Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Low Grade Fever, Lack Of Appetite And Severe Cough
Question: Oral chemo and Rx tx for autoimmune sys disease (not AIDS/HIV)
Chronically 'critical' low potassium despite Rx supplements; sudden muscle wasting from 168 lbs to 97 lbs in 9 months. Struggle to keep wt on
Neuropathy (feet), neg for diabetes; recent absence of eosinophils, repeated low platelet count; elevated ast. Shattered glass lung tumor; various tumors, cysts in and around adrenal gland, liver, kidneys.
Currently x 2 week bout of low grade fever, non productive cough, absence of appetite (92 lbs and falling), exhaustion, soaking wet sweats at night. Hysterectomy (total) at age 29 for polycystic ovaries and fibroid. History of MI x 6 yrs ago. Recent left heart function reduction - cardio work up scheduled
I don't feel anyone is looking at the whole patient, just one symptom by itself and dismissing it
Chronically 'critical' low potassium despite Rx supplements; sudden muscle wasting from 168 lbs to 97 lbs in 9 months. Struggle to keep wt on
Neuropathy (feet), neg for diabetes; recent absence of eosinophils, repeated low platelet count; elevated ast. Shattered glass lung tumor; various tumors, cysts in and around adrenal gland, liver, kidneys.
Currently x 2 week bout of low grade fever, non productive cough, absence of appetite (92 lbs and falling), exhaustion, soaking wet sweats at night. Hysterectomy (total) at age 29 for polycystic ovaries and fibroid. History of MI x 6 yrs ago. Recent left heart function reduction - cardio work up scheduled
I don't feel anyone is looking at the whole patient, just one symptom by itself and dismissing it
Brief Answer:
Internal Medicine specialist
Detailed Answer:
Hi,
I am sorry about the multitude of the problems that you have. I am li'l worried when you say no doctor had taken the holistic picture of the problem. You have problem from all different specialties from Cancer, Heart, Gynecology and Internal Medicine.
At this point it looks to be a struggle for you to find a good doctor who takes a holistic approach and not to dismiss you to one more. You need an Internal Medicine Specialist who can deal with day to day issues including pain, appetite and weight loss etc. He should be referring to concerned specialist and bring back to him.
You should read reviews of various doctors in the local forum who practices primary care / Family medicine / Internal Medicine specialist. Make sure he is not a busy practitioner and old enough (> 20 yrs practice). You can take help of healthgrades.com to find one in your area.
Internal Medicine specialist
Detailed Answer:
Hi,
I am sorry about the multitude of the problems that you have. I am li'l worried when you say no doctor had taken the holistic picture of the problem. You have problem from all different specialties from Cancer, Heart, Gynecology and Internal Medicine.
At this point it looks to be a struggle for you to find a good doctor who takes a holistic approach and not to dismiss you to one more. You need an Internal Medicine Specialist who can deal with day to day issues including pain, appetite and weight loss etc. He should be referring to concerned specialist and bring back to him.
You should read reviews of various doctors in the local forum who practices primary care / Family medicine / Internal Medicine specialist. Make sure he is not a busy practitioner and old enough (> 20 yrs practice). You can take help of healthgrades.com to find one in your area.
Above answer was peer-reviewed by :
Dr. Remy Koshy
I appreciate your empathy. Eliminating the GYN concerns since there's nothing left of female reproductive organs, based on the remaining subjective/objective issues, please give me your personal opinion as to what should top the list of possibilities to rule in or rule out.
In case you haven't noticed, I worked in medicine until the late '90's, establishing medical facilities; building advocacy services and at one time working with the head of the CDC. In fact, I even helped write OSHA guidelines in the 1980's.
I fully understand I won't find, nor should I find, a Dx online; however, given that the patient is myself, I need an objective differential.
Thank you,
In case you haven't noticed, I worked in medicine until the late '90's, establishing medical facilities; building advocacy services and at one time working with the head of the CDC. In fact, I even helped write OSHA guidelines in the 1980's.
I fully understand I won't find, nor should I find, a Dx online; however, given that the patient is myself, I need an objective differential.
Thank you,
Brief Answer:
Possibilities in my mind for the current symptoms
Detailed Answer:
Hi,
First possibility in my list is a simple to complex airway infection most probable upper airway.
Second possibility is a flare of the Autoimmune disease
Third is the drug interaction (chemo) or Medication overuse.
For all of the above Internal Medicine specialist is the sure to contact.
Possibilities in my mind for the current symptoms
Detailed Answer:
Hi,
First possibility in my list is a simple to complex airway infection most probable upper airway.
Second possibility is a flare of the Autoimmune disease
Third is the drug interaction (chemo) or Medication overuse.
For all of the above Internal Medicine specialist is the sure to contact.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
