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What does a red bruise on shoulder blades indicate? Hi. My 19 month old came home from daycare with a bad bruise slightly above his shoulder blades. it is not a typical bruise, it is red and did not change colour. There was horizontal scratches along it also! What sort of bruising is this in this odd place? Why is it different to the typical bruise that changes colour? This is his second bruise like this and they both happend in daycare
Hi, welcome to icliniq.com.- red bruise over shoulder with horizontal marks, indicates trauma at shoulder region. - if a bruise is large or on a part of body where skin is thin, it may remain red or change colour after some time. - i advice you to go to day care centre and talk to them about this, there is a possibility that someone is beating your child. I hope this has helped you. Wishing your child good health. Take care.
What causes bumps on testicle containing green foul odored fluid? hi my husband has a pimple like thing growing on his left testicle and he has had it for years...it comes and goes..however sometimes it releases green like water or puss with a foul odor..i can see he is hurting ...I looked at it and it looks like an over growing skin with two huge pimples on it...what is it?
HelloThanks for query .Based on what you have described your husband has Sebaceous Cyst over scrotum on left side which recurs and gets infected repeatedly ,The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and get it excised in Toto (Completely along with the sac) so that it will not recur again.Dr.Patil.
How should scalp dandruff, oily skin and hair loss be treated? hi Sir I have a oily skin & fast hair loss problem since last 1 year afterwashing hair there is a white paste throughout my scalp i use lot of shampoos to get rid this problem but all are failed right now i cutoff all my hair i see after washing my hair my scalp is going to oily & after some minutes there is same white paste in my scalp i use sometime my icard to remove this whitepaste Sir i dont know what is this Sir please help me out this problem
This is so called 'Seborrhea' in which the patient has excessive functioning of seborrheic glands..first of all cut down all the oily food and dairy products, stick to skimmed milk..dont apply any oil in your hairs..try tar or salicylic acid with steroid containing shampoos and lotion after dermatologist prescription..for face use salicylic acid containing facewash even if it remains than you can go for salicylic acid peels under a dermatologist supervision...thanks
How can an infection in the mouth be treated? I was diagnosed with a viral infection in the lining of my mouth yesterday. It has been pretty painful, hard to eat or drink. I just noticed that puss is leaking out of one of the lesions. Is this the normal path of this infection in order to go away?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.If there is pus formation then there is a possibility of superseded bacterial infection. Yes, it can gradually heal as the pus if drained then the lesions will heal quickly. However yoy need a course of antibiotics for bacterial infection. So better consult your Oral physician and get evaluated. If there us superseded bacterial infection then you can be advised antibiotics. Also do warm saline gargles and antiseptic mouthwash gargles, it will help in faster drainage and better healing. Take soft meals and avoid spicy foods.. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora
My esr level came down after bronchial cough. i am 40 yr old female, my esr is 27 and esnophyll is 7, i am an allergic person, now past 1 month i have wheezing cough. one month back my esr was 32, then it came down to 25 and today it shows 27,please reply to me about this
Your ESR is not very high and quite insignificant here. Please take antihistamines and bronchodilators for your wheezing cough
Why my brother is antisocial and doesn't work? My brother began acting strange about 6 years ago. It started out with him thinking that people were 'after him' and has progressed so much that he is completely antisocial, doesn't work, he has been Baker Acted 2 times for a suicidal threat and attempt, he thinks the government is after him, thinks there are speakers hidden in his furniture, we have caught him chanting (not in any real language) and writing strange non-sensical notes. He has false memories of when we were children. He believes doctors are trying to control him and drug him. Our family has tried to get him to seek therapy and/or drug treatment, but he refuses. Over the past couple of years, the irises of his eyes have darkened and now they are almost black. I can't find any reason for this...he has not been on any long term drug therapy. I also cannot find a way to get help for my brother as he is an adult (in his 30's) and he refuses care. We live in Florida and even when he was Baker Acted, the doctors and nurses would not even listen to our accounts of what had been going on with him because he is an adult, and he was released after 72 hours because he told the doctors he was fine, even though he wasn't. He lived with our father for a couple years, and rarely came out of his bedroom. Now he has decided our father is trying to kill him and is moving back in with our mom. He is 32 years old, 6 feet tall, and about 180 pounds. He has no medical issues (other than this). Is there anything we can do? Is there any information you can share? Thank you.
Hello, The symptoms suggest that your brother is suffering from psychotic disorder, most probably schizophrenia -paranoid type. He needs urgent psychiatric care and without meds he will only deteriorate. I can not understand why he was never shown to a psychiatrist till now when the symptoms have been so bothering for everyone around??Please meet a psychiatrist and get the meds (drug like olanzapine or resperidone). He will show great improvements with treatment, far of what you can even think right now.Such patient do not agree for medicines or even to visit a psychiatrist easily, they are usually taken forcefully for initial few visits. There are several preparations available in market for antipsychotics drugs - oral tablet, or liquid formulations (which are tasteless and colourless & can be mixed in food) , sprinkles sachets...once the patient start showing improvement, he usually agrees for oral tablets himself.There are also depot antipsychotics available which are given once in 7-15 days or even once a month preparation are there .With these injections there is no necessity to give daily meds. Please discuss his case with a psychiatrist or may be your GP and start the treatment..there is no other way to make him good...he needs medicines.And, he is not antisocial, he is suffering from a psychiatric condition and which is far beyond trying to explain or make him understand,..... please understand the difference. He will become social once his thought disorder improves.wish you good healthplease feel free to ask more questions regarding this.Dr. Manisha GopalMD neuropsychiatry
What is the treatment for red bumps in the penis? i am 14 years and this afternoon i noticed 3 red buumbs on my penis shaft about half a center meter big and i notcied similar bumbs on my upper left arm this morning i have never been sexualy active in my provate parts so i am positive it is not an STD could it be from masturbation
Hello. I have reviewed your query and here is my advice. Balanitis is irritation of the head (glans) of your penis. It's usually caused by poor hygiene or an infection. You're more likely to develop balanitis if you're uncircumcised. Red spots, swelling, and itching are common symptoms.Genital herpes cause small red bumps or white blisters on the penis. Ulcers can also form when blisters rupture, followed by scabbing. In any case, without physical inspection, diagnosis is not possible. Do consult a skin specialist.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand
What causes dizziness and double vision after suffering from viral meningitis? I am a 50 year old female and have always been in good health. About four weeks ago I was diagnosed with viral meningitis after a CT Scan, MRI (with and without contrast) and a lumbar puncture. I never had a fever or stiff neck - only a headache that would not go away and vomiting on several occasions. I also developed double vision about 10 days after the headache started. The day before the double vision started I had received a clean MRI; however, once my vision was affected (on a Friday afternoon) my primary doctor suggested I may need to go to the ER. The next morning on Saturday I felt worse and experienced more vomiting so I headed to the ER. They admitted me and after 5 days in the neuro ICU and a round of every test they could run, the final diagnosis was (or it seemed like their best guess) was viral meningitis. I ve now been home from the hospital for three weeks and still do not feel well. Additionally, I have seen a neuro-opthalmologist specialist that agrees with the diagnosis. She reviewed the results of the lumbar puncture as well as conducted a round of tests, and she did not find any permanent damage and believes the double vision is post-viral. I still have headaches and feel like I am slightly dizzy and like I am in a bit of a fog. My neurologist says to rest, drink plenty of fluids and be patient; however, I am very depressed and worried that I am never going to feel well again. Also, the double vision is terrible...although the opthalmologist says it is normal for this to take up to several months to go away. Additionally, the neurologist says you are fortunate that you did not suffer a stroke, seizures, memory loss...and that you are walking and talking . While I am greatful that I did not suffer those things, I have not worked in 5 weeks and have no quality of life. The feeling of being in a fog is worse than the headaches. As soon as I get up and start moving around, I feel strange and feel like I should sit down. I am eating and drinking the fluids as the doctor suggested and resting all the time. Because I m not getting any real clear answers from the doctor, I have spent a lot of time reading articles on the Internet and I am very scared now. Most documentation out there says I should have been better in 7-10 days with Viral Meningitis; however, there are numerous stories of people that say their lives have never been the same and they were sick for
Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What causes dizziness and double vision after suffering from viral meningitis?Answer : Meningitis Causes Scarring (damage) of Sub arachnoid spaces. It is through these spaces blood vessels that carry blood to your brain stem travel Assume the Blood vessels as flexible pipes (or hoses) that carry water. What will happen if some stones are thrown over them. They will compress the flexible pipes. Isn' tit Same way Due to Meningitis, the areas around the blood vessels (Sub Arachnoid Spaces) are damaged. Hence they interfere with Blood Circulation to your brain stemThis causes dizziness and Double Vision Some Times, The Nerves can also be directly involved by the scarring (That is electric lines running along the pipes) Most of these cases will heal completely Anyhow, I would advise you to do another MRI after 4 weeks and compare both Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
Could crawling sensation in head and goose bumps be due to bipolar medication? Hi there, i am on medication to manage my bipolar disorder. I keep getting a strange sensation, like creepy crawlys in my head, accompanied by goose bumps throughout my body. I was wondering if this has anything to do with too much seratonin in my brain caused by the various phsyciatric meds that i take. Thanks
Hi, I am not sure which exact medications you are on at present. The medications commonly used for Bipolar disorder are not known to cause creepy crawlys or goose bump sensations. Also, antidepressants such as SSRIs (eg: fluoxetine) are not usually prescribed to those with Bipolar disorder. These are the ones that increase serotonin in your brain. In those patients where a SSRI is used, a mood stabilizer medication is also added. None of the mood stabilizer medications have been reported to cause these symptoms. If I was your treating physician, I would go through all the medications you are currently on to achieve more clarity whether this is a medication side effect. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sanjana Nagraj
Q. I have pain, redness and swelling in eyes for the past one week. Please help. Hello doctor, My eye is paining since Sunday. My eye is red now, it is paining while moving also when the light comes. I am felling a little swelling as well.
Hello. Thank you for sending the image (attachment removed to protect patient identity) so that I can get an idea about it. For me it is looking like an infection. I can prescribe you medicine so that you can get rid of these symptoms. But in the first image, there is something whitish area on your cornea. So I just want to know that it is really there or its reflection which is visible in the photo. Just answer me one question because treatment is different for both conditions. So I should confirm it from you and then I will give you a prescription of drops. That you have to use and you will be completely all right.
What should be done for reducing iron level in blood? Hi what can you do when in you blood there is a higher iron level as normal. That is a higher risk for heartproblems I guess. He has a high risk already due to father and mother they were both heartpatients. He has also sleep apnea. Would a good diet be an good idea. He is 48. (sorry questionmark is not working.) Thank you. Wilma
Dear MADAM,i HOPE YOU ARE TALKING ABOUT sERUM FERRITIN , IT IS AN ACUTE PHASE MARKER AND CAN BE RAISED IN ANY INFLAMMATORY CONDITION ALSO . kINDLY LET ME KNOW IF YOU ARE TALKING ABOUT THAT ONLY.Dr. Shruti
What do patchs of purple discoloration on chest indicate? My family just got back from a vacation in Mexico we all had fun in the sun for a week spending our days at thepool.I noticed my one year old has a a few patchs of purple ish discoloration on his chest and stomach.He is healthy otherwise and when you touch the discoloration it doesnt blanche two of the patchs have scabed.
Hi,Thanks and welcome to HCM .Red patches may occur due to exposure to sun.Extreme heat will give rise reddish brown rash which ultimately heal and scale off.Avoid exposure to cold.No treatment is necessary.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
What causes painful growth on the gums after tooth extraction? i went to the dentist and had all my teeth removed. its been three weeks and my gums were healing, but now they started getting sharp pointy things on them . almost feels like tooth or bone and are very painful. Also in the front of my mouth were a tooth had been broken ,I can still feel a tooth and see part of it. last but most important i can see whitish yellow goo on the holes my teeth once were. I've been taking my antibiotics. and rinsing as instructed. i have another app. in 4 days. should i go in sooner or wait. I'm not in any pain. Are dentist suppose to take X-rays after a full mouth extraction. they did after my bottom ones but not the top..thats were I'm having all the problems
Hello, Welcom to Healthcaremagic.com There must be sharp Bony edges which you see. It some times happen when you do full mouth extraction. Yes dentist are supposed to do do, take x ray if he is in doubt that some root stem may have remained there. You must wait for the appointment if you don't have any issue. Because you have done multiple extraction it will take some little more time to heal. In case of sharp Bony edges, it needs to be corrected because it can delay the healing wound. I hope you will find my answer helpful and will be doing good with your health. Regards
What causes speech difficulty and continuous flow of saliva in one of the twins? Hi Docs, I got twin girls in feb 2008.i realised after a couple of months that one of them had one of her sides weaker than the other and was none active. she also took long to stand and walk.She now walks but not normally. She understands but she cant even utter a word not even the word mum. Another big worry is that she has a coninous flow of saliva which only stops when she is asleep. So please Doc advise. N.B. The other one is very normal. Thanx. -Abbe-
Dear parent,As per the history as DOB is Feb 2008 .,child must be around 9yrs old.9yr old with all these problems since birth must be a case of cerebral palsy or any cerebral malformations.please get an MRI scan brain done.
Can a heart patient take medicine of mental stress ? can heart patient may take medications of physicatric disorder, my friend s father is 70 years old and a heart patient and present days he is behaving strangely and usually.
Hi,pratibha,thanks for query.Yes he can medicines for this.But please do not go for self medication.Take help of your physician or a psychiatrist for this and he will be fine.Bye.
How to treat hair loss and itching? Hello doctor, this Antony from Bangalore...and I have problem with head in sense of long term itchy occurs and that leads to lot of hair fall also... i used lot of shampoo related to avoidance of dandruff but it could not work until now...... suggest me a proper solution please
Hi, It may be seborrheic dermatitis. There may be itching and hair fall due to the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress might precipitate the disease. Apply lotion of mild steroid with salicylic acid on the scalp. Take antihistaminics like cetirizine. Take oral steroid like prednisolone in a tapering dose. Cleanse the scalp with ketoconazole shampoo. Avoid stress and worries. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
What are the side effects of using Nuvaring? I am 27y/o, 5'5, 223lbs. I have not taken nuvaring for two months now. the first month i was off, I had all symptoms of pregnancy including numb hands and fingers. I ended up having my period three weeks late. Same feelings, shorter flow. Now I have headaches, my nose is sensitive to smell, i feel fatigued and some days really hungry but others my fiance makes me eat. My question is, could these be the same symptoms of nuvaring or is something else going on here?
Hi,The withdrawal effects of Nuvaring include menstrual disturbances such as those you are experiencing now. Return of ovulation can occur as early as three weeks after discontinuation of the ring but sometimes it may take longer. If you do not get off these symptoms in the next month also, please see a specialist for a complete evaluation, confirm/exclude pregnancy through blood test and a trans-vaginal sonogram and plan further management. Please maintain a healthy weight. Take care.
Is weakness and lack of stability normal after chemotherapy? Have been in Cancer remission for approx. two years after going thru. Chemo Therapy for over a year. Needless to say I feel Blessed to make it thru. this horrible, horrible illness. The question I have for you is the side effects of this type of therapy after this process has been completed, specifically a lack of physical stability when it comes to walking or hiking.....Also, I notice that working out is somewhat fatiguing afterwords. Gary
Weakness and lack of stability is normal after chemotherapy.I suggest u take some multivitamin tablets along with protein supplement powders to increase your energy level.RegardsDR De
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.
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.--->
What causes recurring chest pains? hi, i am a 37 year old male. I'm 5'9" and 150 pounds. I have been having these little chest pains for two months. Their on and off all day. When they first happened i went to the ER. They said my cardiac enzymes were good, i was hooked to a heart monitor for 3 hours, chest x-rays looked good, and the doctor said my heart sounded good. A week later i went to my family doctor and he said my heart sounded good and that my test from the hospital were good. He gave me a CMP, TSH, and CBC with difference blood test and they turned out good. My microalbumin test was good too. I just had a echocardio done at the cardiologist's and he said everything looked perfect. Could this be a ulcer, hiatal hernia, or acid reflux? I do have acid reflux and started taking prilosec a month ago. I also had a weird thing happen after all my test. I was standing and i felt a vacuum suction of air go down my throat and i started coughing. It felt like my heart was beating crazy. I took a couple of deep breaths and it stopped but it started back up again a couple of minutes later. I went out to my car and relaxed and it went away. Does this sound like a heart situation or just my nervous from the strange vacuum suction of air? Could the vacuum suction have been the cause of all this? thanks
Hi,As you explain the history, it seems to be a gastric reflux or gastrointestinal problem. If it repeats then discuss with your doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla
What should I do for rib soreness which makes me sleepness in night? I currently have right side rib pain/soreness....especially on the outer edges and near my breastbone. About 4 months ago, had the same pain that was more on the back of my rib cage. Went to ER and they did CT Scan and ultrasounds everything checked out they ruled to be muscle strain. I am not athletic....but I do alot of movements to keep up with my 16 month old twins. I have been experiencing sleeping problems recently too. This condition comes and goes and it seems to be muscle strain. But, I am wondering if you have any suggestions or advise.
Hi,Welcome to healthcare magic.After going through your query in my opinion it is muscular pain due to over exertion. Rest and analgesics(diclofenac/ ibuprofen) is its treatment. Sometimes vitamin D deficiency can cause this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily. Consulting with treating doctor is advised. I think your query answered.
What does asthma like sensation in throat, no cough or phlegm, a month after working with cement indicate? I did some work with concrete and cement mix one month ago. I did this work in my garage, and the door was open a few of the times. Mixed cement 4-6 different times and spent 1-2 hours each time. I did not wear any kind of mask. I have been feeling an asthma like feeling in my throat. No cough, no mucus coming up. Can this be acute silicosis, or do you think I am overreacting and it is asthma or heartburn?
HIThank for asking to HCMI really appreciate your concern, but this is not the thing as you are thinking but of course this could be allergic condition may due to the cement fumigation, and this is aggravating because of your over consciousness, but just nothing to worry this will be fine with the long acting antihistamine tab. and the best drug would be Levocetirizine 10 mg twice a day this will cure the problem you have, this is nothing to worry every thing will alright soon have nice day.
When must rabies vaccine be taken after a dog bite? Had a dog bite last March 1, 2012. Had it cleaned with water and soap and had my tetanu injection after, and 7days taking of anti-biotics. It s a neighbor s pet dog with vaccine and the dog is okey. I still want an anti-rabies vaccine, Is it still okey to have it after 15days bite?
Hi,If you are bitten, and the dog is suspected to have rabies or has no record of vaccination, you should take the vaccine as soon as possible, within 3–5 days at the outset after the bite.However, in your case if the dog seems to be vaccinated against rabies and if the efficacy of the vaccine is confirmed by laboratory and the fact that the dog is healthy even after 15 days following the bite, there is no need for you to take the vaccine.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
Should I go for a vaccination as my pet suddenly grabbed my finger? Sir hi I m XXXX from varanasi I was scratched in january by a puppy outside my house 2018 jan I visited doc and told to have 3 dose and watch till 10 days puppy was fine and i discontinued But yesterday 26/10/18 a pet suddenly grab my finger while he was eating somthing Dog was pomelian and has got his vaccination as said by their family members Their is no cut visible in my finger but i m worried what to do Shoud i go for vaccination again and watch
Hello, I don't think you may need to do vaccination again. Your scratch is superficial and more the owners of dog admit he is vaccinated. I think you should not worry about it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olgeta Xhufka, General & Family Physician
What could cause lump on the back of head? I woke up this morning and was washing my hair and felt a knot like bump on the bottom left side of the back of my head. I have been around a lot of sick people at work and then had sick kids last week. I rarely get sick (haven t been in 4 years).I ve been nervous all day, and with any medical symptoms research done online, I ve made myself a nervous wreck. I ve seen everything from a swollen lymph node from an infection or head cold to a tumor to cancer to HIV to cyst, etc.My neck is a little stiff and a bit foggy, I ve a bit tired, but otherwise feel fine. I think I ve got myself stressed to not feeling well more so than actually really not feeling well.Should I get in or see if a head cold develops? I m scared a bit, but not really - as I tend to think it s more a swollen lymph node. I swear it wasn t there Friday and not, as of Sunday morning, I noticed it. If it s a swollen lymph node, how long do they last and am I contagious right now?
Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode due to reactive hyperplasia. Possibilities of lymphoma or cancer are less likely. So don't worry much about that. It may be due to infection in head and neck area. You are not contagious with lump. You should take a course of antibiotics. It will disappear within a week. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
How to treat loose motion in a 4 months old child? Hi my daughter is 4 months old. Since last 10days she is having loose motions. We've done stool test 5days back & prescribed by a doctor for Zifi100 Dry Syrup. Since last 4days we've fed her with milk food and medicine (Zifi100) as advised by doctor howevr no improvement is observed. Today when i checked Zifi100 on web i realised that it is best remedies for few other disease but not for gastrointestinal infections. Doctor has advised Norflox100 DT as an alternative now, but when i searched this on internet i found that it is not recommended safe for infants. ..the comments on stool test report says she's NUMEROUS INCLUMPS IN MUCUS....Please advise best medicines....QUERY FROM INDIA..
Zifi works well for gastroenteritis when caused by bacterial infection.If the infection is viral which is the most common cause then Zifi itself can cause loose stools. In addition this baby is most likely having transient lactose intolerance due to viral diarrhoea.Please stop the antibiotic and keep the baby on strict breast feeding. Get stool check done for reducing substances,and if strongly positive,can change milk to a lactose free formula temporarily.
What are the five symptoms of stroke? What are the four or five things you are supposed to test someone on if you think they have had a strok? It seems to me there is an acronym for remember them. Was it S T A R? or something like that. My 83 yr old mother had some kind of incident today. Thank you
Hi,Thank you for posting your query.There are four common signs and symptoms, which may be suggestive of stroke. These are known by the acronym FAST.Facial drooping: A section of the face, usually only on one side, that is drooping and hard to move.Arm weakness: The inability to raise one's arm fully.Speech difficulties: An inability or difficulty to understand or produce speech,Time: Time is of the essence when having a stroke, and an immediate call to emergency services or trip to the hospital is recommended.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
What is the treatment for chest pain and weakness? i am male 24 years from india and facing problem of stomach for two years.some time pain in my muscles some time pain in chest bone and some time heart beat high some time difficult in getting breath.much weakness and mentally weak and nervous and fear all the time.many times visited doctors some gave me emeprazole treatment and some mantally treatment.when stand i feel pressure on my chest.plz tell me what to do.all the liberay tests are ok
Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for major heart or lung related diseases because your all reports are normal. By your history and description, possibility of stress and anxiety related GERD (gastroesophageal reflux disease) is more. So we should first treat your stress and anxiety. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Avoid stress and tension, be relax and calm. For chest pain, do following things. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole tablet on empty stomach. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
What could cause swollen ankle? Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N
Hi,thank you for providing the brief history of you.A thorough clinical examination is advised followed by some routine blood test.As swelling in the feet and pain in the back of the knee can be due to any of the factors of which we cannot jump to a conclusion of the Thyroid dysfunction.As most times, due to the signs and symptoms, we need to find a differential diagnosis of the condition and compare the signs and symptoms along with the laboratory findings.Also, if it is thyroid dysfunction the blood test should reveal the possible changes and bases on which the drug therapy is initiated.Also, undergoing physical therapy for the swelling and pain behind the knee works well as per my clinical experience.RegardsJay Indravadan Patel
What causes trembling in body after waking up? hello Sir please help me i am 17 Years old and i have very strange problem... when i wake in the morning at 5:30 am. my body was trembling very strongly. i can not remind in between this happening.My family was worried about me. this also happens when i sleep at after noon for two hours my body was started trembling.this happens for 30 minutes.and this problems happens on me for abut 2 years. Sir please help me....
HiYour problem could be related to your brain. And it could be epileptic. The best is to see a neurologist at the earliest and get investigated.
What causes elevated red blood cell count? Im recently undergoing investigation into a high red blood cell count from a couple of blood tests (one fasted, one not but with directions to increase water intake) I m 31, for healthy and I lift weights. I also recently took a sleep apnea test kit home, however it failed and I have to repeat it (nasal attachment fell out). In the meantime, I m worried I ve been reading up about so many negative effects of this such as too much iron in the diet (which I have no idea how much is in I know I can t possibly be deficient in it I eat veggies and spinach and foods high in protein every day, including a vegan protein powder), and can lead to blood clots?? Should I be this concerned?? Is there anything I can do to reduce red blood cells myself? Drink more water, exercise less? Thanks any advice would be appreciated.
Thanks for putting up your query here. But before i give you any advise i would like to see your blood reports (complete blood count). Increased RBC count is known as Polycythemia in medical terms. There are various reasons for polycythemia, ranging from a very benign condition to a malignant condition. It would be not possible to comment on it without having a look into your CBC report. Please scan and send it.Thank you.
What can cause popping sensation in the knees? Hi I m 24 years old, my knees have been popping ever since I can remember, as of lately my knees have stopped popping and all I feel in my right knee is very sharp pains and the pain gets so intense that I have to walk with a limp just for the pain to go away, I m not sure why this is happening to my knees, I plan on going to a hospital sometime soon for it but I would like to get more information about this before I go in and find out I m just overreacting it something. Thank you so much for taking the time to read this and hopefully answering my question
Hi, It might be due to retained foreign body in the joint cavity. You can consult an orthopedician and get an MRI scan done. If symptoms persist, you might require an arthroscopy. Hope I have answered your query. Let me know if I can assist you further.
What causes headache,stomach cramps and lethargy? My son has had headaches tummy cramps an lethargic for the past 9wks. He has also had sore eyes n ears. he has had 2 cases of hives over his body had other occasions of a rash on his torso,arms n legs. He can become so lethargic that his limps become so heavy that he can t lift his limps. We have had 3 sets of blood, n r waiting for results from EEG n MRI . GP n Paedetrican r puzzled
Hi.... I have just read through your query. By what you quote I feel that this could be a case of vasculitis. It is an autoimmune phenomena where by body's immune mechanism will fight with the body itself. I suggest doing ANA levels and also consult a Pediatric Rheumatologist regarding this.Regards - Dr. Sumanth
Suggest treatment for severe back pain with bulged disc im a 56 yr old lady suffering from severe low back pain ,my mri report reads as follows-mild posterior bulge is seen at l3 4and l4 5 levelsl5 s1 disc shows moderate posterio central protrusion causing indentation of thiacal sac and mild bilateral neural forminal narrowingspondylitic changes in lumbar spine as described above.could u explain what is the next line of treatment
HELLO,Welcome to HCM.Your query has been understand by me. First line of treatment of disc prolapse is bed rest and analgesics along with vitamin.if it is not relieved by this treatment then operative treatment is advised.
Suggest treatment for red boil like lump on head Hi, My Baby has developed a red boil lump on her head. We consulted our Pediatrician and Skin Specialist both. It seems painful and fever had also started coming. We gave her Meftal-P and Clamp KID Forte. Please suggest it has been 5 days now. No much difference is visible. Thanks & Regards, Anshu
Hi,It seems that she might be having folliculitis forming boil on the scalp.Continue with Clamp kid medicine.Within a day or two she will be alright.Apply antibiotic cream locally.k and take care.
Suggest remedy for frequent panic attacks I fell off of my longboard on the 12th of last month which was a Tuesday. I got knocked unconscious for only a few seconds. Since then I ve been having panic attacks. I just had my fourth one as they have only gotten longer and worse. The pain starts in the front of my forehead above my left eye and then my muscles start to tense up so bad it causes me pain. Mostly in my lower left back. Ive been back to the doctor 2 or 3 times since this has happened and I dont know if I should go back and tell them about these episodes ive been having. They are at least 3-5 days apart.
DearWe understand your concernsI went through your details. I suggest you not to worry much. From your description, I am to believe that you are having panic attacks and not nerve related problems. You should also understand that panic attack often show palpitation, sweating, restlessness and general uneasiness. If this is panic attack, you need not to worry. The accident happened just a few days back. Means if you are treated properly, you can be cleared. Treatment starts with basic psychological counseling and then mild psychotherapy techniques. Psychiatry intervention may not be necessary at this point.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
What causes diarrhea with oily orange stools in an infant? My baby is 6 month old just started for him beside the formula solid food and vitamins as pediafer As per his doctor instructions. Since last week and he has like diarrhea but with oily orange stools. And he s doing more than 12 times per day poopoo. Till today the only thing comes out is orange oil beside his pipi. Still on formula during day I stopped solid food directly And the vitamins No fever His energy still almost the same or less by 10%
HiThanks for writing to us.Loose stools are usually viral.Donot worry, this will settle soonI usually give ors and zinc for diarrhoea.Ensure your baby passes urine atleast 6 times daily.Wishing your baby speedy recoveryRegardsDr Arun
Recurring rashes on legs, feet, inner arms, hands, face, lips. Used rash creams. No relief. Treatment? I have many reoccurant rashes and I want to know what causes them. I have tried normal rash creams, steroid rash creams, using products for sensitive skin , eczema friendly products but none of them work. Actually after using these products for a while my skin seems to react to them. I can now no longer wear make up or put anything but water on my face, even moisturizer burns. Last time I wore make up my face looked like it got sun burnt and my ear lobes swell up. The rashes seem to be slightly different depending where on my body is. My legs, feet, elbow, inner arms, hands, face particularly lips are all affected. Can anyone help me? I just want this gone.
Hi...dear jozee., Thanks for choosing HCM.., Why U are using different types of creams.., Due to these., Ur skin going irritate and gives hypersensitivity to all., So stop all topical applications..,' Tab..Levocetrizine 10 mg daily for 20 days.., Use low Ph soap.....ZYNDET..curatio company.., After few days starts...... Morning use....SUNSCREEN LOTION.., Night times use ELOCON...momentasome.., thanQ
What causes numbness in hand and swollen knuckles? I have been experienceing shooting sharp numbing sinsation in my left hand my middle knuckle is also swollen, this has also happened on my right hand before. It s weird cause my knuckle swells with this pain, I have had no injury to my hands. Should I be concerned?
Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to carpal tunnel syndrome .Carpal tunnel syndrome irritates or compresses the median nerve causing swelling or inflammation. This condition causes tingling and numbness in your fingers and hand.You can use anti inflammatory medications such as Acetaminophen to relieve the symptoms. Cold compresses may also relieve the symptoms. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
Q. For how long should I take Kalachikai powder to overcome PCOD problem? Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Suggest remedy for soreness in chest I had a chest infection 5 weeks ago where I had a course of antibiotics. I ve had a slight cough ever since not through the night only every now and again of a day. If I have any coffe or cereal with milk I m worse! Do you think I still have a slight infection or my airways are still touchy? If I breathe in a gust of cold air conditioning this will make me cough! Today I feel like I have dust in my chest.
Thanks for your question on HCM.I can understand your situation and problem.In my opinion you are having post infectious bronchitis.It is common after pneumonia due to inflammatory process.So better to consult pulmonologist and get done1. Repeat chest x ray2. PFT (pulmonary function test)Repeat chest x ray is needed to rule out worsening of infection.PFT is needed to rule out bronchitis.It will also tell you about severity of the bronchitis. And treatment is based on severity only. So PFT is must.So consult pulmonologist, first diagnose yourself and then start appropriate treatment.
Q. Will increased heart rate lead to heart attack? Hello doctor,My age is 29 years, and married. Since two months every minute, I am feeling that I am going to get a heart attack. My mind is always running that next minute I am getting heart attack like that. I contacted two cardiologists, both examined the ECG and told that heart rate is more (112 bpm) and nothing to worry. But still, I am not getting sleep and unable to take food. Every second in my mind, I am getting bad thoughts like I am going to die, I am going to get a heart attack. Please suggest me what to do to get out of this.
Hello. Feelings and symptoms like palpitations, getting a heart attack, difficulty in breathing, digestive concerns, and sleep problems can be a part of heart-related issues or anxiety. Since you have consulted with a physician and done all tests, its much clearer that its the later one, i.e., Anxiety or stress-related symptoms. Besides worrying consistently and preoccupations are also a part of it. At first, you need to get proper assessment identifying the cause of this anxiousness whether its work related or some personal issue. It can be done by analyzing thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy thought channelization, and restructuring is quite helpful.Also, to make yourself relax you can do the following, 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counsellor to help you in assessing and provide you with individualized therapy as per requirement. Anxiety and stress assessment. Heart problems. Anxiety. Excercise and diet management.
Fainting, red in face before fainting, sweating, headache, metallic taste. Have neuro disease, high BP, heart problems I suddenly started fainting two months ago. I am 50 and have a nero disease, high blood pressure and have been on heart meds for years. I have been to many dr with no resolve. I get really red in the face before I fainted and I sweat like crazy, a short time after I have a headache and a metallic taste on the back of my tongue
Hi,Thank you for posting your query.The two most common causes for fainting include syncope and seizures.Syncope can be caused by heart diseases too.For detailed evaluation, you need to see a cardiac electrophysiologist, who would perform a Holter test and a head up tilt test (HUTT test).In addition, you should also see a neurologist to exclude seizures, which may require MRI brain and EEG.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog:
Can boy and girl of same blood group marry? hello doctor,...i wanted to ask wether a boy and a girl having same blood groups marry?...the blood group is to be exact is O+......CAN I KNOW THE DETAILS AND CONSEQUENSES IF ANY.......OR IS IT OK OR NOT TO GO AHEAD.......PLEASE LET ME KNOW Yours kindly,Sangeeta
Hi, thanks for using healthcare magicThere are consequences to such a union.IN term of blood groups sometimes when a female whose blood group is rhesus negative ( O neg or AB neg or A neg or B neg) marries a man whose group is rhesus positive ( O positive /AB positive/ B positive or A positive), issues can arise.When the woman conceives , some of the baby's blood may enter the blood stream and the female would react to it and form antibodies against it.Because of this , there may be problems with subsequent pregnancies.Other than this, the blood group does not matter.I hope this helps
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.
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.--->
When can i smoke marijuana after cord blood transplant for fanconi anemia? i have fanconi anemia and about to go through cord blood transplant and wondering after recovery how long until i am able to smoke or partake in marijuana again?? if ever (marijuana have been part of my life for a long time now and i am 24 years old now)
Hi, dearI have gone through your question. I can understand your concern. Its better that you should not smoke marijuana after cord blood transplant. It is injurious. You should not take it again. 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.
Can chewing tobacco cause any metabolites to be released through skin pores? Scratch test shows a child allergic to tobacco Can chewing tobacco cause any metabolites to be released through skin pores, etc. that might cause a four year old child to exhibit an allergic reaction? I have a grandson who has been to an allergist that conducted an extensive scratch test that only showed he was allergic to tobacco. He does exhibit allergic reaction symptoms at times, and his step-father uses chewing tobacco.
hi, anything and everything can cause allergy on earth. hence if it found to be allergic, you should aviod the exposure. you can try desensitisation procedure to reduce the severity.
How to relax a painful and restless leg? I have pain in my legs at night, I have been told that I have IT BAND SYNDROME, but I have also been told I HAVE RESTLESS LEG ,once I sit down at nite the pain starts and I cant get comfortable to sleep. It anges from burning sensations to actual pain. pain meds such as ultram or muscle relaxers do not help.
Hi with your kind of symptoms , night leg pain with burning sensation i am inclined to think in terms of some pressure on the nerves in the back- . Now do you get relief after sleeping on your tummy? If that is so then it is probably due to narrowing in the spinal canal. You may have to undergo a MRI to confirm the diagnosis
What causes shoulder pain while lifting the arm? hello my name is lyn and i have query about my mother healht, shes experiencing this shoulder pain ,she can't lift her arm and its getting smaller than her other arm,doctors giving her a meds but its doesn't emprove its getting worse!your response is treasure for me god bless..
Hi..Shoulder pain of your mom could be Periarthritic shoulder...wherein movements of shoulder like lifting and reaching back is restricted...Since you don't use much of this shoulder yiubtend to lose muscles in those places and will appear as short and weak...Don't worryI recommend you to do ..Lot of icing over your shoulder and shoulder blades...Do pendular exercises and Wall creeping exercises for shouldergentle kneading over front shoulder joint and over shoulder blades...Gentle stretching of internal rotators..like shoulder and arm by the side if the body...elbow bend to 90 deg and arm pulled away from the body...once pain permits start the shoulder strengthening exercises...Hope this is helpful for youKindly revert back in case you need any further help in this regard....
Asthma, blood infection, black rashes on skin. On telukast, symbion. What may be wrong? I am from bangladesh ctg. My son has asthma when his age 6 month know he is 3 years 6 month. Every 1/2 month he admitted in hospital for his asthma he has some blood infection also. one kind of black rash seen his skin. he take daily TELUKAST 5,SYMBION 4.5/160 INHALER ,ARTICA SYRUP,when he admitted in hospital HIS NEBULISER MEDICINE IS WINDEL PLUS 2.5ML, trixon 1gm, dexo 5mg three time in a day. when doctor test his blood test sometime report was good and sometime report was bad example his WBC was high, his IGE was 120,and his ESR is always 20. he has some blood infection but our doctor don;t find what type of infection it is. I want test his allergy test and blood test also. . . pls suggest me which doctor will better for my child. i can;t see his suffering
Hi and thanks for the query, Your child has a predisposition to develop allergies. The results of thr IGE levels extremely high and association of asthma and rashes are very characteristic. The raised WBC sometime simply means then there was an inflammatory process that was going on. On ESR of 20 is really no worry. Management of the child shall require a reevaluation of the pulmonary and allergic aspects of his health condition. I suggest you an allergologist/allergsit and also probably a pulmonologist later for the management and control of the asthma. thanks and best regards, Luchuo, MD.
What causes weakness, body pain and high body temperature? Overall I m usually in very good health. Three days ago I suddenly felt very weak, no energy, and all my body aches. All joints, legs etc. Ache. Feel listless. Had very slight feeling of high temperature, but thermometer today says normal 98.6. Appetite is diminished, but have no upset stomach. Sinuses are not draining. No sneezing or running nose, or fever. I m trying to take in a lot of liquids; my urine is very cloudy and darker than usual. My age is 81, but I am very fit relatively. I had the customary flu shot last Sept. It s summertime here and we have unseasonable temps of near or above 100 deg. But I have avoided going outside. I live near Portland OR. Do I have simple flu or something more serious? GW
hello, It seems you have contacted an infection. could be flu or urine infection considering your age. Anyway you have not mentioned about urinary symptoms like burning sensation while urination or increased frequency. since you have mentioned about cloudy dark urine, it is better to get a urine full report , full blood count and CRP done. sometimes when you are at advanced age you don't show fever, you just get constitutional symptoms. if the count show a viral one you have a flu. any way these joint pains and body pains are more of viral flu's symptoms. If investigations results are of urine infection you may have to take antibiotics. hope this helps. thank you.
Is it safe to use Clinolcn for red spots noticed on the penis? my 2yr old has small red spots on the skin above his penis and sort of spreading down to his scrotum, it was itchy on the first day, but not any more. at first we were using a zinc based nappy rash cream and we were told now to use clinolcn(sorry dont knw the name) the cream is for itching. We are in Bali on holiday and am worried its serious. Any thoughts? Thanks Bianca.
hi, anything in penis ans scrotum could mean infection also rather than a simple rash. so observe for some days but if it is increasing than show to doctor as it could mean genital infection.
Swelling in left side of rib cage. Normal x ray, MRI shows multiple benign liver cysts. Suggestions? I have noticeable swelling on the left side of my rib cage and my left front rib cage is sticking out further than the right. Chest and rib X-ray normal, MRI shows nothing. An abdominal ultrasound showed only multiple benign liver cysts. All my labs are normal. I have abdominal discomfort but not pain. I don't understand why my left side is swollen.
Namaste Welcome to Healthcare-Magic Greetings of the day Your left side may be swollen because of gastric distension, and your symptoms could also be related to it. No intervention is required for your liver cyst, if they are small and regular. I hope Ur tumor marker like alpha fetoprotein are also normal. Wishing you a healthy life. Take care Regards
Is dark spots in gum a side effect of minocycline capsules? Hello, I've been taking two minocycline 100 mg capsules daily for 3 weeks and have developed small dark spots on my gums and the skin inside of my mouth. Will these spots go away? If so, will it take longer than a year? I am not going to continue taking this because it is also making the joints in my hands hurt to the point where I have a hard time opening anything with a cap.
Hi,Thanks for posting query, This could be the result of side effect of the medication.But still i would suggest you to consult to a Dentist and get a checkup done to see whether it is melanin pigmentation or something else.Take care!
Suggest treatment for pain in upper arm and spine I have pain in my left upper arm. There is some pain in upper spine also. Seen doctors several times. They advised physiotherapy (Hot pack, IFT and exercise ) and muscle relaxant ointments and Etoshine MR tablets. Pain reduces a bit after physiotherapy for 3-4 weeks but again reappears. Need some advice.
Hello, Since the symptoms are getting recurrent a correct diagnosis of your condition is necessary. This way treatment ways should be clear. Degenerative spine disease, herniated disc disease, spondylolisthesis, etc. are conditions to consider in cases like yours. A neurological examination and cervical spine MRI are necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Erion Spaho, Neurologist, Surgical
How to treat persistent skin allergy with irritation? sir i am suffering skin allergy with irritation since 3 month,i have consulted more than 4 Doctors mainly 2 general physicians and 2 skin specilaist ,i am following all the instructions as per doctors ,finally i took medicine contnoiusly 2 month also made the blood test for chlestroland and glucose test for sugar ,i got result for high cholestorl in my blood upto 220 level and aslo i have 157 sugar level ,i have been cotinuing the medicine till now but not yet cured my problem ,i haven't eat any sea food /oil food /and fried items since when i got this issue i want to know reason of this this problem and what is the solution ?
Hi, 220 S.cholesterol and 157 blood sugar is considered high but they are not such connected to allergy,as u said u have skin allergy with irritation but what kind of symptoms, what type of skin appearance is that u haven't mentioned, may be its contact dermatitis but as u consulted 2 dermatologists and still u have no diagnosis then only u can find out on your own by what food/ vegetables/dust particles on skin causes this allergy,See by taking history is the only method to diagnose allergy although there are laboratory food allergic tests available but they are not reliable. Some dermatologist recommend immunoglobulins course to combat this kind allergy.
What causes rash on face and upper chest of a child? My 8 week old daughter ha a rash on her face, chin, and upper chest. Her skin is very red and dry. Her eyebrows are covered in cradle cap. And her skin is peeling. There is also an unpleasant smell coming from the really red areas. Is this cradle cap causing this?
hi..your diagnosis is probably correct. one more differential diagnosis is Atopic dermatitis. Atopic dermatitis will have severe itching and family history. use topical desonide for treatment. don't apply hair oil.if you are satisfied with my answer, kindly rate me.regards.Dr.surendra.H.S
What causes swollen legs after ablation of atrial fibrillation? I had an AF ablation on Marchs 2, and my leg seems to be retaining fluid. During the day it gets pretty swollen. In the morning a lot of the swelling goes down but throughout the day it returns. I have been given a diuretic to take for 3 days but I have not begin it yet die to my busy schedule and my worry that I will be running to the bathroom very often. I will begin taking the pills tomorrow and hope that the selling subsides over time. Does this make sense?
Hi,Thank you for your query. I can understand your concerns.Your swelling of legs is due to congestive cardiac failure consequent to the underlying cardiac condition causing chronic atrial fibrillation.Surgical ablation of AF might have been done as a stand-alone procedure. Diuretic will reduce swelling and If you take in the morning ,it will not at least disturb your sleep due to frequent toilet visit .Th effect of diuretic lasts or approximately six hours. Regards Dr. T.K. Biswas M.D.Mumbai
How to stop hair fall with attached roots? hi. I'm 36 and have pco. I've been on pill for about 9 years and have come off mercilon 2 months ago. My hair is falling at a rapid past for the last 2 weeks. I had a full head and now (within 2 weeks) it's gone to about a quater of the thickness. falls in batches. very similar to when my bros hair was falling when he had chemo. the hair still has the roots attached. I've also been on aldronic acid for 6 months, due to ostepenia. anything i can do stop my hair loss.?
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Such acute hair fall is perhaps due to telogen effluvium wherein the hair cycle gets disrupted and the hair follicle gets shifted from growing phase (Anagen) to shedding phase (Telogen). PCOS and its underlying hormonal imbalance definitely has a role to play. Moreover you have recently come off hormonal treatment for PCOS so this hair fall is quite expected. I suggest you to use Minoxidil. In addition I suggest you to take an oral Biotin supplement and and oral antiandrogen e.g Finasteride to counter the effect of male hormones (which is increased in PCOS patients) on scalp hair responsible for hair thinning. Regards.
How to reduce creatinine level without medicine ? how can we reduce a creatinie level of my father without taking a dialisis may father have a creatinine level of 11.4 and diabetic how can he be cured ?
Hi Welcome to health care magic.com forum Disclaimer only dialysis ,nothing else cant reduce serum creatinine level.He is diabetic also ,so don`t take any risk .
Q. My 8-year-old son gets chest pain for the past six months. Please interpret his CT scan. Hello doctor, My 8-year-old son has been having chest pains since six months. He takes medication for acid reflux, anxiety, and asthma currently. We had a CT scan done but the doctor says it should nothing to be concerned about, however, some of the stuff in the report I feel is of concern and I am looking for clarification on some things. He is currently on Omeprazole, Levabuterol, Atomoxetine, Flovent, and Guanfacine.
Hello. I have gone through the CT report (attachment removed to protect patient identity). There are variations in the branching pattern, but this is fine to have. Many individuals have such a branching pattern without any consequences. Slight bulging was mentioned at ramification, but they also commented that it appears to be within normal limits. And such slight bulging would not cause pain or would not have any consequences unless there is any obstruction within it. Important is that there is no obstruction or abnormal course of left coronary artery. They have mentioned that the left coronary has a slightly high take off which is fine and unlikely to be responsible for symptoms or complications. So, as far as coronaries are concerned, they are unlikely to be responsible for his symptoms and unlikely to end up in any adverse consequences. Now I guess, he must have had an ECG and echo, which would give additional assurance to this. Now if according to symptoms, they are again not classical of heart. If they were cardiac then they would have certainly aggravated by activities. So unlikely to be a cardiac issue. Now considering his reflux issue, the first possibility should be considered of acid reflux and secondly of musculoskeletal even if there is no definitive demonstrable tenderness. Omeprazole may not be able to counteract reflux totally. So it is worthwhile to try locally acting agents like syrup Sucralfate and see if it helps. Light meals and some walking after meals. Locally acting agent Diclofenac gel may also be tried. I hope this helps.
Is there any non surgical remedy for my son s adenoids? My son is 7years old, i consulted doctor about aderoid against my son, but pediatric doctor advance me to wait the age of him for about 10-12yrs...i found him struggles snoring went we sleep... aside from surgery is there any options or medication to avoid surgery...thank you doctor and more power!
Hi,I am afraid that the best solution in this case is surgery. Any other treatment will not help cure aderoid. You can use topical medicines like steroides for short time just in case his condition gets worse in order to help him. But in any case, the solution is surgery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi
What causes persistent chest pain? Hi I seem to be getting bad chest pains down the centre of my chest it s almost like the bone is hurting buts it s really painful and now and then the pain goes to the very top of my stomach I just had my tea and the last time I had anything was 12.30 this afternoon But the pain is still in my chest 30min on
HiThe pain that you complain of could be due to heart burns. Usually this pain comes one or two hours after eating food. This kind of pain is relieved with antacids and proton pump inhibitors such as omeprazole. You can check if you are getting relieved with this pain by getting over the counter antacids right away. If so, you are likely to have peptic ulcer disease. If you are getting these symptoms frequently you can consult your physician, who will prescribe a course of medication for three weeks to eradicate the germs (H.Pylori) that cause this illness. Hope this helps.
Is there any side effects for neo pride total capsule? hi sir i m taking neo pride total capsule for nausea problem for last one month. i m feeling better . doctor has adviced me to continue medicine for one more month. iwant to know is there any side effects of the medicine or not . thanx my age is 36. m
Hello, It is a safe drug and side effects are minimal. However prolonged use for more than six months is not recommended because of cardiac complications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain
Does PCOD cause problems in pregnancy ? age:22 height:5.2 weight:58 i have PCOD.i consulted a doctor and she prescribed glysiphage and some birth control tablet. am not married.and i discontinued having tablet.now again my periods became irregular and continuing till 3 and 4 months. what should i do now.shall i consult again.plz provide a relevent answer.and i heard that there will be problems for carrying a baby.Can i give birth to a child?
Welcome to Healthcare MagicIn PCOD there is hormone problem which causes problem in menstruation and sometimes even ovulation. There will be associated Diabetes for which your Doctor gave you Glyciphage. You should keep your blood sugar in control by regular testing. Avoid much rice, sweets, frequent tea and coffee with sugar, eat more fresh fruits and vegetables. Drink plenty of water. Do brisk walking everyday for 40 minutes to improve your diabetic condition. Irregular periods means there is still some hormone problem, Better to consult your Gynaecologist who would usually put you back on the Birth control tablet because it will make your cycles regular and increase chances of conceiveing child. In case there is ovulation problem there are other medicines which are given to induce ovulation but only once the Birth control pills regularise your cycles and you can conceive. Better to take the tablets as long as your Doctor said.
Suggest treatment for torn posterior horn of medial meniscus Hi i m from Bulgaria..my names s Ivan Terziev and i play badminton(40year0ld)my left meniskus is torn 3 monts ago..but can not decide on my operatsiya.diagnozata according to our veterinarians are torn posterior horn of medial meniskus.Molya for advice!
Hello, The torn posterior horn of the meniscus needs a surgical repair if it has not healed in three months. Do consult an orthopedician regarding the same. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
Suggest treatment for autism and impulsive nature at the age of 11 hello, my son has autism and is 11yrs old. he is very hyperactive and impulsive. he also gets very anxious and cries loudly,runs,does not listen at times for his demands like eatable,going out, escaping studies etc. i understand about behaviour modification, at that time he is only controlled by anger. he is been on resperidone since 6 years now. last year he had problem with bladder control. recently doctor advised me to give lonazep. he sleeps very less so i am scared to give fludac. please guide
hithanks for using HCM.as you mention the child is hyperactive and implusive have you ever tried Atomoxetine or Methylphenidate as these drug are indicated for same. these are prescription only drug so consult your psychiatrist for the same if they are worthy to your child or there are any contradiction for same. hope this will help you.thanks
Q. Please comment if my RTA injury is a permanent one. Hello doctor, I had an injury in an automobile accident. Please address if this is a permanent injury. I have an MRI and medical examination. Since the accident, I can no longer sleep on the left side or use the left arm under normal conditions without pain.
Hello. I have gone through all the six attachments including the MRI report (attachment removed to protect patient identity). For more information consult an orthopaedician and traumatologist online -->
Q. Can I have dry socket even after placing bone graft in the extracted socket? Hi doctor, I had an extraction of a molar in the morning, and a bone graft was placed over it. My surgeon placed a collagen plug over it to make the graft to stay in place. Can I have a blood clot below it? I am afraid of getting a dry socket. Last time, I had a dry socket, when I had a wisdom tooth removal, and I am scared. Please help.
Hi. First, remove your fear present in your mind. A bone graft present with membrane prevents dry socket formation, and it makes a better environment to have socket healing. Bone graft is not fully utilized in the socket, as it a foreign material. Some amount of graft is rejected in the body. It is a routine procedure of a defense mechanism. In your case, you cannot see blood clots in the socket, as it is covered with a membrane. You have to wait for at least three to five days. Do not try to see it again and again. It can cause a disturbance in the normal healing process. Follow proper oral hygiene and follow all the instructions given by the surgeon. Take medications on time.
Are Jugular veins cut when doing an emergency tracheotomy? HOW FREQUENTLY ARE JUGULAR VEINS CUT WHEN DOING AN EMERGENCY TRACHEOTOMY? MY FRIEND WAS INVOLVED IN A TRAFFIC ACCIDENT COULDN'T GET HER INTUBATED;TRIED TO DO A TRACH;THEN AFTER HER 02 SATS DROPPED TO 15 THEY FINALLY GOT THE TUBE IN...A LITTLE LATE I'M THINKING
Hi,From you description the tracheotomy was performed under extreme emergency conditions. In these circumstances there would be a significant risk of damaging tissues and structures in the area as the operating conditions would not be ideal. Regards,Dr K A PottingerMBChB. FRCA
How can allergic rhinitis be treated? Morning, I have had what appears to be an allergy reaction to pollen since moving from One city to another. Runny eyes, runny nose, very bad chest cough, hot and cold flushes, slight temperature elevation. Saw my GP who said it was a reaction to pollen due to area I live in. Gave me Telfast 180mg. I have had this for more than 3months. Very tired, lack of sleep at night due to coughing fits etc. Also take a Multi Vitamin as well. I m 56 yrs and not getting any younger. Starting affect my daily routines, work, and external activities. Any suggestions please. Tony
Allergic rhinitis is not a rare disease and can effect a people of differernt ages. All the symptoms that you are having are more or less classical for this condition. There are three major ways to go about in treating Allergic Rhinitis1. Prevention - Taking medications to avoid having the symptoms2. Symptomatic - Taking medication to alleviate the symptoms you are experiencing.3. Immunotherapy - Make you immune to the allergens causing the symptoms in the first place.In your case as your symptoms have already started. We need to get your symptoms in control first. You are unfortunately having the full package of symptoms i.e., your eyes, your nose and your chest, all three things are involved. If your symptoms have failed to settle with an anti allergic medication like telfast and are experiencing fatigue and lack of sleep then its better you see your physician sooner than later. I would suggest that you should be on the following drugs initially and then the drugs can be slowly tapered off.1. Steroid nasal spray2. Anti allergic eye drops3. Anti Allergic oral medication4. A Steroid + Beta Agonist inhaler (If the chest on examination reveals narrowing of airways)5. In extreme types of allergic Rhinitis your physician can even give you a few days of oral steroids to get your symptoms under control quickly.Once your symptoms are under control then he can concentrate on referring you to an allergy specialist for immunotherapy which can take weeks to months to get the adequate relief required. Till then your drugs will help keep your symptoms at bay and help you go about your daily work with little or no problems. I hope this helps.
What are the side effect of adderall in child? Thanks. I had asked my child s doctor to prescribe her a booster dose of her usual medication (Adderall) to help her concentrate in the evenings while she does her homework. Instead he prescribed guanfacine! She s been on guanfacine in the past (it was the first ADHD med we tried) and it didn t do much for her. Why do you believe he did that? Would more Adderall not be approved, or might he have been worried about her ability to get to sleep at night?
Hi,Thank you for asking question on health care magic.Longterm use of adderal is approved but over dose cases certain untoward symptoms relating several systems.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
Suggest treatment for swollen and painful lump on the ankle I was weed eating and rock flew out and hit the inside of my ankle right on the bone that sticks out there. It knotted up instantly with about a 1 inch lump. The swelling has gone down about half way (been about 3 hours now). uncomfortable when walking on it, some pain from ankle bone along to big toe area. What is the best thing to do?
Thanks for sharing your problem here on this forum. It's been 3 hours you got injury. The lump is usually the swelling of injury.or sometime accumulated blood.but no need to worry about it. It will subsid by itself. Just take painkillers like diclofenic and take rest. Keep through leg above your heart when lying. .hope you will be fine soon. Thanks
What causes vomiting of cream coloured solution? 6 yr old, 48lb female being treated for constipation with daily dosage of Miralax She began throwing up a very thick, cream colored solution the consistency of frosting three hours ago. It doesn t smell like normal vomit, but it is so thick that she almost chokes on it trying to get it out. Her last BM was Saturday. I am concerned about bowel obstruction. She seems to be running a low grade fever. Does she need to be seen?
Hi, by what you quote it could be small bowel obstruction. You need to do an urgent ultrasound abdomen and x ray abdomen to rule out obstruction. Stop miralax and immediately go for above investigations. Take care.
What causes tightness in the upper right abdomen? I have had tenderness on the skin of my upper right abdomen, around my side and to my back stopping at my spine. This has last for about a week. There is no visible sign of a rash. I have occasional tightness in this general area as well. I am 28, 5 8 , 170lbs and in general good health. What could be causing this?
hithanks for askingas looking at your history it looks like you are having gall stone disease........i would like to do an ultrasound abdomen and pelvis full blood count and serum amylase..........then you should do the following and consult a general surgeon1) take plenty of fluids2) tab no-spa forte 1 tablet three times daily3) syrup ulsanic 2tsf twice daily4) cap omeprazole 40 mg daily
What does feeling of sunburn in upper body while having fever and sinus infection mean? My upper body feels as if it's sunburned. When my clothes touch my body it is not unbearable but uncomfortable. (History)--I went to my Dr. two days ago and was diagnosed with cold and sinus infection. My Dr. said that the sunburn feeling was brought on by fever and should go away soon. I have not had a fever for almost 48 hours and the sunburn feeling is still prominent. Should I be concerned that it may be something else? Thanks for your help.
Welcome to HCMI have read and understood your query and appreciate your health concernYour doctor was right the sunburn feeling you were experiencing due to fever.though you are fever free bit you can still have this feeling as the infection has not left your body completely.it may take a week or two to completely recover.you need not to worry.just keep taking a lot of fluids.add yougart to the diet and you will be completely fine in no timeI hope this will be useful.Regards Dr Faeza
What causes nodule in testicle and red bump on penis? SIR HAVE A NOUDLE IN RIGHT TESTICULAR IN 2006. FNAC DECLARE GRANOMATOUS EPIDIDYMIST. IN SEP 2010 I HAVE COLON INFECTION AND LIVER ENLARE. NOW RED BUMP ON PENIS AND TESTED FOR HERPES IgG AND IgM. ONLY HSV 1 IgG POSITIVE ABOV 9.04 VALUE. I TAKE HERPES TREATMENT BUT PROBLEM IS AS IT IS. I HAVE ALSO TESTED FOR HIV AND VDRL THESE ARE NEGATIVE. MY ANTI TB IgM TEST ALSO POSITIVE. BUT AFB PCR URINE TEST FOR TB NEGATIVE.PLEASE ADVICE FURTHER TREATMENT.
Hi, It can be due to infection, hernia. If you're aged much you must rule out for cancer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
What does few cancer cells in right breast of mammogram indicate? Hello, I had my regular mammogram two weeks ago and was called back for a diagnostic last week. i This showed a few small cancer cells in my right breast. The radiologist spoke to the doctor who said come back for another diagnostic in six months. It has been 6 days and I am worried sick, I don t know if I will make it through 6 months.............. no history of breast cancer, or indeed cancer in family. I had a benign cyst removed from left breast in 1998. Panic, should I panic, should I relax and wait 6 months?
Thanks for your question on HCM. I can understand your situation and problem. But no need to worry much for cancer. As mammography is only a screening test. It is not the diagnostic test for breast cancer.So if any suspicious lesion is found which is not able to hit by needle, than follow up mammography after 6 months is advised to see for any change in lesion.So don't worry, be relax and calm and get done follow up mammography after 6 months.
What is the cause of nasal polyps? Hi, my son is 7 and keeps getting nasal polyps in his left nostral he has had two operations to remove in the space of a year but they keep coming back. He has had cystic fybrosis tests which were negative and has had allergy tests which were all ok too? What could be causing this?
Thanks for following up. You should understand, that nasal polyps grow only in inflamed tissue of the nasal mucosa. The mucosa is wet. During an infection or allergic reaction, the nasal mucosa becomes loose, swollen and red, and produce fluid that drips out. With continued irritation, this mucosa may form a polyp.Although some people can develop polyps with no previous nasal problems,because they have hereditary tendency for develop polyps. often there is a trigger for developing polyps. These triggers include:-chronic sinusitis- bronchial asthma- allergic rhinitis-cystic fibrosis-Churg-Strauss syndrome with high level of Ig E-NSAID sensitivity (an allergy-like response to aspirin, ibuprofenThey checked your son for allergy and cystic fibrosis, in addition i propose to check him for infection and do throat culture for flora and sensitivity to antibiotic . If they will find something, then treat inflammation in the noseBe healthyDr.Svetlana
Why am I having burning pain in my stomach after taking cough medicine? Been fighting a cold the past week+, noticed that whenever I ve been taking cough medicine that I get a sharp burning pain in my stomach almost immediately. Tried with and without food, some effect. Usually lasts about an hour, then just nausea afterwards for another couple of hours.
Hello, Your symptoms are side effects of the medicine that are used for cough! You can use omeprazole during the period you are using these medicines. Avoid alcohol spicy food etc. Eat healthy foods soups wold be a good choice, tea and honey. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician
Are fever with rashes only cold symptoms? Hi my 4 year old daughter has had a fever between 101 and 104 off and on for the last 36 hours. She also has a breakout or rash on her cheek and her eyes are covered in mucus when she wakes up. Should I bring her in to urgent care or are these typical signs of a cold?
Hi,Welcome to HealthcareMagic.Thank you for the query.Fever with rash can also be due to an allergy. I would suggest you to try and recall if she has had any food/medicines before developing the rash. If the symptoms persist it would be best to go to urgent care or family doctor. I hope this answers your query.With best regards,
How to treat swelling and pain in my mom s ankle? Hi, My mother is having severe pain in her right ankle. swelling is also there. the problem is she can t walk for some minutes after the rest because of the pain and the pain is slowly reducing afterwards. she also began to experience the same problem in the left ankle also kindly guide me
Hello, It could be a minor contusion or sprain. As a first line management you can apply ice packs for symptomatic relief. If symptoms persists you can consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
Q. For how long should I take Kalachikai powder to overcome PCOD problem? Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Suggest natural remedies for angina pectoris hello,i have angina pectoris and i do not want to take prescriptions meds. i read online that natural remedies like zinc or hawthorn can help. it also suggests online not to take these unless i have spoken to a doctor. i do not have time to keep going back to the doctors. is this safe for me?
Hi My suggestion would be NOT to consume anything without putting it through your doctor first when it comes to a heart condition. Even consuming / prescribing natural remedies are based on many factors which require a clear picture of your health, which is not possible without a thorough read of your reports. As much as annoying and time consuming as it many seem i would still urge you to have a face to face talk with your doctor before going ahead.
Ultrasound done on kidney. Suggestions? Please assess my ultrasound report and give your valuable suggestions & remedial action Right Kidney : Measures 10X4.8 cms. Normal in size, shape and position. corticomedullary differentiation preserved. Pelvicalyceal system not dilated. No evidence of any calculus or mass lesion. Right ureter not dilated. Left kidney: Measures 10.1X4.3 cms. Normal in size, shape and position. Corticomedullary differentiation preserved. Pelvicalyceal system not dilated. Left kidney inter-pole shows 1.2 X1.0cm cystic lesion with echogenic focus within it? Calyceal diverticulum with tiny calculus? Cortical cyst with calcification. Left ureter not diated. Urinary bladder : Normal in size, shape & distension. No evidence of any calculus or mass lesion. Prostate : Measures 3.2 X2.6X2.6 cms corresponding to 11.6 cm3 Normal in size shape & echogenicity. For clinical correlation. Please advise. Thanks
Good Day !Summary: 1. Right Kidney - Normal2. Left Kidney - a 1.2 cm renal cyst with calcification - I would suggest to get a CT scan with an IV contrast if your serum creatinine is normal to further investigate the nature of the cyst. Majority of the time it is just a simple cysts with calcification but a CT scan will be a better imaging modality to classify and characterize the cyst.3. Prostate - NormalBest of luck and Thank you.Sincerely yours, Manuel C. See IV, MD DPBU
Q. I have sore throat with feel of something stuck in throat. What could it be? Hi doctor, I am a 36-year-old male. I have a sore throat for two weeks now and I am in my sixth-day of antibiotics (Dalacin C) but it is not going away. I feel that there is something stuck inside my throat/esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten. I also gargle every three hours using Difflam - C.
Hello. I have reviewed your history and it seems on top of the acute tonsillopharyngitis, you also have GERD (gastric esophageal reflux disease). This may explain the persistent throat discomfort in spite of taking the antibiotic for six days. I recommend you continue your current regimen and finish the course of Pantoprazole as prescribed. For the headache, you may take Ibuprofen as needed on a full stomach. I also recommend that you avoid eating spicy, oily, fatty, dairy foods, and avoid drinking alcoholic, carbonated and caffeinated drinks. If you are a smoker, you should stop smoking and also avoid lying down within one hour after eating. If symptoms persist, worsen, or new onset of symptoms such as difficulty swallowing or voice changes, further consult is advised.
Have a syrinx within spinal cord from C5-6 - T1. Treatment? I am 43 years old. I have a syrinx within my spinal cord from C5-6 - T1, currently 8cm in size. It was believed to be originated from Arnold Chiari 0 due to the protrusion level of my cerebellum tonsils. As it turns out, my surgeon is now convinced that the syrinx developed as a result of a spinal injury I received in an auto accident at the age of 16 where I sustained a severe case of whip lash. I had a Suboccipitial Craniectomy done in December 2011 to decompress the spinal cord with the hope of decreasing; if not, diminishing my syrinx. One year later, it s time to do an MRI to see the progress...it shrank a little. I became somewhat optimistic but, frustrated at the slow progress and the symptoms and problems that I had prior to surgery have gotten worse. Nearly two years later, I ve already had an MRI done and the syrinx has not changed at all!! I m beyond frustrated and now I have carpal tunnel syndrome & De Quervain s Tenosynovitis in my right wrist/thumb; in need of both surgeries AND I have 2 herniated discs, L3-4 & L4-5, that I need to have surgery on as well. The neurosurgeon that I was seeing, who had me go through multiple tests; including a lumbar discogram w/no sedation, to reach his diagnosis (not the same neurosurgeon who performed my suboccipitial craniectomy, he dealt strictly with syrinx). He told me that he believed that the symptoms that I have been having with my arms, hands & wrist issues, muscle, & shoulder weakness was due to the pressure within the syinx and it had to be drained. So, his course of action was (3) SURGIES and it started as follows: 1) carpal tunnel & De Quervain s, three weeks later... 2) Syringo-Subarachnoid-Peritoneal Shunt ....3) Lumbar Disc Fusion I told him that I did not want to have the Syrinx Shunt surgery done and he now refuses to do the other 2 surgeries. He said that I can go to an Orthopaedic Surgeon for my wrists but that he believed I would still have complications resulting from the syrinx. As far as the lumbar surgery, he said that, With the narrow space around the syrinx in your spinal cord and you lying on your stomach for 2 - 2 1/2 hours with your blood pressure lowered while under sedation; you have to keep in mind, Mrs. ......., your blood pressure needs to stay elevated when dealing with a syrinx. ....it s just not safe to do the surgery and I just can t do it. So, that brings me to my question....Is that true about the syrinx durin
Hi,Thank you for posting your query.I can understand your discomfort due to the symptoms, lack of good success of syrinx surgery and the need to undergo three surgeries in future too.However, I would suggest that you undergo the surgeries for lumbar disc and carpal tunnel syndrome first and then see the response. This is because you have already had one surgery for syrinx without good success.If your symptoms do not improve much, then a second surgery for syrinx may be planned.I hope it helps.Please get back if you require any further information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog:
Suggest sleeping positions after heart valve repair surgery hi i really need help! i did a valve heart repair (open heart surgery in national guard riyadh saudi arabia) but there phisio therapy advices are not best for, explaining how or what sleep positions i must take in order to sleep? (i have scolios mild too) pain killers not enough
Hello, There is no problem in sleeping at any comfortable position except prone ( on your chest ) , even after open heart surgery after complete healing of the scar wound . In the initial part I have found that left lateral position is best , as during open heart surgery there is some amount of post operative pleurisy ( inflammation of lung covering ) , so if you sleep on one side , there is less movement on the same side and that will help in decreasing the pain , the other position is Supine ( sleeping on your back ) which is good . So finally in my be view best is sleeping on side ( left) , ok for supine ( on back ) . Avoid prone ( sleeping on chest ). Regards Dr Priyank Mody
Suggest remedy for ringworm causing itching and dark spots on waist line and groin good morning sir/mam.... i have been suffering from ringworm for quite a long time now....there is rarely a chance for red circles in the areas but the dark spots are an impossible thing to get rid off... the thing is i have been applying ointments powders or other medicines that i used to take before but they all only used to dull the itch but after a few 2 or 3 days the itching problem starts again... i have to be honest...once the itching is reduced then i am a bit careless myself and stop the application of the ointment...but these dark spots seem to be the only problem for itching and it really gives an irritating sense sometimes....the places where these dark spots are my waist line and my groin...i regularly take baths and clean my clothes as well... my personal hygiene is good but since the time i got this infection it never went away,....so i would be really greatful if you could give me some advice and tips as to how can i get rid of this disease permanently.... thank you.
Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that you must have applied a cream of steroids and not fungal Drugs. I suggest you to start with the miconazole antifungal cream. Do not leave until all the infection clears up.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic.
What are the symptoms of kidney stones? Taking cranberry tablets. Other ways to prevent them? ok thanks alott Doc's..... I am a somewhat healthy 38 year, soon to be 39! PUSHING 40 also am a paraplegic for close to 6 years...... I am kinda worried about Gall / kidney stones.... what are the symptoms of kidney stones ? are there warning signs ( red flags) ?????? I also would like to know how to prevent them as i have to intermittently catheterize myself, and don't know if i could PASS or even FEEL that i had / have them! I do however take these concentrated Cranberry tablets hoping to not have the problem! is there some way to prevent from getting them ? Sorry for asking so many questions ! But I've had enough problems over the last 6 years! I would be very impressed if you could answer these questions ! Thank you very much! Justin D.
Welcome to HCM.There are chances of urinary tract infection after recurrent catheterization.Symptoms of stone :severe back pain shifting to abdomen on related side,Difficulty,burning in passing of urine,Red color urine,vomiting.Drink more water and other liquids.Regular follow up for urine test and usg abdomen.Keep in touch with your doctor.
Can vaginal cleanse with Hydrogen perioxide for BV cause spotting? I have just started doing hydrogen peroxide Douche because I ve had BV for six months and nothing else is working. However I have gotten some bleeding... I get spotting sometimes, so it could just be normal but I m not sure if it might have something to do with the hydrogen peroxide. The color of the blood is brownish. I am doing acidophilus insert and taking it orally right after too.
Hi and welcome to Healthcaremagic. I understand your concerns.No, I dont think this is caused by Hydrogen peroxide since in this case it would bleed soon after Duche and then it should stop. If there is periodic bleeding then this is more likely caused by hormonal imbalance or ovarian cyst or endometriosis so work up is required. YOu should check hormones and do ovarian ultrasound.I hope I have answered you queryKindly regards. Wish you a good health.
Need advice on how best to deal with pain i am up to 150McG/hour of fentanyl. The 72 hour patches seem to work well for about 36. I experience breakthrough pain after 18 hours. This has gone on for 13 years now. At one point I was up to a gram of morphine a day. That did not touch my pain, and I was crazy from the combination of drugs and pain. Nobody will offer any hope. What the fuck am I supposed to do? i am 62, and would welcome death.
Hello, You can consider drugs like oxycodone. In severe cases, additional drugs may be added. Consult a pain physician and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
Taking Zoloft, Lamictal, Klonopin. History of depressive episode. Fainting spells, breathing difficulties, heart problems. Help Yes. My younger sister is on the following drugs: Zoloft, Lamictal, Klonipin, Seroquel, Remeron, and Lunesta. She had a major depressive episode 7 years ago when her daughter's boyfriend committed suicide and she was drinking after that and got in an accident and lost her driver's license. She is constantly sleepy and in a zombie like stupor. She has not touched alcohol since the accident. She wants to get her driver's license again, get a job and get her life back. She has had fainting spells, breathing difficulties, heart problems and a multitude of other things. She called me for help since I spoke to her psyc dr and got him to change her meds once before. She asked him herself but he wouldn't consider it. I think she should change docs. What should we do? Thanks.
Hi, Thanks for writing to us, I have gone through the provided history. Whether the drugs are right for her or not depends on how much improvement she has shown so far. She is currently on two antidepressants ( Zoloft and Remeron), two sleeping pills/sedatives ( Klonipin and Lunesta), one mood stabilizer (Lamictal) and an antipsychotic (Seroquel). Firstly, get her evaluated for the physical problems she has by a general physician and if necessary, get the required treatment and rule out depressive illness to be a cause of these problems (yes depressive illness can present with such complaints). Secondly, a second antidepressant is added only after the first antidepressant is optimally tried for sufficient duration. You have not mentioned those details hence i would not be able to comment on that. And in my opinion there is no need for two types of sedatives and taking it only at night would avoid the drowsiness she experiences. If these drugs have been used for a long duration then they should not be stopped abruptly, especially klonopin. It has dependent or addictive properties due to which it is prescribed only for a short duration. Also, Remeron has sedative properties. The benefits of this drug needs to be weighed against the sedative side effect. Kindly talk to her psychiatrist regarding this. It is better if a family member accompanies the patient to a psychiatrist because he/she can get more reliable history about the patient. Hope this helps, Dr A Rao
Suggest treatment for recurrent fever despite taking Meftal P MHi, can I answer your health question? Please type your question here...my baby is 10 months old, and his weight is 8.5kg, he is suffering from high fever 103.6 ; before 4 hour i have give him meftal p, after that his temperature is low down, but now again his temparture is again 103.6 what to do now plz suggest me
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Well I would suggest first at all try to alternate Meftal P with Ibuprofen syrup to have a better response. Also you can try warm bath and wet clothes to your baby because it helps to low down the temp. Try to give to your boy plenty of water and a healthy diet. If your child have more than 3-4 days with temp than you may need to see a doctor again to be sure that everything is ok with your baby. Hope I have answered your query. Let me know if I can assist you further.
Will duphaston tablet help me to conceive? Hi Doctor , I am 25 yrs old,married having PCOS.I ma trying to get conceive.My Dr suggested to take duphaston for 10 days and gylcomet daily.After having duphaston for 10 days when I will get my periods? Please advice
Hello. Thanks for writing to us. After finishing the duphaston tablets as prescribed, you should expect your periods to start in next 3-5 days. When you start with the bleeding you can ask your doctor to prescribe you the ovulation inducing drugs from day 2 to help you conceive normally. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drtayalrakhi@gmail.com
What is the treatment for cough? Im having this severe cough and its been going on for a week so far... i have done almost all i can do to make it go away but cough drops, pills, and liquid med. isnt helping for me at all. Now the cough is really bad. im having a serious headache from the coughing and my throat is bleeding too and more like green mucus is coming up. I dont know if this is something that will just go away or get worse as time goes by... because I think that is happening.
Thanks for your question on Health Care Magic. I can understand your situation and problem. You are having cough with hemoptysis (blood in sputum) and greenish expectoration. All these suggestive of lower respiratory tract infection (LRTI - pneumonia). You are also not improving with routine cough medicines. So better to get done chest x ray for the diagnosis of pneumonia. You may also require antibiotics, mucolytic and expectorant drugs. Hope I have solved your query. Wish you good health. Thanks.
What could be the cause of hot sensation on foot with no pain and lump near the spine mean? For the last 48 hours every minute or less, I suddenly get a hot sensation on the top of my left foot but with no pain. Occasionally, the warmth is felt on the back side of my left leg as well. It started after about a week or so ago after I discovered a lump on the base of my skull where the neck and skull meets just to the right of the spine. Should I be concerned enough to go see a doctor or is this just a pinched nerve?
Hi. Pinched nerve in the neck can not cause hot sensation in the foot.But a spinal condition can. You should take a consultation of a Neurologist for a complete clinical examination , so that he can find out which part of the spine needs MRI.A proper diagnosis is very important. It would be very good for you to find the cause at an early stage to avoid further complications.
Q. Will nerve damage cause feet pain? Hello doctor, I have pain in my right feet and on the right side of my feet. It started on its own. I did not have any sprain or injury. If I press my feet from right side little bit also it pains like too much and I can scream. Can it be nerve pain ? I am diagnosed with diabtetes and my HbA1c is 7.4. Also can it be due to nerve damage? I keep getting these kind of pain almost every month now. I used to think uric acid and took Febustat. It looks like a sprain but I had no injury or accident.
Hello. Pain in the foot in diabetic patients may be due to plantar fasciitis or peripheral neuropathy or charcots joints or peripheral vascular disease or gouty arthritis or cellulitis, etc. Please get an X-ray of foot and ankle, get it done color doppler and nerve conduction study. Elevate the limb during resting position. Use Tramadol with Paracetamol twice a day for five days. If symptoms are not improved please consult your physician. he will examine and treat you accordingly. Take care.
I am suffering from tooth pain and taking Clindamycin HCL 150mg 2 caps, but I see dark skin discoloration into the inner corner of my right eye Tooth # 4 RT. Maxillary 2nd Bicuspid (I looked it up on chart) the whole tooth shattered apart below the gum line. I m taking Clindamycin HCL 150mg 2 caps 3 times a day. I have pain that will shoot up into my Rt. ear and temple. Been on abt about 4 days. However, now I m now seeing a dark skin discoloration under and UP into the inner corner of my Rt. eye now. (like a minor black eye) Can infections cause skin discolorations without swelling? I m 5 5 168lbs and 55 years old.
hellloas per your description it seems that your tooth got frctured and due to that pulp is exposednow an exposed pulp leads to pain infection and swelling in the area of root tipthats what seems to be the case with youwhat i would suggest that you visit your nearby dentist and get a radiograph done and get the tooth extractedin the meanwhile you can do the following to reduce pain and swelling1.levofloxacin 500 mg twice daily for 5 days2. any pain killer twice daily for 5 days3.omnacortil 10 mg twice daily for 3 days4.lukewarm saline rinses for 4-6 times dailyhope that helps
What causes lump under the skin in the right buttock? I have an irregularly shaped lump under the skin that itches occasionally. It is located on my lower right buttocks closer to the back of my thigh than it is my upper butt. It has been there for a couple of years now and has not bothered me much (other than occasionally itching). I am wondering now if it might be getting larger though. There isn t any discoloration and its probably the size of a nickel. Is it a tumor, a cyst, or something else? Thank You.
hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a keratinous type). these lesions can occur anywhere in the body and have the tendency to recur. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye