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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 28643
Experience:  Over 20 yrs of Family Practice
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Good morning. I slept okayish last night

This answer was rated:

Good morning. I slept okayish last night
Good morning to you. Good to hear
Customer: replied 3 years ago.
Im having a lot of intestinal cramping and diarrhea.
Much blood? And did you start the Cipro and Flagyl?
Customer: replied 3 years ago.
A medium amount. I did start the cipro and flagyl
So remind me--your GI called the antibiotics in but we have no idea exactly why?
Customer: replied 3 years ago.
Exactly

I haven't got a clue why

Customer: replied 3 years ago.
Could it be the antibiotics causing the cramping and diarrhea
Could be, yes
Customer: replied 3 years ago.
Im really pukey feeling as well
What are your plans for today?
Customer: replied 3 years ago.
Nothung
All day just sitting at home?
Customer: replied 3 years ago.
Yep, i should probably clean and make supper
Why not get out for a couple of hours to do whatever?
Customer: replied 3 years ago.
Cuz i dont feel well. The teens are going to the fair
Just a suggestion. MN state fair?
Customer: replied 3 years ago.
No that too far away. Just the county fair
I was at the state fair once back in the early 80's
Customer: replied 3 years ago.
I was there once too. I didnt think it was anything too amazing. Way too many people
Good movie out now--you could go see it
Customer: replied 3 years ago.
Ill prob just stay home and clean and cook
Well, so long as you stay busy
Customer: replied 3 years ago.
Do you got any plans for today
That movie--The Butler--tonight. Laundry and cleaning this afternoon. Some piano in between
Customer: replied 3 years ago.
Fun deal
Well--just my life away from work
Customer: replied 3 years ago.
How can you work and still talk to me all day
In between patients
And I can multitask very well
Customer: replied 3 years ago.
I see. Am i going tohave to avoid spicy/acidic foods for ever
No but for now of course you should
Customer: replied 3 years ago.
How will i know when i can have them again
After your stomach completely settles down and no more heartburn
Customer: replied 3 years ago.
Ok.
Anything else?
Customer: replied 3 years ago.
Not right now
OK--get back to me later then
Customer: replied 3 years ago.
What besides celiac disease causes diffuse mucosal flattening
That was of your duodenum?
Customer: replied 3 years ago.
Yes
Sorry--was off. Not sure it's clinically relevant but no I don't know of anything else
Customer: replied 3 years ago.
Ive never had it before
I'll check on that
Customer: replied 3 years ago.
Huh?
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 3 years ago.
Would some of my symptoms come from it
The abdominal cramping and the heartburn and diarrhea possibly. Were you specifically tested for it?
Customer: replied 3 years ago.
He sent biopsies to get tested because you said the findings are consistant with celiac disease
What about blood word for celiac antibodies? And are you saying he ran the test because he knew I suggested it?
Customer: replied 3 years ago.
He ran it because the findings in my duodenum sggests that. I did have a celiac panel done like a year ago
Then it isn't very likely celiac
Customer: replied 3 years ago.
Then what
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 3 years ago.
Then what topic
Nothing right now if you don't have one
Customer: replied 3 years ago.
Your a dr. Why dont you have an answer about it
Customer: replied 3 years ago.
Im trying to decide if i should
Go to to cities tonight
What would you do there?
Customer: replied 3 years ago.
Go
Stay with my coysin over night so i dont
Have to
Drive so far in the am to rochester
Your cousin?
Customer: replied 3 years ago.
Hes my cousin/uncle figure. Hes the ortho PA
Sounds like a good idea
Customer: replied 3 years ago.
Its a long drive
Not sure where we're going with this?
Customer: replied 3 years ago.
Idk. I dont really
Want to do this 2 hr appt in how to breathe
Differently
Differently?
Customer: replied 3 years ago.
Its going to
Teach me how to breathe different so indont ruminate my food
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 3 years ago.
Sorry. Its just how my phone entered it
Anything else for now?
Customer: replied 3 years ago.
No
Well, I'll keep the page open then
Customer: replied 3 years ago.
My calfs feel heavy
Explain please
Customer: replied 3 years ago.
Its hard to explain. Like achy or tired. But not necessarily hurt
Can't really say much about if if that's all you can say
Customer: replied 3 years ago.
My calfs feel like ive been walking miles and miles And my thigh on one side hurt
I still don't know for sure what you're describing. Any swelling of the calves?
Customer: replied 3 years ago.
One of the calfs is bigger than the other
All of a sudden?
Customer: replied 3 years ago.
Im not sure
But not something you've had for a long time?
Customer: replied 3 years ago.
No not for a lobg time
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 3 years ago.
If they do a d dimer its going to be elevated because it always is
That's for looking for a PE, not a DVT.
Customer: replied 3 years ago.
K. Is it something that can wait another day
Well, the sooner the better but yes unless you suddenly get short of breath with chest pain
Customer: replied 3 years ago.
Ok. And i didnt try to put you in a difficult spot
I know but I know how you feel about ER's
Customer: replied 3 years ago.
Sorry
Not your fault at all--just glad you didn't snap at me for talking ER
Customer: replied 3 years ago.
Im far to tired to snap
At you
OK--anything else for today?
Customer: replied 3 years ago.
Why ami so tired all the time
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 3 years ago.
I havent taken any today
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 3 years ago.
Are normal people this tired everyday
Well, it certainly isn't something the average person suffers from
Customer: replied 3 years ago.
Thats all
That's all as in we're done?
Customer: replied 3 years ago.
No i just dont know what else to say right now
OK--let's close because I have a movie to go see. Talk at you tomorrow
Customer: replied 3 years ago.
I know you are leaving to see amovie but it really hurts to pee
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
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