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Intense Discomfort in Ear and Jaw

As a 17-year-old female, I recently attempted to clean my ears on Tuesday following recommendations from healthcare providers. I began with water, but it wasn’t effective; one of my ears seemed to retain the liquid rather than expelling it. Frustrated, I resorted to using Q-Tips, which only resulted in immediate pain, compelling me to stop that technique. Even after I managed to dry out most of the water, my hearing was muffled, and I experienced significant dizziness that made me feel faint and nauseous. I tried resting, but that didn’t alleviate my symptoms. I initially thought I could sleep off the issue, but by Wednesday morning, my hearing had worsened. I attempted various remedies to alleviate the sensation of fullness in my ears—such as jaw movements, chewing, and tugging on my earlobes—but none proved effective. Pulling my ears slightly apart offered a tiny bit of relief, enabling me to perceive the silence a bit more clearly, unlike the sensation of being underwater, but I still couldn’t hear properly. That evening, the discomfort escalated to a throbbing and stinging intensity that demanded my full attention. Though I routinely deal with chronic pain and migraines, this episode was particularly excruciating. On Thursday, the hearing loss persisted, and I could tell that there’s no residual fluid left in my ears. The pain intensified, accompanied by a sensation akin to wearing headphones for an extended period. Actions like yawning, chewing, or speaking exacerbated the discomfort. At this point, I’m essentially deaf, and the pain has begun to radiate to my cheekbone, teeth, jaw, and even one side of my neck. I’m contemplating scheduling a visit with a healthcare professional, but considering my past experiences with local doctors, I want to ensure that this condition is serious enough to warrant a consultation rather than something I can resolve at home. My attempts at treatment have been exhaustive, and I am starting to feel anxious about the possibility of irreversible damage. My primary hypothesis is that I may have inadvertently injured my eardrum, or perhaps another part of my ear has become infected due to irritation, or it’s possible that I pushed earwax too deep. Regardless, I hope to rectify this issue swiftly before it escalates further, particularly as I prepare to return to school and being unable to hear effectively would pose a major challenge.

Multiple SclerosisLupusInternal Medicine
Male25-34
3 minutes ago

Concerns About Potential Double Dosing of My Psychiatric Medications

Age: 29 Height: 5'9" Weight: 235 lbs **Relevant Medical History:** - Bipolar II disorder, previously experienced one psychotic episode. - Diagnosed with a seizure disorder, likely focal (as indicated by my neurologist). - ADHD. **Current Medications:** - Lamictal, 200 mg once daily. - Vilazodone, 20 mg taken twice daily. I’m a bit anxious about potentially taking an extra dose of my medications today, and I apologize if this question seems naive. When I forget to take my meds, I tend to feel lethargic, as if my surroundings are slightly blurred—almost like everything is viewed through a psychological haze rather than a visual one. My routine is to take my medications around 9 to 10 in the morning, and if I miss one, I typically start experiencing these symptoms about four to five hours later. However, today was unusually hectic, causing me to feel that sense of drowsiness and disorientation around 1:30 p.m. I normally rely on my pill organizer to track my doses, but since I just filled it that morning, I couldn’t confirm whether I missed a dose or was simply fatigued. The real issue lies with my Lamictal: skipping that dose guarantees I will have a seizure later on. That’s why I ended up taking what might have been my second dose today. I've recently recognized this connection between missed Lamictal doses and seizures; in the past, I would resort to taking Ativan, which only partially alleviates the situation and usually leaves me needing to rest afterward. This sequence of events is rather distressing and frightening, and I aimed to sidestep a seizure, albeit without fully considering the implications of taking an extra dose. I am aware that altering the Lamictal dosage could lead to serious reactions, such as Stevens-Johnson syndrome, which raises my concerns. I have maintained a stable dose of 200 mg for approximately seven years without complications. If I have indeed doubled up on the Lamictal, there’s also the possibility that I did the same with vilazodone, but I'm less anxious about that one. At present, I am feeling much improved, though a bit more drowsy than usual. I want to believe I’ll be alright (fingers crossed!), but I would appreciate guidance on any symptoms to watch for and the next steps I should take. My next scheduled dose isn't until tomorrow morning, and I assume it’s advisable to continue with that. I'm really seeking any advice here, as my doctor’s office is closed until Monday, and there’s no backup contact available. Thank you in advance!

ADHDBipolar DisorderPsychiatry
Male25-34
23 minutes ago

Navigating Post-Surgery Eating Challenges After Pancreatic Tumor Resection

A 38-year-old male, weighing 110 lbs and standing 5'9", is experiencing significant difficulties with his appetite following pancreatic surgery for the removal of a neuroendocrine tumor. The surgery took place two weeks ago, and the patient reports symptoms localized around the abdomen, possibly affecting the pancreas or stomach. He has a medical background that includes chronic constipation, which is impacting his recovery process. During the span of two weeks since the operation, the patient has been grappling with a severely diminished desire to eat, resulting in noticeable weight loss. Initially, he was unable to consume any food for 4.5 days post-surgery, and even upon attempting to eat afterward, he could only take 2 to 4 bites of bland items like soup or plain potatoes before feeling overly full and experiencing pain. He had also experienced a bowel ileus, which caused discomfort for a period; fortunately, its resolution alleviated much of the pain, yet challenges with eating persist. Currently, he is managing to consume two bottles of Ensure Complete daily, providing 60 grams of protein, which is positive, but only reaching a total of 700 calories. Despite this, he struggles to eat anything additional. His lack of appetite is constant, requiring him to deliberately try to eat when he feels less uncomfortable, often resorting to the Ensure. The surgical oncology team is informed of his condition, and he has consulted with his primary care physician as well. However, growing concerns arise as his food intake continues to decrease. For instance, he used to combine the two Ensure bottles with some sips of soup, yet he has solely relied on the Ensure for the last three days.<br> He acknowledges that appetite loss is commonplace following significant abdominal surgeries, but he seeks insight on how long it may take for this condition to improve. Additionally, he has observed that the area around the right side of his surgical staples feels hard and tender, contrasting with the left side, which is softer. When he drinks the Ensure, it creates a sensation of pressure in the tender area; he wonders if this could be impacting his stomach in some way.

Stomach PainConstipationAcid Reflux
Male25-34
33 minutes ago

Struggling with Weight Loss: My Ongoing Challenge

I’m a 28-year-old woman weighing 246 pounds. I have a congenital heart condition known as long QT syndrome type 2. For almost 11 years, I've been on a medication called propranolol. Although I can't recall my initial dosage, I've been consistently taking 120mg of extended-release propranolol for the last seven years. My journey with weight loss has been a tough one for the past three years. I have explored various approaches to shed the pounds, including hiring personal trainers, trying meal replacements, adhering to different diet plans, engaging in workouts more than three times a week, and even experimenting with intermittent fasting. If it’s a method for weight loss, I have likely given it a shot. Four years ago, my weight was around 180 pounds. However, I reached a peak of 255 pounds within the last six months. Regarding my weight gain, my cardiologist seems unfazed, and my lab results appear to be excellent. Yet, I’ve noticed concerning fluctuations in my QT interval, which have been dropping too low and then spiking significantly during my biannual check-ups. I often find myself trapped in a cycle of losing and regaining the same 10 to 13 pounds, fluctuating between 255 and 242 pounds. I cannot further reduce my calorie intake as I feel utterly wiped out by 4 PM each day. Whenever I discuss my weight concerns with my primary care doctor, they run tests to check my thyroid, and the results always come back normal. I’m left wondering why this is happening to me. How can I make my cardiologist take my concerns seriously? I'm seeking advice on the best steps to take next.

Chronic FatigueDehydrationBurnout
Male25-34
33 minutes ago