I am a 46-year-old female recently diagnosed with lupus and have several pulmonary issues, including restrictive pattern with decreased DLCO and MIP/MEP, dyspnea at rest and exertion, and findings of interstitial edema and fluid in the lungs. I have been on prednisone and plaquenil, but my symptoms have returned. What is the treatment for interstitial lung disease (ILD) associated with lupus, and what is the prognosis?

April 14th, 2023

What causes sudden onset of red, inflamed toes on both feet, and what is the treatment?

October 19th, 2024

I gave myself an enema and think I cut myself with the tube. Since then, I've had bleeding from the rectum and little bowel movement. The bleeding has stopped, but I'm concerned about small pieces of feces and what looked like a blood clot. Earlier today, I had an 'emergency race' to the restroom with more blood. Should I be worried, and what should I do?

October 16th, 2024

I'm experiencing symptoms such as a feeling that my heart pauses on an exhale, needing to inhale deeply to normalize breathing, occasional dizziness, a single pulsing sensation into my fingers, and easy bruising. I was diagnosed with anxiety a couple of years ago, but these symptoms don't seem related. The bruises mostly appear on my chest, abdomen, and thighs, and I also experience occasional lower back pain after drinking beer and aching in the left side of my chest. What could these symptoms indicate, and what tests or advice would you provide?

September 1st, 2023

My husband was hospitalized after tearing his right carotid artery (2cm dissection) from self-adjusting his neck. He was diagnosed with CVA, treated with IV Heparin, ASA, and Coumadin, and discharged on Coumadin 5mg qd and ASA 81mg qd. His INR has been fluctuating, and he is currently on an alternating regimen of 7.5mg and 10mg of Coumadin. How should we proceed with his Coumadin therapy, and what are the risks and recovery timeline for his condition, including the possibility of another TIA, flying on airplanes, physical limitations, and potential side effects like hair thinning and headaches?

July 14th, 2023