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Recent Autoimmune questions

I have been dealing with aphthous ulcers 10 days. They heal

I have been dealing with aphthous ulcers for almost 10 days. They heal then sometimes go to another area. Now the front of my throat to the floor of my mouth appears to have a yellow cast with some ulcers. I have found that sodium laurel sulfate has been an irritant and possibly the cause of the ulcers. I have changed toothpastes.

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Dr. Bob

Staff Physician

Doctoral Degree

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How can you tell the difference between intertrigo and

How can you tell the difference between intertrigo and inverse psoriasis? I was told to take daily Bleach baths for HS which has given me what appears to be intertrigo but it has not responded to any treatment and has become debilitating

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Dr. Bob

Staff Physician

Doctoral Degree

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In recent months, I have had unusual swellings: about a

In recent months, I have had unusual swellings: about a month ago, my lower lip swelled, moved to lower part of face , then went away. about 3 weeks ago I woke up with a swollen tongue, it went down over the course of several. Last night, I thought I was getting a canker sore on the inside of my upper lip and this morning woke up looking like I had gotten major juvederm injections. Any thought as to what could be causing this?

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I have been diaganosed with Aplastic anemia finding it hard

I have been diaganosed with Aplastic anemia finding it hard to understan can you help? I live in spain but I am English and my consultant is Spanish so finding it tough?

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

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I learned recently that I have adrenal fatigue and thyroid

I learned recently that I have adrenal fatigue and thyroid issues. I also have heavy metals toxicity and digestive issues with GERD and gastritis along with multiple food sensitivities. What are the chances that my 8.5 year old solid silicone breast implants are causing these issues?

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Dr. SH

Board Certified Physician

Doctoral Degree

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Last December I developed a dry cough that didn't respond to

Last December I developed a dry cough that didn't respond to codeine so steroids were prescribed. they didnt work either as I was breathless with a soft chesty cough. On 1st Jan I went to emergency with high BP pulse and palpatations. My AST & ALT were raised x 3 times. I had an echo a few weeks later and all was ok but the symptoms were gone at this stage and I felt better. A few weeks later the dry cough returned and I was put back on steriods.About 8 weeks ago I was diagnosed with pneumonia. I was able to hear crackles in my lungs and after 5 days I went to the GP who diagnosed pneumonia. I did not feel sick no temp no cough no breathlessness. I had a chest xray to confirm and went on augmentin for 7 days. After 3 days I was no better and returned to GP. Erythromycin was added and within 24 hours the crackles were no longer audible to me. About 2-3 weeks later I got a UTI which took 3 antibiotics to clear. Blood tests showed mild neutropenia 1.47. I attended a pulmonologist who said I had atypical pneumonia and erythromycin was the correct antibiotic. I had a LFT which showed my lungs to be at 87%. The pulmonologist said my lungs were functioning normally but reduced capacity due to the pneumonia as I'm a non smoker with no exposure risks. 2 weeks ago I had sudden onset nausea with one episode of vomiting with loose bowel movements but not really diarrhoea. 7 days later and the bowel movements no better I returned to GP. My abdomen was v tender. Yesterday week I went to the out of hours doctor with a stabbing pain in my right shoulder between my shoulder blade and spine. I would rate the pain 8-9. The doctor detected reduced air entry in my right lung and suggested pleurisy. He sent me to emergency for bloods & xray. The xray was clear as were the bloods and my neutrophils had returned to normal. a D Dimer test was also normal. My BP was high and low and with the pain not going away I was kept over night. I was also given 40 mg prednisolone. They also did bloods to check for autoimmune diseases. I was discharged 24hrs later with just a prescription for pain meds - no prednisolone.The next days I was back with the GP I had heartburn type chest pain. The only other 2 occasions I had heartburn was when I was pregnant and while the crackles were audible to me a few weeks earlier but GP said my lungs were clear but she prescribed augmentin again just in case. The next day I was worse and had the stabbing pain in my back again - not just as bad. I rang the GP & was told to give the antibiotic a chance. The following day I rang again as I was weaker and asked for erythromycin but the GP refused. I was getting weaker and more tired and have spent much of the last week in bed. I returned to the GP on 3 days ago my BP was 130/80 pulse was 100. but lungs were clear. He suggested a return to the emergency. I didn't go. I'm breathless going upstairs and my legs are like jelly. If I do anything that involves lifting my arms over my head, I can feel the blood draining out of them. I have felt the tightness in my chest and ribs since the pneumonia but its worse. I don't have painful breathing but it is sore. There are palpitations aplenty and in common with the pneumonia I have a headache for several days - just the left side head from the base of my skull to my forehead in an arc. Not bad but just niggling away. I am also having sweats. I am better today than a few days ago but I would like a second opinion. I'm due back to the pulmonologist at the end of the week. Thank you for your time.

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Anthony Bray, MD

Doctoral Degree

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I began having severe pain in my upper abdomen yesterday

I began having severe pain in my upper abdomen yesterday a.m. It eventually spread to my entire abdomen with pain all around, then during the night after it radiated to my back. I take opiates (vicodin) 3 times daily for autoimmune disease (scleroderma). I have gotten thru the pain by increasing my dosage from 3 x per day to 5 (7.5/325) but am still having pretty significant back pain in whole back, especially in lower back. It is Sat. and I'm wondering if I can wait until tomorrow a.m. to go to ER . I have SIBO (small intestine bacterial overgrowth ) due to scleroderma fibrosis of GI system. It has been successfully managed with Xifaxin on daily basis. These are new symptoms and unlike my regular abdominal cramping which comes and goes, this pain is enduring and constant so it is a new development for me. Do I need to go the ER tonight or ok to wait until tomorrow? Any advice appreciated.

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Anthony Bray, MD

Doctoral Degree

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I want to know if neuropathic pain manifested as

I want to know if neuropathic pain manifested as burning/tingling in hands and feet, vision loss, comprehension difficulties, heat intolerance, and loss or bladder function could be psychosomatic in origin. I have had sudden onset of these symptoms throughout the past year. Each on manifested at a different point in time, lasted intensely for a few weeks hen tapered leaving residual effects. MS has now been ruled out because I only have only lesion and I have been told that I don't not fit perfectly within any of the more common diagnostic possibilities. I am told that my best option is symptom control and if things worsen, manage as needed. I do have a history of childhood abuse, but I have dealt extensively with this and would not even consider myself to be depressed. I have been thriving at work and school. Even though I have started to have health issues, I am still doing very well, but it is harder because I am so tired. I worked so hard to turn my life around. I got out of the environment I was in, did hours of counseling (I still have counseling just not as much), and I got off all antidepressants until I recently started one for pain control (Cymbalta). Could this really be all psychiatric?? I use a catheter to urinate! I feel a bit hopeless now because I feel like I am condemned to pain and dysfunction the rest of my life...any thoughts at all?

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Anthony Bray, MD

Doctoral Degree

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I have no idea what is going on with me. I feel a good

Good afternoon. I have no idea what is going on with me. I feel a good amount of pressure in my stomach, chest, and head. My right knee feels really stiff as well. And finally, both of my ears feel stuffed. I was recently diagnosed with slight gastroparesis. I've had reflux for months now and no medicine helps. After diagnosis, i was told that I should just try eating frequent small meals and wasn't offered any medication. I was given no other treatment plan, but today its really bad. Is there anything else that could be tied into these symptoms, I know they seem all over the place, but I would appreciate any insight. I am also not a diabetic, which to my knowledge are the high majority of people with have gastroparesis.

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Dr. Phil, MD

Internal Medicine Physician

Doctoral Degree

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