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What Causes Swelling In Xiphoid Area?
Question: Hi DR
i have this swelling like a ball thats coming literally out of my xiphoid ,also my back feel stiff some times and when i move it sideways i can hear my spinal joints click from the middle up
any advice
thanks XXXXXXX
i have this swelling like a ball thats coming literally out of my xiphoid ,also my back feel stiff some times and when i move it sideways i can hear my spinal joints click from the middle up
any advice
thanks XXXXXXX
Brief Answer:
Try to get an ultrasound examination of abdomen
Detailed Answer:
Hello there, thanks for your question on HCM.
I can understand your problem.
By your history and description, in my opinion we should rule out psoas abscess first.
Psoas abscess is pus collection in the psoas muscle. This muscle is attached to the dorsal spine and runs downwards.
So any collection in this muscle can give rise to swelling in xiphoid area.
Since this muscle is attached to spine, abscess can cause stiffness and clicking sound in spine.
So better to get done ultrasound examination of abdomen to rule out psoas abscess.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Try to get an ultrasound examination of abdomen
Detailed Answer:
Hello there, thanks for your question on HCM.
I can understand your problem.
By your history and description, in my opinion we should rule out psoas abscess first.
Psoas abscess is pus collection in the psoas muscle. This muscle is attached to the dorsal spine and runs downwards.
So any collection in this muscle can give rise to swelling in xiphoid area.
Since this muscle is attached to spine, abscess can cause stiffness and clicking sound in spine.
So better to get done ultrasound examination of abdomen to rule out psoas abscess.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
other symtoms im having :
anxiety
it is affecting my hearing
tiredness
brainfog /spacey
the ball out of my xiphoid is literally out of the tip
anxiety
it is affecting my hearing
tiredness
brainfog /spacey
the ball out of my xiphoid is literally out of the tip
Brief Answer:
Do you have fever, weakness or weight loss?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
I want to know
1. Do you have fever?
2. Do you have weight loss?
3. Do you have weakness?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Do you have fever, weakness or weight loss?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
I want to know
1. Do you have fever?
2. Do you have weight loss?
3. Do you have weakness?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Brief Answer:
Are you taking anxiolytic drugs?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Psoas abscess is less likely because you are not having fever, weakness or weight loss.
You already said that you have anxiety.
So tell me
1. Have you consulted any doctor for anxiety? Are you taking any treatment for anxiety?
2. Do you feel burning sensation in middle of the chest, gaseous feeling in stomach or burping?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Are you taking anxiolytic drugs?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Psoas abscess is less likely because you are not having fever, weakness or weight loss.
You already said that you have anxiety.
So tell me
1. Have you consulted any doctor for anxiety? Are you taking any treatment for anxiety?
2. Do you feel burning sensation in middle of the chest, gaseous feeling in stomach or burping?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
one Dr put me on SSRI antidepressants 3 y ago which i have stopped taking after 2 month as it make me "high "
no burning sensation in middle of chest
no gaseous feeling
no burping
currently on high blood pressure piils
Invoice Number: KIH12497
Referring Dr: Mundt,PO
Ref. Dr. Practice No: 0000
Patient: Meyer XXXXXXX
Med Scheme: Momentum Health Medical Scheme - 0000
Referring Diagnostic Code: Z76.9
16/01/15 0000 3755 Blood Count Z01.7 137.40 137.40
16/01/15 0000 3797 Platelet Count Z01.7 29.50 29.50
16/01/15 0000 3743 ESR Z01.7 39.20 39.20
16/01/15 0000 4171 Electrolytes Urea Z01.7 206.90 206.90
16/01/15 0000 4032 Creatinine Z01.7 47.40 47.40
16/01/15 0000 4155 S Uric Acid Z01.7 49.50 49.50
16/01/15 0000 4009 Bilirubin Total Z01.7 62.70 62.70
16/01/15 0000 4010 Bilirubin Conjugated Z01.7 47.40 47.40
16/01/15 0000 4001 Alkaline Phosphatase Z01.7 67.80 67.80
16/01/15 0000 4134 Gamma GT Z01.7 70.60 70.60
16/01/15 0000 4131 ALT Z01.7 70.60 70.60
16/01/15 0000 4130 AST Z01.7 70.60 70.60
16/01/15 0000 4117 Total Protein Z01.7 41.00 41.00
16/01/15 0000 3999 Albumin Z01.7 62.90 62.90
16/01/15 0000 4484 Thyroid Profile Z01.7 484.80 484.80
16/01/15 0000 4501 Total Testosterone Z01.7 162.50 162.50
16/01/15 0000 4526 SHBG Z01.7 162.50 162.50
16/01/15 0000 4519 PSA Z01.7 189.30 189.30
04/02/15 Member has exceeded maximum sa
04/02/15 P.mo Momentum Health Payment Z01.7 0.00
also suffering from unrefreshing sleep
thanks
no burning sensation in middle of chest
no gaseous feeling
no burping
currently on high blood pressure piils
Invoice Number: KIH12497
Referring Dr: Mundt,PO
Ref. Dr. Practice No: 0000
Patient: Meyer XXXXXXX
Med Scheme: Momentum Health Medical Scheme - 0000
Referring Diagnostic Code: Z76.9
16/01/15 0000 3755 Blood Count Z01.7 137.40 137.40
16/01/15 0000 3797 Platelet Count Z01.7 29.50 29.50
16/01/15 0000 3743 ESR Z01.7 39.20 39.20
16/01/15 0000 4171 Electrolytes Urea Z01.7 206.90 206.90
16/01/15 0000 4032 Creatinine Z01.7 47.40 47.40
16/01/15 0000 4155 S Uric Acid Z01.7 49.50 49.50
16/01/15 0000 4009 Bilirubin Total Z01.7 62.70 62.70
16/01/15 0000 4010 Bilirubin Conjugated Z01.7 47.40 47.40
16/01/15 0000 4001 Alkaline Phosphatase Z01.7 67.80 67.80
16/01/15 0000 4134 Gamma GT Z01.7 70.60 70.60
16/01/15 0000 4131 ALT Z01.7 70.60 70.60
16/01/15 0000 4130 AST Z01.7 70.60 70.60
16/01/15 0000 4117 Total Protein Z01.7 41.00 41.00
16/01/15 0000 3999 Albumin Z01.7 62.90 62.90
16/01/15 0000 4484 Thyroid Profile Z01.7 484.80 484.80
16/01/15 0000 4501 Total Testosterone Z01.7 162.50 162.50
16/01/15 0000 4526 SHBG Z01.7 162.50 162.50
16/01/15 0000 4519 PSA Z01.7 189.30 189.30
04/02/15 Member has exceeded maximum sa
04/02/15 P.mo Momentum Health Payment Z01.7 0.00
also suffering from unrefreshing sleep
thanks
Brief Answer:
Get done ultrasound examination of abdomen.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Thanks for the reports and information.
In my opinion you are having anxiety and related symptoms.
But better to get done ultrasound examination of abdomen to rule out internal cause.
This will come mostly negative.
Anxiety appears more in your case.
You are also having disturbed sleep. This also favours anxiety more.
Please let me know
1. Are you smoker?
2. Are you taking alcohol?
3. Have you ever checked your calcium and vitamin d 3?
Calcium and vitamin d3 deficiency can lead to osteoporosis and stiffness of spine with clicking sound from the joints.
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Get done ultrasound examination of abdomen.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Thanks for the reports and information.
In my opinion you are having anxiety and related symptoms.
But better to get done ultrasound examination of abdomen to rule out internal cause.
This will come mostly negative.
Anxiety appears more in your case.
You are also having disturbed sleep. This also favours anxiety more.
Please let me know
1. Are you smoker?
2. Are you taking alcohol?
3. Have you ever checked your calcium and vitamin d 3?
Calcium and vitamin d3 deficiency can lead to osteoporosis and stiffness of spine with clicking sound from the joints.
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
yes smoker 20/day
little alcohol over weekends only
never checked calcium /vit d3
little alcohol over weekends only
never checked calcium /vit d3
Brief Answer:
Is smoking related to stress?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Smoking is really bad habit. Better to quit as soon as possible.
And you are smoking very heavily. Are you smoking to relieve stress? Or stress actually force you to smoke this much?
You have to stop smoking immediately.
Your calcium and vitamin d 3 must be at lower side due to smoking.
So better to quit as soon as possible.
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Is smoking related to stress?
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Smoking is really bad habit. Better to quit as soon as possible.
And you are smoking very heavily. Are you smoking to relieve stress? Or stress actually force you to smoke this much?
You have to stop smoking immediately.
Your calcium and vitamin d 3 must be at lower side due to smoking.
So better to quit as soon as possible.
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
yes i think it is to relieve stress and to calm me
so you think my calcium /vit d3 are to high at the moment ?
so you think my calcium /vit d3 are to high at the moment ?
Brief Answer:
No , they are mostly low.
Detailed Answer:
hello dear, thanks for your follow up query.
Since you are heavy smoker, your calcium and vitamin D3 are mostly low and not high.
Low calcium and d3 can cause osteoporosis and spinal symptoms.
Have you ever tried for smoking cessation?
Have you ever tried Nicotine Replacement Therapy ( NRT)?
Better to consult psychiatrist first.
Please reply me answers of above asked question , so that I can guide you further.
I will be happy to help you further.
Wish you good health.
Thanks.
No , they are mostly low.
Detailed Answer:
hello dear, thanks for your follow up query.
Since you are heavy smoker, your calcium and vitamin D3 are mostly low and not high.
Low calcium and d3 can cause osteoporosis and spinal symptoms.
Have you ever tried for smoking cessation?
Have you ever tried Nicotine Replacement Therapy ( NRT)?
Better to consult psychiatrist first.
Please reply me answers of above asked question , so that I can guide you further.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
not yet ,maybe i must try a calcium /vit d3 suppliment ?
thanks !
thanks !
Brief Answer:
Better to get done calcium and d3 first.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Better to get done calcium and vitamin d 3 level first before starting supplements.
Because excess vitamin d 3 and calcium can deposit in body and gives you trouble.
So better to get done levels before starting supplements.
Also consult psychiatrist and get done counselling sessions for smoking cessation.
You can try nicotine gums also.
In my opinion, smoking cessation will cure all your troubles.
Are you motivated for smoking cessation?
I will be happy to help you further.
Wish you good health.
Thanks.
Better to get done calcium and d3 first.
Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Better to get done calcium and vitamin d 3 level first before starting supplements.
Because excess vitamin d 3 and calcium can deposit in body and gives you trouble.
So better to get done levels before starting supplements.
Also consult psychiatrist and get done counselling sessions for smoking cessation.
You can try nicotine gums also.
In my opinion, smoking cessation will cure all your troubles.
Are you motivated for smoking cessation?
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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