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. David Your Own Question

Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29469
Experience:  Experienced Physician trained in New York City. I'm ready to help.
Type Your Medical Question Here...
Dr. David is online now
A new question is answered every 9 seconds

Hello! My mom took 4 weeks of weekly carbo taxol and that

Resolved Question:

Hello!

My mom took 4 weeks of weekly carbo taxol and that finished 4 weeks ago. The last couple of weeks she has been having mild upper thigh pain on BOTH legs. However last night she woke up with severe (8 of 10) pain in her upper front right thigh ONlY. There was no swelling. Maybe a bit warmer on that leg in the back thigh, but not a huge change between both legs. She took a tramadol and pain got much better after 30 mins. This morning she had a bilateral ultrasound full legs and there are no dvt. Also, yesterday morning before the pain (12 hrs before) she had rouyine labs and wbc was 2.1 and abs neuteophils 1.2 (they have been slowly rising after chemo). her pain has been almost gone all day today, but its coning back a bit tonight. Thoughts? Thanks
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. David replied 10 months ago.
Hello, this is Dr. David. I have read your question and I'm ready to help.

I am a cancer doctor.

if she has been given a neupogen shot, this can cause bone pain in the thighs from the neupogen trying to promote white blood cell counts.

the bone pain can also be from the body trying to promote white cell count production which can cause pain as well.

I am glad her ultrasound didn't show a DVT.

her doctors should have given her pain medications for bone pain.

has she received neupogen shot?
Customer: replied 10 months ago.
No neupogen. Would hone marrow pain be one leg only? Is this life threatening if no dvt?
Expert:  Dr. David replied 10 months ago.
Yes could be bone marrow pain if just one leg

Most likely not life threatening if no dvt
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29469
Experience: Experienced Physician trained in New York City. I'm ready to help.
Dr. David and 6 other Medical Specialists are ready to help you
Customer: replied 10 months ago.
Quick follow up. Her pain is now in her right knee and radiating up. Pain comes and goes. Thoughts? Thanks
Expert:  Dr. David replied 10 months ago.
could be from arthritis

chemo can depress the immune system. she could have septic arthritis which would be unlikely

high blood uric acid could be causing gout crystals in her knee as well causing pain.

she might need to get her uric acid levels checked.
Customer: replied 10 months ago.
Gotcha. Tramadol controls the pain. Do u think its ok to wait until Wednesday that she sees her oncologist?

Thanks so much
Customer: replied 10 months ago.
Would septic arthritis pain come and go? It's fine one hr and painful the next one, etc. tramadol controls it just fine. Wbc wed was 2.1 and. Neutrophils abs 1.1 Pain began Wednesday night in upper thigh and its now starting in the knee and radiating up. Thanks so much!
Expert:  Dr. David replied 10 months ago.
septic arthritis would cause intense pain and fevers

the pain sounds like more likely arthritis or from the femur marrow working to produce more white blood cells.

I am glad that the tramadol works fine.

I wouldn't worry too much about the knee pain. it doesn't sound mega serious.
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29469
Experience: Experienced Physician trained in New York City. I'm ready to help.
Dr. David and 6 other Medical Specialists are ready to help you
Customer: replied 10 months ago.
Thanks so much! Her temp I just took is 96.8 :) I appreciate u so much!
Customer: replied 10 months ago.


dr. david....what about sciatica or a pinched nerve? pain goes from knee up to upper thigh. comes and goes every hr or so.

Expert:  Dr. David replied 10 months ago.
Her knee and thigh pain could be coming from a pinched nerve in her lower back or from sciatica type of pain.
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 29469
Experience: Experienced Physician trained in New York City. I'm ready to help.
Dr. David and 6 other Medical Specialists are ready to help you

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.