Thank you for your question.
You do not mention your age in the question. In general colorectal cancer screening is started in average-risk adults starting at the age of 50 years and in high-risk adults starting at the age of 40 years, or 10 years before the age at which the youngest affected family member was diagnosed with colorectal cancer.
Colonosco...
Hello thank you for your question.
I agree with your referral to gastroenterology. If one of my patients complained of similar symptoms, I would strongly consider diffuse esophageal spasm (DES).
Symptoms in this condition include dysphagia (painful swallowing of foods) and chest pain. Dysphagia is usually intermittent and sometimes related to swallowin...
Thank you for your question.
You have a very mild elevation in ALT. I agree with repeat testing, as this may return "normal" on repeat testing.
In a patient with abnormal liver function tests and the abdominal symptoms you are describing, an ultrasound of the right upper quadrant would be indicated. This would evaluate the liver and gallbladd...
Thank you for your question. The symptoms you are describing are called palpitations. They are a very common reason patients seek medical evaluation.
The key to an evaluation of palpitations is put a patient in the appropriate risk category, but ultimately the goal is to capture their heart’s electrical rhythm when they are having the symptoms. This can b...
Thank you for your question.
The question you ask if a very common scenario. In fact, I recently answered a question of a person who asked about this same problem:
http://www.medhelp.org/posts/Internal-Medicine/SGPT-levels-high/show/1948872#post_9144123
Before I begin I would like to congratulate you on your accomplishments in powerlifting. I enjoy power...
Thank you for your question.
The scenario you are describing is very common in clinical practice. Serum glutamic oxaloacetic transaminase (SGPT) is now called ALT, which is one of the serum aminotransferase (also called transaminases). The other serum aminotransferase is AST (formerly serum glutamic oxaloacetic transaminase, or SGOT). ALT, is found in man...
Postural orthostatic tachycardia syndrome (POTS) presents primarily with symptoms from changing position from seating to standing (orthostatic symptoms), pulse greater than 100 (tachycardia) , and the absence of significant low blood pressure (hypotension.) The symptoms arise from the brain not getting enough blood and by activation of stress hormones. POTS a...
Hello. Thank you for your question. I have read your case scenario and these are some of my thoughts:
A PAC is a premature atrial contraction. It is due to an ectopic (a focus of electricity in the heart other than from the usual location – the sinus node) beat that is usually “conducted” down the atrioventricular node to the ventricles via the atrioventri...
Thank you for your question.
If a patient reported symptoms you are describing I would consider the diagnosis of laryngopharyngeal reflux (LPR). It is not uncommon for patients with GERD to also have LPR.
An ENT physican or speech pathologist can perform rhinolaryngoscopy (similar to an endoscopy, but fiber optic camera evaluates nose, throat. Patien...
Thank you for your question.
For me, the 2 fundamental questions to ask in regards to any kind of arrhythmia is 1) does it alter a patient’s prognosis (increase their chance for cardiovascular events like myocardial infarction (heart attack) or cerebrovascular event (CVA); 2) does it cause symptoms.
In a patient with no evidence of structural heart disea...
