Dr. Jose R. Foradada III, MD

It's hard to determine if it's circulation or a nerve (Carpal Tunnel Syndrome). Contact your primary and have them see you and determine if you need to see a vascular doctor or a Neurologist. Sometimes also medications and nutritional deficiencies can cause neuropathy. Check and see if you are taking any medication that can cause this or if you have nutritional deficiencies.
 
Dr. F 

Your GP may be on the right track with the trapped nerve theory. I think that anxiety may be playing a significant role as well. Given your history of melanoma; I would get this checked out as well. Contact your Oncologist and run this by him/her and have them evaluate you or refer to a Neurologist for further evaluation.

From the medical scientific standpoint, there's no data to indicate that doing what you're doing is helpful. However, science is evolutionary and perhaps you are on to something. If it's helping, by all means, continue. If you are motivated enough, perhaps you can market your discovery and generate substantial income. If successful, remember my advice and 10% consulting fee.

Dr. F

Sorry, but I will have you talk to your primary. Do not know much about Chitosan. From what you claim as to your creatinine increasing, that would be concerning for possible kidney disease, which in turn can lead to hypertension (high blood pressure). Talk to your primary about this and if not comfortable treating this, have them refer you to a kidney specialist (Nephrologist ). Make sure you hydrate well and, if taking high protein content nutritional supplements, cut back until you get the kidney/creatinine issue sorted out and resolved.

Dr. F

You may have arthritis and/or shoulder joint degeneration or it may be a pinched nerve root from your cervical spine. This may be causing pain and weakness. See your primary to have further evaluation and referral to an Orthopedic or Neurologist, depending on the preliminary assessment. Even at your young age and good condition, we are faced with wear and tear. Some a little sooner, others a bit later.

Dr. F

It means you still have some issues with your spine in the Lumbosacral region. The fat may be post operative but you have bony changes (spondylosis, osteophites) which appear to be narrowing the foraminal canal (where the nerve roots come out). This can cause pain, numbness, weakness. I suggest you sit down with the Dr. that sent you for your MRI and did your surgery and discuss treatment options surgical and non surgical.

Dr. F

Sometimes you have nerves and tendons bunched in together going through a narrow canal or tunnel. In your case at the wrist this is called carpal tunnel. When something like you experienced happens you get those sensations. If your thumb is not back to normal in a couple of days talk to your doctor to have it further evaluated.

Dr. F

Talk to your primary or Neurologist if you have one and have them work you up for problems at the base of the brain and cervical spine. You may have a problem affecting nerves and or spinal cord brainstem giving you that symptomatology.

Dr.F.

Highly unlikely what you're experiencing is due to the ibuprofen and or melatonin. More likely chronic headaches, medication overuse headaches, lack of hydration, and vasovagal insufficiency may all or some be associated with what you are experiencing. I suggest you talk to your primary or see a neurologist to evaluate, diagnose, and treat your condition.

Dr. F.

Hello Tanique,

It sounds you may have a coupe of things going on. It is hard to say if they are related or not without a full thorough history and examination and possibly diagnostic testing. Some of your complaints are worrisome enough that waiting too long (riding it out) may not be wise. There are some clinics around where Dr's volunteer and might be able to see you at little or no cost to you. Another option would be when the pain is significantly bothersome to go to the emergency room and get an evaluation even if you have no insurance if you have serious problems that warrant urgent medical attention. They will treat you and the social worker will qualify you for medicaid is possible. Do not ride this out to the point where you wind up getting permanent injury or damage. 

Dr. F 

I hope she is feeling better as of this reply. Regardless though her symptoms are very concerning for possible TIA  or evolving stroke. The fact that she took aspiring may have prevented such. Please contact your primary or go to the emergency room. This needs to be further evaluated and monitored closely. PLEASE DO NOT DELAY SEEKING CARE.

Dr. F

Your symptoms are concerning for seizures (epilepsy). Please see a Neurologist and have them evaluate you for this.

Dr. F.

Take some analgesic medication (Motrin, Tylenol). If the pain does not go away, call your PCP or Neurologist to further evaluate and possibly do imaging studies to make sure nothing else is developing.

Dr. F

You may be putting pressure or overstretching one of the roots or one of the major nerves that come out of your cervical spine and go to your shoulder and arm. Try not lying on that position or for a long time, and if it doesn't improve, contact your primary for further evaluation or referral to a Neurologist for such.

Dr. F.

Seems like you have vertigo. Sometimes medicines are not very effective and you may need to try a different one. The Idea of seeing an ENT is a good one. I would suggest seeing a Neurotologist (ENT specializing in the neurological aspects of the ear) if one is available.
Hope this offers some guidance. 

Dr. F.

Well, it looks like you have a lot going on. As you mentioned also taking several medications and probably have taken a few more, I am not sure if this is all being managed by your primary. If it is, it's time to see a specialist. You should see a psychiatric or a Neurologist who specializes in Neurobehavioral disorders. Getting a thorough detailed history of symptomatology along with tests done and medication treatments will help determine if further testing (like an EEG to evaluate for seizures or other abnormalities) and medication adjustments are indicated. While CF/FM can certainly be one of the considerations, there are other things that need to be ruled out or ruled in. Without the above, it's hard to make very specific recommendations (it would be a shot in the dark, and it seems you've experienced a few of those already). One alternative option you may consider which doesn't have to wait for your doctor or specialist and has alleviated a great majority of your symptoms would be CBD oil (non THC). While you should still pursue a thorough work-up, the CBD at a dose range of 5 mg to 20 mg/kg of body weight can treat seizures, pain, anxiety, inflammation, CF/FM. 
I hope this offers some help. Call your pcp office once it's open and go in to discuss this and get a referral to above discussed specialists to further evaluate and manage. At 18, you should not be going through all of this.

Dr. F.

Can't say for sure. Have you recently had head trauma, do you have a shunt? It certainly sounds concerning enough that you should have it checked out immediately. If in fact it is a CSF leak, it could get infected and you can get meningitis. I would urge you to contact your primary or go to the emergency room and have them check this out. 

Dr. F. 

It might be time to consider consulting a Neurosurgeon. It sounds that with multimodal treatments there's been little improvement. So, it may be that time.

Dr. F

I WOULD TAKE HIM TO THE ER ASAP.

DR. F

Could be one of several things. A pinched nerve rootlet coming from your upper cervical (neck) or base of the skull. There may be vascular inflammation or inside your skull related to the base of the skull or brainstem. I suggest you have this checked out. Contact your primary and if he/she doesn't feel comfortable working you up, have them refer you to a Neurologist (one more thing to consider: if you recently had the Covid vaccine, it may be side effects from such). Get it checked out.

Dr. F.