Question 1

So, I've been noticing something strange happening with my left hand. My middle finger has been twitching randomly, and sometimes I feel a little shiver in the whole hand. Also, there's this weird muscle twitching near my elbow. It's mainly the middle finger that's bothering me the most, and it's got me a bit worried. I'm wondering what might be causing all this and who I should see about it. Could it be something serious?

Accepted Answer

Based on your USG report, here are some recommendations:

*Hepatomegaly with Mild Fatty Grade 1*

1. *Lifestyle modifications*: Maintain a healthy weight, exercise regularly, and eat a balanced diet.
2. *Dietary changes*: Reduce intake of fatty foods, sugar, and salt.
3. *Limit alcohol consumption*: If you drink alcohol, limit your intake to moderate levels.
4. *Monitor liver function*: Regularly check your liver function tests (LFTs) to ensure the condition doesn't worsen.

*Bulky Uterus*

1. *Gynecological consultation*: Consult a gynecologist to determine the cause of the bulky uterus.
2. *Further testing*: Your gynecologist may recommend additional tests, such as a pelvic MRI or endometrial biopsy.
3. *Treatment*: Depending on the underlying cause, treatment may include medication, surgery, or other interventions.

*General Recommendations*

1. *Regular health check-ups*: Schedule regular health check-ups to monitor your condition.
2. *Maintain a healthy lifestyle*: Continue to prioritize a healthy diet, regular exercise, and stress management.

Question 2

I've been dealing with chronic pain in both my legs since 2009. It started in my left leg and has now moved to the right too. Both my heels and feet are constantly hurting, and I feel this pain day and night. There's also some weakness and warmth in my legs, and at times, I feel it in my upper limbs as well. I've also been experiencing hair loss on my scalp, beard, and stomach for the last year and a half. I'm really starting to worrywhat could be causing this, and what should I do?

Accepted Answer

It sounds like you may be experiencing symptoms of neuropathic pain and peripheral neuropathy. For the chronic pain in your legs, a medication like Gabapentin (brand name Neurontin) can be helpful. I recommend starting with a low dose of 300mg at night, and gradually increasing to 300mg three times a day as needed for pain relief. Additionally, for the symptoms of weakness and warmth in your legs, as well as any neuropathic pain in your upper limbs, a medication like Pregabalin (brand name Lyrica) can be beneficial. A starting dose of 75mg twice a day can be effective, with the option to increase to 150mg twice a day if needed. Hair loss in various parts of the body could be due to multiple factors, including nutritional deficiencies or hormonal imbalances. I recommend consulting with a dermatologist for a thorough evaluation and appropriate treatment options for your hair loss.

Question 3

My mom has lumbar canal stenosis and can't walk more than 300 meters or stand for over 5-10 minutes. She's been getting painkiller injections every 6-8 months for the last 3 years but they're not helping anymore. The doctor prescribed Pregabid 50mg twice daily, Dupact 40mg once daily, and Mecobal 1500mg once daily. Will these meds actually help improve her condition or is surgery the better option at her age? Her MRI report shows the severity - just worried if meds can provide real relief or if we should consider surgery

Accepted Answer

Surgery is advised to the patient due to lumbar canal stenosis.

Is a concussion serious?

Concussions are can be serious depending on the area which is affected. Nonetheless, every concussion must be evaluated by a health-care professional and that person needs to rest for few days to recover.

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