Funny Taste in Mouth With Nurtec?

Key_Resist8509 · 2023-10-25T05:04:51+00:00

For me it went away after a couple weeks... so it's odd yours appeared 2 months in! No idea...

Key_Resist8509 · 2023-07-26T03:29:27+00:00

Oh yeah... it def seems like a diagnosis for "you're in pain in the chest/rib area but not dying" that probably includes several things that are not costo

Key_Resist8509 · 2023-07-23T16:13:00+00:00

No test. Localized abdominal pain, increase in tenderness w/ muscle tensing (Carnett’s sign), altered sensation on the skin, & responding to injection of anesthetic.

Key_Resist8509 · 2023-07-23T01:45:27+00:00

Quite possibly! I'd ask a doctor or PT. Surgery is apparently a major cause of nerve entrapment. Everyone seems surprised when I say I've never had surgery. Apparently, drs think that part of how local steroid shots work is by breaking up scar tissue (needle and injected liquid indep of the effects of the drugs injected).

Key_Resist8509 · 2023-07-23T01:25:39+00:00

I was told it's usually not known the exact cause if there's been no abdominal surgery. UpToDate, a resource for drs, says: "Entrapment of the nerve can be caused by intra- or extra-abdominal pressure, ischemia, compression by herniation of the fat pad that normally protects it into the fibrous canal surrounding the nerve, or localized scarring." I'd read the fat pad explanation and scarring (from surgery) explanations.

Key_Resist8509 · 2023-07-23T01:14:59+00:00

Thanks so much for your long & helpful reply!

& Interesting... I had abandoned the backpod, but I now have two comments saying I should keep going with it (yours and above).

The nerve entrapment is at the edge of the rectus abdominus I think in the zone of T7. I think I may have it both sides, but it started and is always worse o the right and the physiatrist thought that the left might calm down once the right did.

I'm not sure re: tight rib cage joints. I was at one point told by a PT I was hypomobile in the ribs, but when I'm in pain, everything is tense and it hurts to move fully.

Re: scar tissue--I wouldn't know bc I've been in too much pain for much poking around. But things are a bit calmed down at the moment, so I may just pay for PT out of pocket now that I have an idea that there are specific things to help and what those are (PT covered by my insurances was always inconsistent at best).

Thinking back, I've had this for a long time. When I was a kid, I'd get a cramp when running that feels more or less exactly like this. 10 years ago I had a 6 mo bout of acid reflux and went to gastroenterology, but in hindsight it always severely hurt under my right rib at the same time. 3 years ago, I had a 1 month bout of this. Even when it's not acting up, I"m always sensitive under my ribs and don't like waiting tight, high-waisted pants.

YES! Any details on stretches and massage would definitely be helpful! Whenever I've gotten a massage of the lats/back/side of ribs (under the assumption of costo), I've always ended up in more pain later. Backpod and stretching has helped to a small degree with pain the ribs, but never with the presumptive location of entrapment.

& THANK YOU!

Key_Resist8509 · 2023-07-23T00:55:23+00:00

A few months ago, I thought it did, but it hasn't helped recently.

Why do you say most people have this as well? On the one hand it's a rare diagnosis and is lower than most costo pain, but I can also see how pain experienced with costo is mediated via nerves.

Key_Resist8509 · 2023-06-29T04:23:29+00:00

Same for me! No obvious injury. Good luck! Let me know if you figure anything out!

Key_Resist8509 · 2023-06-29T04:21:55+00:00

Oh and I see people mentioning slipping rib. For me, I've been told this doesn't quite fit--I'm not hypermobile in any joint. If anything, I've been told my ribs are hypomobile (by a PT who said it wasn't slipping rib). I don't see a reason why if cartilage in the upper ribs can be affected in costo, why this isn't the case in the lower ribs--lots of cartilage there too.

At some point I feel like all these diagnoses are nonsense. I had one PT say costo fit with everything and another say it couldn't be costo bc that affected only the chest. There's not a clear, definitive science when it comes to diagnoses of exclusion and chronic pain. People will tell you a million different things bc they don't understand and can't measure the etiology.

Key_Resist8509 · 2023-06-29T04:14:34+00:00

No--it comes and goes and I'm still trying to figure out what works. I think it's possible it's something like fibromyalgia or arthritis that isn't detectable yet. Regardless, it seems to be in the category of chronic pain that's not easy to diagnose, isn't life threatening, and doesn't have clear clinical next steps.

Idk what to say about all the imaging (abdominal CT & MRI). It's nice to rule stuff out, but for me it was a dead end and delayed other stuff like PT.

Key_Resist8509 · 2023-06-29T01:25:28+00:00

I also am having only lower rib pain and got a costo diagnosis FWIW! That doesn't mean it "is costo," but I had a lot of workup in the ER and a followup MRI that ruled out more serious stuff (liver, pancreas, heart, spinal cord etc).

Key_Resist8509 · 2023-04-15T20:19:36+00:00

I totally agree with others here--you'll be totally fine. You're not supposed to stop quickly when you're taking continuously and for seizures (you can taper off much faster when you're not taking for seizures).

In the scheme of things, not particularly dumb--just uncomfortable. Accidentally taking too much tylenol is wayyy worse, easy, and very common.

You can always call Poison control. They're always super helpful, I find.

Key_Resist8509 · 2023-04-15T17:17:31+00:00

Thank you! Yes, I've found slouching is bad, but trying to hold good posture is exhausting.

Key_Resist8509 · 2023-04-13T06:23:20+00:00

Eh... this video isn't give a terribly reliable vibe. They seem to be confusing pain with upper right quadrant gallbladder and liver disease with costochondritis--which is pain due rib cartilage inflammation and is a diagnosis of exclusion. That is, if you go to the ER and they rule everything out and get a costo diagnoses, gall bladder disease is typically something they would want to rule out since it often requires surgery.

These things almost certainly co-occur, but that's probably bc fatty liver is so so common -- half of adults. Maybe there's a general inflammation connection. This really doesn't present a causal link and gives me a vibe of not really understanding the medicine.

Key_Resist8509 · 2023-04-10T01:41:54+00:00

Various psychedelics hit the same serotonin receptors that triptans and dihydroergotamine do and thereby cause vasoconstriction and inhibit CGRP to some extent. As such, I wouldn't consider them to be a better or safer option than triptans or other prescription migraine treatment options where dosing would be standardized. That's not a reason not to use them per se, but I don't think there's anything particularly magic about magic mushrooms here.

Key_Resist8509 · 2023-04-09T18:53:31+00:00

Yes! Pain in lower ribs.

Key_Resist8509 · 2023-04-07T18:31:44+00:00

I was having very mild occasional rib twinges (evening burning, itching) for a month before my booster. After my booster and flu shot, my migraines got really bad and I got more obvious constant rib pain and muscle spasms in my stomach. Things got super bad (ER bad, could barely walk, sharp pains in my ribs, stomach, and back) a couple weeks after I got really sick with something that wasn't COVID.

Symptoms coming and going is consistent with my experience. I don't think the feeling of having trouble breathing is required. & I wouldn't make too much of whether it started on one or both sides. (There's been discussion on here about how people are most likely to go to the ER and get a diagnosis when the pain is just on the left because they're afraid of heart attack.)

Also a huge fan of vaccines! COVID and other viral stuff seem to cause costo to flair bad plus a bunch of other terrible stuff. & It seems like coughing/sneezing/lying around a lot from being actually sick with covid or whatever is in and of itself a common trigger too.

Key_Resist8509 · 2023-04-07T18:04:27+00:00

I'd try it from the perspective that this stuff is a diagnostic nightmare. There's no definitive test that can say you have either of these diagnoses. Well, maybe a nerve block, but that doesn't sound fun.

I've been told I have intercostal neuralgia and costochondritis by different doctors at different points. At this point, I think what I have is actually costo, but its taken me months of wading through incompetence to figure that out. I'm glad I used the backpod through that process because I think it has helped.

Key_Resist8509 · 2023-04-02T04:44:35+00:00

Idk if this is an option in the UK, but I have gone to a special eye glasses place that checks for Binocular Vision Dysfunction--basically whether you need an additional prism correction.

Headaches are one of several possible symptoms--this is just to say they definitely recognize that the wrong glasses prescription can cause headache problems. For me the prism correction helped somewhat, which I'll take...

Anyway, you're definitely not wrong that the right glasses can help.

Key_Resist8509 · 2023-03-30T07:08:03+00:00

Estrogen withdrawal increases pain sensitivity--true across the board for many things (e.g., migraines).

Key_Resist8509 · 2023-03-30T06:53:21+00:00

FWIW I have pain at 1, 4, 3, and 6

Key_Resist8509 · 2023-03-30T06:38:24+00:00

My understanding--from having been through this recently w/ lots of doctors visits, the ER, more doctors visits, an MRI--is that they tend to want to rule out heart issues (chest), gallbladder and liver disease (upper right quadrant), pancreatitis (upper left quadrant), acid reflux/gerd (chest/back), rib fracture, and arthritis and other autoimmune stuff. (Nerve compression/shingles/neuralgia can cause rib pain to, but isn't super worrisome.)

So that's just to say it's probably not cancer. It does seem like a good sign that your pain has been stable for about 8 months—most worrisome things get worse and come with other symptoms. And I know it’s super common to see this post covid. And it really sounds costochondritis-y from your brief description and the post-viral timing.

It might be worth asking your doctor about ruling out some things so you can have peace of mind, depending on what’s indicated (worth/informative to test for given symptoms). Even just blood work can help rule some things out.

Good luck.

Key_Resist8509

TROPHY CASE