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Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.I feel better already! Third-degree burn or scald. After contact with hot objects, water vapours, the fingertips may become white with a leathery appearance and transient or permanent loss of sensation to touch and pain 4.
In arterial embolism, one or more fingers suddenly become cold, pale or blue, painful, weak, numb or tingly. Cramps may appear and the finger may be hard to move.
Contact with the stinging nettle leaves or stems usually causes burning, itchy, red patches (hives, urticaria); numbness may persist for more than 12 hours 7,8. In sensitive people, contact with poison ivy, oak or sumac can cause allergic reaction with red, burning, itchy and swollen skin; numbness and tingling may persist for several hours 9,10.
Deep second-degree burn or scald. After contact with a hot object, liquid or vapours, the affected fingertips are usually red and tender, but can later become more or less numb and remain so for up to a month 11,12. A minor cut or puncture of the fingertip can result in felon or staphylococcal whitlow — an infection with red, swollen, painful and, eventually, numb fingertip pulp 14,15.
Stings of venomous insects, such as a bee, wasp, hornet, spider (black widow, brown recluse spider) and scorpion, can cause burning pain, redness, blisters and swelling in the affected fingertip, followed by tingling and numbness, which may persist for a day or two 16,17,18. Bites of poisonous snakes, such as cobra or rattlesnake, to the arm can cause numbness and tingling in the affected area spreading toward the fingertips 20. In rheumatoid vasculitis (in rheumatoid arthritis and systemic lupus erythematosus or SLE), numbness and pits in the fingertips and red sores around the nails may develop 21,22.
Symptoms of Churg-Strauss syndrome may include difficulty breathing (asthma), and red-bluish and numb fingertips 23. One side effect of certain chemotherapeutics is hand-foot syndrome (acral erythema or palmar-plantar erythrodysesthesia) with numbness, tingling, pain, redness, swelling or flaking of the palms, fingers, soles and toes. Poisoning with elemental (metal) mercury in children: pink, numb or painful fingers, peeling hands and leg cramps (acrodynia) 24.
After an injury, for example, with a hammer, the affected fingertip usually becomes tender and bruised: red, then  swollen and partially numb then dark blue-purple and then yellow-green. Achenbach syndrome (paroxysmal hand hematoma, finger apoplexia) 25 consists of sudden pain, itching, stinging, swelling, coolness, bruising and, sometimes, numbness on the palmar side of one or, rarely, more fingers that last for few days and then resolve spontaneously; this benign condition is due to spontaneous bleeding in the finger. In peripheral cyanosis, fingers and toes, especially nail beds, and, sometimes, the skin around the mouth (circumoral cyanosis), but NOT lips and tongue, become bluish 26.
Cold injuries: hypothermia due to prolonged immersion in cold water or exposure to cold air 27,29, chilblains 28, deep frostbite (persistent cyanosis and numbness after rewarming are bad prognostic signs) 30.
Acute artery narrowing due to an embolus (due to atrial fibrillation, thoracic outlet syndrome) or crush injury results in sudden pain, and cool, pale and, later, blue-purple fingers 33. Acrocyanosis — persistent bluish-purple discoloration of the fingertips (and sometimes, hands, feet, knees, nose, lips and nipples). In central cyanosis, hands and feet, especially nail beds, lips, gums and tongue have bluish discoloration, but are not cold (unless the causes of peripheral cyanosis are present) 26.
Sulfhemoglobinemia: overdose of certain drugs (acetanilide, metoclopramide, nitrates, phenacetin, phenazopyridine, sulfasalazine, sulfonamides), ingestion of household cleansers (hydroxylamine sulfate) 26,44.
Disseminated intravascular coagulation (DIC), for example, in sepsis (see more causes below under Gangrene). In the fourth-degree frostbite, gangrene (tissue death) can occur, especially after freeze-thaw-refreeze situation 6,13. Gangrene means tissue death (necrosis); it is caused by blocked circulation, bacterial infection or trauma 48. Symptoms of dry gangrene: the affected fingertip becomes red, then pale, cold and numb, then brown, purple or black, it shrivels up and eventually fall off  48,51.
Disseminated intravascular coagulation (DIC) due to sepsis, leukemia, malaria, viral gastroenteritis, snake bites, transfusion reactions, recreational drugs, etc. I’m prompted to write about this very special type of hand pain because a woman came into the clinic this week stating that her thumb pain had almost ruined her Christmas and it wasn’t getting any better as of yet.
I can’t help but think of the joke where the doctor asks the patient what they are doing when they feel pain and simply tells them to not do that. As they infect certain parts of the body, Lyme disease bacteria can manifest different symptoms at various times. As it grows larger, the rash may take on a bull’s-eye appearance as the center of the rash becomes clear, and while it might become warm, it seldom becomes painful.
If the infection is untreated and continues to spread, new symptoms may begin to appear, such as loss of muscle tone on at least side of the face, which is known as Bell’s palsy. In time, more than half of those who have an untreated bacterial infection will begin to experience periodic bouts of arthritis, accompanied by noticeable joint pain and swelling, especially in the knees. About 5% of those who remain untreated develop chronic complaints related to neurological disorders—including tingling or numbness in the hands and feet, and problems related to their short-term memory and their ability to concentrate.
In the United States, deer ticks are the prime carriers of the bacteria, and since they are brown and quite small, they are virtually impossible to see. The ticks, which are particularly active during the summer months, will attach themselves to an unsuspecting victim and gorge themselves on that person’s blood until they become quite swollen.
Since this process may last as long as 48 hours, it is felt that prompt removal of the ticks will obviously help prevent infection. Failing to wear long pants tucked into your socks and long sleeves, when you know there is the possibility of becoming infected with Lyme disease.


Remember to use a DEET-based insect repellent on your skin if plan to spend some time outdoors. Since its symptoms can be related to many other medical conditions, this illness can be difficult to diagnose. Note that it may take as long as two months after a patient has become infected to detect antibodies with a blood test, and while it may be conclusive, the test does not pinpoint the exact time when exposure to the disease took place. Enzyme-linked immunosorbent assay (ELISA) – a common, reliable test that is used to detect Lyme disease.
Indirect fluorescent antibody (IFA) – another test used for screening Lyme disease antibodies. Western blot test – This is used for detecting the presence of Lyme disease, and in confirming the results of previous ELISA and IFA tests. Most patients can be cured by using antibiotics, especially if they are administered before the disease has actually begun to progress.
Generally, cefuroxime axetil, doxycycline, erythromycin, amoxicillin, or another antibiotic is taken orally for a few weeks, and with more severe cases, the medication is administered intravenously.
Cefuroxime axetil should not be taken if you are allergic to cephalosporin antibiotics—including cephalexin hydrochloride, cefprozil, or ceflacor—or penicillin. Doxyclycline should not be taken if you experience nausea, loss of appetite, vomiting or sensitivity to sunlight. Erythromycin should not be taken if you experience nausea, vomiting, stomach pain, diarrhea or loss of appetite. As a rule, those who are given treatment when the infection has not progressed make a full and speedy recovery, and others also respond well to the antibiotics they are given when the disease is more advanced.
Anyone who at risk for contracting Lyme disease is encouraged to become vaccinated before spring arrives. The patient has another condition, such as lupus, ALS, or fibromyalgia, which was misdiagnosed as Lyme disease.
Many physicians apparently agree that persistent Lyme disease actually exists, but they also feel that some patients fail to benefit from being treated with intravenous antibiotics indefinitely. Since then, many insurance companies and doctors have used this report as the basis for rejecting claims and refusing treatment, stating that to do otherwise would be both irresponsible and contra-indicated.
My name is Kim Wang and this site is my work in progress helping to pass on some of the things my mother has taught me over the years. The answer was far more informative than what I got from the Physicians I saw in person for my problem. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.
Spilling of diluted (1%) phenol (carbolic acid) solution over the skin can initially cause numbness and tingling followed by skin necrosis 61. If it is diffuse and permanent bluish discoloration lasting for more than few days, it’s probably due to impaired blood flow, which is usually caused by atherosclerosis or a clot lodged in the thumb artery. She felt a little helpless, and most certainly frustrated, by the new found sharp pain in the saddle joint region (thumb) of her right hand. The neuroprorioceptive fibers of the involved joints need to be reset by way of an adjustment. Well, if you don’t want the condition to come back, you’ll need to stop, or at the very least, limit texting. Also, every patient will not necessarily have all of the symptoms that are attributed to it.
It is found in about 70-80% of all those infected by the bacteria and originates from a tick bite after 3 to 30 days have passed. In time, some victims develop more EM lesions throughout the body, and they may also show signs of chills, fatigue, fever, swollen lymph nodes, and joint and muscle pain, but there are no other signs of infection.
There may also be neck stiffness and severe headaches caused by meningitis, heart palpitations and an irregular heartbeat, pain moving from one joint to another, and shooting pains that cause the victim to lose sleep. In America, deer ticks are especially prevalent in the Midwest and Northeast, and in Oregon and Washington state, and children who often play outdoors are particularly vulnerable, along with adults who work outdoors on a daily basis.
If you and your physician agree that Lyme disease may be present, the next step will be to do a complete physical examination and bring your medical history up to date.
Prior to having the test, you should discuss any concerns you may have with your doctor, such as its risks, what is involved, and what the results may indicate. It should be performed on anyone whose results were equivocal or positive in either of those two tests. Since a PCR test is costly and requires a high degree of technical skill, it is used less frequently than antibody testing. However, some people develop chronic Lyme disease that is resistant to antibiotics, which may be caused by an autoimmune response, hiding the fact that the infection is no longer present. Women who are pregnant or breast-feeding, and children under the age of nine, are usually given penicillin, cefuroxime axetil, or amoxicillin when they contract Lyme disease. In some cases, the disease will reappear, the systems will persist, and the patient will need additional, lengthy treatment. The vaccine, which has been approved by the Federal Drug Administration (FDA) consists of a three-shot series given at least eight weeks part, and costs about $60 for each injection.
After receiving recommended treatment for the bacterial infection, some patients experience the return of symptoms that are both chronic and persistent.
Others consider the Klempner study to be flawed and have continued to treat their chronic Lyme disease patients using established methods and medications.
Prevent the spread of warts by not picking them, covering them with bandages, and keeping them dry.
Appearing over an infant’s head, neck, and shoulders, the rash is often caused when well-meaning parents dress baby too warmly, but it can happen to any infant in very hot weather.


It spreads through coughing, sneezing, and used diapers, so wash hands often when dealing with coxsackie. Possible risk factors include smoking, atherosclerosis, Raynaud’s phenomenon, trauma, frostbite, thoracic outlet syndrome, cryoglobulinemia, polycythemia. She said that she could not think of what she had done to hurt her hand and wanted to see what could be done to get well. There are several cases in the literature where the physician chose to perform surgery to treat the condition. In fact, the “opposable thumb” is thought to be quite the evolutionary accomplishment in our species!
Furthermore, massage therapy will greatly enhance the healing environment by flushing the area and promoting circulation. If you suspect that you are falling victim to this illness, it is essential for you to contact your physician in order to get a proper diagnosis as quickly as possible. As a precaution, when you walk through shrubs, leaf litter, or other vegetation, try to stay in the center of the path. In general, the Western blot test is especially helpful when determining if a patient has developed chronic Lyme disease. In addition, the standards for it have not been fully developed, and false-positive results may be produced in some cases. They often experience arthritis, joint and muscle pain, fatigue, cognitive problems, and sleep disturbance on an ongoing basis. In addition, treatment will be based on any neurological, cardiac and arthritic symptoms that develop in the patient.
If treatment is delayed until the infection is far advanced, even after the infection is cleared, the patient may experience chronic pain, permanent neurological damage, and arthritis. Most adults are provided with 80% protection with this regimen, and to maintain immunization, additional booster shots may be required. As a result, their standard of living is lowered, and they also they become unable to work, take care of their children, or participate in various activities they used to enjoy.
Klempner, MD et al., claimed that patients with chronic Lyme disease get no benefit from this treatment. Infection, allergies, and temperature extremes are often behind the skin conditions seen in babies and children — and many are minor and easily treated. Treatment includes rest, fluids, and pain relievers (do not use aspirin if your child has fever), but watch for signs of more serious illness.
Most kids need only home treatment, including rest and medication, to reduce itching, fever and other flu-like symptoms.
Impetigo can be spread to others through close contact or by sharing items like towels and toys.
A baby should be dressed as lightly as an adult who is resting; though their feet and hands may feel cool to the touch, this is usually not a problem. Minor cases may cause mild skin redness or a rash of small red bumps, while severe reactions can cause swelling, redness, and larger blisters. Home treatment includes ibuprofen or acetaminophen (do not give aspirin) and lots of fluids.
What causes atopic dermatitis isn’t clear, but those affected may have a personal history of allergies and asthma and a sensitive immune system. After 1-2 days, a red rash with a sandpaper texture appears, after 7-14 days, the rash sloughs off. So, if it is impaired blood flow, it is not likely you will be able to cure it by yourself by some sort of remedy. It seems, however, that times have changed and the new tradition is to use the mobile device to send text . Other medical remedies may include non-steroidal anti-inflammatory drugs, steroids, casting, bracing and physical therapy. Closing the hand involves an action known as flexion and opening the hand results in extension.
Another option, a skin-culture test, uses a tissue sample from the patient to study the Lyme disease bacteria, and while it may be accurate, the fact that the results may not come back for several weeks is often looked upon as a drawback.
A few doctors have even reported that their patients experienced a total personality change which resulted in violent, criminal behavior, and that they have even died of the disease.
A chickenpox vaccine is recommended for children, teens, and adults who haven’t had chickenpox. The act of texting requires the fingers to remain flexed to hold the device and the thumbs are repeatedly flexed and extended. Call your pediatrician immediately if you think your child has it, and treat with antibiotics to avoid serious complications.
The effect is chronic tension in the muscles of the upper arms and shoulders entrapping the nerves as they emerge from the neck. Android phones have nice voice to text services built in and the iPhone has an excellent app available called Dragon Dictate. There are many other solutions available and I hope that I’ve started you thinking of ways to save your thumbs and sanity!



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