How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Uzair Your Own Question

Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6592
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
27273415
Type Your Medical Question Here...
Dr Uzair is online now

Uzair I developed severe and apparently permanent adverse

Resolved Question:

For Dr. UzairI developed severe and apparently permanent adverse reactions as a result of Hepatitis B vaccine.
About 4 years ago I was completely healthy and very athletic before this vaccination and have now
suffered severe, debilitating autoimmuneside effects from this vaccine.Would a referral to Orthopedadics or Rheumatology be better for my left shoulder pain, which isn't
in both shoulders at once, just the left, previously I had no shoulder problems, I used to lift 100KG
but now I get left shoulder pain when I lift 50KG and these started after vaccination. There's a
measurable loss in stamina before the vaccine to how I am now, I experience breathlessness much earlier
when I do cardiovascular exercise then before I had the vaccine. I have chronic fatigue and it is not
improved by getting rest. I have a dry persistent cough when there's nothing to bring up. I have a
constant pain while I'm seated, which is focused in one specific area, on the upper left side of my
abdomen. This area hurts while I'm seated with my laptop or while I'm watching TV or while I'm seated
on the bus. The pain is related to muscle movement and positional. The pain isn't there with change of
position i.e. Standing up or lying down flat. Painkillers don't help. It's not my stomach because when
I eat, I can feel the stomach processing food and the upper left abdominal pain both at the same time,
and they are in two different locations. I suffered the residual effects of all these symptoms for
more than 4 years.I have an Ultrasound scan soon and I've had normal blood tests all which came out fine.
Submitted: 5 months ago.
Category: Medical
Customer: replied 5 months ago.
also) I have joint pain in my little toes when I walk,
sometimes the right toes and sometimes the left toes.
Expert:  Dr Uzair replied 5 months ago.

Hi. Welcome to JustAnswer. I am Dr Uzair.
I am reviewing your post and will post back with your reply momentarily.

Expert:  Dr Uzair replied 5 months ago.

Can you please tell me what blood tests have you had and if you can, please mention the results as well.

Let me know.

Customer: replied 5 months ago.
Full blood count, Autoimmune abs. In total there were 14 or so blood tests
Expert:  Dr Uzair replied 5 months ago.

And these were all within normal limits?

Do you remember if you had an ESR and CRP tests?

Customer: replied 5 months ago.
they all came out fine. I don't remember if any of them were ESR or CRP
Expert:  Dr Uzair replied 5 months ago.

If you did indeed have an ESR and a CRP and autoantibody panel, and everything was fine, then an orthopedic surgeon is the best person to see for the shoulder pain and the lasting fatigue. A Rheumatologist will not be able to help if this is not an autoimmune or chronic inflammatory condition, which does not seem likely given the normal tests.

A MRI of the shoulder is in order but the best course of action will be to see the Orthopedic surgeon for an evaluation first.

Hope this helps.

Please do leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Customer: replied 5 months ago.
Why a Orthopedic doctor over a Rheumatologist because it is affecting multiple joints. My toes and shoulder
Customer: replied 5 months ago.
My toes hurts when I walk but when I'm sitting down or sleeping the pain isn't there on my toes.
Expert:  Dr Uzair replied 5 months ago.

An orthopedic surgeon can do everything that a Rheumatologist can plus they are well versed with musculoskeletal disroders, secondly, your rheumatology tests like autoantibodies etc are normal. A comprehensive evaluation of the musculoskeletal system is warranted in your case.

Please do leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Customer: replied 5 months ago.
Do you think it's a musculoskeletal problem or Chronic Fatigue Synrdome?And do you think my upper left abdominal pain is Neuropathic pain or Muscular pain?
Expert:  Dr Uzair replied 5 months ago.

It can be either of the two but that can only be established once a thorough evaluation is done. There is no room for speculation in this, chornic fatigue syndrome is a diagnosis of exclusion, once all other conditions have been ruled out and there is no other explanation for the symptoms, this can be labelled as chronic fatigue syndrome.

Upper left abdominal pain can be visceral rather than neuropathic or muscular, but more likely muscular than neuropathic.

Please do not forget to leave a positive rating for the service by clicking on the stars on top of the screen.

Best wishes.

Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 6592
Experience: MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
Dr Uzair and 2 other Medical Specialists are ready to help you
Customer: replied 5 months ago.
What does that mean visceral?
Customer: replied 5 months ago.
Isn't it Unlikely to be visceral since it is positional
Customer: replied 5 months ago.
I think it is muscular because when I change from a seated position to a non-seated position, the upper left abdominal pain goes away.
Customer: replied 5 months ago.
Doctor could you please answer

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions