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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Medical
Satisfied Customers: 8999
Experience:  Neurologist/Internist with academic and clinical experience.
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Not feeling well Physically, Excess sweating, Deviated

Customer Question

Not feeling well Physically
JA: OK. The Doctor will need to help you with this. Please give me a bit more information, so the Doctor can help you best.
JA: Is there anything else the Doctor should be aware of?
Customer: Excess sweating
JA: Our top Doctor is ready to take your case. Just pay the $5 fully refundable deposit and I'll fill the Doctor in on everything we've discussed. You can go back and forth with the Doctor until you're 100% satisfied. We guarantee it.
Customer: Deviated pitruitry stalk
Submitted: 7 months ago.
Category: Medical
Expert:  Dr. Frank replied 7 months ago.

Hello welcome to JA. You have a deviated pituitary stalk (?), can you tell me why? do you have a micro or macroadenoma? Prolactinoma? Rathke pouch cyst? Do you have empty sella syndrome? Have you had an endocrinology evaluation with blood testing? If you need that reviewed, please upload the report minus your name as this is a public forum. Get back to me and I will try to answer your questions. Dr Frank

Customer: replied 7 months ago.
It could be down to a head injury as been knocked down by car after that had an enlarged pitruitry gland. Also have had 6 bouts dangerously low bp without getting right treatment and focal seizures many with no treatment. Could a severe tbi cause it? Or enlarged pitruitry? It went back down to within limits in last mri and they said deviation within normal limits but i have lots symptoms like excess sweating very tired, lack of sensation front of head, poor cognition memory low blood sugar and bp i have had raised prolactin over 3000 in past yes whist on medication. Could this deviation affect sweat glands and make you sweat more and thyroid hormones? Is the deviation treatable and if so how? Can you recommend possible blood tests or scans to find out cause? Eeg showed slight abnormalities in 2013 oct but conclusion was normal
Customer: replied 7 months ago.
Attached is eeg scan report
Customer: replied 7 months ago.
Expert:  Dr. Frank replied 7 months ago.

Yes to most of your questions. In addition to increased prolactin, you can have increases in ACTH and GH, or somatotropin, which will What about your menses (if you are woman)? It is highly unusual to get swelling though, as a result of trauma, unless you had a sphenoid wing fracture/orbital bones fractures, did you have that?

Expert:  Dr. Frank replied 7 months ago.

I wanted to say it is highly unlikely to have swelling in the pituitary in the absence of hemmorhage, because it is a highly vascular spot. the pituitary is surrounded by the cavernous sinuses, so if that is fractured in trauma, it is a life threatening condition. Dr frank

Customer: replied 7 months ago.
I did have it in 2006 following minor RTA bit in more recent scans its been ok. If could the enlargement of the pitruitry have caused stalk deviation and is the deviation life threatening? Whats cavernous sinuses?
Customer: replied 7 months ago.
What would symptoms be if was fractured? Could it trigger hypothermia and hightened senses?
Customer: replied 7 months ago.
sphenoid wing fracture/orbital bones fractures, where are they?
Customer: replied 7 months ago.
What do you make of the reports? Any ideas?
Expert:  Dr. Frank replied 7 months ago.

HI. Your EEG's are all essentially normal as per the report.

Expert:  Dr. Frank replied 7 months ago.

You need to see an endocrinologist for this sweating however. Are you having panic attacks? How can I help? Please get back to me with questions if you think I can help Dr Frank

Customer: replied 7 months ago.
No not panic on medication for anxiety but generally feel too calm if anything. Would you be able to help with a referral to endocrinologist?
Customer: replied 7 months ago.
Or can you recommend one can see privately
Expert:  Dr. Frank replied 7 months ago.

You are in the UK, and I am in the USA, in New York. We have some good ones here in the NYC area. But I have no idea in terms of England. Dr Frank

Customer: replied 7 months ago.
Ok can you recommend any specific blood tests or scans i could have done to ascertain cause of problem
Expert:  Dr. Frank replied 7 months ago.

Yes. In the setting of pituitary dysfunction, you need a TSH, T3, T4, T3RU or T7, an FSH/LH, prolactin, ACTH. fasting cortisol and glucose, HgbA1c.

Customer: replied 7 months ago.
Great thankyou you have been very helpful :)
Customer: replied 7 months ago.
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Customer: replied 7 months ago.
The sweating is very bad at moment :( dripping off me i dont know what to do
Expert:  Dr. Frank replied 7 months ago.

I put out the phone call option, get back to me. I can call you on Skype, but for only a few minutes as charge unfortunately.

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