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Suggest treatment for posterior pituitary tumor
Mr. Grimaldi was previously diagnosed as having a posterior pituitary tumor that causes hypersecretion of ADH. He comes to the clinic regularly to have his blood pressure checked. A. Would you expect his blood pressure to be chronically elevated or depressed? B. Why?
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Hi, dearI have gone through your question. I can understand your concern.Treatment of posterior pituitary tumor depend on size and symptoms. Drug therapy, trans sphenoidal surgery or radiotherapy are the available options. Hypertension, seizure, restlessness, coma may occur in ADH secreting tumor. So drugs like lasix and demeclocyclin are also useful. These all are prescription based medicine so consult your doctor and take treatment accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health.
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Teen having lump on side of neck, getting larger, soreness. Cancer?
My 13 year old daughter has a lump on the side of her neck. At first we thought she had been stung it has a pin head type look and is very very sore. Her Dr. is trying medication first and then if that does not work on to a specialist and have it removed. It is getting larger and sorer by the day. This is not a sign for cancer is it? To be that sore what do you think it might be?
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Hi,Thanks for writing in.Lumps on sides of neck in children are usually due to swollen lymph nodes caused by lice and are harmless. When scratched with finger nails, they become infected and painful. Swellings can also occur in other infections like tuberculosis and sore throat. Rarely lymph nodal swelling may occur due to diseases like lymphoma and cancer.If the swelling decreases on taking antibiotics, it is most likely infective. If it persists, your doctor is right in doing a FNAC/ biopsy to confirm diagnosis. It will only be a needle prick test and please do not worry.Mean while you should get concerned if there is significant weight loss, continuous low grade fever and swelling in other parts of the body. This may indicate something serious. If these features are not there, there is no need to worry. You must however completely evaluate the swelling and take proper treatment at the earliest.Hope this helps
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What medication is suggested for knee pain due to a blood clot?
I noticed an aching in my leg after wearing knee high stockings to work one day. It has been 2 weeks and still is aching. I m worried that I might have a blood clot but I don t see any bruising or noticeable swelling. I am 27 yrs and in good shape, but I am a smoker
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Hello, I suggest you make an echo doppler to see if you have any problems. Wearing tight socks disturbs proper blood circulation in your legs and feet. Maybe this is the reason for your pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician
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What causes rash on the chest with fever?
hi my 3 years old girl developed a small rash on chest under her chin 7 days ago,she then had high temperature for 3 days along with all this she had smal bumps all over her arms looks like she had been sunburnt up both arms but hasnt been in sun will this dissapear?
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Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth
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Q. Can Hydroquinone use on the penis cause the skin to be sensitive and red?
Hello doctor, Eighteen months ago, I had a reconstructive surgery on my penis to treat penile curvature. Two weeks post operation, hematoma exploded so I got wound breakdown. Skin necrosis ensued and I lost a small part of my penile skin. No graft or flap was used. I now have hyperpigmentation and very noticeable wound scar. For the hyperpigmentation, I have been using Hydroquinone and Mederma Intense Patch. I have been using it for two weeks. There is an improvement but the skin is getting sensitive, red, and inflamed. Should I still use it? If not, how to remove hyperpigmentation from the penis skin? What about the wound scar? Will it shrink and disappear with time or there are other solutions? I need to know what I can do to remove both hyperpigmentation and wound scar from the penis skin. I have attached pictures for reference.
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Hello. It is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). First of all, the Hydroquinone used over the skin especially over the thin penile skin does have side effects. I advise you not to use it for more than 15 days with a month's gap in between. If it is along with any kind of steroid then not more than 10 days. The scar seems to be still in an immature state. I suggest the onion peel based ointment such as the Contractubex Gel should work. You can use it twice daily. For more information consult a plastic surgeon online -->
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What is the treatment for chest pain?
I just experiences a shark pulsing pain on my left ribcage side and it was felt in my front and back. Almost like my whole left upper chest. The pain made me want to bend. Almost like if aomeone were to punch you in the gut and you lean forward. I'm female and only 22, 135lbs and try to work out regularl
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Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more in your case because at your age of 22 years, cardiac diseases are not common. But better to get done ecg to rule out heart related diseases. If ecg is normal then no need to worry for cardiac diseases. You are mostly having musculoskeletal pain. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected site. Start painkiller and muscle relaxant drugs. You will mostly improve in 1 week. Hope I have solved your query. Wish you good health. Thanks.
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Suggest treatment for gum infection
hi, i am a 39 yr old female, and absolutely terrified of the dentist, haven t been to one since i was in high school (or earlier) and it s caught up with me with a vengence...just in the last 3 months i ve lost 3 of my teeth in my lower jaw...they just appeared to be loose one day and eventually just came right out...since then, my front teeth are now getting looser and i ve gotten a few puss pockets in my gums as well...i m really scared, and i mean totally terrified on what to do
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Thanks for your query, I have gone through your query.The loose teeth could be because of the gum infection secondary to deposits.Consult a good dental surgeon or periodontist and get your teeth cleaned(scaling and root planing) once and maintain the oral hygiene after that. You have to get your teeth cleaned once in a year. You have to take a radiograph to check the bone level in all the teeth.I hope my answer will help you, take care.
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Suggest remedy for frequent slight fever
Have been running low grade temp (@99.5) for past 6 months. Temp is normal thru day (97-98) & every afternoon/evening I feel it coming on. Have history of hi bp, hyperglycemia (take 80units Lantus) & have been doctoring for a boil/fistula for past 2 months. Have bloodwork almost every week-1 time wbc will be elevated & they'll put me on antibiotics & next time it's normal. Most recently my bp has been higher than normal. Family dr. said to double bp pill. This is driving me crazy & is really starting to work on my nerves. Nobody seems to be able to tell me what exactly is going on.
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Hi, dear. I have gone through your question. I can understand your concern. You have evening rise fever which is low grade. You should go for investigation for tuberculosis once. Many time it happens in tuberculosis that you have no other symptoms except evening rise fever. Consult your doctor and investigate for it and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What is the small red ring on my leg?
hi, i was just laying out side in the sun when i looked down at my leg and realized there is a small red ring on my leg, no bigger then a centermeter and it has a white center, it is slightly raised. i dont see a bite mark and im concerned as to what it is.
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is nothing to worry about, it is the common reaction of the sun light because of longer duration of exposure.I suggest you to apply common sunscreen lotion available at homeYou can also take cetrizine and prednisolone tablet under your doctors guidance. This will clear up the reaction immediately.Please in future apply sunscreen lotion on the exposing part before you go on the sun. I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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Taking Previ Dent for loose bridge. Have rash on inner thigh. Side effects?
I have been using Previ Dent 5000 for over a month for a loose bridge that will soon be fixed. I broke out with alarge very warm pink patch on my inner calf six days ago. I was painful and sore and I went to the doctors and wastreated for inflammation using Ibuprofen twice a day. Today it moved to my inner thigh in a larger blotch. I didn'tthink at the time it could be related to the Previ Dent but could it?I noticed while reading about the side effects that you should only use this for a period of 4 weeks. My dentist said itwas o.k. to continue using it until the bridge is fixed. What do you say?
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hello and welcome to HCM forum,I would like to inform you that Prevident 5000 does not cause skin rashes, I do not feel that the red patch is from Prevident, but I will recommend you to see a dermatologist first.It is okay to use prevident 5000 for a month and then wait for a week, after which you can use it again. I will suggest you to give a break for a week and start using it again.I hope this answer was useful to some extent,Thank you for writing to us,i wish you good health,take care.
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Is there an alternative for Norvasc to treat high BP?
I RETAIN FLUID AND HAVE CONGESTIVE HEART FAILURE AND THE DOCTOR RECOMMENDED I TRY RANEXA AND I HAD SIDE EFFECTS OF FAST HEART BEATS AND MY FEET WERE ALREADY SWOLLEN AND I COULD NOT GET THEM UNSWOLLEN WITH THE WATER PILL AND WHEN STOPED TAKING THEY GRADUALLY WENT DOWN BUT I SEEM TO HAVE ADEMA IN MY LEGS AND ANGLES I AM ALSO ON NORVAS AND METROTOPARAL FOR HIGH BLOOD PRESSURE. IS THERE A BLOOD PRESSURE PILL OR DIRETIC WHICH WOULD REPLACE NORVAS. MY EMAIL IS YYYY@YYYY . thank you not interested in paying for doctors. i go to too many already.
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HIWell come to HCMI really appreciate your concern, with the condition like congestive heart failure edema is the prime symptoms but it well responds to proper treatment if give, your other condition of functional one is not due to the medicines or the congestive heart disease but it is the functional disorders try to come out of the stress hope this information helps.
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Q. I have positive Widal test and high eosinophil count. Please help.
Hello doctor, I have a positive Widal test and liver function test showed a high eosinophil count. Anything eaten gets vomited out, intense weakness and fatigue. Please help.
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Hi. You are having typhoid infection of the gastrointestinal tract. For that, it is advisable to take soft and bland diet more like banana, mashed potato, khichadi, etc. Avoid heavy fatty food intake. Take fruit juices more. You should take 7 to 10 days course of antibiotics to kill typhoid bacilli. Drink more water to maintain hydration. You can consult the physician for examination and get prescription of antibiotic like Cefixime for typhoid.
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How to detect date of conception?
Hi, may I answer your health queries right now ? Please type your query here...Hi i am pregant i started get morning sickness may 6 but i dont know when last had my period because it is irregular how can i know how long i am pregant for or when did i started
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Hi, Thanks for the query.I understand your concern. Usually date of conception calculation is based on date of last menstrual period & the regular length of menstrual cycle . As your cycles were irregular you can use other reliable parameter - the usg scan in early weeks of pregnancy to calculate your date of conception. Usually early week USGs show exact age of fetus than the USGs done in later months. Thanks.
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How can i control my high ASO titre?
iam 14 year old female and i have aso titer from more than 1 month...i daliy feel pain in my joints, and in aso-titer was 314.2 when i do blood test may because now i feel pain doctor give the medicine penicillin pen g400.i have taken medicine .i would like to know wht food is very good for aso titer patient and wht food the patient should avoid too eat..and please also tell me what i must do for to control my high aso titer my mother suffer every day i have youngerage please give me ... nees...
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Dear patient you have got Rheumatic fever which is associated with sore throat, fever , joint pains and high Aso titre in serum. This is caused by streptococcus infection of throat and subsequent autoimmune reaction of body. You are taking penicillin G and is the drug given mostly. You should avoid cold food such as cold drinks , icecream etc. Aso titre should be rechecked after 21 days of starting antibiotics and take time for reducing. Regular course of antibiotics as prescribed by your physician will reduce ASO TITRE and you need not to worry. Regular check up for heart involvement is also must.
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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What to do for the soreness in the wrist?
I have an extremely sore wrist that I somehow hurt playing softball. 3 weeks later it is still very sore, hurts to move in a certain way and makes my hand feel somewhat weak. I am going to try to see a doctor tomorrow, but just wondering if my wrist could be broken with no known injury - or probably just a sprain?
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Hello,I have studied our case and I think that most probably it is wrist sprain which is causing your trouble. For this I would recommend you following.1.Compression bandage2.Hot water fomentation3.Volini gel local application4. Avoid games for some days. it is mostly due to fluid accumulation in the wrist joint which is common occurence and it can be healed with rest and analgesics. i hope this answer will be useful for you. Let me know if there is any other followup questions.thanks
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Q. I have severe pain in my fingertips and toes. What could this be?
Hello doctor, I have had chronic bloating, indigestion, stomach pain, nausea, and diarrhea for over a month. During that same time, I developed frequent shortness of breath and palpitations with exertion upon waking and after eating. Also, during the same time, I began having severe pain in my fingertips, toes, and elbows that come and go. I just feel very sick. Any idea what this could be? My father had polycythemia vera. My physician assistant did some bloodwork. Monocytes were 10.9, creatinine was 1.6, BUN was 20, and total protein was 8.5. Please provide your opinion.
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Hello. Based on your query, my opinion is as follows: The serum protein and creatinine levels are a bit high possibly due to increased protein intake or associated dehydration in recent times. Monocytes are mildly elevated and BUN (blood urea nitrogen) levels are in the upper normal range. Monocytes may indicate ongoing chronic inflammation. It is only mildly elevated and does not have much significance. For polycythemia vera, hemoglobin levels or hematocrit levels are important. If they are normal, then there is nothing to worry. If the pain is in the fingertips and toes and if there is any associated tingling or burning sensation, we can think of peripheral neuropathy. Vitamin B12 and folic acid supplements should be beneficial. Looking at other symptoms like chronic bloating, indigestion, stomach pain, nausea, and diarrhea, gastritis, increased acidity in the stomach is a possibility. You need to use antacids along with proton pump inhibitors like Pantoprazole to reduce the acidity. You also need to reduce stress, avoid spicy foods, and take regular meals. There are no symptoms of polycythemia vera and more in relation to gastritis. If not checked, check once for hemoglobin levels. Maintain good hydration with at least six to eight liters of water per day. Regards. For more information consult a hematologist online -->
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What are the chances for me to conceive with a test tube baby ?
My name is Geetha. when I was 13 years old(1992) I got my abdominal surgery due to twisted cyst in right tube. so there is no right ovary and tube. when I was 21 years old (2000) I got appendicitis operation.now I am 32 years old.Igot married one year back. I got regular periods. I conceived in last january.the 40th day I got severe stomach pain and bleeding then I got two injections. then there was no pain for two weeks.after that I got little bit periods continously for four days then we scanned and found that it was left tube ruptured pregnancy . it was bleeding from the tube,they cut the damaged part.It was operated on Margh 7th. I got periods on march8ththen april 7th. this month It didnt come . we scanned and we found that it isnot pregnancy.and they told that there is no natural conceive for me. only by test tube baby.that too 35 will get out of 100.my question is what is percentage for me to get a test tube baby? that is any other test is there for ladies to find about there conditions to get the baby? age 32 height 167 cm weight 61kg
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Hi Geetha, The chances of conception after in-vitro fertilization (IVF) are around 30%. This means that 30 out of 100 patients undergoing IVF are likely to get pregnant after the procedure. The chances of conception are better before the age of 35 years. Based on your case history, IVF seems to be the only option for you. If you want to attempt IVF, it is advisable to do so before you reach 35 years of age. Do consult a good gynecologist who will advise you regarding appropriate investigations. Hope I have answered your query.
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Q. Kindly help me get rid of pain in testis.
Hello doctor, I am suffering from epididymitis problem. Sometimes I am having pain in testis while having a gastric issue as well. Kindly help me to get rid of this
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Hello. Testicular pain with these doppler findings (attachment removed to protect patient identity) shows some infection of the epididymis. If it is a recent onset symptom, I suggest: Have you been prescribed any medicine for this ailment? Any associated urinary symptoms? How is the flow of urine? Please attach the urine analysis report. Relief of pain will take some time and swelling may take three weeks to subside. For further queries consult a urologist online -->
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Suggest remedies for severe headaches in my son
My son is 8 and doesn t normally suffer from headaches. he woke about 10pm (Australian time) with a blinding headache at the back of his head, he was thrashing about and acting like a 2yr old throwing a tantrum. he goes in and out of sleep but keeps wimpering and clutching his head when he rouses. Can anyone please give me some advise. thank you. Tonya
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Hi,I guess there are no other symptoms like fever / vomiting / visual disturbance. Acute onset headache, that too severe and awakening from sleep is something to be evaluated in detail. After examining him including blood pressure and a detailed neurological examination, we may need a brain imaging. Kindly take him to doctor. meanwhile, you can give paracetamol/ibuprofen for temporary pain relief.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician
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Suggest treatment for loss of ability in conversion after panic attack
Is there any medication to help be more creative and talkative like nardil? Last year I suffered from panic attacks and eventually lost my ability to have long conversations with people. I would start talking to them and quickly run out of things to talk about. It is as if there is something blocking me from finding different topics to talk about. This is seriously effecting my social life and I just want to be the sociable guy that I used to be when I was younger
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HiThanks for using healthcare magicI think, you should try some antidepressant like paroxetine or escitalopram. It would help to control panic attacks. In your case, speaking problem could be due to underline anxiety symptoms. Better to consult a psychiatrist as soon as possible.Thanks
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What causes swollen lips at birth along with build up of body fluids?
I m trying to find the name of a condition reportedly pronounced as le-han-jo-mia . The condition was diagnosed in a young child whose symptoms started as a swollen lip at birth. The condition involves build up of body fluids, quick swelling with mild trauma to facial tissue and vulnerability to recurring infections. Laser surgery has been used to treat the facial tissue.
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Hello,I think the term you are looking for is Lymphangioma, which may present as swelling of lips, tongue and facial tissues. These are non-cancerous benign growths that are treated with laser only for cosmetic reasons.I hope this answer solves your query. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah
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Suggest treatment for headache in kid
hi I have a 3-year old daughter and during last 4 weeks she had headaches as well as her body temperature drops to 34.9-35.5 especially after or during sleep! This is very unusual for her. She felt onto her forehead 4 weeks ago after which all of this begun. However, CT scan did not show anything abnormal. also about 6 weeks ago she had high level of calcium in her urine, however, the blood test last week did not show high level of calcium. The pediatrician suggested to wait for another week, but I really worry - first she had her headaches when she would have laid down to sleep (and even would wake up from sleep because of the headaches), and now she has also developed the headaches during day! If anyone has any suggestions, I will greatly appreciate!
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Post-traumatic headaches may persist for quite some time, especially if accompanied by loss of consciousness. There may also be dizziness, irritability, hyperactivity, sleep disturbance, difficulty controlling anger. It would help to know: is she taking any medicine for the headaches?does she localize her headaches to any part of her head? is there a family history of headaches? Are there precipitating factors such as noise, foods(pizza, cheese, chocolate,hot dogs), light or sound sensitivity, vomiting, abdominal pain, or changes in vision? To determine the significance of high calcium level in urine one needs to know the value of creatinine in the same urine specimen. Hope I have answered your query. Let me know if I can assist you further.
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Q. Can new combination of drugs rebound the virus in HIV?
Hello doctor, After 21 months since my HIV diagnosis and have been undetectable for 15 of those months, two months back I was switched from the effective Truvada or Tivicay regimen to Triumeq. The sole explanation was that STR was more convenient. I am yet to do labs with Triumeq, but I have three concerns at this point: 1. Was there any possibility of a viral rebound or a significant blip, 5 to 6 weeks into Triumeq use, due to a new combination of drugs? (I have 100 % adherence and take medicines always at the same time, +/- 2 hours) 2. Due to some intensive driving trips, on a few days in the last two months while already on Triumeq, I had a can or two of energy drink shortly (certainly less than two hours) after taking my medicines and without realizing it contained some magnesium (about 7 mg per can). Is this a significant enough amount to interfere with DTG absorption and thus efficacy? (The Triumeq guide instructs avoiding calcium or magnesium-containing antacids, but their quantities usually are much higher. In my case, this was less than in a medium size banana fruit). 3. While maintaining my UD status, how risky to my negative partner was the following episode during a sexual intercourse with me being in the receptive role? He briefly inserted his penis rather deep into my rectum without condom and instantly had a tear at the top of the penis where it connects with foreskin. He pulled out right away, but his wound was already bleeding rather profusely. Was he at high risk of HIV infection, despite my UD status?
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Hi. 1. It is not at all advised to substitute regimen with another drug on your own choice based on convenience. The reason is group resistance. The substitute you made are used in vice versa condition, that is used in case of failure to switch to second-line medication. 2. Dolutegravir has interaction with antacids which contain calcium and magnesium salts and these interfere with absorption, but nothing harm in occasional use, as drug remains above therapeutic levels for more than 5 to 7 days. 3. Anal activity has a significantly high risk, as there will be no active defense cells and there is increased chances of mucosal tears which increases chances of HIV transmission. So, he is at risk of transmission.
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Suggest cure for redness,swelling and soreness in toe
hi i have a sore toe that is red and swollen if anything touches it, it throbs and really is painful, its been bleeding and also had yellow puss coming out of it. its hurting at the skin next to the side of the nail but its traveled upwards to all around ones side. i believe i had an ingrowing toe nail which i removed and now its become infected. i just want to know if there is any way i cant treat it at home or just go to the chemist and pick something up as the weather where i live makes it near enough impossible to leave the house to go to the doctors plus i have just had a baby he is now 11weeks old and dont want to take him out. thank you steph.
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Hello. Thank you for your question.I understand your concern.Let me try and help.You seem to be having an infection probably an abscess.The throbbing pain is due to the pus collection.So the best thing to do would be to visit a clinic where a general physician would let out the pus,clean and dress the wound and prescribe a course of antibiotics( according to your pus culture) along with analgesics if necessary.Even if you were to stay at home you would still need a course of antibiotics such as co-amoxiclav which is a prescription medicine.Another thing I would like to point out is if you are still breast feeding your baby ,you might want to be careful about which medications you take.You can use painkillers such as Paracetamol 500 mg three times a day for pain or fever , but you will get complete relief only if the pus is released from the site of the wound.So my advice is still to consult a GP in your area.Hope you found this information useful.Take careThanksDr . Alex
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What causes bad temper and migraines in a child?
I have an 11 year old child who has started loosing his temper over the last 12 months in a violent manner. He is complaining of migranes and had what his school descriped as an episode a few months ago. I took him to hosiptal and they run tests but could not find any issues. He also has suffered from Alopecia since about two. I m starting to worry - there has been no chance in his personal life and he assures me he is not being bullied. He is normally a kind and sensitve boy.
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Hi... this is a very normal phenomena in this pre-adolescent years. With soothing words and extra time spending by parents should do the trick.The only other issue is - if he's getting excessive dark pigmentation or has suddenly grown taller, you need to rule out acromegaly.... consult your pediatrician regarding this.Regards - Dr. Sumanth
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What causes infertility inspite of follicular study and Corion injection?
i have taken fertyl on 3 day of menses and had follicular study on 10 th day ,on 13 day ,my follicle size was 18mm*17mm, doctor had given me corion 5000 injection on 11 th day as it was a dominant follicle..........but this month also ,i got down on 3rd dec,plz help
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Hi welcome to healthcaremagic.I have gone through your question.I would advise to do investigation of your partner if not done. And histosalpingography HSG for you to rule out tubal blockages.If both reports are normal then continue these treatments for 3 cycles atleast.If not get success thenconsult your gynecologist and take his/her advise for further management.Hope i answered your question.Would be happy to help you further.Take care.
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What could be the reason for having a lump below his left ear?
my 5 year old has a lump below his left ear at the end of his hair line - when you touch it lightly it does not hurt - but if you apply a little pressure he says it hurts - we also noticed he has been scratching his head on the center he has a dry scabby spot what does this mean
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Hi,From history it seems that there might be having some infection on scalp giving rise enlarged lymph node in the neck.There might be having infection on scalp like fungal infection, dermatitis or dandruff.Consult your doctor and get examined and then go for treatment accordingly.Give him regular head bath.Ok and take care.
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What causes unusual itchy growths around penis?
Im not sure if this is the appropriate place to ask this question but i have unusual growths on and around my penis it is just skin as far as i can tell and it doesnt hurt, the only thing involving it i feel is a slight itch around the one that isnt on my genitals. Im a little worried about this and was curious as to what it was any information would be very helpful thank you.
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HI, I can understand your concern for your symptoms, It can be due to fungal infection. you can use local and oral antifungals to recover. I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day
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Suggest treatment for vomiting and loose stools in baby
I have a 41/2 month old who has been recently sick with RSV and then immediately after getting better from that, she started vomiting. Now the vomiting is only brought on by an occasional cough, but she has voluminous pale yellow, kind of spreadable stool that smells grossly like fish. The stench fills the room! She has seen the doctor for the vomiting, but not for the stool. I feel like an idiot making appointments every week (new mommy!). What could this be?
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Hello,According to the symptoms, the loose stools and vomiting look like a viral infection. I would suggest symptomatic treatment with adequate fluids. As viral infections recover on its own within a few days to two weeks. I would advise you to meet your pediatrician for the prescription of an anti-emetic, probiotics, and examination. Home remedies such as soups, fluids, yogurt are the best.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kampana
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Missed taking Marvelon. Am I still protected?
hi! i have an inquiry regarding oral contraceptives being missed. ive been taking marvelon 28 say for about ten years now. just this week i forgot to take 2 tablets on my third week a sunday and a monday. i manged to remember by tuesday. i then took my monday dose and then the usual tuesday dose. so basically ive only missed out on one which was the sunday pill . im a healthy person. 31 yrs of age. no history of any illness . am i still protected? even if i had a 1-2 day miss out. what do ido next? the packet instructions say continue until the active tablets are finished and then skip the placebo ones. thanks. truly appreciate it
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Hi, Thanks for the query. According to your description, you totally missed one pill. So now the complete protection cannot be expected. So you have to use some additional contraceptive measure like condoms till you complete this pack.You can continue the remaining tablets.After completion of this pack, you can start next pack as usual. For more details you can ask me directly through the premium forum. Take care.
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Could blacking out and weakness in a diabetic person on pacemaker after heart attack be a sign of concern?
my mom has diabietes and high blood bressure takes insulin and medication for heart because of clogged arteries and already had heart attack in past so now has pacemaker everything seemed to be in control but yesterday my mom felt weak towards evening and she blacked out and does not remember how she fell or why
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Hello. I read your concerns. Thank you for your query.Now, I spotted two possible cause for these symptoms, from the brief information you provided.First, as it is know sometimes happening to patients suffering from diabetes, who are on glucose-lowering agents (glibenclamid, insulin), the sugar can be lowered below normal range and this is a response to low glucose levels provided to the brain. If this is the case, patient feels weak, is covered in sweat, feels a tremor on his knees. This situation can be overcome with eating a candybar or drinking a glass of juice.Second, it can happen by various pacemaker dysfunctions (end-of-life battery, lead dislodgement), i.e. every problem with the pacemaker, which makes it not work properly when needed. To investigate this, you should go to you doctor's office, and test the pacemaker to see if it is working properly. I hope I was helpful. Take care. Feel free to consult again. Good day.
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What is the suggested medication to avoid drowsiness in a parkinsons patient?
My father is undergoing a treatment for parkinsons for almost 13 years. Age 80 years. Presently on Syndopa plus 1 tab each five times a day. Syndopa CR 250 mg half at night. Amentrel one at morning after bf. he feels extremely drowsey almost looses his senses at most of the time in day. Plz suggest suitable drug/ doses to avoid drowseyness.
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Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.This cannot be treated online. You need to consult your neurologist for dose modificationHope 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. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
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What causes chest pain that radiates to the neck post workout?
Hi, I m 24 year old male. I lift weights on and off and have done for 6 years now. I have lately let myself go with my diet and today thought would be good to go for a run. I started of fine for the first half mile then I was getting pain in my chest area which then moved to my neck which I believe was an artery which was pulsating rapidly and very vigorously. The pain and the throbbing in my neck made me stop as it felt like it was about to burst. This has me worried and want to know if it is a serious problem or if it will pass in time.
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Hi, It is just a musculoskeletal pain. As the first line of management, you can take analgesics like Ibuprofen or Tramadol for pain relief. If symptoms persist you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Is leg pain and shooting pain down the back due to costochondritis?
My daughter is in terrible pain (age 26). She was diagnosed with Costochondritis. I wasn't reading anything about it being associated with leg pain and she has pain shooting down the back of her left leg, from top to bottom, very tender to the touch in the area that is painful. Is this normal for Costochondritis?
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Thanks for your question on Health Care Magic. I can understand your concern. No, this is not related to costochondritis. Costochondritis can cause chest pain. It can not cause leg pain. Your daughter is mostly having sciatica (pain of sciatic nerve). Sciatic nerve is originating from lower back and runs downwards in the leg. Lower spinal compression can cause sciatica. So in your daughter's case possibility of sciatica is more because her pain is starting from back and going lower down in the leg. So better to consult orthopedic doctor and get done clinical examination, x ray of lumber spine and MRI of spine if needed. So better to first diagnose and then start appropriate treatment. Costochondritis is not a cause for this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
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What causes white patches on the backside of tonsils?
I had post nasal drip due to seasonal allergies (started 7 days ago). I now have white patches hiding on the backside of the skin where my tonsils were. It hurts. I was on Cipro for a bladder infection for 5 days, and finished 3 days ago. Do you think the white spots are viral? There are no white spots that I can see on the actual back of my throat - just on the backside of the old tonsil area. I wish I knew what that was called.
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Hi,Welcome to healthcare Magic!White patches in the throat can be due to shallow oral mucosal ulceration that are called aphthous ulcers and are mostly results of stress.The other causes of similar white patches are oral thrush and leukoplakia.in either case it should be examined by a local physician.Keeping a good oral hygiene and local rinsing with chlorhexidine mouthwash is highly advisable for optimization of oral health and improve healing. I hope the advise would be informative and useful for you.Take Care!
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What causes pain in smaller joints of hands and feet?
I am Arnab Basu, 33 years of age, have been suffering from pain on smaller joints of finger of hands and feet. Doctor has diagnosed it as Psoriatic Artharitis. Generally pain occurs once in a week and sustains for 2 days. I have just started taking Sazo 500 (twice daily) and Naproxen as SOS. My questions are: 1) Whether I have to take those medicine life long for arresting pain or inflammation? 2) What are the possible side effects of these medicines?
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Hi,For the first question sometimes you could take the medication for maybe 1 to 2 month depending from the signs but you should be in contact with the rheumatologist because of the adverse effect that they have. Sazo has different side effects from nausea, dizzines cough, and eye problem. You have to be careful if you have for example an infection. Call you doctor.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Rezart Cipi
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Taking Lutera, condom broke while having sex. How do I continue with my pack?
I have been taking Lutera for about 2 weeks, and 2 days ago I had sex. The condom broke, so the next morning I took 5 Lutera followed by another 5 pills 12 hours later (I was informed that this was the same as taking a Plan B pill). How do I continue with my pack? If I wouldnt have taken the 10 pills, I would have had 2 and half more weeks of white pills before the nonhormonal pink pills. Now, I only have 5 days until I take the nonhormonal pills. What do I do?
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Hello and welcome,Please do not worry. If you were already on lutera and taken pills regularly there was no need to use the condom. Even if it broke there was no need for an emergency contraception as you were already on regular contraception. Now since these additional pills have been consumed, it is best to wait for periods and take no pills further. Meanwhile use condoms if there is a sexual contact. Begin a fresh pack of pills from day 1 of the next period and nothing else needs to be done. So do not worry, just wait for your period and then begin a new pack. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist
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Does wisdom tooth eruption cause pain in head, neck and ear?
Hi, i am 36 and my wisdom tooth began erupting approx 2 yrs ago after the birth of my child. its partially out and has a piece of gum tissue at the top of it. i have been experiencing these weird symptoms as well with my head, neck and ear, and generally feeling unwell fatigued and weak. I visited the ENT he ruled out infection, my family doctor did cbc, HBA1C,b thyroids and urine all came back normal except the HBA1C came back 6.5. my dentist checked for infection but found none but he told me the tooth will have to be removed. i am interested in knowing whether a wisdom tooth eruption can make me feel so terrible. thank you
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Thanks for your query, I have gone through your query. Thanks for your query, i have gone through your query. The erupting third molar may cause pain, swelling and discomfort. Secondary to these symptoms your nutritious status might suffer and result in generalised weakness, fatigue. consult a oral maxillofacial surgeon and get the wisdom tooth removed under local anesthesia. consume lot of liquid and nutritious diet. consult a general physician regarding HBA1C, and take an opinion from the physician for extraction. i hope my answer will help you. take care.
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Low platelet count, WBC count and RBC count. Dizziness, nosebleed, fatigue, shortness of breath. Risks?
My doctors think I may have aplastic anemia-- low platelet count, WBC, and RBC count all support it (as well as a marrow biopsy.) My red blood cell count is currently at 1.02 m/uL, but I m not comfortable with the idea of a red blood cell transfusion. What are the risks with my count? I have dizziness, an occasional noseblood, fatigue, and mild shortness of breath. I m currently trying to find a matching family donor for a marrow transplant.
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Hi Welcome to HCM. IT IS UNFORTUNATE that you have aplastic anemia. Till you get a transplant, 1. RED CELL transfusion to help dizziness and shortness of breath. 2. Antibiotics if needed to combat infection - due to low resistance related to low WBC count. 3. Platelet transfusion rarely if necessary to get bleeding under control. Take care REGARDS
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Suggest remedy for dizziness, pain in chest and numbness in foot
Lately I even having horrible memory loss, yellow and watery stool, with breathing problems. I get dizzy easily and bruise easily, my left foot randomly goes numb and I have frequent migraines. The right side o my chest has horrible pain. What is wrong?
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HIWell come to HCMI really appreciate your concern, you have got the multiple complaints, for the watery stool it is self limiting most of the time but hydration need to be taken care, for other all the complaint that may not be due to any illness or pathology, it may be functional in origin, for to confirm the disease CT of brain can be done, blood pressure may be matter of concern, here the age and gender really matters the great and it is not being given here, try to control your thoughts hope this information helps.
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How to handle denials in profession leading to depression?
Hello there. I'm 18 years old and live independently with my partner. I've been trying to find work for two years now and I'm struggling. I'm constantly depressed and I've cut myself in the past, a month ago being the most recent. I can't handle being denied again and again from employers and it's destroying my life at home. I need help and even financial help but I've refused to see a doctor. I know I need help now, what can I do?
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DearWe understand your concernsI went through your details. I suggest you not to worry much. Instead of worrying about the "denials", start thinking about your abilities and qualification and experiences. Find what type of employees are in demand next year and try to get a qualification and improve your skills accordingly. Change your attitude according to that. You cannot succeed unless you change your attitude.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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What causes depression and agitation after started taking percocet?
I had a total knee replacement six weeks ago. I have been taking percocet for pain and prior to physical therapy. But in the past three weeks, I have become increasingly depressed and agitated. I have been taking amitryptilene and bupropion for years and it has worked well, but I wonder about the interaction of these with the Percocet. It is alarming to be down in the black hole again. I decided today to stop the Percocet and just tough it through. Do you have any observation or advice about this? I am soooo down.
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HiThanks for using healthcare magicPercocet contains oxycodone and it is a pain killer. It has no major interaction with amitriptyline or bupropion. You can carry on both of these drugs with percocet. In your case, anger or irritability could be due to physical issues. In that case, you can either try some another antidepressant or try for some relaxation exercise. With time all these symptoms would improve. In case, you need further help, you can ask.Thanks
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What causes fatty liver?
Hello doctor, as per my report of lever scan, the doctor s impression is FATY LIVER. how it happens.? i am not using any type of alcoholic products.In future what type of food i have to take ,what type of precations and how much time it will take to recover please sugest.
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Hello,Welcome to Healthcare Magic.It may be due to high fatty diet.You may have office work and sedentary life style.Please spend some time for exercise.Do brisk walking for at least 45 minutes a day.If possible, do heavy exercise like cycling or swimming.Avoid spicy and fast food.Take fresh fruits and veg diet more.Do liver function tests every 3 months.Continue medication, exercise and diet.Hope these will be helpful to you.Thanks for contacting us.Take care...
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How to increase pottasium level?
I am planning to have some surgery at the end of March. I had to have another Potassium level done. My first one was 3.4. The nurse at the occular plastic surgeon said my level was to low.Then said I had to repeat the test and said they wouldn t do the surgery if it was still that low. HELP!!!!
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Fresh fruits and vegetables are some of the top sources of potassium. Eating the recommended 2 cups of fruit and 2 1/2 cups of vegetables each day can help you consume plenty of this essential mineral. A cup of cubed cantaloupe supplies 494 milligrams and a papaya contains 781 milligrams. One medium banana contains 467 milligrams. A medium-sized mango provides 323 milligrams, and a kiwi supplies 252 milligrams. Eat a tomato for 400 milligrams, or have a baked sweet potato for 508 milligrams. Avocado, potatoes and pumpkin are also top sources of potassium.U can drink plently of fruit juice and coconut water.Syr Pot Klor 2 tsf thrice daily after food for 3 days will also help.RegardsDR DE
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What is the cause of dizziness?
Within the past few weeks I've been getting very dizzy ( especially when standing up , but also while sitting down ) , and also , I'm not sure if this is part of the dizziness or not , but I've been sitting down , writing , and I would get the feeling that I'm writing with my left hand when I'm actually writing with my right hand ( which is my dominant hand ) . I've also been sitting in a chair , focusing on something , and I would see a shadow out of the corner of my eye , then then I would look over , there would be nothing there . My only specific medical history is ADHD , which I'm being treated for with the perscription Vyvanse . I don't eat anything between breakfast and dinner , ( almost 12 hours without food ) which gives me headaches from low blood sugar , but I've been on this medication for more than 6 months and I've never experienced anything like what I have been
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Hello,Please consult a psychiatrist at the earliest. Don't stress yourself much, take adequate nutritious food on time, as it is the requirement of the body. Focus and concentrate on your career. If you have not studied much, focus on your hobbies and try to involve yourself in your hobbies, don't be alone, share your problems with your kids or relatives or close friends. Be in touch with a psychiatrist on a regular basis. You will be improving yourself a lot in few days only.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Abdullah
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Q. I take a shower every day but I get a musty smell in vagina even. Please help.
Hello doctor,I am in the eighth grade I take a shower every day I rinse with apple cider vinegar once a week, but whenever I start moving around a lot, this musty smell starts coming from down there I am also a majorette the smell is not so bad the whole room can smell it. Please help.
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Hello. Probably you got an infection in your vagina because of using of vinegar. It might have resulted in removing healthy bugs from there which usually fight against infection and germs. So I would suggest you to stop using vinegar at first place and then take tablet Metronidazole three times a day for seven days. It will relieve the smell and wash the area only with plain water as many times as possible and use only and only loose cotton underwear and do not use any other cosmetic products over there.
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Suggest remedy for red swollen wound due to bite
ive been bit. i didnt see what bit me. i only felt the pinch.I got two small holes. then i put vinager on it and squeezed it. it got very hot and swollen. now the holes are larger the swelling went down and and the redness is a smaller area. should I go to the emergency room. I already took 2 Benadryl.I keep soaking it with vinager
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Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.Yes, you should attend emergency room to rule out Snake Bite.If the doctor feels after examination, it is snake bite, you would be given Anti Snake Venom.If it is not, you would be treated with Antibiotics like Augmentin , and would revive Tetanus injection.Even if it is not snake bite, it is important to take care of the area else it would turn into Cellulitis.You can also send me the photograph of that area, i would give you an idea.This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy.Dr Anshul Varshney, MD
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How to treat shin and foot injury caused by a fall?
I fell getting out of a concrete hot tub 2 weeks ago. I hit my shin about 5/6 inches my foot..pain mainly on shin..foot turned purple by next day..now it feels like I have tape from the spot on my shin across the top of my foot....what should i do..it really seems to be pulling when i point my toes down..Thanks
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Hi, Shin is tibia bone anterior border, which is subcutaneous, and covered by skin and fat and fascia only with no muscles to provide a tough cover. Whenever there is injury over the shin it results compression of skin and underlying soft tissues with associated internal bleed that moves along the fascial planes and get deposited in dependant parts like foot or ankle. These types of will take around a month to get healed. All you need to do is to apply ice over the impacted site. It will gradually recover on its own without any treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
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Q. Suffering from cold, chest congestion and sore throat. What is it?
Hello doctor, I am a 60 year old male who is overweight. Other than being overweight, I am in relatively good health. I am getting regular health checkup for every six months. Currently, I am taking Triamterene and HCTZ and Simvastatin 20 mg. Recently, I had cold, some respiratory discomfort, chest congestion, sneezing, sore throat, little if any fever and lots of coughing. Congestion is gone as is sneezing. Sore throat lingers. There is an irritated spot on back of tongue. It could be from sucking on too many cough drops. Tonsils and entire throat area is red and swollen. Ibuprofen relieves pain temporarily. Please give some thoughts or any suggestion. Initial symptoms of chest congestion appeared seven days ago. Please guide.
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Hi. I have read your message. Meanwhile, start with the following: Revert back after the investigations to an internal medicine physician online -->
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Suggest ways to deal with fluctuation on BP after changing medicines
My doctors at the VA recently changed my BP med from Azor 5/40 and HCTZ, which was working quite well. My BPs were in the range of 118-120/70. I have been on amylodipine besylate 10 mg, losartan 50 mg and HCTZ 25 mg since 11/17 and now my bps are running 141/100. I think it would be sensible to return to my Azor; however the VA does not do formulary. I just checked it and it was 150/106. Do I need to go to the ER or should I just wait until the morning and resume my Azor, hctz dosage?
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Hi welcome to HCM.I understand your query and concern.Fluctuations in blood pressure should me monitored regularly to avoid complications like stroke in the brain and heart.Uncontrolled blood pressure could be related to inadequate drug dosage or non compliance of your Anti hypertensive drug intake.Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile as a part of routine screening of your heart.Restrict the intake of salt to less than 6 g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Reduce the intake of fatty and fried food.One pomegranate a day will help . Stress management is most vital in your case..So Consult a Cardiologist and Endocrinologist for further expert management.Post your further queries if any.Thank you
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Suggest treatment for erectile dysfunction
Age 22 years 9months height 173cm weight 60kgFtom last two months I have been suffering from erectile dysfunction.The test showed low level of testesterone level.I am getting a treatment but very worried.I dnt know why I think there can be a physical issue which adds to my fears?please suggest me something
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Hello Thank you for trusting HCM Nothing to worry how much is your testosterone level?? In general, the normal range in males is about 270 to 1070 ng/dL with an average level of 679 ng/dL. Anxiety playing major cause for your ED. Please practice yoga and meditation, regular exercise. Tab alprazolam 0.25 at night. Eat Green leafy vegetables Avoid smoking and alcohol. If symptoms not improved consult your doctor
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Taken BC pills after intercourse. Prolonged bleeding. Am I pregnant?
I had my period nearly 3 weeks ago. Soon after my boyfriend and I had sex( protected with BC and a condom) two times in that week. Everything was fine. A week later we had sex again...about two weeks into my BC pills( protected with BC with condom) and a day later I started bleeding. at first it was dark and a little clumpy but now a week later... One my third week of pills it still persist but is light. What is going on. Am I pregnant? Just experiencing spotting? I used two forms of birth control so I find it hard to believe that I could be pregnant when I took so much care
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Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.The chances of you being pregnant are pretty small, after all you used condoms and contraceptive pills.It is very well possible that you're period is early this month, that can happen sometimes. Another reason could be because of the contraceptives, they are known to cause irregular bleeding in some women.So the way it stands, I doubt you're pregnant. But to be on the safe side take a home pregnancy test.I hope this answered your question.
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Unable to conceive. Does age matter for conception. Suggested ultrasound, anemia test, thyroid test
one &half year completed of my marriage till i do not hav baby.i m 24 yr old and my husband is of 31 age..is age matters for conception..my gyno. told that till we hav not done perfect intercourse or my husband is not done well.i was alwaz in fear of this physicl so avoid it before but now i m ready to face it .my gyno. has given me 1 month to try successful and said to make various test...ultrasound,anemia test,thyroid etc..is it all necessary? if male person age matters? is sucessful intercouse happens by bleeding..or after trying correctly...it will not cause pain?
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Hi,As your husband is 31 years, age is no bar for conceiving.Go for semen testing of your husband.Then go for all tests listed by your Gynaec.Successful intercourse does not means that there should be bleeding.Penetrating penis with ejaculation inside of vaginal canal is complete intercourse.Ok and take care.
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Is long lasting vomiting,diarrhea and fever sign of stomach virus?
My son just turned 3. He has been sick for 4 plus days.It started Friday night with vomiting and diarreah about 6 times through the night. He vomited once on Sat. Morning and slept all day moaning and groaning. He ran a low grade temp throughout. Sunday he was not himself and by Sunday night he was doubled over with stomach pains and had a lot of diarreah and vomited once. He has continued to have diarreah and just wants to sleep or lay around. He refuses to eat but has been drinking adequately. I have given him simethicone and tylenol. It is now Tuesday and he has a low grade temp and is still just laying around. Is it usual for this to last this many days and do you have any suggestions on treatment? I took him to the dr yesterday and they said it was a stomach virus. thank you
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viruses causing diarrhoea usually dont cause vomitting except causing secondary viral hepatitis. this seems to b a case of acute gastroenteritis which is usually self limiting. in this u need nothing to do except maintaining water balance of body and symptomatic management
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Can carbolic acid be consumed as a medicine?
Hi! to whom it may concern: I would like to know about carbolic acid it s good to take as medicine how much can you take from it I know it good for cancer, stomac cramp ect . Please let me know by whriting me back at my email YYYY@YYYY Frantzie Rodriguez
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Hi,Carbolic acid (phenol) is highly inflammable and corrosive chemical commonly used as an antiseptic or disinfectant. It produces corrosive effect on skin and mucous membranes. If consumed accidentally it can damage the oral cavity, pharynx, esophagus and stomach. It has no therapeutic purpose apart from being an antiseptic or disinfectant.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Suggest treatment for cough, runny nose and energy loss
I have been coughing over the past few days. Runny/stopped up nose, no energy etc. Today, my coughing is ferocious and I am wheezing. I went to the hospital a month ago for possibly having pneumonia, but there was very little there. I do have asthma. Should I go to the hospital?
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You go to hospital you feel that you are not comfortable at home. Don't wait until you can't sleep, or appear blue, or become tired. Take your asthalin or salbutamol you have, you may repeat it three times, then make your way to hospital. URTI is one of the commonest triggers of asthma.
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Can platelet count and creatinine level be the cause of kidney infection?
my grand ma's report is as per follow:phalets low , swollen is found in temparal part of brain , in urine - urea is fluctuatin in between in 72 to 103 , creatinine is 2.8.are doctor says pencreas is nt workin and kidney is infected .blood sugar : 214.case history :she caried by-pass surgery in the year 2008.she is a patient of high blood pressure and daibetes.please, advice what should done next?
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Hi and welcome to HCM. As a specialist,i can understand your anxiety.Your grandma's condition is quite critical.She has multi organ involvement,with brain,kidneys,pancreas and heart being affected.Each of these organs function,has to be monitored closely.She'll need to be in an intensive care,with a ventilator facility and an intensivist ideally. Her blood routine,LFT,and electrolytes will need to be monitored closely.Along with mannitol infusion,she'll need insulin and a broad spectrum antibiotic.Hemodialysis may be needed,if deterioration occurs.So,you can understand that treatment should be in a tertiary center.Dr.Matthew J. Mangat.
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Had mouth surgery. Having trouble speaking and swallowing. Can I drink following one another?
Hello!! I had minor mouth surgery about a week ago, and I really have trouble speaking and swollowing, so I m taking disprin, placing it on the wound in my mouth to numb it. It seems like that s the only way I can eat and speak normally. I just want to know what will happen if I drink too many following one another? Does it hold any real danger?
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Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.Well a common side effect of disprin (aspirin) is that leads to bleeding, as such yes, you can take some for the pain but dont overdo it, stay within the normal dosage, which is usually considered to be 300mg. Try not to take more than that a day and if possible dont take it everyday. You should also consider calling up your doctor and ask him to prescribe you a pain killer. I am surprised he didnt prescribe you with any pain killers after the procedure.I hope this answered your question.
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Dry skin, corner of lips, white crust formation during winters. Using lobate-gm. Suggestions?
during the start of winter season my face becomes dry and corner of mouth(that point where the upper and lower lips come together) becomes so so dry, after that color of that area changes from white to black and persist upto summer.... please suggest something to permanently cure this dryness... right now i am using Lobate-GM .. please suggest....
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hi, kindly do not use Lobate Gm as its too strong to be used for face and besides the cream is not meant to treat your particular condition. For your excessive dryness, use a mild soap free cleanser like cetaphil. Use a good moisturiser like cetaphil moisturising lotion or cetaphil restoraderm. At the corner of your mouth apply fluticasone cream twice daily till the cracks at the angle of your mouth disappear. Hope thtat treats your problem. Take care
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Suggest treatment for stomach pain and frequent urination
Symtoms...pain in lower stomach area under ribs, right side, frequent urination, belching after eating anything, weight gain,,even though I eat better now more than ever and I am exercising, Male 38 years old. Just had ultra sound and waiting for results.
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You probably mean abdominal pain and not really stomach pain (stomach is only a small organ present in the abdomen). The specific location of the pain is important which could only be understood after proper examination. You could have got an urinary tract infection but it is hard to comment without more information. If that is the case, you would need to be treated with antibiotics. There could be several other causes but it is no use unnecessarily confusing you. The ultrasound will provide some insights to the possible causes.
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What is the blood in vomit after drinking too much?
I drank too much last night, a mixture of lager, red wine, jack daniels and coke and a couple of guinness. I vomited and noticed what appeared to be bright red blood as well as other stomach contents, i wasn't sure whether it could have been the red wine, but it appeared lighter in colour. I feel ok now apart from a slight ache just below my sternum which i assume is from wretching?
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Hello,you've likely described Mallory-Weiss syndrome. This a relatively common condition of esophageal tear and bleeding after vomiting. This is commonly related to alcohol consumption. It heals very soon, so after bleeding stops the patient is safe. Other possible etiologies include- bleeding from peptic ulcer which could recur and could be dangerous.- bleeding from hemorrhagic gastritis which usually heals within 24 hours.- no blood...It's better if you visited a doctor who could identify signs of bleeding. If you have ongoing bleeding then you're in danger. That feeling under your chest could be related to regurgitation of stomach acidic contents into the esophagus which may happen after heavy alcohol consumption. I hope I've helped.If you need more information, please ask and I'll be glad to help.Kind Regards!
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Suggest treatment for hip pain
Hello. Thank you for taking this time. I m Neil I m 39 and I have a very bad right hip problem. I have taking x rays and they have told me it was a clump of arthritis I have not taking anything for this and the pain I ve had for the last three years is now unbearable I need some help.
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Hi welcome to health care magic . After going through your query I think you may require hip replacement if there is hip arthritis and severe pain. Hope your query has been answered . Thanks .
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Experiencing pain due to bruise going up from knee to groin after arthroscopic surgery
I had arthroscopic surgery on my knee 2weeks ago and now have a bruise going up from my knee to my groin, and experiencing painful feeling when I lift my leg, there is also a red rash on my inner thigh that itches on part of the bruising... What could this be. Also somewhat sensitive to touch.
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Hi, As you have already underwent surgery, but now you have bruising and swelling, it may be due to edema. Kindly consult with your surgeon, you may require MRI to be knee joint. Treatment mainly depends upon the underlying condition. For pain you can take tablet Diclofenac and apply Diclofenac gel or ointment. Do warm fomentation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician
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Suggest treatment for very painful lump on my tailbone?
Hi, two mornings ago I woke up with a very painful lump on my tailbone. It is red and swollen. I cannot tell if it is filled with pus or not due to the level of swelling. I have a job where I sit at a desk all day and I recently got off of a round of corticosteroids for bronchitis. I am currently taking an SSNRI, klonopin, and lithium. I have a history of acne, but this seems to go deeper into the tissue than standard acne. I am concerned it is an abscess and I am using a warm compress with ibuprofin and hydrocortizone in case it is an insect bite. I do not see any whiteness or paleness around the area and the skin seems to be puffy and irregular like a rash. I need to know if I should go to a clinic to get this drained or not, or if it just needs antibiotics and can wait. If you need any more information, please let me know. Thank you.
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Hi.Thanks for your query and an elucidate history.This is cellulitis.Get an antibiotic cover. and visit a Surgeon. If he feels this is an abscess he will drain it, if he feels this is a part of the pilonidal sinus, you need a corrective surgery.As you told about your job, you need a permanent solution. Continue with antibiotics and Ibuprofen. No role of steroids in such cases ( other than your bronchitis problem).
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What causes pain in leg while resting?
for several days now, I have had weak arms/legs...specifically at night my legs-its like a tingling but oftentimes painful..I am a 35 year old smoker and I love beer...I can walk..but if I stop too long that pain comes back....even as I write now, sitting in my chair, i feel the wierd numb sometimes annoying pain.....
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Hello, Like the pain you are facing is guiding me towards the disc injury in the lumbar spine leading to symptoms of pain. As you are smoking, this will lead to capillaries having constricted leading to less blood supply to the muscles and spasm is the result, leading to nerve compression and the symptoms. Doing exercises like core stability, spinal muscle stretching and strengthening, along with hip and lower limb strengthening will help reduce the symptoms. Also, posture correction is advised. In my clinical practice of over 12 years, most cases with similar complaints have recovered with conservative management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What could staphylococcus infection suggest?
i had surgury end of august this year to remove binine lumps from brests.almost got to two weeks then rushed into hosp as there was a hematoma & it burst so had emergancy op then 15 mins later rushed back in theater as boob was swelling up so they rushed me back into theater to have the same op all over again.a week & a half later now back ln hosp to have op to cleaned & stitched as now have infection caused by foriegn boby what do they mean by this.the bug is staphylococcus/morgenella morgaiil.
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The infection in breast is caused by S. aureus or M.morgani.This type of bacteria is usually has high resistant for routine antibiotics. Taking drugs according to the report will cure you earlier and effectively.Please do maintain good hygiene locally by frequent cleaning and dressing. This will equally aid as taking antibiotics. S. aureus can convert it to MRSA if treatment is not taken completely.Please wear cotton undergarments as it has some protective influence on the infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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Is abnormal EKG results a matter of concern?
I am 59 yr female, had adnormal ekg by insurance co at home then followed up with pcp and it came back adnormal, also. Referred to Cardio guy and he did a echo and nuclear stress test which said both test were good. I work out about 5-6 days a week and have at 58-60 pulse rate resting. The cardio said the ekg did show some adnormalities but not to be concernce with. I had a heart work up about 3 yrs ago with same cardio and it was good also, they checked the last one in compairson and the ekg there also show some adnormals in it-- nothing to worry with. Still wondering why my ekg is showing adnormal all the way around. Is there any thing to be concerened with. I talke high blood pressure linsiporl 20 m 1 @day. my blood pressure was 117/75 at time of echo and for the stress test started out high at 140 over 80 the 1st number got up to 178 and the bottom went down to 77.... ??????
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Hello, If I could have a look at your ECG then I would give you a definite answer. However, if your echo and nuclear stress test results came back normal, then absolutely nothing to worry. Also, you should know that the increase in blood pressure during the stress test is normal, and the top number sometimes can go as high as 200. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Lilit Baghdasaryan, Cardiologist
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Does pre ejaculate contain sperm?
Hi Doc I had unprotected sex during my fertile period, the guy didnt have sex for 4 days prior to our session. He was only inside me for a short amount of time and didnt cum or orgasm at all inside of me. Is it possilbe that his pre cum could have sperm in it
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Thanks for contacting HCMYou are concerned that you may become pregnant from a man though he did not ejaculate inside you. The semen prior to ejaculation can contain sperm though not in huge numbers. But the chance is there and I would recommend that you do Plan B to help reduce your chances of getting pregnant. Hope this answers your medical question. Please contact us again with your health care concerns and questions
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Had unprotected sex with two guys, home pregnancy test positive, progesterone low during blood HCG, have to re-check later. Which guy is likely to be the father?
Cannot figure out who I conceived with. Need help with this awful situation. Here are the facts: My June period went from June 17-20. I then had unprotected sex with Guy A from the end of June, to early July (my typical fertile period). I took 3 pregnancy tests that all said negative right before my July period. I then got my July period July 17-20th. It seemed heavy/crampy but I ve had that in the past. Then I had sex with Guy B on July 20-22nd on the tail end of my period. A few days later, July 26-28th, I had another period type of bleeding . It seemed like a light period, then my breasts became quite sore, and I had sharp pains in the lower right abdomen . All of these symptoms ended abruptly July 29th. July 29th I had an immediate, bright blue positive home pregnancy test . I confirmed at the doctor s on July 30th -- they took my BLOOD hcg and it was 206, but my progesterone was 7.5 (seemed low?). All they said was it seemed like an early pregnancy, no other questions answered and said they want to re-check my blood hcg a week from that point. When did I likely conceive?? Was the 2nd period from July 26-28 implantation? Do the hcg levels add up to that?? I was told by someone else that if my hormone levels remain low, it was likely guy A and I m having an abnormal pregnancy. But if the 2nd hcg re-check is high/normal, then it was likely guy B. Does this sound right?
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Hi. Thank you for putting up your problem to Healthcare Magic! You are very strange in you choice. You should have had some protection if you did not want to get pregnant and at least this should have practised with the guy who was not supposed to father the child. Getting pregnant deliberately and then worring/abortion are not safe. Changing partners so casually can lead to serious STDs. If it is guy A then hCG levels must have been be low and chances of blighted ovum/ectopic pregnancy are high and it is very risky so get an Trans-vaginal Ultrasound to rule out any risk. If it is guy B then the levels of hCG should be raising to doubles almost other day for normal pregnancy. If the levels are not appropriate then you will need the Trans-vaginal Ultrasound to rule out the risk. You need to start the treatment after consulting your gynecologist. I hope this information would be both informative and helpful for you
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Severe acne which reduced later, left scars. Used betnovate but got acne again. Reason?
i was fine few months ago but when i got trouble with my skin in my face there were severe acne but now after i aproached to a dermatolegist acne reduces from my face but i got scars plzzz help me to get rid fro these scars and acne problem permanently...and i was using betnovate n on my face...previously it gives tremendous result but after few months i got acne after applying it so i stopped it to use y doctor also consult e to stop applying it....
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Dear a.a.s, Your problem is not easily solved online. If scars are involved, they need to be 'evaluated' for the type of scar & the treatment is tailormade for that individual patient. No two scars respond to the same modality of treatment. Please stop using things like betnovate or other steorids on your face for acne..they cause immense problems like thinning of your skin, redness etc & can lead to formation of 'steroid acne' that is stubborn & resistant to treatment. Do send me photographs of your face for a private consult or visit your nearest cosmetologist for best results. Good luck with your scars..Dr praveen Rodrigues MD Dermatologist & Cosmetologist, Bangalore, India
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Taking akruit for TB. High SGPT and SGOT levels. Reason?
hi I am on akurit-4 (4 tabs in morning all together- after a light snack... as advised by a TB specialist in Govt Hospital Delhi) Its been 1 month and my SGOT 112 and SGPT levels are 151. cholesterol in the beginning of month was 314 and i reduced it to 203 by abstaining from oily food and cutting fried diet to almost nil. I am only worried about raised OT PT levels, bilirubin is below 1... please advise Thanks
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hi as you are a patient of TB and taking anti TB course which are famous for drug induced hepatitis, but first you should know the following things: anti tb course is very important to continue as resistance is very strong and then if we stop the att , response is little changed. so tb drugs causes hepatitis or cholestatic hepatitis(increased bilirubin) as your bilirubin is normal following are the drugs in priority to cause hepatitis 1.pza 2.inh 3.rif so akurit has all the above ingrdients if you dont feel pain in upper part of abdomen and nause or vomiting , and suggest 1 weekly LFTs , to see your alt and alp if the abobe symptoms are there stop akurit go to gastroenterologist for re introduction of akurit separately once your alt and alp are normal after stopping taking akurit. take care
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Is physiotherapy advisable for back pain?
hi i used to have physiotherapy due to the alignment of my back. after a few sessions i was told i no longer needed to attend. however after a lot of exercise i feel my back is back to its old state and is giving me lots of pain. will the nhs still provide physiotherapy for free now im over 18?
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Hello.Thank you for writing to HCM,Usually Back pain is due to lack of proper exercise.Physio would be preferable because it will force you for exercise and due to that your rigid muscles will also be free and you will be relaxed some what.Its a process which cant give result too quickly but definitely give result.So I will suggest for physio.Hope it will helpful to you..Thanks & Regards,Dr. Gaurav Prajapati
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Suggest treatment for erectile dysfunction
My boyfriend can't get an erection, when we're together. We've talked about what to do and we decided that maybe we could get over the fears about everything, by kick starting it with a pill - I've read about the Ultimate V-RX V, which should be a natural alternative to Viagra (because he just started a new job he hasn't got the time to go to a doctor, so we wanted to maybe try this for a start, and hopefully this could eliminate the problem.). Do you have any experience or opinions about this?
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Hi dearI understand your concern.No Ultimate V-RX is not useful as Viagra. Both has different mechanism.Erectile problem has many origins1st is life stylestress and busy life style make u fatigue and secondary to this it makes less desire in sex and erectile problems2nd is relationshipfree communicative and mutual understanding will helpsex is mutual act so try to do mutually and tell your problem to partnerthis will reduce your anxiety and able to erect easilyso stress free lifestyle and mutual communication will helpthird is physical healthroutine check up and fit physical health is necessarypsychological soundness is must.So treatment of underlying stress and anxiety will give more response.medicines like sildenafil(Viagra),, tadanafil, tetrafol plus etcDo take advise from doctors.Still have a query then feel free to ask.Thank you.Take care.
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Trying for baby, tried laproscopy, mayomectomy, HCG test, uterine wall not ok. Hence IUI postponed, delayed periods. Am I pregnant ?
Dear Doctor, I,m tring for baby for 3 years.i faced laperouscopy and mayomectomy and HGC test .now my tubes are ok. last month my docter gave me folistim to get ready for the IUI ,but finaly he said me my uterian wall still not properly ok.therefor postpone my IUI for next month. but now I periods 11 days delay.but my beta HCG was 2 yesterday.(at 10 th day)am i pregnent.I never ever delay my periods.my docter yesterday gave me Primulet N 5mg to begin periods again.i am warried.please docter I dont like to take that pill .I still think I am pregnent.please answer me....
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no you are not pregnant....delay is due to the medicine..that u have received....folistim was given but IUI was postponed ...may be your endometrial thickness was not good....your doctor is right....as your beta HCG is too low...it is sure that u r not pregnant....best of luck...
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Trying to conceive. On duphaston, ovashield. folic acid. Egg not fertilized. What would be the problem?
hi doctor , My age is 28, my husband age is 32, we got married 5 months before, I am trying to conceive and past 3 months i am taking treatment also, usually my periods will around 35 days, after treatment doctor suggest me to take duphastin table, now i am getting 30 days, doctor advice med to take the following table, ovashield, folic acid tablet, duphastin , past 3 months having the tablet, and still my egg is not fertilized, what would be the problem ?
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Hi Karthi, You are not far from getting pregnant. You will get pregnant very soon. You are on the right medications; please continue them. Please take the help of your doctor and try to identify your ovulation days. You should have sexual intercourse on these days where in your chances of getting pregnant are very high. Ovulation kits are available for the same; you can also ask your doctor about it. All the best. Regards,
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Suggest remedy for persistent fever for 7 days
High running fever for 7 days Malaria test negative Hepatitis B &C negative Bilirubin on rise nw 4.7 Abdomen ultra sound okk Before i caught fever 10 days back i had gone to Chennai, stayed dere for 3 days.My uncle is a doctor in NEW YORK he has suggested me to consult an Infectitious Disease specialist.
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HelloThank You for contacting HCM.Yes an infectious disease consultant would be best option. I can guide you further about the disease if you tell following things:> Your age?> Did you have any such symptom in the past/ If yes then how was it cured?> Any history of sore throat or breathing problem?> Any history of constipation or diarrhea?> Did you undergo any radiological or lab test? If yes then kindly tell results.> As you mentioned that bilirubin is raised. Can you share what is the status of direct & indirect bilirubin? They also help in reaching the cause.Wishing you good health.
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Suggest treatment for MRSA infection in prostate
i am diagnosed with heavy growth of MRSA in my prostate based on an prostatic secretion culture and sensitivity report. can this be cured? my dr has prescribed trimethoprim and sulphamethoxazole for six weeks. i am really concerned as i hear that prostatic infections are difficult to cure so this is worse with MRSA. and do you know any cases which they the patient was cured fully. i am 31 years old.can this be transmitted to my wife throgh intercourse?
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HelloThanks for query .You have been detected to have Methicillin Resistant Staphylococcal Aureus (MRSA) infection of prostate .MRSA infection of prostate is very rare but serious disease however since it is detected early take appropriate antibiotic as per culture report .It takes very long time for complete cure hence you may need to take medications for a long period say 6-8 weeks and till the time culture becomes sterile .It is curable disease provided one takes antibiotics religiously .Dr.patil.
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What causes leg and ankle pain in my daughter?
my 10 year old has been having migraines and intermittent headaches for about a year and is now complaining of leg and ankle pain.She is tall for her age and is beginning to show signs of puberty.gp thinks hormones for the heads,should I be worried about leg pain or could it be growing pains,thankyou
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Hi,Growing pain is the most common cause of limb pain in children. To ascertain the cause, we need few more details. Did this follow any fall or trauma? pain on both limbs? pain during walking or playing only? day or night? any swelling or pain to touch? Growing pains are commonly mild-moderate, usually occur bilaterally, more towards evening and night, but never occur on a joint and not associated with swelling / tenderness. Try simple analgesics like paracetamol or ibuprofen for 3 days- if getting better leave it or kindly get him examined with your doctor to see whats going on.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician
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What is the treatment for herpes?
My father is 91 and just told he has herpes. He has a nickle-sized black, crusty appearance spot on his upper lip. It does not resemble ANY herpes pics I ve seen. The one spot is all there is, he has had it aprox a week before his diagnosis. Other than raising (aprox 1/8 ) it has not changed much. It is sore to touch but does not itch or cause much pain besides. What else could it be? Where might I find other pics of other possible causes?
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Hi,Welcome to HCM.The description in your query closely matches that of herpes labialis which is caused by herpes simplex virus. This infection presents with grouped blisters fluid filled near the mouth and nose. The blisters break, crust and then heal without scarring after 7-10 days. Other causes of rash near mouth could be chelitis caused by vitamin deficiencies.I suggest you apply acyclovir cream over the rash 4 times daily for faster healing.Thanks.
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Which hospital is best in India for rectum cancer treatment ?
iam surenderrao from hyderbad pharmacy student in search of a best hospital in india for rectum cancer teatment . iwanto know whish is the best hospital in india (or) ayurveda in india treatment for rectum cancer my fatheris suffering from rectum cancer
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Hi! Welcome to healthcaremagic.com.Its really heartening to know about your father's condition.I assume you have done all the tests to know stage,type.spread etc,, of the disease.There are many good cancer centres all over the country-starting with Basavatarakam hospital in hyderabad,Apollo jubilee hills,HCG cancer institute bangalore.All are equally good except for the cost factor involved .I suggest you can google the contacts from web and speak individually regarding costs,follow ups etc..All the best.
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Q. Is a BP of 99/68 normal in case of a liver failure?
Hello doctor,Is a BP of 99/68 good in case of stage-4 cirrhosis and liver failure? I am currently on Dopamine, Potassium chloride and Albumin human 25.
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Hello. Overall, it is a good one. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->
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Can hyperinflated lungs be normal? I got my x-ray result :Lungs are hyperinflated consistent with COPD, no other any medical problem concert. I have never had any illness. I had x-ray last year that result is normal. The doctor said I may can not work in a nursing home.
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Thanks for your question on Healthcare Magic.I can understand your concern.If you are not having any symptoms (cough, breathlessness, chest pain) then no need to worry for hyperinflated lung field on chest x ray.If chest x ray is taken after deep inspiration then hyperinflated lung field can be seen on the chest x ray.COPD diagnosis is not only on the basis of chest x ray. PFT (Pulmonary Function Test) is needed for diagnosis of COPD.If you have any doubt then get done PFT.PFT is normal then no need to worry for COPD and you can also work in nursing home.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Breastfeeding mom taking noriday. No periods. Should I be worried?
hello, i started taking noriday after the birth of my daughter 9 months ago. I breastfed her and currently still breastfeeding her, however she only has about an hour a day. My question is will taking noriday still prevent pregnancy and also i have not had a period since starting taking noriday, should i be concerned? I have been taking noriday for 9 months.
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Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.It varies for every person, for some women they dont get periods while they are breastfeeding but there are other who do get their periods while breastfeeding.So there is nothing to worry about, and she can take noriday while breastfeeding, there are no known problems caused by that.I hope this answered your question.
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Will deviry help to prevent pregnancy with unprotected sex?
Hello doctor i took deviry 10mg tablets for 5 days and 3 days later i had unprotected sex. till now(on the 4th day) i did not have any periods. thinking that i will be safe as withdrawal bleeding is going to happen in a day or two i had unprotected sex. i have polycystic ovaries FYI. what are the chances of getting pregnant. should i take emergency contraceptive pills? plz advice.
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Hi,I guess your concern is about is about chances of getting pregnant after unprotected sex in spite of taking Devary. Firstly, my straight forward answer is YES. There is chances of getting pregnant. Because devary is given for the withdrawal bleeding (that means bleeding, which occurs after delayed menses), not for the purpose of emergency contraception and emergency contraception usually taken within 72 hours of unprotected sex. So I want to tell you not to worry as every problem have solutions. As you told that you have Polycystic ovary. It also causes delay in menses. With the above discussion, you can try out my suggestions:1. First to do urinary pregnancy test by a kit, it is easily available in your nearby medical store and do it. If it is negative, then don't worry, menses will came with or without medication. But if it is positive then you can visit to nearby gynecologist, he/she can help you.2. If you are still having irregular menses then your treating gynecologist also helps you.I hope the above things are informative enough, useful n helpful for you. Let em know if I can assist you further.Regards,Dr. Sudha Rani Panagar
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Can zifi sternum be removed?
is your ziffi sternum necessary? i lost a lot of weight a year and a half ago due to pancreatic cysts, ever since my ziffi sternum has been prominent and uncomfortable, even when weight was gained back it was noticeable and tender. can it be removed or is it necessary?
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Hi thanks for asking question.Xiphisternum protect upper chest from outside blow or injury.And xiphisternum attach with main part of sternum so its removal risky in putting whole sternum in damage that protect our heart and major vessels.Moreover some important muscles attach to it.In short don't think about its removal.It is also not necessary.Your sternum might be prominent if you have vitamin D deficiency.so kindly rule out it.According to me chest x ray done in your case to further clear your situation.I hope you will understand my concern.Wish you good health.Dr.Parth
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Suggest whether i am able to conceive naturally or not
hi doctor "hello dri m 27 years old.last year in 2010 Oct i conceived but in Dec 2010 it got miscarriage.since last 4 month i have been trying then doctor suggested me to get HSG the report of HSG showing bilateral tubal patency but also showing pertublar adhesion and sight bleeding.and later on i got Mycobacterium Torch pannel in That IgM is showing 1.49 u/ml.pls tell me can it be completely cured by ATT and after being treated will i be able to conceive naturally.plz doctor answered me i m so worried.
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yes any form of tuberculosis can be perfectly cured by ATT provided medicines are taken properly. once genital TB is cured chances of conceiving are more likely. All the best !
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Diagnosed with hepatitis b, pain in the abdomen, fever, cold and cough. Labs show high platelet and sgpt count. Advice?
Hi our patient is 56 years old, she was diagnosed of hepatits b a few years back, since she is adopted, she has no way of checking where she got it. she is now experiencing pain in the left side of abdomen , fever, colds, cough (and difficulty in breathing ) lab test shows and sgpt result of 142 and platelet count of 90? should we bring her to the hospital?
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Based on those lab tests and the way she is feeling she needs to go to the hospital for further evaluation. If she has history of hepatitis b, untreated sue is at high risk for developing cirrhosis of the liver which i suspect she may have based on her low platelet count. She may also have developed a liver tumor and may have water in the lungs and abdomen giving her shortness of breath. So have her seen by a specialist as soon as possible.
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Suggest treatment for back pain
Hi i was lifting something heavy and i heard a popping sound in my back or i felt it at least and i was in slightly severe pain for about 10 to 15 minutes and its been 2 days and it is still moderate pain and when i move it gets worse whats wrong with me doc?
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HiThank you for asking HCMI have gone through your query.Your problem is most likely a damage to intervertebral disc or a muscle strain of back.A physical examination with an orthopedician followed by a X ray and a MRI if needed will rule out that.In both case initially is managed by conservatively.Usually i prescribe muscle relaxants like thiocolchicoside and NSAIDs like aceclofenac for short duration and rest for 5 days followed by physiotherapy and exercises.In case of damage to disc physiotherapy should done for long term.Lumbar supporting belts also will be helpful in such case.Hope this may help you.Let me know if you have any further queries.
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What causes diarrhea in toddler with ammonia smelling stool?
My 17 month old son has had Diarrhea for the past 2 weeks. He is otherwise completely healthy. He has had a very large overflow of Ammonia Smelling Diarrhea every morning for a week now as well. I have been giving him more bananas and fiber type foods to try and stop it to no avail. He has also been way more thirsty witch is good and I have been giving him a mix of 1/3 apple juice and water. What can be causing all of this?
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Your child seems to be suffering from diarrhea which is often caused due to certain viruses like rotavirus. But 2 weeks is a long time for that to continue. It could also be caused due to malabsorption as in gluten enteropathy.Loss of water and salts from the body, if not corrected adequately, may give rise to dehydration. The increase in thirst is not a good sign. Rather, it indicates dehydration. You should rush your child to the emergency room of a hospital with pediatric facilities. Alongside, give ORS (oral rehydration solution) prepared by mixing a full sachet in the designated amount of water (200 ml or 1 litre depending on the size of the sachet).
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What causes shortness of breath, fatigue and abdominal bloating?
I am a 40 year old female. I have some tricuspid regurgitation with a heart mumur. I also have a history of dyslipidemia. Myblood pressure is always low. I am a perfect weight. I have become very tired, and my abdomen swells. I also have shortness of breath, which I was told I have asthma, but my PFT testing is normal. I do feel a fast beat in my neck at times. My calves of my legs hurt. I am so tired of being tired! Can you tell me what's wrong?
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Thanks for your question on Healthcare Magic.I can understand your concern. First of all, no need to worry for asthma as your PFT is normal. In my opinion, we should definitely rule out heart diseases (congestive heart failure - CHF) for your symptoms because you have tricuspid regurgitation, low blood pressure, abdominal swelling etc.So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If tricuspid regurgitation is severe then you may need surgical replacement.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How much baby formula is needed per day for a child?
Hi! my baby girl is 7 months and 21 days. She had Nan 1 for 5 months and then i switched to Lactogen 1 GOS FOS+DHA infant formula. Does it have enough iron? and she never really like milk so i had to switch to solid food. So how much formula is needed per day for her body? i give 10 spoons of milk with 3 spoons of oatmeal (milk spoon from the can) with 2 ounce water. Will that cause any strain in her organs?
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HiThanks for writing to us.Yes it does have ironIf you are not breastfeeding then you need to give 5 to 7 times a day.If you are breastfeeding, then weaning foods should be cereals and fruits and pulses, formula once or twice should be enoughWishing your child speedy recoveryRegardsDr Arun
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Q. I have bad taste in mouth after wisdom tooth removal. Is it infection or dry socket?
Hello doctor, I got my wisdom teeth out on Tuesday. I am not in much pain but I have a horrible taste in my mouth and my breath is horrible. I have brushed my teeth twice a day, I use a salt water rinse like 15 times a day. And I use an alcohol-free mouth wash. I cannot tell if I have an infection or a dry socket and I am freaking out. The sockets look like they still have the clot but it is white, not red.
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Hi. Since you do not have pain or fever or any other major symptoms, there is nothing much to freak about. Coming on to the bad taste and bad odor, it could be due to any deposits in the socket or anywhere else in the mouth. Even a dry mouth can cause it. But if you feel it is really extreme, you can visit your dentist who will irrigate the socket and also find out the reason after a clinical examination. If it is a dry socket, by any chance, a sedative dressing will be given. Usually, dry socket gives these symptoms but along with severe pain by second to the third day of tooth removal. Ultimately, it is not an emergency. You can continue lukewarm salt water gargling and limit the usage of mouthwashes. If pain or this bad taste and odor continues, visit your nearby dentist. Even if it was an infection, you would have had pain or lymph node swelling at least mildly. So, you will be fine.
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What causes tightness in chest and back with cracking sound?
Hi my name is James Stevens. About 3 weeks ago after a arm/chest workout my chest was in pain. I rested for 6 days before doing any physical activity as a football player. While I was resting I noticed my upper back began to feel sore and tight as my chest started feeling better from icing it. Before going back to football practice I made sure nothing was hurting anymore. My chest and upper back felt fine during and after practice mon-Thursday. Then Friday at school which was no practice that day I felt just a fraction of the pain in the left side of my chest. I iced it when I got home and it went away and felt fine all weekend. The constant issue that hasn t changed however is the tightness I feel in my back and chest. My upper back cracks a lot with deep breaths. It s currently football season I ve only practiced but I have not worked out in 3 weeks. I ve had injures before and I know my body well. This doesn t feel like something that i can t continue playing with its not that bad but i would like to know if anyone has heard of this before and what I can expect. I m only 16 so i doubt its arthritis even though it is possible. I will also like to note that my posture is not the very good and I m currently working on that. Thanks for your time and help and hopefully someone can help me with answers
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Hello Thanks for writing to us, I have studied your case with diligence.As per your history there is possibility of rib contusion or costochondritis.Rib contusion is visible on X ray . I will advise to consult to orthopaedic surgeon.Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt.You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion.Wishing you good health.Take care
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What could cause a sudden pain on the lower abdomen?
Hi, I have a very sudden onset of sharp pain in my lower right abdomen. Judt a little to the right of my bellybutton and it hurts when I move or stretch my abdomen at all. Even if im sitting straight. I was feeling fine at the gym but when i went to get out of my car i felt a horrible pain after standing up straight. I am a 20 year old female, pretty healthy. I have had abdomen pains in the past that come and go, and changes in my bowel for a few months now. I alternate between constipation and diarrhea and my bowel is always different. What could this be?
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If I was a doctor treating you, I'll like to know the following-any nausea, vomiting, fever?- where are you in the menstrual cycle?It could be appendicitis, Muscle strain given you've just worked out, or some pelvic pathology(such ovarian). You can take Ibuprofen (if no allergy) and see how it goes, if it's muscle strain it should getter better. If no change or worse,Go to the hospital and get evaluated. You're likely to need CT scan of the abdomen and pelvis.hope this helps
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Suggest treatment for bipolar disorder and depression
I need help. My mother is in the hospital and I donâ??t think the doctors know what is going on with her she has been going in the hospital ever since I was little. Doctors have diagnosed her with depression, then bipolar disease, then lupis, during Christmas week she went into the hospital for a grand mall seizure and was in there for about two weeks. And now she is unable to move, sometimes unable to breath, wonâ??t eat unresponsive, has a blank expression, tired all the time, unable to talk, and has extreme changes in blood pressure. This time the doctors have diagnosed her with drug abuse, Catatonic schizophrenia, and encephalitis. She has been in the hospital since about the beginning of February. Madison Lamb Age: 12
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HiI had gone through your query.You mentioned a list of diagnosis like depression,bipolar,catatonic schizophrenia etc.It is difficult to understand your query.She had drug abuse and seizure also.So it may complicate your diagnosis.Unable to move with mutism may indicate catatonic schizophrenia.She require indoor psychiatric care.Catatonia and seizure can be treated with medicines.Investigations like MRI with epilepsy protocol will help to find underlying causes.Catatonic schizophrenia has good prognosis if it diagnosed properly.Still have query to feel free to ask me directly on you.
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What are the chances of getting pregnant after fingering with preseminal fluids? HIV can be transmitted this way?
If my boyfriend fingered me with preseminal fluids on his fibgers, what are the chances of me being pregnant?He says he doesnt know if it were swet or precum he had on his fingers.Also, could things like HIV be trabsmitted this way? Please help, we are both really worried.
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Hi.Welcome to HCM.Preseminal secretions can make you pregnant any time and similarly as HIV is a sexually transmitted disease, so any break in mucocutaneous junction, that means any cut on skin or erosion in your vagina can transmit the disease.Be very careful in future and take proper precautions.Thanks.
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What causes persistent loose motion?
My one year old consistently has a loose yellow stool. 2times a day, occasionally 3. This has been going on about 2 or 3 months, hes very healthy, not losing weight, seems fine. Hes always very congested and has wheezing, maybe the weather or pollen. Foods are the same pretty much except he has been drinking whole milk. He always begs for my bottles of water, could thay be a sign of dehydration? it could be the milk, but wouldn t he be in pain or some discomfort? What is the best milk substitute to try for a few weeks. Or other suggestions. Thank you.
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Hi..when the kid is not loosing weight you need not worry. What you are describing is fitting exactly into a condition well described as Toddlers diarrhoea. It doesn't not require any intervention. . Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to supplement any food or milk substitute for this.Regards - Dr. Sumanth
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What is the sensation of irritation on the tip of my penis?
Hey i have a sensation of a irritation like thing on the tip of the penis head and sensation of pie every time i consulted with a urologist and after examination it reveals that i have renal calculi... does this symptoms appear or very if i have renal calculi ?
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HiThank you for asking HCM. I have gone through your query. Uric acid crystals or small stone particles can give such irritation symptoms on tip of penis. Taking more water, potassium citrate in water, barely water or cranberry juice will be helpful in alkalizing urine and minimising such symptoms. If still symptoms persist consult your urologist for urinary antispasmodic like flavoxate. Hope this may help you. Let me know if anything not clear. Thanks.
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Is it safe to conceive, while taking medicines for slip disc?
I am suffering from cervical slip disc at C5- C6. The neuro surgeon has prescribed steriods and some pain killers. We also want to plan for pregnancy. My query is , is it safe to plan for baby and will the medicines taken for slip disc harm the baby feuteus or the baby in the womb???
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hithanks for using HCM. it depends upon which all drug/ salt you are taking as the every drug different pharmacokinetics/pharmacodynamics. so let be know the drug by their name, then i can give you detail answer.thanks
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