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Dryness, elephant skin pattern on lower legs. Poor diet with less water, vitamins.Remedy?
Hi. I am suddenly noticing the skin on my lower legs (ankle area) and upper foot is getting an elephant skin look...dry and pronounced pattern. I have had a very poor diet in the last year and I have not taken vitamins nor drank the proper amount of water (that I KNOW). Had a stressful split with my husband and now divorced living alone. I spent 10 hours on my feet moving recently and my left foot hurt like it was broken, mostly just on the top. I've rested it and it is getting better but still hurts if I walk on it too much. I do have some swelling off and on. I am concerned with the weird dryness and elephant skin pattern. Thank you. OOPS, sorry I didin't know it cost. Thanks.
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Hello,Thanks for the query.you may be suffering with xerosis of skin.It is a common condition seen with ageing.Apply white soft parrafin.It is cheap and best moisturiserLet 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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Q. I was diagnosed with LVH and my resting heart rate falls around 40. Are my issues reversible?
Hello doctor, I was diagnosed with severe LVH due to anabolic steroid abuse the past two and a half years and training for more than three hours a day. I have made lifestyle changes and lost weight but my anxiety now gets the better of me. I have a family history of bradycardia my RHR is 40s and high 30s when I sleep or first wake up, it does not cause any symptoms other than freaking me out. My diastolic will dip into the 50s due to the Lisinopril, and that stresses me too. I live in constant fear of dying early, very early. Are my issues something you can come back from or even reverse? Would I have to stop exercising completely to make my heart shrink?
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Hello. I passed carefully through your history and would like to reassure you that there is no reason to panic, as long as you have stopped physical training and anabolic steroids intake. You should know that LVH (left ventricular hypertrophy) is quite reversible in such a case after some months from stopping straining physical activity and anabolic steroids. So, there is no reason to worry about dying early. I would just recommend continuing light physical activity. I hope this helps.
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Suggest treatment for anemia
Hi I am 53 years old and I am anemic for 4 years I have been getting b 12 shots for 4 year to help with it . my period are really bad I loss tons of blood and lots of very large clots to where I am light headed. Shakes on the inside and am very weak. There tryed doing surgery on me three years ago three different times but couldn t because of my iron being so low. What do you think can you help me
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Dear patient Reason for your anemia is blood loss through menses. If that is not corrected anemia will persist. Reason for menorrhagia needs to be found out. Visit to expert gynecologist would help.in that. If your family is completed hysterectomy will be better choice. Blood that is already lost will need replacement by means of blood transfusion. Start tab ferrous sulphate twice a day. Iron injections are also available for quick buildup of body storage of iron. Along with iron vitamin b12 tablets also should be taken and equally important is to take proteins in your diet. Iron vitamin b12 and protein are essential for red blood cells.
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What is treatment of fibroadenoma and is there possibility of developing breast cancer?
am 17years and have two fibroadenomas. The left one is bigger than the right one and the left one is paining me. Is fibroadenoma painful and how long does it takes to go? What is the treatment for it. Can it develop into breast cancer? Or does it increase breast cancer?
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Hi...it is a non malignant condition and does not predisposes to malignancy...take vit e and primrose oil...it will take a few months to resolve..you may also take analgesic for the pain...Dr. Ashish Verma
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What are the symptoms of neuralgia?
I have had a pain near my left ear on the back of my head for 2 weeks. The pain has moved up my head to a higher point and is a dull ache, it feels like a elastic band quite stretched and when I turn my head it crackles. I am having a wisdom tooth out tomorrow from upper left and thought initially I had ear ache. I went to the doctors on Monday and she said no infection in ear, perhaps due to tooth. But it has moved up now and paracetamol don't seem to help at all. Is it neuralgia, not sure.?
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hello thanks for consult at hcm..pain may be from infected wisdom tooth,u also could have tmj problm since ur head crackels u have mentioned,, either ways plz consult a oral surgeon specialist for a check up and treatment f the prlblm..hope it helps,,tc,,,
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What does elevated alk phos and slightly elevated ALT mean?
I was wondering what a possible elevated alk phos 183 and slightly elevated alt numbers might mean? I have a history of thyroid cancer and I recently had a rt knee medial meniscectomy. Would any of these have something to do with the test results? I had an abdominal sonogram on friday and am awaiting the results. Thank you.
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Hi thanks for asking question.These both can be elevated in bone disorder or bone disease or bony trauma.you have done knee menisectomy that can lead to elevation of these enzymes.Liver problem can lead to elevations of these enzymes.USG will reveal if fatty liver , hepatitis or other liver pathology if present.Osteomalacia, vitamin D deficiency or renal disease can lead to elevated alkaline phosphatase.Wish you good health.Monitor both these enzyme level for next few month.Take care...
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How often do virus infections repeat themselves?
I have a question about repeat virus infections. I'm talking about common colds, flu etc. I spend entire 4 months being ill last winter and it's happening again. I'm on week for with bad colds. My doctor says it's just bad luck and won't look into anything.
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Hi,From history it seems that along with viral infection there might be having some allergic problem as well.Go for antihistamine medicine like Montac LC for long time like 3-4 weeks.This is good respiratory tract allergy medicine.Avoid dusty and wet atmosphere.Avoid cold drinks and junk food.Ok and take care.
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What treatment is suggested for infections caused due to would?
Hi I have cuts on my leg that I think might be infected. Is there any way I can treat these cuts with something that may get rid of the infection without needing to go to a doctor? And how can I be sure it is an infection without going to a doctor? Help!
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Hellopresence of foul swelling pus and slugh indicates infection of the wound.Topical antibiotic creams may be enough to treat cut wound if it is a superficial one.
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What causes left sided radiating pain from neck to ear?
I m experiencing achy ness in the left side of my neck all the way up through my jaw bone and into my ear. I have been taking ibuprofen to keep the pain or inflammation down. Sometimes I think it may be an irritated tooth however just contacted my dentist and there was no suggestion on the x-rays taken Dec 30. So don t know if it could just be a strain or possible sinus infection. However very uncomfortable. suggestions???
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Hi..Thanks for your query.As per your complain pain in jaw, neck that is radiating up to ear can be most probably due to causes like wisdom tooth infection or inflamed gum flap over wisdom tooth that can cause radiating pain to jaw, ear and neck..Other common causes can be due to Temporomandibular joint dysfunction syndrome..It can also be due to other causes like pulled muscle in neck, spondylitis, ear infection etc..It is not appearing due to sinus infection as sinus infection is associated with other symptoms like post nasal drip, facial pain and pressure, nasal congestion etc..So my suggestion is to consult an Oral Pathologist and get evaluated and a thorough clinical evaluation, appropriate x ray can help in diagnosis..If there is no dental infection ruled out then you will be referred to a Medicine Specialist and an MRI can be advised to rule out the other causes and treated accordingly..As of now you can take painkillers like Advil, Naproxen etc to relieve pain..Hope this helps..Regards.
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Can ear, throat and tooth pain due to a cavity be treated?
Hi , I had a very deep cavity in one of my upper left side molars; the filling had fallen off a few days earlier. went to the doctor. the doctor said that the cavity is too deep but since you dont have any pain or sensitivity yet, we can just fill it for now and if that doesn't , help we will do a root canal. Now my problem is that my tooth as well as my left ear and the left side of my throat hurts badly. Its as if i have an ear or throat infection. Called the doctor and he said, i have to wait a few more days to see if the pain goes away. It has been 10 days , but the year, throat and tooth pain is still there. what should I do?
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Hi, Read your query and can understand your predicament.If I were your treating dentist ,I would have removed the filling and start with the root canal treatment,once the radiograph is taken to evaluate the deep caries.Since the decay is involving the pulp,pain increases once the cavity is closed and is referred to the associated areas.I would advise you to take a painkiller like Ibuprofen (if you are not allergic to any medicines) and visit the dentist at the earliest .Initiation of the root canal treatment will subside the pain.Hope this helps.
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What to do for kidney stone?
hello doctor, my brother is suffering from kidney stone measuring 8-9mm in u-v junction. do we need surgery for this size of stone or is there any alternative for the removal of stone? thank you!
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Hellokidney stone of size upto 10 mm can be expelled by use of medicines...give this treatment● TABLET CYSTONE 2 tablets three times a day● TABLET URIMAX twice dailygive for 2 weeks n get a repeat ultrasound to see if stones disappear or not
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What causes soreness and purple discoloration in anus?
25/f. In the last two weeks I have become increasingly aware that it would seem my anus is turning purple. It started with one small spot (about the size of a pea, mind you it was a spot and not a lump). It looked like a very small bruise. After this was brought to my attention by my partner I began to pay closer attention. Now almost 2 weeks later and almost the entire anus is purple! The anus itself has always been lumpy looking but I have not noticed any out of the ordinary lumpiness. No problems passing stool (although I am not a daily go-er, usually every other day), no pain, no bleeding, and no server itching (maybe once or twice a day). I ve read plenty about hemorrhoids but I don t feel that my symptoms match up to their description other than the discoloration. Is it still possible that this purple overtaking of my anus could be a form of hemorrhoids? If not, What else could it be??
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HelloAs you mentioned complete history ,so this is not hemorrhoids or fistula in anus . This type of bluish ( purple ) discoloration may be due to these reasons, these include;1 Eczematous dermatitis , diagnosis can be confirmed by physical examination by a dermatologist .2 Atherosclerois , due to diminished blood supply in this area , such type of discoloration stars . 3 Hyper pigmentation due to melanin deposits . Diagnosis can be confirmed by physical examination.Since this discoloration increasing ,so consult a dermatologist and get his opinion.Good luck.
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What causes emotional and depression while having nuvaring?
I have been using the nuva ring as a form of birth control for 2 years. Since, I have become so super emotional and depressed. ! minute happy and the next on the verge of tears for such rediculous reasons. Am i imagining that it could be the nuva ring?
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Hello, Please talk to your gynaecologist to shift you to some non-hormonal contraceptive choice, there are many in market nowadays days. The hormonal contraceptives are notorious of causing psychological disorders ( there are several studies available on them), or these may even increase the already existing psychiatric illness, or can lead to relapse in non otherwise stable patient.Your suspicions can be right about this device, though it is not possible to be sure ( as there may be other clauses like stress or family history, etc.) But this is an avoidable thing and can be replaced with other safer choices. If after removing this agent, your mood improves, this will be an indirect evidence that this was the causative factor behind mood changes.So, Best will be to shift to other contraceptive methods.Wish you good luck.Dr. Manisha GopalMD Neuropsychiatry
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Mild kidney infection. On antibiotics. Still having flu like symptoms
i went to the clinic and got diagnosed with a mild kidney infection and was given 3 days worth of antibiotics and it is getting to the last day and my back, although it has lessened, still throbs from time to time. However since starting the antibiotics i have been feeling tired. I also have been getting the sweats at night and have flu like symptoms
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Hi, I am afraid an infection of the kidney mild not actually be classified as mild, and taking an anti biotic for 3 days might be insufficient. The kidney is a noble organ of the body. A specific diagnosis and appropriate treatment of kidney diseases is compelling. In proper contexts, a presumed kidney infection should ideally be accompanied by a urine culture and sensitivity tests to decide on the appropriate anti biotic. Persistence of symptoms as you describe might deserve a more invasive watch and maybe an abdominal ultrasound. Kidney function tests could also be worth performing to ascertain actual level and function of the kidneys. Persistence of symptoms might warrant booking a visit with the nephrologist for a proper evaluation. While waiting, complying with the antibiotic plan and drinking a lot of water could be helpful. Hope this helps as I wish you the best, Thanks and best regards, Luchuo, MD.
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Can I become a father if I had early variococoele left last and 70% semen motility ?
hello Doctor,i was diagnosed with early variococoele left last year and i dint undergo any treatment .but i have started to have pain on my left testicle.my semen analysis is liquefaction time is 2hrs,volume is 1.5ml,motile 70%,sluggish motile 20%,Non motile 10%,Count 30million /ml,Abnormal forms 15%.i have just married ,and can i become a father.request you to kindly mail me back.
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Hi, If the semen examination is in normal, you can become a father. Early varicocele does not harm fertility. So, do not worry. You may consult the surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
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Any ayurvedic treatment for systemic lupus erythematosus?
hello doctor i am haris from dubai i am a SLE (systemic lupes erythematus) patient now i am taking hydroxy chloroquin400mg,methyl prednisolone16mg.levothyroxin 25,nd shelcal500mg so i am suffering from side effect thease medicine can i change to posible ayurveda or unaani treatement for compleate cure this desease please give good suggesion regarding our desease
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Good evening sir. Well we normally never recommend Ayurvedic or Unaani for SLE cause none of these medications can completely cure the SLE. Plus switching to the medicines which we dont know the content is sort of a risk. Basically we are letting SLE loose and it can attack us in anyway it wants. IF you are experiencing side effects you can always request for change of medications or dosages. There are better treatment s available for SLE as well. Overall I wont recommend and you shouldn't depend on them.
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What does the biopsy indicate regarding cancer?
Hi, may I answer your health queries right now ? Please type your query here. My husband was recently told he has cancer in his throat and wednesday will under go his second biopsy. I don' understand the words Strongly positive for CEA and CK5/6 and modestly positive for P63. Can you tell me.
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Hi, dearI have gone through your question. I can understand your concern. It is tumour markers report. CEA is marker of cancer. It is strongly positive. Likewise ck and p53 is immuno histochemistry markers. Your IHC report suggest cancer. Consult your doctor and take treatment of your cancer according to stage of cancer. 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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Is stem cell therapy better than knee replacement?
I have a problem with my left knee. I have been told that this knee is bone on bone. I do not particularly want to have a knee replacement. I have heard that stem cells injected into the knee may be better than replacement of the knee. Can you tell me more about this new procedure? Barbara W.
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Dear patient if your left knee is showing bone to bone on xray total knee joint replacement is the best option. Stem cell therapy is the new edition to the treatment of early osteoarthritis and those patients with local cartilage defect. Bone to bone on xray means near complete loss of joint cartilage which cannot be replaced. Total knee replacement has now exellent results and is time tested surgery. you should not be worried.
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What causes no improvement in fever after taking rezatrin forte?
Hello Doctor, I had a severe fever and when i consult the direct he gave me rezatrin forte since my sympomts looks alike malyaria but stil i am taking this tablet for the past 2 days still 1 day remaning to complete this course.but still i dont have any improvement. Also i have taken this tablet without blood test. Please suggest me
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Hello dear ,though you are having symptoms like malaria ,you have to check your blood to find that if you are having malaria or not and if yes then which type of it is ,complete blood test will help you so it is advisable to do it 1st
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Need confirmation on Asthma like symptoms.
my child is 5yrs now. can she be diagonsed with asthma Asthma runs in my family presently she is coughing badly and always gets worsen during seasonal change. some experts says she has tonsils and few others says she is allergic Present Doctor has advised for CBC, Gbp and AEC test Pls advice
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Hello.Thank you for asking at HCM.Childhood asthma can be present at this age, especially when there is family history of asthma. If your child has recurrent wheezing episodes, requires nebulization, night time cough, symptoms associated with seasonal changes, I would first think of asthma. Asthma can be allergic and non-allergic.The investigations suggested by your doctor will help, but if they are negative, it will not mean your daughter has no allergy/asthma.There is not a single test to diagnose asthma at this age. Detailed asking of symptoms and pattern of symptoms only will suggest asthma. However, there are tests available for diagnosis of allergy, I would additionally suggest allergy testing and serum IgE levels for allergy.Hope this will be helpful to you.Wish your daughter the best of the health.Regards.
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What causes burning and bloating of stomach post gall bladder retrieval?
I wake up, and my stomach feels like its cramping, and somewhat bloated. If i get up and move around more, it does not seem to bother. I suffer most of the day with burping and feels like gas buildup and somewhat bloating of the stomach. I got my gallbladder out a few years ago, and ever since then i have had issues with bloating feeling. Every morning my stomach feels like its burning etc. PLease let me know. I tried most medicines, and does not work. Some like acid reducers seem to cause weight gain? Not really sure. Just looking for better opinionsS
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Hello,Avoid fatty meals. Try some antigas tablets or powder. Take plenty of water and dietary modifications required.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh
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Should i discontinue Cefalexin after experiencing side effects like ulcers and lethargy?
Hi, I get tonsillitis alot and am allergic to penacillian also struggle with other antibiotics as they cause vomiting and diarrhoea. My GP has prescribed Cefalexin but I have a really sore mouth (ulcers,lumps) am very tired and have a couple other side effects should I stop taking it?
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Hello, You should consult your doctor to switch it to some other medication, meanwhile keep yourself hydrated with adequate water intake.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Wajahat Baig, Internal Medicine Specialist
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Prescribed Azithromycin and Clindamycin for acne. Scars due to acne. Suggest treatment
hello , i am 20 years old have problem of acne , i have consulted doctors but i am unable to complete whole course due to lack of time and not stable at one place.. i was given azithromycin tablets, Isotretinoin tablets and Clindamycin 1% gel to be applied on face..should i continue with this medicine or i should stop taking the same. i also have scars on face because of acne ..please suggest some treatment for both problems.please help me..ll be so thank full to you...
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Hello, Acne scars are a result of acne itself so from preventing newer formation of scars we must stop formation of acne first for which you need to take isotretinoin caps for atleast 3 months continuously. Coming to the scarring you can go for either dermarollers or fractional co2 lasers treatment depends on what type of scars you have. take care
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What causes recurring heart palpitations and chest pain?
my 17 year old daughter has had recurrent heart palpitations over 3 year period. now coupled with a pain/ache in right side of chest, shoulder and down right arm. any suggestions as to reason? what should we do about this, if anything. ECG and stress tests all clear.Thank you
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Hello. Thank you for your question and welcome to HCM. I understand your concern. Well, after the EKG and stress tests came back normal, we can exclude, with highest probability, a rhythm or conduction disturbance which could be innate. It is important to be stressed that heart rate tends to increase whenever any human being is engaging in physical activity - it is normal to go up to 200 beats per minute in your daughter's case, or is undergoing to a state with psychological stress. If that is so, then there is nothing to worry about. Also, the pain originating in the right part of the chest and then radiating to the right arm is not linked with the palpitations, and very rarely, with any heart condition. My opinion is that repeated palpitations generate certain amounts of anxiety and the anxiety produces really-felt symptoms by the subject complaining about them, but with no organic or disease-based origin. My opinion, once again, is that there is nothing to worry about. I hope I was helpful. Take care. Regards, Dr. Meriton
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What causes fever and elevated CRP in a child?
Hello I have a 9yr old boy who ran a fever for 4 days then took him back to the doc the following week because he wasn t acting right very tired and pale, they did bloodwork and ER was 85, crp elevated and platlets at 578k?? Can I get a little insight on this
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Hi...it all depends on the clinical manifestations the kid has got, like how many days of fever, redness of lips, strawberry tongue, swellings in neck, skin peeling etc. It might be a Kawasaki disease too. I suggest you consult your pediatrician with this tips. Regards - Dr. Sumanth
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Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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What is the white, sticky discharge from eye?
My 1 yr old daughter has some white sticky stuff comming out of her left eye, usually she has this when she wakes up from her sleep. But today she has it even when she is awake, If i clean it it comes back in a few minutes. Her eyes are niether red nor itchy. What could it be?
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Hi....By what you quote I feel that your kid might be having a viral conjunctivitis. I suggest you keep cleaning the eyes frequently with clean room temperature water. If it still persists for more than 3 days then I suggest you either visit your kid's pediatrician or upload an image of the eyes in this website and get back to us.Regards - Dr. Sumanth
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Is hemoglobin level of 13.4 a cause for concern?
hi, i checked my HB and got 13.4 my weight is 115KG and hight is 181 30yr old Male frm india am now to reduse my weight so doing the exersise and reduse my cunsumption of food also quit my Smocking & Drinking Habbits is this level dangourous for me ? Please advice me ......
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Hello,this hemoglobin is not abnormal for a man. It's rather low but normal. If you had a higher value in the past then you should worry about the reason it dropped. This level is not dangerous in itself though. Just check an older blood count and make the comparison. If your hematocrit or hemoglobin is similar then there is absolutely no need to worry about it.I hope I've helped!If you need more information, please ask and I'll be glad to provide it.Kind Regards!
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Q. My friend is diagnosed with first stage of conversion reaction disease. What to do?
Hello doctor, My friend is 20 years old, female. Before some days ago she was sense less on a train and then this again happened with her. She consulted a doctor and he says that she is suffering from the first stage of conversion reaction disease. But the doctor could not suggest any medicines but he says that the last stage of this disease is paralysis. Doctor says to my friend that do not take any tension and to keep her mind free all the time. She was feeling weak what will she do?
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Hello. I have read and completely understand that you feel quite concerned for your friend. As you have mentioned that she has been diagnosed by the doctor as having conversion disorder, it is quite probable that she may undergo these conversion attacks at any time. There are purely psychological reasons behind this disorder, no medical cause lead to this condition. Therefore, generally, no medical treatment could be found a cure for these attacks. If the doctor has suggested this diagnosis after complete assessment then there may be no further need for the tests. If complete testing has not been administered yet then you may go to a psychologist for confirming the diagnosis after keenly observing her medical test reports. Needs to be differentiated for the types of conversion disorder according to the DSM-5 (diagnostic and statistical manual of mental disorder) criteria. Conversion disorder. Generally, no particular medication is prescribed for conversion disorder. However, some doctors may suggest medication after observing the patient's current condition (beware these medications would reduce anxiety or tension but would not cure the conversion disorder). The effective treatment for conversion disorder is found to be psychotherapy. Consult any psychologist or psychiatrist specialized in conducting psychotherapy sessions. Or you can suggest some online consultation sessions. Treatment mode can be cognitive behavioral therapy plus psycho-education. Must take expert guidance on how to deal with the patient behaviorally. Family members, closed ones of such patients also need guidance because their mishandling can increase the frequency of conversion attacks. Do take follow-up if you feel the need.
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Clariton not working for ragweed and goldenrod allergies. Will Zyrtek help?
My boyfriend had leukemia 2 years ago and went through chemo treatments and was in remission. Today he was told his white count was 62. I m not sure what type of leukemia it was but I know it was in the lymphnodes in the stomach. I know this means the leukemia is back and am worried about his chances of beating this again.
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Hi, I understand your concern. Before labeling it as relapse , we need to get his complete blood counts with peripheral blood picture to look for any atypical cells. He might need Bone Marrow Examination .It would be better if you go to his previous treating doctor , who must be aware of his past treatment history and would be wiser in evaluating him. Hope it helps.
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How to treat face injury?
I was accidentally hit in the face...an elbow went into my eye socket area and cheekbone. 24 hrs later I still have pain around eye cheekbone and a little in the jaw. Little swelling under eye and what looks like a small area of broken blood vessels in eye on that side. I can see fine but just in pain. I have terrible health insurance and don t want to overreact as I don t think the cheekbone is fractured but possibly a hairline fracture. Should I get an gray to find out though
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Hello, Consult a neurosurgeon and plan for a CT scan. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Suffering from whole body tingling, under stress. Having fibromyalgia. Taking anti depressants, BP and cholesterol medicines. Advice?
Hi, I am suffering from whole body tingling and have been for the past couple of weeks, but the last couple of days it has gotten worse. I have Fibromyalgia and am on anti depressant medication along with high blood pressure and cholesterol medication. I am under a fair bit of family stress, could this be a factor. Thanks.
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DearWe understand your concernsYou are almost under severe stress and stress induced anxiety possibly. Tingling feeling is an indication of that. Also you are taking medications for so many condition and also for depression.You must understand that human life is like that. You need to adjust with situations. Be brave enough to face life crisis. Everyone does it daily.Also do some meditation and relaxation exercises with the help of a psychologist. I can help you online if you desire so.Get well soon.
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What is the cause of shortness of breath?
hay doc, i have been experiencing the pain in my front left side and back side.sometimes i feel like im getting ran out of breath for some minutes and my through t feel like i have something blocking it.when i sleep i get black out like my heart stop beating for seconds...pleas doctor i really need help on this...
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Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of either bronchitis or heart block is more. You are having cyanosis (bluish blackening of skin) and absence of beats for some time. These are symptoms of heart block. So better to consult cardiologist and get done ecg and 2d echo. If both are normal than we need to rule out bronchitis. Because your symptoms like chest pain and breathing difficulty are seen in bronchitis. So get done PFT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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Suggest treatment for diabetes and stress
I have a question for you. My sister has a severe gambling problem that her husband & her been kick out of houses cause of non payment. She goes online to cash advances gets the money and gambles the money away. Also she is an diabetic and uses it for her benefit for us to easy up on her. Does not take her medication and b ecomes a life threatening situation for her and others! My question is can her husband have her committed or speak to a doctor even she refuses?
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Hi After going through your sister's scenario two important problems needs to be tackled. Habit of gambling and taking money in advance for that it indicates psychiatric disorder which needs to tackled first. Second is her Diabetes:For diabetes management patient's active participation is very important, though family support is also important. Though her husband can take opinion of diabetologist against her will, it may not be fruitful. Before head it is really important to take opinion of psychiatrist regarding her gambling problem and neglect of diabetes treatment, she require psychiatric counseling. During whole process she needs family support and active participation of her husband and yourself in treatment.
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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 to quit masturbation
lo. . .sir i m sandeep i want to ask one question i have one problum i m doing hand practice twice a day from last 1yr i want to stop this hand practice nd also tell me how to regain power of sperm in body
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. You should not worry for the act you are doing.Its false belief in the people that you will loss the strength if you do masturbate.Whether you do or you don't do your strength and power of producing the sperm remains same.Madturbation is the natural phenomenon and everybody is performing it regularly.People who do not masturbate may have sweet dreams with ejaculation. So if you the act it won't harm you in any way.So in my advice eat healthy and do regular masturbation.I am Dr Arun Tank answering your concern.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM
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Suggest treatment for precancerous cells
I have poly cystic ovaries ( sugery 4 years ago to remove 5 lb cyst) and had a pap smear 12 months ago that I just found out had precancerous cells. I am 23 y/o and had been told it was fine but PA said changes have occured and now precancerous cells are worse ( not sure what that means so looking for info. I don t have HpV as I had a vacine in high school. Symptoms:I have back pain, weight gain, nausea, cramping and fatique. I will call OBGYN in am to request an ultrsound. Do you have any suggestions ?
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Poly cystic ovaries is not something that you should be worried about since they are not precancerous. As far as the PAP report is concerned, it is something that should be taken seriously since the degree of pre-cancer cells have increased. I would suggest that you undergo a colposcopic examination (in this they put a dye on your cervix and examine it carefully. Any suspicious area is biopsied). This will settle the diagnosis beyond doubt and start appropriate treatment.
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Q. Kindly explain about the pros and cons of the Mediterranean diet.
Hello doctor, What is the biggest pros and cons of the Mediterranean diet?
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Hello. The Mediterranean diet is my favorite and I always recommend my patients to follow this diet. With regards to pros and cons, should focus on what this diet consists of: Mainly of fresh fruits and vegetables, olive oil, olives, fish, legumes, whole grains, nuts. Basically, all body parts will get benefit. Plus, sharing meals with others and being physically active are also part of this diet, and makes it very beneficial. With regards to cons, should look into the risk of following this diet: I do not know any study to confirm the risks. This is because all food types are eaten in moderation. So, there is no fatal restriction in food, nor in physical activity and social interactions.
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What causes lump on arm?
Hi, my friend has some reddish lumps on the lower part of her arm, near her wrist. She also has a really bad headache with shooting pains in her back. Do you think you may know what this is?..... i've been searching for answers and haven't found anything Please would you reply by e-mail, i haven't got a phone right now, sorry for any inconvenience, i'll have to put a fake number in
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Hi,Welcome to HCM.Based on the facts of your query,You seems to have 2 differrent helath issues.Reddish wrist lump seems to be of -Ganglion Cyst of the Wrist.Headache with shooting pains in her back seems to be due to ?Cervical Spondylitis she might have.X-ray of the Neck and of the back would fix its cause.For Both take Tab Diclove for painkilling and for muscle relaxing,which would take care of both the conditions in one go.Hot fomentation/ Neck Exercises/ Good posture of the Spine/ is needed for further and fast relief.If it is troublesome Check with Ortho-Surgeon and get Second opinion on this.Contact with a Followup Premium question to ME.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!Dr.Savaskar,Senior Surgical Specialist-M.S.Genl-CVTS
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Pain in the stomach. Heavy and uncomfortable feeling after having food. Remedy?
For a week now I have had a gnawing, uncomfortable feeling in my stomach, especially after eating small amounts of food. This occurs maybe half hour or so after eating. Its pretty much been constantly there for the whole week. I stayed home after the first day because I thought I had a stomach flu, but it s continued all week. Nighttime is very uncomfortable. I had a meal replacement drink because I was afraid to eat a meal but the pain and fullness feeling still came shortly after. No matter how small amount of food or drink I have, the full feeling and sharp pain still occur. Can you help me?
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Hi Most likely you are suffering from Acid Peptic Disoder. You need to take simple soft diet without spices. Antacid suspension/gel containing oxetacaine 10ml 4 times daily before taking food with Proton-pump inhibitors (PPIs)- omeprazole 20mg, pantoprazole 40mg, rabeprazole 20mg in the morning empty stomach will be helpful. If needed you can take extra dose of Proton-pump inhibitors in the evening empty stomach. Instead of Proton-pump inhibitors, you can take H2 receptor antagonists - renowned brand Ranitidine (common brand name Zantac by Glaxo) 150mg morning and evening empty stomach may be used. Regards Ranjit
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What causes delay in periods?
last month i got my period somewhat like a week before, at 1st it ws light, and it continued for about 9 days as high bleeding. is it something like implantation bleeding? when i consulted the gyno, she gave me meftal, omeprazol and tranzamin. so the next day it got stopped. and for this month still i didnt get my period, like almost a week delay. is there any chance to be pregnant. i wish for.
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Hallow Dear, Since you had continued bleeding during menses for prolonged period and it had to be controlled by medicines, this this time the periods are delayed. Wait for some more days, may be for a week to 10 days. If still you do not get menses, you may have to induce your menses by some progestational preparation. Please get the advice and prescription from your Gynaecologist. I hope this helps you.Dr. Nishikant Shrotri
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Suggest treatment for the lump in my arm pit
noticed a lump in my armpit the size of a pea some days ago, it doesnt look red in colour but is swollen, a little painful and been of the same size since. also i have pain from my armpit to my elbow esp around the inside of my elbow. my lower arm is tender to touch. everytime i raise my arm to my side i see somthing like a taut tendon and i cant raise my arm any further due to pain. wht do u think it is?
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Hi.Thanks for your query and an elucidate history.If the swelling is attached to the skin this is most likely to be a sebaceous cyst. If it is deep rooted there are more chances of this being a lymph node. The referred pain is normal and nothing much to worry about it. Take a course of an antibiotic and anti-inflammatory medicines under the direction of your Doctor. Lymph node will settle with this. A sebaceous cyst may need removal under anesthesia, The movement swill improve with the proper treatment of the original problem
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Spitting blood, been stressed, have sinus and acid reflux. What does it mean?
I have had numerous of test done by doctors and specialist and they cannot figure out why I an spitting up blood I am 15 . it comes and go at any time and just last about five mimutes and then it goes away this has been going on for about a year . could stress cause it I am being bulley a lot I have sinius and acid reflu
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Keeping in view the information that you have provided, stress itself cannot lead to bleeding. It can make you anxious and make you believe that you are spitting blood. We need to look into other things as well as follows:1. Is the blood coming in the sputum or saliva?2. Is the blood coming with small vomiting with food particles?3. What is the color of the blood, bright red? or dark brown? is it in streaks or clots?4. Is it coming from your gums or teeth?I will be pleased to answer follow up questions.
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What causes fluttering in chest?
hi, I have been having a fluttering in my chest (seems like my heart, just left of my breastbone), since last night and throughout the whole day.It feels like bubbles, not painful, just uncomfortable. It is driving me crazy. It happens about every 5-10 minutes, sometimes more often...is it my heart or esophagus?Kind regards
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Hello!Thank you for asking on HCM!I understand your concern and would like to explain that it is not very easy to differentiate between different causes of this symptomatology, just referring to your complaints. It may be related to a cardiac arrhythmia or gastro esophageal reflux, or esophageal spasms. I recommend performing some tests besides a careful physical examination: - a resting ECG - a chest x ray- complete blood count-kidney and liver function tests- blood electrolytes-amylasemia (for the pancreas)- inflammation tests ( PCR, sedimentation, fibrinogen), to exclude possible costo chondritis. - a fibrogastroscopy to exclude possible esophageal disordersYou should consult with your GP on the above mentioned possibilities. Hope to have been of help!Best regards, Dr. Iliri
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Severe gastric problems, quit smoking. HbsAg negative, fatty liver, high SGOT, SGPT. Cause of worry?
i m 36 male used to smoke but now a non smoker(from last 2 months),recently i was having severe gastric problems.my doc advised me to have hbsAg , ultrasonography , endoscopy done.my sgpt-104,sgot-64,bilirubin-1.1,with HBSag -ve and fatty liver was found.is there anything to worry?
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Hi, Thanks for posting your query. Let me know the reports of your endoscopy also. With described symptoms, there is high chances of peptic ulcer disease. Peptic ulcer disease may be in form of chronic gastritis, fundal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer and adenocarcinoma of stomach. Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief. You should take frequent small amount meals. Your liver function test is also deranged and it appears to be due to fatty liver. You should take proton pump inhibitors along with prokinetics for relief of your symptoms. Take care, Dr. Mayank Bhargava Avoid tomatoes, legumes, citrus fruits, onion, garlic, spicy and oily food.
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I get sudden weakness, dizziness & cant focus on anything
I get sudden fits of weakness, and dizziness and I cant focus on anything, but if I wait a while and sit or rest it passes after about 30 to 45 minutes, any clues ?
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have you had any blood tests? Could be your blood pressure, blood sugar, red blood cell count etc. Check with a doctor about these things
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. How to solve my daughter's behavioral issues?
Hi doctor, My 7 year old daughter started behaving strangely for the last two months. She started feeling something that stuck in her throat and she cannot swallow. Then, she said that all foods are junk and would ask whether a particular food can be taken after another food, etc. For example, Can I have milk after chocolate or rice after fruits? She feels that her hand is dirty and does not use hands to have food. Always, mother or grandmother has to feed her. She does not like taking bath or brushing teeth while going to school. At that time, she got angry, uses abusive words and causes physical harm. When she gets angry with anyone, especially relatives and parents, she uses abusive words and causes physical harm by pinching and kicking. She spits at the person or on the floor. Her spitting occurs frequently without provocation. She touches each object she comes in contact and then places her fingers over her forehead repeatedly. She her mouth full of saliva during class hours. She is calm at other times, but gets irritated very fast. She feels guilty after causing physical harm and says sorry to mother only. We feel that she cannot control her anger. Kindly help us with the diagnosis. What is her condition? How to solve this? Can this be treated with counseling?
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Hi. MRI brain and electroencephalogram (EEG). Revert back with the reports to a psychiatrist online.--->
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Is inflammation a part of the healing process post a torn abductor muscle?
I m a 36 year old male. I was diagnosed with a torn abductor muscle which I could feel inflamed when I exercised on my elliptical. I was told to rest and stop working out but now I have this tickling and painful sensation coming from my testicles. Is that normal or part of the healing process for an injury like this one?
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Hello,Inflammation is part of healing process of a torn muscle.For a complete recovery you should do rest and avoid exercises.It may take about 2-3 weeks for a complete recovery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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Can I do HCG diet after kidney transplant?
I had a kidney transplant March 30, 2010. My new kidney is working perfectly with a creatinine of 0.9. It started working immediately and has worked beautiful. I have been on Glipizide since the transplant (5mg twice daily) to control blood sugar. I was not diabetic before the transplant and feel like if I loose weight, I could control it with diet. I weigh 165 lbs now and would like to be back to 140 lbs. Can I do the HCG diet?
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Hello and welcome to HCM.As an Urologist and kidney transplant surgeon,i'll never advise a HCG diet.Your kidney graft is working well so far,then why not exercise regularly and reduce diet intake daily. HCG diet isn't safe or effective and has side-effects.It's not recommended by FDA, as HCG diet advises to take 600-800 cals/day.The side-effects of electrolyte imbalance, edema,depression,irritability,etc,are not advised for any patient. You've to be more careful than other people.If you've any doubt.you may send it as a direct question, to me.Dr.Matthew J. Mangat.
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How can atrial isomerism be treated?
Hi, I m 17 years old and was born with a serve heart defect. Called right atrial isomerism. I also have heterotaxy syndrome , all organ are midline. I m wondering if it s possible for me to have a baby. In the future of course. But I want to know, it s something I really want. Thank you, Colleen
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Thanks for your question on Healthcare Magic. I can understand your concern. You are having structural abnormality of heart. It is not necessary to have functional defect of heart along with structural defect. If your heart functions are normal despite of having right atrial isomerism, no need to worry for future pregnancy. So better to get done 2d echo and measure if ejection fraction (EF). If EF is more than 55%,no harm for you in getting pregnant in future. So don't worry, get done 2d echo. Remove fear from your mind about pregnancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Can ciprodex cause vomiting in kids?
my 16 month old son had tubes put in his ears ten days ago, over the past five days he has been vomiting. When we stopped his ciprodex otic ear drops the vomiting stopped. Took him to ear, nose, throat doctor today, he renewed his prescription, and within hours of giving my son the ear drops he started vomiting again, coincidence?
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Any drops we put in ear can come in mouth through ear tube. Due to bad taste child is vomiting. So do not worry.
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Suffering from itchy and clogged nose, continues sneezing. Suggest effective home remedy?
My mom is suffering from itchy nose,with sometimes clogged or spontaneous sneeze for three months. She took possible home alternative med, but it just stop for a couple of days.. She even consulted an specialist and gave her some medicines which are quite expensive. can you recommend an effective home alternative medicine for her?? thank you Doctor, God bless you and your vocation.
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use nilgiri nasya ( chinkini nasya ) to sneeze and clear the nose. use a mask to cover the nose and mouth area. keep urself warm. blow ur nose and keep it empty. avoid cold , banana, icecreams and curds.
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What causes recurring warts on genital region?
Hay. Am misan.I currently just noticed that I had wart growing in my private part. This happened about last month. Although I treated it and it fell off in less than three days. And now its back. I asked my doctor and he said it could be because I didn t finish my medication. But I feel otherwise and awful. Please help me
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HelloI understand your concern.How did u treat it?how many are they?You should avoid having intercourse until you dodnot complete its treatment.what's your age and are u married?You should remove them podophyllin solution.Tell your doctor to put it on warts.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow up.Please let me know all these queries so that I can help you accordingly.*Always check for history of allergy before taking any medicine.With Regards Dr Aamir
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Advise on vomiting and stomach pain at night with hepatitis A
Hi,My wife aged 25 was diagnosed with hepatitis A with viral infection in lever. SGPT and SGOT count had gone as high as 5500 but now has come down to 54 and 73. bilirubin count came down to 4.78 from 7.2. She is on hepamerge and udihep forte tablets along with R-RD cap(for gas) along with Silybon and Digene syrup. Still she complains of pain in the upper stomach (just below the diaphrame in center of chest ). IS there something I should worry or the pain will ease off in time? Also some times in night she vomits and the pain increases. she is on moong khichdi diet, water of the coocked dal, apple and cucumber.
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Hai.wat treatment ur giving her is quite enough for her problem, viral hepatitis has prolonged effects many of the times.Nausea, vomitting, pain abdomen are most common symptoms. Ur not supposed to give her more painkillers ¶cetamol as these affect the liver.u can give her antacids, ppi's like pantoprazole with domperidone atvleast one dose daily before breakfast to suppress the nausea effect. For pain u can give her simple mefenamic acid for the pain.Please continue with the same bland diet, nonspicy, non oily foods.It is usually prolonged self limiting problem, reduces on its own.Dont worry. Take care.
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What causes breathlessness with pain in the shoulder blades?
I have an xray because over the last 12months my breathing is becoming more and more difficult. It say the heart size is within normal limits. Cardiomediastinal contours are unremarkable. No focal collapse or consolidation is demonstrated. There is mild coarsening of bronchovascular markings, non-specific. There is no evidence of a pleural effusion or pneumothorax. what does this means. I also have back pain between my shoulder blades and pain in my bladder. My father comes from a family of 12 children. All have passed away with cancers. could I have cancer
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Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the x ray report you have mentioned. It is not suggestive of lung cancer, so no need to worry for cancer. Mild prominence of bronchovascular markings on chest x ray and breathlessness with chesty, shoulder paid are commonly seen with bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright. No need to worry for lung cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Alternate medicine of loestrin because of the side effects?
My 19 year daughter was changed from Loestrin 24 fe to Minestrin 24 fe in December. She in on the 2nd pack and now having terrible breast tenderness/tingling, bloating, mood swings and an episode of nausea and fainting last week. She doesn't get a period on this loestrin and so far has not had one on Minestrin but she was concerned and took a pregnancy test yesterday morning and again this morning. Both were negative. I have read these side effects are common on this BCP. Should she be taking something else?
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**1. Loestrin® 24 Fe [ norethindrone acetate and ethinyl estradiol and ferrous sulfate] is a prescription oral contraceptive used for the prevention of pregnancy and apart from the side effects you have mentioned other noticeable are Vaginal bleeding between periods (spotting) or missed/irregular periods may occur. [reason for going for pregnancy test]2. For additional safety information, or before opting for any alternate medicine please see FDA-Approved Patient Labeling.
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What causes pain and tingling in leg?
I couldn t sleep last night due to a throbbing in my left foot-had same throbbing on Sunday during day but put it down to heat as was a warm day. Last night tingling moved up to top of calf n a slight pain. This morning tingling has now reached my thigh. Tingling also in other leg and in arms slightly. What do I do? Is this a blood clot ??
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hitingling in both legs may not be clot, but peripheral neuropathy cause of which should be explored by a doctor. methycobalamin and neurobion forte tabs and injections may help.also caalcium and vitamins deficiency, anemia are other reasons, show to a doctr and get tested for blood levels, physical examination of nerves and spine etcbest wishes
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Suggest remedy for painful bumps in hamstring
im 16. about a month ago, i noticed that whenever i sat down i would get a pain on the back of my upper left leg. the pain only lasted for about 2 days. ever sence, ive felt a bump on my hamstring. it is small and fells smooth. i messed with it a little bit and it has caused some pain. ive hurt my hamstring multiple times, but not severe enough that i needed to see a doctor. what can it be?
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Hello,Your symptoms could be related to a pinched nerve or a muscle pain. For this reason, if this situation persists, I would recommend consulting with your attending physician for a physical exam and performing a lumbar vertebral column X-ray study and inflammation tests (complete blood count, PCR, ESR). In the meantime, I would recommend regular physical exercise (stretching) and avoiding weight lifting or prolonged standing up or sitting position.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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Suggest remedy for loss of balance and coordination in legs
In the past few months I have begun to notice that my legs don t seem to want to go where I want them to go...I can close my eyes and suddenly find my balance has disappeared. I am starting to weave unsteadily when I am not moving...the symptoms seem to disappear whenever I reach out and place my hand on a solid object. Altho I am active (somewhat) I don t seem to have the strength in my legs that I used to have only several years ago. I am 68 years old and spent my career as a lineman for the phone company. I have a friend who says his brother has something like this and is doctoring for something called PSP?
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HiWelcome to healthcaremagicI have gone through your query and understand your concern.You have some problems with your balancing which is function of of cerebellum.You should consult a neurologist and may require MRI of brain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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Is another round of chemotherapy recommendable?
hello doctor my dad has undergone surgery for HCC a 10 months ago, now the tumor has has been diagonised in ct scan ,he already undergone for chemo once,now the doctors are planning for another round of chemo,will the chemo works for him or should i look for other alternate treament? please help me
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Hi,Thanks for writing in.I understand your concern on your father being suggested another round of chemotherapy following surgery for HCC. Cancer is a difficult disease to treat and is based on individual patients following response to initial treatment. It will not be wrong to go for another round of chemotherapy. Chemotherapy is not one single treatment, it is a combination of medications that are infused in to the system to cause the cancer process to slow down and control the proliferation of malignant cells. There might be other treatments available for your father but every method is not suitable for all patients and a review of his past and present medical records is necessary. There are treatments like transcatheter arterial chemo embolization, radiofrequency ablation, focused radiation among others. Please have a discussion with his doctor and accept the one recommended.
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What could cause mild tremor in the left hand?
Hi, I have been prescribed Citistar 500 mg to be taken once in night for 30 days. I had no symptoms or any sickness, I had accompanied my mother for her check up with the neurologist, when from a random talk the doctor noticed a very very mild tremor in my left hand (when stretched and held), he did another test where he used a small vibrating stick and made me tell the difference in sensations between 2 specific points, from all the points the sensation in the forehead area were milder (some times no vibration felt at all) compared to the rest of the face. Based on this he prescribed me citistar. I would like to know the diagnosis of this condition.
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You didn't ask the doctor? Is he a neurologist? I don't quite understand his choice for your tremor since Citistar is simply citicholine which is a nutritional element. It is not what I would consider anything of a standard or definitive nature to treat either an essential tremor or a parkinsonian tremor if he is thinking along one of those lines. To my knowledge the evidence for medical use of citicholine revolves around memory and mental issues. Frankly, this sounds like some type of homeopathic medicine and you will not find it prescribed in mainstream U.S. medicine. I would advise you to not be lulled into buying large quantities of this medicine for your tremor......unless it works! LOLHere is a website you can look up that has some discussions on Citistar and decide for yourself: http://www.medschat.com/wiki/Citicoline/
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Suggest treatment for bronchitis with extreme weakness
I have been diagnosed with bronchitis, which I have had now for 4 weeks (I get it at least once a year). I think it may have morphed into pericarditis, which happened to me 3 years ago. I am EXTREMELY weak and tired, like a rag doll. Is the only remedy sleep? I get 10 hours sleep at night and take a 2-hour nap.... I am over 70... Sherrie
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HelloAs you explain the history i would recommend you to be seen by your doctor for probably further follow up.RegardsDr.Jolanda
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What is the best replacement for maxidone 7/750 mg taken for hip and back pain?
Are they still making Maxidone 7/750 mg? My provider says they are not making it any more this is the only pill that helps with my sever pain of my hips and back Born with no hip sockets had 8 total hip replacement on left side and 5 so far on my right. They tried to give me Hydroncordone 2 of 5/325 mg. Made my heart race and not feel well. I told them their is something different in Maxidone that makes me feel like doing things and takes away the pain. No side effects. If they will give me the Maxidone anymore I was wondering if you have any other pills that perform as well as Maxidone 7/750 mg?
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Maxicodone has hydrocodone which is a opium derivative and that is why once patient take it for long time, he did not like any other pain killer. You can say it is sort of habit forming drug. My advice to you is you can use tramadol and acetaminophen combination. I hope it will work for you. If your doctor can prescribe you morphine for some time this will also have same feeling like hydrocodone but it is also habit forming so should be used when pain is very severe.
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What does pain in the lower abdomen in a diverticulitis patient indicate?
I am having pain in my lower abdomen. I believe it could be from an internal hemorroid but I am not sure. The pain is right in the front. I am a 71year old woman. It also have diverticulosis but I don’t think it is diverticulitis. I have had that before. I know the bladder,lower colon and uterus are all kind of right there so I’m not sure.
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**Thanks for contacting with your health concern1. As there was a history of diverticulosis and now having pain abdomen as the symptom, thus following should be your approach:i. At present, it might be a 'gastrointestinal' symptoms [diverticulitis, celiac disease thus you should contact either a general surgeon, gastroenterologist or Gynecologist and if not sure consult your GP who after reviewing your case history and physical examination will refer you to specialist concerned.PS. The most common diagnoses of lower abdominal pain relate to uterine, gonadal, renal, and bladder complications, [less common causes like primary dermatologic and musculoskeletal problems as well as referred pain and neuropathies related to underlying vertebral and spinal cord complications can also occur], so examination is mandatory for further workup and management.2. since the pain is unexplainable thus it is wise to check with your doctor since persistent or chronic pain should be examined to rule out any serious underlying causes.PS. A doctor can diagnose the cause of the pain and develop a treatment plan that will address the underlying cause of lower abdominal pain
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Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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What causes lower back pain and leg pain after abdominal hysterectomy?
Hi I had a full abdominal hysterectomy 3 weeks ago. I m an insulin dependant type 1 diabetic and also have Behcets. I have bad pains in the tops of my legs and lower back and have noticed blood when passing urine. Is this normal after a hysterectomy? Many Thanks Catherine
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DEAR FRIEND I UNDERSTOOD YOUR CONCERN, abdominal hysterectomy OR ANY OTHER ABDOMINAL SURGERY WHERE THERE IS INCISIONS ON ABDOMINAL WALL SO DUE TO THAT YOUR ABDOMINAL MUSCLE MAY BE WEAKENED... PAIN IN LOWER BACK MAY BE DUE TO THE IMBALANCE BETWEEN TWO OPPOSITE SIDE MUSCLES GROUP.... SO HERE THERE SHOULD BE COORDINATION AND BALANCE IN STRENGTH IN EQUAL AMOUNT IN BOTH GROUP OF MUSCLES..... BUT AS YOU SAID DUE TO SURGERY PAIN AND WEAKNESS OF MUSCLES ARE OBVIOUS.... SO YOU MAY HAVE PERSISTENCE OF PAIN.. NOW WE CAN GRADUALLY IMPROVE THE STRENGTH AND ENDURANCE OF BACK MUSCLES BY GRADED PHYSIOTHERAPY EXERCISES... I HOPE YOU SATISFIED WITH THIS ANSWER.... STILL IF ANY QUERY, FEEL FREE TO ASK ANY TIME....
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Kidney stone of 4mm. Is it safe to undergo drip to dilute urine and flush stones in private clinic?
I'm suffering from Kidney stone Problem from the last one week.After Taking Scanning of Abdominal Pelvic, it showed a 4mm Stone in Right Kidney. Our Family Doctor is Continuously Monitoring the Development and assured me that the stone will vanish after due medication.Further, one of my friend is Asking me for saline infusion of 2-3 bottles (glucose drip) with other prescribed injections infused there in, so that continuous hydration would help keeping the urine dilute and actually may help flush out small stones. Is it safe to Undergo drip in Private Clinic under supervision of the Practicing Doctor !
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Welcome to HCM.Flush therapy is helpful but it depends upon location,size of stone.Flush therapy is always helpful for stone up to 7mm. but stone should be in the urinary tract.If stone is in the kidney than it will be less helpful.You have to be watchful for back pressure,also go for RBS,S.creatinine before flush therapy.Drink more water and keep in touch with your doctor.Also go for stone analysis and 24 hrs urine investigation to know the type of stone so there will be specific guideline of diet management to prevent recurrence.
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Getting blurred vision and wavy feeling in legs after acoustic neuroma treatment. Prescribed vibrania. Worrisome
hello doctor my father is having acoustic neuroma and is under going treatment and last few days he is having certain problem like blurred vision , legs waving and evrything around him seems to be wavy....so he has consulted one of the neurologist he has prescribed him vibrania capsule so i would like to know what is its use what is the problem... reply soon thanks
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hello, welcome to healthcaremagic, from the description of the symptoms, it might be the tumor is spreading to the eye causing the blurred vision, acoustic neuroma itself can cause the waving of the legs and feeling dizzy, the treatment being prescribed to him could also be causing the effect. would suggest visit his specialist to rule out the spread of the tumor. vibrania capsules have been given to replenish the vitamins he might be losing due to the treatment hoe tp have answered your query wish your father a quick recovery.
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Pain in the gum. No swelling. Reason?
Hello, a few months back, above just one of my teeth , my gum started hurting very badly. It was sore to the touch, and was constantly throbbing. This lasted about two weeks, and then suddenly went away. As of yesterday, the same area started hurting again. It s exactly the same as it was. There is no bleeding , and it does not appear to be swollen. It just hurts very badly. Could you tell me what this could mean?
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HELLO in your case it seems you have acute exposure of the tooth and hypersensitivity due to deep caries ,, which some time irritates and hurt you , but at the same time it is also possible that there is a pocket pain due to food accumulation in that specific area and you can properly manage it by viewing this issue with a PA x-ray. use of mouth wash and a desensitize tooth paste may also work but the good thing is to visit your nearest dentist for physical examination. regards,
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Does Udiliv 300 have any side effects?
i am 56 yrs old female.with68kg of wt and 167cm in ht.with hypertension,diabetes,had angioplasty done,thyroid removed,and is on a number of medications.i have been having gastric pain from many yrs,endoscopy done,ultra sound done everything is fine.recently did 320 CT scan and report says fatty infiltration of the liver,few lucent calculi in the common bile duct.The gastro enteriologist told me everthing was fine but i have been having pain on and off,so she prescribed me UDILIV 300 for 2 weeks.can i take this drug? is it safe?does this have any side effects?plz let me know . thanks
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Thanks for your question on Healthcare Magic. I can understand your concern. Udiliv is having ursodeoxy cholic acid. It is liver supplemental drug. It is very safe. No harm side effects or toxic effects on other organs are seen. So no need to worry, you can take it without any harm. It also don't show any drug interactions with the antihypertensive, antidiabetic and other cardiac drugs you are taking. It helps in dissolution of gallbladder stone and fat from the liver. So you should definitely take Udiliv without any fear. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What causes severe right-sided pain near the groin area?
I HAVE AN INGUINAL HERNIA. I HAVE AN INCREASING AMOUNT OF PAIN IN THE JOINT OF MY RIGHT LEG IN THE GROIN AREA. MY DOCTOR SAYS IT IS NOT FROM THE HERNIA BUT THE TENDONS AND MUSCLES IN THAT AREA. THE PAIN IS WORST UPON STANDING TO WALK AFTER HAVING SAT FOR A PERIOD OF TIME. I NEED A SECOND OPINION. WHAT DO YOU THINK?
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Hi, there!Your pain is coherent to activity and it can be related to hip joint and arthritis onset.X-rays of hip joint needed to confirm diagnosis.Further physical therapy and glucosamine/chondroitin using is possible treatment.I hope this helps
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MRI revealed black spot under left shoulder blade, pains at night, pain from ears to ribs. Advise?
I had a MRI that revealed a 4 -5 cm by 2-3 cm black spot under my left shoulder blade. The doctor said it was either a cyst or a tear. I typically do not have pain during the day, but at night when I lay down, the pain is excruciating. Hurts worse than anything I have ever felt. Wondering what it could be. At times I think its an infection because I start sweating, then I get hot, then I start sweating, then I get hot almost like I am getting a fever than breaking the fever. Other times I wonder if it is cancer as once the pain starts, my left arm feels dead and even my ear to my ribs hurt. It is a weird set of symptoms. I am scheduled to see a ortho surgeon tomorrow.
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Dear friend, welcome to Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here. If it is causing intense pain and feverish feeling, it may be an infected cyst or a tumour (bony or soft tissue tumour). Bony pains can be severe and incapacitating. It is difficult to tell exactly what kind of growth/ lesion it is without reading the report actually or seeing the image. Is there a swelling, discoloration, dilated vessels over the abnormal area? Have you done a hemogram to look for infection? I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at Good Luck! It helps us to improve continuously if you could please write a rating review before you ‘accept’ and ‘close’ the query. Thank you!!
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Suggest remedies for chronic hair loss
hello dear Dr Sahib. I have one question about the hair losing.5 years became i have founded this problem in my head. every day i have hair losing and the weak hair do not grow up. i have used the minoxidil and finestride but it did not solved my problem, so what is your suggestion for solving this problem. tanks alto Hamid from Afghanistan
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hair fall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement. Hope I have answered your query. Let me know if I can assist you further.
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How can kidney dysfunction be treated?
I have been seeing a kidney doc for the past 2 years. So far he has not put me on any kind of medication. Guess I was at stage 3 until Jan, then he said I m at stage 4. Is there any medication I can take to slow down whatever is happening and is there a chance I could get better? thanks
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Hello,You may take nefrosave tablet twice a day. But remaining medications like calcium, iron, soda-bicarbonate or potassium controller may need to be added after investigation. Please follow up with your treating doctor, he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Upper molar tooth extraction.On antibiotics. Dental X-ray done, normal. Treatment?
I had an upper molar tooth extracted approx end of April this year that had become infected. Tooth extraction was very quick and easy. I was given antibiotics before extraction. However, since extraction I ve experienced aching going up to my nose which has given me a watering eye. I went back to dentist who told me that everything was fine and they also took an x-ray which showed all ok. They gave me antibiotics but I still got this ache/pain around the area of extraction to my nose which seem to affect my sinuses. Don t know where to go from here.
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I advice u to take an ENT consult. u may be suffering with sinusitis which has gone worse after ur extraction. it sometimes happens as the root of the molar lies very close or into the sinus. do lots of steam inhalations would help
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Why am I unable to conceive even after being on thyroid medication ?
My marriage is going four years still now i didn"t get pregency.I have Thyroid problem for that i am taking medicine {Thyronorm 25mcg} other thing is fine.My husband have some semen problem after taking injection his semen is {52mill}.So what is the reason for not conceving.
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Hi,Thanks for writing to HCM .Inspite of your thyroid problem if your cycles are normal the chances of pregnancy are more . I suggest you to get your follicular study done to know you are ovulating or not and timing. Discuss with your doctor regarding use of ovulation inducing drugs like clomephine . This will help multiple follicles to mature and rupture . Thus increasing chances of pregnancy .Low sperm count is cause of infertility. Normal count is more then 20million /ml. Not only count motility and ph and abnormal sperms also matter. So get thorough examination of your husband. Ask him to reduce weight, ware loose under garment and stop smoking and alcohol. Hope I have been helpful .RegardsDr.Deepika Patil
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Suggest treatment for groin pain when diagnosed with epididymitis
I have epididimitus and I’m still feeling pain on the left side of my groin, I’m also feeling pain while urinating, and now I’m dealing with erectile dysfunction. I’m on my way to Florida for spring break. Is there anything I can do to feel better just til I get back from vacation?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Epididymitis is a harmless condition and it will respond well to antibiotics. You can start antibiotics for five to seven days preferably amoxicillin/clavulanate combination. Analgesics like ibuprofen or paracetamol can be taken for pain. No need to worry as of now as the symptoms will be relieved by three to four days. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for renal cyst
As a result of a recent abdominal CT scan of my abdomen, results show that I also have a right rental cystic mass, which was first detected back in 2009. Percutaneous cryoblation of this right renal mass was performed at that time also. However, I recently learned that my right renal mass has increased from 4 centimeters to 4.6 centimeters. Is is a medical issues that requires immediate medical attention? I m also scheduled for iliac aortic aneurysm repair on Apr. 2, 15.
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Hi,Welcome to healthcare magic.Renal cyst can be an incidental finding on Ct Scan.CT with contrast will help us to determine its severity and then take urologist's opinion, especially it is causing pain. infection, and bleeding.I think this would be helpful to u.Thanking u.
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What causes painful buttocks?
My six year old has been crying about pain on his bottom. He says the pain is on the cheeks, I m guessing probably the bones - on both checks. The pain is not inside his bottom. Help! I will call his doctor tomorrow but in the meantime, he cries at night and can t sleep...
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HI...it could be an evolving viral illness. Some viruses are notorious to cause diffuse body [pain...especially exanthem subitum. I suggest you give Paracetamol or fever and pain too. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth
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What causes pressure in chest?
Hi,after taking antibiotics for my sinus infection(1 month ago) I have mucos in my stool,and it s some times very dark,also discomfort in my stomach ,burp,pressure in my solar plexus,but the symptoms I worry about most is that that pressure goes up thru my chest (feels like vibration) some time I have it in my throat.my blood pressure is always normal pulse may be normal or little bit high( like 95)I don t have any heart pain.Do you thik it may be related to my heart
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Thanks for your question on Health Care Magic. I can understand your situation and problem.. Possibility of heart disease is less but better to rule out cardiac diseases first for your symptoms. So get done ecg and 2d echo. If both are normal than no need to worry for heart diseases. Possibility of antibiotic induced gastritis is more. Your all symptoms like burping, discomfort in stomach, chest pain etc are seen in gastritis. And antibiotics are known to cause gastritis. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic drugs Don't worry, you will be alright. But first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks.
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What is the large lump on the left side of my shin bone on left leg?
I have a large lump on the left side of my shin bone on left leg. I had been standing for four hours, first doing gardening; then chores in the kitchen when I began to feel discomfort but not pain in the aforementioned area. It's hard and has a purple cover the size of a half dollar that covers the lump. It does not look like a spider bite. My concern is that it could be a clot; however, it's quite hard to the touch. I have taken no medication. I have kept it elevated andi iced for more than an hour but the lump is the same. What do you advise. I have NEVER had anything like this before on my extremities or anywhere....except at the age of 12 when I had a hard cyst on my right rist from sports. What do you think this could be and what do you advise I do. Thank you!
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Hi, thanks for writing to HCM! If I were your consulting Doctor for this case of the large acute lump on the left side of my shin bone on left leg, I would consider two possibilities, these include: 1. a thrombosed vein due to blood stagnation in a varicose vein as you assume! 2. The second possibility is of an epidermal cyst or a dermatofibroma like benign condition ! Overall, its nature is highly related to blood vessels and you could go for USG Doppler/FNAC test for confirmation! In addition, you have to do routine hemogram blood test and also PT/INR/APTT!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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What are the symptoms of guillain–barré syndrome?
my husband 61 contracred Guillon barre 3months ago, he was given immnglobian and is making good progress but for his bladder he still has the catheter in even though he wants to pee when they take it out he has to go every 30mins or so but a very small amount so catheter has to go back in.Does this show signs it is coming back? We live in Portugal and tey don't know even saying maybe it will never?? He is able to walk unaided and even able to drive now, but still not much stamina is there something to help that return?many thanksSusan
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HelloThanks for query .Your husband has Guillain Barre Syndrome and was catheterized with self retaining indwelling catheter to drain urine from his bladder .However he is unable to pass urine of his own on removing catheter .This could be GB syndrome due to involvement of nerves However patients with GB Syndrome do recover completely within few months .Looking at his age to be 61 years the other common cause of difficulty in passing urine is Enlarged Prostate and needs to be ruled out.I would suggest you to qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil.
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21 year old with fatigue, sleeplessness and severe weight gain. History of eczema. Need help
Hi, I m 21 years old. I have in the past 3years been experiencing extreme fatigue , being unable to sleep nor wake up, not wanting to be around people, struggling to get through the day, low levels of energy, just feeling really down. This is not quite out of character for me, its how I ve always been but in the last three years its become worse to the point that I can t function and I ve gained a lot of weight. I recently peed in the bed and I itch all over my body so much so that I have to take several showers a day. I don t know what s happening to me. I have a history of eczma.
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Dear Nadia, Hi. By the complains you have mentioned and that too since 3 years,there could be plenty of reasons. First one has to rule out anemia which is very common among the young girls. The other common reason could be a low thyroid level and will have to be investigated. There is an entity called chronic depression, but then it can be labelled only after a detailed interview with a psychiatrist. It would be good if you can get hold of a psychiatrist (specialist) to get yourself assessed and investigated. The eczema part needs to be treated by a dermatologist with various creams and oral drugs. Get well soon!
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Q. What are the white spots on teeth during cold weather?
Hi doctor, I get white spots on my teeth periodically in cold weather climates. I am getting married in this climate and I do not want spots on my teeth on my wedding day. What should I do?
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Hello. Congratulations on your wedding. Good to hear. Sounds like a fluorosis. It happens due to fluoride deposit on tooth. And it do not appear periodic. It will be there all your life time. Need a picture of your tooth for better diagnosis. If it is cosmetic issue you can consult a cosmetologist for bleaching of your tooth. Visit your dentist for better results.
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What is the cause for lower back pain?
hello,my name is janis,i have had lower back pain for the past 4 days and now it has gotten into my left hip and also when i lay down it is hard for me to lift up my left leg,i have to use my hands to do so,and also when i get into a car i got to do the same thing,i dont know what is wrong,i went to the hospital and all they done was give me a shot for pain and sent me home and that did not even work,what can i do.never mind i have no credit card,sorry
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Hi, thank you for posting.I have gone through your query and I understand your concerns.The greatest probability is that you suffer from arthritis. Arthritis is a disease that causes painful inflammation and stiffness of the joints.To treat this condition you can take anti anti inflammatory medicines such as Advil.Massage, chiropratic procedures and physical exercises can also help.To confirm the diagnosis you need a spinal and pelvic X-ray, a fibrinogen test and a complete blood count.Spinal Ct-scan is necessary in order to rule out herniated disc.You should contact your neurologist to discuss about the diagnosis and the right treatment.Regards.Dr. Behar.
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After having a injury at the back of head experiencing dizziness & tingling sensation
i am 47 i was a passenger in a car that was rear ended i hit the back of my head, i was told that i had a neck injury a month later i have balanced problems and when i put my arm up i get dizzy i also have tingling sensations in my back and stinging feeling at the back of my head what is this tingling im getting.
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Hello, Your symptoms are common after that type of whiplash injury. They are due to muscle spasms with local inflammation and irritation of nerve roots, producing tingling sensations and mild dizziness. It may persist for weeks and months even. Often psychological factors play a contributing role in prolonging symptoms so should try to relax, physical therapy with stretching exercises or yoga may help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist
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How effect is aberaterone for prostrate cancer?
I am 72yrs old and have Prostate cancer which is in my bones also. I have a 3 monthly injection of depot and recently completed 6 treatments of Chemo. My Oncologist now is suggesting I try Aberaterone which is very expensive and again is not a cure. My PSA is climbing again after chemo stopped and is around 250 if my memory serves me correctly. My question is about Aberaterone and it s effect on people who have used it for their cancers. I have had a bypass op about 12 yrs ago which you should know about I think. I have an appointment in 2 days time with the Oncologist to advise him of my decision. I need to know how others have found it and has it improved their life or not. I look forward to your reply whatever it may be. Sincerely Gary
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Hi. Aberaterone is an option after failure of chemotherapy in advanced prostate cancer. Once the cancer has gone to bones it can not be cured. Aberaterone can not cure as do hormone therapy with depot and chemotherapy. It will lower your PSA , help Control cancer for some time, ultimately PSA starts rising again. Its a good option in your case. Price is of course an issue, its costly. My patients usually tolerate it well and are happy on it. Its most common side effects are weakness and fatigue. It also have bad effects on heart and liver. If I am your treating doctor, I would like to assess your heart function by doing ECG and Echocardiography as well as blood Liver function test, Urea, Creatinine and electrolytes. Hope I have answered your query. If you have any further questions, I will be happy thelp.
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Q. I have ulcerative colitis and got bloody stool due to constipation. Please suggest a medicine.
Hello doctor, I have been diagnosed with ulcerative colitis about a year back with 30-40 cm from the anal area by colonoscopy. I started taking Asacol (Mesalazine delayed-release tablets) about two tablets twice a day and now it has reduced to two tablets a day. I am also taking Ayurvedic medicine Mochras one tablet twice a day, Bilva compound one tablet twice a day, Jatamansi two tablets at night, Manasamitra vatakam one tablet at night. Again since last week or so, I had a bloody stool due to severe constipation. I am still having an urge to go to the toilet often four to five times a day. Could you suggest the best possible medication and exercises to put my UC into remission for years?
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Hello. Diet and pranayama are the ones which shall be given key importance here. I shall suggest you to have good quantity of fruits and fiber rich diet for the next one week. You can have oats meal for both breakfast and dinner. Consume rice soup with a pinch of salt as lunch. Have fruits in the midway when you feel hungry. This along with medications, will help to reduce both inflammation in ulcerative colitis and bleeding stool. Medicines you are consuming right now is perfectly fine and no change is needed in it. Adapt to the change in diet as mentioned for the next week and follow up. Here it will be helpful to you if you practice pranayama for 10 minutes daily as well. Kindly keep a gap of 30 minutes between allopathic and ayurvedic medicines.
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What is the treatment for lower abdominal cramping?
My husband is experiencing lower abdominal cramping, uncomfortable enough to make him feel the need for medication. He took two Tylenol and drank chamomile tea which helped a little, but finds that the only position he can tolerate is lying down. Please advise.
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Hello, welcome to healthcare magic forum,He can take antispasmodic like (Tab-Meftal Spas) 1-2 tab occasional when he gets pain but not on regular basis, if the pain is coming regularly then he has to be shown to a near by doctor. Regards.
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What medicine can I take to remove the dark spots which are there since childhood ?
i have old scars from when i was little and am unable to wear shorts, skirts, and dress, is there anything that i can use to remove them?
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Welcome to Healthcare Magic Good Day There are various possible causes of spotty pigmentation.You can apply a moisturer in that area. Avoid sun exposure. Eat plenty of green leafy vegetables. Drink plenty of water. The Dermatologist will offer you creams and/or options of laser removal of the pigmentation.
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Q. What is causing a flash while seeing side to side?
Hello doctor, I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas?
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Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent.
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Suggest alternative medicine for zeptol
Hi Doc,Am 51 years old man, suffering from elipesy siezures since childhood. Doctor have recommended me a daily dose of Zeptol 200 mg with Zipclone 7.5. However the results have shown and i dont get any more attacks but the side effects of Zeptol has started showing. I'm using zeptol, since 12 years now and have mouth ulcers since 1 year. Other side effects like, severe chest pain, prone to diseases have increase over the years which is affecting my health. I would like to know, is there any alternate of this medicine. Please suggest.
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Since you have been using the above said medicines since a long period, i would not suggest a sudden change of medicines. Gradually its dosage can be tapered after consulting with the doctor who prescribed it. As for the ulcers and gastric complaints, you May use Ayurvedic medicines along with it. Also daily gargling of mouth with tila oil would be very useful. I would suggest you Laghu Sootsekar ras tablet 2-2-2 AF and stomatab capsules 1-1-1 for a period of 1 month.
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What does this MRI result of the left knee post injury indicate?
I had a fall on black ice in Dec that injured my left knee and was wondering if a grade 3 focal chondral defect to the medial femoral condyle and an enlarged plica would have been a result of that fall. I never had any previous issues with my knee prior to the fall. I also sprained my MCL and hamstring. Have you seen this before?
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Hello.Thank you for your question.I think that the osteochondral defect can be a result of your fall but not the enlarged plica. The plica is something that you were born with but did not caused you any trouble.Now if the knee is swollen and painful for long time and does not get better, I suggest you to see an orthopedic surgeon as you may need arthroscopic ( with camera) surgery for osteochondral defect.I hope i answered your question.
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What causes stomach pain and diarrhea after gallbladder removal?
Hi - had gallbladder removed 1 year ago.. still many stomach problems, gnawing pain upper right quadrant, then results in explosive diaherria and vomitting, horrible pain. comes almost daily. now i can only eat white foods - bread rice pasta potatoe etc., as everythign else causes this problem. i have lost 55 lbs. (which puts me at normal weight now). i have had ultrasounds, colonoscopy, and the one down the throat with camera, (sorry can't remember the name of hte procedure) as well as the breath test. Noone can find any cause for this.. it is a huge problem, i can't leave house without "toilet paper and supplies " fo rthe car etc... and now becoming housebound to avoid these painful episodes .. any ideas ?
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thank you for posting query.post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain.need further evaluation.advice:- take nexium/pantocid 40mg once daily before breakfast (for the rest of your life)- take metoclopramide or domeperidone before meals for 33 to 5 days- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct- also get a complete blood cell count(CBC) test- avoid OILY food altogether- avoid eating stomach full and mouth full- avoid spicy food wish you good health.further queries are welcomed.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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Should the metal tubing causing infection left in the breast be removed?
if you were diagnosed with Zaskas disease. how often should you go for a folow up to ensure it has not become cancerous? during the biopsy there was a metal tubing left in the breast and has caused infection which has not been cleared up with several rounds of antibiotics. should the medal be removed?
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Thanks for your question on HCM. Zuska's disease is abscess in lectiferous glands in areolar and subareolar region.And you should get done monthly follow up once infection is cleared. And yes, you should definitely remove the metal tubing.It may act as foreign body and cause local reaction and granuloma formation.So better to get it removed.
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Suggest treatment for severe back and neck pain
I have have severe back and neck pain. I have been told I have cervical spinal stenosis and I am on paid medication (Tramadol and felxril) Neither of those seem to be working and I starting week 3 with this pain. It hurts to bend over and turn more neck. I have limited mobility and pains shooting down my arms every now and then. I am a NHL cancer survivor (diagnosed 2008). Could there be any relation to that?
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Hi YOu are an NHL Cancer Survivor and are suffering from Cervical Canal Stenosis. In my opinion Cervical Canal Stenosis has generally nothing to do with cancer. In your case I would to suggest adding muscle relaxants and physiotherapy to your current treatment protocol . Regular exercises also help to strengthen the muscles and prevent recurrences.
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Frequent cold, cough, enlarged adenoids, allergic, steam inhalation okay to give ?
My son is of 3 yrs and 2 months. He has frequent cold and cough. Doctors say he has allergy . he also has enlarged adenoid . Can i give him steam inhalation even if he does not have cold and cough as a preventive measure?
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Hi Madhumita, Yes, you can give your son steam inhalation as a preventive measure. Use karvol plus inhalant capsules in the steam water container as it gives more relief and makes your son feel better. Wishing your family a healthy life. Regards,
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How effective is Clofert 50 mg in getting pregnant?
Hi i am married since two years We are desperate to have baby now.Our gynecologist advised me to take Clofert 50 mg for three months (5 days every month). Kindly let me know what are the chances of getting pregnant with this medicine? My period is regular
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Hi,Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.It would have been nice if you had provided me some more information like your age, BMI, whether your hormone assay, HSG and husband’s semen analysis are normal.Since your doctor has already started treatment I presume that baseline investigations like hormone assay, HSG, and semen analysis are done and they are normal. If these are not done you need to do them.Clofert induces ovulation. Its effect depends upon type of ovulatory disorder and BMI. When used for 3-6 months, Clomiphene induces ovulation in 60-80% of women and about 30-40% of women who take clofert become pregnant . Most pregnancies occur in the first 3 months of use.Some women may need higher dose of clofert and some women may not respond to it. So it is necessary that ovulation with clofert is confirmed by ultrasound at least in the first cycle of its use.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic.
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Experiencing pain in waist and anus after urination, stone in kidney. Done ultrasound. What does it mean?
Since many years the pee wakes me up in the morning. After I go to the toilet to pee I feel strong pain at my right back , its almost 10 centimeters from my right waist and its 20 centimeters from anus. I changed the mattress but it did not work. I went to the doctors the made an ultra sound and the found only a small stone at the bottom of my right kidney, and it does not move. The Doctor said the stone is the reason for the pain. I took some medicine the stone gone but the problem is the same.What is your advise to me?
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Hello,Thanks for posting,The pain that is existing now is more likely due to the previous existence of the stone in your kidneys which caused a local inflammation. If medications were given to dissolve the stone and it was done successfully, then the inflammation created by the stone still exist. You will need to placed on long term analgesia and antispasmodic medication and drink as much water as you can daily. Antiinflammatory medications are well suited for that. If pain still persist, then you need to meet a pain management specialist plus a urologist who can properly handle your situation.Hope this helps
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