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What Causes Swelling In The Arm And Bleeding From The Nose?
Question: My name is XXXXX. For many years I have had an unpredictable thyroid problem. It used to show prominently until I had cervical spine surgery. Even though it was invisible after that, my new doctor said " You have a goiter". I couldn't believe he could see it. An ultrasound showed the goiter with several nodules. Right now it feels like there is something in my throat I can't swallow. That's normal for me, but, I was treated for malignant melanoma in my right forearm. A two day procedure saved my arm, and I was assured it had not spread. Two mornings ago I woke up with a very tender area on the LEFT side. I can feel the soft ball inside which is painful to the touch. I also have a bloody nose on the left. Any ideas, Doctor? I would appreciate any advice you have to offer. Thank you.XXXXX
Brief Answer:
See a doctor right away
Detailed Answer:
You need to get these symptoms checked out. The swelling in the arm and the bleeding from the nose need to be examined in-person.
The nodules also need a thorough assessment. A biopsy can be considered if the endocrinologist you consult, deems that necessary.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
See a doctor right away
Detailed Answer:
You need to get these symptoms checked out. The swelling in the arm and the bleeding from the nose need to be examined in-person.
The nodules also need a thorough assessment. A biopsy can be considered if the endocrinologist you consult, deems that necessary.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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