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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Teeth Hypersensitivity And Ulcers On The Tongue

I am a 32 yr male, caucasian. 8 weeks ago I was hit by all below symptoms and can t find out what is wrong with me. I was not on any madicine before all this happened. I don t know about any other hidden problems I could have had. Nothing. This just came out of nowhere. I would be glad if you helped me because I m tired, scared and don t know where to go and what to look for. Local GP s are lost and everything takes ages in Ireland. Symptoms during last eight weeks (The level of unpleasantness scale 1-5) 1. Teeth hypersensitivity - it was the first symptom. Lasted few days. 1/5 2. Sore tongue with ulcers - it was the second symptom. It was and is painful and very dynamic. Lasts till now (8 weeks) 5/5 3. Tonge Thrush – Whitish, delicate cottage. Tong was/is changing continuously and lasts since the beginning of symptoms (got pictures) 5/5 4. Small lip hematomas - they pop up rarely and disappear within few hours (got pictures) 2/5 5. Elbow rash – Small area, bloody red, flat, non-itchy. Lasted few hours (got pictures) 1/5 6. Low-grade fever - lasted for few days at the beginning 2/5 7. Night sweating - occur randomly 1/5 8. Liver discomfort - showed up one week after symptoms started, stayed ten days. Came back two weeks ago 5/5 9. Spleen pain/discomfort - showed up one week after symptoms started, stayed ten days. Came back two weeks ago. Initially discomfort was huge. 4/5 10. Loose stools- showed up one week after symptoms started, stayed ten days. 3/5 11. Problems with swallowing food (painful) - Lasted few days 3/5 12. Painful joints - occur randomly 2/5 13. Weakness and tiredness - it was very strong at the beginning and lasted one week. Now it occurs every few days mostly evening time 5/5 14. Weak legs muscles - occur randomly but frequently 4/5 15. Headaches - they showed up at the very beginning after waking up 3/5 16. Lost 6-7 kg in 2-3 weeks - weight came back to normal recently 1/5 17. Touchy skin - lasted few days 2/5 18. Sore and red throat with dry cough - pain showed up 2-3 weeks after 1st symptoms and lasted for four weeks. It was fine few days; now it came back. 4/5 19. Left eye pain/discomfort - showed up two weeks ago, shows up evening time only 3/5 20. Breathing discomfort in lungs - one of the first symptoms. Disappeared quickly but come back frequently 2/5 21. Testicular pain - showed up three weeks ago, goes away and come back. Painful erections, reddish urethra. Once I had gray watery discharge (no odor) before ejaculation. Never had it before. 4/5 22. Feeling of being ill/sick - all the time for last eight weeks 3/5 23. Chills - they stayed for two weeks, come back frequently 4/5 24. Touchy armpit lymph nodes - were like this for two weeks 2/5 25. Insomnia– lasts till now. If I fall asleep I wake up few hours later and can’t sleep any more 4/5 Medical checks done: 1. HIV (8,10,11,13 from exposure weeks 4th gen) – all negative 2. Syphilis – negative 3. HCV – negative 4. HBV – negative 5. Chlamydia trachomatis (urine, blood (IgG, IgM)) – negative 6. Gonorrhea (urine, throat, urethra swab) – negative 7. HSV 1 – IgG – positive, IgM – negative 8. EBV (Mononucleosis infectiosa) – negative 9. CMV (Cytomegalovirus) – negative 10. FBC with differential – normal 11. FBC - normal 12. Urine - normal 13. Liver (ALT, AST, GGTP) – normal 14. Wit B12 – 350 (norm 200-800) – normal 15. Wit D3 – 18 (norm 30-50) – discrepancy 16. Throat mycological swab – negative 17. Mouth bacterial swab – negative 18. CRP – 0,1 and 0,3 19. ESR – 4 (norm 4-12) 20. Sodium & Potassium – normal 21. Glucose fasting – normal 22. Magnesium – normal 23. HbA1c – normal 24. TSH – normal Medicines taken: 1.     Azithromycin – 1g initially + 500 mg per day for 8 days 2.     Ofloxacin – 400 mg initially + 400g per day for 7 days 3.     Augumentin – 1 pill once 1g 4.     Vit B complex – 3 times per day for 20 days 5.     Vit B12 pills – 1 per day for 20 days 6.     Vit A+E complex – 1 per day 7.     Vit D3 – 8000 ui per day for last 20 days 8.     Fluconazolum – 150mb 1 per 5 days for last 20 days 9.     Magnesium – 1 pill per day 10.     Selenium – 1 pill per day 11.     Vit K2 – 1 pill per day 12.      Xanax (depends on the day) Should I check: 1.     Tongue mycological swab 2.     Tumor markers (which one?) 3.     Leukemia 4.     Lymphoma 5.     Testicle ultrasound 6.     Ureaplasma urealyticum 7.     Mycoplasma 8.     Trichomonas vaginalis 9.     HSV 2 10.     Detailed TSH 11.     Systemic lupus erythematosus 12.     sclerosis multiplex 13.     Sarcoidosis 14.     HIV1/2, HCV, HBV - Nucleic acid testing to rule out late seroconversion or antibody production deficiency / impairment
Mon, 22 Jan 2018
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Dentist 's  Response
for hypersensitive teeth use GC tooth mousse apply with finger on sensitive teeth and rub for 5-10 minutes and then rinse. use 4-5 times a day till sensitivity persists.
for oral ulcers use mucopain gel as and when required
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Suggest Treatment For Teeth Hypersensitivity And Ulcers On The Tongue

for hypersensitive teeth use GC tooth mousse apply with finger on sensitive teeth and rub for 5-10 minutes and then rinse. use 4-5 times a day till sensitivity persists. for oral ulcers use mucopain gel as and when required