Dear Doctor Reno
-
Originally posted by renorenal:
i was just thinking...if i had something wouldn't my neighbourhood doctors tell me something about it? why is it that they didn't detect anything?
My sole advice to you is to [b]get a chest X ray done and get the findings... It is better to know what is happening inside, since your current symptoms are more suggestive of a trauma rather than most of the important causes mentioned above...
You are in not much of risk and your symptoms does not describe that you have angina or any sort of related disorders...
I believe it is a post-trauma event where you are having this pain progressively in lesser frequency...[/b] -
doctors are human. They make mistake.Originally posted by StarPuppy:i was just thinking...if i had something wouldn't my neighbourhood doctors tell me something about it? why is it that they didn't detect anything? -
yeah but it goes down to specifics and again as i said he may not be comfortable with the whole world knowing about his illness, esp since it may be serious. i'm just recommending/reminding in good faith in case he minds but didn't think about it in the spur of moment.Originally posted by alexkusu:doctor dont want to reply to pm. Also easier if people with same prob as starpuppy... can use as reference ma. -
ok..lets put it this way...is it detectable easily? or a full body check up must be carried out?Originally posted by alexkusu:doctors are human. They make mistake. -
actually, i have a friend who has such similar problem but not sure if it's the same...
he went to see a few doctors, but all the docs said they cldn't find anything wrong...worse is, the frequency of such relapses has increased, and duration becomes longer....
-
You approached them and tell them your symptoms ar?Originally posted by StarPuppy:i was just thinking...if i had something wouldn't my neighbourhood doctors tell me something about it? why is it that they didn't detect anything?
Well... though I may just be a junior doctor, my first advice is to get one X ray finding and get it read by a qualified radiologist...
Helps to reduce the fear in you... but so far your pain is progressively getting better, however it is still safe to visualize what is in there... -
if u think back now n compare wit that time..techniques n technologies r gettin better. They may not detec it then, but they can detect it now. Like brEast cancer.Originally posted by StarPuppy:ok..lets put it this way...is it detectable easily? or a full body check up must be carried out? -
A Chest X Ray may not be very specific or sensitive in picking up certain disorders, but it is cost effective and is the first basic most frontline investigation prior to advancing to CT scan or MRI...Originally posted by StarPuppy:ok..lets put it this way...is it detectable easily? or a full body check up must be carried out?
Mind telling me which part of your chest was involved during the trauma you had when you were a kid? -
i always thought it's called angima..... i have it sometimes also... and from wad i read, it is due to having insufficient blood in your heart chambers for the heart to pump. (resulting in throbbing pain in the left chest, armpit or upper left arm). the reasons for this include low blood volume (so just need to drink half a bottle of water to "top up" blood volume) and inefficiency for blood to go back from veins to heart due to low blood pressure (for this you need to exhale as far as you can go to create negative pressure in the thoraic region to force blood back to the heart. regulate your breathing and stretch each breathe. or try to slow down your heart rate and let the blood "catch up")
er.. correct if i am wrong, i am, afterall, not a qualified doctor. lolz... but for me, drinking water and regulating my breathes and heartbeat usually takes care of the pain in less than 15 min max.... -
actually..i was goin 2 say ct scan..
doctor said it liaw -
Don't misuse the word angina and cause unnecessary anxiety...Originally posted by starblue:i always thought it's called angima..... i have it sometimes also... and from wad i read, it is due to having insufficient blood in your heart chambers for the heart to pump. (resulting in throbbing pain in the left chest, armpit or upper left arm). the reasons for this include low blood volume (so just need to drink half a bottle of water to "top up" blood volume) and inefficiency for blood to go back from veins to heart due to low blood pressure (for this you need to exhale as far as you can go to create negative pressure in the thoraic region to force blood back to the heart. regulate your breathing and stretch each breathe. or try to slow down your heart rate and let the blood "catch up")
er.. correct if i am wrong, i am, afterall, not a qualified doctor. lolz... but for me, drinking water and regulating my breathes and heartbeat usually takes care of the pain in less than 15 min max....
Anxiety or stress / tension may also lead to the similar symptoms that you have described, and so do asthma, chest infection, inflammation of the costochondral joints and hyperthyroidism...
I haven't heard of topping up blood volume with water though...
And it's inhalation which creates a negative pressure in the thoracic region, because the abdominal region will increase in positive pressure to push all the blood backwards to the thoracic cavity, hence the thoracic cavity has to be in a negative pressure state to vacuum in the blood back to the heart (venous return)... -
you should have had this while i was taking physiology so i could ask and thus not do so badly for it
-
For those interested, b.reast cancer screening are done through a series of tests called the Triple Test...Originally posted by alexkusu:if u think back now n compare wit that time..techniques n technologies r gettin better. They may not detec it then, but they can detect it now. Like brEast cancer.
These triple test includes - b.reast examination, mammography and fine needle aspiration cytology (similar to biopsy but it extracts cells rather than tissue) -
the ribcage areaOriginally posted by renorenal:A Chest X Ray may not be very specific or sensitive in picking up certain disorders, but it is cost effective and is the first basic most frontline investigation prior to advancing to CT scan or MRI...
Mind telling me which part of your chest was involved during the trauma you had when you were a kid? -
Ribcage is a big area...Originally posted by StarPuppy:the ribcage area
Can you denote specifically where? Under your right shoulder, right nipple region, or below your nipple region or left or right in the middle of the sternum... -
oh. sorry about the pressure thing, yah, it is inhalation (i forgot.. haha)... but i meant i always thought it was called angiMa (with the M, not N)... dunno if i read wrongly, or it's another ailment or wad lah...Originally posted by renorenal:Don't misuse the word angina and cause unnecessary anxiety...
Anxiety or stress / tension may also lead to the similar symptoms that you have described, and so do asthma, chest infection, inflammation of the costochondral joints and hyperthyroidism...
I haven't heard of topping up blood volume with water though...
And it's inhalation which creates a negative pressure in the thoracic region, because the abdominal region will increase in positive pressure to push all the blood backwards to the thoracic cavity, hence the thoracic cavity has to be in a negative pressure state to vacuum in the blood back to the heart (venous return)...
blood volume depends on plasma volume, since it is a major component of the blood. so to increase blood volume, taking in water will help somewhat, when the water gets absorbed into the blood stream.
and my symptoms dun come from stress or anxiety or wad... they come anytime anywhere, like when i am sitting on a bus, or after i sprinted after a bus etc.... -
Where ? -
wah the skeleton will fluoresence oneOriginally posted by renorenal:
Where ?
-
No such thing as angima...Originally posted by starblue:oh. sorry about the pressure thing, yah, it is inhalation (i forgot.. haha)... but i meant i always thought it was called angiMa (with the M, not N)... dunno if i read wrongly, or it's another ailment or wad lah...
blood volume depends on plasma volume, since it is a major component of the blood. so to increase blood volume, taking in water will help somewhat, when the water gets absorbed into the blood stream.
and my symptoms dun come from stress or anxiety or wad... they come anytime anywhere, like when i am sitting on a bus, or after i sprinted after a bus etc....
And not all water or fluids go to the bloodstream and stays there... the blood vessels are not a storing up place for additional blood under normal conditions...
You still haven't answer me whether you have the symptoms I listed out... It is beginning to make connections with your additional symptoms that you describe here... the post is several pages back... -
sorry, its for 'genuine' purposes oniOriginally posted by hisoka:you should have had this while i was taking physiology so i could ask and thus not do so badly for it 
-
The only way for me to increase your blood volume by plasma volume now is to inject you with a sterile needle and set up a 500 ml of IV pack... How's that sound?
Very painful or... -
i am not saying the fluid stays there under normal conditions. i am saying angina results from reduced blood volume, so drinking water restores it to normal. excess water that you drink will of cos go to the kidneys...Originally posted by renorenal:No such thing as angima...
And not all water or fluids go to the bloodstream and stays there... the blood vessels are not a storing up place for additional blood under normal conditions...
You still haven't answer me whether you have the symptoms I listed out... It is beginning to make connections with your additional symptoms that you describe here... the post is several pages back...
oh, u mean symptoms in relation to the cramps?? i only experience lethargy during that period... the rest not at all... -
ok, and maybe irritableness (cos i hate it when i am unwell and my brothers are still so apathic...)
and oh yah, the lethargy usually starts 3 days after the onset of menstruation, lasting to the 10th day of the cycle. -
Angina does not result from reduced blood volume...Originally posted by starblue:i am not saying the fluid stays there under normal conditions. i am saying angina results from reduced blood volume, so drinking water restores it to normal. excess water that you drink will of cos go to the kidneys...
oh, u mean symptoms in relation to the cramps?? i only experience lethargy during that period... the rest not at all...
Angina results when there is a disproportion between supply and demand...
Your coronary arteries get clogged up because of atherosclerosis and hence the distal (after the blockage) portion of the arteries collapse and stop supplying the parts they used to supply, hence leading to infarction and necrosis (myocardial infarction). The proximal portion (before the blockage) of the heart gets sufficient blood and keeps on living.
If the principles is solely based on not enough plasma volume, many will become anemic... and that is not the case... -
starblue scared of needles worOriginally posted by renorenal:The only way for me to increase your blood volume by plasma volume now is to inject you with a sterile needle and set up a 500 ml of IV pack... How's that sound?
Very painful or...
btw if you wanna reduce blood presure is it possible to poke yourself to drain some blood so that the blood volume decreae and thus lower blood pressure? i understand the immediate effect is contraction of blood vessels to maintain the pressure btu what about abit later?