Ask for the earliest appointment possible. Bring a list of your symptoms, including those you don't think are relevant. You should also let the doctor know if anything in your life has changed recently. Ask your doctor if there are any pre-appointment restrictions you should follow, such as fasting. If you doctor suspects carcinoid syndrome, they'll refer you to a specialist, such as an oncologist, endocrinologist, or surgeon. This is a noninvasive in-office procedure to rule out other causes. Your doctor may look for signs of other conditions, such as undiagnosed asthma. They'll then decide if more tests are needed to identify the underlying cause. The doctor will look for high levels of certain hormones or their remaining broken-down components. This will likely include a 24-hr urine collection. While this test is not at all painful, you may be inconvenienced if the doctor decides to collect your urine over 24 hrs. You will need to urinate in either a special cup or a pan in order to collect your urine. You will then save the urine by placing it in your refrigerator until it's time to return it to the doctor. It's best to do this on a day you'll be home. Since the tumor is secreting chemicals into your bloodstream, a simple blood test can tell the doctor a lot about your symptoms. The doctor will look for substances like chromogranin A. The blood test will not hurt, but you may feel uncomfortable for a few minutes. Imaging tests can let the doctor see the tumor and determine if it's growing. You can get a CT scan or MRI, depending on what your doctor recommends. The doctor may give you a radionuclide before conducting the test so they can look for a tumor. Radionuclide is a small amount of radioactive substance, so it will show up on the CT or MRI. This allows the doctor to check for abnormal areas or masses, which could indicate a tumor. The doctor will start with your abdomen, which is where these tumors are most often located. Your doctor may also order an ultrasound to evaluate the tumor. The doctor will insert the camera down your throat or through your rectum, depending on where they're looking for the tumor. The endoscopic camera allows the doctor to see and evaluate any tumors that you may have. This test will likely make you uncomfortable, but it will not hurt as you will be under sedation. The doctor will likely take the biopsy using a long needle that is inserted into the tumor. They will guide the needle using a CT scan or ultrasound. Your doctor may perform your biopsy either in the hospital or in an outpatient procedure. You will likely feel a lot of discomfort, but the doctor will give you medication to reduce pain. For a lung biopsy, the doctor may decide to send an endoscopic camera down your throat to retrieve the biopsy. A biopsy may also be performed through the outside of the rib cage while you are under general anesthesia. If you are already having surgery near the area, the doctor may take the biopsy then.
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One-sentence summary -- Make an appointment with your doctor. Allow your doctor to perform a physical exam. Do a urine test to look for byproducts of excreted chemicals. Undergo a blood test to look for chemicals in your bloodstream. Get an imaging test such as a CT, or MRI if the doctor suspects a tumor. Allow the doctor to use an endoscopic camera to look for the tumor. Agree to a biopsy if your doctor thinks it's necessary.

Sometimes no matter how hard you try on your own, you just can't come to accept something about yourself. That is totally OK and normal; you may benefit from seeing a mental health professional such as a psychologist, psychiatrist, licensed clinical social worker (LCSW), licensed professional counselor (LPC), or marriage and family therapist (MFT), all of whom can help you to work through your problem. To find a psychologist, use can this website: http://locator.apa.org/ To find a mental health professional try searching the internet for e.g., LPC + your zip code or, e.g., LCSW + your city name. It may be that you suffer from severe social anxiety. If this is the case, it may be worth asking your doctor about the possibility of trying out an anti-anxiety medication. You may suffer from social anxiety disorder if typical social interactions cause you large amounts of anxiety, fear, or embarrassment because you feel you are being negatively evaluated by others. If you decide to seek a medical or mental health professional, there are a number of things you can do to get the most out of your visit. You can start by writing down the kinds of symptoms you have been experiencing and in what circumstances. It is better to have too much detail here than too little. Let your doctor decide what information is important and what is tangential. There may be a number of things on your mind and you want to make sure you get the most out of your appointment. To do this, be sure to come prepared with a written list of questions you can refer to during your appointment. Examples of questions to ask include: Asking about any medications you might be able to take. Asking about the pros and cons of medications. Asking what alternatives there are to taking medications, such as lifestyle changes. Asking about the side-effects of medications. Asking about the possible underlying cause of your social anxiety.
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One-sentence summary -- Find a mental health professional. Ask your family doctor. Make a list of your symptoms. Make a list of questions.

To do this, type control panel into the search bar, then click Control Panel in the search results. A dialog box will appear. " A list of tools will expand. " " Windows will install some files and then prompt you to restart the computer. The computer will turn off and then turn back on. When the computer comes back up, Active Directory tools will be accessible through the Windows Administrative Tools in the Start menu.
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One-sentence summary --
Open the Control Panel. Click Programs. Click Turn Windows features on or off. Scroll down and click + next to "Remote Server Administration Tools. Click the + next to "Role Administration Tools. Check the box next to "AD DS Tools. Click Restart now.