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What are the side effects and benefits of Nexpro? - Online Doctor Chats

Date : 11-Apr-2014
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I have been diagnosed with a tumour of the parotid gland and waiting for surgery. In recent weeks I have become aware of my upper lip having a burning sensation on the same side as tumour. I initially thought I had a reaction to a lipstick but this has been on going for a few months and seems to feel worse. I have also developed a twitch in my eye on the same side as the tumour for the last 3 weeks.
Doctor:Hi, I am Dr. Shanthi.E.
Let me read your query for few minutes to be able to have a good discussion here.
User:Ok thank you
Doctor:Thanks, I have read your query
Doctor:How big is the tumor?
Doctor:May I know it's dimensions?
Doctor:IT is possible that it can be pressing on the surrounding structures and causing your symptoms
User:I think it is about 3 inches
Doctor:Could you upload any report of it here, if possible?
Doctor:any investigation report of the tumor?
User:I haven't been given a report
Doctor:All right, no problem
User:I did have an MRI but no report was given to me
Doctor:Like I said, the tumor may be pressing on the adjoining structures like the nerve around the upper lip area causing your symptoms
Doctor:And also the eye symptoms
Doctor:I would suggest you to wait until the surgery and look for improvement of your symptoms post operatively
User:That's what I thought maybe happening. Should I be pursuing this with the consultant?
Doctor:In my view, with the removal of the tumor, these symptoms should subside
Doctor:Yes, definitely
Doctor:Please talk to your consultant about the same before the surgery itself, so that he is well aware of your symptoms
User:Recent discussion with consultants secretary suggested it would be mid May before I get surgery
User:I have been having pain since January
Doctor:This would help the surgeon to take care of the nerves in the vicinity and handle them correctly
Doctor:Try to push and get an earlier date for your surgery, if possible
User:Would he be able to tell from MRI which I had about 3 weeks ago if the tumour maybe near these nerves?
Doctor:Yes, MRI would give those details
User:The secretary asked if I would go with another consultant and hospital if they could get surgery there sooner and I agreed
Doctor:The surgeon should be able to figure out the extent of the tumor and the surrounding impingement if any
Doctor:That is good
Doctor:You have made a good choice
User:OK is there anything else I can do in the meantime or do I just grin and bear it until surgery?
Doctor:Try doing hot fomentation locally that would help with the symptoms
Doctor:Otherwise, there is nothing much you can do medically. This needs surgical correction
User:Could you explain further>?
User:I have used hot salted water when I was getting extreme pain inside face
Doctor:Hot compresses locally on the upper lip area, surrounding the tumor area and just below the eyes can give symptomatic relief
Doctor:You could use the same for this as well
User:Ok will a compress help a twitch?
Doctor:yes, it does
User:Ok that's good to know I will try that thank you
Doctor:Thank you too
Doctor:Wish you quick recovery post your surgery
Doctor:Good luck
User:Thanks very much goodbye
Doctor:Take care
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