Medical Questions? Ask a Doctor Online!
Welcome, as an Internist I will try to answer your Medical Question, for informational purposes only, please see your doctor as needed.
I am waiting for you to come online
did they do a TSH for hypothyroidism?
do you smoke cigarettes?
did you get a CBC (white cell count?)
Yes did TSH also T4 & T3 all good. No, I don't smoke nor do I have a cough, but the swelling in neck/throat can occasionally make my thoat "croaky"
has anyone considered Sjogren's syndrome?
I will get you a webpage on Sjogren's
look at the picture
this is the classic presentation with bilateral parotid gland swelling
you usually have dry eyes, a dry mouth
and can have joint pain
and muscle pain etc
if you look at that webpage, they will list the symptoms
you check this with a few blood tests.
I do not have dry eyes or dry mouth, but do have parotid gland swelling. No pain in joints or muscles
then it is unlikely
there is a test called the shirmer's test, to check your eyes, but without symptoms it is unlikely
What do you suggest I should check first from this list with my doctor ?
well my approach
would be to look at if there is some inflammatory process going on
they put you on steroids already
that can wreck the testing
so I would say to get your rheumatological marker testing done first
for sarcoid, sjogren's
Mumps viral titers
get a C reactive protein for autoimmune diseases
and a sedimentation rate
I did have rectal adino carcinomer 18 months ago, only 3 lymph nodes removed with tumour were magnant, followed by fol/fox chemo, but all tests currently show all is well
I do not think it is related, but you need to do a serum protein electrophoresis
to see if you have a monoclonal gammopathy, which is an increase in an immunoglobulin as from a paraneoplastic syndrome
from rectal cancer
but I would say it is unlikely
i see, can print this off to show my doctor?
I will switch this to the question and answer section
you then right click on the page with your mouse
and hit print ok?
I hope I was able to help
please come back anytime if you have questions ok?
Dr Frank T
please rate my service if you can
good luck to you in NZ