
Dentist Visit, Throat Lump, Lost Voice, Fast Heart Rate, Blackout, High Sugar And White Count, Lisinopril, Antibiotics, Xanax, CPAP. Opinion?

Thank you for the query.
First of all I want to appreciate you for giving symptoms in order with the dates.
Let me address your queries one by one.
1. The shake you got at the dentist could probably be due to drug reaction (local anesthetics)
2. Feeling of something in the throat is probably due to congestion of the pharynx. But if you are definite that you have something there you can always get an X-ray done as it would show up in it.
3. Voice loss is also due to congestion of the throat probably of the larynx(voice box). Your voice will return to normal once the congestion comes down.
4. Breathing difficulty in ER though you were wearing C-PAP mask could be due to laryngeal edema again a symptom of probable drug reaction.
5. Confusion and memory loss is due to the effect of the treatment of laryngeal edema it is a side effect of the sedatives.
6. Sleeping most of the day on 7th, black outs, and loss of recall is again the due sedation.
7. Regarding Diabetes, as it is a silent disease its possible that you had it long before these events which was discovered during these events. Have a regular follow up with your doctor to keep sugar levels in control.
So in summary all your symptoms in my opinion are due to reaction to the drugs and its treatment, but I am not able to exactly point out to which drug this could be.
Regarding the consultation of various specialist as advised by your doctor I suggest you to get their opinion as well.
I hope my answer has been adequate and informative. If you have any follow up queries I will be available to answer them.


Thanks for writing back.
You really have a long list of medical conditions.
I will try to answer your query in a step by step pattern.
Yes, it could have been angioedema which is a form of adverse hypersensitivity reaction to the drug. This explains you breathing difficulty inspite of wearing CPAP mask.
Treatment for this is steroids, which was rightly administered to you.
During the dental procedure there could have been a minor injury/infection to the throat. Usually this heals by itself without causing symptoms.
Now here is the catch. It is the steroids. One of the side effect of steroids is it inhibits healing process of an injury and exacerbates the infections anywhere in the body. So this could be a potential cause for the sensation in the throat.
As you have said the thyroid nodule has not increased in size since two years that should not causing any symptoms now.
Regarding the eye problem I cannot say much because it needs a thorough eye examination before I can say a word about it.
Your Blood Pressure has been under control with the help of Lisinopril but it seems that you drug reaction is mainly due to this drug so I suggest you switch to a different and better class of drug to control Blood Pressure.
You have had extra-nodal pathway in the heart that has been adequately dealt with Radio Frequency Ablation.
You have had an amazing recovery following lung infection which probably could have been SARS.
Erythema Nodosum was treated with steriods.
During pregnancy you had diagnosed to have Gestational Diabetes. Most of the patients with Gestational Diabetes become overt Diabetes after a certain age as seen in your case.
Childhood history of Mononucleosis and Bells Palsy (Viral aetiology)
Psoriasis presently in remission. Rosacea is also present.
After going through the entire summary of what you have written I can't help but think that you also would have gone through a great deal of mental trauma associated with you condition. So it is possible that you could have some mild clinical variant of depression.
So there is a strong possibility of mental ill-health you could be suffering from. I suggest you to seek professional help from a Psychiatrist who might provide some help to improve your life in general.
I hope my answer has been adequate and informative.
Wish You Good Health.

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