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Neck pain, burning feeling on the tongue - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Need help on disgnosis
Doctor :   Hello.
User :   Hi...I am 35, male...had an ear accident 3 yrs back...
User :   Last couple of months...having occasional pain on left neck...(as if stiff neck) & bit of feeling pressure on the left ear (which had the accident)
Doctor :   Ok.
Doctor :   It is present all the time?
User :   I also have a burning sensation on the left tongue (as if the starting point of the tongue)
User :   Over the last few is kind of always present....
Doctor :   Ok.
Doctor :   Have you shown any doctor before this?
User :   But frankly....when I am busy at work... or very releazed...I don't notice
User :   I consulted ENT...twice over...but they checked & said....nothing wrong with Ear or Throat
Doctor :   Ok.
User :   Now...I also have a very long running psoriasis on scalp
User :   Last time when I went to ENT....& mentioned abt the neck pain....
Doctor :   Since when do you have this complaint?
Doctor :   psoriasis?
User :   He laughed & could be due to nerves on neck...but not ear/throat
User :   psoriasis is there for almost 5-6 years....or a little more
User :   It goes on & off....
Doctor :   Ok.
User :   currently it is quite prominent
Doctor :   Ok.
User :   & it itches
Doctor :   Are you taking any medication for that?
User :   no...
Doctor :   Which part of the body is affected with psoriasis?
User :   So far ...head...scalp only
User : point...
User :   Today I noticed...a small patch on the left neck (not sure what it is though)
Doctor :   Can you describe the patch?
User :   Just to add....I also had neck/back pain some time (6-9 months) back...& chekced with orthopedic... & had medication...which resolved the situation
Doctor :   like color, size, shape, etc
User :   less than or abt an inch....almost circular....
User :   color is pretty much skin color...but somehow looks like as I could notice after carefully watching
User :   no itching though...
Doctor :   Ok.
Doctor :   Is it painful to touch?
User : pain...
Doctor :   Ok.
Doctor :   How is it on touching?
User :   Actually....due to this left neck pain....last few days...I am feeling like stiff neck all day long... can't move freely
User :   Touching ...I don't feel any uneven or roughness....
Doctor :   Ok.
User :   as if it is not there....but I can feel the prick...
Doctor :   Ok.
User : worried that weather this neck pain is associated with ear...(which ENT said is fine)
User :   or is it for nerves... or is it psoriasis
Doctor :   Can you tell me the exact location of the patch?
User :   joint of neck...where the shoulder starts
User :   & I feel pain on left arm as well...
Doctor :   Can you rate the pain?
Doctor :   From 1 to 10?
User :   as if the left neck...ear...shoulder....hand...they are all in bit of tension
User :   pain...I should say.... 1-2
Doctor :   Ok.
Doctor :   How did the pain start? sudden or gradual?
User :   coz...I really forget abt it...when I am in work or very relaxed
Doctor :   How did the pain start? sudden or gradual?
User :   Well...sudden I think...I was checking with ENT for ear....
Doctor :   Ok.
User :   & then one day I noticed...side of the throat....the neck....paining....
Doctor :   Ok.
User :   I informed ENT....
Doctor :   Ok.
User :   & he checked & said....that can't be due to EAR....or Throat... advised to do an x-ray....
Doctor :   Ok.
User :   as he thinks it is due to spinal posture etc.
Doctor :   Ok.
Doctor :   Have you consulted a orthopedic in this regard?
User :   not on this regard...but 6-9 months back....I had checked with I had severe back pain & neck pain (that was not specific to left/right....both)
Doctor :   Ok.
User :   That time I did x-ray & found some spinal issues....which my orthopedic doc said...were minor....(not to worry right away)
Doctor :   Ok.
User :   I took medication & was advised not to carry heavy load....(but I have to carry the laptop bag everyday)
Doctor :   Ok.
Doctor :   I suggest you consult a orthopedic for the pain in the neck.
User :   ok...
User :   Is this something related to psoriasis?
Doctor :   It looks like it is related to the spine.
User : I scratch the patches on the creates pain throughout haed
Doctor :   Even psoriasis can causes such symptom.
User :   So...are you advising that this left side specific issue could be from spine?
Doctor :   But it looks like it could be due to the spine.
Doctor :   Yes.
Doctor :   Give me your age, height and weight?
User : is there any reasons to be concerned & rush to Doc? Or should I visit doc say by a day or two?
User :   I am 5 feet 7.5 inches
User :   Weight: 70 KG
Doctor :   You can go to the orthopedic in one or two dyas.
User :   ok...
User :   & is there any reason to be worried abt Ear/throat?
User :   Or that patch?
Doctor :   It can be only determined after examination.
User :   Actually....when I checked with my ENT the 3rd time....he gave me anti-depressants :)
User : major thing I forgot to mention
Doctor :   As the ENT have said there is no problem.
User :   My ENT checked for the burning feeling on tongue....
Doctor :   Ok.
User :   & after the swab testing....he found nothing....
Doctor :   Ok.
User :   so he did an allergy profile....
Doctor :   Ok.
User :   & found that I am allergic to too many things...
Doctor :   Ok.
User :   e.g. cotton....egg...mutton....& too many stuff
Doctor :   Ok.
User :   so he had advised me some anti-allergic drugs as well....& when I took those...all went off & I was fine
Doctor :   OK,
User :   But after I stopped all started in a few days
Doctor :   Ok.
User :   So, conclusion is...I should check with an orthopedic?
Doctor :   Yes.
User :   ok, thanks Doc.
User :   IS there any other advise?
Doctor :   No.
User :   ok, really appreciate. Thanks
Doctor :   Thanks for consulting
Doctor :   Healthcaremagic.
Doctor :   Bye for now.
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