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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red Inflamed Eye, History Of Less-than-normal Immune System, Canker Sores On Labia, Mouth. Behcet's Disease?

I m curious about the likelyhood that I m experiencing symptoms of Behçet s disease (which, I am aware, is rare). I m a 33 year old female. I ve had a few (seemingly) unrelated symptoms occur in the last 5 days that have me curious, and scared. First, let me start by saying that, yes, I have an appointment for next week scheduled with my Doctor to request a battery of tests, including thorough and comprehensive STD tests. I will list the symptoms, and contributing factors, in the order that they presented themselves. 1) About 10 days ago I mentioned to a co-worker that I was worried/felt like I was catching a cold/ flu again. (I just had one right before Christmas that took me down for nearly 3 weeks). 2) I had not been sleeping well and felt generally worn down, due to work/life stress, beginning about 12-14 days ago. 3) 5 days ago I had sex with my (sexually exclusive) partner. It had been at least a month since the last time we were intimate, however we have been involved for a year and a half, and as I mentioned, we are sexually exclusive. While there is a slim chance that he has passed something on to me (hence why I m going to get thoroughly tested...it s been about 2 years since my last STD test, so I m overdue anyway), I have never experienced this combination of symptoms, in such a short time, previously. I have always tested 100% STD free, and used to request that my OBGYN test me for the works during my annual exam. 4) 4 days ago I experienced the first warning sign/symptom of an upper UTI infection ( pyelonephritis ): a distinctive change in the scent of my urine. I have a history of recurrent pyelonephritis; while I haven t had a recurrence in the last 3 years, I have in the past experienced them as frequently as 3 times a year. Since this most recent incident happened on a weekend, I was unable to get into a Doctor s office immediately, and didn t want to deal with the ER. (In the past, the ER physicians have dismissed my knowledge of my symptoms & condition, prescribed me an alternative, and left me suffering from a horriblly painful full-blown kidney infection for weeks). The standard (very effective) protocol of treatment my former physician implemented became an injection of Rocephin (within 24-48 hours of first symptoms), followed by a course of oral levaquin . I ve been tested, ultrasounded, etc. etc. etc. and no cause for my frequent pyelonephritis was ever able to be determined. This time, I expected to be in full-blown symptoms within a couple of days, however, instead, something else happened. 5) The following day (3 days ago), I woke up with a horribly inflamed, red, left eye, which was stuck shut with gunk in my eyelashes when I woke up. The right eye was mildly pink : 50% white, 50% light pink - pinker than normal but nothing compared to the other eye. It was almost as if there was a horizontal line halfway across my eye: white upper half, pinkish lower half. Since I wear contact lenses , I chose to wear my glasses that day, and was fairly concerned that I may have somehow aquired conjunctivitis . Great...now THIS. 6) On the same day that I woke up with the red left eye, I noticed what appeared to be an ingrown hair on my left labia. Tender, but not a big deal, I thought, since it s happened in the past. I applied vaseline to protect it from becoming chaffed and irritated, which, viewed in hindsight, seemed to make the situation worse. Later that night, I had to attend a work related event that I could not skip out on (despite the red eye ), and I made the mistake of wearing a thong and textured tights under a dress (hot, sweaty, chaffing...). 7) The following day, 2 days ago, I stayed home from work and debated whether to go to the Doctor, instead, I just slept most of the day. My typical kidney infection symptoms (flank pain, alternating fever and chills, etc.) had not appeared, the redness in my eye was slowly going away, and I assumed I just needed rest. By the evening though, I noticed the ingrown hair looked more like a chancre sore (granted, I d squeezd it upon first sighting it, attempting to get the hair out), and now it had been joined by another one, on the opposite side, and they were both very tender. These sores do not look like herpes blisters, they are isolated, raised red craters with a depressed white-ish center, and are very, very tender. They look like chancre sores, which is not something I ve ever seen down there . Also, by the evening, I was experiencing burning after urination, although not UTI-type burning. It was burning from my urine making contact with these sores and was calmed down by a cold washcloth. 8) Yesterday, the pain while urinating was intense enough to bring tears to my eyes and combined with the new fear that I could have an STD, I was TERRIFIED. 9) Today, the tenderness and pain while urinating has diminished significantly, (to the point of being very mild), most likely due to the hyper-vigilant care I ve been taking. (Carefully applied gauze, and using panty-liners, changed almost hourly, to keep my genital area dry). And, this evening, I just noticed that I have a small chancre sore inside my lower lip (mouth, not genitalia). I ve been incessantly researching my symptoms over the last 3 days, and came across Behçet s disease, the symptom s of which seem to more closely align with what I m experiencing, vs. herpes or something else. To be fair, why have I not demanded an appointment with my Doctor immediately? Well, the HMO I deal with tends to be more factory than feel-good, and I m afraid of an, Oh, it s herpes knee-jerk, default, diagnosis without thorough testing, which will then brand me in their system for eternity. My appointment to be tested is at a different clinic. After I get the results, THEN I will go to my HMO. Additionally, I have experienced chancre sores in my mouth at least a few times a year throughout my life, usually after eating too much citrus, drinking too much citrus juice, or eating something that has a high level of ascorbic or citric acid in it...like sour gummy candies. I also have Irritable Bowel Syndrome, which was diagnosed about 6 years ago after nearly 4 years of testing for everything under the sun, including Celiac, Chrone s, Food Allergies, etc. My immune system as always been off , I seem to get sick more easily than most people (catching every errant bug going around), my sister has fibromyalgia and primary immunodeficiency disorder, and, though I ve never been tested, we ve assumed I probably have it as well. In my experience, genetic testing is not something most Doctor s are interested in pursuing, though, unless something MAJOR is going on (Like a 16 year old female with full blown fibromyalgia visiting a Rheumatologist ). So...red inflamed eye, history of less-than-normal immune system, chancre sores on labia, and now one in the mouth...opinion...likely Behcet s? It s going to be difficult to convince my HMO s primary care physician to give me a referral to a Rheumatologist, so I m hoping for all the support I can obtain to take to my appointment with me.
Wed, 19 Jun 2013
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Homeopath 's  Response
please do the required tests esp ultrasound of the whole abdomen including pelvis,urine examination then send the reports to me drravib4u@yahoo.co.in.you have better homeopathic medicine for your complaints to cure your case.
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Red Inflamed Eye, History Of Less-than-normal Immune System, Canker Sores On Labia, Mouth. Behcet's Disease?

please do the required tests esp ultrasound of the whole abdomen including pelvis,urine examination then send the reports to me drravib4u@yahoo.co.in.you have better homeopathic medicine for your complaints to cure your case.