How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Stan Your Own Question

Dr. Stan
Dr. Stan, Medical Physician and Surgeon
Category: Medical
Satisfied Customers: 2690
Experience:  Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
Type Your Medical Question Here...
Dr. Stan is online now
A new question is answered every 9 seconds

Experiencing tightness (inflammation ) entire right side of

Customer Question

Experiencing tightness (inflammation?) entire right side of body. Several dr visits with no answer toward cause - hoping to identify cause, 2nd opinion, or questions to ask dr on next visit. Symptoms initially presented 6mo as right-side right-sided paresthesias transitioning over this time period to 'tightness' sensation with pain:
1. Above and to right of right eye back across scalp - strongly accentuated by raising eyebrows
2. Right cheekbone - accentuated by 'big' smile
3. Right side of neck from back of jaw/ear area running down along esophagus to collarbone (feels like a 'rope') - strongly accentuated by turning head to left'
4. Right shoulder blade area running down back, in the front, just below shoulder running down right side of nipple to lower ribcage. Strongly accentuated by inhaling deeply - feels like chest is tight and lung cannot fully inflate
5. Mild down outside shoulder outside of arm and forearm
6. Significant discomfort beginning beltline running down both front and back of leg concentrated mostly (front) above knee, calf, shin
7. Right side of throat feels mildly "sore"

Symptoms exclusive to right side of body. No real answers to date as to what could be cause. Am concerned for cancer, liver damage (alcohol hx), infection of some kind, or???
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Stan replied 3 years ago.
Hello,

Welcome to Just Answer:

Based on the description of your symptoms, it appears that you had a stroke syndrome affecting the right side of the body. If is possible that the such stroke syndrome is related to an autoimmune inflammatory connective tissue or collagen vascular conditions such as seen in vasculitis conditions like polyarthritis nodosa, wegener's, lupus, rheumatic arthritis, Behcet's, and others. Other conditions such as migrating thrombophlebitis affecting the brain should be considered. I suggest that your doctor closely evaluate with tests including ANA, ESR, C-reactive protein, anti-sdDNA and anti-Sm antibodies, p-ANCA and c-ANCA, anti-scl-70 and MRA or CT brain angiography. In the meantime, it is likely that treatment with prednisone or other anti-inflammatory agents would significant reduce your symptoms.

It was a pleasure to assist you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you so much.

A Positive Feedback and/or Bonus is welcomed and appreciated.

Please note that this answer is for information only. It cannot be substituted for the visit to or the recommendation of your doctor.

Dr. Stan, Medical Physician and Surgeon
Category: Medical
Satisfied Customers: 2690
Experience: Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
Dr. Stan and 4 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
Apologies, I read your response very quickly. Clarification on 'stroke syndrome' - does that mean it was not actually a stroke or that it may have been? Stroke was in fact the initial concern of Dr, but one week after initial symptoms onset (occurred overnight) I had an MRI done and it was apparently "normal". Stroke was never mentioned again. Is it being suggested that I request my Dr to revisit the possibility that a stroke occurred? I have no significant motor skill issues so between that and MRI results presumed stroke was off the board as root cause. I do get very brief and infrequent bouts of dizziness. (Most often occurs during landing for air travel - I fly very often for business). Again apologies for the follow-up but took a while to digest the reply. Will send a bonus for your time. Thanks!
Expert:  Dr. Stan replied 3 years ago.
Thank you so much: Sorry for the delay in reply.

There are inflammatory or abnormal blood vessel conditions that can affect small and medium blood vessels, including those in the brain to cause changes in blood flow, with symptoms that resemble stroke - resulting from bouts of blood flow interruptions especially during exacerbations. MR or CT angiography along with other autoimmune inflammatory condition testing as mentioned above can be used to support such consideration. I suggest that the doctor re-visit the possibility that this may be related to persisting vascular abnormality in the brain which tend to worsened with changes in altitudinal pressure, affecting blood flow and causing symptoms that resemble stroke. In the addition, I suggest that your doctor consider including PET scan study in the diagnostic portion to assess the blood flow in the different parts of the brain.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.