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Suffering from trauma, anxiety, psychosomatic illness. Having rashes, hands red and burning. Treatment?
I have had a traumatic childhood and recently went through a family break up. My hands fee like they are red and burning, i get covered in a rash , my bowels are not working properly, my feet sometimes feel like im walking on hot needles. I hricave seen my great gp which said i was suffering from acute anxiety phychosomatic illness . Im off to a new Phychologist on Friday, my question is will I have to see a Phychiatrist ? and why are my hands so hot and ichy, will i have this forever?
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Dear J**** Hello thanks for your question first of all I would like to tell you that I can understand your trauma and its very difficult to cope in such situation but its life and we have to walk continuously. You have started experiencing burning sensation in hands and redness and altered bowels, needle like sensation. It is a part of Anxiety spectrum illness but you need not to worry as treatment is available. there are two modality of treatment for anxiety disorders and if its in beginning state then response is also very good. - first is non medicinal treatment which include Relaxation exercises, deep breathing exercises, meditation, progressive muscle relaxation, biofeed back etc. In these modalities individual is taught to relax himself by own. Individual is made learn to control his involuntary system which is responsible for anxiety. Once individual become receptive he is progressed to other modalities as Behavior Therapy etc. - second is medicinal treatment in which anti anxiety medicines are used to bring individual to level that he can start practicing first modality of treatment. drugs such as SSRIs, SNRIs etc are used which not only cover anxiety part but also improves mood. Mild levels of sedatives are used to relax individual in special circumstances. These are used for short period of time. Dear friend as per my opinion combination of both modalities is best for you, and be assured that you will be all right in very less time. thanks, hope I solved your query. kindly rate.
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Is TT injection enough after being scratched by a stray dog?
I have been scratched by a stray dog many times by nails with the skin area being red and bit swollen feeling a bit burning sensation; however after some time that redness,swelling and burning sensation disappears, is it fine if I take only TT injection???
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Hello,Welcome to HCM,As you are bit several time a dog on a nail, if it is a scratch or abrasion or bite on the nail requires proper and adequate treatment. The dog has all the potential to transmit rabies, which is 100% fatal but it is 100% preventable by timely treatment.Tetanus inj will protect you only against development of tetanus not against the rabies, For your condition I would suggest you to follow1.Thorough wound wash with soap and water2.Antirabies vaccine on days 0,3,7,14 and 28. If the cat is healthy after 10 days you can discontinue last two shots of antirabies vaccine.3.Inj Tetanus, 0.5 ml should be taken.4.If there is any open wound you may require a course of antibiotics like tab Augmentin.Don't take any risk with this disease.Consult your doctor for proper and adequate treatment.Thank you.
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Suggest treatment for pain due to hand injury
hi! I hope so...Iinjured my hands and am experiencing ALOT of pain. i took suboxone for many years and was wondering if thre are any urgent care or walk in clinics I can go to get that instead of pain medication. I had a dependency/abuse issue with norco back in 2003.
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I understand your symptoms. If you have used topical and oral antiinflammatory drugs with no effect, you should visit rheumatologist to do nerve conduction test as this may be symptom of nerve compression that cause persistant pain. In this cause you should take your hand rest with vitamin B12 injection every 3 days.
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What causes inconsistencies in periods?
Hello Sir,I'm taking prenatal tablets(one aday) from Dec .My periods on that month was on 25th.From Jan onwards we are trying for baby,My doubt is that ,for Jan and Feb my periods is on 25th itself.normally i'd periods on 27th or 28th day.Now m a lil nervous too.Is this a problem?What are the step taken to get pregnant easily?Waiting for your replyRegards,Binu Tijo
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Hello,Thanks for writing to us. Followings are my comments:1) Pregnancy depends on proper timing of ovulation & unprotected sexual intercourse. Ovulation occurs approx 14 days before next due date in regular cycle.2) Late or irregular period may be due to hormonal imbalance, mental stress, ovarian cyst, weight gain, irregular diet habit, thyroid disorder, pelvic infection etc.3) Above conditions should be ruled out and you need to take Progesterone pill (D16 to D25) to regularize cycle.4) Ovulation prediction kit should be used in this context to predict ovulation and you should prepare for that day for unprotected sexual intercourse.5) You would need to do this for at least 6 months to 1 year to make sure that you have given the natural process a chance.6) Vitamin E, Zinc and folic acid supplements are very much helpful in improving fertility and chance of pregnancy.If with the above procedure, you fail to conceive, then you may need some initial investigation to narrow down the possibilities. These include:1) Fresh semen analysis for husband2) Ultrasound pelvis to check reproductive organs grossly.3) Hystero salpingography (HSG)-for tubal patency test.4) Hormonal test-thyroid profile, LH/FSH, Oestrogen & progesterone level.5) For ovulation- Day 21 progesterone level assay or serial ultrasound on day 12-16 for follicle measurement.6) For cervical factor- Post coital test & anti sperm antibody test.7) Blood sugar (PPBS) etc.Hope, it will be helpful for your information. Good luck.
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Red itchy bumps on arms, hands, look like insect bites. Allergic reaction due to car paint?
I have about 10 itchy red bumps that have appeared on right arm and hand (and two on the right side of my back) since the day before yesterday. They look a bit like insect bites (but with no bite mark - they are smooth not rough). The ones which were and very irritable yesterday have shrunk down now. I suspect it may be an allergic reaction since I came into contact with some metallic car paint on the day that I first noticed the bumps. But I am also concerned about other possibilities . . .
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From the description given, it seems like allergic reaction - urticaria. If itching is really bad - you can try applying calamine lotion and take antiallergic medicines containing Cetirizine for couple of days. It should settle in next couple of days and I don't feel there is something to worry about at the moment. Regards Dr Tejas Shah
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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What causes an open wound in neck after radiation?
I had radiation on a skin cancer on my neck. The radiation left me with a wound which healed over and did not ooze for several months. The wound has now reopened and is oozing, I have to keep it covered or it runs down my neck. Is it possible the cancer has returned?
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Thanks for your question on HCM. Radiotherapy therapy can cause tissue destruction and healing by fibrosis. And tissue becomes dead.So blood supply is also hampered.Since you are having oozing from the same area, possibility of1. Recurrence of cancer.2. Bacterial skin infection. So better to consult oncologist and discuss all these. Biopsy is must to diagnose these.
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Is it safe to use UBI q 300 for male fertility?
Can we used ubi q 300 tablet for male infertility My age is 36, weight 70kgs & don't have any problem with health so far. Well when i got my spermograph i came to know about low counts & low motility in sperm. Dr has recommended this tablet. Would it be right to use it ?
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HelloThanks for query .Based on the facts that you have posted your semen analysis has revealed your sperm count and sperm motility to be lower than accepted normal range.This is what is called as Oligoasthenozoospermia .Truly speaking there are many medications being prescribed by physicians to increase sperm count and improve sperm motility but the fact of the matter is that not a single of these drug has been proved to be scientifically effective to increase sperm count and improve sperm motility. However measure will help you to increase sperm count and improve sperm motility . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking..Dr.Patil.
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How to treat left wisdom tooth infection along with swelling in left tonsil?
Hi, I have had rather a lot of trouble with my bottom left wisdom tooth over the last year or so including an infection. The dentist also told me a couple of months back that my tooth is impacting. Over the last couple of days the pain in my wisdom tooth has flared up again however, this morning I noticed pain and swelling in my left tonsil. Could the two be related and do you know what could be the cause, please?
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Hello, thank you for consulting with healthcaremagic. Yes this swelling is related to the wisdom tooth only, as impected tooth causes infection in bone and it spreads to adjacent spaces and even causes swelling in the lymph node also , this is lymph node swelling only.Better you should get it removed, as other wise infection will spread. Before that start with antibiotics and painkillers.Hope it will help you.
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How to wean off from the usage of endocet?
i am presently taking endocet and would like to wean myself off of them even though I am in pain all of the time from a previous motorcycle accident. I cannot get out of bed without taking my prescribed dose which is 2. then 2 more at dinner then 1before bed can you suggest anything
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Hello, You can gradually taper the dose and stop the pill. Abrupt stoppage can result in unwanted complications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain
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What causes recurring numbness in toe of a 8 year old?
Every since I had my son (eight years ago) I have experienced off and on Numbness on the left side of my second toe on my left foot. Could the epidural I had be the cause to this? If not, what could the cause be. It is something that comes and goes - could I have a pinched nerve somewhere?
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Hello. I just read through your question.Numbness and tingling can be due to either a neurologic issue, such as a pinched nerve, or a blood circulation issue. The causes are numerous. Because the area involved is so small, it is not something to be overly concerned about. However, it is important to discuss this with your doctor to make sure you do not have a problem that may spread to their parts of your body.
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Q. Is it normal to miss periods after taking I-pill?
Hello doctor, We had unprotected sex and after that took an I-pill within an hour. After 6 to 7 days, she had spotting for 2 to 3 days. It is almost six days up. There is no clue for periods and she is also suffering from cramp, vomiting and nausea. But we have taken test for almost four times. It is always negative.
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Hi. I can understand your concern. As she took emergency contraceptive pill within one hour, the possibility of pregnancy is less. The bleeding she got after 6 to 7 days could be withdrawal bleeding due to emergency contraceptive pill. As she disturbed natural cycle by taking pill, now it may some time for regularization of cycles. And next period may come after one month of spotting. Cramps, nausea may be due to some other causes like infection either vaginal or gastric, renal related, etc. Clinical examination and ultrasound will help in finding out the possible cause of the problem and treatment can be taken accordingly.
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Suggest remedy for dull pain in chest and random parts of body
Hi I have chronic pain in my shoulder and arm. About 5 years ago, I used to get pins and needles and numbbess. I no longer have that sympton, just pain and numbness. It feels better if I wrap something around it or take otc pain medicine like aleve. Also I have a dull achy pain in my chest, periodic pain in random parts of my body. (I went to the emergency room for the chest pain, they could not find anything and the pulmonologist(?) could not find anything either. Also my symptoms become more prevalent during PMS.
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Thanks for your question on HCM.I can understand your problem and situation.PMS (Pre menstrual syndrome) is related to hormone changes occur during initiation of bleeding (menses). At the beginning of menses there is sudden LH (leutinizing hormone) surge, which cause change in estrogen and progesterone levels. These change causes bleeding. Along with bleeding these hormone changes can cause anxiety, stress and mood swings.So many women feel vague symptoms during PMS. They all are related to anxiety and mood swings.Your cardiac and pulmonary work up is also normal, so anxiety appears more in your case.You need anxiolytic and other supportive drugs. So consult psychiatrist and discuss all these.Don't worry, you will be alright.
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What do inflammation and soreness on the tongue and mouth indicate?
Suddenly about 5 weeks ago my mouth became inflamed, very sore inside and very sensitiveto hard food and spices. Tongue is sore and swollen, as well as lips. Red and splotchy insideof hole mouth. Saw dentist, no dental issues. Have been to my family Dr. three times and heran all blood tests. No sign of problem. Last resort, he prescribed 10 days of doxycycline hyc 100 mg.Been 8 days and NO result. Any advice or suggestion will be appreciated.
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Hello,Your symptoms of red painful and swollen tongue and the inside of mouth is appearing to be due to a condition known as Apthous Stomatitis causing Glossitis that is inflammation of tongue.It can be caused due to a number of reasons like Stress, Nutritional Deficiency [Iron, Vitamin B12 and Folic acid] , hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions et cetera.You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated.For Aphthous Ulcers, you can do warm saline gargles. Gargles with 1:1 solution of Benadryl and milk of magnesia can help. You can gargle with a specialized mouthwash like Magic Mouthwash. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods.In case if still the condition does not subside, the physician can prescribe you to take a steroid course as it is the ultimate treatment in case if nothing else works.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora
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What causes a pinching pain in the chest?
Hello I'm 16 years old, and I have been receiving this pinching pain in my chest. It feel as if I have a needle in my chest. Whenever I move in a surtain direction it starts to pinch! I'm wondering if it's my ribs that are doing it or something such serious?Ps. Do I have to pay for an answer?
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Thanks for your question on Health Care Magic. I can understand your concern. You are having pin and needle sensation. It is common in anemia (low hemoglobin) and vitamin b 12 deficiency. So better to get done blood reports like complete blood count and vitamin b 12 level. If any of these is deficient than you need supplements. Sometimes stress and anxiety can also cause similar kind of needle pricking sensation. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
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Can a knot on lower rib be due to calcium deposit?
I have a knot on one of my lower right ribs, not near the spine. I am also a breast cancer survivor, lumpectomy, right side, 5 years since diagnosis. My docs seem to think there is nothing to be concerned about, but no imaging tests have been ordered. One doc suggested that it is a calcium deposit. Is this probable?
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Hello, It could be anything ranging from a soft tissue swelling or mass to a bony swelling. If its consistensy is soft and bulbous it could be a lipoma and if its hard as stone it would be a bony deposit,anything in between could be anything. You hadn' t mentioned the duration and associated symptoms. In case it is of long duration and causing any discomfort, you need to get an x ray chest ap view and an fnac of swelling to reach out for the diagonosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari
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How to cure a lump on the neck?
I have a small lump on my neck (seems to ba a lymph node) have had since Nov. 2010. Has not really changed in size (under skin). I have had checked by GP and was prescribed antibodics for months... to no advail. Am 51, female w/ newly diagonised Von Willebrands. I also have endometriosis and fiboids (female). I am 125 lbs. and have fairly normal BP etc. I am swollen in the mornings (hands , feet and ankles) and have been having seemingly unrelated other symptoms of nausea (for over a year in mornings before I take pain medicine. I have had a full CBC etc. thus we found Von Willebrand (my Half sister has Von Willebrands as well...) My blood work was ever so slightly out of range. WBC etc. GP not conbcerned but I am...
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Hi, dearI have gone through your question. I can understand your concern.You may have enlarged lymphnode. It can be due to reactive hyperplasia, tuberculosis or lymphoma. You should take a course of antibiotics. if it does not respond to treatment then you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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What causes numbness and pain in hand with stopped heart beat?
last night i fell asleep unknowingly next to my 5 month old son and usually if he makes the tiniest noise im up but he woke up screaming and i didnt get up my mom came in and called my name over and over i was unresponsive and not moving she had to shake me to wake me up when i woke my left arm was numb but it had a sharp pain through it. last week i noticed that my heart stopped beating for a couple seconds then started back up with a vary hard thump i dont know what is going on and i am starting to get worried
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hello, Numbness probably occurred due to abnormal sleeping posture. You either had stretched your arm or might have rested your head over hand leading to this. Or if it otherwise also then it can be cervical spondylosis and needs x ray cervical spine and physiotherapy. Regarding, feeling of stopped beat, its common feeling and most of the times it's not serious issues. You need to get one baseline ecg done and if these are occurring frequently you should get holter monitoring done. Also, one thyroid test should be done.
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How to treat back pain?
Hello. Doctor, my mom was operated 3 mnths back for a calcified cyst in her L4-5 spine. Before surgery she had radiating pain in her left leg. But now after 3 months she is complaining of back pain radiating to her right. As per doctor's advice ee repeated MRI which is normal. So Hey is the pain and what can we do now?
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Hello,Thanks for your query.After going through your query I came to know that your mother is suffering from chronic backache which may be due to lumbar spondylosis. Rest in position of relief, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You have have already done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it.I do hope that you have found something helpful.If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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Would intake of Gardisil cause tremors in hand?
About a month after my grandaughter received her gardisil shot she started to have tremors in her right hand and having a problem writing a 2, 3 or 8. She is going in for an MRI this week but one Dr. said Gardisel would not cause this. I disagree. She was fine before it.
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Hi, welcome to HCM. Gardisil doesn't lead to tremors in hand or incordination of hands, so this must be due to some other factor. In central nervous system complications only seizures have been reported and by what you quote it doesn't seems like a seizure. I hope this will help you. Take care.
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What causes fluttering feeling in heart and pain in thigh?
Hello, my name is Heather. For the past few months, every so often I get a fluttering feeling in my heart accompanied by a "jolt" or sharp pain in my left thigh. The sharp pain has happened in other parts of my arms and legs, but mostly in the back of my left thigh. I have been under a lot of stress lately with an upcoming move, but my mother and grandfather have a history of heart disease, so I'm more than a little freaked out! Any advice would be great appreciated!
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Thanks for your question on Health Care Magic. I can understand your concern. Possibility of stress related palpitations and muscular cramps is more in your case but better to first rule out heart diseases like arrhythmia. Arrhythmia (rhythm disturbances in heart) like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) can cause fluttering feeling in heart. You are also having positive family history of heart diseases. So better to get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these are normal then no need to worry for arrhythmia or other heart diseases. Stress can cause similar symptoms. So avoid stress and tension, be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. 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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Does femilon and meprate have any side effects on conception?
i had molar pregnancy (partial hidatideform mole) in last december and had D & C on 25th Dec.'11 and then again hystroscopy on 26th Feb. '12. My hcg is now 0.60. i had taken meprate 10 mg for 5 days and then stoped. after 11 days no withdrawal bleeding. dr. has advised to take femilon 10d for 21 days. we have no babies. is there any side effects if I take these tablets?
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Hi,Femilon is Harmon tablet, if you are taking this, you will not conceive for this cycle but if you are having bleeding you take femilon for this cycle.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sujata Kute
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Is travelling safe during 32nd week of pregnancy?
Hello Madam,My Sister,Sapna,32 yr. old, completed 27 weeks of her first gestation without any complication. she has hypothyroidism since 2 yrs. for which she is taking levothyroxine 100, as prescribed by doctor.she has all routine checkups & investigations which are normal.now she want to travel 12 hr. journey by train at her 32nd week, is it safe for her & baby? or she should travel earlier? please help me to come out.thanking you. Sourabh.
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Hello dear,I understand your concern.It is good to know that she doesn't have any complications.In my opinion it is always better to do the long journey during 2 nd trimester ie.,13-28 weeks.Rail journey is preferred to road journey.And air journey is best of all.If inevitable air journey is preferred.If that is not available rail journey is done.Dont restrict for food or fluids during the journey.Avoid outside food to avoid stomach infections.But anyways restricting the long journey to 2 nd trimester as I said above is always advisable. Take fluids upto 2-3 litres per day to prevent dehydration there by decreasing the chance of urinary tract infections.Hope this helps.Best regards...
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How to stop bleeding from gum?
I had deep cleaning scaling down yesterday and I have one tooth that the gum keeps bleeding and it bled all night. I've washed with warm salt water, listerine mixed with peroxide. what else can i do? i have gause in my mouth now to absorb the blood but it's crazy right now. How do I know if it's clotting properly?
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Hi,Thanks for posting the query, If the bleeding is cot stopping i would suggest you to consult the concerned Dentist and get a checkup done usually this does not occur after normal scaling and polishing. Also i would suggest you to get your blood pressure and routine blood examination done. Continue iwth lukewarm saline gargles and antiseptic mouthwash rinses, take multivitamin suplements take something cold like ice cream, juice, avoid hot spicy foodstuffs.Hope you find this as helpful,Take care!
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T-spine MRI shows loss of hydration, small posterior bulging, protruded central disc herniation after falling. What does it indicate?
Hello,I just received the radiologists reading of my t spine mri and shows loss of hydration at t6-7-8-9 at the disc and t6-t7 small posterior bulging and t8-t9 show a small broad-based protruded central disc herniation. I fell on the ice and essentially caught myself from falling and have had excruciating pain since...what do these mri's mean?
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Hello Thanks for writing to HCM According to reports your have traumatic disc prolapse of spine 1.There is loss of water from disc at T6-9 vertebral level along with small posterior bulging of disc at T6-7 level. 2.There is also small broad-based protruded central disc prolapse at T8-9 level. This seems to be traumatic nature as problems started after fall. Treatment includes physiotherapy or surgical. Effectiveness of both modalities are same.So,physiotherpay should be tried first. It causes strengthening of Para spinal muscles and it prevents further changes. Surgery should be the last option. There are also medicines available for pain relief. Get well soon. Take Care Dr.Indu Bhushan
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Will i be able to conceive with irregular periods?
am 27 yrs , 5 .3 feet and 52 kg.am suffering from irregular periods from 13 yrs onwards. am having treatment of this. also thyriod for which am taking thyronorm 50 mcg , for PCOD am taking ChromiNACA. I got married and wants to be pregnant . can I.
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sure. PCOS is completely treatable and patients do conceive n deliver healthy babies. your BMIis average. continue with chrominac A. ASK YOUR CONSULTANT TO START TAB OVACET TWICE A DAY. It has got dramatic effects in ovulation in PCOS patients. Get your ovulation study done to see whether you are ovulating or not.If ovulation is occuring on time with the regime you can conceive orelse you might need induction of ovulation by tabs or inj. In both cases ovacet is good.
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What causes pin prick like rashes on chest and face?
Hello, My four and a half year old has a red pin prick like rash across his chest and on his face it is a bit more ruddy. He is 110cm and weighs 43lbs.He is rarely unwell although has had a history of convulsions which he has outgrown.Acting and eating normally with no fever, any ideas? thank you
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of pin prick like rashes on chest and face which is due to allergic reaction, infection of hair follicles, hormonal changes, skin infection and overexposure to sunlight. Need not to worry. I would suggest you to exfoliate your skin once a week to remove the dead skin and apply vitamin E oil before going to bed. Apply cream containing azelaic acid. If condition doesn't get well or get worse then consult dermatologist for proper diagnosis . Doctor may prescribe antibiotics like clindamycin along with isotretinoin and corticosteroid cream . You should get hair follicle test as well and start treatment after that. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Having pain on the upper right side of the body
I have had upper right side pain that comes and goes but has been getting a little worse. It radiates to my back at times. It is tolerable with advil when its bad. I have had a ct scan with contrast and ultrasound and blood tests done and all have come back ok. Do I need to worry about my liver or gallbladder since these have come back ok. The next test they are going to do is a HIDA scan. I am a 44m not very active with a desk job 6 3 215lbs
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Hi thanks for asking question.Your USG and CT scan is normal.Here liver problems and gall bladder problems seems to be less.You can have simple colitis or ulcer.If colitis seems bacterial then antibiotic needed.Omeprazole also can be taken.If symptoms increasing endoscopy useful.It may show suspicious area and for which biopsy can be taken to rule our microscopic colitis.Here you can have simple abdominal muscular strain by heavy weight lifting or excess exercise .Simple analgesic and hot compress can be useful.The ribs can be affected by costochondritis that can lead such pain.The ribs are painful to touch.analgesic and rest will be useful. I hope you will recover soon.Wish you good healthRegards;Dr.parth
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What does this WBC count of 12.1 indicate?
Hi I wanted to ask if a white blood count of 12.1 is a concern and I always have a bit of a high white blood count and have a 4.2 lym abs and my calcium is 10.9, my doctor doesn t plan to check this any further, well I thought this was free that s what it said but I guess not and I cannot afford any money don t have none. Thank you anyway
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Hello and welcome to HCM,The normal white blood cell count is between 4000 to 10,000 per cubic millimeter.A count of 12,100 per cubic millimeter is slightly raised value.Raised white blood cell count is seen in infections.Lymphocyte count is 4.2 is also an elevated count.Lymphocytes are increased in viral infections and certain chronic inflammatory conditions.You need to consult your primary healthcare provider for clinical assessment, relevant investigations and thus treatment.Thanks and take careDr Shailja Puri
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What cause total loss of appetite, nausea, head pressure and dizziness after operation?
I just had surgery 1 week ago. I was fine for 4 days post-op, except for some itchiness. On the fifth post surgery day,I became ill, with total loss of appetite, nausea, head pressure, dizziness, weakness, fatigue and a general feeling of surrealness (can't connect to reality). My head is constantly swimming, I did have a porcine graph ~ could that be part of the issue? I read that it could be a yeast issue from the antibiotics?
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take good diet and take multivitamin supplements its post surgery complications that occur temporarily
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Q. Can missed period after having sex during fertile period mean pregnancy?
Hello doctor, I have been on Ava 20 (hormonal contraceptive pill) for about three years. I recently just stopped taking it. I had sex about 3 to 4 time in my fertile period. I have missed my period by a few days. So, I took a pregnancy test and it came back negative. I have been having a few symptoms too like sore nipples and breasts, weeing a bit more than usual, acne, fatigue.
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Hi. Since you have been actively trying to conceive and having unprotected sexual intercourse on fertile days does put the possibility of pregnancy high up on the list especially coupled with a missed period. A home pregnancy test can be negative in the first few days after the missed period even in case of successful fertilization owing to insufficient beta hCG hormones. I suggest you take another urine strip test after a week if you still do not get your periods. Or could get a blood test for serum beta hCG in a few days which is more sensitive. In any case, you should treat it as a possible pregnancy unless proven otherwise and take your vitamins.
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Suggest treatment for Congnitive disorders
Hi, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. I'm not sure if i could have some type of Mental disorder of some kind. I know I've had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also don't learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. I've noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me.
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Hello!Thank you for asking on HCM!Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as congnitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful!Kind regards, Dr. Aida
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How to treat yeast infection?
I frequently get yeast infections, I currently am on antibiotics for a tooth infection and woke up this morning with a yeast infection. I have found my past experience that only Diflucan works well for me.. however I cant get a prescription until monday. I am willing to use over the counter medicine but not sure which one. Which is the closest to Diflucan? Are there over the counter oral medicines I can use?
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Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain as you are suffering from thrush you can gargle with Nystatin mouthwash..You can take Fluconazole 200 mg once a day on the first day followed by 100mg once a day for 13 days as mostly the antifungal medicines are given for 2 weeks to prevent relapse..You can also suck on antifungal lozenges..You should also consult your dentist and get evaluated as in case if you keep on taking antibiotics there is a chance that thrush resolves at a slower rate or does not resolve even as antibiotics are one of the reasons for thrush..Take plenty of probiotics like Yoghurt and garlic as they help in clearing thrush..Drink plenty of water as thrush can cause dry mouth..Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora..
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Trying to conceive, periods irregular. Ultrasound shows cyst present at cervix, ovary. Can conceive?
hi i am a mother of 3 yrs ols boy. me and my husband trying to get pregnant from past 5 months. my periods was irregular since we started trying and since December i am not getting my periods. i am not pregnant. i went to my dr and she suggested me to do pelvic and transvaginal ultrasound . the report says trace amount of free fluid is seen in pelvis . endomentrial lining measures 11mm. nabothian cysyts are present at the cervix . multiple peripheral to follicles are seen in right ovary . it measures 6.1 cc A 3.9 x3.4 x 2.6 cm. septated cyst in l ovary. do i have any problem? can i still get pregnant ? why am i not getting my periods?
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Hello Thank you for your query. It appears that you have an ovarian cyst in the left ovary. Without looking at the ultrasound report, it is difficult to say what is causing it. It could be simple follicular cyst. However, since you are having a history of irregular cycles, it could also be an endometriotic cyst or a haemorrhagic cyst. I need to have further details of the scan done. Please consult an Infertility specialist. You might need to have a diagnostic laparoscopy to evaluate and / or treat the cyst, as well as assess patency of your fallopian tubes. meanwhile, have your husbands semen analysis also done. Take care.
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Victim of verbal abuse, how should I deal with it ?
dr, I am a victim of verbal abuse how should i deal with it? pl help!
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You should ignore it. Do you know what Buddha used to tell for such. He used to just not accept it. That means just return it to them only if you do not react. For eg if someone tells You are a Donkey, most of us tell, I shall kick you. That means you are proving that you are one. But if you just keep quiet and do not respond, the person shall kick himself. At the end you are proving that he himself is a Donkey. THe same holds good for all such verbal abuses.
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What is the treatment for swollen lips?
My son just had his wisdom teeth removed at 11am today. He has taken 1 hydrocodone-isprofen 7.5-200 tablet at 3:40 this afternoon it is now 8 hours later He also took 1 tablet of pencillin at 7pm. I noticed his lower lip is slightly swollen. His upper lip is normal and he has not other symptoms. Should I be worried about an allergic reaction?
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helloo..read thru ur query...i must say that its normal and that nothing to be worried in this..lower lip must be swollen because of two reasons1)he might have bite his lip without knowing when it is numb(every1 feels to bite)2)during extraction sometimes the forceps might have slightly caught the lip bcoz it numb v cant feel pain at that time but later when numbness is gone it might go for swelling..so nothing to be worried in this..tell him to continue the medicines this swelling will be fine in due course...hope u are benefitted something from this reply..have a healthy day!!!
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Q. What can be done for low vitamin D levels?
Hello doctor, My Vitamin D is very low. Should be between 30 to 100 but it is 5+. What is your recommendation to get it to normal?
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Hello. I just read your query. Your Vitamin D level is very low and you should definitely start supplements under supervision. Along with oral supplements, you require supplements through injection too. Also take diet which improves Vitamin D level like fortified dairy products, fortified orange juice, fortified cereals, fatty fish as tuna and salmon, egg yolks, etc. Spend some time early in the morning in sunlight. All these things will help you in improving Vitamin D level. Poor eating habits and improper lifestyle. Blood test for vitamin D.
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Q. Wet dreams and masturbation have made me weak. What can be done?
Hello doctor,My age is 22 years now and it started about six years ago. Since then I am having wet dreams and also became an addict to masturbation. Excessive loss of sperm throughout this whole process left me with an affected and poor health, weak bones and joints, and weak nerves as well. My body and physique have also gotten weaker and weaker, and dark circles around my eyes and pale and weak face as well. I am depressed with all this situation. I am ultimately unable to do well at my job and studies and badly need to get rid of this as soon as possible. And get start to be good at health.
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Hello. Wet dreams and masturbation both are a normal phenomenon. They do not cause any weakness or sexual dysfunction contrary to popular belief. Actually, it is the associated guilt and anxiety due to social myths that cause problems instead. There is no fixed store of sperms that will last neither they provide any energy to the body. So relax. For more information consult a sexologist online -->
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Suggest remedy for pus discharging wounds on knees and elbows
Hi sir I got 4 abrasions 2 on my knees and 2 on my elbows due to an accident (bike) I washed them wid NS solution nd applied povidine iodine ointment I let these wounds open Do i need to wash them daily with NS and apply povidine after washin Actually m doin this from last two days And two of my wounds became very soft n a white colured layer pus type can be seen on them. How to get them heeled properly
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Hello Welcome to Health Care Magic.Don't worry much. Stay calm.You need systemic antibiotics and anti-inflammatory drugs with pain killers. it will heal properly if you maintain hygiene same like you do and add antibiotics so it doesn't get infected. Hope this information helps you.Best wishes.
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What causes pain, lump in left foot with sore calf in children?
HiMy 4 year old boy has had pain in his left foot for the past 2 years. I have been to the docs twice and have been told twice this is growing pains but all the research I have done suggests otherwise. the last 3 weeks he has developed a hard lump under the ankle (still left foot) he is also complaining his calf is sore. It not only wakes him during the night but he is in pain during the day and when walking has to sit down or be carried because his leg gets too sore to walk. I am going back to docs today but fear I am going to be told this is growing pains.....again. Am I just being an over cautious Mum? Any help appreciated. Thanks Karen
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THIS IS IN MY OPINION NOT GROWING PAIN , BUT MAY BE DUE TO SOME SINISTER DISEASE.YOU SHOULD GET YOUR CHILD'S LEFT FOOT X-RAYED AND TAKE OPINION OF A LOCAL ORTHOPEDIST.THANK YOU.
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Suggest cause for high bilirubin levels
sir, i am suffering from hepatitis A from 16th June 2011 and also was admitted twicw in hospitals. My billurubin level went up high upto 40.54. i was admitted under Dr. mahesh goenka. Now my level has come down to 4 and sgpt is 60 and Sopt is 88.76 which was tested 7 days ago.My age is 27, my height is 186cms. and weighing 116kgs. what is the cause of this high billurubin level ? within how much days i will be able to get back to normal life ? Thank you for your valuable suggestions.
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Thank you for posting query.increase in the level of liver enzymes(AST,ALT) reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis". High bilirubin is seen in hepatitis too as in your case.hepatitis maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced (medication)4. Gall bladder or common bile duct pathology 5."Fat excess" (indicates in your case)and so onyou have been diagnosed with HepA but it adviced to rule out hepB and hepC too.HepA virus is a common cause and self limited disease.advice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik
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Depression, pain and burning sensation on one side of the head, unable to bear eye to eye contact, have marked changed in facial expressions. Taking nexito, bupron sr, tryptomer. How can I get rid of this?
I am suffering from depression .and a major pain and burning sensation in the right side of my head.I have some problem in proper eye to eye contact and specialy with boys of similar age.my fcial expression getting chang.and i can not have proper eye to eye contact.I consulted with a psychiatrist who prescibedme nexito 20mg,bupron sr 150 mg(2 time),tryptomer 25 mg.and I take these medicine for near about 8 months.Please suggest me some medicine to get rid of this problem that I can spend a normal human life....please kindly help me..........
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Hi mitali.saha11. Thanks for your question. Infact i nowadays do my post graduation in Psychiatry.So it would be better if you please describe details of your headache like its location,duration,periodicity,nature,severity,associated features etc that help me to diagnose your cases as you know only this small information is not help a psychiatrist to prescribe medication. How are you nowadays with all three medication? Please Inform me in details then i will surely help you. Thanks
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Suggest a remedy for hair loss
I am worried on my hair thinning, Can you prescribe me a good tablets. Its not falling very bad like 100 at a time.. but then yes, hair is thinned to a bad extent, gradual fall I mean. I need it to be recovered. Can you please help me on this?
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Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL.
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Is hyperdense cyst, a matter of concern?
Hello, I am a 46yr old female and recently had a scan for urine infection. That s all good now but the scan showed a hyperdense cyst in left lower pole at 1.8 x 1.6cm. This doesn t hurt or bother me, so should I just let it go. The doctor requested an ultrasound but it seems silly if it doesn t bother me. Gen.
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Hellou dont need to do anything n simply forget it because kidney cysts r harmless and u dont need any treatment for it
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Suggest medicine for fever to a 8 months old?
Hi. My son will be 8 months on the 23rd and today, he started with a fever of 101.8 a few hours ago and now it rose to 103. His skin is red and blotchy. As I'm waiting for a call back from the doctor, what can I do? Does he need to be seen by a doctor? I gave him another dose of Infant's Advil.
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Hi...fever in less than 3 months old baby is a medical emergency and needs immediate blood tests and evaluation. it could even be meningitis and I suggest you get your baby checked by a pediatrician immediately or rush him to the nearest emergency room.regards - Dr. Sumanth
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Itchy rash on upper stomach, behind neck and upper back after the steroid shot
I have a itchy rash on my upper stomach behind my neck on my upper back for the past 4 weeks on my arms this week and legs steroid shot given week before last only to subsided the itch, didn t go away ...mostly only on left side of body. feels like fiberglass
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Hello,Thanks for the query,You might have developed acute urticaria.It is an allergic condition.Anything including food, cloth, change in climate, pollens etc can cause urticaria.You need to find out the cause.Treatment can be with oral anti histamines.Steroids like prednisolone are also helpful but cannot be used for long.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you
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Have lower abdominal pain, period like cramps, vaginal pain. Ovarian cancer in family history. Help?
My lower abdominal on my left side hurts , but im realizing the pain is starting to spread. I also realize that when i push down on my stomach it hurts and somtimes i feel a sharp pain in my chest. Its so weird because when i get my period my cramps are horrible and my vagina gets this stabing pain. (im a virgin so i know its no std ) please help. ovarian cancer runs in my family so im pretty scared.
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Hello! Thank you for the query. Lower left abdominal pain can be caused by diverticulitis, urinary tract infection, ovarian cyst. Ovarian cancer can also give such symptom as well as ovarian cyst. Stomach pain seems to be caused by stomach disease like peptic ulcers or acid reflux disease. Sharp pain in the chest can appear due to rib nerves irritation. But most likely your stomach pain and sharp chest pain is caused by stress (as you have admitted to be scared about cancer, this can trigger such symptoms). If an ovarian cancer runs in your family (and maybe breast cancer?) you should consult oncologist as some of such hereditary cancers are caused by genes mutations. You should have checked BRCA1/BRCA2 mutations. Ca-125 level and transvaginal ultrasound should be also performed. Lower abdominal pain should be consulted with gastroenterologist and some blood tests and urine tests should be performed. Hope this will help. Regards.
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What does a lump on the right side of neck indicate?
I have a painless lump on the right side of my neck near my shoulder. It is visible and seems to be getting bigger.There are no other lumps, ie armpit, groin, etc so it may not be a lumph node. I left weights and carry a heavy briefcase on my right shoulder; could this be a "knot" in a muscle?
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Hi.The knot in the muscle is very painful, and the one at this spot can be really making one have a really painful movements. This can be a lipoma. I would advise to get a clinical examination by a Doctor and investigations if needed. As this area is going to be used always.. Getting the lump excised is the best way to get rid of the disease and to get a proper tissue diagnosis by histopatho examination.
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What causes recurrent urine infection in children?
My 8 year old daughter gets frequent urine infections at present urine is a good color and odourless but she passed a minute red item with her urine this evening it appears to be moving , she is complaint of nausea and tummy pain but her temp is normal
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Yellow as u said that ur daughter passing some red color thing for this u have to check her urine report . in urine infection first vomting and and abdominal pain start .My advise u to check her urine and consult ur pediatrician Give more water to ur child Wash her urinal area every time after passing urine
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Is a small fall for a baby worrisome?
Hi, i was babysitting a 4/5 month old baby and two other children. We were outside and i put the baby on a little like bike type thing it wasn t even 1 foot tall. Her feet were almost touching the ground. She was having fun pressing buttons and things and listening to the music. One of the other kids kinda of shouted so i turned around for like 1 second and then the baby was on the ground. She had fallen on her back. And had fell onto grass. She cried constantly for about over 20 minutes. Then her mom came to get her and the second she got to her mom she was a lot better. Stopped crying and everything. The next day the mom told me she was a little fussy last night but was totally fine today. Is the baby going to be okay? I have been just so guilty about it.
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Brief answer :Seems normal. No need to worry. Detailed answer :Hi, welcome to HCM. Since, it's a fall from very less height and that too on grass, i don't think that its a serious issue. Also, the child is playing well, there was no loss of consciousness, mouth bleed or seizures, so we can presume that everything is alright. I hope this has helped you. Take care.
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Is there an appropriate remedy for headaches and fever caused by enlarged kidneys?
My client has enlarged kidneys (I felt them two weeks ago and it was picked up by ultrasound) has had a low grade fever of 38 for over a month and it doesn't respond to medication,has headaches constantly she also has had continuing pain in her hands, wrists, shoulders, neck, upper back and feet. There is no heat or swelling in any of her joints, although her tendon sheaths above wrists and elbows feel "bubbly" sometimes and do respond to massage which gives her some relief. She has been experiencing these sore areas for over two years
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How old is your patient ?Palpable enlarged kidneys ? Are you referring to palpable hydronephrosis ?Get Blood reports including a complete blood picture, renal function test,arthirtic profile done.Get the Ultrasound repeated.And a renal boipsy if required.Refer to a nearby physician.
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Is there any harm to use nail polish for infants?
hi my name is Cesar. I have a very important question. My baby's mother paints my one year old daughters toenails and her fingernails and i believe it's bad. I wanted to know if i am right about it. Is it harmful for my infant in any way to get her nails painted?
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Hello! Infants have tendency to put fingers in their mouth and these nail polishes may contain hazardous chemicals, so its better that exposure to foreign bodies be minimal.
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What causes cramps in whole body?
Hi my sister is suffering with dreadful cramps in her hands, arms , ribs, eyelids, back, stomach, everywhere really. What it the cause? It s debilitating for her :-( YYYY@YYYY She is 5ft 5 weight 14st 8lbs generally fit and well although she complains of excessive sweating.
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Hi, Firstly sorry to hear about your sister condition. Coming to the query part, as you mentioned she gets cramped all where and there is excessive sweating than I feel this condition in medical is called as Hyperhidrosis. In this condition there is a loss of sodium from the body in the form of sweat leading to cramps. I prefer you meet up a physician as it is of utmost importance to have some medicinal supplement for this cause. there are many medical compounds like glycopyrrolate, oxybutynin, benztropine, propantheline, and others but the decision will be made to provide what compound and when is totally based on after checking certain parameters. Also, she has to consume more water in a day than regular people as losing more sodium from the body is a not a good thing. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Is it normal to have panic disorder and depression in patients with polycythaemia?
My 21 year old daughter just had a physical and her blood test indicate she has abnormally high red blood count and at risk of polycythemia. She has frequent nosebleeds, her menstrual cycle is regular but only bleeds for a day. She complains of itching around the face and neck. SHe has been diagnosed with panic disorder and depression and has been taking anti-depressants and sleeping pills for the last 3 years. Is this common among young women with polycythemia or is it unrelated? Some of her symptoms like dizziness and difficulty breathing overlap with symptoms of panic disorder. Have we been giving her the wrong medication for a completely different disorder?
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Hi,Sorry to hear about your daughter. Although some herbal drugs, androgen derivatives,etc can cause polycythemia, she has to be systematically investigated for the cause of polycythemia by a hematologist. You could also go through her past blood reports to ascertain which started first- polycythemia or panic disorder. Is she doing any drugs as that could lead to both.
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Will I be pregnant as I had periods after having unprotected sex ?
I missed my period for two months, however, me and my boyfriend had sex and he ejected in me, two days later I started my period could I be pregnant . e Pregn
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Hi If you had a proper period 2 days after sex,then pregnancy isnt possible.
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Can i conceive after menopause?
Can a woman conceive after her menopause. if she wants what she has to do.i have stopped menstruating about 18months back but every month i undergo the same feeling as of menses. I am interested in a baby now. Is there a way. My husband is very cooperative and is supporting me. KAAMINI
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Yes you can conceive after menopause also. This is possible by IVF, that is In - vitro Fertilisation. IVF is of two types : self and donor.If you have reached menopause you can undergo IVF donor. In this ovum, ie, the female egg cell of some other female is fertilised with sperm of your husband. After fertilisation the embryo is transferred to your uterus for implantation.In this you will conceive, get pregnant and on delivery you yourself can breast feed the baby. The thing to be consider is that if your menopause is confirmed and you opt to choose IVF donor then you will not be the biological mother of the baby. Discuss this with your husband and decide wisely.
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Is bronchoscopy required to diagnose allergy to aspergillus?
Could results of the recent (3rd November) allergy blood test indicate that my daughter`s immunity still fighting Aspergillius Fumigatus. Recent (3rd November) allergy blood test of my daughter did show Eosinophils 18% While IgE Immunoglobin IgeE 1190kU/L Blood test on 21 of May 2010 Total IgE 7270ug/L Aspergillius fumigatus was HIGH POSITIVE In May 2010, when the first allergy blood test of my daughter indicated High positive Aspergillus Fumigatus my daughter`s diagnosis was : " Unsure if this is all severe chronic asthma. There maybe a component of fixed airways obstruction and allergic bronchopulmonary aspergillosis" Its exact words from med. report. I`m very concerned that if my daughter still have Aspergillius and not been treated since it was detected in her blood by first allergy test in May 2010, she exposed to the risk of loosing her lungs. WWW.WWWW.WW Would be necessary for my daughter to have Bronchoscopy and other HD scans to distinguish between allergic bronchopulmonary aspergillosis (which can mimic severe forms of asthma) and a simple allergy to Aspergillus. I would greatly appreciate your answer. Mrs.L. Clark YYYY@YYYY P.S. Acupunture and herbal tratment increadibly improved condition of my daughter. Some of the natural trearment like flora care supose to improve immunity.As results my daughter don`t have asthma symptoms for month. But her lung function test show that there is maybe the problem.And it could be those fungus,immunitet trying to fight.If high oeosinophils consistent with Aspergillius fumigatus invasion, then I will apply Dr.Clark`s zapper, to try to eliminate the parazite, before it caused damage.
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Hi,See this thing shouldn't be confusing.If your daughter had a very high level of IgE in blood with high eosinophills then only sputum culture or blood culture will make diagnosis clear like aspergillus fumigatous.If she had been done blood allergic testing for aspergillous was positive then one thing is clear that she is having allergic bronchpulmonary aspergillosis.Now bronchoscopy is a invasive procedure and carries more risk during operation and there are other safer investigations should be tried first like chest xray or CT thorax.Bronchoscopy can be done as a last option and mainly to rule out any obstructive disease or bronchiectasis or any tumor or foreign body.I think this all will make u clear to understand.
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How can muscle spasms in the arm be treated?
My teenage daughter was swimming in Monday and got hit in the left side of her chest. The 1st day it was sore like she was brused but no bruse...but now today she has tingly in left arm and muscle spasms. We have muscle rub on arm , not helping and her fingers are numb. What do we do?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Where is she hit exactly, dear if she had got hit mid shaft of the humerus or ulnar nerve area at the medial epicondyle then she may feel nerve compression symptoms so need to take rest and pain killer medication may useful. In case of inflammation need steroid to control inflammation. In case of muscle spasm need to take rest and intake of muscle relaxant may useful. Use heat or cold compression relieve the pain. If symptoms not improved please consult your physician he will examine and treat you accordingly. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu
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Low ovarian reserve, severe endometriosis With bilateral blocked tubes. Failed IVF. Prolonged use of Decapeptyl?
Dear doctor;I am 38 years old married for one year with no children.I have low ovarian reserve, poor responder , severe endometriosis with bilateral blocked tubes.I did one failed ivf on long protocol with decapeptyl and maximum dose of menogon.I produced 5 eggs , 4 were fertilized with 3 excellent embryos and one with lesser grade.I transfered all & non of them stuck.This time my RE started me on yasmine oral contraception on day 2 of menses & added decapeptyl on day18 & was planning to start stimulation with gonal-f 300 unit after 14 days of starting decapeptyl and to continue stimulation for about 10 days.But now he changed his plane and want me to continue on decapeptyle for 1 month instead of 2 weeks just because his vaccation was scheduled on my expected date of embryo transfere and I am now worried about oversupresion of my ovaries because of prolonged use of decapeptyle.I am really confused and don't know what to do.Can you please advice me & tell how to deal with this prolonged use of decapeptyl??
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Hi,Thanks for your query. Following is my reply:1) Using decapeptyl may not help you much.2) Since you are already 38 with low ovarian reserve I request you to go ahead with IVF as soon as possible.3) If you dont get good eggs, go ahead with donor IVF treatmentRegards,Dr. Mahesh KoregolIVF & Infertility Specialist
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What causes bloating, breathing trouble, back pain and pressure under shoulder blades?
my name is cliff,my question is,i have a case of bloating and at times find it hard to breath,sometimes awakening casping for air.I have pain in my back and if i lie down on my back i get severe pressure just under my shoulder bades and then also find it hard to breath,can you help me find an answer,thankyou.
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Do you have diabetes or any other disease. Bloating may be sign of either having digestion problem, eating high protien diet leading to abdominal distension. You can take carminative agents such as soda to relieve that bloating. Also pain in shoulder can be a different issue and might not be related with this. Try avoiding over head activities and apply local gel and warm saline for it. I hope this will relieve your shoulder pain.
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Suggest treatment for hair loss and density of hair
i am 20 years old male... my hair started falling 2 years ago, i initialy use jels and cream to some extend for abt 3 months, besides also used to play games and go to gym for about 3 months with my crash diet, i hv also hv many times crash diet plan in these two years, in addition i hv take a lot of stress abt studies, a horrible stress 4 these 2 year... i hv shaved my head two times bt hair falling doesnt stopped.. now its being 5 months my all routine are good.. mns hving healty diets, doesnt take tension of studies as i am free of studies and for the last 2 moths i also takes some vitamin pils probly related to zinc & some vitamin stuff( case was showing energy enhacer and lower chrestrol level.) on my doctor suggestion.. but hairs hv not stopped falling.. now hair density is very low as compared to my hair density before 4 months... and plz also suggest which doctor i shoul pic for sheck up) wthere he will be dermatologist(skin splst) or hemopathic or any other... help me plz.. i will be very thankful to u
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HIWell come to HCMLet me tell you, that if this is Male-Patron- Baldness, then you do have only option, and that is Minoxidil 5 % lotion, you suppose to apply this for long time this would prevent the falling the hair some time may grow the new hair, hope this information helps, take care, have a nice day.
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Can high Erythrocyte Sedimentation Rate (ESR) cause body rashes?
My age is 55.I'm having rashes all over my body. Sometimes it increases and some time it decreases.But I am having the rashes from past 4-5 days. When shown to doctor, I was asked to take a blood test. In the boold test the ESR level was 26. Is this rashes due to the high ESR level or the problem can be something else.
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Hello, I don’t think the rashes are related to raised ESR. I would recommend you to consult a doctor and get it examined clinically. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist
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Suggest remedy for dizzy spells
Last week my daughter, who is 13, had a dizzy spell at school...she saw spots, then she got a really bad headache. She's had a couple more dizzy spells since then.....I am not sure whether to take her to see the doc or just have her hydrate herself more and then go from there.....
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Hi,Thank you for posting your query.I have noted your daughter's symptoms. They are suggestive of an acute migraine attack with visual aura. In this condition, there are visual symptoms such as flashes of light, etc, followed by headache, vomiting and dizziness. She should be shown to a neurologist, so that she can be started on appropriate medications to prevent the recurrence of such episodes in the future.There is no need to worry, as she would get well with treatment.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
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What can cause memory loss and hallucinations after a head injury?
since last year a friend has mentally changed. She has fallen and hit her head several times leaving large lumps. Never went to Dr. She started forgetting important dates, got lost driving to familiar places, and had hallucinations. EEG, MRI (brain), meds. have been checked, seeing physicians but nothing seen. What conditions, ailments would cause this. Her mental condition continues to down slide and her quality of life is diminishing. Who does she need to see to get a dx?
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Hi, Memory is a complex process where many areas of brain in involved and regarding hallucinations we need to focus on the which sense is involved. Hope I have answered your query. Let me know if I can assist you further.
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How can anxiety and OCD be treated?
Our granddaughter is on seven years old and is being treated for high anxiety , OCD, and dislexyia. the medicine she is on is Prozack in the morning and Resperedone in the evening that s 0.25 mg. Is this considered harmful ? We don t think so but, other members of the family do not like her on the Resperidone.She is having no problem with it and seems to have really helped her. Please answer
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Hi and thanks for question. for OCD prozek is standard choice of drug. so continue with that drug. risperidone why given is not clear in question. because antipsychotuc drug only start when pt have some psychotic symptoms, if given for anxiety than stop and start buspiron at 10 mg dose which reduce her anxiety and also improve her OCD symptoms.thanks
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Suffering from amoebaiasis. Using ciprofloxacin, metronidazole. Alternative medication?
I am suffering from amoebaiasis for last four days . I am 36 yrs male ; body wt 70 kgs . Iam using tab Ciprofloxacin 500 mg only . I have strong allergy on Tinidazole / Metronidazole . what should be my alternative drugs for cure. Please suggest me.
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Hi bandow, Welcome to healthcare Magic! How were you able to know that it is Amebioasis. If proven by stool examination then you must get a proper treatment under the supervision of a qualified physician. There are many drugs apart from tinidazole/metronidazole which are effective against amebiasis like Quiniodochlor, Diloxanide Furoate etc. to name a few. The dose and regimen your clinician would know. I do not agree with your choice of taking ciprofloxacin for amebiasis, you are harming yourself by self medication. I hope the advise would be informative and useful for you. Take Care!
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Q. What best can be done for left-sided chest pain due to pneumonia?
Hello doctor, Suddenly, chest pain occurred on the left-hand side three weeks ago. The doctor diagnosed with lung infection and pneumonia. The pain spreads on the right-hand side, but it is mostly on the left-hand side. Now recovery is very slow though I am having a lot of medicines and water. I have attached the prescription list herewith. I have had a blood test and an X-ray.
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Hello. I have seen all the reports (attachment removed to protect patient identity). If you have completed the antibiotic course then continue the follow-up medicines. The blood tests are normal. Comparing both the X-rays, the recent one has a lot of improvement. Definitely, you will have a severe cough because pneumonia usually causes a lot of phlegm during the recovery phase. For more information consult a pulmonologist online -->
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Suggest medication for dizziness
I am having these dizzy spells. After I get up from laying on my bed. After sitting down. or even while I am sitting down. So dizzy that I even fall backin the bed. Its only been going on for about a week now. No new meds, no changes that I am aware of...what is wrong withme????
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Hello, In my opinion, orthostatic hypotension (lowering of blood pressure after sitting or standing from laying) should be considered. It is necessary to measure your blood pressure in laying, sitting and standing position. If no significant changes in blood pressure then benign paroxysmal positional vertigo should be considered. Discuss with your Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
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What could be the reason for having a tiny pin head hole on my face?
I have a very tiny pin head hole in my face that appeared suddenly. I do not have pimple s and I am 61 years old. I am on Gleevec med s 400 ml. a day for gist cancer. And ideas what this is? I didn t know I had to pay and I am not set up to pay on line. Sorry to have bothered you.
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HIThank for asking to HCMIt could be tiny boil that must have been pilled off unnoticed, and might cause what you see the hole, but need to worry about this this will go away without any treatment, have nice day.
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Nose blocks, headaches, no taste in food, breathing difficulty, dust allergy ?
Hello Doctor , I am 43 yrs old man . I live in XXXXX , a very dusty place. Many days in a month we have sand storm here. The air is full of sand dust . From last 3 yrs , i have nose blockage when climate changes from hot to cold , or dust ,etc., One side of my nose blocks completely and i have to breath from other side of nose( nostril ). I get continuous headache for many days. I become very week. Food becomes tasteless. I feel like my breath will stop when i am sleeping. All this happened to me 4 times in last 8 months. It mostly cataches up at night times. Please advise. Thanks & regards , XXXXXXX
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You may be suffering from allergy- in this case to dust which has resulted in inflammation and swelling of the inner lining of your nasal passage. This has caused blocked nose, loss of taste sensation and difficulty in breathing while sleeping. Beside this you may also be suffering from sinusitis causing headache. You should take antiallergics like cetrizine, antileukotriens like monteleukast(Montair), a corticosteroid nasal spray like fluticasone or budecort or fluticasone+azalastin combination for prompt relief. Take acitaminophen for headache. People with allergic diathesis(Atopy) also suffer from Br Asthma and GERD for which you may have to undergo some tests. Deep breathing exercises may help.
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Why do I experience frequent urination after eating salty foods ?
hi doctor i am 34 yrs old lady,,i experience before urinating mixed like white sand and sometimes if i eat salty foods i do always go to toilet to do urine little by little...
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Hi; welcome toHealthcareMagic Please get a urine routine examination done to rule out urinary track infection.Such infections are common in females because the lower urine track is short in females as compared to males.Get the morning urine tested & consult a doctor for advice & treatment. Thanks
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Does a nerve root block in the lumber spine cause a curved penis?
I am 63 years old man and I do have curve penis more than 30 degrees for 3 months . I do not have any erection problems , no bleeding , no pain, just little urinating difficulties. I felt this problem just after blocking nerve on S1- L5 . Is that possible caused mi problem?
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Hi, I have gone through your question and I understand your concerns but it is possible that a nerve root block cause weakened nerve supply to the pelvic area including the penis. Hope I have answered your query. Let me know if I can assist you further.
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What does triglyceride-345 and cholesterol-240 from lipid profile indicate?
My age is 40,weight is 76kgs and height is 5 feet and 11 inches. My heartbeat is 82 and blood pressure is 130/80. When ever I try to exercise, after someday my blood pressure becomes high and I feel problem in breathing. I did lung x-ray and it shows o.kay. I tested my lipid profile and hemoglobin test and eeg[color doppler] test. Av is slightly enlarged. In lipid profile triglyceride is 345 and cholesterol is 240. I checked my diet and took medicines. The problem is less but not totally cured.
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Hello, The increase in blood pressure values is quite normal during physical activity and emotional stress in every healthy individual. But, if your blood pressure values are persistently above the normal ranges (125/85mm Hg) you may need to start anti-hypertensive therapy. I would also recommend starting statins considering your high cholesterol and triglyceride levels. In the meantime, I recommend reducing caffeine and salt intake. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
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Q. I get recurrent protruded mole on my leg that grows and falls off on its own. Is it melanoma?
Hi doctor, I have a protruded mole on my leg (light color but it will become black if in contact with water), it lasts for about two or three years or more. I have no symptoms other than it will fall off as time pasts and grow back itself. I was wondering what would it be as I am worried if that is some kind of melanoma?
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Hi, Welcome to icliniq.com. I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed seborrheic keratosis or a mole. Do you have this mole since birth? Nothing looks like melanoma. Shave excision with the histopathological examination is a good option in your case because it is curative and diagnostic both.
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How to treat azoospermia?
i am 29 years old now.i suffered from hodgkins lymphoma when 20 years back in 1990 when i was 9 years old and was given 12 chemotherapy and 20 radiotherapy.This years on my doctor suggestion i got a semen analysis done.The reports says i have azoospermia. is there any cure possible for this problem
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HelloThanks for query .Azoospermia (absence of sperms ) in semen is mainly due to one of the following two reasons 1) There is no production of sperms by testicles .2) Blockage in the transmission of sperms from epididymis to urethra .You have to consult qualified Urologist for clinical examination to assess size of the testicles and get biopsy of the testicles done to confirm whether testicles are producing sperms or not.If ther is total absence of spermatogenesi nothing can be doen to initiate it at this age .However if there is spermatogenesis the azoospermia is due to blockage n the transmission of sperms from Epididymis to urethra which is commonly in the Vas Difference .In such situation you have to confirm the blockage by a radiological test called Vaso-Vasogram to detect the site of block which can be corrected by surgery to restore the flow of sperm from testicles to urethra,Dr.Patil.
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What causes a soft movable knot on the back of the neck?
Hi, may I answer your health queries right now ? Please type My son has developed a dime-sized soft moveable knot on back of his neck by the hairline? He has been doing some strenuous running in cross country-could this be the cause or should I have it checked out?
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Hi, dearI have gone through your question. I can understand your concern. He may have some enlarged lymphnode due to reactive hyperplasia or some soft tissue tumor like lipoma. He should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Suggest treatment muscle tightness in legs and arms
I have muscle tightness and restlessness in my legs and arms (no pain) on a daily basis and at night also. I have a problem getting to sleep or continue to wake up and am sometimes up until 4 a.m. I keep wanting to rub them. I m 77 and I do walk 45 minutes to 1 hour a day. I am already on a prescription of Tramadol 50 mg (one to two pills at night) to help relieve the tension and help in sleeping. It s really getting to me. My current physician did not prescribe anything.
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Dear Sir/Madam,I thank you for having faith in Health Care magic and for seeking help on your issue; I have gone through your symptoms, and in my opinion, if you do not have pain then discontinue tramadol it does not relax your muscles, I would recommend you to take bath before going to bedtake a mild sedative drug after prescription get your Vit D and Cal level done and take supplements if lowtake Vit E 500mg daily for 2 week and then stop.discuss this with your GP before following and learn to Relax.I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only.ThanksDr. Narender Saini
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Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I am experiencing pain while urinating but all tests are normal. What could be the reason?
Hello doctor, I am 21 years old. For the past two months, I have been experiencing pain while urinating and I also have pain when my bladder is full. I had taken a urine test and the test said I had an infection for which I was given antibiotics. The pain has come down, but a mild pain is still persistent. I took a urine culture test later. The report said there were no bacteria. Then, I had an abdomen and pelvis scan done. The report was normal. But still,I am experiencing pain. Please help.
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Hi. Usual causes of such symptoms include urinary tract infection (UTI) or urinary stones (renal stones). When routine tests turn out to be normal, a frequency volume diary may be made. Next would be a urine flow test and a sonography for residual urine volume. If these are normal and pain persists, cystoscopy can be performed in office settings. When no organic cause is found, it can be labeled as bladder pain syndrome (BPS). There are certain diet and behavioral changes to be made and some medications which will help cure BPS. Consult a urologist online with the reports of the above-mentioned tests -->
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How to treat intense pain in the thumb caused due to an injury?
I injured my thumb, bent it backwards, about 2 years ago. It got better after about 6 months until I injured it again. It s the meaty part of my thumb, causing me to not be able to do basic things, grab or write, without pain. What could be the problem and what type of doctor do I need to see?
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Hello I have studied your case,I will advise to do mri and rule out any ligament injury in your thumb.There is possibility of injury to ligament of metacarpal or phalange joint.If you are having swelling and pain you can strap your finger to get proper rest to joint.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
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What causes hallucination and increased bp after taking seroquel xr?
I have frequent anxiety attacks or at least that s what they think is happening. I started taking SeroquelXR 50mg and the past two nights have been restless, BP went up to 151/110, had hallucinations, and had for about an hour deathly thoughts. I think these were all side effects from the medication and not the anxiety attacks that I m use to due to I ve never hallucinated or had any bad thoughts with the anxiety attacks. With the anxiety attacks my BP usually does go up, heart races, dry mouth, shortness of breath, and at times I start shaking. It last for a couple of hours and then I m just drained but otherwise fine. I don t like having any of these symptoms regardless if it is the medication or anxiety. What can I do?
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Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms could be related to seroquel XR adverse effects. Seroquel is usually useful to treat hallucinations and agitations, but it may also cause the opposite (aggravate them). You should discuss with your psychiatrist on the above issues. You may need to switch to another antidepressant like (sertraline, venlafaxine or mirtazapine), which have not the same adverse effects as seroquel XR. Hope you will find this answer helpful!Kind regards, Dr. Iliri
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Can shortness of breath be due to calcified aortic valve?
My mother's echo shows that her aortic valve is so calcified that it could even hardly move. My mom has periods of shortness of breath. She has no other symptoms. She is 74 yrs.old. She had hx. of rheumatic fever when she was 14. yrs. old. Would you recommend valve replacement for her? Should she restrict her activities, Would you recommend that she should be in a wheelchair? Would you recommend red wine for her? Thank you.
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HIWell come to HCMI really appreciate your concern, Aortic valve if affected by rheumatic fever so it can be managed with medicine but later of sooner valves becomes calcified, at the age of 74 it is risky to change the valve, other cardiac parameters are matter of concern, even if the patient is physically fit still the procedures carries some risk, in my opinion it is better to managed the case medically, complete bed rest is advisable but she can move around in house just for routine purpose hope this information helps.
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Q. Can periods cause loose stools?
Hello doctor, Loose stools that are yellowish in color. Only minor abdominal cramping that feels like a period cramp (due to having period for the past two days). Taking oral contraceptive. Abdominal cramping is not continous. Only been occuring for 24 hours.
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Hello. I need to know whether the loose stools are really having organic cause or just secondary to functional changes occuring with time of periods. Loose stools are said when stool volume is more than 200 ml in a day, semisolid to liquid in consistency. Mild abdominal cramping is common when one approaching menstruation, a condition is called premenstrual syndrome which is common condition with various symptoms, not necessarily related to female genital tract. But accompany with emotional and physiologic changes in to abdomen, skin, body blood circulation. You just make sure, that you take home made well cooked diet. Otherwise no need of any investigation or medicine for now. Take oral rehydration solution ORS in one liter of water, and take 200 ml to 300 ml every time you have loose stools. I could have helped you much if you have provided some more information about that pain and quantity of stools. Well, onset for 24 hours, mild cramping, does not show any alarming symptoms. So do not worry. You can take a gynecologist opinion on this. Take care, have a good day. Nonspecific abdominal cramp and loose stools? Food poisoning? Premenstrual syndrome? Follow up with gynecologist
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Q. Why do I get attracted to both men and women?
Hello doctor, I am a 29 year old male, who weighs 75 kg and I am 5.7 feet tall. I got married two years back, and my wife is three years younger to me. She comes from a very simple family, and she has had no relationship before we got married. She is also the first woman in my life, and both of us have never had any physical relationship before, but I used to sexually intimate with the boys in my class in school. I never had sexual intercourse with them, but we used to masturbate each other. From my childhood, I get attracted to both men and women. After marriage, I am trying to stop those feelings. After getting married, we use condoms while having sex, but I never knew whether my penis is inside the vagina or not. We wanted to have a baby after a year, so I stopped using condoms. But, both of us have some discomfort during sex, and ejaculation occurs outside the vagina. Nowadays I ejaculate very fast after getting excited, and my wife does not know much about sex. My wife is very sensitive when I touch her vagina, and her muscles are also very tight, and she is having PCOD problem, and she is under treatment. So, we get intimate only twice or thrice a month. As a result, my masturbation has become even more regular. Also, we tried penetration a lot of times, but the moment I come close to her, I lose my erection. We are very frustrated and are dying to have a baby. I am very uncomfortable with my foreskin rolled down. I know for penetration the head of the penis, needs to be inserted, but the head is very sensitive. I consulted a surgeon about my penis, and he told it is normal, and I had done a semen analysis, which showed sperm motility is only 40%. So, the doctor suggested using Fertisure tablets. Please help us.
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Hello. I have gone through your query and understood your concerns. Hope this helps. For more information consult a psychiatrist online -->
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What causes weight loss and clay colored stools?
My dad is a 90yr male. he has Hypertension. DM II , Alzheimers dis. and diagnosed and treated for rectal cancer in march of 2010. completed radiation tx. unable to complete chemo due to intolerance of meds. He has had chills for the past year. he has a poor appitite and is losing wt, approx 10ibs in the past months. He recently has had clay colored stools. He is taking 20mg of lisinopril QD, 2mg of immodium QD, 5mg of aricept, and recently started on bicalutamide 50mg for prostate ca. PSA in Jan. 2014 was 1.69. His last lab in nov. of 2013 consisted of CMP, CBC,hemoglobin A1C(7.1) thyroid profile. all other values were normal except for the lymphocyte ct. of 14.4. He is pale but no jaundice noted. He has increased weakness and sleeps 18-20 hr day. I suspect the cancer has reoccured in his bile duct. What is your opinion?
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obstructie jaundice, perhaps malignant obstructive jaundice in view of age. hope you are describing the color of stool properly.advice to get usg and LFT
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Q. Is my thigh numbness due to low blood circulation?
Hi doctor, I have numbness in my left thigh. I have attached the region in the photograph. The red area is high in numbness and has very less sense. Only a nail or scratch can feel there. Other, green areas have mild numbness. When I sit for a long time, it worsens without pain. Sometimes, I feel that this may be due to low blood circulation. Is this very serious? Can this be a pre-stage of sciatica or peripheral nerve problem? Can this be treatable? Please advise some medicine for this. I do not have any pain in the affected site. Also, the numbness feeling is only on the surface and not in depth.
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Hi. Meralgia paresthetica or radiculitis. CBC (complete blood count) and serum vitamin B12 level. Revert back with the investigation results to an orthopaedician and traumatologist online.--->
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Are my larynx free of cancer?
Father diagnosed with larynx cancer sept. 2010. Completed 7 weeks chemo/ radiation treatments 3 months ago, follow up by ent oncologist today, ent looked at pet scan said no cancer lymp nodes and larynx clear also done nasopharengeal scope, looked good. But ENT called back later today said radiologist reported larynx still full of cancer??? What??? I'm so confused. Dont know what to make of this. He suggested we come back 2 months for follow up. Any thoughts?
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Dear. it seems there might be some confusion between the radiologist and the ENT doctor. You can wait for the final print report and then can take a 2nd opinion based on that report. Moreover the recurrence of cancer will be established by biopsy only. regards
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Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Suggest remedy for strained groin muscle with burning sensation
I am having pain in the left groin area and also in the lower back on the left side. It feels like a strained muscle although it s far as I know I have a strained my muscle. It is made worse By stretching my arms upward or walking. The pain in my back is more of a burning sensation. The pain in my groin is more of a pulling deep throbbing sensation.no fever or discoloration or bruising.
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dear sir/ madami would examine your back and hip for any local bony tenderness, if no tenderness, i would recommend rest for a week , hot water fomentation to back, analgesics, keep limbs elevated under pillow, and review again in a week.
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What could cause varying breathing patterns?
I am 45 years male. All of sudden my breating pattern changed and it became heavier. I measured my BP which was 160/90 and my pulse was 106. I went to a hospital and the readings were same. They went for an ECG which showed some changes. I rested there for 30 mins and went for another ECG which was OK and my BP and pulse was normal. As advised I went for TROP-T which was negative. Next day I went for ECG, TMT , ECHO and one more TROP-T. All are OK. My doctor was worried because of some changes in initial ECG. Now he says I am OK and there is nothing to be worried about. Please advise
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Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. ECG is the base line test of cardiology. If trop t, tmt, 2 D echo tests are normal then don't worrry as your mother is clear from cardiac side. Combined together the sensitivity of these tests are more then 85%. Breathlessnes can also be because of anxiety or gastritis. Just keep on taking medicines for hypertension, target BP for her is 140/90 mm of hg.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena
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Severe neck pain radiating to shoulders. Lump on the neck. Could this be cancer?
I have been experiencing neck pain for about a month now. Whenever I move my neck the right side is very pain full from the top of my neck to the middle of my shoulder blades. It s very uncomfortable and nothing seems to ease the pain. Just recently I notice a small little bump right where my shoulder and neck meets. It doesn t move very much and it is the size of a dime, maybe a little bit smaller. Could this be cancer?
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Hi, Thanks for query. It seems that you might have enlarge cervical lymph node pressing upon neck muscles giving rise to this problem. Nothing to worry about cancer. There are few conditions where there is enlargement of lymph nodes. Consult surgeon and get examined. If require he may go for lymph node biopsy for diagnosis. Ok and bye.
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Will taking lactare capsule for long has any side effects?
I am 30 years old now and my son is 3 months old. I am taking Lactare capsule(2 per day) for last 2 months as my milk supply is not sufficient. Can i continue this capsule for next 6 months as i want to breast feed my baby. Please advice and let me know if there will be any side effects.
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HiYes you can. Add lot of garlic and fenugreek in your food. If non vegetarian then you can take meat egg and fish. Drink at least 3 to 4 liters of fluids per day.Have a healthy diet comprising lots of seasonal fruits & vegetables, with atleast 1 glass of milk every day.Enjoy your motherhood. Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
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Suggest treatment to stop hair fall
hello sir i m 21 year old girl and im a student and is suffering from hair fall from past 3 mnths this really gets worsen when i wash my hair and apply oil to my hair what can be done to stop it and promote the growth ???please sir advice and guide me ??
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Hi...It seems that you may be having a condition known as telogen effluvium. I would like to say about telogen effluvium. It is a condition in which the hairs fall in telogen stage of hair cycle. The causes may be many like. ...tension,anxiety, thyroid diseases, endocrinal diseases, hormonal diseases, diseases like typhoid, malaria,viral diseases,surgery,trauma,drugs like anticancer ..methotrexate ,internal diseases,anaemia,nutritional deficiencies..... etc might precipitate the disease. Excessive sun exposure may be resposible for the disease. Dandruff may be responsible..it should be ruled out. If it is there, ketoconazole shampoo may be done. You consult dermatologist. Investigations may be done to rule out thyroid disease and other internal diseases. If they are there,proper treatment may be taken.Nutritional diet may be taken. Tab Biotin 10 mg daily may be taken for long time. And also vitamin E cap 400 mg (evion)daily may be taken with iron, calcium, zinc..etc in proper dose. Mild steroid lotion may be applied on the scalp daily at night.Mild herbal shampoo may be done twice a week. Oil like almond oil may be applied on hairs to improve hair shaft quality.Be confident for the good result.. Have patience..as the good result takes time. Avoid tesion and worries. Be positive. You may feel better after few months treatment. I hope you got my answer.Thanks.Dr. Ilyas Patel MD
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What does my semen analysis report indicate?
Good day Doctors;I had an iodizing for thyroid gland since more than nine years. My wife did not get pregnant till now.I made semen analysis and the result are:Rapid progressive (% 4-A) 18 Morphology. 90. How can I correct these two problems. Thank you.
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Hi thanks for contacting HCM...First of all get your thyroid problem fully corrected....If hypithyroid present then levothyroxine supplement given and for hyperthyroid propylthiouracil like drug given...Here your sperm motility in which rapidly progressive sperm less 32% which is defective according to WHO guideline...For that avoid stress....Smoking , alcohol avoided as they can affect motility..Avoid taking hot shower and wear loose cloths....Hormones estimation also done ....Steroid avoided if taking as they can affect motility....Take antioxidant , CoenzymesQ and L carnitine containing tablet that is helpful in improving motility...Before all this repeat test once also as at least two report done before any abnormal conclusion....Take care ....
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What is the treatment of lump on foot near ankle ?
hello doctor i have a hard pea sized lump on my right foot near my ankle... while its not painful at all but does become very painful when i rub it against something or simply put pressure...what could it be.. the pain becomes more intense before it starts fading away.. should i be worried?
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Hi,From history it seems that there might be having Corn formation giving this problem.Apply corn cap tightly for five days.Corn will come out easily.If require apply another corn cap if corn is not totally not detached.Ok and take care.
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Itchy and Chapped lips. Take vitamins, post bariatric. Recommendations?
Hello, I'm a black woman, at first my bottom lip became very dry beginning on the right side, chapped, and won't hold lipstick, then it spread to the remaining part of my bottom lip they are black and unattractive. I am a vegan, who takes lots of vitamin, post bariatric, lips itch and burn. My blood was recently checked and good numbers. Please give me a clue as to what to do.
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Bariatric surgery is usually followed by increased incidence of vitamin and minerals deficiency.You have specified that you take vitamin tablets,but it important that the tablet contains all the vitamins and minerals mainly containing iron,folic acid,Zn and all the vitamins.Try using Aquaphor Lip repair cream and continue taking multivitamin and mineral tablets regularly.I hope this helps.
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Suggest treatment for a painful itchy lump on the back of a child
my 2 year old grandson is allergic to mosquito bites. when he gets bit by itself get swollen and inflamed, gets a hard knot under it and now I have noticed they are bruising. he does not understand the concept of scratching when it itches yet also he is got some in the middle part of his upper back where he cannot reach that are turning purple. is this something that I need to be concerned about?
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hi.it's an inflammatory reaction of your grandson to mosquito bites. it should subside in 2-3days time. if you could tell him to avoid scratching or manipulating his wounds, it would be best, as infection might ensue. you could also apply mosquito repellant lotion on him after taking his bath or put him on those child-friendly patches mosquito repellant.hope this helps.good day!!~dr.kaye
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Could Atenolol cause memory pauses having delay in recalling certain things?
Could atenolol have any connection with some 2 minute memory pauses I have had - we have ruled out atril fib, MRI s, EEG s, ultrasound of carotid artery, and PET scan have been normal, Lymes test has come back negative. The 2 minute episodes (6 in 6 months) were reduced to 2 in 12 months after cutting the atenolol from 50 to 25 mg. Alzheimer s is a possibility but several doctors said it doesn t act like that. I have not had any episodes in the 15 months, but I do have some memory holes and some delays in recalling certain words. Any suggestions????? Joan
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Hello Joan!Welcome on Healthcaremagic!Regarding your concern, you should know that atenolol may influence on those memory gaps. It is known to reduce physical performance. Besides, bradycardia, may cause low brain perfusion and thus, memory problems.Anyway, I recommend you to follow up with a neurologist after 6 months and perform some cognitive tests in order to exclude other possible causes of dementia. Hope you will find this answer helpful!Best wishes, Dr. Aida
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Suggest treatment for elevated liver enzymes
I have FAP, recently participated in med study using erlotinib & sulindac. Liver enzymes riased and have not returned to normal. Prior to study - 21 AST & 26 ALT. On meds, up to 48 and 115. Now at 42 & 79. Currently taking omeprazole, lumiday (mood enhancer), zyflamend (herbal/spices) and turmeric. recent test also showed hpyoglycemia (64). normally in the 90 s. thoughts?
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HIThank for asking to HCMThere is no particular treatment available which could normalize the liver enzymes but of course the underlying cause is matters if it has some underlying cause then this should be treated, the clinical manifestations are also important and have great concern than the test value, the test value may go on variation from time to time this could be normal sometime, if it is being done without any obvious reason, hope this information helps you take care.
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Suggest treatment to control high blood pressure
Hello Dr.! I'm a 58 y.o. female and have no family background of heart disease. lately my BP is being observed to be 160/95. I've got all the blood tests (as prescribed by Dr.) done and all the reports came with in limits. How and what should I do to get this problem under control? Please Help.
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the most effective thing is weight loss and significant decrease in salt intake, your total salt intake in a 24 hour period should be less than 2 grams. Good luck.
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