Thank you for the question.
If the photo is that of yoruself. Please change it to a photo that you find interesting. A favorite building, city, animal, etc. This a public website seen around the world.
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For example, if you have a rare disease, and had a rare surgery, please simply state "back surgery," and if needed we can explore that further. If your neighbor or best friend reads this, will be they be able to identify you based on the information given? If yes, please remove the information or change it slightly.
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1. Please change the picture if that is yourself for privacy.
1. What is your question(s)?
2. Age & gender, Please add or substract (1-3years if adult for privacy)?
3. When did problem start?
4. Have you had this before?
5. Is it getting better or worse?
6. Body Mass Index? http://bit.ly/CDCbmi
8. Heart Rate?
10. Medical conditions, both past & present?
11. Medications & supplements?
13. Why did you receive the shot of Cephalexin in both buttocks over a week ago.
14. Please measure the spot with a rule (centimeters preferred).
15. Please note the color. Again this is a public website, you are welcome to upload a photo of your knee lesion, but if you choose to do so, it will seen aroudn the world, so I would prefer that you describe
18. border (round, square,
19. Ever had skin lesion like this before?
20. Is the skin intact?
After you answer the above I will have more questions.
Thank you for the update C,
Is the numbness isolated to only the left leg?
Please have a look at the video and let me know if the pain you are experiencing is consistent wtih the video. In what ways?
1. Have you noticed a change in your urine recently, color, amount of urine?
2. How long after the injection did you begin to have numbness in the leg?
3. Do you have swelling in the leg?
4. If you have swelling in multiple extremities you should go to the hospital.
(when did the swelling in the extremities start? Is this the first time you have had the Cephalexin before?)
5. Do you have difficulty breathing, shortness of breath, nausea, vomiting, diarrhea, constipation?
6. Do you have a change in the color or consistency of your skin of your knee?
7. can you bend your feet up and down with normal strength?
8. Please take a look at the photo below and let me know if you have pain localized to about any one (or more than one) of the regions. you may not).
9. Please let me know if you have developed a rash or hives, or itching, or burning of the skin.
I look forward to hearing form you.
1. Location of pain, (can you point a finger to it, or is it larger)?
2. Intensity, (How intense is the pain on a scale of zero-to-10 (0 is no pain, 10 is the worst pain)?
3. Quality, (sharp or dull)?
4. Onset, (when did you first have the pain)?
5. Duration, (How long do painful episodes last)?
6. Radiation, (does the pain spread anywhere)?
7. Associated, (What else has been associated with the pain; is there anything that started when the pain started)?
8. Alleviating factors, (What has made the pain better)?
9. Aggravating factors. (What has made it worse)
10. How much pain are you in after treatment with your current medication(s) if any?
11. How much pain are you in without treatment?
12. How has the pain affected your quality of life (if chronic pain)?
This is a list of adverse reactions to the medicine Cephalexin per Lexicomp
14. When did you develop the arthritis
15. What joints are affected with the arthritis, THe knees, the hands or where?
16. What type of arthritis do you have (have you been told you have a certain type of arthritis)
17. Do you know why you have an abscess in your mouth? Did you have a cavity that progressed, do you have diabetes?
15. Sudden swelling in multiple extremities... warrants a visit to the emergency room. It is possible that you could be having a reaction to the medicine and/or losing protein in your urine?
Cephalexin Drug Information:
Frequency not defined.
Central nervous system: Agitation, confusion, dizziness, fatigue, hallucination, headache
Dermatologic: Erythema multiforme (rare), genital pruritus, skin rash, Stevens-Johnson syndrome (rare), toxic epidermal necrolysis (rare), urticaria
Gastrointestinal: Abdominal pain, diarrhea, dyspepsia, gastritis, nausea (rare), pseudomembranous colitis, vomiting (rare)
Genitourinary: Genital candidiasis, vaginal discharge, vaginitis
Hematologic & oncologic: Eosinophilia, hemolytic anemia, neutropenia, thrombocytopenia
Hepatic: Cholestatic jaundice (rare), hepatitis (transient, rare), increased serum ALT, increased serum AST
Hypersensitivity: Anaphylaxis, angioedema, hypersensitivity reaction
Neuromuscular & skeletal: Arthralgia, arthritis, arthropathy
Renal: Interstitial nephritis (rare)
Hypersensitivity to cephalexin, any component of the formulation, or other cephalosporins
Concerns related to adverse effects:
• Elevated INR: May be associated with increased INR, especially in nutritionally-deficient patients, prolonged treatment, hepatic or renal disease.
• Penicillin allergy: Use with caution in patients with a history of penicillin allergy, especially IgE-mediated reactions (eg, anaphylaxis, angioedema, urticaria).
• Superinfection: Prolonged use may result in fungal or bacterial superinfection, including C. difficile-associated diarrhea (CDAD) and pseudomembranous colitis; CDAD has been observed >2 months postantibiotic treatment.
• Renal impairment: Use with caution in patients with renal impairment; modify dosage in severe impairment.
If* you have weakness or altered sensation in one of the lower extremities after injection into the buttock, it is possible that there could be nerve injury, possibly to the "sciatic nerve."
If this is the case, you probably want to be evaluated in order to prevent permanent loss of function. The reason is that if a nerve is damaged, it is possible that you could permanently lose some or all of the muscle function of the muscles supplied by that nerve.
The following types of function can be affected by damage to the sciatic nerve during intragluteal injection.
1. motor (cant move as well)
In addition, I would argue that the evidence suggesting you visit the emergency is also supported by the swelling in your extremities.
Please consider keeping me updated.
Combes MA, Clark W, Gregory CF, James JA. SCIATIC NERVE INJURY IN INFANTS: RECOGNITION AND PREVENTION OF IMPARTMENT RESULTING FROM INTRAGLUTEAL INJECTIONS. JAMA.1960;173(12):1336-1339. doi:10.1001/jama.1960.03020300048015.
Thank you for the update C,
1. Are you able to go to see your physician regarding the swelling today. Say either the primary care doctor. You have swelling of your ankles, and possibly of your hands. Along with the pain.
1. Swelling of Ankles - Has this happened before, if not, please see a doctor.
2. Swelling of hands
3. Tingling sensation in both feet - could be related to swelling, could be related to a neuropathy .
4. Pain in the right butock that extends down the right leg (possibly sciatica).
5. Dental Abscess (on cephalexin): This should be getting better, is it? Before the cephalexin you did not have the above or below problems, except for that of arthritis.
-- Did you have an incision of the abscess?
6. . Pain in the left knee (l2, l3 anterio cutaneomedial nerve of the thigh) - specifically focused around the anterior part of the knee.
7. Arthritis -
1,2. Edema: investiated in ER or doctors office.
3. Tingling in the feet. Check for diabetic neuropathy, and other types of neurological diseases, check reflexes.
4. Sciatica: discuss possibility of nerve injury during injection with your doctor, see what they say.
5. Follow-up on dental abscess.
6. Left knee pain: have exame by a doctor.
7. Arthritis: ask your doctor what type of arthritis you have.
Please consider seeing a physician soon as I am concerned that it could be a sign of additional problems. for example, Kidney disease from the medicine. (it is not reported frequently, but kidney failure has been reported after use of Cephalexin.
Please consider keeping me updated.
Thank you for the update.
Did the doctor do anything do evaluate your swelling. From what we have discussed you had that in both legs. (feet, and the hands).
1. Do you have a primary care doctor? Have you been evaluated for diabetes?
2. Has the numbness in your feet come closer to your body? or become more severe?
3. Have you had any weaknes.s
4. Did the doctor collect urine? I thought it may be reasonable to evalute the urine to make sure that the swelling wasn't due to protien loss.
5. I am very glad that the abscess has healed.
6. I thought both of your ankles had numbness and tingling, and that your right foot had sciatica.
7. You should purposely ask the doctor for a urine diplstick - analysis. be sure to mention that you had the injections into both buttocks.
8. How is the tingingling in your feet? Better or worse
9. How is your left knee numbness
10.Is the pain in your right leg worse or better?
11 Is the swelling better or worse?
12. Please setup an appointment with your primary care physician, or an acute care clinic. Either way, you should be evaluated iwth a test using a urine dipstick to check for protien in the urine.
13. There are several other websites such as sharecare, healthtap, that have many excellent resources. I would encourage you to visit sharecare.com the automated question-answer may be helpful.
Please consider keeping me updated.