Venous Stasis

Venous stasis is the improper functioning of the veins which carry the blood back to the heart. If it occurs following an injury, it can cause superficial phlebitis and deep vein thrombosis. It can also happen due to congestive heart failure or renal failure when it presents as swelling in the lower legs and ankle. Symptoms include pain and fatigue, which worsens on standing.

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Is orthostatic intolerance indicative of POTS?

Query: Hi doctor, I currently take 60 mg Inderal once per day to help manage the following symptoms with prolonged standing: 1) Hot flash or sweaty. 2) Chest and neck tightening. 3) Heart palpitations. 4) Blurred vision. 5) Swelling in my hands and legs. 6) Legs get blotchy in color (I will attach a...  Read Full »

Dr. Malay Shukla

Answer: Hi, Welcome to As per your description, your current medical concerns are: 1) Autonomic dysfunction. 2) Hypothyroidism. Medications are: 1) Levothyroxine, dose unknown. 2) Propranolol LA 60 mg once daily. 3) Andrographis paniculata extract twice daily. The patient suffers from ...  Read Full »

How can I rule out ALS?

Query: Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do....  Read Full »

Dr. J. Mariano Anto Bruno Mascarenhas

Answer: Hi, Welcome to The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal c...  Read Full »

Does venous sinus stenosis and severe hypoplasia of transverse sinus in meent mean the same thing?

Query: Hello doctor, I have had pulsatile tinnitus in my right ear for a year, so I have had every test. Unfortunately, I do have a small hole in the semicircular canal. But now another maybe a problem. Through a CTV, it was discovered I have venous sinus stenosis. An angiogram report stated severe hypopla...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to Severe hypoplasia of the left transverse sinus means - the left transverse sinus is very small or not well-formed since the beginning (since birth or during development). It is a developmental anomaly and does not cause any symptoms. It should not be a reason for tinnitu...  Read Full »

What is the reason for recurring swelling near my testicle?

Query: Hello doctor, A few days back, I observed a lump or swelling near my left testicle. It had also appeared two years back and I had consulted a doctor and after a USG, he suggested that it will disappear by itself without medication. I have not observed anything like that in the previous two years. N...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your query. If it was just a hydrocele as reported on your USG, then you need not worry. However, I would suggest you repeat the USG scrotum to confirm because these were done two years ago and it is good to monitor it since it has recurred. For more inf...  Read Full »

Why is my wound not getting cured?

Query: Hi doctor, I am 43 years old. I am suffering from a wound placed on the opposite side of ankle. I am unable to walk with the pain. I have been suffering with this for the last three months. I previously used Pividine microbicidal sprinkling powder and Zenflox 200. Please help.  Read Full »

Dr. Tim Evans

Answer: Hi, Welcome to You have what looks like a dry necrotic ulcer affecting the lateral malleolus of your ankle (attachment removed to protect patient identity). I suspect this is likely to be due to venous insufficiency and given its distribution. This is where the valves, which normally en...  Read Full »

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