FBN

It seems that the OP's question has been more than adequately addressed; most posts now off topic.

Closed

Amyl nitrate is a potentially lethal drug in this case; I hope the poster was referring to Nitroglycerine!

Only after a cardiologists consult though.  Factors like blood pressure and other vital signs are critical before this medication can be taken.

Look at it this way; a "gullet" problem is highly unlikely to have a fatal outcome where a cardiac condition has a very different risk profile.  The cardiac possibility needs to be either confirmed and treated or 100% excluded.

Basic tests may include a repeat stress ECG as a normal resting ECG will be virtually useless in trying to diagnose this.  If the ECG is done when the pain is there, it will probably show an abnormality.  You can have a normal resting ECG with a very severe blockage...

The mechanism of this (Prinzmetal) is:  The coronary artery goes into spasm for whatever triggers it, the blood supply to that region of the heart muscle becomes compromised and pain results.  If this does not proceed to actual damage of the muscle through prolonged spasm (>10 - 15 min), there will be no sign of it in any test afterwards as the blood vessel relaxes and normal blood flow is restored.

The key in diagnosing this is in the detailed history and distribution of the pain, which in your case is classic for a cardiac event.

I will ask Shery to advise on the best cardiologist or cost from her extensive database.

Cost will be determined by the tests performed.  Likely they would want to repeat the stress ECG at minimum.

Fairly confident that you are suffering from "Prinzmetal's Angina"; please mention this to the cardiologist (as it is rare) who you really have to see asap.

With a normal angio at that time you may be suffering from a variant of angina called "Prinzmetal" angina which means the cardiac artery\ies just spasms intermittently which will not show up on an angio but is just as serious.

Your symptoms seem to fit in with what is described here:  http://emedicine.medscape.com/article/153943-overview

MSG is a chemical compound as opposed to an organic one so no "allergy" really do develop but a large number of people have a sensitivity to it's effects. It is basically a nerve stimulant supposed to affect the taste buds (special nerve receptors). Symptoms are varied and not well documented or researched as it is not considered to be a "harmful" chemical.

OP perhaps a little clearer definition of the disease may avoid replies as above..

The condition is also known as "periodontitis" which is an infection of gums; usually treated by periodontists.

The failed stress test can not be denied even in the presence of a "normal" angio. 

Search "unstable angina" or: 

http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Unstable-Angina_UCM_437513_Article.jsp

It should definitely be regarded as an emergency; please see a cardiologist asap and, if needed, repeat the tests listed in the referred article.

The nerve damage will not affect any movement, only sensation and the distribution of loss of sensation is exactly anatomically consistent with the site of injury you describe.

Does not seem likely that there is permanent nerve damage but I would not wait more than a week or so. Obviously, if there is any sign of infection such as redness and increased temp at the injury site it should be attended to immediately.

Discussion on a forum has its limitations so best to have at least a local orthopod have a look at it.

If the doc does not suspect any bony injury, which seems very unlikely in your case, no X-rays will be necessary as it will not show any soft tissue or nerve injury. Clinical examination and perhaps a test to test nerve conductivity will be needed.

Difficult to say how long without proper examination and testing but, if the nerve is severed completely, repair should be done within a week or so.

Itching is mostly a symptom of inadequate lubrication of the canal by ear wax. This can occur as a result of over-aggressive cleaning with earbuds over time or exposure to swimming pool water chemicals etc.

Ear wax is a natural barrier to infection so absence may make you more prone to this; can be limited by using proper ear plugs when swimming etc.

Ask for an ultrasound to be performed as well, not just X-ray. The diaphragm is either "pulled up" by a lung problem or something inside the chest, or "pushed" up by an enlarged organ such as the spleen inside the abdomen.

If phrenic nerve injury, as Sheryl pointed out above, an ultrasound will show movement of the diaphragm which may be absent or much reduced in this case.

There has been an injury to the digital nerve that supplies these 2 fingers. Google images for digital nerves in the hand and you will clearly make out from the anatomical drawings where your injury was and the effects you have now.

If the nerve was completely severed, the loss of sensation would have been immediate. It seems in this case that the nerve was "bruised" and will have a good prognosis for the sensation returning. This injury may mean that the nerve sheath, which is quite tough, is still intact but the nerve at the core (which is very delicate and marrow like) may die as a result of the injury. If the sheath is intact, the nerve will regrow within the sheath but at 1mm per day, may take some time for the sensation to get back to normal.

If the nerve was severed, it may require microsurgery to fix.

This injury is in what hand surgeons call "no man's land" and surgical interventions here requires great skill as structures are microscopic and damage to blood supply can easily occur as the blood vessels run next to the nerves. (Possibly accounting for the amount of bleeding you had at the time of injury).

Best to consult a specialist hand surgeon.

Bangkok Nursing Home has a dedicated travel clinic and it may be worthwhile to check out prices there:

http://www.bnhhospital.com/en/medical_services/detail/International-Travel-Medicine-Clinic-ITMC

This is a very small clinic and the staff at the front desk speaks reasonable English as they do see some tourists and so does the doc but it would help a lot if you knew what you want and could interpret the results; not sure how well the doc could assist with this; perhaps talk to him first otherwise they will just give you your results as they don't seem to be keeping medical records.  

An 8h fast is usually required for cholesterol and glucose tests and it may be easier to achieve in the morning after an overnight fast.

If you are in Bangkok and Sukhumvit Soi 11 is accessible, go to the "Soi 11 Clinic"; they use BRIA labs which is one of the very reliable labs in BKK.  They have a list of tests you can choose from but also have a doctor in attendance who can advise.  Prices seem to be reasonable and results out in a day or so depending on the test..

If he can retract it this far, it should resolve over the next few years but the problem, at adolescence, is that secretions (smegma) may build up and lead to infection (balanitis) and then would need treatment which may include circumcision. Best to get a urologists opinion on this.

At 11 it could be considered phimosis and really should be evaluated by a urologist the extent of the mobility of the foreskin will determine the intervention. It may still be possible for it to resolve.

Not wise to consume everything blended. Some complex carbohydrates, sugars and even protein to some extent requires saliva which it gets exposed to during the chewing process; digestion starts in the mouth, if you bypass that you will have digestive problems.

It is often a waste of time to try and find eggs in stools as they are extremely difficult to detect.

Best is just to treat with Albendazole which is a broad spectrum antihelmintic and most likely to be effective.

If it is severe, the usual saline solutions may not be enough; try Oculosan if they don't provide enough relief.

Do my best to be there.

Never assume. Regarding heart attacks, seek medical attention ASAP. but apply the following:

Sent from my iPhone using Thaivisa Connect Thailand

Post edited. Link to pseudo medical site removed.

Heart attacks and all cardiac events can be life threatening and requires urgent treatment in an emergency room setting. "Naturopath" treatment is not an option.

Search the forum for cholesterol threads; this topic has been discussed many times.

This is very likely a chronic staphylococcus infection resulting in a carrier status. Best option here would be to see an ENT, have a culture done (nasal swab) and treat it based on the outcome of that. Staph bacteria can be quite resistant to drugs so it is important to get a diagnosis of the specific one; usually Staph aureus but the culture will also show sensitivity to antibiotics so specific treatment can be selected.

Hand washing is extremely important in your case as the infection can spread quite easily.