The doctor is in.
Ask me anything.
>>35638338
My BP is 155/88
How do I lower without meds?
>>35638353
DASH diet
https://en.wikipedia.org/wiki/DASH_diet#Diet
Basically high potassium, fruits and vegetables, low fat or nonfat dairy, beans, and nuts. Poultry
How old are you? Has it always been this high?
>>35638338
I fell off my bike a week ago and couldn't move my shoulder. Now I can, but a lateral raise with my shoulder blade tucked in still hurts.
>>35638375
Go light for now. When you get an injury like this, range of motion comes back first, then pain goes away. It still needs to heal fully.
>>35638362
28. Not sure. Its been up since around 20
>>35638423
Diet and exercise can lower you down to normal range. If this is not working, meds are not a bad option. There are a lot out there with minimal side effects. You really don't want high BP for too long.
I habe arthritis in two fingers. Anything I can do aside from fish oil, glaucosamine and chondritine?
>>35638338
How do you feel about hospital power structures? Are you willing to get consult from your colleagues? Are your nurses willing to correct you/ask questions or do they just do whatever you tell them regardless of personal opinions?
Recently read an excerpt from Dr. Hilfiker's book "Healing the Wounds" for Medical Ethics and I was pretty surprised at how guarded and egotistical a lot of doctors can be. Not saying you are, but I'm just wondering what your experience is.
>>35638338
My shoulders hurt. How stretch?
>>35638338
What's your specialty?
>>35638535
Rheumatoid or osteo?
Acetaminophen is good if you need relief, Its much better tolerated and less toxic.
The key thing is DO NOT rest the joints when they hurt. Exercise and movement has been seen to increase cartage growth in joints,
i have pain/soreness in my left foot/ankle when i stand. i've also recently discovered it's flat-flooted. what do?
also i have difficulty pissing. is it my prostate?
>>35638338
What is the cure for a broken heart?
>>35638659
Wouldn't an NSAID be more appropriate for arthritis than Tylenol?
I jumped a few days ago and landed wrong, and one of my toes started hurting. I can bend it, but it feels different compared to my other toes. Is it broken? I can walk and run on it btw
>>35638596
>How do you feel about hospital power structures?
They are great. We are taught that patients get the best care from large health care homes/systems.
> Are you willing to get consult from your colleagues?
There is no way I can keep up with current research/protocols on every specialty. I need to consult all the time. Mostly just to cover my ass.
>Are your nurses willing to correct you/ask questions or do they just do whatever you tell them regardless of personal opinions?
I like to invite all staff to practice at the top of there license. I will have a couple nurses that I trust go ahead and treat according to protocol before I even put orders in. They can be great, but you have to be able to trust them. They are very good to me in return.
>>35638686
Not for osteo arthritis. In osteoarthritis, the pain is more due to mechanical wear and tear in the joints. While it is true that asprin or other drugs may give slightly higher pain relief, acetaminophen should be the first thing you reach for because of its lower toxicity and less side effects.
>>35638616
I am a 3rd year resident in internal medicine
>>35638338
Thoughts on current usage of statins as a broad primary intervention
What macro nutrient(s) is most important for dinner? Google is surprisingly unhelpful for this question I have.
I have a slight back pain for few days, how much time have I left?
jk, what's best to do when something like this happens?
>>35638741
Good to know. I'm a paramedic currently looking to go to med school so I'm always interested to learn stuff like that.
On the subject of it, are there any must have books for your career that can help the process of school? Most of my experience is emergency medicine and I worked under cardiologists for several years but I need to branch out more to learn about other specialties
>>35638692
Not sure without seeing it sorry.
>>35638784
The House of God by Samuel Shem has been recommended by about 6 different docs and lecturers so far
>>35638772
Their is no good treatment for back pain unfortunately. Rest does not show to help. Exercise and stretches do not seem to do much either. I usually just have to tell patients to go about their day as usual and take an NSAID as needed. It should go away within 2-3 weeks if it is musculoskeletal related. If it doesn't, you need an xray, then MRI
>>35638338
My blood pressure is 102/50. Is this too low? What are the risks?
Also what do you think about egg yolks?
>>35638760
>statins as a broad primary intervention
Intervention? Statins are a miracle drug.
did you mean primary prevention?
I can't drink enough. Doc raised my thyroid and I always feel thirsty. No salt on anything, always liquid in my hand. Coffee at minimum, alcohol once every couple of months. They use my piss for the aquafina commercials.
>>35638853
thank you
>>35638881
What is your gender, height, weight?
Do you have any symptoms of dizzyness, fainting, loss of vision, fatigue?
>>35638881
Thats an outstanding BP actually. Anything between 100-120 systolic is prime
>>35638904
blurred vision?
fatigue?
extreme hunger?
Hot/cold intolerance?
>>35638886
Primary intervention = prevention, or at least over here it does...
What do you think about the risks of overprescription?
>>35638784
You will do that in school. Most students do not decide until rotations 3rd year. You have plenty of time
>>35638909
18 years old. 5 foot 9. And 150 lbs soaking wet.
Don't experience anything like you described.
Is coconut oil healthier than olive oil or not ? It has medium chain saturated fatty acids that are supposed to be good... what about if you fry it in a pan ? Does one or the other become worse?
>>35638948
they have been shown to decrease in risk of death and other poor outcomes without any evidence of harm.
We only prescribe statin treatment for adults with an estimated 10 year risk of developing cardiovascular disease that is greater than 10%.
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004816.pub5/abstract
Apparently got liver damage, but the doc can't meet me for two weeks. It hurts my side to eat most things, also nausea. What diet should I follow to minimize damage/heal liver? Some places online say cut almost all proteins, but muh gains. What do?
>>35638338
Can I take 20mg cialis earlier in the day then take MDMA safely?
>>35638944
don't think so, but my eyes have been hurting a bit more. Probably cause of the increased time outside this week
not more than normal. I need to slow down
no
cold no, no idea on the hot, been -20 forever
The increase was a result of blood work done. Been on the thyroid for a while. My level R1(?) was low
>>35638962
Then you are great! The lower the better as long as you do not experience symptoms of low BP
>>35638995
Mostly avoid alcohol, oral steroids, and drugs (illegal and legal). Your diet shouldn't affect your liver as long as you don't eat poison (ie alcohol etc.)
>>35638338
I have a constant battle with constipation even after taking fiber supplements
>>35639004
Safely? No, you're at increased risk but as long as you don't overdo it you should be fine. (Don't go over like 250mg total)
>>35638338
My dad has naturally high cholesterol. Same with his father, and his father before him. Right around 25 is when it starts to set in. I'm 21 now and would like to avoid that. What are some things I can do to lower my cholesterol before taking meds for it?
>>35638991
Coconut oil has one of the highest saturated fat contents of any oils. Even more than butter. Saturated fat is proven to raise LDL (bad) cholesterol and lower HDL (good) cholesterol.
HOWEVER
This has not yet been seen in people eating the saturated fats in coconut oil. So we honestly do not know how good or bad it is at this point. We do know that virgin olive oil and canola oil will raise HDL and lower LDL. So I would stick with those and avoid coconut oil for now.
>>35639022
>Your diet shouldn't affect your liver as long as you don't eat poison (ie alcohol etc.)
Avoiding all poisons but it really hurts every time I eat. Should I eat less or something? Already on pretty small meals. 70 grams of fish makes my side hurt :/
Any pain killers that I can take safely?
>>35638886
Falling for the statin meme. They probably can't hurt but their effects are overestimated due to some biased studies especially in healthy adults. In people with hypercholesterolaemia they have proven benefits tho.
>>35639031
colace works wonders
>>35638338
the girlfriend used to be into working out a lot, but now since she is more happier now she doesn't really feel the need annymore, which is also good of course.
But she is slowly gaining... I try to get her to work-out more, but she always haves knee problems.. How can i get my gf to work-out again so she stays sexy and can do active activities with me, without pushing her over the edge and go full anorexia an depressed mode.
>>35638853
The fuck you talking about? Refer people to a physical therapist if you're just going to give up and tell people to take an nsaid
>>35639070
Okay thanks but what about medium chain fatty acids in coconut oil, they are thermogenic and stuff
Bro every time I go to the doctor, and he checks my blood pressure and I can feel his soft, powerful hands on my body and I can smell his deodorant and all I can imagine is riding his cock, no homo.
Do I have the flu?
>>35639097
I'm sorry I can never tell nowadays, is this a helpful thing?
>>35638338
What lowers test / what raises test?
Also what is the importants of high test?
>>35638338
My right leg is slightly longer than the left one, had some minor injuries in my right knee, sometimes hurts when squatting, any suggestions to make sure I don't injure myself again?
>>35639076
If it hurts your side its cause of something else, food doesn't cause liver pain. Liver rarely causes pain unless its infected (hepatitis, pfeifer etc.) liver cirrhosis/damage is painless..
What place is hurting ? Which side? And why do you insist its your liver?
Should I squat and deadlift heavy with minor scoliosis. Also, my groin sort of tingles when I lay down. Not painful just discomfort. Wtf?
>>35639051
Sorry. There are many genetic disorders which cause hyperlipidemia. You will probably get hit with it, but it is good that you know now.
Avoid saturated fats like the plague.
Try the mediteranian diet or DASH diet.
Lots of cardio.
You will probably have to be on some sort of cholesterol med at some point. Get your blood work done every year.
>>35639114
Yes. It is a constipation med
http://www.amazon.com/Colace-Docusate-Sodium-Softner-Capsules/dp/B000270OY8
>>35639031
Drink more water. And you could try a coffee enema sometime. Also probiotic supplements
>>35639102
Such a tricky situation. She has to WANT to work out and eat healthy. Do it more as a fun activity to do together rather that "work". Go running together, lift, play sports.
Then give her positive reinforcement. "I'm so happy you came running with me. I was feeling so lazy all day."
make it a routine
>>35639134
>What place is hurting ? Which side
Left side. Not kidney as I got my kidneys cleared.
>And why do you insist its your liver?
Doc mentioned on the phone that my liver is enlarged.
>>35639111
>thermogenic
i do not think this has been proven. by proven I mean shown to have clinical significant results
>>35639105
LOL what do you think the PT is going to do? Go ahead, please tell me.
Giving up? 80-90% lower back pain WILL resolve on it's own. Why waste the pt time and money?
>>35639127
You will not raise/lower test levels to a physiologically significant level without drugs
>>35638684
By breaking hearts. The more innocent the better.
>>35639200
What color is your poop?
srs
>>35639260
Light, yellowish and greenish? I have loose bowels and it's often not digested properly.
>>35639218
I suggest you consult PubMed then, because there are published studies available.
>>35639133
Sorry this one is out of my jurisdiction. Try talking to a physical therapist or athletic trainer if you can,
>>35639274
meta analysis? Clinical trials?
post links
>>35639269
Your liver is on the right side of your body. Left side is more likely a stomach or pancreas problem.
>>35638338
I'm 27 years old, 69 kg (manlet), Texas Method (Mon, Wed, Fri)
1 rep max: (kg)
Bench Press: 69
Squat: 116
Deadlift: 107
Overhead Press: 48
When I go running (cardio, Tue, Thu, Sat) feel something weird below in my knee (Patellar ligament, Patella tendon). It doesn't hurt me, but it's feels uncomfortable, like someone is touching you (superficially).
https://en.wikipedia.org/wiki/Patellar_tendinitis
I'm fucking scared ;_;
>>35639258
You're fucked up doc
>>35639269
Are you at risk for hepatitis?
>IV drugs, gay sex, transfusions, alcohol
Any major health issues?
Any family diseases?
>>35639200
Liver is not on left side unless you are a rare freak.
>>35639294
Ok. Thanks a lot, man. What can I do about the pain? Any pain killers I can take safely? If pancreas, what do?
>>35639305
>>35639294
Pain can radiate and be referred. i.e. people with heart attacks often get a jaw pain
>>35639327
get it removed mainly
>>35639345
Doesn't that leave me diabetic?
>>35639345
>>35639360
this is a troll
I've had a very light dull headache for around 2 months, any ideas what this could be? no other symptoms, although I had a pretty long lasting cold during November when it started.
>>35638338
I dislocated my shoulder doing a muscle-up about 3 months ago, got an ultrasound the day after, and was diagnosed with a irritated bursa
After treating with anti-inflammatories for a little while I started doing gentle rotator cuff rehabilitation exercises, and the pain is completely gone from my day to day life. Every time I try to deadlift though, it feels like it's gunna fall out of joint again, and hurts like it did in the first week.
I'm able to OHP 70kg again, down from 80, but doing that weight irritates the shoulders afterwards. Basically I'm stuck doing legs and OHP, and I'm scared of doing bench, because that was the exact angle that my shoulder dislocated on, and it feels 'loose'.
Wat do? I'm honestly considering roids for the duration of my rehabilitation, because I feel like I'm just gunna keep losing strength.
>>35639231
To learn exercises that strengthen the posterior chain and address the lifestyle habits that cause the pain in the first place. Fucking doctors are worthless
>>35639295
you probably have a small baker's cyst
How can I get taller at 20?
I am 5'6".
>>35639333
Where did you read liver/gallblader pain gets refered to left hypochondrium?
>>35639409
platform shoes
>>35639374
cold can cause it. Also:
stress, poor vision, allergies, changes in diet...
Is it all day? what relieves it? Achy pain or sharp?
>>35638338
What kind of exercise do you recommend to reduce my scoliosis?
>>35639360
Burn off that glucose with cardio, pussy.
>>35638338
how bad is it to have a beer 5 hours after training? Will it affect my gainz a lot?
>>35639422
Where did you learn that diseases read textbooks?
>>35639395
in that case, what should I do?
>>35639375
You done fucked up by falling for the bodyweight meme. Enjoy losing at least 5 years of training time.
>>35639395
>baker's cyst
>below the patellar tendon
Maybe you should stick to answering questions about internal medicine.
>>35639434
The only way to reduce scoliosis is through surgery.
>>35639433
Yeah it's all day. There's never much relief but it can vary in soreness, I cried last week and it got a lot worse and also if I sleep in it can feel a lot worse too. It's an achy pain, it's not particularly painful of sorts but its just quite tiring since its pretty much always there.
>>35639440
1 beer? Live a little man
>>35639345
>>35639360
>>35639371
So what do?
Does diatomaceous earth have any health related use?
I've heard of using it for joint and arthritic pain but sounds like placebo. What happens to it when digested?
>>35639449
>le diseases don't read books mamay
It's a good thing that the insurance company pays for that full body functional MRI because muh differential diagnoses.
>>35638423
Most physical ailments can be fixed with dietary changes and regular exercise. If your diet is all well for 3 months and you are exercising properly like >>35638448 said, then you should take some atenolol or whatever your doctor prescribes.
>>35639458
It's no meme, I just wanna be like batman
>>35639454
It should go away on its own. If it gets worse it can be drained
>>35639497
Go to your doctor's appointment.
>>35639546
Batman used the bat juice.
>>35639290
Literally typing coconut oil thermogenic or something on PubMed will give you the right study, I am on my phone if you're too lazy to do your own research that's not my problem.
>>35639483
any other symptoms? Dizzyness? Does it go away with an NSAID? Family history of any major diseases?
>>35639295
>>35639480
help, I'm scared, guys
>>35639586
It's bone cancer.
>>35638338
Is lifting good for long term health or am I setting myself up for extreme joint pain in the future at the expense of a godlike physique?
>>35639333
Yeah it can, but liver pain is rare and it would be even more rare to radiate to his left side. That's like saying you could win the lottery if you bought a ticket (it could but the chance is so small it becomes irrelevant in practice)
>>35639563
Yeah, but I wanna be a natty batty, like nightwing or the fuccboi robin
>>35639580
This is not good data to use when making health decisions. You need a randomized controlled clinical trial. Not molecular biology data in rats.
>>35639612
With your leg heavy regime, you are definitely gonna be a fuccboi in the near future.
>>35639583
I get dizzyness after a lengthy treadmill session for about 5-10 minutes, no other symptoms really aside from the aforementioned tiredness. NSAID definitely removes the pain but I can still feel a little bit of pressure. If it helps, the headache feels like its around the back-right of my head.
Two females in my family have had luekemia, but aside from that we don't have a family history of major diseases.
>>35639609
Fucking someone is sensible. People don't seem to grasp the concept of "diseases don't follow textbook". It doesn't mean you have to cover every possible diagnoses in your initial evaluation, it means you must be ready to think outside the box when your initial evaluation is wrong.
>>35639609
He has an enlarged liver. This can and often does compress other organs causing pain.
>>35638764
Carbs, protein, and fat. It depends what you had throughout the day.
>>35639102
>muh knees
But really, low-intensity activities should not bother her knees. Swimming is a great one. There's also the elliptical for a full body workout, biking, lifting on machines...
>>35639327
Don't take painkillers I think your problem is a stomach ulcer (tho I really have little information to go on so obviously it's just a hunch) painkillers would make it worse. You can try some anti acidics like remmi, they won't hurt you if they don't work and its probably worth a shot, you're better off just consulting a local physician soon tho.
this part hurts everytime I lift for the past 2 weeks now. and it feels warm to touch.
what meds should I take and should I stop lifting until it heals? how long?
>>35639647
Then the liver has to be big enough to cause abdominal compartment syndrome to cause pain. Pain is not even a common symptom of ascites, so that liver must be majestic.
>>35639647
Top kek that's total bull shit
>>35639646
And thanks, I know there's no point in giving him 100 possible diagnoses rather just think cleverly and keep other options in the back of the mind. That's how practicing medicine works.
>>35639634
dizzy as in vertigo? At this point I would go in and they will do a quick neuro exam to rule out anything dangerous.
>>35639622
>tfw 140kg highbar atg squat
It's not fair, I wanna keep doing upper body
>>35638338
whats the best way to do lower body when i have some decent scoliosis?
>>35639692
It won't matter when your mind is high on receptive anal sex.
>>35638338
Alternatives to Squat and Deadlifts that are just as good?
>>35639691
The dizziness lasts longer but I do get a little bit of vertigo (for about >5 minutes)
I'll book a doctors appointment on Monday in that case.
>>35639070
>Saturated fat is proven to raise LDL (bad) cholesterol and lower HDL (good) cholesterol
Do you have any studies to show where this is proven? I've looked into a lot of studies around this and there is a lot of conflicting evidence from studies. I haven't really delved into it recently, so perhaps there are some studies out there that I'm not aware of.
>>35639691
LMAO come on,the average joe doesn't know the difference between vertigo, unbalance and malaise.
What does aneurysm neck pain typically feel like, and where is it usually located? I've been trying to figure out if I should see a doctor in person.
Where can I get a decent quality squat plug mold? I keep asking people and they just say- "You should go to a hospital"
>>35639736
>>35639692
Does it feel like you're spinning or the room is spinning? could just be peripheral vertigo...
If your bone things haven't fused what can you do to make sure you get to your maximum height?
>>35639736
They probably wont find anything but it will give you peace of mind.
>>35639755
its the same feeling as being drunk somewhat.
Why do my shoulders dislocate so easily? Hyper mobile shoulders? Seriously, I could just move my arm the wrong way and the fucker will crackle and pop out of place.
How do I get a gf?
>>35639743
The only way to rule out such a diagnoses with certainty is angiography.
>>35639737
http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Frequently-Asked-Questions-About-Fats_UCM_306069_Article.jsp#.Vpp21SorKUk
>>35639749
The ones they sell for sexual purposes work just as well as the athletic plugs, which is just a huge fraud so people pay extra money for the exact same product.
>>35639741
Which is why I told him to go to the doctor
How do I fix my erections? My penis cracked during sex a few years back and since then, they haven't been as hard. I got an ultrasound and it didn't show any damage. I tried no fap, but it still only stays 100% hard with constant stimulation. When I squeeze my pelvic floor muscles, it doesn't feel like I'm holding blood in, but like it's flowing out a bit. Before I broke it, it would feel like I totally cut off circulation by squeezing. Kegels seem to help a bit, but not much.
>>35639737
Why even bother
He's just parroting what he was taught
It's not like he's a nutritional research scientist (are you senpai?)
>>35639757
Break your long bones in the middle. Every 10 of them in your body.
>>35639793
Reroll life and hope for Chad.
>>35639828
It's probably a penis fracture anyway. Half of your penis is inside the pelvis, which is difficult to visualize with ultrasound.
>>35639834
Austin MA, Hokanson JE, Edwards KL. Hypertriglyceridemia as a cardiovascular risk factor. Am J Cardiol. 1998;81(4A):7B–12B
Triglycerides and cardiovascular disease: a scientific statement from the American Heart Association. Circulation
Stone NJ. Secondary causes of hyperlipidemia. Med Clin North Am. 1994;78(1):117–141
Chait A, Brunzell JD. Acquired hyperlipidemia (secondary dyslipoproteinemias) Endocrinol Metab Clin North Am. 1990;19(2):259–278
TG and HDL Working Group of the Exome Sequencing Project NHLaBI Loss-of-function mutations in APOC3, triglycerides, and coronary disease. N Engl J Med. 2014;371(1):22–31.
>>35639834
Why even bother searching pubmed when you've made up your mind?
>>35638338
I was close grip bench pressing and then hurt my hand? I couldn't place thr bar on my right hand without it hurting and I couldn't fully grip with my right hand. I read that it could be a tendon strain or something. What do I do?
>>35639302
Didn't see this one.
>Are you at risk for hepatitis?
You put alcohol on the list. Used to drink.
>Any major health issues?
Said pain, nausea and loose bowels
>Any family diseases?
No
>>35639909
Find a GOOD hand surgeon. Wrist ligaments are fucking complex and definitely not something for any doc who doesn't have long experience in hand surgery.
>>35639877
It feels that way as well yeah, and the pain was localised way lower than the radiologist checked. Any way to find out what's wrong?
>>35639923
Does it hurt after a fatty meal?
>>35639909
Stop lifting and rest it/pain management. Also learn how to CGBP because you're doing it wrong and putting too much pressure on your hands&wrists.
>>35639923
Everyone knows that you practice gay sex, since you are on /fit/.
>>35639941
Talk to an urologist instead.
>>35639942
Don't eat fatty meals, but it hurts after protein meals.
>>35639962
I did and he said that one way to check was by taking viagra and seeing how the erection looks and works, but I haven't gone back yet.
>>35639974
You should be aware that without a physical exam and lab work, it's impossible to diagnose abdominal pain over the Internet. The closest answer we can give is that stomach or pancrease problem is the most likely cause.
>>35639974
You are having a stomach ache.
>>35639983
Then be a good boy and go back, and remember to clean you ass for that prostate exam.
Ive been banging quite a few questionable skanks.. no symptoms of STDS but I don't get a slight nagging ball pain in my right ball/hernia area after doing dead lifts or other heavy lifts..
Could it be syphallis or something or is it probably just from lifting?
Can i skip lower body today if i had sex for 6-7 hours in the past 12 hours
>>35639998
Get checked and stop shoving your dick into biohazard.
>>35638338
I've just started running and have just done the first week of C25K and about half way through my second and third runs my right foot got tingly/numb. It felt like it was most of my foot except for the top part. When I finished the third run I could feel a slight tingling sensation in my left foot as well.
I tried loosening my laces after it happened the first time but it didn't help. Should I just go to a doctor or try replacing my shoes? Is there anything else I can do to prevent this?
Also should I be running if I'm 89kg at 5"8- 5"9? I don't want to unnecessarily damage my joints.
>>35640024
but what if qt nurse wants to see my little wiener?
>>35639989
Ok. Thanks.
>>35640019
Being a power bottom doesn't mean you can slack.
>>35639727
I'm all for gluteal brutalising, but I just tried benching.
>tfw it hurts doing fucking 40kg
>>35640041
Giggle shyly and say you only show your dick for the big burly manly doctor.
>>35638338
Three weeks ago I hurt my back snowboarding. The first day I couldn't stand up straight. At one point, I had to get down on all fours, drop what i was carrying, and crawl over to a chair. Its gotten much better since then, by my lower back still hurts sometimes. what do you think would cause this? I think the injury came from a twisting motion.
also, I started going to the gym and every part of my body hurts like hell. How long of a break should I take between gym days.
>>35640044
Im a straight male, no homo
>>35638338
Can I slim down by eating right and not exercising?
>>35640076
Having sex with a man occasionally doesn't mean you don't identify as straight.
>>35640088
Yes. But if you have significant fat you'll look like hammered dog shit after the loss if you're not exercising/lifting weights.
>>35639481
What about swimming and stuff?
>>35640192
Read the last response again.
>>35639375
Am I doing the right thing? Shouldn't the shoulder be less 'loose' by now? 3 months of babying the thing is getting frustrating.
>>35638338
is soaking in a hot-tub good for recovering from weight-lifting?
>>35638362
As an actual physician, the number one factor in bp reduction is overall weight loss. The dash diet is by far secondary. This is provided it isnt one of the 10% secondary etiologies.
Do you even jnc-8 brah?
Seriously though, you are not a physician.
>>35638772
Do you potentially have poor posture (Anterior pelvic tilt etc.)?
>>35640351
Who is overweight?
>>35639076
If food is causing "liver" pain, it might be due to gallstones.
Your gall bladder is very close to your liver, and releases bile to help digest fats. With gallstones, some small stones form in the gallbladder and get stuck in the bile duct, causing pain whenever your gall bladder wants to release bile.
Cut fats entirely out for a meal or two. Then have a fat full meal. Then report back.
![sacroileitis[1].png](https://i.imgur.com/CtsMaNx.png "sacroileitis[1].png")
Hello doc
I have continuous pain in an area similar to pic. It usually hurts like a bitch during squats and deadlifts. And it also hurts overall all the time. This has been for around 2 months and it keeps getting worse. What do?
>>35638338
Do you get a lot of pussy from being in med school
>>35640581
Any weird urine? Does it hurt when you pee?
Lay off the squats and deadlifts for 2 weeks and see if it gets any better. If it does, you are squatting wrong. If it does not, go in to see the doctor.
>>35640622
Yes. I highly recommend it.
>>35639534
>Most physical ailments can be fixed with dietary changes
When is this meme gonna stop. Physical ailments caused by diet and lack of exercise can be affected by it, but good luck curing your fucking MS with push ups.
>>35640622
just stroll by the nursing students in your white coat.
>>35640624
Nothing wrong with urine.
I suspect my squat from is garbage.
Since I'm taking some time off squats and deadlifts, what exercises can I do in compensation/exchange? So I dont lose muh gainz
>>35640637
Only if your good looking will you get pussy. If you're Indian, fat, etc, good luck
>>35640696
goblet squats with a heavy dumbbell.
Would a 200mg cycle of test c permanently lower my natty test levels
>>35640733
maybe
Doc I get pain in my wrists right after re-racking the weight during heavy bench.
135lbs is OK. 185lbs is not OK.
I have the bar firmly in the low part of my hand, no wrist bend whatsoever. Wrist is in alignment straight down the arm I've been watching my form every time.
It's like the pressure keeps hitting the wrist joints and it only hurts 3-4 seconds after relieving pressure. I've never had this happen before it just started 1-2 wks ago.
Any advice?
>>35640719
Thanks doc.
>>35640748
Sorry no idea on this one. Joint and musculoskeletal pain is difficult to pinpoint a cause. Could be a minor tendon strain from a week ago that you do not notice until under load.
>>35640814
Should I stop heavy bench for a couple weeks to see if it improves?
Similarly if I keep benching will it just get worse & worse till I end up in physical therapy?
I eat 600g of tuna a week
is that bad? I'm 19, 150lbs.
>>35640831
Is it getting worse or better currently? Do you have full motion? Any swelling?
If it is a strain, rest will help it heal faster. It may heal with heavy benching as well but it may slow down the process.
This is all if it is a strain. (probably)
>>35640894
No swelling but it does hurt periodically throughout the day - specifically after a bench day.
I benched again today and I'd say it's worse than last week. So I'll give it a couple weeks off and hopefully things improve.
Much appreciated
>>35641098
Yeah if it is getting worse in intensity or frequency then definitely hold off on the benching. Ice might help
>>35640701
Yeah, I'm a "pajeet" and I get more white pussy at my health science center than any of you insecure betas. Oh, and I'll be raking in 300000/year while you'll still be shitposting on /fit/ in your mother's basement.
>>35638353
Here's your second opinion:
>155/88
That's way over pre-hypertension. Secondary hypertension reasons (kidney disease, pheochromocytoma, etc.) should be eliminated. If it's essential hypertension, your GP should prescribe you ACE inhibitors. If you don't take care, you may die of heart failure at a relatively early age.
>>35640192
>>35640238
Actually, it depends on the angle of scoliosis and one's age. Primary surgery indication comes with larger degrees. Lesser scoliosis can get better in young age with swimming, pull-ups, pilates, etc.
>>35638338
I have this pain in both joints of my big toe. Could be gout. How do I fix it?
>>35641139
Wanna talk cash?
I won't be paying back my medical school fees, Pajeet. When I'm done, I'll be raking in 300k as well, if not more, and I'll have no mortgage or significant expenses.
>>35641652
That is complete bullshit. You can stop it from getting worse, but you can not reverse it.
>>35641466
I'm usually around 135/45-55
Should I get an ECG and get it checked out? My dad is hypertensive, but I seem to only have abnormal systolic pressure.
>>35641688
Red, hot, swollen?
My resting heart rate is high, as in usually over 100bpm. My blood pressure is fine, though.
My dad's side of the family has a history of every heart problem known to man, and my dad has been on cholesterol and blood pressure meds since he was a teenager.
How worried should I be of my heart exploding?
>>35638338
How do you get rid of bacne? I really want to go swimming with my gf but it's getting to me man.
>>35638338
There are these tiny red spots on my balls, about 4-6 of them, they are tiny lumps. Sometimes they get really itchy and sometimes I feel nothing. I'm afraid they are the same thing as the fungal infections that I got on my ankles and hands. Should I get my balls checked? Unlike my legs and hands, the lumps on my balls didn't get worse and start leaking liquid. However the lumps on my balls itch the same way but sometimes the itch goes away for a long period and sometimes it returns. I think it could be related to sleep deprivation
>>35641779
ECG may show hypertrophic heart. If your father has hypertension, so you have genetic predisposition. < 140/90 blood pressure is considered prehypertensive stage, 140 - 160 is stage I hypertension. ~160 when people gets two kinds of anti-hypertensive drugs. Go to an internal physician, tell him your symptoms. He would check you kidneys. No smoking, no excess alcohol, regulate salt intake, exercise, don't gain fat are your best options.
>>35641893
What? How are you saying that bp 135/55 = hypertrophic heart?
>>35638338
Yo probably a silly question, but would talking Zinc, vitamin C and vitamin D supplements have negative effects if you take them long term?
How the fuck do I study for Step 1?
I have a good setup for remembering micro and pharm, but when I go through Uworld it's loaded down with disease entities I was never taught.
I'm keeping organized lists of everything Uworld throws at me so I can try to assimilate it all before the exam. So far it's working out okay, and my percentage is well above passing.
Should I do some kind of course, keep doing as I'm doing or is there something else you recommend?
>>35641818
That doesn't seem to be physiological tachycardia. Beware, you may die of tachyarrythmia. Go to a cardiologist; echocardiography should be useful. Genetic predisposition plays a role, your ancestry may be sensitive to cathecolamines, etc.
>>35641818
Do you get regular check ups from a primary care provider? Does your doctor know your family history
>>35641915
No, if there any structural signs (valvular, ventricular, etc.), his cardiologist may give him medications according to that.
>>35641923
Don't listen to this guy
>HR over 100=death
>>35641933
Yes to both. My dentist also checks my heart when I go in for my 6 month checkup.
My primary care provider is also my dad's PCP, but he hasn't really seemed to be worried about it.
>>35638338
Good advice for hemorrhoids? I sort of had them and it's gone but the tissue is still there just not painful
I constantly overstrain and hurt my neck. Even light calisthenics are too hard. Any ideas?
>>35641923
Dr. Najeeb's videos helped me a lot. He's this Asian physician. You can find his videos on torrent sites or pay money if your respect him.
How do i stop the backpain, it has gotten worse since i stopped sitting in my room all day. HelpHow do i stop the backpain, it has gotten worse since i stopped sitting in my room all day. HelpHow do i stop the backpain, it has gotten worse since i stopped sitting in my room all day. HelpHow do i stop the backpain, it has gotten worse since i stopped sitting in my room all day. HelpHow do i stop the backpain, it has gotten worse since i stopped sitting in my room all day. Help
>>35642007
Sitz bath has a relaxation effect. I'm afraid invasive interventions have better effect on haemorrhoids. Let your general surgeon examine you.
My scapulae crackle really bad (lound and a lot), especially in the morning after getting up. Sometimes (rarely) I even get pain. How fix?
Also, I have sharp pain in my hips (or obliques) areas when I bend over, turn around, or extend my lower back. It goes away when I repeat the movement enough. How fix? Also not sure if I used the correct words. Thanks if you reply.
>>35641139
someone's angry
stay cuk, shitskin
I could earn half what you would and still have a better life
>>35642038
Try stretching moves to relax your tight muscles, you can find lots of videos of that. If you accidentally hurt yourself in excercise, go to a physiotherapist. It may be about a muscle tear or your vertebrae, etc.
>>35638338
I dont feel my little finger and i cant extend my left arm because i feel a pain near the wrist. The neurologist told me it could be my nerve out of place or something like that.
how can i have a faster recuperation? fml i started lifting in my house like 2 months ago and i get injured
>>35639387
This, PT's saved my fuckin life
>>35642104
I know it's spoonfeeding but what kind of stretching exercises? Thing is, i did small exercises for my stomach muscles (recommended by /fit/, a scooby video) before christmas, then stopped, and since then my back pain has gotten significantly worse. It has moved from lower back to upper back.
>>35642068
You may have a rheumatological disorder. Ankylosing spondilytis is the first thing came to my mind. There are tests for rheumatoid diseases, find videos of these test and have a friend/relative apply it to you.
Ey Doc, here's an off topic question.
I shook an old guys hand after assisting him at work and shortly thereafter I noticed a small amount of blood on my hand. I assume he did something and hadn't noticed yet, and I couldn't find any cuts to show it was my own. I believe the biggest risks are HIV / Hep B, got my shot maybe 20 years ago for Hep B, and I have no idea of this mans medical condition.
I know you can go to the ER and get meds for HIV, but it being a small amount of blood and on chapped skin at worst, is it realistically worth going through that month long treatment?
I noticed it within a minute of it happening likely, and immediately went and scrubbed the crap out of my hand with hot water and soap.
Should I even worry?
>>35642137
Local steroid injections are very useful. If it was a plastic surgeon instead of a neurologist, he would have even offered you surgery.
>>35642170
Sorry, not a physiotherapist :-)
>>35642225
>>35642193
If it happened like you told, risk of infection is very low. However, if I were you, I'd have an HIV test.
>>35638757
Where did you go to med school?
Other than whey protiens and fish oil, are there any other vitamins worth taking for the average person attempting to exercise/gain muscle?
>>35642259
Get an HIV test now to make sure I didn't have it before this? How long does it take for HIV to get into your system and be notice able on a test?
>>35638338
how long after intake are amphetamines detectable in blood or urine?
>>35642202
He gave me 2 options
>complete inmobilization of the left arm
>surgery to "acomodate the nerv"
how can steroids help a nerve injure?
>>35641915
Also, I believe it was 155/88 in his first post. When he said "135/45-55" I thought he was referring to his systolic pressure. Diastrolic pressure from 45 to 88 is likely pathological.
>>35642330
Local steroid injection shrinks local tissue and relaxes the nerve.
>>35638338
What was your step 1 score?
>>35642315
There are simple HIV immunological screening tests. It will be (+) if you had an infection earlier. There is a second follow up test to confirm.
>>35642368
Haha! Americans and their superficial evaluation methods.
Does drinking water during a meal really dilute your stomache juices and mess up the digestion?
>>35642333
>155/88
No, that was a different guy. I think I have left ventricular hypertrophy. My diastolic pressure is low beyond the charts (highest it's ever been was 65), but have systolic hypertension, apparently. Sometimes it's 120, other times it's 140-145. I have mentioned it occasionally, but docs don't seem to care, they assume it's a clinical artefact.
