If scar tissue has already formed, the only true way to address the underlying cause is through surgery, which, ironically, can lead to even more scarring... 😁
Feel free to incorporate some multivitamins into your routine... it seems clear that B vitamins are necessary for you... however, there is little point in taking excessive amounts of Vitamin C since most of it is simply excreted through digestion, leading to limited absorption. Regarding the symptoms you mentioned earlier, you should consult a dermatologist rather than relying solely on blood work; though, if you want to address acne specifically, you might consider certain tests, such as a blood culture or biochemistry... As for potential side effects from vitamin supplements: there is almost no risk involved, as reaching an overdose would require consuming many times the standard dosage. Ultimately, any issues caused by hypervitaminosis can be easily resolved simply by stopping the supplementation...
This patient on opioids doesn't present a classic clinical picture; it’s more of an oxymoron... how can someone be normotensive yet tachycardic while on opioids? Sedimentation rate is just an indicator of inflammation or other bodily processes, and it's incredibly unreliable... highly non-specific...
A PSA test isn't a substitute for a digital rectal exam, so there's no avoiding a DRP if there's a potential prostate issue... essentially, PSA and DRP provide different sets of data, but if you really want to waste healthcare resources, you could opt for an ultrasound. Of course, medical protocols exist for a reason: history, clinical examination, and only then radiological or lab tests.
Motrin falls into the same category as Voltaren, ibuprofen, or Advil... just take the Motrin, but try not to overdo it with the painkillers... we're becoming a society with such a low pain tolerance that we'll all be living on analgesics soon enough...
hm... for a migraine, you really need to have additional symptoms... and if only Motrin helps, have you tried all the other painkillers? If not, how can you be sure? 😁
Where exactly is the fracture located, and what does the diagnosis state? I want to be sure it isn't a Colles fracture, or perhaps a Fractur occurring in the typical location...
If the bone has healed properly, my only thought is that you're dealing with the fallout from five weeks of muscle and tendon inactivity... they really need to be stretched out. In a worst-case scenario, you might be looking at a contracture, though that seems unlikely since you're already making certain movements... head over to physical therapy and let me know how it goes
Try cutting out alcohol entirely and you will likely find the results are quite similar, suggesting that alcohol itself isn't really a significant factor here...
Actually, carcinoid syndrome is a different matter entirely... It occurs when malignant enterochromaffin cells in the small intestine secrete excessive amounts of serotonin, triggering symptoms such as flushing, diarrhea, bronchoconstriction, and hypotension—which can lead to dizziness or fainting, and in severe instances, valvular heart disease. The exact causal link between 5-HT and the syndrome remains unconfirmed
Essentially, the electrical impulse that kicks off the heart's normal rhythm originates in the right atrium. In cases of ectopic arrhythmia, this natural pacemaker—the specific part of the heart responsible for triggering that action potential—fails to fire correctly, causing the signal to originate from somewhere else instead.
Would you mind posting the biopsy results on the forum? That way, we might be able to provide more insight into what's happening and what the next steps should be...
Goodness, your posts are so long; I can never finish reading them all... Can an anti-alternative type of guy join in? This topic is actually quite educational, though if you ask me, we really need to rework and reprioritize some of this information. While there are many atypical clinical presentations caused by the various cytokines that malignant cells—which are absolutely insane—secrete, the vast majority still manifest in a very familiar way... And what exactly is confusing people regarding serotonin (5-HT) and carcinoid syndrome?
So, we're looking at ventricular tachycardia—an arrhythmia... which leads to heart failure, or more specifically, the inability to pump enough blood from the heart effectively The cause is likely some kind of ectopic current
PSA levels can be quite tricky. They aren't particularly reliable, especially in cases involving clinical prostatitis. Many people suffer from asymptomatic inflammation without knowing it, leading to elevated readings that cause unnecessary panic... As Michelle Cook83 mentioned, I am somewhat uncertain about the necessity of a CT scan, particularly if a biopsy confirms simple BPH paired with inflammatory infiltration. Since you are already seeing a physician, it might be worth suggesting a colonoscopy. If one hasn't been performed recently, it’s certainly time, given that standard guidelines typically suggest a follow-up every two years provided the previous results were clear.