Answered by Dr. Nidhin Mohan

Answered by Dr. Nidhin Mohan

What causes collarbone uneasiness and breathing spasms?

Hi doctor,

I am a-32-year old female. Recently, I am feeling a sort of uneasiness below the collarbone and quite in the middle of the upper portion of the chest. Initially, I thought it was a spasm but I have it for more than two weeks and feels little heavy deep inside. Kindly let me know the problem. Sometimes I feel spasm during deep breathing or while sleeping in the side positions. Currently, I am taking prenatal tablet one per day.

Please help.

25 Apr 2024 - 1 min read

What could be the cause of sensitive feet and hands?

Hello doctor,

I am a 41 year old male with height 5 feet 10 inches and weight 185.1 lbs. I am having a health situation for the last two years where the top of my feet (the area covered under the shoe) gets very sensitive to touch. Even a touch of the cotton pajama feels irritating. My left hand (below where we tie the watch) occasionally burns and has the same 'sensitive to touch' feel as the feet. Sometimes, I have felt the same kind of sensitivity on my nose-tip and edges of the lips. Recently, I am noticing that the finger pads on both the hands have become too sensitive to pressure and the reddish and painful mark remains for a long time even after applying a bit of effort like turning a key in the lock. I am attaching my blood test report from the last month. Kindly help me as this is a very irritating situation and I am finding it difficult to concentrate on work because of this.

Thank you.

23 Apr 2024 - 1 min read

Do I need a rabies vaccine for a dog scratch ?

Hello doctor,

Two days before a small puppy came and I am not sure whether he scratched me or not. There is no big mark on feet. But I have a very small cut in my hand. I have cleared my jeans with that hand. So I am doubtful my cut has come in contact with that place where puppy licks. Sir do I need to have an anti-rabies vaccine. As I have taken full five doses five months back.

19 Apr 2024 - 1 min read

What might contribute to high ferritin levels?

Hello doctor,

Last October, on a routine physical, I received a ferritin reading of 535 with all other CBC/ metabolic panel tests and Iron panel completely normal. A follow up six weeks later, still showed a raised ferritin of 448 and yet another showed two weeks after that at 575 (at time of the 575 value, my CRP was normal, less than .4, and my ESR was 2 mm/hr) I was referred to a hematologist who one week later did a ferritin test (different lab) and my result came back at 341 and one month later at 368.

My TIBC averages around 269 and iron around 108. TS % usually 39 %. The hematologist also tested me for the HFE gene and this was negative. ANA negative, various viruses like hepatitis, and did another ESR which came back at 4 mm/hr. I had an abdominal u/s that was unremarkable with the exception of some renal cysts and repeated metabolic panels and CBCs with normal results.

I am a 42 year old very fit male with a BMI of around 24. I am involved in boxing and other contact sports so not sure if this could be a factor. Can ferritin increase from an injured swollen elbow or osteoarthritis? Is there much variation amongst lab results measuring ferritin (575 down to 341 in six days seems like a lot?

I am trying to get to the bottom of these results. I have no real symptoms of other diseases. I notice some labs quote a high of 300 as normal for a man, others 400 and a website indicates even a value of 500 is normal. Could this level just be normal for me? If not, what is the most likely underlying issue? I can provide more info as needed.

Could my levels be a result of something serious considering the normal CRP, ESR, ANA and other blood work? Any other workup to be done other than follow up to check levels? One other thing, I do consume four to five meals per day and do eat iron-rich foods. Could this be a factor considering the data I presented? Any other info you need? Thank you.

17 Apr 2024 - 1 min read

My heart beats fast and eyes become red if I drink alcohol. Is there a treatment?

Hello doctor,

My heartbeat raises and the eyes become very red and I become tired when I take alcohol. Why does this happen so? And, what is the treatment?

21 Feb 2024 - 1 min read

Dr. Nidhin Mohan
Internal Medicine
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