Conversation: The conversation between human and AI assistant.
[|Human|] If you have arsenic poisoning 105mcg/liter of undetermined source in 24 hr urine I am a Caucasian 33 yr old male Symptoms include peripheral neuropathy, Numbness in gums above teeth, Neck pain,Shoulder and wrist pain mild forgetfulness and confusion. I was sent for neuro work up and have had intermittent bouts of lymph swelling and aches in neck and back of head. Along with weight loss of 20 lbs in the last year neurologist sent for cervical MRI and brain MRI both normal or unremarkable osteophytes detected in c spine.a 24 hr urine screen revealed protein fraction proteinuria predominantly albumin 100.0%relative. Heavy metal toxicity revealed arsenic exposure of105mcg/liter I do not eat seafood or have well water.(occupation=hairdresser) BJP PNL albumin 100% no m spike detected even though there was no m spike the UFLC showed the following: free kappa 5.83mg/ltr Free kappa excretion/day. 15.74/24hr Free lambda (h) 11.20 mg/ltr. Range(0.24-6.66) Free kappa lambda ratio. (L). 0.52. Range(2.04-10.37) No abnormal bands detected on immunofixation. There are ! Next to many of these values where it says result was not dispersed into flow sheet(what does this mean). this test was taken by neurologist and not given to internal medicine Dr. she was verbally informed of arsenic level.on her serum tests she checked basic blood thyroid parathyroid but did not conduct serum flc on blood work creatine and BUN ratio was not tested due to normal levels calcium level was higher than normal at 10.7 on CBC hematocrit was high at 50.1 Lyme disease test only one 41KD (IGG) was reactive and no other. Epstein Barr panel VCA AB IGM. 0.03. Negative VCA AB IGG. 3.09 (H). 0.0-0.90 EBV Nuclear AG(EBNA)(IGG). 1.25 (H). (0.0-0.90) all others were in range the following tests have been performed Pa lateral chest -no infiltrates seen Abdominal ultrasound -normal Bilateral testicular ultra sound-right normal size and echo text fluid is noted Lft normal in size and echo dope and colorflow noted hypo echoic lesion in left epididymal head measuring 2cm lg tubular structures which demonstrate flow consistent with varicocele enlarged with valsalva Impression left vericocele hypo echoic lesion W/echoes consistent witChatDoctorplex cyst corresponds to palpable lesion no masses seen bi lateral hydroceles Brain MRI - normal CT w/ contra- results not available yet Colonoscopy- normal took random biopsies labs not available yet Test scheduled urology consult Endoscopy Hemo/oncology consult I have a huge history of family cancer on both sides predominantly mothers my siblings and our children are the only surviving relatives all others died of cancer from 33- 48 years of age on my maternal side these cancers include Male breast,female breast,liver,lung,uterine,bladder,brain,lymph,on fathers side are both liver,colon and female breast. I pointed out the flc in my urine due to reading online I know I shouldn t read online stuff but I was wondering is it possible for the IGG band EBV to mess with m protien or flc and since arsenic is used in treating MM and certain lymph cancers could it possibly be lowering my m protein or suppressing a spike? Or is this whole thing just a goose chase of nonsense Any help would be greatly appreciated..... Sincerely Cody hep worth Any ideas what the heck is wrong with me other than stress LOL!
[|AI|]  The following medical conditions are some possible causes of Gum numbness. DiabetesInfectionPeripheral neuropathyPeripheral artery diseasePeripheral nerve nerve symptoms)ColdCompartment syn Chat Doctor.  These include physical examination, blood tests, X-rays, CT or MRI scans of the head or spine, ultrasound and nerve conduction testing. The results of these tests will help your doctor make a diagnosis, and that diagnosis will determine his choice of treatment. In cases like mildly compressed nerves, treatment may be as simple as behavior modification to avoid re-injury. In cases like diabetes, treatment may involve a lifelong regimen of medication and dietary control.