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Khizra Naz
Khizra Naz, Doctor
Category: Medical
Satisfied Customers: 3925
Experience:  GP
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I have a broken apple bone, do i need surgery? i have a CT

This answer was rated:

hello
JA: Hi. How can I help?
Customer: i have a bro***** ***** apple bone
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: do i need surgery? i have a CT scan no medications
JA: What medications do you take daily? Are you allergic to any medications?
Customer: none
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: nothing else

Hello My name is***** will try my best to help you.

Can you send me the report of it?

Khizra Naz, Doctor
Category: Medical
Satisfied Customers: 3925
Experience: GP
Khizra Naz and 2 other Medical Specialists are ready to help you
Customer: replied 2 days ago.
1 moment
Customer: replied 2 days ago.
File attached (QS5Q3G3)
Customer: replied 2 days ago.
File attached (P5L132P)
Customer: replied 2 days ago.
File attached (66ZG4VS)
Customer: replied 2 days ago.
here are the CT scan images
Customer: replied 2 days ago.
I am in Mexico, i need to know if i need an operation or not. if i do i will need to fly back to the UK

You don't need an operation now.

Customer: replied 2 days ago.
please can you advise me?
Hi , I am really sorry fo hear that . I tried to call you several times but can understand that you are abroad and can be difficult to communicate by phone . There is laryngeal cartridge (Adams Apple) injury I can see . There is open and patent airway . Do you have any difficulty breathing ? If not there is no need for surgery and it should all be conservative management .
Customer: replied 2 days ago.
i can breathe but its uncomfortable to swallow
what should i be doing for conservative management?
When was the injury and how did it happen ?
how old are you please ? And if any disease or medications you take ?
Customer: replied 2 days ago.
a week ago, crushing on my throat
Oh dear , there is clear swelling I can see . But pain killer you can take and allow sometime for the swelling (oedema) to settle . Have you seen ENT there in Mexico and what did they advice ?
Customer: replied 2 days ago.
at first they told me i had a hyoid bone break, then needed a specialist, the specialist said it was a laryngeal break and needed a different specialist, that specialist came and told me it was a thyroid cartilage fracture and told me to rest and eat soft foods.
I have lost confidence in them which is why i am looking for other opinions
Customer: replied 2 days ago.
looking at the CT scan its clearly to the side, and my adams apple feels slightly off centre
Customer: replied 2 days ago.
i have nothing to worry about and should leave it? or does it need to be put into the correct position and held together with plates?
Customer: replied 2 days ago.
i am breathing fine and eating with no issues, it is just uncomfortable
It should heal in its own. I know it can be sometimes confusing for them (can be also he language barrier and different terminologies they use. There is no need to fix it. I know it looks a bit deviated now but should gradually correct to much better position. 

Customer: replied 2 days ago.
Okay thanks for you advice, much appreciated

You are most welcome. Please look after yourself and avoid any conflict.

Thank you.