PCOS and Type 2 DM

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

 Gender: Female
 How tall are you (feet and inches)?: 5'8
 What is your weight in pounds?: 181
 How old are you?: 15
 How long has this been going on?: More than a year

 Check all symptoms you are currently experiencing:
 Fever
 Abdominal Pain

 Describe associated symptoms not listed above: tiredness most of the time.

What have you done so far to remedy this condition?

I am doing this fro my 15 yr old daughter. she has been recently diagnosed with type 2 diabetes and PCOS. However, my concern is the everyday abdominal pain with headaches and tiredness. Also frequent low grade fevers ranging from 99-100. She has only had an ultra sound for the stomace and it showed that she was constipated. She is also anemic, and they took her off of her iron pills. She has had h-pylori tests done , amalyse and other tests as well.

 No surgeries.

 Check all conditions present in your immediate family... : Diabetes
 Please list any medications you are currently taking (and dosage if known) :: she takes metformin xlr. was on reg metformin but caused stomach problems on top of the stomach problems she already has.
What could possibly causing this. What can reduce the pain and sleepiness. What other tests could be done. And does she need to be referred to a specialist?

_____________________________________________________________

First of all, if all she has had is an abdominal ultrasound that showed 'constipation', then it did not acheive the results intended, which were to visualize her ovaries. The fact that they said it showed 'constipation' means that the study was sub-optimal.

Unfortunately, PCOS is not in MY particular area of expertise.My gut reaction was that PCOS is poorly understood, and about this I was correct. I did not remember that Type 2 DM was associated with this disorder.

In fact, what I have linked HERE is a very good reference for you to print out and have at hand.

From what you are telling me she is getting a slow workup for her issues. With the H pylori esting and the focus on the stomach and abdomen they are looking for a source of blood loss which could cause her anemia. It sounds as if they have not found it yet.

As you can see from the link, increased or abnormal uterine bleeding uheavy menstrual cycles) can go with this syndrome and may be the source of the anemia. But if they took her off iron pills they are thinking that this is NOT an anemia based on iron deficiency... there ARE other causes.

I do not have any magic answers to her low grade fever, tiredness, and headaches, but would say the following.

If her thyroid function has not been checked it needs to be.

If she does not have a primary care manager that is WELL versed in treating PCOS then she either needs an endocrinologist or a family practitioaer with a concentration endocrine disorders.

The headaches may or may not be related to her PCOS, and doctors always look for a 'unifying diagnosis'... a single diagnosis that explains all symtoms. That being said, the headaches may need an evaluation by a neurologist.

And finally, as hard as this will be for her, she absolutely needs to become VERY aggressive in managing her weight and in maintaining her health. The habits she forms now will either see her thgough a long and healthy life or will set her up for failure.
 
As you can see from the reference, people with PCOS often develop 'metabolic syndrome', as of now a poorly understood cluster of medical problems (including DM) that make heart disease and heart attack a big risk, not now, and not in ten years, but as your daughter gets into her late thirties and onwwards.  
 
It is not clear from your question, but it would seem that things are moving along slowly. If you are not satisfied with the progress so far, do not hesitate to get a second opiniion. A pediatric endocrinologist might be a good place to go for a second opinion.
 
I hope this helps some. Again, this problem is complicated and poorly understood at present. Your daughter is being treated reasonably, but there are unanswered questions. I hope you will drop back by in the comment section and update us on her progress. The comment section is also where you can ask questions about this answer.
 
Thank you and good luck .

 

A 'Knot' Which Causes Nausea

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.


 How tall are you (feet and inches)?: 6'0
 What is your weight in pounds?: 230
 How old are you?: 40
 How long has this been going on?: A week or two
 Check all symptoms you are currently experiencing:
 Chest Pain
 Nausea

My husband has been complaining of a "knot" in his chest, a hair to the right of his xiphoid process. It hurts to push on it and when there's pressure applied it makes him VERY nauseous! He's a very tough man. He's not one to complain of pain at all which worries me enough to come here to you. We've been to the Dr. and she gave him clairatin and omeprazole. Its NOT indigestion! He was in the military so its a VA hospital. His Dr. ordered an ultrasound but haven't gotten a call back yet. Its been two three days. I used to be a paramedic and my first "field impression" is gallbladder. He's miserable! Unlike him! He's also exhausted everyday. Fatigued. Headaches daily.

 What have you done so far to remedy this condition? Please include tests and relevant studies here.
 : Waiting on ultrasound appoint.


 Only meds he's on is Clairatin and Omeprazole.
 Please list any chronic medical problems and also list any prior surgery: No medical problems. Has only had two surgeries. One for wisdom teeth six years ago. Before that three screws in his patella after falling and shattering it. Over all excellent health. Low BP, good heart rate, typical high cholesterol.

 Check all conditions present in your immediate family... :
 Cancer
 Cardiac Disease
 Diabetes
 Please list any medication allergies that you have : : Nka
 Please list any medications you are currently taking (and dosage if known) :: Clairatin 10mg
 Omeprazole 40mg

Periodic tylenol and aleve for headaches and knee pain.
 Are you currently using or do you have a history of tobacco use?: Yes
 Are you currently using or do you have a history of illegal drug use?: Yes
 Please describe your alcohol consumption :: Occasionally

I guess I just need to know if I need to FORCE him to the ER because he doesn't want to go. I'm also planning to pressure the VA to get him in sooner.

Gallbladder? Muscular?
____________________________________________________________

So hard to say without an exam. Would be nearly impossible to feel the gallbladder even if it was enlarged or inflamed. I have a very good friend who is a docot for the VA and I understand the delays. It's now up to one year for a hip replacement.

That being said I think the more important thing to realize is that just with what you have told me I do not thing delay is an appropriate thing in your husband's case. He needs that ultrasound but he needs a chest Xray and an EKG and yesterday. He needs a provider to examine him and these days the only place to get answers to complex medical questions in a timely fashion is in the ER.

Also, it's unclear to me from your question above if you are referring to yourself or your husband in many of the questions.

If his pain worsens, if he develops shortness of breath, fever, or vomiting you must get him to the ER. I can't put together this problem very well though I do agree that the Gall Bladder is suspect.

If you sish to clarify your responses or ask further questions in the comment section please feel free to do so.
 

Chicken vs Eye

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.


I was sitting outside when one of my chickens jumped up on my lap looking for a treat. I did not have a treat to give her. I was looking at her and she was looking at me. She then poked me in my left eye. Chickens are FAST and their strong with their pokes and they are not known for having clean beaks. My whole eye is bloodshot and there was a small pool of blood gathered at the bottom of my eye. I flushed it with saline solution. I can see and it doesn't appear that my eyeball itself is bleeding (except for the fact it is totally red and bloodshot). It doesn't seem to have changed my vision. It's not bleeding anymore though I am not sure where the blood came from as I can't seem to find where the actual wound is. My eye feels like there is something in it but like I said, I can't find the actual wound. It's not really painful but only feels like there is something in my eye.

My question is, is cleaning it with saline solution a good antiseptic? I flushed it for a good 3 minutes (I'm soaked as the solution ran down my face, neck, etc.) What are signs of infection in case I need to be seen?

 Gender: Female
 How tall are you (feet and inches)?: 5"3
 What is your weight in pounds?: 125
 How old are you?: 53
 How long has this been going on?: A few days
 Check all symptoms you are currently experiencing: Eye

 What have you done so far to remedy this condition? Please include tests and relevant studies here.
 Cleaned it with saline solution.

 Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): High blood pressure.

 Check all conditions present in your immediate family... :
 Cardiac Disease
 Hypertension
 Please list any medication allergies that you have : : none.
 Please list any medications you are currently taking (and dosage if known) :: Atenolol (50 mg)
 Hydrochlorothiazide (50 mg)

 When was your last menstrual cycle?: I no longer have a menstrual cycle
 Are you currently using or do you have a history of tobacco use?: No
 Are you currently using or do you have a history of illegal drug use?: No
 Please describe your alcohol consumption :: Rarely

How likely is an infection to my eye despite cleaning it with saline solution? Any other home remedies I should consider? So I am looking for something I should keep a lookout for in case I do need to be seen.

This all took place about an hour or so ago. I stated a "few days" above as your system would not allow me to enter "started today." It repeatedly gave me an error message that I need to enter a value. So while I stated "a few days," that is incorrect. Thanks!
_____________________________________________________

First of all, a prize to you for asking the most unique question to date on our little site here.

Secondly, you are correct to be concerned, and, correct as well that a doctor's FIRST question will be 'how is your vision', and, yours, so far, is unaffected.

Thirdly, and this may go to four, five, six etc... There is no way at this point to prevent infection as the peck of the beak either penetrated deep into or even through the sclera OR it only scratched the sclera and cornea.

I have no doubt that a chicken's beak contains all manner of nasty bacteria, and, since your eye is red and painful you MUST get seen by an eye doctor soon. Visual injuries are, thankfuly, rare, but you have one that could be serious.

As I say above it IS good that your vision is not affected, but there is simply no way to know at this point without a good exam if bacteria have been deposited deep enough into the orbit to cause infection.

IF they have then you will need AT LEAST prescription antibiotic eye drops. You also need a tetatnus shot if you have not had one in the last five to ten years.

Finally, you may well need pain control even if this is simply an abraasion. Abrasions can cause spasm of the ciliary muscle. This is VERY painful and a few days of eye dilation and mild pain medicines could to wonders.

Please do update us on this very unique injury!

Be well.

Post-Opertive Infection With Hardware

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

Hi i had surgery on a heel fracture 2 stainless pins inserted i had 2 cast changes they were on a little over 1 month each. finally cast was off my parents and friends questioned the color of my foot they said it didn't look right but i said doc gave it the ok.the next check up the doctor said now infected. gave me prescription 2 antibioitics 1 cream. my next appointment was 1 week later skin graph doc. at app. doc looked at wound said admit yourself in hosp now. on i.v.s 5 days now on wound vac. can infections become that critical in 1 week. when the cast was 1st off. my heel was extremely painful to touch and yellowish . now i can touch my heel after iv.s it seems to me the infection was overlooked ?

Gender: Male
How tall are you (feet and inches)?: 5 10
What is your weight in pounds?: 148
How old are you?: 52
How long has this been going on?: More than a month

Describe associated symptoms not listed above: had tingling feeling in heel while cast were on i was told bone growing

What have you done so far to remedy this condition? Please include tests and relevant studies here. Wound vac.

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): need maybe 2 more operations

Please list any medication allergies that you have : : none

Please list any medications you are currently taking (and dosage if known) :: 2 antibiotics per day doxycycline hyclate 100mg

When was your last menstrual cycle?: Now
Are you currently using or do you have a history of tobacco use?: Yes
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Rarely

What can i do if the infection was overlooked some reason i seem to be backpedaling on getting better.

________________________________________

I wish I could give you a definite answer but I can't because your question calls for speculation... guessing on my part. The fact is that you broke your calcaneus. This is from a high energy injury, in other words, an injury with lots of force transmitted to your foot. The repair of this kind of injury is very difficult to start with. The fact is that the surgery you had to repair your broken heel carried with it a known risk of infection to start with. And if your original injury was bad enough to break the skin (an 'open' fracture) then the chance of infection would be even higher. 

But let's assume that there was no infection introduced during your injury or the repair. It is possible that a small break in the skin near the surgical site introduced bacteria deep into the wound. 

The fact that you have metal screws in your foot makes the infection MUCH worse, because now the screws probably have to come out. 

To answer your question about the infection being 'overlooked', it is not that simple. There is no test that tells if there is infection or not. As you learned, a wound infection is diagnosed by physical exam. Lab testing can help, and bone scans and the like are often used to tell if the bone itself is infected, but there is no way to say if it was overlooked. 

If you wish to consult a medical malpractice attorney they can probably answer this better than I can.

Unfortunately, not even your doctors know right now how long this will take to clear and how many operations you might need (though I see you think there are two surgeries upcoming). You had a bad injury that shattered your calcaneus bone. Even without the infection your chance of getting back to near-normal was very low and you would likely have had some pain and lack of ability to fully use your foot for the rest of your life. 

With the infection the end results are unknown at this point. 

I'm not sure if I have answered your question, so if I have not, please respond in the comment section. Good luck. 

Acute on Chronic Abdominal Pain

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

6 months ago my 3 yr old landed a perfect knee to my solar plexus causing intense pain and vomiting. A month later he did it again. I am now very sensitive there. Last week while dusting myself off a lite pat to the area created considerable discomfort for the rest of the week. Saw family doc on Thursday. They feel it acid reflux. I didn't have discomfort until I was hit. Lucky me, my son landed another one last nite while giving me a hug. I'm able to flex 6 pack abs and pecs, do push ups everything as normal. I can take deep and shallow breaths normally. Normal appetite. Normal digestion and movements. Normal sleep. The problem is a constant mild to  dull radiating pain in my solar plexus area. It almost feels like a hollowness in the center of my chest behind the muscles and sternum. Sounds a little strange but not sure how to describe.


Gender: Male
How tall are you (feet and inches)?: 5 10
What is your weight in pounds?: 175
How old are you?: 39
How long has this been going on?: A week or two
Check all symptoms you are currently experiencing: Chest Pain
What have you done so far to remedy this condition? Please include tests and relevant studies here. Blood work for Gall Bladder and Pancreas. Results normal.

Please list any chronic medical problems and also list any prior surgery: Total Hip Replacement
Appendectomy

Are you currently using or do you have a history of tobacco use?: Yes
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Daily

HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: As soon as possible.

Can you bruise the solar plexus?
What is the best method of diagnosis for a non muscular skeletal injury?
What are possible treatments?
__________________________________________________


Sir, 
This is a puzzling case indeed. 

Can you bruise in the solar plexus? Well, you can get an abdominal wall bruise, but six months ago? If this were the cause then you should be well by now.

The next question is the real money question... What is the best method of diagnosis? The answer is a contrasted CT Scan, perhaps an MRI of your abdomen and pelvis. 

I think you should have this as soon as possible. I think your logic is sound in thinking back to the incident with your three year old, but from a doctor's perspective, I am concerned about your story. 

The nature of the pain concerns me. The chronicity of the pain concerns me. In short, being ER trained, I think automatically of the worst possible cause, and this is, of course, cancer. Do I think you have it? No, but it IS on the list. As long as it is 'on the list' it's time to take it off the list as quickly as possible. This requires imaging studies as mentioned above.

You can not rule out disease of the pancreas or gall bladder with blood tests, though the results can suggest disease. It's time for you to get back with your family doctor and let him know that your pain has been present for six months. And it's time to request either a CT scan of your abdomen or pelvis, OR, referral to a GI specialist or surgeon. 

If you have questions about my answer please leave them in the comment section. 

Be well

Sudden, Painful, Abdominal Wall Bulge

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

I was practicing Yoga today, lifting myself up in a pose that uses arms, and lifts the legs up, so there is a lot of pressure in the abdominal muscles, suddenly I felt a sharp pain 2 centimeters to the right side, and one centimeter down of my solar plexus, I had to stop the pose, and touched what it felt like a bump, maybe a hernia, it was really painful, I put some pressure and it went down, but I still feel a little pain, and I'm concerned as to what that could be. I had to put a few days ago because the site wouldn't let me leave it at started today, but this, started today.

Gender: Female
How tall are you (feet and inches)?: 5'7
What is your weight in pounds?: 123
How old are you?: 43
How long has this been going on?: A few days

Describe associated symptoms not listed above: I had a really bad cold, was bedridden for almost 13 days, first 3 days I had a fever and chills, I was so tired, I got up on day 13, I'm still not strong enough, this was 4 days ago when I got up, I feel as though my body aches, which it does because I also teach Yoga and practice daily. I haven't been eating as much as I usually do, I'm a raw vegan, I'm very healthy, but I have some stress going on in my life now so I haven't been very diligent or disciplined when it comes to eating.

What have you done so far to remedy this condition? Please include tests and relevant studies here. Just happened today, pushed the bulge down.

Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): I've had 2 myomectomies, 2 laparotomies to remove uterine fibroids, and a cyst in the right ovary. I've also torn L4 and L5 a year and a half ago.

Please list any medication allergies that you have : : None that i know.

Please list any medications you are currently taking (and dosage if known) :: I started taking Opti Gyn Formula from Eclectic Institute. I have uterine fibroids and don't want to get surgery yet again, besides they pressure my bladder so I cannot get over 4 hours of uninterrupted sleep, sometimes even less than that.

When was your last menstrual cycle?: 2 weeks ago
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Never

I'd like to know what this is and the steps I should take. I'd like to know whether I can shrink the fibroids without surgery and whether there is something I can take to stop going to the bathroom all night so I can sleep.

___________________________________________________

So I think it is fairly safe to say that you have given us the textbook definition of an abdominal wall hernia here in your question. The fact that it occurred suddenly during exertion and produced a  bulge in the abdominal wall is nearly diagnositic. 

Abdominal wall hernia's are not as common as umbilical hernias or inguinal hernias, but they do occur, and they do require repair by a surgeon. 

This link here might be helpful to you, I'm not sure, you seem to understand what a hernia is but I will provide it for your information.

Strangely, it is the small hernias that are the most dangerous. For this reason I think it is critical that you see a surgeon soon to get this looked at. Small hernias are prone to 'incarceration' which can lead to 'strangulation', where the herniated tissue becomes trapped and dies. This then can lead to rupture and peritonitis and then, instead of an elective repair of a small hernia defect, you face major surgery and days if not weeks in the hospital. 

My recommendation about your second question is simply that you consider a hysterectomy. At age 43 you are likely not thinking about having children, and I can only assume that the myomectomies were performed in an attempt to preserve fertility. There is no medicine that will allow for you to sleep through the night as the problem is mechanical, the fibroids are compressing the bladder. 

Interestingly, since it is likely you will need surgery for this hernia that we think you have, you might be able to get the hernia repair and a laparascopic or trans-vaginal hysterectomy done at the same time. This will require agreement between two surgeons (not an easy feat), but it's certainly something I would pursue if I were you. 

Finally, if you have not had your blood count checked lately you will want to do that. Uterine fibroids, with the chronic bleeding that often accompanies them, can cause ANEMIA, and it may be that you have anemia and are experiencing some of the common symptoms associated with it (link provided). 

If you have any questions about my answer please ask them in the comment section. Thanks for your question, and good luck!

Chronic Redional Pain Syndrome and Neuroligical Symptoms

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

I've had RSD/CRPS for> 2 years CRPS2, stage 3. It is in both legs from my hips to toes and 5 mos ago started with symptoms in one of my arms. Since then, I have had more symptoms in my head that I am wondering if they can be due to the RSD. They are- ear pain, dizziness - like vertigo.  I went to an ENT MD, but she wasn't very acquainted with RSD. I am very accustomed to my meds, this is not from them. She indicated that I would have to come off all my meds to find out what was going on. I can't come off them - not with my pain. I do have a spinal cord stimulator which helps,but not enough to come off my meds. Thoughts?

Gender: Female
How tall are you (feet and inches)?: 5 ft 8 "
What is your weight in pounds?: 145
How old are you?: 54
How long has this been going on?: More than a month

Check all symptoms you are currently experiencing:
Palpitations
Ear/ Nose / Throat
Musculoskeletal Pain
Neurological

What have you done so far to remedy this condition? Please include tests and relevant studies here. Saw ENT. Cannot have MRI.

Please list any chronic medical problems and also list any prior surgery : RSD / CRPS 2 (damaged rt.  peroneal nerve from a bad pre-surgical block.

Menieres dsease
C5-6 fusion
Rt great toe surgery
Pelvic thrombophlebitis

Check all conditions present in your immediate family... :
Cancer
Cardiac Disease
History of Back Pain
Please list any medication allergies that you have : : None

Please list any medications you are currently taking (and dosage if known) :: Gabapentin 600 tid
Ultram 100mg tid
Cymbalta60mg
Dyazide

When was your last menstrual cycle?: 4 weeks ago
Are you currently using or do you have a history of tobacco use?: No
Are you currently using or do you have a history of illegal drug use?: No
Please describe your alcohol consumption :: Rarely

HOW QUICKLY DO YOU NEED THIS TO BE ANSWERED?: Within the next few days

Just want to get information.

__________________________________________

Wow. This is a very complicated question.  I am going to say right off the bat that in terms of RSD I wouldn't say that there were any doctors 'very acquainted with it' in that we do not understand it. We have treatments for it and research is ongoing, but it's a puzzle to us for the most part. 

Your ENT doctor may be more aware of RSD than you think. The current consensus seems to be that RSD can occur at the site of a prior trauma or surgery. There is nothing to suggest that it can affect the brain and produce the symptoms you are describing. 

I notice you have Meniere's disease. This was my first thought when I saw your question... that you might have Meniere's.

I think what your ENT is doing, or wanting to do, is to see if your many medicines could be causing side effects. I agree with you that stopping them may not be wise, but if you go to this website here (click on link), and add your medicines, you will see that the interactions alone could be causing some of your symptoms. This is quite apart from the side effect profile of each individual medicine you are on,

Here are the some side effects for your medicines....

Ultram, dizziness or spinning sensation
Cymbalta, headache, trouble concentrating, memory problems, weakness, feeling unsteady, loss of coordination, fainting, seizure
Gabapentin, dizziness, drowsiness, weakness, tired feeling, nausea, diarrhea, constipation, blurred vision, headache

And that is a very partial list of all known side effects. 

So, in summary, I can not tie RSD into the symptoms you mention. I can tie it to your medicines. I can also tie it to your Meniere's disease. I think the best thing for you to do is to get your RSD physician talking to your ENT physician. Right now it seems they may be working at cross purposes. 

Other than that I suspect this is likely related to your Meniere's disease than anything. Even though you may not be able to comply with your ENT physician's request to stop your medicines, I would continue to work with the ENT to find a solution, yours is a very complicated case.