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What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
What do you think is the cause of waking up each morning with a migraine on my right side? I sleep on either side with one leg straight and one knee up (taught to me by a doctor).
An Eye Physician and Surgeon is suggesting I go to a sleep clinic because my husband says I snore softly but do not wake up.
Thank you for your insights. Nancy .
A sleep study isn't a bad idea. Snoring might indicate sleep apnea.
When people wake with a Migraine, sleep issues are the most common trigger. It can be too much sleep, too little sleep, interrupted sleep, an irregular sleep schedule, or poor quality sleep. Take a look at our video Migraines, Headaches, and Sleep . It's recommended that Migraineurs go to bed and get up at the same time every day, including weekends and holidays.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, bro...
Diseases that fall under spondyloarthritis umbrella are ankylosing spondylitis , reactive arthritis (known previously as Reiter's syndrome) psoriatic arthritis and psoriatic spondylitis, and the arthritis or spondylitis associated with the inflammatory bowel diseases, ulcerative colitis and Crohn's disease . Still other patients may develop undifferentiated spondyloarthritis. This means they have symptoms or signs of one of the illnesses above, but don't develop the full blown disease. The disease most frequently begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include a family history of ankylosing spondylitis and male gender. Symptoms of Spondyloarthris The disease starts with hip or low back pain that comes and goes and is worse at night, in the morning, or after inactivity. Back pain may begin in the sacroiliac joints (between the pelvis and the spine) and involve all or part of the spine. Pain may go aw...
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