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Diagnostic tests for Carotid inflammation - 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 : 2009
Answered : 675 Questions
User :   Hi
Doctor :   Hi
User :   I was asked to bring t3 t4 tsh report
User :   I have brought
User :   Here are the values in report
User :   t3 124 ng/dL
User :   t4 8 ug/dL
User :   tsh 4.56 ulU/mL
Doctor :   Ok.
User :   seems looks OK
User :   within normal range
Doctor :   Your Levels look OK to me .
User :   ok
Doctor :   Just a minute did you say 124 ?
User :   yes
Doctor :   May I know your gender and are you pregnant ?
User :   I am male , 31
Doctor :   T3 levels are too high
User :   I take some additional proteins and vitamin mix
User :   can it cause that
Doctor :   Is it 124 / ml or dl ?
User :   124 ng/dL
Doctor :   Your t4 is normal.
User :   tsh ?
Doctor :   TSH IS USUALLY 0.35 to 5.5 mcIU/ml
User :   ok
User :   t3 they said range 60 -200
User :   mine is 124
Doctor :   It is said as 0.8 to 1.6 ng/ml.
Doctor :   It may depend on the way they interpret.
User :   in terms in dL
User :   what is the range
User :   ?
User :   Is dl = 100 * 1 mL
Doctor :   It is 80-160.
User :   ok
Doctor :   So not to worry, you are in the normal range .
User :   ok
User :   what is next step
Doctor :   Ok.
Doctor :   So you still have the symptoms of sweating , sleeplessness ?
User :   no I don;t have sweating
Doctor :   And other synptoms like enlarged eyes ?
User :   but infact I never had
User :   yes
User :   Enlarged eye
User :   and I see lot of blood vessels in white part
Doctor :   Ok.
User :   Thing is
User :   I get pain when I lie but in about 40 minutes I get sleep
Doctor :   How was your blood pressure , last time did i ask you about that ?
User :   and I wake up swollen face and heavy head
User :   I am blood pressure measuring instrument
Doctor :   Ok.
User :   it showed, 130/85
Doctor :   May I know if you have any CT/MRI sdone ?
User :   yes
Doctor :   for your head ?
User :   yes
Doctor :   Ok.
Doctor :   Everything fine with them ?
User :   yes
Doctor :   How about your carotid pulse ?
User :   what is this
User :   one minuts I will rechagre
Doctor :   The pulse of teh blood vessel which goes to your brain , eyes
Doctor :   Hi
Doctor :   Please proceed.
User :   pulse was around 90
Doctor :   Ok.
User :   But some times my instrument shows bis number
User :   like 140/85
Doctor :   Ok.
Doctor :   I would say some more recommendations : User :   ok
Doctor :   1. Carotids pulse and Colour doppler study for Carotids bilaterally.
Doctor :   2. JVP and its study.
Doctor :   3. CSF Pressure and CSF Study for seeing any abnormality
Doctor :   I would recommend you to go to a neurologist who is best and at your place to examine you better /
User :   So you are telling me consult neurologist
User :   should I tell me above three tests
Doctor :   it just inflammation that needs to be investigated.
User :   You mean to say we need to find root cause of inflammation
Doctor :   Is it just inflammation or anything ele ?
Doctor :   Yes exactly right.
User :   heavy head, face swollen, red eye
User :   are the symptoms,....
User :   which I have been suffering
User :   pressure in head
User :   as well :)
User :   Also my throat is always sore
Doctor :   Yes I feel it might be due to some vascular problems - may be in the carotids or jugulars ?
Doctor :   Or might be due to some infection or inflammation which can be found out in CSF.
User :   what about throat
User :   something I need to do
Doctor :   Which is very critical for any investigation to find out.
Doctor :   Do oyu have any swollen glands in throat ?
User :   yes
User :   always
User :   I can feel that
Doctor :   Any difficulty in swallowing ?
Doctor :   Ok.
User :   when I take oily stuff
User :   I complete;y blocks
User :   my throat
Doctor :   Then please get your Tonsils and lymph glands examined ?
User :   I have a habit of fast eating
User :   often swallow without chewing much
Doctor :   Ok.
User :   Most of time my throat is swollen, and also I snore
Doctor :   I feel you must get a small test done before you get all the Carotid and jugular tests .
User :   ok
User :   which tests
User :   one thing
Doctor :   Have a simple endoscopy done for your esophagus, if it is negative then we shall go for highre tests
User :   when I eat very slowely and chew properly, for 1 week congestion goes almost
User :   1 week means ( everytime I eat for 1 week )
User :   I feel good
Doctor :   This rules out any problem in Esophagus .
Doctor :   Ok.
User :   how
Doctor :   Have a simple endoscopy done for your esophagus, if it is negative then we shall go for higher tests , This rules out any problem in Esophagus.
User :   ok
Doctor :   Have you been advised for a Endoscopy previously ?
User :   no
Doctor :   No problem.
User :   but can this be problem ?
User :   "pressure in head"
Doctor :   Let us see with this espophageal test , it may rule out any tears/ malory weiss ?
User :   ok
User :   can I do other tests as well
User :   cartoids
User :   If you want
Doctor :   Let us rule out this one , if it is negative then i shall recommend the above mentioned carotids and jugular tests and also CSF Test.
User :   ok
Doctor :   Please do not spend unnecessarily, if one is negative then lets run the next one.
User :   ok
User :   Actually I am preparing for some exams, so I was seeing if I can save time
Doctor :   Ok, then you can go ahead.
Doctor :   Please do also see an ENT at Colombia Asia
User :   can you please do a summary of what I need to do
Doctor :   See if he can examine your tonsils and other throat and lymph glands.
Doctor :   1. Endoscopy of esophagus
Doctor :   2. Color doppler study of Carotids
Doctor :   3. Jugular venous study
Doctor :   4. CSF Findings & Analysis
Doctor :   5. ENT Consultation .
Doctor :   Hope you have folllowed
User :   ENT consultation
User :   for what
User :   I need to say
Doctor :   for tonsils and other lymph node examination and throat study.
User :   ok
User :   I will get it done
User :   may be I will also get BR check
User :   BP
Doctor :   Thank you for consulting me, Hope we diagnose out something and it helps you out.
Doctor :   Yes.
User :   ok thanks
Doctor :   Take care
User :   Bye
Doctor :   bye for now.
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