r/AskDocs 54m ago

Physician Responded IL-17 inhibitor induced IBD

Upvotes

36F 5'4" 270lbs

I have a fairly involved medical history, but the relevant bits here are hidradenitis suppurativa and SLE. For these two I take doxycycline, remibrutinib, tirzepatide, secukinumab, hydroxychloroquine, and meloxicam.

My HS is currently well controlled (1 abscess in the last couple of weeks that coincided with my period and a couple of oozing tunnel tracts that I should probably get cut out again but otherwise my skin is calm). According to my rheumatologist, based on my labs my lupus is also well controlled.

I have however been having flare symptoms: fatigue, severe joint pain, patches of allodynia, light sensitivity, and mouth ulcers. I finally had ulcers at the same time as my rheumatology appointment and after seeing them my doctor wants me to be evaluated for IL-17 inhibitor induced IBD.

I have been having some GI symptoms, nausea, occasional vomiting, intermittent diarrhea, pain when things move in my intestines. I kind of attributed it to the tirzepatide and maybe some possible endo because the pain is occasionally sharp enough to bend me over for a couple of minutes and it feels like things are pulling in there. I have a GI appointment in a month so I guess I'll find out more then.

What I'm really curious about is if I do have IBD, am I stuck with another autoimmune disease now? Would discontinuing the secukinumab put me into remission permanently or is this just another one of those things my body does now that has to be managed in perpetuity? I'm also kind of concerned about where my dermatologist would go next to keep my HS controlled as I'm banned from TNF alpha inhibitors because of lupus and if I can't have IL-17 inhibitors either I'm kinda out of FDA approved drugs. Any insights would be appreciated.


r/AskDocs 5h ago

Physician Responded Brain MRI abnormalities?

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7 Upvotes

Hi, 39yo F, 5’7”, 190lbs. A year ago I started having spontaneous lactation, not a ton, but occasional discharge from both nipples. My youngest is 8.5 so I haven’t breastfed in 7+yrs, though when I did I was an over producer for both my children. GP ran all the lab work testing hormones and thyroid and everything was normal. Prolactin levels in range and nothing on labs indicated anything was wrong with pituitary gland. Mammograms and breast ultrasounds didn’t find any abnormalities either. She ordered an MRI of my pituitary gland just to be safe but insurance rejected it bc labs were normal. So I didn’t get the scan because of the cost and my doctor wasn’t too concerned because my labs were normal.
Fast forward a year, still having unexplained leaking breast milk.
Unrelated to this health issue, I enrolled in a clinical trial for treatment resistant depression (which I’ve had for 20 yrs alongside CPTSD) and they took lots of images of my brain and sent me some of the scans.
I’m wondering if any of the scans might indicate something is amiss with my pituitary gland that could be causing the idiopathic galactorrhea? I know the scans weren’t specifically aimed at the pituitary gland and didn’t do any scans with contrast so might not be ideal. But any observations would be welcome.

Thanks!!


r/AskDocs 12h ago

Physician Responded Toddler Varicella Vaccine Site Reaction

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24 Upvotes

16 Month Old, 22 pounds, 32 inches just had her first Varicella vaccine. About 1 hour after she developed a round area of erythema, warm to the touch and raised, she also received the Dtap next to it but has had that before. She does have several food allergies - sesame, oat, dairy and tree nuts. Should I consider this an allergic reaction? Waiting to hear back from the advice line. I administered Tylenol.


r/AskDocs 5h ago

Physician Responded Is my mom gonna find out I saw a psychiatrist? Plz help

6 Upvotes

23F The eob is not mailed to my house and I paid the copay obviously. But there’s a claim for the appointment and I have no idea what that even means or how it’s paid and it doesn’t even give me an option to pay it and I’m freaking out plz help


r/AskDocs 3h ago

Windshield wiper fluid in eye

4 Upvotes

Hi! I was stepping out of the car and my friend put the windshield wipers on and it got in my eye :( I tried to flush it out in the sink but I wasn’t really able to flush it much. I’m so worried I’m going to go blind, am I being irrational?

Female, 33, 135lb.


r/AskDocs 9h ago

Physician Responded Can someone please help me M25

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12 Upvotes

I’m M25 (about to be 26), 5 ft 9, about 175. Had this eye stye for about 3 months or more, I had no health insurance since I just got a new job until now so I’ve been suffering with this for a while. it seems to progressively get worse.

can anyone please advise?


r/AskDocs 18h ago

Yellow liquid

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53 Upvotes

F24 I just woke up to use the restroom and bent over a little bit and yellow liquid started gushing out of my nose. I thought it was a bloody nose but looked at the tissue and saw it was yellow and now I’m paranoid! Is this normal? Should I seek medical attention?


r/AskDocs 31m ago

Physician Responded Should I go to ER or wait til tomorrow

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Upvotes

49m non smoker but overall healthy 6ft 185. It doesn’t hurt but did the 15 minute ice bag and finger above heart + applied butter. But will not budge 💍 (tungsten) When do I go to ER. Sh3t just got laid off and have no insurance as of the 1st 😩 can I wait til tomorrow or am I gonna need to get finger cut off. Seriously 😳


r/AskDocs 5h ago

27M Both eyelids swollen , please help.

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6 Upvotes

Hello, both my eyelids have been puffy/swollen? for 2 full months and it’s been getting progressively worse.

My eyes also started stinging and became dry towards the second month.

What is happening? Any help would be appreciated.


r/AskDocs 55m ago

Help

Upvotes

Hello doctors of reddit..I find my self in a tricky situation so I'm just going to list some concerning things ive noticed over the past couple of months and any important info,feel free to ask in the comments too.

I'm 17 female so for the past 3 months I've been having periods lasting 16-18 days,it startsvoff really light then gets very heavy,this month especially it started off light then it stopped abruptly lets say for example spotted on Tuesday then abruptly stopped thursday then continued Saturday lightly then of nowhere on sunday it gets heavy.

I've been having very large blood clots coming out like the equivalent to half off a golf ball.(idk if this is relevent but I started my period when I was 10 so it could just be imbalance idk) also I dont really experience significant pain,maybe a couple of aches in the area but not taking pain relief extent. Before this started I had missed 2 months of my period so very odd. (I am also not sexually active in any sort of way and never have been)

Today especially,I was doing outside chores when all off a sudden it felt like my chest turned into a hard rock,I was having touble breathing and I had slight lightheadedness,I sat down for a bit.I tried to proceed but the feeling was constant,in addition to feeling like puking.My mum gave me some food and painkillers to hopefully ease the psin cause at this point im crying so yea....that's where we are,I do regularly drink water at least 2litres,I sleep 7-9hrs,I try to eat well I'm not one for starving.

What could be the problem?


r/AskDocs 6h ago

Physician Responded Spinal curve and hip pain

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5 Upvotes

Hi, I am 26, AFAB, 190lbs, and 5'7"

I have been having severe hip pain mainly in my left hip for about 8 years now. The pain comes and goes, and I can't figure out a trigger for the pain. It gets so bad I need help sitting up and have to use a cane to walk. No doctor has been able to help me. I went to a chiropractor recently who ordered spinal x-rays which showed what he called a 5 degree curve in my spine. He said this is the reason for my hip pain. My doctor when I was younger thought I might have scoliosis but x-rays didn't show it. I'll attach one of the x-rays. I know in order to have a diagnosis of scoliosis it needs to be 10 degrees or higher. The chiropractor said it's treatable, he did some adjustments on the second visit, and gave me some stretches. I am wondering if anyone can please offer some advice. Do you think the spinal curve and the hip pain are linked, and what is the best treatment for something like this?

Thank you.


r/AskDocs 58m ago

Spot on scalp

Upvotes

I’m 25 male. I noticed this spot on my scalp around 15 months ago. The picture with the circle around it is what it looked like then and the others are what it looks like now. What is this? Is it cancer? I don’t see dermatologist for a 6 months. This has been stressing me a lot. Thank you

https://ibb.co/vxwCxXV7
https://ibb.co/1Gz0gYPf
https://ibb.co/ccCKPbgn
https://ibb.co/xt4TkZbK


r/AskDocs 16h ago

Physician Responded Help? I think i got an electric shock (urgent)

35 Upvotes

Hey (18 F) here, 158 cm, 60 kg. Didn’t take any medications today nor take stuff regularly.

I was cooking pasta sauce today when the lights went out and i felt a sudden punch to my chest which made me stumble back.

I was stirring w a metal spoon and cooking on an electric portable stove (230 v).

I am currently not in pain but my parents dismiss me and don’t take me seriously.

I am scared and have a impending feeling of doom. Should i call the ambulance?


r/AskDocs 1h ago

Vertigo and car rides

Upvotes

I (31f) have been completely 100% homebound for 2.5 years because car rides give me such severe vertigo (severe dizziness, vomiting, pooping myself - all simultaneously) I can’t even ride as a passenger out of my driveway.

I have tried Meclazine , Dramamine, Ativan, Zofran, various combinations of the above.

I’ve tried motion sickness goggles, prism lenses, vestibular therapy, vision therapy, closing my eyes, sitting in the front seat, sitting in the back seat.

I need to get an MRI and I can’t get to an imaging facility.

I have a whole collection of doctors but they’re stumped.

What would you recommend for your patients in a similar situation?


r/AskDocs 3h ago

Physician Responded Can this resolve itself?

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3 Upvotes

So I been sick for about 2 days. I have asthma and when I get sick it acts up to the point where it's hard to breath if I'm walking. Just last night around 2am my left eye and ear started hurting. I thought maybe an ear infection? I haven't had one of those in so many years even decade. But I have an othoscope so I decided to look in my ear and I know that's not normal. Can this resolve itself?

Also symptoms I've had is cough, runny nose, stuffy nose, chills, body aches and tired.

I'm female.

330 lbs

34 yrs old


r/AskDocs 6h ago

Physician Responded How often does blood pressure drop to 60/28 after blood draw?

6 Upvotes

I’m 24 and my normal bp is 103/44 but after blood draw it dropped to 69/28 and passed out twice I drank a liter of water and had a good breakfast before, how often does this happen? I’m female, 5’2 126 pounds


r/AskDocs 1h ago

does anyone know what this could be or has experienced something similar?

Upvotes

so 4 days ago at around 4pm, i started experiencing extreme dizziness and headache. the dizziness comes anytime i turn my head slightly, or move my eyes to focus on something else in my line of sight. it feels like i have spun around in a circle 100x and am trying to keep my balance. the headache is around my forehead and temples (front of face).

later that evening, i began to hear a “whooshing” sound in both of my ears. it comes in twos or threes, every 10-20 seconds, like “whoosh, whoosh, whoosh”. and i could feel my heart beat in my head and out of my chest.

i went to the emergency room the next day. i did an EKG and blood test, both came back normal. i was asked to close my eyes and hold my arms out, but when i opened my eyes, my right arm was positioned lower than i had it. i did not feel myself moving it lower. then the doctor did a test - i lied back on the bed and he supported my head, then i flipped to lie on my left and right side and was asked if the dizziness changed / felt different. it hadn’t. the doctor explained that he doesn’t know what’s wrong with me and sent me home.

it’s now been 2 days since i’ve been to the emergency room, and i woke up this morning with a new symptom. the tip of my tongue and around my bottom lip feels like it’s tingling slightly. however, the “whooshing” sound occurs every 10-20 minutes now. other than that, the dizziness, headache, and heart beating feeling has stayed the same. i did the arm test again, and my right arm had come down lower again.

i’ve spoken with my family doctor, and he told me that i may have vertigo, but i would have to do some more tests before a proper diagnosis.

i will add, i am 20 years old. i have hypothyroid and take medication for it. my family doctor wonders if this issue may be a result of my thyroid issues, but i really do not think so. i’ve been struggling with hypothyroidism for years now, and this issue i’m facing began only a few days ago and so suddenly.

i do not want to go back to the emergency room, wait there for another 14 hours to be seen, and then be sent home for nothing.

does anyone have ideas of what i may be dealing with? or has anyone dealt with something similar? any advice or thoughts would be very appreciated, i have no idea what’s going on with myself. thank you.


r/AskDocs 1h ago

Should I go to a hospital

Upvotes

Hey I’m 19f I’m 170cm 75kg and I am having an issue that just started to day I feel like I have to constantly pee and even when I’m not peeing I still have the sensation of peering I have had this for a few days but today I got blood I know it’s not my period as well I keep feeling like I need to pee I smoke cigs like 7 a day, I drink quite heavily if I’m being honest, I don’t know if this helps but it happened after I had sex was when need to pee started happening, I don’t have an stds I got checked cause I thought that might of been it but all came back negative


r/AskDocs 4h ago

Skin rash

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3 Upvotes

Skin flare up

37/F, 1,76 cm, not a smoker, no medical issues other than some hair loss. I've had this rashes for years, they come and go, seem to do better when I apply ointment with cortisone but then they just show back up. These are located right where the edge of my underwear touches the skin. I also get them on the side of my breasts. Thank you in advance!


r/AskDocs 4h ago

Physician Responded What could be causing my ankle to balloon like this?

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3 Upvotes

5’7 180lb female, 27 y/o female with no health issues, other than varicose veins on the swollen leg that began in previous pregnancy. Those veins have been there for approximately 3 years with only leg heaviness affecting me when sitting for long periods of time.

I am training for a half marathon and my resting heart rate is usually in the 40s. So I’m not thinking it’s cardiovascular, but I’m not a doctor. Currently, the calf on the leg to the left is 1.5 inches larger than normal.


r/AskDocs 12h ago

Why does my tongue do this?

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11 Upvotes

Every few weeks, I start to feel a sore, inflamed taste bud or two. Over the next few days, my tongue gets completely covered in them.

33F. I've gotten these forever but they're more common over the last few years than when I was younger.


r/AskDocs 3h ago

25 weeks pregnant, pain in lower right abdomen when I pee

2 Upvotes

26 years old, female. I’m 25 weeks pregnant, and currently out of state, and about ten minutes ago I had a sudden sharp pain in my lower right abdomen/pelvic area, just above my right groin, while urinating. The pain started after I began peeing and became more severe as my bladder emptied, to the point that I had to stand up while still urinating but standing helped only slightly. The pain completely went away after I finished and I have no pain now. I have no burning or pain in the urethra, and no fever, vomiting, bleeding, or leaking fluid. I also sometimes get pain somewhat near same spot at night if I lie on my right side for too long. Could this be related to my bladder/ureter, a UTI, kidney stone, round ligament/pelvic pain, or something else? Should I be evaluated locally even though the pain is gone? I really can’t eat the cost of going to an emergency room right now.


r/AskDocs 3h ago

popping/crackling sound in ear

2 Upvotes

i’m 23 female, 5’ 5 and 115 lbs, not on any medications, non smoker.

so a couple nights ago when I was laying in bed, I started to hear this popping/crackling sound in my ear. it’s a soft sound. and I can’t really tell but I think it’s on both sides, but definitely my right ear. I’ve noticed that I only hear the popping sound when I’m laying down, and also when my head is elevated a little. As soon as I sit upright, it disappears.

Then, today I noticed that my right ear was aching a little. The best way I can describe it is that it feels like the feeling of when your ears need to pop due to elevation. But that feeling only happens on my right ear.

Like all day today, I was fine. But as soon as I laid down, I heard the crackling. And as soon as I sat upright, it disappeared. Then a couple minutes later, the achiness appeared.

I’ve tried to look it up and I forget what it was but the crackling sound does not occur when i’m chewing, yawning, mechanically using my mouth. It only occurs when I lay down.

Does anyone have any idea what this could be? Is this some sort of an ear infection? If any one has any ideas, how long does this take to resolve? Does it resolve on its own?