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Dyslipidemia and abdominal bloating

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pardon my spelling,things started about a a year ago,fatigue,no sleep,go home early to sleep and sleep for 24 hrs than not sleep at all for 2 days,lots of anxioty,father had just died at that time so i thought i was depressed but my body just didnt feel right.went to my ergent care dr he did blood work.to keep it short blood work was not good,ldl choles=269 hdl=34 triglycer=639,glucose=99 alt=47 tsh4.81,creatin=1.41,he was shocked and put me on proper meds which i'm not good at being consistintant,about 3 mo later i felt no better mentally or physically so i went back to dr. and got chewed out for not takin meds"this dr I love" i did some study of how i felt and asked dr. to do blood work for vit b12 defincy and gheck thyroid with certin test for homocystine level=19.3 and vit b12'folate serum pannel=300,at this same time he sent me for ultra sound for thyroid and belly because belly was sise of vollyball and tight,test showed 1 thyroid enlarged with goiter,liver to have fatty infiltration,pancrieatic area could not be seen dur to overlying bowl gas shadow.dr sent me to an endrocron and he did 2 blood test and said nothing wrong and take a multi vitam and did not even look at stomach also told endro dr my hair was fallin out and abnormal skin legonds he said that would go away.2 days ago i went to er room with chest pain,short breath,pain from chest to stomach to testical,dr came in and asked a few questions and then told me the legonds on my body was MRSA,cat scans came back showin no problems,heart,lungd,stomach,was there for 9 hrs and dr never talked to me so i asked him whats goin on? he said my pulse wont go down andits at 125 and blood work said i had cocaine in system which is true but from days ago and i was a common drug user,not true and i was not to talk to him again and i would talk to a cartioligst tommorrow,so i left thinkin the cartioligst would think the same,fact my pulse is always around 125 relaxing,so questions are,is my ammune comrised? If I do have MRSA does it relate to my vollyball belly and and is ammune system strong enough to fight MRSA.I have had dierria for a year,mental fobias and do they all tie together? don sprint.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Hello,

Thank you for choosing DoctorSpring.

I am surprised why your Doctor said there is "MRSA". Your symptoms are not suggestive of MRSA or any other serious infection. The only concern to be ruled out is the fast heart rate. Other blood tests are normal so you need not worry about that.

You will definitely require a Psychiatric evaluation. Now I am NOT saying all of these symptoms are due to Psychiatric problem. But treatment will clear many masking symptoms and so a better diagnosis can be made. Form the information you have provided it seems you have been thoroughly evaluated. So as of now we can safely assume that nothing dangerous is going on.

Discuss with your Doctor whether you need evaluation for Pheochromocytoma. Your Cardiologist can guide you on this. Some urine tests might be needed in that case. This one condition can cause above mentioned symptoms. Other than that I cannot see any connection in these symptoms.

Hope I am clear.
please feel free to ask followp questions.
Thank you


Patient replied :

the er doctor seen the legins on my skin and said it was MRSA,I did not bring it to his attention he just noticed and commented that it was mrsa and he could give me antibiotics for it.None of the numberes on the bloodwork from the urgent care dr show any concern for you? or my ammuine system?or the giant stomach? i really look 7 mo pregnat,or the dierria?


Hello,

There is high cholesterol and Hypertriglycerdemia. However this cannot explain the symptoms. You will require medication + diet modification + aerobic exercise to reduce this. But this will not cause the above mentioned symptoms. MRSA cannot be diagnosed by seeing a lesion. This will require bacterial culture and antibiotic sensitivity testing. I guess this diagnosis (if not based on the culture) should be revisited.

Hope this helps
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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