Endocrinology

Ask an Endocrinologist. Get Answers to Endocrinology Questions.

Ask a Doctor,
Get an Answer ASAP!

Endocrinology

I had been diagnosed with thrush, and sent you a picture, by…

Customer Question
I had been diagnosed with...
I had been diagnosed with thrush, and sent you a picture, by the next day the white spots were completely gone and I was just tired and itchy, I took 2 days of diflucan and nystatin. I stopped last night. I was having increased PVC"s from the medication, and have had that before. This am the thrush appress still gone, but I am having a lot of burping, like overtime I drink and some pain in the area between the breasts and lower. I have never had this happened, till last week when I felt like a pill or something was stuck there and then had pain for two days after and burping and reflux. Then it. got better not totally gone on diflucan, but better, not seems worse again. If I did hurt my esophagus with pills or food, how long could it be inflamed, and you said thrush likes to life on inflamed areas. I alas has been using a steriod bases inhaler of over 2 weeks prior to this, and did not know I was supposed to rinse my month and I have dentures, due to sjogrens and the lack of saliva. I know dentures and lack of saliva worsen thrush. If I irritated my esophagus how long would it take to calm down?
Submitted: 1 month ago.Category: Endocrinology
Show More
Show Less
Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
I just read on multiple site that thrush in the esphogas is treated for 2-3 weeks with diflucan, is two days not enough?
Answered in 16 minutes by:
1/7/2018
Endocrinologist: DocPhilMD, Internist replied 1 month ago
DocPhilMD
DocPhilMD, Internist
Category: Endocrinology
Satisfied Customers: 58,044
Experience: Internal Medicine Physician
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Ask Your Own Endocrinology Question
Endocrinologist: DocPhilMD, Internist replied 1 month ago

Yes, you need a much longer course of diflucan

usually 2 weeks

200 mg per day of two weeks

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
1. Would they have to do an endoscopy to know that, or is the presentation in the back of my throat a good indication that it traveled down my esophagus?2. would some thing stuck in lower esophagus like meds or food due to severe sjogrens cause inflammation or irratation that last longer than a few days?3.Can difucan worsen PVC?4. Can you see the picture I attached, one day after difucan all the white was gone, would you think that thrush had traveled down?5. the urgent care doc mentioned I might need endoscopy for a hiatal hernia check, does a sudden onset like this sound lek that. I have dentures, been on steroid inhalers for 2.4 weeks, and have sjogrens, so no saliva, so thrush is increased in the cases.
Endocrinologist: DocPhilMD, Internist replied 1 month ago

1)that is enough of an indication. If it doesn't resolve then you need a scope

2)yes it can

3)yes it can

4)yes it looks as if it has

5)Only if the med doesn't work. then you need a scope

helpful?

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
1.so if dilfucan makes me have triplets, which I know, because my cardio doctor has told me what they are, and I know when I have them, then it is normal, my PVC's can get very bad.2.Why do you think it appears to have gone down the throats, could it also be just in the back of throat and mouth?3. when the pills/food got stuck it hurt very bad and that was 5 days ago, how long could an irrational/inflamaiton last?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

1)yes that is common with diflucan.

2)you are having symptoms in the throat

3)that could last 1-2 days. There is something else causing it like the candida

let me know if you have other questions.

if done for now, please leave a 5 star rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. Phil" in the medicine, cardiology or pharmacy categories if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-irondoc/

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
also one last thing, if it were oral thrush from the inhaler, and all the white on the top of mouth and back of throat went away and I stayed off difucan for a few days and it did not come back, would that mean more likely it had not traveled down?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

yes

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
you say yes if it does not come back to the throats or mouth, if I don't take more than 2 days difucan, and it it completely gone now, likens white spots left, then it was likely not down the esaphagas?
Customer reply replied 1 month ago
sorry about my spelling
Endocrinologist: DocPhilMD, Internist replied 1 month ago

that is correct

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
1.ok, then from looking at the picture and taking two days of diflucan and having it completely gone, if it does not come back there you would say likely not in the esophagus?2.Also how long could an irritation/infammation of the esophagus last?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

1)only if the symptoms resolve too

2)1-2 days if just from irritation. longer if infection

let me know if you have other questions.

if done for now, please leave a 5 star rating above the chat box so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me with "a question for Dr. Phil" in the medicine, cardiology or pharmacy categories if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-irondoc/

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
1.only above you said an irritaion or inflamation could last longer than fews days but now your saying only if it is candida, it would last longer?2. so you are saying even if the thrush does not come back off the difucan to the mouth, it can still be in eshopagas? I attached the pictures, the ones from Friday, and then the one Saturday evening, so after 1.5 diflucan. Would it clear up this fast if it were down the esophagus?
Customer reply replied 1 month ago
in the pictures I took for my doctor, the thrush does not appear to be on the esophagus beginning, but on the throat and upper mouth, which is another pic.
Endocrinologist: DocPhilMD, Internist replied 1 month ago

I think I am confused by the wording of your questions. Let me put it this way.

If it were just irritation, it would last 1-2 days. Longer if infection.

I would advise that you take a longer course of diflucan and if that doesn't resolve it, you need a scope.

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
did you look at the two pics I sent?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

Yes, but the fact that the throat cleared up doesn't mean much if you still have symptoms

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
you mean reflux? would you expect the throat and mouth to clear up that fast??is you saw me in urgent care and looked at my throat and mouth would you think it had gone down the esaphagos?
Customer reply replied 1 month ago
sorry, if it did not come back off difucan in the mouth is that not a good indication since that was so bad. I had been on a steroid inhaler which they though caused it, would that cause it to go into the esaphogas?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

Yes, I would think it had gone done into the esophagus

Yes, it can do that

Right now, I suspect you have fungal esophagitis

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
ok, can I ask why you would think it traveled?The urgent care doctor said it could or could not have traveled and to take three days and if symtpoms don't resolve do endoscopy to see if it entered the esophagus.He said you can get thrush from dentures and steroid inhalers, and that my main symptom was the sore throat.yes I have gotten a pill stuck on my throats 5 days ago and he said that may have exacturbated symptoms.
Endocrinologist: DocPhilMD, Internist replied 1 month ago

because the clinical picture fits. You all of a sudden develop throat issues at the same time you have thrush? That doesn't take Dr. House to figure out!! Too coincidental

I think the pill got stuck because of the fungal esophagitis

not the other way around

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
Ok, I did not have any thrush when the pill got stuck. I have sjogrens, which cause extreme dryness, so I have pills get stuck ALOT, I make almost zero saliva from aggressive ajogrens. Getting things stuck is normal. Getting thrush like this has never happened. I have been on steroid inhalers, have no to little saliva, and have dentures all factors which cause thrush.Just because I developed oral thrush does not mean it traveled, that is why I asked why you think so. I have had things get stuck many times, and that happened days before any thing was wrong with my throat, which I had checked because I had had a sore throat and two days prior to the thrush, I had nothing there.I am not getting a clear answer, and for some reason that seems to happen with you. I asked why you think it traveled down, based in the fact that I felt something was stuck days before, because something was, a pill I swallowed and it happens frequently and I don't have thrush?
Endocrinologist: DocPhilMD, Internist replied 1 month ago

Mollie, with all due respect you are confusing me with your questions. You seem to be searching for a particular answer and changing the phrasing of your questions in order to achieve a desired response. I have been very clear that I think that this is fungal esophagitis and the plan that I suggested in order to treat it. VERY clear.

The pill could have gotten stuck just because but that could have been the start of the esophagitis as well. We don't know.

That is what I suggest you do. If you want another opinion, I would be happy to opt out for another expert.

Ask Your Own Endocrinology Question
Customer reply replied 1 month ago
the expert I spoke to yesterday, did not think it had to be going down the esophagus, nor did the urgent care doctor. Jumping to it has to be that, seems too much, considering that the meds are causing me triplets and bignemy of PVC's ,so 3 weeks unneeded could be ver aggressive.Yes please opt out. I would like another expert to looks at the pics and see if they think it would be likely it traveled and if it cleared up that fast should I wait and see if it does back. Like I said items getting stuck in my throats is not unusual and very very common in sjogrens, so to base it off that is not reliable.
Endocrinologist: DocPhilMD, Internist replied 1 month ago

Not a problem. I'm happy to opt out. It will be up to another expert to pick up the question though. I can't make them so you might have to wait a bit.

Is that ok?

Ask Your Own Endocrinology Question
Was this answer helpful?
Ask DocPhilMD Your Own Question
DocPhilMD
DocPhilMD
DocPhilMD, Internist
Category: Endocrinology
Satisfied Customers: 58,044
58,044 Satisfied Customers
Experience: Internal Medicine Physician

DocPhilMD is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr Adi

Dr Adi

Professor

440 satisfied customers

Director of the Pediatric Diabetes Clinics at UCSF.

MCC. Endo

MCC. Endo

Board Certified Endo

25 satisfied customers

>10 years clinical exp, award winning research as a fellow

Sohaib K

Sohaib K

16 satisfied customers

Consultant at King Faisal Specialist Hospital

Dr Eisenbud

Dr Eisenbud

Board Certified Physician

166 satisfied customers

Endocrinology and metabolism practice for 35 years

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,784 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

< Previous | Next >

Related Endocrinology Questions
I was on metformin 850 mgs po bid. I got started on Keto
I was on metformin 850 mgs po bid. I got started on Keto diet on Jan 23 2018. My sugar levels have gone down to the 60s to the 80s. Irrespective of fasting or after a meal. I want to stop the metformi… read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
Since Sept. 2015 I've experienced Vitamin D deficiency
Since Sept. 2015 I've experienced Vitamin D deficiency symptoms, at first extreme. (Extreme.) It was finally tested in July 2016 (at 26). Been supplementing since with Vitamin D - in retrospect, the s… read more
DrRussMD
DrRussMD
Board Certified Physician
51,784 satisfied customers
Any Medical Expert - Adrenal tumor/hormones question I am
Any Medical Expert - Adrenal tumor/hormones question I am attaching an adrenal tumour that is very active with up and down metanepherines, Cortisol up and down, LH at 14 then to 24, Cortisol High Dexa… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
My TSH level result is 6.64. Doctor says no need for
My TSH level result is 6.64. Doctor says no need for treatment. I have constant irregular heartbeats that are exhausting me, I have really dry skin that responds to no creams or oils regardless of how… read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
I am wondering if you could explain the following results. I
Hello I am wondering if you could explain the following results. I had an elevated THYROID STIMULATING HORMONE (TSH), WITH REFLEX FREE T-4, an elevated THYROID PEROXIDASE ANTIBODY and a normal PTH Int… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,555 satisfied customers
I am 17 years old, I did an 8-week cycle and ended 14 days
Hello my name is ***** ***** I am 17 years old, I did an 8-week cycle and ended 14 days ago. the cycle consisted of applying a topical DHT gel, exactly 100 mg of pure DHT per week (15 mg per day) for … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,555 satisfied customers
I had mohs surgery for a basal cell carcinoma on
I had mohs surgery for a basal cell carcinoma on 3/2017(dermatologist) and had a skin graft on the tip of my nose from the surgery. I'm not happy with how it looks because it is depressed compared to … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,737 satisfied customers
I monitor my blood sugar periodically at home as I have a
I monitor my blood sugar periodically at home as I have a strong family history and sometimes feel some effects after eating carbs. So to.day I had 4 cookies and some rice and within 30 minutes blood … read more
Dr. Chip
Dr. Chip
M.D.
12,999 satisfied customers
Phophalia, Got more blood work back. My igm is 1506 and the
Hi Dr Phophalia,Got more blood work back.My igm is 1506 and the normal range is 40 to 230.My iga is 88 and normal range is 101 to 447.I am on an antibiotic for a possible it I.My sed rate is as I ment… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
I am currently on Florinef 0.1 mg per day for low blood
I am currently on Florinef 0.1 mg per day for low blood pressure. I have to get certain endocrinology blood tests done. I tried weaning off of the Florinef, but am having lots of bad side effects.Will… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
I am a diabetes type two and lost my hearing in my right
Second opinion] I am a diabetes type two and lost my hearing in my right ear. The doctor in Otolaryngology prescribed Prednisone and my sugar went quite high with eating my well controlled meal. I end… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,555 satisfied customers
Is it is possible to have a pheochromocytoma with a negative
Hello, is it is possible to have a pheochromocytoma with a negative plasma metaphrines blood test and a negative chromogranin A blood test?… read more
DocPhilMD
DocPhilMD
Internist
58,044 satisfied customers
I have an constant upper middle abdominal pain for one week.
I have an constant upper middle abdominal pain for one week. The pain is never severe and not like typical abdominal cramps. It's moderate and really annoying almost like burning. The pain really affe… read more
DocPhilMD
DocPhilMD
Internist
58,044 satisfied customers
Since 2007, a couple of levels in my blood tests have been
Since 2007, a couple of levels in my blood tests have been off.MCV is between 101 and 106 every time (most recent labs on 2/2 were 103) MCH is between 34.2 and 35.6 (2/2/18 34.3)I tried to donate bloo… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
I was diagnosed at the ER last night with TSH levels of
I was diagnosed at the ER last night with TSH levels of 7.810. What does that mean? I'm 29m 5'11 185lbs.. I took Zoloft a few weeks ago which seem to make me feel worse like serotonin syndrome and eve… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
I have GAD and panic disorder. I was diagnosed with
Hi! I have GAD and panic disorder. I was diagnosed with Hashimoto's Disease on Monday. I've been noticing my feet tingling all of the time. Is this cause for concern and should I worry about blood cir… read more
DocPhilMD
DocPhilMD
Internist
58,044 satisfied customers
I always am tired, I randomly sweat profusely, I have gained
I always am tired, I randomly sweat profusely, I have gained 40 lbs since July and my calves randomly tingle along with muscle soreness. I have had many MRIs as well as CT scans and they all come back… read more
DocPhilMD
DocPhilMD
Internist
58,044 satisfied customers
I received results from a blood test saying that I have a
I received results from a blood test saying that I have a high ALT enzyme. I don't drink, I don't take that much medicine, and I'm at a good weight for my age/height. What could have caused my ALT to … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x