Online health counselling

Dear doctor, I have red mucus in my stool. I also feel a bit of pain and itch afterwards. The stool first came out in small and hard pieces, but after they were larger and no so hard. I don’t know if this is serious or not. Normally I don’t drink much water and I eat little vegetable and fruit. I used to have this symptom before but it comes and goes. Thank you. Answer: Dr. Watcharin Apirakkit (specialist in gastrointestinal and liver diseases) If you have blood in the stool, I suggest visiting a doctor for a diagnosis at gastrointestinal and liver center. It might be hemorrhoids, anal fissure, ulcerative colitis or tumor. There must be further diagnosis. Gastrointestinal and Liver Center tel. 0-2117-4999, 0-2431-0054 ext. 2300

I’d like to ask: I’m now having pain on my back, below my shoulder. Sometimes the pain expands to my arms, especially my triceps and the front of my arm. I feel pain mostly when I sit. But when I stand I will feel pain when I lift my chin up. I still can bow my head down. I can bow down and reach my legs without pain. I can also stretch my arms without pain. I feel little aches when I let my arms down. I visited a doctor twice already (Social Security). The first time, doctor gave me Norgesic and Dinac (initially I didn’t feel pain in my arms, just on the back. But I took exercise and the pain ran to my arm. I also feel pain in my arm when I was asleep so I couldn’t sleep properly. I felt pain when I slept in certain positions. The second time, doctor gave me Norgesic and Naproxen. When I took the complete dose of Norgesic and Naproxen, I felt better. The pain reduced at the end of the day. But when I woke up the pain came back (on the day I’m writing to you I just took a set of the medication from the second prescription). Now I’m not sure that the pain is in my own head. The aching arm can’t grab things like another arm. Sometimes I felt twitches in the triceps, I felt pain when I grab things. From what I told you, do you think this is serious like herniated disk? What should I do next? Should I finish the dose the doctor gave me and if it doesn’t get better, I go see you? **I have had the pain in my arm for four days now.** Answer: Siripan O-charoen (neurology) From your record (no age of patient provided), I’m thinking about the condition of pressure on brachial plexus because you feel pain when you move your neck. The symptom of pain in your arm is caused by the pain in nerve root, maybe because of cervical spondylosis or neuralgia. I suggest seeing a neurologist for a thorough diagnosis.

Question: Mr. Nuttawut Hi, I have a question. I woke up this morning and felt pain around my wrist, especially at the joint on the back of my hand. It was also swollen. When I was about to wake up, I could feel it. I moved my arms because I thought I slept on them and moving them would make the pain go away. However, the pain was still there after I woke up and the wrist was swollen. I could use my fingers but I could feel a little numbness. I could still feel and grab things by my fingers. I could hardly move my wrist, though. When I moved it, I felt pain. My left wrist is swollen on the back of my hand where the veins are, between my index and middle finger (I’m not sure if I provide enough information, sorry). I would like to know what is the matter. Is this serious? Can it be treated? Thank you. Answer: Dr. Sa-nga Tawalwiwattanakul (physician) The swollen area indicates that there is inflammation, maybe in the muscles, tendons, or under-skin tissues. There are many causes. We have to examine the area where the pain occurs. I suggest seeing a doctor for an accurate diagnosis.