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Recent Questions

Pediatric ENT Consultation

A 20-month-old boy from the United States (non-smoker) has undergone a referral to a pediatric otolaryngologist due to issues with snoring. Based on my research, the cause might be enlarged adenoids. Should the doctor recommend their removal, I am open to that option. However, I do have some concerns: could there be a possibility that they would advise surgery even when it may not be required? I’m willing to provide additional information if needed, as it’s challenging to consider my son undergoing a medical procedure at such a tender age.

Childhood InfectionsPediatricsChild Psychology
Male • 25-34
10 minutes ago

Seeking Advice on Health Concerns

I’ve been experiencing some warmth lately, and I'm uncertain whether it's indicative of a fever. Additionally, I’m having slight difficulties with my breathing. Today, I spent most of my time resting, and I measured my blood pressure at 126/82 with a pulse rate of 109. Can anyone provide insight into what might be happening? I am a 35-year-old woman residing in Caldwell, Idaho, weighing 300 pounds and standing 5'11".

AgingFamily MedicinePreventive Medicine
Male • 25-34
19 minutes ago

Experiencing Pain in My Throat While Eating

Hello! I'm a 19-year-old female, standing at 5 feet 6 inches and weighing 170 pounds. My current medications include Adderall (20mg daily), Lexapro (20mg daily), and Singulair (10mg daily). I do not consume alcohol, smoke, or use recreational drugs. I've been identified as allergic to clindamycin and amoxicillin, with a suspected allergy to pumpkin as well, but I haven't encountered any of these substances recently. I reside in the United States. Starting on Sunday, February 1st, I noticed that I felt discomfort in my throat when I ate pasta. This sensation was unlike a typical sore throat; it felt somewhat swollen and had a bruised quality to it. After pausing to let it pass, the discomfort subsided. However, upon taking another few bites, the issue reappeared, and I ultimately decided to stop eating. Later that evening, when I tried a piece of bread, the same discomfort returned but faded within two minutes after stopping. On Monday, February 2nd, I managed to have a protein shake in the morning without any issues. Later, I attempted to eat popcorn, and again the discomfort reoccurred. Today, February 3rd, I had cherry tomatoes, which didn’t cause any problems. However, just an hour ago, I had some bread again and experienced the same throat pain, which lingered for about ten minutes, although this time it was somewhat less uncomfortable. I also had a few small pieces of brownie afterward, which I was fine with. All these foods are familiar to me and have not been new additions to my diet. The only recent change in my routine was the reintroduction of Zepbound. I had started Zepbound in February 2024 and had to stop in October 2025 due to access issues. Prior to this, I never experienced any throat problems. I took my first dose of Zepbound (5mg, which was my previous dosage) on Saturday, January 31st. This change is the only differing factor, as I've never dealt with such sensations before.

Chest PainVaricose VeinsInternal Medicine
Male • 25-34
19 minutes ago

Exploring HRT Eligibility Concerns

I am a 23-year-old individual assigned female at birth (AFAB) who identifies as a pre-testosterone transman and also works as a registered nurse. My medical history includes conditions like Hashimoto's thyroiditis, microcytic anemia, depression, generalized anxiety and panic disorder, fibromyalgia, and an unspecified muscle tension disorder that is pending a neurology referral. Additionally, I've experienced episodes of Raynaud’s phenomenon, occasional premature ventricular contractions (PVCs), chest discomfort, and feelings of near-fainting. Currently, I manage my health with a daily regimen of 65 mg of elemental iron and 25 mcg of Synthroid, which help maintain my laboratory results within acceptable limits. I have an upcoming appointment for an ankle-brachial index test this Thursday because I frequently experience cold sensations in my feet, even when wearing compression socks or several layers of clothing. The symptoms of Raynaud's can be quite unpredictable and tend to intensify in colder conditions. Interestingly, I do not observe changes during physical exertion; it can strike while I'm resting, moving, or even when submerged in warm water. Occasionally, I experience numbness and muscle spasms, but I have never dealt with claudication. I'm reaching out to the community for guidance on how my health issues might affect my chances of obtaining testosterone therapy and hormone replacement therapy (HRT) approval. I am aware that high blood pressure can be a disqualifying factor, yet I am uncertain whether my current symptoms are associated with my Hashimoto's or my muscle tension problems. I feel that my symptom profile does not align with the typical signs associated with peripheral artery disease (PAD), but the results of the ankle-brachial index test will provide clarity. What are realistic expectations for me regarding testosterone therapy? Should I prepare myself for a possible denial? I am eager to begin my medical transition, but before discussing this matter with my primary care physician, I would appreciate any insights or advice from others who may have navigated similar experiences.

InfertilityGynecologyReproductive Medicine
Male • 25-34
19 minutes ago

Understanding Bladder Discomfort

At 25 years old, residing in Germany, I find myself facing some concerning bladder issues after a previously uneventful medical history regarding my urinary system and gynecological health. Approximately six months ago, I encountered my first urinary tract infection (UTI). Since then, I have experienced a series of suspected infections, treated on multiple occasions with various antibiotics, including fosfomycin (twice), trimethoprim, and cefpodoxime, the latter being administered in October. During a follow-up appointment in early January, I was informed that there were no active infections present; however, my symptoms have continued without relief. My symptoms appear in sporadic episodes, characterized by a burning sensation and significant pressure in my lower abdomen and bladder. Roughly every few weeks, I face episodes of intense urgency to urinate, although these symptoms do not persist continuously. Laboratory tests consistently reveal a high leukocyte count in my urine, estimated around 125, with nitrite and blood tests returning negative results. A recent urine culture failed to detect any typical uropathogens, indicating potential sample contamination. During a gynecological examination, my doctor noted inflammation in the vaginal mucosa, an elevated vaginal pH, and recurring yeast infections. Upon suspicion of a local estrogen deficiency potentially linked to PCOS, I was prescribed a topical antifungal treatment and a local estrogen cream. The estrogen cream offered some relief in the initial days; however, around the third or fourth day, the classic UTI-related symptoms resurfaced. Despite the yeast infection diagnosis, I have not experienced the usual itching associated with such infections. I also encountered discomfort from a lactic acid gel that resulted in severe burning sensations—this was intolerable. In addition, I tried treatments like fluconazole once, cranberries, D-mannose, and forskolin in hopes of alleviating my symptoms. Imaging studies conducted thus far include: - A CT scan: which returned normal findings, - An ultrasound examining both kidneys and bladder: also normal. My healthcare provider has recommended a cystoscopy for further evaluation, yet I am grappling with significant anxiety regarding the procedure, particularly since it would be performed without sedation. I am left wondering what might be causing these ongoing issues with my bladder.

Shortness of BreathSwollen LegsInternal Medicine
Male • 25-34
29 minutes ago

Seeking Assistance for White Patch on Tongue

I am a 28-year-old male, and I consume alcohol regularly, but I do not smoke or use any tobacco products, nor do I engage in the use of illicit substances. Additionally, I am not aware of having any other chronic health conditions. Recently, I discovered a white area developing on the back of my tongue, which has progressively spread. It also gives me a slight irritation. While it can be scraped off when I try to move it onward with my tongue, I cannot reach that far back to clean it properly. I have consulted with my doctor three times concerning this issue. Currently, I am on my third day of a five-day course of nystatin oral suspension; however, I have not seen any improvement so far. Previously, about a month ago, I completed a treatment with clotrimazole troche and antibiotics. The latest throat culture swab returned normal results, but I am unsure if they obtained enough of a sample for a proper diagnosis. This situation is causing me increasing concern. As I do not have health insurance, every visit to the doctor that yields no definitive answers results in significant expenses that I can ill afford. I sincerely need guidance to identify what this condition might be and how to pursue the appropriate treatment or medication.

DizzinessNeurologyENT
Male • 25-34
29 minutes ago

Distinguishing Between Low Blood Sugar and Anxiety Symptoms

What sets the two apart? As a woman dealing with an eating disorder, I find myself currently facing troubling symptoms. It has now been 24 hours since I last consumed any food, and suddenly I’m experiencing confusion, slurred speech, a sense of dizziness (even while seated), nausea, trembling, and an overwhelming feeling of warmth and perspiration. In the midst of this, I glanced at my Garmin watch and saw that my heart rate was in the low 40s, while I typically maintain around 60. I’m uncertain if I’m experiencing an anxiety attack or if it is instead a case of severely low blood sugar. Unfortunately, I don’t have a means to measure it, and while it hasn’t been long since my last meal, I wasn’t initially feeling anxious; however, my condition is escalating, and I now feel quite unwell. At this moment, I am struggling so much that I can hardly bring myself to eat anything at all. Could this illness be attributed solely to anxiety, or is it likely caused by my lack of food intake? Additionally, please refrain from suggesting I seek help—I am already in the process of getting support. I’m simply inquiring about the symptoms for my understanding and to be better prepared if this situation arises again in the future. Thank you!

AddictionAnxietyDepression
Male • 25-34
49 minutes ago

Seeking Guidance for Persistent Health Issues

Hello everyone! I'm reaching a breaking point and felt compelled to share my concerns here. To start off, I have been diagnosed with Autism and ADHD. I also deal with anxiety and have suspicions of Endometriosis. For quite a while now, I have been enduring autistic burnout. I take medication for my ADHD twice daily. I'm 29 years old, female, and generally maintain a good level of fitness. Standing at 5'6", I weigh around 70 kg, which is slightly above my preferred weight but still manageable. In the last four years, I have experienced a range of escalating symptoms, including: - Severe fatigue: My sleep has become unrefreshing; I often feel dazed and utterly depleted to the point where my limbs feel heavy and unmanageable. - Ongoing issues with low iron and folate levels: Despite multiple prescriptions for iron supplements, no one has taken the initiative to investigate the underlying reasons for these deficiencies! The fatigue I experience is profound and impacts every aspect of my body. Sometimes, I find myself unable to open a jar, which was something I never struggled with before. Although my menstrual cycle remains regular, I have noticed some changes over the past four years, such as variations in cycle length and the occurrence of brown discharge post-period. The cramps can be quite severe, and the drop in mood during the luteal phase is overwhelming; it drains my energy and makes life feel insufferable. Additionally, my libido has completely diminished, driving me to frustration; intimacy has become increasingly painful compared to the past. It's incredibly disheartening to repeatedly feel brushed aside by medical professionals. I cannot endure this situation indefinitely, and I would greatly appreciate any advice or strategies for tackling my upcoming doctor’s appointment!

Crohn's DiseaseCOPDRheumatology
Male • 25-34
49 minutes ago

Experiencing Painful Intermittent Urination: Seeking Answers 😕

At 25, I’ve always enjoyed good health, particularly regarding my bladder and reproductive health. Yet, about half a year ago, I faced my first encounter with a bladder infection, which was diagnosed and treated several times. The remedies included multiple courses of antibiotics, including two doses of Fosfomycin, Infectotrimet, and, most recently, Cefpodoxime back in October. In January, I had a follow-up appointment, where the physician confirmed that the bladder infection had resolved. Unfortunately, I am still dealing with nagging symptoms. The discomfort manifests as sporadic bouts of pain, primarily a burning sensation coupled with significant pressure that radiates through my lower abdomen. Additionally, I endure episodes of intense urgency to urinate every few weeks. While the symptoms fluctuate, they can be extremely unsettling. My urine tests repeatedly show elevated white blood cell counts, currently at around 125. Recently, tests for nitrites, blood, and other factors have returned negative. The last urine culture didn’t identify any typical uropathogens but suggested a possibility of contamination. During my gynecological evaluation, it was noted that my mucous membranes are inflamed, my vaginal pH level is higher than normal, and I suffer from recurrent yeast infections, albeit without the conventional symptoms associated with them. My gynecologist suspects that I may be experiencing local estrogen deficiency, possibly tied to polycystic ovary syndrome (PCOS). Consequently, I have been prescribed a topical antifungal cream as well as a local estrogen cream. I also experimented with a lactic acid gel, but it caused excruciating pain, making it intolerable for me. I've also explored various remedies, including fluconazole, cranberry supplements, D-mannose, and forskolin in search of relief. I’m curious about what might be causing these persistent issues. Just for context, I'm residing in Germany. 🙄

RheumatologyJoint PainAbdominal Pain
Male • 25-34
49 minutes ago

Feeling Disconnected: Seeking Answers

(22 years old, 165 cm, 65 kg, non-smoker, not currently on medication, previously diagnosed with ADHD.) I find myself reaching out today as I grapple with some overwhelming feelings. I’m not sure if I’m experiencing burnout from ADHD, a sense of dissociation, or something entirely different. While I know medications could provide relief, financial constraints prevent me from affording them at the moment. I’m eager to hear how others navigate similar challenges without pharmaceuticals. For the past four to five years, I’ve noticed a significant deterioration in my ability to manage my ADHD, and it feels increasingly exhausting. Tasks that should take a reasonable amount of time drag on, and my perception of time has become distorted. Weeks and months seem to slip by, leaving me with a sense that I haven’t truly engaged with them. Recently, my enthusiasm for nearly everything has dwindled. Activities I once enjoyed, like gaming and studying, have taken a backseat. There was a time I could lose myself in a game for hours, but now that’s a rare occurrence. My love for music, which used to fill my days, has also faded; it feels bland and uninspiring now. Even my once-favorite meals lack their appeal. Caffeine doesn’t provide the usual boost, and all the past sources of joy—binge-watching, driving, gaming—seem devoid of energy. Nothing resonates anymore. These days, I often find myself lethargically lying in bed, mindlessly scrolling through TikTok. Fatigue envelops me, but it’s not the kind of tiredness that rest alleviates. My thoughts feel sluggish and murky, as if I’m disconnected from my own mind. With the beginning of the school term three weeks ago, it hits harder as this is my final year of college, yet I find it difficult to attend classes. It’s not a lack of interest; it’s more that I feel immobilized. Even when the desire to participate is there, my mind feels like a roadblock. My thoughts echo endlessly, droning in the background without respite. It’s as if I’m a spectator in my own life, merely going through the motions. I’m physically present, yet I don’t experience a real connection to my surroundings. This disassociation has intensified recently. It’s particularly frustrating knowing that medications like Vyvanse could alleviate some of my struggles, yet they remain out of reach. The knowledge that assistance is available but inaccessible is truly disheartening. I’ve attempted to push through my situation and hoped it might pass, but nothing seems effective anymore. I feel completely drained and seek clarity on what I’m facing and how others cope with similar feelings.

ADHDAnxietyDepression
Male • 25-34
1 hour ago
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