How can you work and still talk to me all day
Expert:  Dr. Chip replied 11 months ago.
In between patients
Expert:  Dr. Chip replied 11 months ago.
And I can multitask very well
Customer: replied 11 months ago.
I see. Am i going tohave to avoid spicy/acidic foods for ever
Expert:  Dr. Chip replied 11 months ago.
No but for now of course you should
Customer: replied 11 months ago.
How will i know when i can have them again
Expert:  Dr. Chip replied 11 months ago.
After your stomach completely settles down and no more heartburn
Customer: replied 11 months ago.
Ok.
Expert:  Dr. Chip replied 11 months ago.
Anything else?
Customer: replied 11 months ago.
Not right now
Expert:  Dr. Chip replied 11 months ago.
OK--get back to me later then
Customer: replied 11 months ago.
What besides celiac disease causes diffuse mucosal flattening
Expert:  Dr. Chip replied 11 months ago.
That was of your duodenum?
Customer: replied 11 months ago.
Yes
Expert:  Dr. Chip replied 11 months ago.
Sorry--was off. Not sure it's clinically relevant but no I don't know of anything else
Customer: replied 11 months ago.
Ive never had it before
Expert:  Dr. Chip replied 11 months ago.
I'll check on that
Customer: replied 11 months ago.
Huh?
Expert:  Dr. Chip replied 11 months ago.
I meant I'd do some research. It can be from chronic inflammation but you're total symptoms just don't fit celiac
Customer: replied 11 months ago.
Would some of my symptoms come from it
Expert:  Dr. Chip replied 11 months ago.
The abdominal cramping and the heartburn and diarrhea possibly. Were you specifically tested for it?
Customer: replied 11 months ago.
He sent biopsies to get tested because you said the findings are consistant with celiac disease
Expert:  Dr. Chip replied 11 months ago.
What about blood word for celiac antibodies? And are you saying he ran the test because he knew I suggested it?
Customer: replied 11 months ago.
He ran it because the findings in my duodenum sggests that. I did have a celiac panel done like a year ago
Expert:  Dr. Chip replied 11 months ago.
Then it isn't very likely celiac
Customer: replied 11 months ago.
Then what
Expert:  Dr. Chip replied 11 months ago.
We need to get off this subject. I know it takes up most of your waking hours thoughts, but you and I aren't going to come up with and answer.
Customer: replied 11 months ago.
Then what topic
Expert:  Dr. Chip replied 11 months ago.
Nothing right now if you don't have one
Customer: replied 11 months ago.
Your a dr. Why dont you have an answer about it
Customer: replied 11 months ago.
Im trying to decide if i should
Go to to cities tonight
Expert:  Dr. Chip replied 11 months ago.
What would you do there?
Customer: replied 11 months ago.
Go
Stay with my coysin over night so i dont
Have to
Drive so far in the am to rochester
Expert:  Dr. Chip replied 11 months ago.
Your cousin?
Customer: replied 11 months ago.
Hes my cousin/uncle figure. Hes the ortho PA
Expert:  Dr. Chip replied 11 months ago.
Sounds like a good idea
Customer: replied 11 months ago.
Its a long drive
Expert:  Dr. Chip replied 11 months ago.
Not sure where we're going with this?
Customer: replied 11 months ago.
Idk. I dont really
Want to do this 2 hr appt in how to breathe
Differently
Expert:  Dr. Chip replied 11 months ago.
Differently?
Customer: replied 11 months ago.
Its going to
Teach me how to breathe different so indont ruminate my food
Expert:  Dr. Chip replied 11 months ago.
OK--the way you dropped the word differently to the second like sounded like you were saying your wanted to do the visit differently
Customer: replied 11 months ago.
Sorry. Its just how my phone entered it
Expert:  Dr. Chip replied 11 months ago.
Anything else for now?
Customer: replied 11 months ago.
No
Expert:  Dr. Chip replied 11 months ago.
Well, I'll keep the page open then
Customer: replied 11 months ago.
My calfs feel heavy
Expert:  Dr. Chip replied 11 months ago.
Explain please
Customer: replied 11 months ago.
Its hard to explain. Like achy or tired. But not necessarily hurt
Expert:  Dr. Chip replied 11 months ago.
Can't really say much about if if that's all you can say
Customer: replied 11 months ago.
My calfs feel like ive been walking miles and miles And my thigh on one side hurt
Expert:  Dr. Chip replied 11 months ago.
I still don't know for sure what you're describing. Any swelling of the calves?
Customer: replied 11 months ago.
One of the calfs is bigger than the other
Expert:  Dr. Chip replied 11 months ago.
All of a sudden?
Customer: replied 11 months ago.
Im not sure
Expert:  Dr. Chip replied 11 months ago.
But not something you've had for a long time?
Customer: replied 11 months ago.
No not for a lobg time
Expert:  Dr. Chip replied 11 months ago.
Well, you won't like this but you've put me--not your fault--in that hard place again. All I can say is this could be a deep venous thrombosis--leg vein clot--and, if so, it can lead to a pulmonary embolus. I've got no option but to tell you what I would anyone--you need an emergency Doppler venous flow study of the legs and if you have a DVT you'll need to be on blood thinners, although that's going to be tricky with your GI bleed
Customer: replied 11 months ago.
If they do a d dimer its going to be elevated because it always is
Expert:  Dr. Chip replied 11 months ago.
That's for looking for a PE, not a DVT.
Customer: replied 11 months ago.
K. Is it something that can wait another day
Expert:  Dr. Chip replied 11 months ago.
Well, the sooner the better but yes unless you suddenly get short of breath with chest pain
Customer: replied 11 months ago.
Ok. And i didnt try to put you in a difficult spot
Expert:  Dr. Chip replied 11 months ago.
I know but I know how you feel about ER's
Customer: replied 11 months ago.
Sorry
Expert:  Dr. Chip replied 11 months ago.
Not your fault at all--just glad you didn't snap at me for talking ER
Customer: replied 11 months ago.
Im far to tired to snap
At you
Expert:  Dr. Chip replied 11 months ago.
OK--anything else for today?
Customer: replied 11 months ago.
Why ami so tired all the time
Expert:  Dr. Chip replied 11 months ago.
You've asked that before and I can't give you just one answer but my first thought for today is the ativan. Of course, your sleeping pattern could also be part of it
Customer: replied 11 months ago.
I havent taken any today
Expert:  Dr. Chip replied 11 months ago.
Just saying those are my thoughts and just because you haven't taken the ativan today doesn't mean it can't still have an effect the next day
Customer: replied 11 months ago.
Are normal people this tired everyday
Expert:  Dr. Chip replied 11 months ago.
Well, it certainly isn't something the average person suffers from
Customer: replied 11 months ago.
Thats all
Expert:  Dr. Chip replied 11 months ago.
That's all as in we're done?
Customer: replied 11 months ago.
No i just dont know what else to say right now
Expert:  Dr. Chip replied 11 months ago.
OK--let's close because I have a movie to go see. Talk at you tomorrow
Customer: replied 11 months ago.
I know you are leaving to see amovie but it really hurts to pee
Expert:  Dr. Chip replied 11 months ago.
Can't tell you much more about that than what we've discussed before--please don't post any more on this page because I have to be done for the night
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22242
Experience: Over 20 yrs of Family Practice
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