General Medical issues thread

[love_the_life]

I have hurt my lower back. To the point of barely being able to walk and can't bend forward. Managed to get to the doctor today and got Endone - never had it before and half way through second dose, got nauseous and threw up. Maxalon not helping. It's going to be a long night.

Not happy

Daughter had the same reaction to Endone after hip surgery though did not actually vomit. Was very dizzy and nauseous. Crossed that drug off the list.

 

[JohnK]

Filling partially broke a month or so ago as the tooth has had further decay and tooth is now also loose. Now throat and tonsils sore. Tongue has ulceration from constant rubbing against sore tooth. Mouth and tongue burning. Started Amoxyl yesterday as I didn't have any in Sydney.

Not looking forward to taking tooth out. Dentist and GP administering relaxant will not be cheap. Should have taken tooth out in Thailand last week with laughing but forgot.

Fun, fun, fun.

 

[Quickstatus]

Daughter had the same reaction to Endone after hip surgery though did not actually vomit. Was very dizzy and nauseous. Crossed that drug off the list.

Narcotics!. Women generally don't do very well with narcotics. Worse with decreasing age.

 

[blackcat20]

Had Oxycodone prescribed following my surgery but havent needed it so far; paracetemol and codeine has been sufficient (though they did dose me quite strongly in recovery). Yet when I had my wisdom teeth out two years ago, the pain was extraordinary and they didnt prescribe anything! :shock: Had to go crawling to my GP begging for relief and while he offered morphine, I found panadeine forte sufficient (though not particularly long lasting).

 

[Milboo]

Yes GP prescribed Endone as panedeine forte did not touch it (I have built up a tolerance as I take it for migraines and have done for years. Endone does not seem to be overly effective and not willing to go higher dose after yesterday. Back to doctor later today as had scan this morning.

Pain is confined to left side, very low (around L5/S1), radiates around the hip and get some sensation down leg. Can't flex hip forward without pain.

Im supposed to be on a flight to the UAE in 5 days...

 

[Quickstatus]

Had Oxycodone prescribed following my surgery but havent needed it so far; paracetemol and codeine has been sufficient (though they did dose me quite strongly in recovery). Yet when I had my wisdom teeth out two years ago, the pain was extraordinary and they didnt prescribe anything! :shock: Had to go crawling to my GP begging for relief and while he offered morphine, I found panadeine forte sufficient (though not particularly long lasting).

What is it with wisdom teeth extractions. Some people report a terrible experience. Mine was just easy. 4 removed in dental chair no drugs just local anaesthesia. Not even panadol afterwards.

Codeine - effect is variable because people metabolise it at different rates into the active drug morphine. The UFMs (ultrafast metabolisers) convert it rapidly into morphine and for them codeine is a "strong" drug. Others take codeine with minimal effect.


______________

Yes GP prescribed Endone as panedeine forte did not touch it (I have built up a tolerance as I take it for migraines and have done for years. Endone does not seem to be overly effective and not willing to go higher dose after yesterday. Back to doctor later today as had scan this morning.

Pain is confined to left side, very low (around L5/S1), radiates around the hip and get some sensation down leg. Can't flex hip forward without pain.

Im supposed to be on a flight to the UAE in 5 days...

If its L5/S1 it should be going to the sole of the foot. Anti-inflammatories may assist.

 

[Milboo]

That's interesting! It is only in the thigh.

On voltaren too.

 

[blackcat20]

What is it with wisdom teeth extractions. Some people report a terrible experience. Mine was just easy. 4 removed in dental chair no drugs just local anaesthesia. Not even panadol afterwards.

Codeine - effect is variable because people metabolise it at different rates into the active drug morphine. The UFMs (ultrafast metabolisers) convert it rapidly into morphine and for them codeine is a "strong" drug. Others take codeine with minimal effect.

It was pretty terrible and theyd promised me before hand that my pain would be managed. It obviously wasnt. On the upside, never have to do it again.

I metabolise all drugs (pain relief, anaesthetics and even alcohol) faster than most, so I only get very short relief from pain. I'm luck to get an hour or so from panadeine forte. I've woken up early from an anaesthetic before (ie still on the operating table) and I sober up very quickly (and very suddenly, like someone has flipped a switch).

 

[Quickstatus]

That's interesting! It is only in the thigh.

On voltaren too.

Ah then its probably L2-4:

_________________

I metabolise all drugs (pain relief, anaesthetics and even alcohol) faster than most, so I only get very short relief from pain. I'm luck to get an hour or so from panadeine forte. I've woken up early from an anaesthetic before (ie still on the operating table) and I sober up very quickly (and very suddenly, like someone has flipped a switch).

Sounds like your Cytochrome P450 enzymes are in the faster group.
Drug trials do not take into account polymorphisms in metabolising enzymes.

Apparently "Redheads" need higher doses

 

[Pushka]

L5 and S1 is where I had the disc prolapse. I know the exact time the disc ruptured as it was like a knife being run down the back of my leg through to my foot. Now I have no deep reflex in my ankle, numbness in my calf and the little toe and one next to it are numb - 20 years later!

It began as a backache and when looking in the mirror the spine went 'out' in a curve rather than the normal inward curve. Physio got the curve back but a few weeks later the disc ruptured as I bent down to pick up the baby.

 

[blackcat20]

_________________



Sounds like your Cytochrome P450 enzymes are in the faster group.
Drug trials do not take into account polymorphisms in metabolising enzymes.

Apparently "Redheads" need higher doses

Well I'm definitely not a redhead...

 

[Milboo]

Well that's baffled my doctor. CT is clear. Which is at odds with the level of pain and impairment being experienced.

 

[QF WP]

Filling partially broke a month or so ago as the tooth has had further decay and tooth is now also loose. Now throat and tonsils sore. Tongue has ulceration from constant rubbing against sore tooth. Mouth and tongue burning. Started Amoxyl yesterday as I didn't have any in Sydney.

Not looking forward to taking tooth out. Dentist and GP administering relaxant will not be cheap. Should have taken tooth out in Thailand last week with laughing but forgot.

Fun, fun, fun.

Nitrous oxide - my choice of pre-dental work (but haven't had it in almost 30 years). Still remember grabbing the mask and actually wanting to administer to myself as it was amazing....and remember the music seemed to "waft" and be on a delay...

 

[QF WP]

I metabolise all drugs (pain relief, anaesthetics and even alcohol) faster than most, so I only get very short relief from pain. I'm luck to get an hour or so from panadeine forte. I've woken up early from an anaesthetic before (ie still on the operating table) and I sober up very quickly (and very suddenly, like someone has flipped a switch).

Can very much relate to the first part of that last sentence :evil: but sadly, not the second . Remember tapping the anaesthetist on the wrist/hand as my mouth had tubes in it and my eyes had patches. He quickly injected me or increased the flow, because I went back under...mercifully as I was in just a bit of pain

Well I'm definitely not a redhead...

Amen to that

 

[love_the_life]

Hey, how's the nose BC​? Feeling good now? Hope so.

 

[blackcat20]

Hey, how's the nose BC​? Feeling good now? Hope so.

Still sore, lots of stitches and still packed. But I can breath somewhat now which is helpfu

 

[whatmeworry]

Melbourne and Geelong experienced "Thunderstorm asthma" yesterday with Two dead after the cool change.

I don't have asthma but suffered from Thunderstorm asthma in 2010, the last time it happened in Melbourne.

It's a rare phenomena but has been observed in London and Wagga Wagga.

[h=2]'We ran out of Ventolin puffers at one point'[/h]St Vincent's Hospital, in the inner-Melbourne suburb of Fitzroy, was overflowing with emergency patients and ran out of Ventolin puffers.



"The emergency physicians say not only have they never seen anything like that before, they've never seen so many people arrive at one time all suffering the same condition," hospital spokeswoman Kathy Bowlen said.

'Thunderstorm asthma': Two die after Melbourne storm causes spike in respiratory problems - ABC News (Australian Broadcasting Corporation)

[h=2]What causes thunderstorm asthma?[/h]

• Can affect those who suffer hayfever, pollen allergies
• Rain causes pollen particles to burst, making them smaller
• Small particles enter the lungs through the nose
• People who do not usually suffer asthma can struggle to breathe

What is thunderstorm asthma? - ABC News (Australian Broadcasting Corporation)

Some grass allergen (like ryegrass allergen Lol pIX) is located on the surface of starch granules within pollen grains. A single pollen grain contains up to 700 starch granules of 0.6 to 2.5 um (small enough to reach the lower airways in the lung). When it rains or is humid, pollen grains can absorb moisture and burst, releasing hundreds of small allergenic particles that can penetrate deep into the small airways of the lung.
Not everyone who gets thunderstorm asthma has had it before. They have normally had severe pollen allergic rhinitis (hay fever) and most have been found to be allergic to ryegrass. Presumably the massive load of small allergenic particles being inhaled straight into the lung trigger these attacks.

Thunderstorm asthma - Australasian Society of Clinical Immunology and Allergy (ASCIA)

 

[Pushka]

Annoying TV article on lifestyle and heart disease. Stating that our sedentary lifestyle and diet is eroding the medical advances in cardiology. A concept that I agree with btw. For most.

The person they interviewed had a serious heart issue in his forties. Problem is, he was fit and seemingly healthy but it was a genetic issue that caused his heart issue. So nothing to do with the message they are trying to convey.

Do they think we are stupid?

 

[bosox76]

Annoying TV article on lifestyle and heart disease. Stating that our sedentary lifestyle and diet is eroding the medical advances in cardiology. A concept that I agree with btw. For most.

The person they interviewed had a serious heart issue in his forties. Problem is, he was fit and seemingly healthy but it was a genetic issue that caused his heart issue. So nothing to do with the message they are trying to convey.

Do they think we are stupid?

Unfortunately yes. Yes they do. As for the first half of you statement couldn't agree more. I see it everyday in my clinic. It wouldn't take much to reverse a lot of what I see.

 

[Quickstatus]

Pushka,

If you ever develop a DVT in the legs you might have one of these:
Denali® - Bard PV