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What Does Persistent Chest Pain While Suffering From Typhoid And Malaria Indicate?
Question: Close to a year now, i haven't feel my real body. I had typhoid and malaria which increases my billrubim and that was well taken care of, but later i was feeling so tired,weak and i could feel my muscle twitching too often so i decided to run more test
which indictate am carrying Hepatitis B but not active which is after i did anti gen and anti body, still the muscle twitching doesn't stop so i was advice by a friend and check if there was parasite in blood which was very much positive, i was having adults
growth of Microfilarea parasite. I took cook cenocide for a months and half and stopped and i would still feel it after stopping so i did another test and it say's it has reduced from 2 plus to 1 plus( i don't know how that is calculated) . Now, am having
constant chest pain, sometimes to the left and sometimes to the right and the sometimes at the middle, i did xray which shows nothing and i further more to check with ECG it shows normal heart rate. Since i treated myself of typhoid i often feel something
on my throat and there's nothing there, sometimes i find it hard to swallow saliva and sometimes when i bend my neck it becomes stiff . Am beginning to wonder if it could be excess anti biotics, for the throat but for the chest pain i still don't get it at
all and it's worrisome . XRAY and ECG shows nothing could it be the dead parasite causing inflammation or something else.. Please throw more light into this
which indictate am carrying Hepatitis B but not active which is after i did anti gen and anti body, still the muscle twitching doesn't stop so i was advice by a friend and check if there was parasite in blood which was very much positive, i was having adults
growth of Microfilarea parasite. I took cook cenocide for a months and half and stopped and i would still feel it after stopping so i did another test and it say's it has reduced from 2 plus to 1 plus( i don't know how that is calculated) . Now, am having
constant chest pain, sometimes to the left and sometimes to the right and the sometimes at the middle, i did xray which shows nothing and i further more to check with ECG it shows normal heart rate. Since i treated myself of typhoid i often feel something
on my throat and there's nothing there, sometimes i find it hard to swallow saliva and sometimes when i bend my neck it becomes stiff . Am beginning to wonder if it could be excess anti biotics, for the throat but for the chest pain i still don't get it at
all and it's worrisome . XRAY and ECG shows nothing could it be the dead parasite causing inflammation or something else.. Please throw more light into this
Brief Answer:
Your symptoms don't seem to be related to any cardiac disorders
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern and would explain that your symptoms don't seem to be related to any cardiac disorder.
A constant, prolonged chest pain is not cardiac related.
It is true that infections can affect the heart muscles (filaria), but it would cause other symptoms (like palpitations, shortness of breath, etc.) and changes in the ECG (which have been excluded by your ECG).
Is your chest pain modulated by body movements or respiration? This pattern of pain would be typical of a musculo skeletal disorder.
The microfilarea parasite infection may be related to this clinical scenario. It can live for years in the human body skin and cavities (like pleura, mediastinum, pericardium, etc).
The fact that it results still positive, means that your treatment has been effective in reducing the parasites, but they are still in your body.
Regarding the fact that you find it difficult to swallow saliva, it may be related to esophageal spasms (which could also cause intermittent chest pain) or a neurological disorder.
Does this difficulty swallowing go away when you try to swallow harder foods (not water or saliva)? It would indicate an functional esophageal disorder (caused by a possible spasm).
I would recommend consulting with your GP for a careful physical examination, a throat bacterial culture, an abdominal ultrasound and some blood lab tests:
- complete blood count
- PCR, sedimentation rate (inflammation)
- kidney and liver function tests
- blood electrolytes
- CPK (muscular enzymes)
- amylase plasma levels (possible pancreatitis).
Further tests may be needed (like a skin biopsy for possible parasites in the skin), or a chest CT scan to examine better for possible lesions.
Anyway, I recommend discussing with your attending physician the possibility of restating therapy for microfilarea parasite, as your blood tests is still positive.
This can be transformed into a chronic infection with severe consequences for your lymphatic tissue and your organs, if not treated properly.
Hope to have been helpful!
Best regards,
Dr. Iliri
Your symptoms don't seem to be related to any cardiac disorders
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern and would explain that your symptoms don't seem to be related to any cardiac disorder.
A constant, prolonged chest pain is not cardiac related.
It is true that infections can affect the heart muscles (filaria), but it would cause other symptoms (like palpitations, shortness of breath, etc.) and changes in the ECG (which have been excluded by your ECG).
Is your chest pain modulated by body movements or respiration? This pattern of pain would be typical of a musculo skeletal disorder.
The microfilarea parasite infection may be related to this clinical scenario. It can live for years in the human body skin and cavities (like pleura, mediastinum, pericardium, etc).
The fact that it results still positive, means that your treatment has been effective in reducing the parasites, but they are still in your body.
Regarding the fact that you find it difficult to swallow saliva, it may be related to esophageal spasms (which could also cause intermittent chest pain) or a neurological disorder.
Does this difficulty swallowing go away when you try to swallow harder foods (not water or saliva)? It would indicate an functional esophageal disorder (caused by a possible spasm).
I would recommend consulting with your GP for a careful physical examination, a throat bacterial culture, an abdominal ultrasound and some blood lab tests:
- complete blood count
- PCR, sedimentation rate (inflammation)
- kidney and liver function tests
- blood electrolytes
- CPK (muscular enzymes)
- amylase plasma levels (possible pancreatitis).
Further tests may be needed (like a skin biopsy for possible parasites in the skin), or a chest CT scan to examine better for possible lesions.
Anyway, I recommend discussing with your attending physician the possibility of restating therapy for microfilarea parasite, as your blood tests is still positive.
This can be transformed into a chronic infection with severe consequences for your lymphatic tissue and your organs, if not treated properly.
Hope to have been helpful!
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much sir, I did LFT and scan abdominal which include my kidney few months back and it was normal. The full blood count i did 2 weeks ago says my lymphocytes 8% higher above the normal range. Lastly could all this be the cause of finger tingling when i use my laptop trackpad and screen touch phones.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information provided.
Filariasis infection is usually related to increase in the blood of eosinophils, but an increase in the lymphocytes may be encountered too, related to the inflammatory reaction in the lymph nodes from microfilarea invasion.
From the other hand, a raise in the lymphocytes could also be related to the viral hepatitis.
As,I already mentioned before, I would recommend continuing the treatment.
Regarding the finger tingling while using lap top, it may be related to an electrolyte imbalance or to a neurological disorder.
Sometimes the typhoid can lead to long term sequels involving the nerves.
I would recommend performing blood electrolytes ( potassium, natrium, calcium) and a nerve conduction study (electroneurography) to check if everything is OK.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information provided.
Filariasis infection is usually related to increase in the blood of eosinophils, but an increase in the lymphocytes may be encountered too, related to the inflammatory reaction in the lymph nodes from microfilarea invasion.
From the other hand, a raise in the lymphocytes could also be related to the viral hepatitis.
As,I already mentioned before, I would recommend continuing the treatment.
Regarding the finger tingling while using lap top, it may be related to an electrolyte imbalance or to a neurological disorder.
Sometimes the typhoid can lead to long term sequels involving the nerves.
I would recommend performing blood electrolytes ( potassium, natrium, calcium) and a nerve conduction study (electroneurography) to check if everything is OK.
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I will go for the tests on wednesday but am having severe chest pain and pain at the upper part of my back. When i talk i feel pain in the middle of my chest, please what can i do
Brief Answer:
I recommend taking painkillers for some days.
Detailed Answer:
Hello again!
Your symptoms seem to be related to a musculo skeletal pain, maybe inflammation.
It is a typical for this kind of pain to be exacerbated by respiration, body movements or just talking (your chest muscles contract during this activity).
I would recommend some painkillers (ibuprofen, diclofenal, ketoprofen,etc), which have a good anti-inflammatory effect too.
They will help you with this pain for some days, until your doctor appointment.
Hope to have been helpful!
Regards,
Dr. Iliri
I recommend taking painkillers for some days.
Detailed Answer:
Hello again!
Your symptoms seem to be related to a musculo skeletal pain, maybe inflammation.
It is a typical for this kind of pain to be exacerbated by respiration, body movements or just talking (your chest muscles contract during this activity).
I would recommend some painkillers (ibuprofen, diclofenal, ketoprofen,etc), which have a good anti-inflammatory effect too.
They will help you with this pain for some days, until your doctor appointment.
Hope to have been helpful!
Regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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