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Child suffering with frequent runny nose, sneezing, cough, mild fever, done AEC test. Ideal treatment?
Dear Doctor, my son, 14yrs old, has been suffering from frequent runny nose , sneezing , cough , mild fever altogether, since a longtime (6 to 7yrs). I got him tested for AEC. The count is 1250. What does it mean? What should be the ideal treatment (either naturally or with medicine) ? Also, he has been becoming very lean day by day. He weighs 46kgs now. Kindly advise and counsel me, sir!
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th is allergy abnd these counts are increased in allergies the symptomps show tht he is allergic to wheat you get your child blood tested for specific antibodies for wheat,milk,potato,chana,rice,egg it will be either potato or milk or wheat and potato probably you can ask and go for slit therapy for that which gives permanent care in the meantime give singular 10 mgm bd tab rhinitidine 150 mgm morning syp paractin 1/2 tsf night for fever diclofenic sos post after results will guide you in future
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What is the chalky discharge with cough?
I have been couging up a white chalky substance for the past two days. The first time it was quite large and looked like popcorn with some brown mucus and a little blood. Since the first one it has just been small rice size pieces I have coughed up but it's been several times a day. It started yesterday. shoudl I be concerned?
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Hello..Welcome to HCM.I am Dr Jigar(ID Specialist).Yes this is hemoptysis and it should not be neglected. There are many causes of it ranging from minor illness to malignancy.However it is equally important to look into whole clinical picture. It would have been really helpful if you had provided your age, other symptoms along with cough, any such previous history or other chronic disease, any habbits like smoking etc.Though this appears to be mostly due to bronchitis it needs confirmation by chest examination and radiological reports. You should visit nearest chest physician for this and go accordingly.I hope this will help you. Wishing you healthy life ahead.Regards.
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What could cause pain in the left breast in a 32 weeks pregnant woman diagnosed with gestational diabetes?
I am having pain in my left breast. The best I can describe is it covers a large area on the left side near where it attaches to my chest. It began a little less than 24hrs ago as a very slight discomfort, was worse upon awakening, and is now very uncomfortable. It is a painful ache like a bruise or pulled muscle but there are no marks and has not been any trauma. A supportive bra and tylenol has made the aching tolerable. I am 32wks pregnant and have gestational diabetes. No other health problems or family history of breast problems.
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Hi, Following is my reply: 1) This could be due to hormonal changes in the breast to prepare for breastfeeding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Soumya, OBGYN
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Suggest treatment for a lump on the breast
I am 23 years old and have just had a breast referral for a tender lump, pain and size increase in one breast. The breast specialist could not feel a lump (my GP could) and a ultrascan confirmed the breast tissue was normal. However the concern is literally over a few days my breast increased by one cup size and now 7 weeks later it is still enlarged. It has not changed during my menstrual cycles. I am due to see a consultant in 2 months time, but I have no explanation as to why my breast so suddenly has changed size and the dr said to increase so quickly was unheard of. Is there any possible causes which may have caused this and should i dismiss the problem as my ultrascan was clear? Thank you very much for your time.
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Welcome to health care magic. 1.The history suggest an increase in size of the breast in short period of time - possible cause could be infective aetiology as its tender on touch with pain -Abscess.2.You had scan done and after that you have noticed the enlarged breast - so repeat the scan, that will help to localise the lesion, source and extensions can be assessed.3.In case of painful breast - an abscess or cyst which are symptomatic needs a small incision and drainage followed by a course of antibiotic treatment.4.I think you have to prior appointment as it can complicate if left alone. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you.
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Suggest treatment for fibromyalgia
I am having severe pain in my comic bone from laying in a hospital bed for a few days. I have a narrow spinal canal which causes pain if I sit out lay on it too long. I am home now. Should I use heat or ice? I also have fibromyalgia. Pain meds do not help this type of pain. It flairs up occasionally. I ve had it my whole life. Very tender. I also fell off a horse when I was a teenager. I have had MRI and injection. It is something I just have to live with. This is the first time it has bothered me in this much in years. What would you suggest heat or ice? Thanks
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Hi, I had gone through your question and understand your concerns.With such presentations in my clinic, I would firstly advise you To do new MRI,wear lumbosacral belt,avoid prolonged sitting, Receive muscle relaxant and finally I suggest heat and warm fomentation will be helpful for you .
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Suggest remedy for lump in shoulder
Hi, My daughter (18) has a very small lump that seems to come and go under her left shoulder (front of body, not back). It s less than 1/2 inch long and maybe 1/4 inch wide. She says it stings a little when you touch it, but there s absolutely nothing on the skin s surface. It was there a few days ago, then disappeared and today it s back, and there seems to be another one parallel to it. Any suggestions as to what this may be? I feel that if I take her to the doctor they re going to have no idea... so I might as well do a lot of homework first. Thanks!
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hi.based from your description, it could be a lipoma (fatty deposit), fibroma (fibrous tissue formation) or a cystic (sebaceous or keratinous) formation. if the lesion is persistent and is bothersome for her, a consultation with a doctor, preferably a general surgeon, is best for clinical evaluation. diagnostics such as x-ray and ultrasound may be requested. definitive management is excision biopsy and/or according to her diagnostic results, management will be directed accordingly.hope this helps.good day!!~dr.kaye
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Cause of tibia pain in evening despite taking Tylenol?
5 year old female with c/o tibia pain. occurs usually in evenings or nights. will wake from sound sleep crying with sharp tibia pain. occurs between knee and ankle. if occurs earlier in evening have her take warm bath which does not always help. sometimes give her one chewable tylenol which does not seem to help much. have rubbed the leg or put warm cloth on leg without relief. Will lay with her and give her comfort and after a while will go back to sleep. Is an active child. Hx...healthy, no illnesses, no fever, takes no medication, had all immunizations, flu shot up to date,
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most probably it is growing pains which affects 10-20% of children, with a peak age incidence between 4 and 8 yr. it is most common cause of recurrent musculo-skeletal pain in children.it is intermittent and bilateral, predominantly affecting the anterior thigh and calf but not joints. it is mostly cramping or aching type of pain that occurs in the late afternoon or evening. Pain often wakes the child from sleep but resolves quickly with massage or analgesics; pain is never present the following morning. Physical findings are normal, and gait is not impaired. Growing pains are generally considered a benign.
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How is inguinal hernia treated?
I have been diagnosed with an inguinal hernia which is scheduled to be repaired on Sept 25th. I have a constant feeling of being light headed and occasionally a sinking feeling (like a deep plunge on a roller coaster). Is this light headedness and sinking feeling common with hernias? My BMs are fine, I don't have severe pain or a temperature to indicate strangulation but I just feel off.
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Hi.Inguinal hernia: light headedness and sinking feeling i never due to to hernia. Cince you have to undergo anesthesia for the surgery, you have t get the Physician's fitness. I would recommend you to have a clinical examination and relevant investigations like X-ray Chest, ECG, CT scan of the brain and MRI of the neck with angiography and mastoids to see for the reason for this light headedness and feeling of sinking- Final opinion of the Neurologist is very important. IF all the things are normal then only go for a Surgery. Hernia Surgery is always a planned surgery.
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What cause fullness in the abdomen under rib cage?
I HAVE A FULLNESS FEELING ON THE RIGHT SIDE OF MY ABDOMEN JUST UNDER MY RIBCAGE. IT COMES AND GOES AND APPEARS TO GET BETTER WHEN i GO TO THE BATHROOM. i ALSO NOTICE IT WHEN MY BLADDER BECOMES FULL AND EMTYING MY BLADDER HELPS WITH THE FULLNESS TREMENDOUSLY. THOUGHTS?
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Hello dear,The symptoms as mentioned in your post is attributed to accumulation of gas secondary to increased acid production in the stomach.An Ultrasound scan of Abdomen & upper GI endoscopy will be helpful in clinching the diagnosis.Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals).They prevent formation of excess acid in the stomach & provide symptomatic relief.And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2. Drink lots of water to maintain adequate hydration.3. Avoid fast foods & gas producing food products like cabbage, etc.4. Avoid smoking & alcohol.5. Keep away stress, think positive.If symptoms still persist, kindly consult a Gastroenterologist for proper clinical examination.There is no need to worry, you will be fine.Wishing a good health.Take care.
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Have potatoes daily, severe gas pains in stomach. Have acid reflux problem. What to do?
I eat potatoes every night and have severe gas pains in my stomach. I like to lye down afterwards also. I almostget sick on my stomach until the gas is gone. What should I do? I have had a colomosty a few years back and everything was ok. But the gas problem really bothers me. I tried using Pepto Bismal and it helps a little, I also have tried using GasX but it doedsn't bring up that much gas from my stomach. I was told I had Acid reflux by my doctor. What should I try or do?
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Hello, Thanks for the query to H.C.M. Forum. Try rebamipide 100 mg 2 - 2 -2 for 15 days and all problems will be over. Drink tepid water sip by sip ( as we drink tea). Good luck. Dr. HET
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What are the complications of asthma?
My daughter is 5. She has asthama. She is on steriods everyday. DOctors tell me that asthama is an allergic reaction and very common in the area we live. She will grow out of this. None of us are asthamatic.What are the long term implications of this disease. Should we relocate?
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Hi, asthma is due to allergy. It's very difficult to diagnose asthma at 5 year old as many disease like upper respiratory infection, common cold etc presents with similar complaints. All allergic response is not asthma. So get diagnosis from your pediatrician or pulmonologist. Next if asthma, improper management will cause many problems like disturbed sleep, disturbed physical activities and hence intellectual development. Even physical development will be affected.I hope this information helps you. Feel free to ask for any further queries. Regards
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What causes penis pain after masturbation and suggest treatment?
sir! after hastmaithun i get pain in my penis. i dont do it daily, twice or thrice in a week. i get pain for half an hour. than it gets ok. i dont get any problem during urinary process! what is the reason? and what precaution i should take?? pls suggest me!!!
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HelloThanks for query .Pain in penis after masturbation is common and is due to congestion of erectile tissue and urethra when erected .The congestion gradually subsides within 30-45 minutes .There is nothing to be worried about it neither you need any medicine .Drink more water .Dr.patil.
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Can I get pregnant after cleaning the fallopian tubes?
i'm taking ovofar my docter gave me dis and i got miscarriage in month of april i was pregnant for 2 months that time,now my docter said that she going to clean my tubes on 22 of dis month i'm taking dia tablts from 2 days is it good and i'll get pregnant after cleaning the tubes
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first check ur thyroid level ...prolactin..and sugar level...y u got abortion...first find d cause n treat that...u should take 3 month gap for next conception
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How risky is dialysis with a case of high creatinine level?
Hi, my name is shree. I father had a heart attach 8 months back. From then his creatinine level is increasing. It has reached 5.7 now. He has high BP and is diabitic. His age is 68. How risky is for him to undergo dialisys? will he be required it regularly? Thank you
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Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein and I will try to help you as much as I can.Dialisys is not risky for him and it is required for such high Creatinine findings. Without dialysis, his condition may worsen. It is hard to say will he need it permanently without other data about it. But if this is diabetic nephropathy then it is not likely that kidneys will recover and dialisys may be required for life time.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health.
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What causes lump in between hip and rib cage?
Hello I am 21 years old. I have had a pea sized lump/ball in between my left side hip and rib cage a little more towards the back. I have had this thing for about 5 years and have asked doctors about it in the best when I had Medicaid but they really didn t seem to care. Now, it hasn t grown at all atleast from what I can tell and feel, certain movements I do like at work I get a sharp pain, when I press on it I get a weird sharp pain and it feels like an implant or something hard? I m getting really concerned about this what do you think I should do? I am really active, healthy, and in shape. I don t know what is wrong everyone I show say that it isn t normal. Thank you
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HiWelcome to hcmYou must be having lipoma/fat lump. You should not worry at all unless it is really big size to bother you. At the most you can do needle test/FNAC from the lump to be 100/.sure. Treatment is surgical excision and no tablets can cure it.Regards.
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Diagnosed woth T3 tumor. Under radiation therapy. Have pain. What is best pain reliever?
Hi my name is anna in jan. this year dr. said i had a t3 tumor and N 0 blessed that i do not have any in the lymph notes or anywhere else i just started my radiations therepy and it is starting to get painful what is the best meds for pain killers i know what is said about the rate of abuse but i feel i can handle this but this pain i cannot i have head pain that goes shaply through the ear, and now throat pain from the radiations should i gargle i hear some say yes what is the best for the pain
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best for your pain management is morphine , if your pain score is more than 8 out of 10. There is very low tendency for abuse and it is worth trying. if your score in less than 8 but more than 4, you can take analgesics.
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What causes swelling in hands and legs below the knees?
I had rotator cuff surgery on 01/30/14. Since then I have been so exhausted. Everything seems such an effort. Sometimes I can hardly keep my eyes open. I also have swelling in my hands and legs below the knees. I take furosomide but it doesn t help much. At first it did but not any longer. I also have type II diabetes. My neck is hurting all the time. I am 66 years old and also very overweight which I am working on. I have lost 17 pounds since Christmas. Kind of goes up and down but net loss is 17. Some of this has gotten worse since the surgery. Actually, my shoulder is doing quite well and have been going to physical therapy as scheduled and doing what I am required to do. I quit eating bread about two months ago and the body pain that I had from supposedly fibromyalgia ( spelling) is so much better. I stopped taking cymbalta and nabunetone (spelling?) So some things are better and some are now worse. I was checked out thoroughly for heart problems before surgery and I am fine. They did stress test and echo and all was ok. Can you give me some direction as to what might be going on?
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HiPlease get kidney function tests like GFR and serum creatinine done, also serum sodium,pottassium and proteins levels..cause may be in -betweenTry dytor plus20 instead of frusemide.It will help reduce oedema of legs.Consult a physician
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What does pain under the ribcage after an accident indicate?
I was in an auto accident last Tuesday. Female 65 They did blood work, X-rays and Ct with contrast all negative. My main issue is my upper left abdominal area under my rib cage. Have pain upon sitting and sleeping, and in recliner that is getting worse, no fever. Or N&V , but today had blood in my BM. Could I have a bruise spleen?
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Hello,A left hypochondrium pain after an accident may be due to rib fracture or muscle pain or splenic injury or abdominal muscle spasm etcetera.Until examination is done, it is difficult to say what it is. Please consult your surgeon so that he will examine and advice scan abdomen and treat you accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Penchila Prasad Kandikattu
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Suffering from fatty liver, highs triglycerides. Taking Rosav and Liv tablets. Suggest diet?
I am sufferring from fatty liver,highs triglycerides. .tell me d rite healthy diet so I can cure these things in short period of time..my s triglyceride level is 288..even i am taking rosave f 10 after dinner..anď taking liv 52 tablet....I m taking green tea for atleat 4 cups a day..and drinking water around 12 to 14 glasses
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Hi DearWelcome to the platform of Health Care Magic. Negative Balance to be maintained.Output should be more than input.Only then you will be able to reduce your fatty liver and triglyceride. MEANSTry to reduce the oral intake by avoiding extra calories (avoid rich calorie dense diet like fatty meals, avoid sweets etc, And fruits, vegetable intake to be increased)Try to increase output like (increasing physical activity by any means).In this way extra deposited fat in the liver will start depleting along with extra fat circulating fat in the blood.Liv 52 has no proven role, almost work as placebo.Rosave F 10 helps in reducing the blood triglyceride. Lipophage capsule daily once after heavy meals reduces the absorption of fat from the intestine.Vogliphage helps in reducing the absorption of carbohydrates from intestines.Hope the query is answered.Thanks
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What is the reason for severe lower abdominal pain, nausea which hurts to get upright after bending?
Im a 42 yr female. Been having severe pain in my lower abdomen left side near belly button .at times especially when i bend over returning upright position i can feel tearing popping feeling.im also nauseated.I also notice im getting more tired the feeling of weakness. Im really worried and concerned. I have no insurance and or the money to see a dr. Any info you give will be greatly appreciatated. Thankyou so very much. Christine
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Hi. This scan be due to a hernia. Is there any swelling which increases and decreases ? Have you got any other symptoms like change in bladder or bowel habits ?
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What is the cause of infertility even after unprotected sex?
I am 25years, I stopped a weight gain syrup for the past four month, my period has increased from the normal 28days to 32 days. I have been having unprotected sex for this 4months and I have not been able to conceive. I have a normal uterus and my ovaries are normal. What could be the problem
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Hi,Thanks for writing to HCM . The normal rate of pregnancy after unprotected sex in one yr is 85 to 90%. So I suggest you not to worry and try for 6 more months. You will surely conceive. If at all you couldn't I suggest you to know your ovulation pattern by getting serial ultrasound. If you are desperate to have child then go for ovulation inducing drugs like clomephine under guidance of your doctor. This will help multiple follicles to mature and rupture . Thus increasing chances of pregnancy .Hope I have been helpful .Regards Dr.Deepika Patil
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Is homeopathy advisable to treat convulsion & seizure?
Hi, may I answer your health queries right now ? Please type your query here..., hi, my daughter is 18 months old and had one convulsion, went to neurologist and giving medicines of valparin and gardinal, EEG says mildly abnormal frontal parital seizure, need to know whether we can give homeopathy along with this treatment
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as per abnormal eeg, your child has epilepsy..so don't think about discontinue allopathy drugs without physician advice..and about homeopathy, you can start for your satisfaction.. none can assure you about results..
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Itching sensation in the rib cage while coughing, shortness of breath. Asthma?
I am feeling an itchy sensation when i cough. It feels really good when i cough, almost as if I am itching the inside of my rib cage. I think it may be assoicated with asthma? I was diagnosed a few years ago but they were different symptoms more like shortness of breath. The symptoms went away and now it appears the symptoms have changed. Do my new symptoms sound like a form of asthma or is this non-related? I feel like when i breath in, almost like my wall is closing and there is not enough air getting through, at the same time, i feel like my rib is itching on the left side and when i cough, it feels great but after i cough it burns as well! Help please
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this is allergic asthma when there is itching and cough your allergies are to be treated not go by itselfso your stmptomps have changeryou start with montair fx bdsyp gelusil 2 tsf tdssyp tossex 1 tsf nightand ascoril 1 tsf bdyou can take for 3 wk now and can take off and on for many days for many timesbut you consult allergeologist who can guid you for allergy tests and immunotherapy to completely eradicate your allergiesj
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What is increased liver function test?
What's increased liver function test, coupled with increased blood glucose levels indicated, currently on Metopropol 100 mg QD, Lipitor QD and had gout attack, Uric acid level 7.3 Not overweight, 41 year old male, family history of HTN and Gout, had been having liver function tests regularly due to Lipitor? Haven't had any abnormals but cholesterol levels remain somewhat high?
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HiHigh liver enzymes can occur due to many reasons. You need to go for ultrasound abdomen to look for liver disease.High blood glucose levels show that you are getting diabetic or may be prediabetic depending upon your levels of blood glucose. You need to consult your doctor for high blood glucose levels.Thank you for contacting healthcare magic.
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Is there a chance of pregnancy if the tip of penis touches the vagina?
my girlfriend and i tried anal for the first time without a condom, she said it hurt so we stopped, but im worried that my penis touched her vagina, but did not go inside it, could she get pregnant if the tip of my penis only touches her vagina
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Hi, Thanks for the query. I understand your concern. Conception needs deposition of semen in female genitals So just touching of the genitals (without eñering or añy discharge) can not cause conception. Thanks
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Q. Please suggest the treatment options for pain in the last disc of back bone.
Hello doctor, I need the treatment for the pain in the last disc of back bone. Please suggest.
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Hello. The commonest cause of back pain is mechanical, i.e. because of odd posture while sitting, sleeping and also because of lifting heavy weights. I am not very clear about what you have asked in the question that you need treatment for the last disc. Is that a prolapsed disc or disc bulge? Here are a few suggestions to reduce your low back pain. 1. Maintain a proper posture while sitting, make sure that your back and head and aligned in a straight line while you sit down and also while riding any vehicle. 2. Sleeping supine, i.e. with your lying down with your back parallel to the floor and you facing upwards on a firm mattress is known to reduce the pain. 3. Avoid lifting heavy weights until the pain subsides. 4. Stretching exercises of the back and legs are known to help in the reduction of back pain. 5. Warm compresses, i.e. using a cloth that is dipped in warm water or a water bag (pain relief bag) will give some relief. 6. Tablet Paracetamol 500 mg three times a day with eight hours gap for five days may be tried. 7. Diclofenac gel can be applied two times a day over the site of pain. 8. If the pain is very severe or if it is increasing in severity in spite of the above measures, it may be a good idea to visit an orthopedic doctor for a complete evaluation. I hope this helps.
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Suggest treatment for sonorous rhonchi and spasms in lungs
Hi, I had a cold which turned into a chest infection and took co-amoxiclav and a steroid inhaler then got Bronchitis and had Prednisolone. During this whole time now 3 weeks I have been suffering with Sonorous Rhonchi on the inhale and everytime I cough I retch. I have a very lose cough and productive cough and If I can clear the cough the Sonorous Rhonchi stops. I am also suffering with my lungs or my bonchi occasionally going into Spasm which is incredible painful and very scary as I can't inhale and have to do lots of shallow breaths until a good cough clears it. I feel like I have excessive mucus in my lungs and that once it is cleared I will be fine. The Sonorous Rhonchi is so loud that it can be heard on the other side of a room and is only on an inhale.
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Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with substantial level of lung infection , need precise evaluation with basic lab tests , x-ray chest for further management which may include IV antibiotics , inhaler therapy & IV steroids .Hope this clears your query .Regards .
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Old aged, having memory loss. Taking Nexito and Amenta for general health. Any need to introduce new medicine?
Hi, My mother is 94 and is regularly having Nexito 10mg and Admenta 10mg as prescribed by doctors, along with other medicines for general health. She still complains of memory loss, although that is not really the case as we see, given her age. Should we consider enhancing or reducing the dosage or introducing any alternative or additional medicines please.Her doctor in a GP and we do not want her to go to a psychiatrist, as she is otherwise alright. Many thanks.
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Thanks for query on HCM.Memory loss in your case is due to ageing problem (brain atrophy).It is called Alzheimer's disease.Go for blood homo cysteine,b12,folic acid and other routine body profile investigations to rule out the deficiency level and other underlying condition.Start therapeutic dose of b12,b6,folic acid and other supplements.Intramuscular injections of b6,b12,folic acid is advisable at regular interval.Continue other supplements and her regular medicines.Give her positive support.Talk with her regularly of surrounding happenings,news and other family talk.Keep in touch with your family physician.
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When to plan a baby if suffering from tuberculosis in uterus?
hi,i m 28yrs old (F)and i am suffering from mycobacterium tuberculosis in uterus, I am taking the antibercular treatment from last 9 months but my reports are still +ve. I am not able to conceive as well. how long it will take to get -ve, and when can i plan a baby?
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Hi, I think the test should have been negative by now. Go for a menstrual blood for AFB within 12 hours of your periods. If positive consult your doctor. If negative you can try for pregnancy. You can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo
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What causes stabbing pain on the left side of my head and what are the findings from the MRI?
I had a mri FINDINGSthe flair images demonstrate scattered small spherical shaped foci of increased signal intensity in subcortical white matter of the frontal lobes, the left posterior parietal lobe and the left centrum semiovale. IMPRESSION There are scattered small chronic ischemic lesions in distribution as outlined above. should I be worried? I have been having sharp, stabbing pain on the left side of my head sometimes with a bad headache
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Hi,I have gone through your query.Lesions on MRI finding are due to poor blood supply to affected area. This is causing you headaches. You haven't mentioned your age and and other history. It is difficult to comment on poor blood supply. This may be due to narrowing of blood vessels or emboli. You will require further investigations to rule out the causes. Consult a local neurologist for further examination.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.You can contact me on my page
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What is the treatment for mild arterial insufficiency?
I had an EKG today that showed LVH, with an echo next week. I had an echo in 2002 that showed mild atrial insufficiency. I currently take Vyvanse 40mg/day. I do not have HTN and am a runner. I run 1-2 half marathons/yr. Do I have a structural heart defect that would require stopping the vyvanse?
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DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERN.. LVH IS CAUSED IN MANY HEART CONDITIONS THAT INCLUDE HYPERTENSION, STRUCTURAL HEART ISEASE LIKE HOCM, VALVULAR HEART DISEASE ETCI WOULD LIKE TO KNOW THE REASON YOU ARE CONSUMING VYVANSE OR YOU ARE USING IT WITHOUT CONCERNING THE DOCTORVYVANSE HAS BEEN PROVEN TO CAUSE HYPERTENSION IN PATIENTS ON IT.. THERE ARE ALSO CASES OF SUDDEN CARDIAC DEATH WITH USE OF VYVANSEI SUGGEST YOU TO CONSULT A CARDIOLOGIST AND ALSO TELL HIM OF YOUR VYVANSE USE.. IF YOUR ABUSING VYVANSE USE YOU NEED TO STOP THE SAME..HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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What could be the reason for fogginess, dizziness, loss of balance following several angiograms and coiling procedures?
I had a stent and coils placed in my brain due to an aneurysm on Feb. 27th. I have been through brain surgery and had one aneurysm clipped and several angiograms and a previous coiling procedure. This time is different. I am two weeks out and still feel like I am in a fog all the time. Every time I get up from a sitting or lying position I have to hold onto something because I get very dizzy and have actually fallen once. I don't know what to do. I just can't seem to bounce back. I go back to the neurosurgeon on March 18th for a CT scan and a office visit, but I need answers now.
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Dear, as angiograms are fine you don't have to worry to much!You need to be carefull because periodic control to your neurosurgeon are needed for safety but the symptoms you are suffering aren't related with aneurism.Anyway objective vertigo need to be explored to find her cause.It may be a ear problem (labirintic, vestibular or periferic )Anyway these are minor problem, you should discuss with your doctor about my opinion and start medication to prevent vertigo (betahistine)Wish you all the bestDr Eris Ranxha
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What causes elevated blood sugar levels and frequent urination?
i am taking diabetic medication like medformin, januvia and glipizide and two months ago I was injected with eligard for prostage cancer. Now my blood sugar is way up in the three to four hundred reading, I don t feel any symptoms, like blurry eyes. I sweat a lot and pee a lot at night. Dose my blood sugar reading have anything to do with my high blood reading.
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Hello,Frequent Urination and sweating are symptoms of diabetes. Take proper control of diabetes and consult with your doctor.He may increase the dosage of medicines, start morning or evening walk at a moderate pace at least for 30 minutes daily.Once your diabetes is controlled, your symptoms will resolve. Keep track of your diabetes by FBS (Fasting blood sugar), RBS (Random blood sugar) and HbA1c (Hemoglobin A1c) tests.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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Is tight sensation in the chest a symptom of asthma?
I am 60 year old female. I have had a chronic non-productive cough for past 3 months. Dizziness, generally feeling unwell. Extreme fatigue, no fever, chills at times. My upper chest feels tight most of the time. I do not smoke, never have, but have lived around smokers all my life. I m thinking it might be asthma. What do you think?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Even you didn't smoke, being exposed to smoke all your live makes you a passive smoker, which also has an increased risk of pulmonary diseases (asthma, COPD and lung tumor).There are many conditions that may cause chronic cough, but considering your complaints and history, in my opinion it might be asthma, or COPD(Chronic obstructive pulmonary disease).You should consult a pneumologist, for lung examination, to perform X-ray or spirometry(lung function test).Hope I have answered your query. Let me know if I can assist you further.
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What causes stabbing pain in the urethra of a 5 year old?
my 5 year old daughter woke up in the night 2 nights ago with a stabbing pain in her urethra and needing to pee frequently. When taking a sample in the middle of the night I saw 2 little white wiggly things. I took her to docs who prescibed antibiotics and said it was a UTI, he ignored the white things! The next day she is fine and I take samples of her pee throughout the day which show NO white wiggly things. However she woke last night needing a pee but not in much pain and when I made her pee in a pot again I saw a ehite wiggly thing?? She not complaining during the day only at night and is not complaining of any itching!! Can you suggest what it could be?
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HI...by what you quote I feel that she is having worm infestation. While the kid sleeps the worms come out of the anus and travel forward lodging themselves in the urethral region. I feel that this is what you are seeing there. Without fever I do not feel that this is urinary tract infection. I suggest you de-worm her. If I were your pediatrician I suggest giving Tablet Albendazole 400mg once today and another after 10 days.Regards - Dr. Sumanth
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What causes discomfort and pain on left side under the breast?
Hello, I have a discomfort, it is on the left of my breast bone, going under my breast, around my side, and will also be directly through to my back from the point of left of my breast bone. I have been having this since April 9th. I wnet to my local Urgent Care facility, and the chest X-ray, and EKG came back fine, but I still have the paiins. I am a woman, almost 44 years old. I do not want to go to the local emergency room and waste their time. In the range of 1 being low pain to 10 being severe pain, it ranges from 3 to 5. Sometimes the pain next to my breast bone is sharp, but mainly it is a constant discomfort. Medical history is a small hole in my aeortia, not large enough to preform surgery, I was toldit was a heart murmur, but the Urgent care physician said she did not hear the murmur. Parents only have high blood pressure, NOT me. Paternal grandmother has angina attacks, I do not know how often, I do not think it is very often my parents wouldhave told me. Other than that there is no othre family history of heart issues. With this information coud you give me your best answer? Thank yu very much Patricia
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hello, I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged nsaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation. Reply if you have any doubts.
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Suggest treatment for BME
Hellow Doctor, First I would like to introduce my self as naturopath doctor doing all charitable work to help the society and treating patients with Magnets and Homeopathy medicines. I have a lady patient who is about 30 years old and is suffering from BME (Bone Marrow Odema) the main defect is in her L-4 and L-5.. Kindly suggest me some medicine which I can provide her free of cost . She is on bed for the last two months. Thanks Dr. Yash Pal Bhanot Mob No. +0000
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Hello, The bone marrow edema needs proper anti-inflammatory medicines for treatment. Local steroid injections can also help. It is best to confirm the diagnosis first by getting an MRI scan done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
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What could sudden chest pain suggest?
Sir, Exact middle of my chest (not even slight left/right) started paining since last 6 hours. I am a non-smoker and pure vegetarian. This is the first time I'm experiencing this. I\m 42 years old male. Could you please tell me what could be the reason? should I undergo any medication?
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Thanks for your question on Healthcare Magic.I can understand your concern. Sudden onset central chest pain is seen mostly with musculoskeletal pain. But better to rule out heart diseases first. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases.Take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas of chest. Avoid movements causing pain. Don't worry, you will be alright with all these but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest remedy for swollen knee and pain when fully extended
I fell a few weeks ago and landed in the hurlers stretch position. I had significant bruising that went away and I now have very little bruising now. 2 days ago my knee was popping while I was just putting my feet into a pool and swinging them back and forth. Today it is swollen and it hurts to fully extend or bend my knee.
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You got injured your knee which may be either bony or ligament injury. If you are able to bear weight than it may be ligament otherwise it may be a bony injury. ice packs and anti inflammatory medicines helps you to reduce swelling and pain. Get an X-ray done and consult local orthopaedician for further advice.Thanks
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How much gap should be there for pregnancy after medical abortion?
hi, 1 month back actually i had a medical abortion by taking the pills ZIOHOTEC 200mg tablets in doctor guidance, if i want to pregnant by the next time how much gap should be taken for getting pregnant after the medical abortion..plz kindley help me plz
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Hello!Thanks for your query.If you want to conceive there is no gap to wait after an early abortion.Although your menstruation may not come for several weeks after your abortion, you can ovulate (be fertile) at any time after the abortion. This means you can get pregnant right away, even if you are still having some light bleeding. Before conceive you should take folic acid .All the best
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Noticed a small lump on the kneecap
I have had knee bursitis for 2months and it will not go away. I have tried icing and rest, but I am unable to take NSAIDs. Today I did some yoga (no kneeling) and now have small lump on kneecap in addition to the bursa area below that that has been swollen for 2 mos. advice?
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Hi. I would advise such a patient to have a consultation and examination by a Orthopedic Surgeon. Self medication can be dangerous and there is more chance of getting into further complications; you already have one developing. Since knee is a weight bearing joint, you have to be very careful.
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Periods get postponed by 2-3 days
Every following month my wife’s periods get postponed by atleast 2-3 days. This has been happening for about 3-4 months now. Because of this we are unable to identify her safe period for unprotected intercourse. Is this normal and what is the cause? She is not on any birth control measure. Are low dose contraceptive pills really safe for having unprotected intercourse around 4 times a week ? Are home pregnancy test kits 100% reliable ? When should they be used for accurate result ? Which one do you recommend ?
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Every month 2-3 days delay is not abnormal.It is better to use contraceptive pills like Novelon or Femilon which are very low dose with least side effects. Home pregnancy kit is not 100% reliable.It should be done after 3 days of your expected date of menses with very first morning urine sample.You can have Pregcolour card or Accucheck card.
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How can upper back, middle back and lower back pain be best treated?
I have Medica/Medicare Ins., where is the best and nearest upper back, middle back and lower back surgeon by my home? I've been suffering with severe back pain since 1997 and have been on Percocet and morphine for a very long time. They are not even killing the pain anymore. I've had numerous radio frequency injections,etc. and nothing works. I need a list of back surgeons in my area where I live and are in my network and if my pain doctor approves. I live in kkhlk362 Thank You, Congkjhjkr
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Hello, Thanks for your query.It seems that you are having back pain. Your query is truncated. Can you describe your symptoms in detail, so that I am better able to help you.In the meanwhile I can suggest some lifestyle changes:-Avoid prolonged sitting. Move around after every 1 hour of sitting.- Use semi-soft mattress that provides enough support and is also flexible enough to bend according to the contours of the spine.-Take calcium and vitamin D supplements after getting tested.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
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Can alprazolam 1mg be used along with Levetiracetam 500 during emergency?
can alprazolam 1mg be used in conjuction on occasion with Levetiracetam 500 to alieve possible seziure activity, the levetiracetam is daily use, but can alprazolam be used to help prevent a breakthrough seizures in an immediate necessity situation.
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Hi, I had gone through your question and understand your concerns. Alprazolam is commonly used for anxiety and depression problems. Using it together with Levetiracetam every day may increase side effects such as dizziness, drowsiness. In a emergency situation, to prevent mainly status epilepticus, may be used other benzodiazepine drugs ( Diazepam, Midazolam or Clonazepam). These should be used in hospital, using them everyday may increase side effects of both drugs and cause damages to your health.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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Suggest treatment for lump in lower lip
I noticed a lump in my lower lip on the left side about a month ago, now it looks like one is starting to develop on the right side. I am 50, female and a smoker.( i have had fatty tumors on my back and hand in the past) My question is what type of medical doctor do I see
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Hi,Dear I went through your query.More info would help to resolve the causative factor for the lumps on the lower lip.You need to check your blood sugar for diabetes.Prima-facie it appears to be infected boil with low-infection.You need to see surgeon-in local are for the treatment to the point.Thnks for asking query to HCM.Wellcome again.
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Suggest remedy for chronic akathisia
I have chronic akathisa, which I have had for about 2 years (diagnosed by UCLA movement disorder clinic). I have been on multiple medications (narcotics from failed back fusion--cold turkey withdraw 3 years ago, reglan for motility issues related to narcotics, but cease after 3 months about 3 years ago, neurontin and lyrica for back pain nerve damage, ceased 1 1/2 year ago, prozac for depression due to back pain and stomach pain, but cease 1 1/2 years ago). I have tried valium/klonopin but causes GI motility problems and so cease 6 months ago, and tried beta blocker, but it made me feel very very sick. I now exercise, meditate, yoga, hot baths. But I am still absolutely coming out of my skin and have anger issues which blackens my soul. Yesterday tried passion flower extract, but it not help and not like reaction of feel like I was rushing. I doubt there is anything else, but open to suggestions. Thanks.
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HIThanks for using healthcare magicIn akathisia, you can try central anticholinergic drugs and benzodiazepine. You have already tried beta blocker, so there is no need to take them. Alone with these drugs, you can try vitamin E or clonidine etc. In your case, getting response with these drugs is difficult. Commonly drugs in akathisia are beta blocker and central anticholinergic drugs. Try them and in case, you need further help, you can ask.Thanks
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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How can hair thinning and lightening be treated?
I am 20years old, I had a germs cells tumor since January,2009.I have loss my only right testis due to cancer affected, I have done my chemotherapy and my blood tests(AFP,BHCG) is also normal but i am facing a big problem that my moustache is less and very light that cant be seen and a little beard hair on chin .So please doctor tell me how can i get thick and big beard and moustaches.any medicines suggest me i shall be very thankful to you for this act. Waiting for your best reply
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Hi,Thanks for writing in.Since you had germ cell tumor some time back, it is possible that thin hair is due to the side effect of cancer treatment. Usually hair related problems due to cancer are temporary and there is return of complete hair growth within a year after cessation of treatment. You will also have a good regrowth in the coming months.If you feel that the growth is taking too long then please visit a dermatologist and take prescription of minoxidil topical solution. Please make sure that any other medicine that you are taking does not interact with this solution. This is applied over the areas of hair thinning in small amount to cause growth of thick hair. Please do not worry.
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Taken HCG injection and Duphaston. Trying to conceive. Positive pregnancy test. Reliable result?
hello dr. i am 28 year old married. i was trying to concieve from last 9 months without any treatment . now i am going through treatment the dr. here gave me an hcg injection an 10 days dose of duphanston. my period date is 16th of feb and i just tried for the pregnancy test on 6 th of feb and got a positive result. nw dr here is saying that this result can be false just because of the treatment m going through. plz guide....
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HelloThanks for your query.If you took a single HCG injection, then it cannot cause a positive pregnancy test 10 days later.Duphaston also cannot cause such a resultIf the test is positive, please confirm with blood test or better, transvaginal ultrasound.ALl the best.
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Can I be pregnant despite taking Postinor-2 after intercourse?
Had sex on 26/06 18 at around 3 at night and took postinor abt 5 hrs later and I again hd sex on the 27/06/2018, at around 10 pm 3 days later I started bleeding like periods up to now and the bleeding was later acompaned by cramps can I be pregnant
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Hi, I don't think you can be pregnant. Emergency pills are highly effective. The bleeding shows you are not pregnant. Hope I have answered your query. Let me know if I can assist you further.
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Should Goodova or HMG injection be taken for infertility treatment?
Im married for 2 yrs. Age 29. Have pcod with irregular period which come aftr 2mnths. Taking metformin +folvit and gt prgnat wid goodova+ persinal hmg 75iu. Wich ended in right ectopic pregnancy. Got treated wid injection my tube is save. Again doc strtd my treatment aftr 3 mth with metformin +folvit + diane 35 fr 2mth. I gt my period aftr stopng diane. On day 2 of period gave goodova 100mg and went for follicular studay frm 9th day. Bt no responce both the side small follicles n with ET 10MM til 18 th day. Doc gave me premulite N to gt my periid and told frm second daye of period i can told to start goodova 200 mg fr 5 days. But I told my doc to start my treatment with injection so she cancelled my tablet n gave me hmg 75iu injection n told fr 5 days n told fr follicular study on 7day. Is my teatment going correct again shud i take goodova 200 mg or hmg injection. I am vry much worried that i can gt ectopic again if i ovulate fr right side plzz help me. 2day i startd premulate N fr 10 days to gt period.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Whether you ovulate from right or left ovary is beyond our control , specially when you are on higher dose of ovulation induction drugs. I am assuming that your cycle with hMG hormone also don't give good follicular study. As of now doctors must be aiming to get good follicles and then follow them to come and implant in uterus. Letrozole with injections of hMG and FSH with follicular monitoring will help in regulating your follicles. You should stop worrying about ectopic pregnancy, we need to deal with that later. Its a fact that unhealthy follicle also result into ectopic pregnancy. Since you said there were no follicles in your previous induced cycle you will definitely need FSH stimulation early in the cycle from day 6-7. Hope I have answered your query. Let me know if I can assist you further.
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What are the survival chances after a brain hamerage ?
hi doctor , my dad is 65 yrs old, his left body was paralised due to brain hamerage six yrs later. From last six yrs he was on bed, now last week he again had a brain hammerage attack and his right side also paralysid and he was unconsious from last 10 days. what are his survival chances. please let me know?
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Dear In such cases survival chances are reduced and even if one survives perfect healthy life can not be guaranteed, maintaining vitals and prayers work for recovery.
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Suggest remedy for enlarged taste buds with yellow coating on tongue
For the past few days, the taste buds at the back of my tongue have been enlarged, I also have a thick, whitish, yellow coating on the top of my tongue. It doesn't hurt, it just feels like I have food on the back of my tongue. Along with these symptoms, I am also experiencing a certain taste when I swallow, it's the same taste I had when I had my wisdom teeth removed. There aren't any warts or lesions on the side of my tongue, cheeks, or mouth. It's just the funny taste, coating, and enlarged taste buds. I have no idea what it could be.
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hellooo...read thru ur query...accordingly this can be enlarged taste buds with fungal infection(candidiasis)..but nothing to worry...u can do tongue scraping twice daily..use nystatin topical gel on the tongue....use chlorhexidine mouthwash...follow this for one to two weeks...drink lots and lots of water...above all reduce STRESS AND TENSION..be happy and cool...if still it persists meet a dentist...hope ur benefitted something with this reply..have a happy day!!!
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What is the treatment for a skin rash?
will tea tree oil help with what I think is an underarm yeast infection? & can they be alittle painful? like a burning sensation? i've had it for over 6 months & have tried EVERYTHING including wearing no deodorant or anything for weeks & the "flat" rash won't go away! Its not a discoloration either because I tried the new dove underarm "lightening" deodorant too & it BURNED! so I stopped :/
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Hello, In my opinion you are suffering from hyperpigmented variant of Pityriasis versicolor. But it could be a tinea infection also. It is not advisable to apply any cream/spray other than doctor's physician because it may cause irritant reaction. I would recommend you to visit your Dermatologist to confirm your diagnosis. Hope I have answered your query. Let me know if I can assist you further.
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Is traveling safe after treating a widow maker heart attack?
Hi there, My father had a widow maker heart attack about 2 days ago. he was at 99% blockage and they were able to save him in time. He should be out tomorrow out of the hospital. My question is he was suppose to travel December 15th to spend Christmas with us. Is it safe for him to travel?
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Hello! Thank you for asking on HCM! I understand your concern, and would like to explain that the answer to your question depends on whether your father has experienced a myocardial infarction, or an unstable angina (both are clinical presentations of a heart attack). When a myocardial infarction has happened, it is important to closely monitor the patient for possible arrhythmic event (sometimes dangerous and life-threatening), irrespective of a successful coronary revascularisation. When only unstable angina was present, then after successful revascularisation, there is no need for any special medical monitoring. You should discuss wit attending physician about the severity of his heart attack and possible clinical implications.Nevertheless, after a couple of days the risks mostly fade and nothing to worry about. After a couple of days from hospital discharge, your father is able to travel, keeping in mind not to strain to much and be alert about any suspicious clinical signs (in that case to consult immediately his doctor).Hope to have been helpful to you. Greetings! Dr. Iliri
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Q. What causes toothache once the filling chipped off?
Hello doctor, I flossed by a tooth where a filling almost came out and my tooth and gum have been hurting all night. Also have a tooth that is by this molar that fell or chipped out. I do not know if it is an abscess or an exposed nerve in my molar that is right behind it. Took Tylenol 2 every 6 hours twice. It did not help. Used Benzocaine on the area. Helped 20 %. Do not feel comfortable using it at home.
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Hello. Is the pain sharp or dull? Any gum swelling? If the pain is sharp, lancinating and referring to the same side jaw, temple, ear or throat, then this could be from the tooth with the chipped out filling. Most chipped out fillings expose the underlying nerve which causes severe pain. Ideally an X-ray is required to determine the depth of the cavity and to check for nerve involvement. If the nerve is involved, a root canal treatment and crown procedure will be done to save that tooth. If the pain is from the gums and is dull in nature, this could be an accidental gum injury due to flossing or there is a chance of the attempted food deposit to get deeply pushed into the gums causing this pain. If this is the case, a deep localized scaling should be performed under local anaesthesia to relieve any deeply wedged food deposit. A clinical examination and X-ray is required to diagnose the cause of this pain. I see that taking painkillers and topical anaesthetic in this situation were not much of help to you. Please visit your nearby dentist immediately and get the root cause identified. Meanwhile, try warm saline mouth rinses and avoid hot, spicy foods which may aggravate your pain.
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Suggest treatment for insect bite
I have recently been bitten by an insect, i think horse fly. I was bitten yesterday eve whilst walking the dogs and today i have very red swollen area just below my eye. Its very painful and seems to have only what I can describe is a puss forming underneath the skin. What do you think?
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Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand..As per your complain pus formation at the site of insect bite can be due to infection in the region of bite leading to abscess formation and you need to take a course of antibiotics like Augmentin and metronidazole, anti-inflammatory painkiller like Ibuprofen, anti allergics like Levocetrizine and apply triple antibiotic ointment and steroid ointment over it..You can also do cool compresses over it..Avoid scratching it to prevent further inflammation and infection..In case if the condition worsen or there is no improvement in one week consult a General Physician and get evaluated and if it is an abscess incision and drainage can be done..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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Q. I cannot breathe in spite of asthma medicines. Kindly help.
Hello doctor,I am 35 years old but I cannot breathe properly. Either I have to take nebulizer with Duolin or Borecort or Asthalene inhaler. But I am not satisfied with all these medicines. Kindly suggest. I got an asthma attack 13 years back.
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Hello. If your asthma symptoms are not under control, an evaluation will be necessary to know the reason. Change in inhalers will be necessary. We need to evaluate what all things you are allergic to and those have to be avoided. I see that your weight is 92 kg. Weight reduction will go a long way in asthma control. If you also have a nasal allergy, that also has to be treated. Allergy testing may be done to determine what all things you are allergic to. 1.Poor inhalation technique. 2.Obesity. 3.Regular exposure to allergens. 1.CBC (complete blood count). 2.Serum IgE. 3.Absolute eosinophil count. 4.Spirometry. 5.Allergy test. For more information consult a pulmonologist online.--->
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Can erythromycin treat bronchitis?
Hi. My 3yr old son has possible bronchitis and is on erythromycin (6mls twice a day). He has had three doses so far. When he got undressed this evening i noticed a rash all over his hips, thighs and upper arms. It is raise and reddish shapes a bit like clouds formations, they are just outlines though. The centre of each marbled shape is not filled in. Is it an allergic reaction to the antibiotic? Thanks for your help.
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Thanks for your question on Health Care Magic. I can understand your concern. Erythromycin is macrolide group of antibiotic. And it can cause allergic skin reaction. So his rashes can be due to erythromycin induced skin allergy. Another possibility is viral rashes. Viral infection also cause similar kind of rashes on skin. He is also having bronchitis and viral infection is most common cause for bronchitis. So viral infection can be the cause for bronchitis and skin rashes. So better to consult dermatologist and get done clinical examination of rashes. Also discuss about possibility of viral infection and erythromycin related rashes.. Hope I have solved your query. Wishing good health to your son. Thanks.
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Q. What can be done for ulcer caused due to back bottom tooth touching cheek?
Hi doctor, I have a tooth at the very back bottom left side of my mouth that looks like it has grown into my cheek. When I move my cheek out the way it looks like there is an ulcer. It aches and I am struggling to brush my teeth properly. I also have come down with flu symptoms. I do not know if that is related to the tooth or separate.
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Hi. How are you doing? I have seen your image (attachment removed to protect patient identity). This is pericoronitis (inflammation of gums surrounding the wisdom tooth). Your wisdom tooth does not have enough space to come out completely into the mouth and hence a part of it is embedded in bone and covered by gums that have got inflamed. Right now, since you have pain, do lukewarm salt water gargling to help with the gum inflammation healing. For severe pain you can take Ibuprufen 400 mg thrice daily after food for three days. If you have acidity, take Pantoprazole 40 mg half an hour before food once daily (preferably night). Do you have any lymphadenopathy (painful swelling) below the angle of lower jaw? Do you have difficulty in mouth opening? Kindly answer these and send me your X-ray (OPG or IOPA) of that tooth to guide you precisely. Since you have flu-like symptoms, you should also have antibiotics (Amoxicillin 500 mg thrice daily for five days). Take that painkiller only when you have pain, otherwise not required, but finish the antibiotic course completely. You can also apply Dentogel topically over the ulcer half an hour before food so that it does not hurt while eating. Kindly tell me if you have any medical condition or drug allergy to guide you with proper medicines according to your condition. If you have no medical condition or any drug allergy, then you can go ahead with these medicines. Coming to the treatment, it is advisable to get it removed as this tooth is not much useful in chewing. Instead, it will cause problems only and as you said brushing is also difficult there. Take care. For more information consult a dentist online -->
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How can recurrent abdominal pain with eye swelling be treated?
I have very bad adbominal pain mostly the upper right side of my abdomin and I went to the hospital and got my blood and urine tested and everything came back normal. They gave me tylenol 3's but they dont work because the pain keeps comming back. I also woke up with swollen and red around my eyes as soon as this pain started, what could this be?
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HI.The pain in upper abdomen has to be investigated with an Upper GI endoscopy and minimum of ultrasonography. There is a possibility of Gall stones , liver problem . pancreatitis and so no. Proper diagnosis leads to a proper treatment. Swollen red eye may have a different reason and consult an Eye Specialist for the same .
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Suggest treatment for breathing difficulty with diabetes and kidney failure
my grandmother is suffering from uncontrolled breathing problem since 16 days from June 1 she was hospitalised immediately at the mid night she was give oxygen mask for 4 hrs and then other 5 days she was given neb... after discharge also she is suffering from breadthing problem she cant sleep..... she is a sugar patient.... with swelling legs... donor of one kidney before 19 yrs.... i just need ur help Dr. its becoz of heart problem or she is suffering due to kidney problem....... she is sleepless for these 16 days sleeps very little due to breadthing problem.......
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Thanks for your question on HCM.I can understand your situation and problem.I think she is having fluid retention in the body due to low urine output because of kidney failure and diabetes.Fluid retention in body causes1. Edema feet2. Pulmonary edema (fluid in lungs)3. Ascites (fluid in peritoneal cavity)So breathlessness can be due to pulmonary edema. And more in night favours pulmonary edema more.So better to admit her. She needs diuretics and treatment for kidney failure, cardiac problem,diabetes etc.So consult doctor and discuss all these.
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Should I fear hernia because of severe lower abdominal pain during bowel movements?
Hi Doc, I have a slight pain/discomfort in the middle of the lower stomach(Feels like between belly button and top of pelvic bone, but closer to pelvic bone), a few times a day. This started about a month ago. It seems like it is always on the verge of causing discomfort, smaller sharp pains which kinda comes in flashes...like gas? When i have a bowel movement and push, i can feel it. Its not a sharp pain, more of a dull pain feeling? I was thinking maybe thats what Hernia feels like but cant really feel any pain when i push. It may even be more in the bowel area. I'm 41 year old male...apr 30- 40 pounds over weight, but fairly active. Hope that's not too confusing? Give me your thghts pls. Thanks, Jody
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Hi...it look more like a urinary tract infection with a possible small stone...doesn't looks like hernia...get a urine routine done and if possible get an ultrasound scan of the abdomen also...Dr. Ashish Verma
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What causes headache and dizziness after a hit?
Yesterday, during my soccer game I headed the ball and it was coming pretty fast. Right after heading it I felt dizzy but I continued playing. Since after the game yesterday I've had a really bad headache, I have slept for about 10 hours and I still have it. Could it be related to heading the ball? What should I do? Thank you
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Welcome to hcm,Short answer it is one of the rare cause get evaluated.Detailed answer. There are many reasons behind head ache headding the soccar ball I think would have exaggerated the head ache.1, I want you to check your blood pressure2 check your sight 3 if you are doubtful take a CT brain and confirm that there is no hemorrhages or any tumors These are the main reasons Hope this finds usefulWith regardsDr.Amarnath.
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Found tiny white worm in the eye after intense itching followed by wiggling in nose, constant sneezing, severe sinus. Cause?
i found a little tiny worm in my eye yesterday after football practice after examining my eye when i got home. It was really itchy during practice but after having a teammate or two check it they couldn t see anything on the field. but when i got home i looked closely at my eye to try and see if a piece of grass got in it but there was a little white worm wriggling around in my eye. What did i find in my eye? And when i woke up this morning i felt something wiggling in my nose and its making my sinus go crazy and making me sneeze constantly
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Dear Jourdan , The symptoms you suggest , are of a worm infestation .. many human parasites use the respiratory system in transit to reach the intestine , where they grow . i suggest that you visit a general practitioner your in need of deworming medication like ALBENDAZOLE the infestation can be treated easily , hope i managed to answer your qwery
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What causes recurrent hives and swelling after a bee sting?
Hi, my friend was stung about 8 times by some yellow jackets and got a severe allergic reaction to it (faintness, hard to breath, hives, swelling of the mouth). She was taken to the ER and they gave her an IV with some different drugs that I cannot recall. The hives and swelling went down but came back an hour or two later and she as given another IV. The swelling and hives mostly went away again and we were released from the ER. Now the hives and swelling have come back. Should we be worried? I read benadryl or clariten may help. Thank you for your time
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HI, thanks for using healthcare magicThe use of anti histamines such as benadryl or claritine would help. It is possible that she have been given anti histamines at the hospital as well.Since the hives and swelling have recurred, she can consider a dose of one of these to help.They would be available over the counter.I hope this helps
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Suggest treatment for stomach pain below the rib cage area
I have pain in my stomach right below my rib cage. My bowel movements are yellow and sometimes mucusy and sometimes seem like it leaves an oily layer on the water. I had my gallbladder out in 2009 and I had gastric bypass in 2007. Should I be concerned?
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Hi.Thanks for your query.The history of gall bladder removal in 20019 and a gastric bypass in 2007 can be a part reason for your problem. A possibility of chronic pancreatitis causing hte stool to become, oily and floating can be explained on this. But the mucus and stool can suggest an added infection in the intestine, indicating the need of a course of an antibiotic, metronidazole, probiotics, activated charcoal tablets, medicines for symptomatic relief and an addition of the tablets of pancreatic enzyme supplements.Tests of blood for CBC, liver and pancreatic enzymes; ultrasonography and other tests as may be needed on clinical picture and old reports may help to get us a correct diagnosis and plan a proper treatment.
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Suggest treatment for erection problems
i am struggling with penis strengthening problem since 6 months and all parts of my body became weak like stomach became very soft,hands and legs and neck also.. are not strong that much how they are before.so what treatment should i take and at whom? how much money it will be costs?
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Hello, Please tell us exactly what kind of treatment you want and what for ? 4 to the 5-inch erect penis is normal and is enough. There is no such treatment for penis enlargement except surgical procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
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Why am I having pain after wisdom tooth extraction?
last Monday I had my upper left wisdom tooth extracted. since then I have a lot of pain in the area that the tooth was removed. Very much like a tooth ache. in addition, my ears feel like they are clogged. is their any relation. I called my dentist and he put me on antibiotics
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hi... as your upper tooth is extracted and its very close to ear you fell like ear is clogged. have antiboitic course. theres no problem after three to four days it will recover and if you have pain have pain killer . so jst relax you will be fine soon... take care
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What causes electric shock feeling in back of knee of arthritis person?
hi, i am a tennis player and xray revealed arthritis in left knee, but occasionally i get like an electrical shock in the back left of knee and knee wants to buckle and feels weak, but then goes away...what is going on? i cant play tennis because of it...
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Hi, Your symptoms suggest probable injury to menisci or cruciate ligament. I suggest MRI ASAP and consultation with an orthopedic surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
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What is the treatment for colorectal cancer?
I live in Fresno ca and have been in the hospital for two and half weeks for colorectal cancer. I signed up for anthem blue cross and the hospital sent me home. They say I need treatment but no dr excepts anthem blue cross. What do I do? I am too young to die. I am 49 years old
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Treatment of colorectal cancer depends on the stage of cancer.I will advise u to do colonoscopy test along with CT scan of whole abdomen and chest.U also need to blood for CEA test.K ras mutation test is also suggestedIf found in early stages then surgery followed by adjuvant chemotherapy is an option but if found in stage 4 then palliative chemotherapy along with targeted therapy is advised. RegardsDR DE
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What is the recovery time for viral fever in child?
My baby get viral fever for the past 5 days, when he will get required. He is suffering fever, cold & cough with always sleeping & tried. He is not eating. He is 1.4 yrs. So please tell me how long it will continue.. He is so tried,already he had 2 times fits & Primary complex also. We are worried so much.
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Fever induced fits needs Medical attention so also treatment of primary complex should be completed since child has problems needs regular consulting with child specialist just dont wait for viral fever to take its own course
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Medication for depression?
I have a question but do not know what kind of doctor you are, I need to talk to a psychiatrist, this question is for them I suffer from Depression and having a hard time right now with school work, I have no motivation at all, keep putting things off, not eating, sleeping too much, feeling really really low. This is something that I have been living with since young age. I have been hospitalized over 25 times since age 17 and I am not 40 yrs old. I am scared that I am heading to hospital soon, I do not want to go back there but I wonder if it may help me to get a break from school and other things. I do not know what to do. All I want to do is sleep and escape. This is not good, I know that I am depressed, anything I do to try to help myself such as talking to others, going for walks, going to school, hanging around people during the day, I just do not know what to do anymore, I think I need to see my family doctor, just need some advice. I do have people in my life professionals to talk too but just need to know what someone else would tell me. Sorry if this is not the right doctor to ask for advice. i know what to do if this gets worse like go to the hospital i do know what i am supposed to do if things get worse just need some advice right now to figure out what i should do.
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Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
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Suggest treatment for allergy with running nose,suffocation and sneezing
Hello sir... I am suffering from allergy and I don t know allergants which are causing it..may be it is turning to a type of asthma .. Symptoms are: 1. Running nose 2. Suffocation 3. Serious chest congestion 4. Cure of cold is possible only with medicines 5. Sometimes when I get up in the morning nose start running ..if I don t take medicine chest congestion starts 6. Sneezing Please suggest me what should I do.. I don t want to take medicines daily..I want to join defence services
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Hello.Thank you for asking at HCM.I went through your history and would like to make following suggestions to you:1. Were I treating you, I would suggest you allergy testing which will help you to identify the substances you are allergic to and also to know how to avoid them. Avoidance is the best strategy for allergies.2. If you are allergic to the substances which cannot be completely avoided (house dust mites, pollens, molds, etc), I would suggest you to consult an Allergist-Immunologist who may advise you specific allergen immunotherapy, which will improve your immunity to reduce allergy symptoms.3. Were I treating you, I would prescribe you regular montelukast and levocetirizine/cetirizine. This will help in your symptoms. I would also prescribe you a salbutamol/levosalbutamol inhaler to be used when you have wheezing/breathing difficulty in spite of above medications.4. I appreciate that you don't want to take medicines daily, but until you can manage avoidance measures and life style changes (which at least take 6 months to become effective), I would suggest you to take regular, minimum possible medications.5. Personally I would suggest you regular breathing exercises to improve your lung capacity.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) and avoidance of exposure to dusts, smokes & air pollution as much as possible will help you in longer run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health and a bright future.Thank you & Regards.
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What causes severe pain in right buttocks when walking or sitting?
I am having severe pain in my right buttocks when walking and/or sitting. The pain is a grabbing pain and literally makes me freeze in position and almost takes my breath away. It only lasts a few seconds but leaves me with lower back pain. It almost feels like something is slipping in my hip or buttocks area.
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Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a lumbar disc prolapse should be kept in mind.I suggest you get an Xray as well as an MRI to find out the exact cause.Physiotherapy,analgesics,anti-inflammatory drugs,lumbar traction ,infra red therapy should help.in difficult cases,using a lumbosacral belt should be helpful.Avoid surgery as far as possible.If at all its needed,get it done endoscopically.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
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Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Suggest treatment for tooth pain
For the past few days i have had a dull ache in my front bottom teeth and i am often using my tounge to put pressure on my teeth to ease the ache. I do get this occasionally and was wondering if there are any suggestions towards the condition. I am a 15 year old girl.
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Heloo pt-if you are suffering from tooth pain.pls visit your dentist.and do proper chckup.some painkiller i will prescribed like-etorica 120 or lysoflam or pcm.thanks
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How to change vomiting and crying tendency in child before entering class?
My kid is already in his third year on his pres-school years. But sudden changes happen recently since he always cry and vomit before entering the classroom. But once he is inside the classroom, he can be stabilized in 15 min and be back to its normal attitude. He still shows interest in going to school sicne he is very deligent in doing his homework and also ask for a study on his lesson. Based on the discussion with his teacher, it had started when he finished copying the writings in the board late and the teacher asked them to finish the writing on the board or else, they can t go home. It has been a month since that incident and until now, my kid always vomit and cry when entering the classroom. It come to a point that the teacher made an arrangement that she will be one to fetch the kid in the guardhouse as we are not also allowed to get into the school premise. Pls help how can I help on my kids recent behaviour. Do i need now to go to Pediatric Mental heath professional.
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DearWelcome to HCMWe understand your concernsI went through your details. The problem can be categorised as behavioral psycho somatic symptom. Naturally your child is not even aware of what is happening to him. Psycho somatic symptoms are such.But, there is nothing to worry. almost all behavior psycho somatic disorders tend to vanish within some day. In your sons case, there is something which delays the cure. You noted one of the negative approach made by the teacher. I suspect more because that one negative approach is not enough to trigger the present behavior. I suggest you to talk to the teacher again for possible aggressive behavior. Take the name of any psychologist and try to get it.Usually, behavior therapy is the treatment method. Usually we are talking about behavior modification using rewards or punishment. Conditioning is also another option. I suggest you to consult a child psychologist. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care.
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Why is my father who's paralytic unable to balance himself even though his legs are working ?
my father is a paralatic patient he,s unable to balance himself but his legs r working and moving
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Hi There are ? ,did he is paralytic then how he is working with leg. in my view he is not paralytic. just when they start to move shaking movements are there in legs. if it is it may be PARKINSONISM.
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What causes numbness from Diaphragm till the toes?
Ram Zbeidy i made an extradural tumor {T5_T6}on 9\8\2012 ,there was a bleeding during the operation.a suction tube had been put.the next day the tube blockedwhen we made MR it showed Blood clots.then we reopened the operationon 10\8\2012 they cleaned the bloodIafter that i took FLAGEL iv and CORTIZONE after 8 days in the hospital i entered physiotherapy i stayed there for 10 months MEDICATIONS 1-DECORT 2 MG{for 5 months} 2-NEUROVIT{till now} 3-B12 SUBLINGUAL{for 10 months} 4-PIROX{for 1 week} 5-COMOUDIN 2MG{for 10 months} 6-CLONIX 1 mg{TILL NOW} 7-BABY ASPIRIN{from 10\7\2013 till now} 8-R3 NEEDLES{for 2 weeks} 9-LYRICA{for 2 weeks ,but i couldnt stand up so i stopped it} 10-NEURONTIN 400MG{for 2 weeks} 11-TRENTAL{for 2 weeks} -NOOTROPIL 800 MGfrom 10\7\2013 till now 13-SAMOZINA SYRUP{from 72\8\2013 till now 14-nucleo cmp forte{15 days} STATUS NOW numbness from Diaphragm till the toes ,numbness was 40% before the operation but after it ,numbness became 70%in both legs i have spasticity the left leg is much weaker than the right leg pain begins from the diaphragm rounding to the operation place {T5_T6} convulsions when moving the legs urine is normal,stool is every 4 days walking is like robots only using walkers but with spasticity and like robots i feel heaviness in my legs,and too much pain in my knees erection is not good,but with {VIAGRA}it,s very good there is no Semen { the biopsy showed lipoma?inflammation i dont know why all happened and whats the problem till now hope you help me
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Hello Dr Faisal here,I have read and understood your query, i am wondering that expected result of operation were not there. then next step is to find cause of this paraparesis, all drugs you have mentioned are neurotonics like they just guve a little help until and unless the definitive problem is caught and removed.numbness means your sensory system and spasticity means your motor system both are involved, along with constipation , means a neurogenic rectum. you need to go ahead for a fresh MRi of whole spine and brain too.inflammatory conditions of brain and spinal cord cant be ruled out. (a few autoantibody tests are done) Hope I have answered your query. Let me know if I can assist you further.Take CareRegards.Dr. FAISAL BACHA, MEDICAL SPECIALIST (FCPS INTERNAL MEDICINE)
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Noticed 3 small raised nodules on the lower left jaw bone under skin
hi i have 3 small raised nodules on the lower left jaw bone under skin. Doctor has taken OPG twice at a gap of 1 year and cannot see anything on OPG. As per him these are normal structures and no needto worry. but sometimes I feel pain and different sensation in them. Do i need further evaluation.
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Hello,I can understand your concern. Your doctor had evaluated these nodules 1 year back and said that there is nothing to worry about.However, an entire year has passed and you still have the nodes which also gives you discomfort and other sensations. I would advise you not to ignore them.I would advise you to go back to the doctor and go for another OPG and CT Scan if needed. Let the same doctor evaluate again for he will know if the nodules have increase in size etc.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah
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Chronic psoriasis, using propysalic NF, get nausea with methotraxate. No relief with alternative medicines. Help?
dear sir, I am suffering from psoriasis for the past one decade but am not able to get a cure and my lessions also dont go away at all. I use ointment Propysalic NF 6 and Dermadew cream. I feel nausea when I take Methotraxate so I am not using the same. I have also tried Ayurvedic and Homeopathic medicines but they dont work at all. I need some advice desperately kindly help. Regards Ved Prakash
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Hello Ved Prakash, Welcome to Healthcare magic. Psoriasis is not a curable disease, but it is controllable. It may go into remissions but cure is not possible. So stop going from one system of medicine to other searching for cure as it is there in your genes. Every 2 out of 100 people will have psoriasis, the type and severity differs. As a dermatologist we see a lot of psoriasis and training to treat psoriasis is a major chunk in our post graduation training curriculum and if a doctor cannot treat psoriasis he will not be a dermatologist. There are a lot of treatments for it according to severity. Even methotrexate induced nausea can be controlled by certain precautions. Oral retinoids like Acitretin works. Cyclosporine, Phototherapy, topical steroids, calcipotriol, tacrolimus, Biological injections etc is available for treatment. Consult an experienced dermatologist and stick by him. He will discuss with you the pros and cons of each and choose the best line of treatment. If one modality does not work go back to him rather than somebody else because he will know what works for you and what not. Hope this helped Take care and all the best
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Could the swelling in the brain and foam in stomach leads to death?
i have a wife how has seizures she past away a couple day a go she stop breathing and had blood coming out of her nose could that be from a bad grandma seizure the conner said she had swelling on the right side of her brain and foam in her stoamach
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HIThank for asking to HCMI am sorry to hear that, look form the history given here I could say that this might be cerebrovascular stroke and the underlying cause is very difficult to say form the given brief history because to know the exact cause its needs complete case history, I hope this information helps you, take care and have a nice day.
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Itching in palms, deep seated urticaria, dryness, painful, numbness, swelling. What is going on?
The flesh of My left palm itch, (not the skin, but beneath it) especially the area adjacent to the thumb and between the index finger and the thumb. It feels like a deep seated urticaria. This happens especially after i exert pressure with my left hand eg. Lifting a heavy frying pan by the handle, squeezing dry thick rough cloths, or hitting something with the left palm. The itch can last for hours, it lasts longer if i can not resist scratching or massaging it. The palm can swell up and causes numbness of the fingers, especially at night. The numbness can turn to pain and it wakes me up at night. My palm and fingers can swell and at times, i can't wear my wedding ring. This has been going on for 6 months now.
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Hi,It seems that you are having pressure urticaria.If it occurs immediately after pressure, it should not be confused with dermatographism.It should not be confused with vasculitic urticaria., in which the lesion remains for long time, more than 48 hours.There may be severe itching, tingling and numbness and pain in pressure urticaria.If it occurs after 4 to 6 hours, then it is considered delayed pressure urticaria.You should attempt to limit pressure stimuli.The results of pharmacologic treatment of delayed pressure urticaria (DPU) are somewhat disappointing. Besides antihistamines, you may use systemic corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, dapsone, sulfasalazine, montelukast, chloroquine, cyclosporine, intravenous immunoglobulin (IVIg), and omalizumab.Consult a dermatologist or allergist for evaluation for other causes of urticaria.I hope you might be satisfied with my answer.Regards.Dr. Ilyas Patel MD
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Suggest remedy for fluctuation in BP
Hi, may I answer your health queries right now ? Please type your query here... Hello, sir due to misguidence i was put on antihypertensive medicines,when i was 25, Aftr thorgh examination there was no cause high bp, and my bp was 110/70, nw due onset of bp medicnes my bp got flutuated very high . Why does it happnd. Hw can i control my bp besides taking prevention.
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Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that single spikes of blood pressure are not indicative of uncontrolled high blood pressure. They could be related to physical activity or emotional stress. Coming to this point, I would recommend you to closely monitor your blood pressure frequently during the day (in sitting position after 10 minutes of total relax) and refer those values to your GP. If your blood pressure values are frequently high, making some changes to your therapy may be needed. I would also recommend performing some tests to investigate for secondary causes of high blood pressure: -a chest X ray study- complete blood count- kidney and liver function tests- fasting glucose- blood electrolytes- PCR, ESR for inflammation- thyroid hormone levels for thyroid dysfunction- cortisol and aldosterone for adrenal gland dysfunction- an abdominal ultrasound to examine the renal arteries. You should discuss with your doctor on the above tests. Meanwhile, I would recommend some lifestyle changes to help maintain a normal blood pressure naturally: - reduce salt and caffeine intake- perform regularly physical activity (walking, aeorbics, etc.)- try to lose some pounds if you are overweight. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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Have terrible sinuses, sore throat, infections. Filled in back teeth, had lump on roof of mouth. Had amoxicillin. Is it dental or sinus related?
I have terrible sinuses. I get frequent infections, particularly in tr maxillary sinuses. However, I had a filling in one of my top, back left teeth Thursday. I already had sore throat when I went in. My throat has become increasingly painful and over the course of today (Friday) I notice a marble size lump on the roof of my mouth toward my top right furthest back molar. The prompt care dr said it is an abscess and sent me to the ER, BUT I called the dentist on call before going to the ER and she told me NOT to go to ER and gave me Amoxicillin 500mg TIDx7d. How can I tell I it's dental or sinus related??
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Hello there , Thanks for writing your query, Lumps seen in the oral cavity can be of various types . It can be due to infective lesions related to tooth like periodontal abscess or gingival abscess draining in the oral cavity. According to your clinical history i suspect your upper tooth which has already got a fillling has got infection that has spread to the palatal area leading to formation of abscess in the form of lump. exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned . consult an oral surgeon and get the examination done . i hope this helps , take care.
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What causes low grade fever with fatigue?
i am 50 years old.6ft,well built,92 kg. I had a typhoid fever on 28th May. Fever was below100 degree. i was put on antibiotic and seems to be alright. But after some time i found that i feel fatigue and dullness. i recorded my temperature and noted that in evening 04'o clock it rises to 99 degree. What is the reason?
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Many a times typhoid infection can be caused by resistant bacteria to the routine drugs. I think same for you. As the bacteria is not abolished completely by the drugs the fever is recurr.I advice you should do blood and stool culture and sensitivity testing. This will guide us regarding the antibiotics to be used.If this infection is not treated completely it will recur. So complete and adequate treatment is necessary.Please control on diet properly. Do not eat single heavy meal and take small frequent meal. This can help you in avoiding acidity and also in prevention of perforation of ulcer caused by typhoid bacteria.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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Minimal thecal sac indentation at L5/S1. What is the diagnosis of this ?
Hi, I was diagnosed with a posterior annular tear superimposed and a mild diffuse disc bulge causing minimal thecal sac indentation at L5/S1. Can u help me to gain better understanding in the diagnoses . Thank you
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you shuld always write your physical complaints along with reports ..... ssee thecal sac carries spinal cord in if there is indentation it means thre is some pressure over spinal cord depending on the degree ..in ur case MINIMAL... if u r having heaviness of legs and foot its worrying then ..... else wear a lumbar belt and some analgesic s ...and follow ur neurologists advice.. You can contact me at: luxman02@gmail.com with all your details including medicines .your test reports, your other illnesses
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What causes higher level of AST with a history of Hodgkin lymphoma?
I exercised vigorously, drank a lot of water, and then went in for a blood test. THe results show my ALT at 33 and AST at 49. I go for a Hepatic Function Panel next month to look into this further. Can exercise increase AST levels? I am also a two times 10 year survivor of Hodgkins Lymphoma and received both radiation and Chemo. My thyroid function tests were normal. Thanks for your response
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Hello and thank you for asking HCM.I have read your reports and i understand your concerns.First of all I want to say to not worry too much about the slightly elevated level of AST at 49. Its normal range is 10–40 U/L (depending from the laboratory it might vary the normal range a bit) There are a lot of reasons why a healthy patient has slightly elevated levels of AST and yes, exercise can increase the levels of AST. Here are some of the most common reason why a healthy patient has elevated AST:-medicines, such as statins, antibiotics,aspirin ect-alcohol (even 1 glass of wine a night before,can increase the levels)-exerciseYou do not need to worry at the moment,probably after 1 month when you will redo the tests,it will be normal. Usually for AST to get back at normal we need around 30 days to 90 days. So even if after 1 month,it still is slightly elevated, doesn't always mean that you have a serious problem with your liver.If you have any other question,feel free to ask me.Dr.Endri Katro
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What causes lump under toe in feet?
I just began to feel as if I had something in between my toes inside my sock as I got up from my couch. I took off my sneakers and socks and saw that there is a small lump right under my big toe. It feels like a bruise when it s touched. It looks like a wart but I m not sure
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Its a corn... a simple hypertrophic part of skin...Nothing to worry. . If its painful...takr some painkiller....and if it causing disturbance to ur routine... get it removed... either by excision.... or by applying topical solution suggested by dermatologist...
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Suggest remedy for chest pain
hi ...chest hurts in center kidda bares of to left also...but mostly in center when i bend my torso over...even the little movement fwd.... if i stand or sit up straight is goes away also when i take deep deep breath it kidda hurts but again only if im leaning over a bit ..but only if i bend at the torso...example if i keep my torso completly straight and been over im fine...but even the little bit of fwdness in the torso and its a tight feeling with pain....its 3am dont feel like going to the er this late...but should i...color fine no arm or leg or back or jaw pain no sweeting pluse is normal..cant check my blood pressure thoe...no blood cuff at house....please help thank u....32 years old 6 feet in shape ....grandfather did have 3 heartattacks tho ...but he aslo smoked a pack a day and didt excerise
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Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more because your pain is associated with movements. So no need to worry much, follow these steps for better symptomatic relief. 1. Apply warm water pad on affected areas. 2. Take painkiller like ibuprofen. 3. Avoid movements causing pain. 4. Avoid bad postures in sleep. 5. Avoid heavyweight lifting and strenuous exercise. You will mostly improve with all these in 2-3 days. If not improving then consult doctor and get done ecg and 2d echo to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How soon can recovery from structural fracture of the vertebrae be expected?
I was diagnosed with a structural fracture of the C7 vertebre. Dr. stated to wear the neck brace for three months and I could go back to work but not lift anything heavy. I work in a warehouse. My work may not let me go back unless I have full recovery. Should I seek another opinion?
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can you pls be specific how much old is your injury and whats your neurological status.....else can you pls share your xrays and MRI and dr consultation reports so tht i will be able to guide you further
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Q. What are the ways from which the Vitamin D affects the skin?
Hello doctor, How could Vitamin-D affect my skin? Please explain.
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Hello. Vitamin D is a fat-soluble vitamin whose primary function is to maintain calcium and phosphorus levels in our body. Vitamin D is present in certain foods like eggs, liver, shiitake mushroom. Vitamin D Synthesis also occurs in our body that starts in the skin in the presence of sunlight. In the skin, this vitamin help in scavenging free radicals. The significant effect is on bones and musculoskeletal system. The only skin manifestation is alopecia if vitamin D is not adequately present in our body. The daily recommended intake of vitamin D is 200 to 600 IU.
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Can pre ejaculatory fluid and non penetrative sex cause pregnancy?
.me and my girlfriend got intimate about 2 months back..we did not have sex and i did not penetrate her..however i did finger her and my penis head, which was wet with pre cum touched her vagina but did not penetrate her..after a few days she had her periods as usual..but her last period is overdue by 2 weeks..i read somewhere that precum can make someone pregnant..we are sacred to hell..please advise as soon as possible as to what has delayed her periods and the solution to it...thank you..
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HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] If she has got periods after the sex act you have described , she is not pregnant.2] Reason for not getting periods now, as you say -overdue for 2 weeks, please get urine test done. If it is negative , it can be due to menstrual irregularity.3] Please get proper sex counselling done, before indulging in sex practise.4] Have safesex, use condom; it will prevent unwanted pregnancy and also will protect from STDs.I hope my answer helps you.Thanks.
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Q. Is it possible to get vata derangement due to masturbation?
Hello doctor, Does masturbation cause vata derangement? I am experiencing digestive issues from the past one year. Is this because of masturbation? Also, does masturbation cause dry skin? How can I reverse these effects?
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Hello. The masturbation causes dry skin and causes weakness also. First of all, stop it. Work on your digestive trouble first. Have 3 to 5 soaked almonds daily morning along with 10 Munakka (black dried grapes), weekly twice black dates and fig (alternate). Take one cup of water with 1/2 teaspoon of jeera powder-boil, do not filter, add half teaspoon ghee in it and drink warm-daily once for 10 days. Ashvagandharishta (450 ml bottle) 15 ml twice daily with equal water after food. Go to any ayurvedic panchakarma center for rejuvenation therapy after 15 days if still feeling weak.
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Does first beta reading less than 1 post embryo transfer show chances of pregnancy ?
Hi doctor. I m 11 days post 3 day embryo transfer. I had my first beta today which read less than 1. Is it any chance I could be pregnant? Have you seen anyone else with this reading but went on to being pregnant? Many thanks in advance. My email address is YYYY@YYYY
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Hi,Welcome to healthcaremagic.I read your query and I understand your concerns.Following is my reply:1) If beta hCG is less than 1 it is unlikely that you are pregnant.2) Unfortunately there is no chance of it rising further alsoLet me know if you have any more queries.Regards,Dr. Mahesh Koregol
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What is the medication for sever cough and heavy smoking?
my grandfather smokes heavily and is 67 years old and i just watched him cough in his sleep. it began as a continuous cough, cough cough however it then turned to one long cough and his eyes rolled to the back of his head. after 5 seconds of this he woke himself up with his coughing and looked dazed and his body was shaking and his arms were twitching. could you give me any explanation as to why this has happened and what can be done. He is very stubborn and refuses to stop
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Hello dear, thanks for your question on HCM. I can understand your grandfather's situation and problem. He is having coughing, only and only due to smoking. So ask him to quit smoking as soon as possible. Following are the possible common causes for chronic, continuous coughing in heavy smokers.1. COPD ( chronic obstructive pulmonary disease )2. Chronic infection like tuberculosis3. Lung cancer4. Pulmonary fibrosis. So better to consult pulmonologist and get done1. Chest x ray2. PFT ( pulmonary function test )3. CT thorax if required. Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. CT thorax is needed to rule out lung cancer and fibrosis. So consult pulmonologist and first diagnose himself and then start appropriate treatment. Smoking cessation should be the first step in his case.
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What is the treatment for Hepatitis b?
Hello Madam, I am Murali Krishna S, Aged 27 from Bangalore. Recently with my Health checkup I had been addressed that I am affected by Hepatitis B Virus. Please address my Questions & kindly reply me with the solutions: 1. What is my next step to be taken? 2. Is there any treatment for this HBs ? 3. Currently I am not seeing any symptoms should I get treated immediately. 4. I am Married & my wife is pregnant, I have tested her Blood samples, her reports says NEGITIVE, Should I make to take any vaccination? 5. My Mother is infected with the same 10 Years back, did I get it through hereditary? If so what kind of vaccination need to be giving my son? Please do the needful, Please suggest me an expert(Doctor) to contact in Bangalore.
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hi.thanks for posting query at HCMadvise for you:HBsAg can not be completely eradicated in a patient suffering from HepB.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. even if HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.Treatment is advised IF high values of liver enzymes AND high viral LOad on a PCR. for your wife; she should be vaccinated against HBV asaphope to answer your concern.wish you good n family good n sound health. Tayyab Malik
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What causes pain during orgasm and later?
my boyfriend is 55 years old. He did not have intercourse for over a year and when he began again just a few months ago, at the point of climax he has pain that lasts through the climax and for several minutes afterwards. The ejaculation is not thick and it is a creamy white so we are concerned about this, but his insurance does not kick in for a bit yet which is why he had not told me sooner. He also has difficulty maintaining his erection but we don't know it that is psychological because he knows it will hurt or physical. We have tried a couple of different non-Yohimbe containing meds for this that have had no real effect. What is your best guess on diagnosis and prognosis without having a medical exam.
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HelloThanks for your query,based on the facts that you have posted it appears that your boyfriend has painful ejaculation .This is mostly due to Prostatitis .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Routine urine tests and culture 2) Ultrasound scanning of abdomen and pelvis and Trans Rectal Ultrasound Scanning.Taking broad spectrum antibiotics for 3-4 weeks help to resolve his problem.Dr.Patil.
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Have berchets syndrome. On imuran. WBC in urine, pain under rib, on immuno suppression infection. Kidney infection?
WBC in urine, no RBCs....pain in right flank under rib in the front, no fever, hot flashes24 year old with Berchets syndromeOn imuran ....My mom thinks it is my spleen...and with immunosupression infection running rampant???Thoughts? I am headed back to the doctor tomorrow ...not sure it is a kidney infection without RBCs in urine.
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HiThanks for your query.If you have right flank pain it is unlikely to be due to spleen problems.If you have WBCs in urine it could well be due to a UTI.I would recommend that you do the following tests: CBC and urine culture.This will tell us if you have an infection.Hope this helpsGood luck.
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