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Does chemotherapy cause pain in the forearm?
Hello, I have a 13 year old daughter who is a cancer (Leukemia) survivor at the age of 5. She has been complaining of pain in her left forearm for about a week. There is nothing visible, no swelling and to the lay person, the tissue feels the same as her right arm. Could this be side affects from Chemotherapy? Or simply a strain? Thank you for your time. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It doesn’t look like a side effect of chemotherapy after such a prolong period. Looks more like a simply strain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Deepak Sundriyal | |
Suggest treatment for swollen and painful knuckle
I was running on the treadmill Tuesday morning and hit my hand at the middle knuckle on the cross bar. It didn t feel particularly hard, so I continued to run. After 15 minutes I looked at my knuckle and it was swollen to the size of a grape. I iced it. Later that day the swelling was less but the entire top of my hand is now discolored. The discoloration covers from the middle knuckles of my three center fingers and the entire top of my hand. | it is likely due to periostal bruising after the trauma. put the ice bag on your finger. it may hurt for 10 days. if it hurts for a longer period, xray! | |
Does taking cipralex and jasminell cause fat gain?
im taking cipralex almost 2 years now my dose is 30.i also take jasminell antisileptic because i have problems with spots.i am 25 years old 1.70 and 57 kg but i used to be 50kg..i feel very bad does this pills cause fat and which one ? i also notice that i want to sleep a lot of hours why | HiBoth the drugs cause weight gain. Jasminell ,being an hormonal pill can cause weight gain,fluid retention.Cipralex is an antidepressant that acts by increasing serotonin. Serotonin is a chemical released in brain that causes more appetite, alertness and also can cause increased sleep in some patients.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician | |
Easily forget what I have done
I easily forgot what I have done. | so many things are needed to point out the exact reason of forgetfulness like age,h/o head injury,drug abuse,psy/neurological disorder | |
Q. Other than BCP, what can I opt to control menstrual bleeding?
Hello doctor, I am a 53-year-old female who has been on a low dosage of BCP continuously for past 17 years due to periods that never stopped and was bedridden for six months due to having no more blood left to pump my heart. Secondly, I was hospitalized and had three blood transfusions. Medically I was unable to have a period due to the issues. Now I have a new doctor and wants me to go off the BCP. I want an opinion on what to do as I cannot have a period. I have had other options done as well and none worked. Can I stay on them? | Hello. As you are 53 years now and your primary concern was menorrhagia (heavy menstrual bleeding) which causes anemia and other issues. If it has been controlled with birth control since the last six months, then this indicates hormonal imbalances. Now at 53, you should be expecting your menopause soon, which cannot be found out if you remain on birth control, hence you can opt to stop them for two cycles and watch for bleeding. If any, then either you can restart or simply opt for hysterectomy (surgery to remove a part of the uterus) for failed medical management for menorrhagia, as fertility is not a concern in your case. | |
Kidney stones, severe pain in ureter. Tried acupuncture, homoeopathy. Treatment options?
I have had a kidney stone for about 4 months, and have been patiently waiting for it to pass, using acupuncture and homeopathic remedies, in addition to prescription meds and a huge amount of water to try to get it to pass It is not causing me undue pain, just chronic, nagging pain in the ureter , where it appears to be stuck. I would rather avoid surgery if possible, but wonder how long is long enough to wit before going that route. Thanks, | Hi Thanks for the query. You have not mentioned the size of the stone. Usually if it is less than 10mm there is a chance that it may be flushed out. Drinking plenty of water is one way to help the process. There are a few medications available now which relax the muscles of the lower end of the ureter which may help stone passage. You need to see a urologist who may prescribe these or advice other interventions. Hope this helps Good luck | |
What causes lumps on the hands and feet?
my friend in australia just called to say he is covered in itchy lumps which blisterd over when he applied some cream he got off a pharmacy. his hands and feet are swollen also. it started off with a few red spots on his thigh. could it be a reaction to a bite | HI,Dear, Thanks for the query from you.1-In my opinion -your freind , who is having itchy lumps which blistered after cream application-followed by swollen hands and feet-appears to be a -Drug reaction to the cream-applied.1-b - And as the rash started with red spots in the thigh-Which most probably could be-Scabatic infestation- as your freind is covered with spreading itchy blistering lumps,which could be SCABIES.2-I would advise -a-To STOP the Cream Application URGENTLy.b-Treat the groin area for ?SCABIES, only after you show it to your skin ER Doctor.-2-And as it is hearting him with pain n swollen hand and feet-ask him to take -cetrizine to take care of the drugh reaction and SOS -steroids after the doctors advise.3-Still I would advise you to URGENT check up with the local ER skin doctor and to get it treated ASAP-urgtly.4-Hope this would solve your query.5-Wellcome to HCM for any more query. | |
Q. Can myopia with cataract cause blindness?
Hello doctor, I am 18 years old and I am in the computer field and have myopia (-10) and cataract in both eyes, will it get stable with time or are there any chances that I can go blind. I am in depression thinking about I might go blind. | Hi. I will first of all say that myopia is correctable and cataracts are curable, so there is no need to worry about blindness as long as you are attending your follow ups regularly. You have mentioned that your power is -10 but I want to ask you how much your vision is with the -10D, it is usually written as a fraction Ex:6/6, 6/12 etc. If your visual acuity is above 6/9, your eye sight is as good as normal and there will cause you problems with your work. In case it is anywhere less than 6/12, means - 1. Your cataracts are in the stage to be operated. Or 2. Your high power has cause a few degenerative changes in your retina. Unfortunately, your eyesight cannot be improved further is you have the latter, but in case of the former, you have no reason to worry. Like I have told you, cataracts are curable and after the surgery, as we would have put in a intraocular lens inside your eye, you will not need to wear any glasses either. You can enjoy spectacle free good vision for the rest of your life. There are no home remedies or special diets that can make the cataracts or a power of -10D come to zero. If you can scan and send me your doctor's notes, I can give you more clarity as to what is exactly going on. Congenital. B-scan. Fundoscopy, B-scan, OCT macula. | |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | |
Is it harmful to masturbate regularly?
Is it harmful to masturbate regularly ?i mastrubates Regularly since last 5 to 6 yrs .. is it harmful to me....does it has any side effects. or does it effects on productivity of sperms ...i am 23 yrs old.. should i stop it or reduce it or enjoy it... plz help me .... | Hi,Welcome to healthcare magicI have read the query and understand your curiosity.Masturbation is perfectly fine and normal even if it is carried out daily as has no side effects when done in a controlled manner neither does it effect on productivity of sperms.Masturbation is a way for sexual satisfaction for those who don't have partners and is a very common phenomenon.The only problem is that it shouldn't be done that excessively that it affects your day to day life.It should be a way of relaxation at the time of increased sexual activity and not compulsion.So,don't worry its okay even if you do masturbation daily but it should'nt become an addiction hampering your mental,physical and social health.If it is affecting you the best cure is self control of desires.Hope this answers your query.Regards,Dr.Tushar Tamboli | |
Q. I got recurrent miscarriages stating nil fetal heartbeat and IUGR. What to do next?
Hello doctor, I am married for over three years. In these three years, I had five miscarriages. First three times I had miscarriages in the second and third month (due to missed heart beat of the baby) then in the fourth time I had the termination of pregnancy in the sixth month (due to low amniotic fluid level of the baby) it is found in the fifth month scan but baby parts are found normal. Again for the fifth time I had a medical abortion due to no heart beat in the baby. I undergo all medical tests HSG Scan, thyroid, prolactin, anti cardiolipin Ab IgG, anti cardiolipin Ab IgM, partial thromboplastin time (aPTT), HbA1c, LH, FSH, Estradiol - 17 b (E2), platelet count, hemoglobin, prothrombin time (PT), control (PT), INR, bleeding time and clothing time, etc. And in the karyotype test done for me and my husband reports that chromosome analysis of culture peripheral blood lymphocytes cells revealed a normal female karyotype. No clonal numerical or structural abnormalities were noted. A variant in one of the chromosome 9 was observed with an additional heterochromatin region on the long arm. Rest of that everything is normal. In that sixth month termination of pregnancy I took injection Heparin 5000 iu daily once, Ecosprin 75 mg, Porgy ova 2 mg, Duphaston 10 mg, Folvete 5 mg. Even though my pregnancy terminated due to severe oligohydramnios. But till now I did not find any solution to my problem and the doctor too was also not able to find out what is the problem. They are telling its unexplainable thing. Please give some suggestions for me. Four months passed away for the last miscarriage. Now give me some suggestion for the next step. | Hello. Learning from your history, you are a case of recurrent pregnancy loss with three continuous abortions (missed abortion) in the first three pregnancies but you had a fourth naturally conceived pregnancy which lasted for six months and was terminated for severe IUGR (intrauterine growth restriction) and oligohydramnios. Your next pregnancy was again a missed abortion. With this view and your normal karyotyping and tests that you have furnished seems all right. This pattern fits into the criteria of Thrombophilias which are a major cause of recurrent pregnancy losses. As you said you have undergone test of anticardiolipin antibody (ACLA), thyroid and prolactin. I need to see the reports. Further need to know your antinuclear antibody status, serum progesterone levels, serum testosterone and prolactin levels as well. They are important to decide the cause and further diagnosis of RPL due to thrombophilias. My advice for you would be: 1. Do not plan any pregnancy for another three months as the uterus needs time (minimum of six months) to recover from the previous pregnant state. 2. Start tablet Folic acid 5 mg from today for the next three months when you can consider pregnancy again. The idea is folic acid should be started three months prior to planning pregnancy which would avoid any chances of congenital anomalies and malformation in the fetus and thereby missed abortions (which probably may be the cause, though there are no means to do tests on just two months fetus). 3. When you get pregnant say after three months then as soon as you get a urine pregnancy test confirmation you need to be started on thromboprophylaxis for thrombophilia with injection Enoxaparin 20/40 mg s/c daily depending on your weight and tablet Ecosprin 75 mg daily for the whole of pregnancy till delivery. 4. Tablet Dupastan 10 mg also to be started from the day of confirmation of pregnancy till 14 weeks. All these can be considered and there are ways to prevent further losses, but I would like to see all the reports especially the above-mentioned ones. But no pregnancy for the next three months please and start Folic acid immediately so that your chances of missed abortion reduce due to unknown cause in future pregnancy, which you may plan after three months. | |
What causes chest pain,breathing problem and dizziness?
when i do any exercise my chest hurts i feel like i cant breath right feel like i will faint if i dont sit down and dont move and start sweating a lot when i sart feeling better my heart beats faster and chest hurts more i start to cough and everything is ok again | Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart diseases like heart failure and coronary artery disease (CAD). Your all symptoms like chest pain on exertion, sweating, rapid heart rate, breathlessness etc are commonly seen with heart diseases. So immediately consult cardiologist and get done 1. Ecg 2. 2d echo 3. Stress test 4. Coronary angiography (if required). You will need cardiac supportive drugs. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Could severe pain in leg and joints be due to nerve damage caused by back surgery?
I had back surgery in 2002 since then all have severe leg and joint pain 24/7 my Doctors tell me it s all from nerve damage, is there a way to take an mri of the legs because I believe they are missing something in the legs that they are blaming the back for. | Hello, It could be due to nerve compression. As first-line management, you can take drugs like Gabapentin for symptomatic relief. If symptoms persist better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes bunch of little red balls in stool?
My five year old daughter is just getting over pneumonia. She s almost done with her antibiotics which were amoxicillin and azithromycin. She s had loose stools due to the side effects of the antibiotics but today she pooped loose and their was a bunch of lil red balls in her poop. Almost looked like cranberries. She hasn t ate anything red that looks like that so I m not exactly sure what to think. Please any info would help. Thanks | Hello Sometime loose stool is side effect of amoxicilline but red colors is not becose of thatIf it accouer once then not to worry but is is present in every stool then show ur doctor and take medicine Red colors stool may suggest intestinal infection Hope u get ur answer | |
Suggest ways to conceive while having irregular periods
Trying to conceive for a year on glycomet and follic pill for 2 months past month follicular study shows egg ruptured on CD 15 now in CD 47 no periods yet negative hpt on CD 41 . had spotting on CD 33 34 35 without any cramp . wats wrong with my cycle? | Hi, I think you should do a blood bhcg test. If negative, take medicines for inducing periods. Do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries to find out what is the cause of irregular periods. If everything is fine, you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Discuss with your doctor regarding this. Hope I have answered your question. Regards Dr khushboo | |
What causes rashes on face after feeding prune juice to a child?
Hi we have a 2.5 month old who is eating soy formula and recently had trouble using the bathroom our doctor asked us to try prune juice. We tried it tonight for the first time and noticed she developed a rash on her face about an hour later...is that normal? | Hello, I hope she is allergitic in nature. she has developed rashes . please be carefull in feeding your child her problem of bathroom is also due to allergy to soya products . Hence before feeding her any food which are known as allgeryitic foods such as soya , peanuts , wheat ,citric foods, lactose etc take precaution. get her checked for allergy . Hope you got the remedy by my advice. | |
Suggest natural remedy for hair fall
What are the natural ways to check hair loss and alopecia, specially in the initial level? Everyone does not have lots of money to spend. For example - I am 28 year old female; I am not under medication; I am suffering from sticky dandruff and oily scalp and split ends; there is more hair fall and less hair growth. Is there any natural remedy? | Hi i understand your concern .. yes there are natural ways u can prevent hair loss .. first avoid excessive hair loss for oily scalptake regular bathapply less amount of shampoo and soap avoid hair straightening and other parlour measuresnutrition is very improtant ... like having salads , green leafy vegetables and proteinaceous diet ..thank you | |
Can Sleep Apnea cause Polycythemia vera due to reduced oxygen intake?
I've had sleep apnea for approximately 8 years now. I also have polycythemia vera which started around the same time. I was constantly having to get plebotomies every six months when I wasn't wearing my cpap all of the time. But for the last few years now, I've been real diligent about wearing it and I haven't had to get any phlebotomies. I'm now thinking that my polycythemia vera was because I was not getting enough oxygen? Am I on the right track? I would appreciate any help you could offer. Thanks. | Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Yes you are on right track.This can happen with you for low oxygen tension. As apnea occurs during sleep time there is adaptation by mean of increase RBC which leads you towards the poly cythemia.I advice you to use the cpap during sleep other wise the polycythemia will increase.I advice you to take the phlebotomies done and once the hemoglobin level is under control you can start using he cpap.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic. | |
Suggest remedy for back & neck pain
i have a constant back and neckache from the bottom of my back to my skull, numbness and tingling in my left arm along with sharp pain in wrists. i also have indigestion, snapping, grinding and popping sensation in neck. I am recovering from biceps tendonesis and snappin scapula surgery and have had 2 discs fused at c4-c6 region, i am a 43 year old woman | hi,you seem to have a long history of conditions troubling you, you must be fed up by it i can imagine.what i sense is that all your problems have been tackled as individual conditions and are being treated like that for eg, your back, neck pain is one, your wrist is another, your biceps (tendinitis?/tenodesis?) is another, your scapula is another and your cervical spinal fusion.still your problems didnt seem to go away, even after a cervical spine surgery. you do qualify as a complicated case and may need rethinking as to the approach of your treatment.your indigestion may be most likely due to the gastritis that is a result of long long term pain medications. they damage the stomach lining!you may be having a chronic disease that leads to degeneration (ie destruction) of most of your joints (eg your whole spine) and other areas of your body, like tendons (wrists etc)i suggest you ask yourself if you have other symptoms in your body that you may deem not connected but may be part of a whole syndrome of disease.i also suggest you get examined by an internal medicine specialist and/or an endocrinologist and/or a rheumatologist so that someone looks into you as a whole rather than treating each problem as a unique entity as it is clearly not working.regards/ | |
Suggest treatment for lump on eyebrow and numbness in gums after injury
3 weeks ago I fell on pavement. The left side of my face took the most of the fall. I was taken by 911 to hospital. Was knocked out for several seconds. The cat scan showed I had broken my nose. Most bruising had gone away. I still have huge knot on forehead above and on left eyebrow. Parts feel weird almost numb but not quite. Parts of my teeth and gum still feel swollen an numb. I have much pain over my left eye where knot is. | these are all hematomas due to traumatic bleeding and the numbness is related to pressure or injury to nerves!take care and get medical help! | |
What is the treatment for red spots on skin?
Hi there, I had been on Prednisone for a long time, due to gout. They finally have ween me off of this drug, but I then started noticing red spots / like rashes on my hands mostly but also on my arms as well, What are these skin - rash ting I have seem to have now? These spots do seam to have scabed up | Hi, As per your query you have symptoms of red spots on the skin which seems to be due to drug withdrawal effects. Need not to worry. Exfoliate your skin once a week to remove the dead skin and drink plenty of water. Apply betnovate on spots. If the condition doesn't start getting better in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe an oral antibiotic course clindamycin. Take diet rich in fruits, green leafy vegetables and salad. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist | |
Wisdom tooth extracted, filled with brown substance. Pain, slimy brown stuff near site. What is this stuff?
i had my bottom wisdom tooth extracted a week ago and went to the dentist 4 days ago and he diagnosed me with dry socket and put a brown substance in the hole and told me that I didn't need to come back. It's been four days and the pain is coming back, i can also see some slimy brown stuff near the site which wasn't there before. I would like to know what this is and if i need to go back to the dentist | Hi,Thanks for asking the query,I would suggest you to take tab brufen TDS for 3-5 days for pain relief.Your socket might be showing signs of healing.Maintain a good oral hygiene.Take lukewarm saline and antiseptic mouthwash rinses.If the symptoms persists or worsen visit the Dentist and get a checkup done.Take care! | |
Sores on the legs, headache, weight loss. Could this be due to mold?
I don't know what to do. My wife and I are sick. We have been to numerous doctors of every specialist emergency rooms, you name it. Are symptoms are too numerous to list. We have both been affected different, I have had sores on my lower legs that were so deep they were to my bones. These sores were different than most. They didn't have much pain or puss. But there is some kind of infection, The sores finally have mostly healed after a year or more. I went to a wound care center for over 6 months every week. I also had one on my muscle on left arm down to bone.They found nothing with a biopsy. But when I looked at this under a microscope if was not right. I had these sores in other in other places also. I still have to be very careful if I get a cut. I am lethargic, my stuptum has odd things in it. I get these white things coming out of my nose, and also cough them up, along with thick tannish plugs. terrible headache along with many other problems. I lost 30 40 pounds in 2 or 3 months. I am not diabetic. Anyway to make a long story shorter, my wife has just about everything as me except she has been in the hospital 3 or 4 times for phmonia along with other breathing problems. There are many other things, but I can't write any more. We have just found out we have mold along with some kind fibers in our air. No doctor has been able to help and we have been tested for everything. | THERE ARE PERSISTANT FOOD ALLERGIES GT BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK WHEAT POTATO CHANA RICE NUTS EGG YEAST I THINK YOURS TO BE WHEAT ALLERGYAND YOUR WIFE FOR MILKIF YOU ARE ALLERGIC TO YEAST IN FOOD IT MEANS MOLD ALLERGY ALSOAFTER ELIMINATING DIETS YOU WILL START FEELING BETTER IN 3 WKAND ALL PROBLEMS ARE RELATED AND THEY WILL GET RIGHT I AM SURE OF RESULTSDONT WORRY | |
What causes ear pressure and nausea after a root canal treatment?
HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie | thanks for your query, i have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. this will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... i hope my answer will help you...take care.. | |
What is the treatment for red and itchy blotches on the skin of a child?
Hi my 5year old has a redy blotchy itchy rash it came up suddenly most was gone a few hours later. It's still on hands feet & face. When she woke up she was saying her hands were stiff there both rely swollen she never had this before. Not sure what to do or what it could be. Thank u | Hello Welcome to healthcare magic Your child seems to be having Acute urticaria. It is characterized by itchy red or skin colored raised wheals which are transient, that means appears in one place and soon disappears from there to appear somewhere else. The most common triggers of acute urticaria in children are infections and food. Seafood, meat, poultry, egg, strawberry, coloring agents etc are commonly implicated. It is subjective and any food can cause it. Other common causes are medicines and insect bites.It is also possible that a child can develop urticaria without any identifiable triggering factor.I would suggest to you the following-1. Look for any triggering factors. If you identify it,( eg- any food item which was newly introduced) please avoid it in the future as it could trigger the rashes again.2. You could apply calamine lotion on the rashes which will have a soothing action.3. You could give benadryl syrup twice a day for 5 days. This will relieve his symptoms.4. If you notice swelling of lips/ difficulty in swallowing/ difficulty in breathing, please visit a doctor immediately as this could indicate swelling of the mucosae which could be life threatening.Hope this helps you.Take care. | |
Suggest treatment for connectivity tissue disorder
Hi doctor, My mom is affected by connectivity tissue disorder. Could you please tell me what would be the reason for it. She is telling all L bow joints are getting pain. We have seen some doctors they are telling it s not curable at instant. If patient take tablets daily it may get cured approximately 2 years but not sure. So now am confused. Please give a suggestion what we need to do right now | Hi I did review your concern.Connective tissue disorders are a group of disorders that are due to autoimmunity in which our body immune cells like Wbcs responds in a harmful way to our own other normal body cells. It can be Systemic lupus erythematous, systemic sclerosis,sjogren syndrome, depending on organ systems involved and also on etiology and antibodies produced. There are various serum tests used for diagnosis.There is treatment available in form of steroids or immunomodulators. The treatment is to prevent progression of disease and unfortunately it cannot be cured , but many people live with steroids or immunomodulators for years without much problem.My advice would be to consult a Rheumatologist and get the condition properly diagnosed and get treated according to the exact diagnosis. Long term regimen and compliance to medication does helps.I hope this helps.wish you all the best.Thank you for choosing healthcaremagic. | |
What causes pain in hip and ankle after vertebroplasty?
my mom has had a verteboplasty in L4 3 years back... but still she complains of pain on her hips and towards ankels .. since three days now the pain has been unbearable she takes pain killers but they are just temporary relief . she is of age 78 so is there any permanent solution | HiThis may be due to arthritis in these joints, not related to vertebroplasty.Show to an orthopaedic surgeon.Physical therapy, fomentation, advil tabs for few days should relieveThanks | |
What causes erectile dysfunction at the age of 58?
I AM 60 YRS AND I AM SUFFERING FROM E.D SINCE MORE THAN 10 YRS I HAD APPROACHED A SEX SPECIALITY WHEN I WAS 58 YRS OLD HE ADVISED ME TO TAKE M POWER CAPS TWICE DAILY AND TAZZLE 10 ONCE A WEEK I WAS SATISFIED FOR A MONTH OR TWO WITH GOOD ERECTION. BUT LATER SUFFERED WITH MY EYE WHICH WAS GETTING RED AND BLURED WHICH I HAD TO CONSULT AN EYE SECIALIST WHO HAD TO GIVE ME SOME EYE DROPS [STEROID TYPE] TO CLEAR MY REDNESS AND CLEAR MY VISION. AS SUCH I STOPPED TREATMENT. NOW AFTER A BREAK OF 2 YRS I CONSULTED AGAIN AND HE HAS ADVISED ME TO T AKE NANO LEO TWICE DAILY AND KUTUB 30X ONCE IN 10 DAYS. I DO GET AN ERECTION TOWARDS EARLY MORING SAY 3 O CLOCK FOR A SHORT PERIOD BUT I COULD GET A PROPER ERECTION ONLY WHEN I TAKE KUTUB 30X ONCE IN TEN DAYS WHERE I COULD PENETRATE AND CAN GET BEST SATISFACTION PLEASE ADVISE WHETHER I COULD TAKE KUTUB 30X AT FREQUENT INT ERVALS AS I AM A DIABETIC - BLOOD SUGUR IS UNDER CONTROL FBS 112 PPBS 144 | Kutub, if suits you may be taken but occasionally the doctor should be consulted.Alternatively as per Ayurveda principles, 'vrushya' group of herbs have vajikaran and Rasayana effect and are safe. In simple language some herbal groups responsible to increase semen, are aphrodisiacs and rejuvenators without side effects. Effect may be little slower but sustainable.If you agree, pl give little more info through direct question. Ideally seven weeks' treatment will suffice to maintain the erection on stimulus, provided you follow food protocol and your diabetes remain under control.Hope it helps. | |
Suggest treatment for low ferritin levels and arrhythmia
Hello. My 17 year old daughter who is extremly athletic was recently suffered from a VT 10 beat heart arrhymia. She was hospitalized for 5 days in which all tests came back totally normal. They did a stress test, Cardio MRI, Echogradiogram, and blood work. The only level that she has had low for a while now is her Ferritin which at one time was at 7 and now is at 31. She has been taking Vestera birth control for several years now, too. Other than that she has been perfectly healthy and active since she was a little girl. Now they want to do genetic testing to rule out CPVT which is scaring me to death. She is now on a low dosage of beta blocker and her soccer scholarship is on hold. Does anything come to mind? Anything? Please help us!! Jessica | Thank you for consulting in Health care magic.Low levels of ferritin are indicative of iron deficiency, which causes anemia(a reduction of RBC).Ferritine is protein for storage of iron.We also check with ferritin an iron level and a total iron binding capacity test.Normal ferritin for female 12-300 ng/ml. Your daughter had iron deficiency anemia which can produce also fast heartbeat.It is clearly seen that her ferritin is on the lower border of Norma, tendency to anemia.That's why I recommend you to drink iron syrup during 1 month and following diet,which rich iron:spinach, dates, apples,pomegranate, radjma,green peas,salad with beetroots and carrots, pomegranate juice+ obligatory to eat proteins-eggs, red meat,chese,curd or protein powder if you are vegetarian. I strongly recommend you to visit cardiologist, because only he can prescribe correct treatment, others should not take responsibility to prescribe medicines for arrhitmia,because it is life -threatening state and one more she should not go in for sportsBest regardsDr.Svetlana | |
What causes walking pains while having mild fever?
I haven t done anything to this area that I can recall. It started2 days ago as I was standing in the kitchen. The pain is when I walk, not just standing, so pain is with movement. I also had a low grade fever (100.8).I felt better yesterday in the morning but it returned , the pain & low grade fever last night. It wasn t as painful as the 1st night, Now it is happening again. Should I just wait or could this be serious? | Hi, there!Your complains let me think about virus infection and joint pain is due to intoxication.Measure Your body temperature (temp) regullary.Drink liquid 1,5L (2,11pints) per day and Paracetamol 500mg, if temp is above 100.4FI hope this helps | |
I fell swollen in the back of my head close to my neck. Is my dizziness caused from my head injury ?
hi my name is maria and I fell and hit the back of my head close to my neck and its swollen on that area, for the past 2 days I have been getting dizzy spells , and nautious, is this serious where i would need to go to the emergency room or can i wait til tomorow to see my doctor ? what can I do ? is my dizziness caused from my head injury? | you have to meet the doctor if you experience severe headache and vomiting otherwise you can wait and take some pain killer which you are not allergic and take rest. dizziness may be caused by the disturbance of your balancing organ present in your ears which gets disturbed when there is fall. | |
Neck and lumbar pain, throbbing sensation in hip and groin area. MRI shows bulge at L4-L5. Treatment?
Hi. I fell at work almost two years ago and have been experiencing neck and lumbar pain ever since. I also have constant throbbing in my hip/ groin area and my legs lock up often. Also get sharp shooting pains from back down legs to mid hamstring . MRI shows minimal bulge at L4L5. Physiatrist says possible si joint dysfunction and now says myalgia myosotis. Any other ideas? | Hello, Thanks for posting this question in HCM and i am a neurologist responding to you First of all let me tell you that a given medical problem for instance back and neck pain can be due could be due to many causes and the treatment depends upon the cause and the primary objective of the physician is to establish the cause. Again i want to stress that a single individual can have multiple medical problems which can cause the same symptoms Let us go back to your problem. The neck pain, back pain which comes down would suggest a possibility of nerve compression in your spine, called as radiculopathy. The management of these patients largely depends upon the neurological deficits they have. If there is no no neurological deficit after detailed neurological assessment, then the patient can be management conservatively with medicines and exercises. On the other hand if the pain is severe and the patient has neurological deficit surgical disc removal is an options. Hence i request you to get examined by a local neurologist who will approach the way i have described and also he will let you know if here is any other problem coexisting (particularly as you have told that you have hip and groin pain too) . Hope this clarifies | |
What relieves the TMJ pain caused due to the crown on the rear tooth?
I had a crown put on a rear tooth six days ago, and had my mouth stretched open with a block, and several injections. Now, I have severe tmj pain, and can't open my mouth wide enough to eat solid food. It's very manful. Hot packs, ibuprofen, Tylenol 3 and muscle relaxants are not providing relief. I'm not sleeping well. | Hello, thank you for consulting with healthcaremagic. Actually when this kind of TMJ pain arises you have to take precautions medications and exercises. You give hot packs to TMJ area and then apply diclofinac gel to the area at least 3 times daily. Take muscle relaxants plus combination of aceclo-para-serratio thrice daily with an antacid, sd it will create acidity.Avoid hard food and wide opening gor some time more.Even go fo mouth opening and closing exercises once a day for 15 min.Hope it will help you | |
How can lupus be treated?
I have mild lupus and having a flare up this evening with a lot of pain, butterfly rash etc. I took a 5mg of Prednisone to try and help with this inflammation and now I am wondering if I should skip my evening dose of Celebrex? (I need to talk to my Rheumatologist about this when I next see him, but for this evening, I wonder what to do. Thank you for your consideration. | You should consider to take antimalaric agents like Plaquenil( Hydroxychloroquine) 200 mg, especially for the skin conditions like the butterfly rush. Try to avoid sunlight exposure and everytime use sunlight cream protector with high SPF 30-50. You should consider also taking 2-3 prednisons till the situation is stabilized than lowering the dose to 5 mg in the morning. | |
What causes loss of recognition and sleeping disorder?
hello sir i m ravi jaiswal, live at patna, bihar. My grandfather is suffering from neuro problem, as he is unable to recognize anyone instantly and speak anything always and not sleeping still he is admitted to IGIMS patna. plz suggest what to do next we are afraid | Hello,I feel that your father may have a brain damage in form of haemorrhage or this is some age related psychosis.Ask your treating doctor to call a psychiatrist for opinion.Thanks | |
Does slimy vaginal discharge prior to onset of menstruation indicate ovulation?
Hi doc, I notice i have rubbery or stretchy discharge before menstruation and after.it may b in white or Yellow color.is this i a sign of ovulation or if not, wat is this?I m trying to get pregnant n has been on clomoid recently.thks for answering my as. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Ovulation occurs on the 14th day in a 28 days cycle. Discharge before menstruation doesn't indicate ovulation. Between 13 and 16 days of cycle, ovulation occurs and gives discharge thick stretchable.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | |
What causes polycythemia vera?
I have Polycythemia Vera (high platelets and red blood cells, hematocrit). Im considering travelling to Thailand which has a high risk of Dengue fever (it causes low platelets). Is it more dangerous for me to get dengue fever than for a healthy person? | Hi, dearI have gone through your question. I can understand your concern. You have polycythemia vera. So your platelets count remains high. But it has no relation with risk of dengue fever. It is caused by bite of mosquito ades. So you have same risk of dengue like other person. No need to worry. Just be relaxed. 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. | |
Q. I have thalassemia minor. How to increase hemoglobin and decrease ferritin levels?
Hi doctor, I am a 76 year old male, who is 170 cm tall and weigh 68 kg. Presently I have anemia, and my hemoglobin is 9.6 g/dL. I also have high serum ferritin level of 1900 ng/mL. I have this problem for some time. Many years ago, I was diagnosed with thalassemia minor. I was feeling tired, and I had a headache in the right temple area more frequently for the past two years. At that time, I had high blood pressure of 160/80 mmHg and low testosterone of 4.6 ng/dL. My blood pressure was controlled by Losartan 50 mg and Hydrochlorothiazide 25 mg. I am also taking Viagra. A year back, I also had platelets clumping. My doctor is considering iron chelating tablets. Will chelating tablets lower hemoglobin? I used to take iron supplements, but due to iron overload, I stopped taking them. What can be done to increase hemoglobin and lower serum ferritin? I am attaching all my blood reports. | Hi. I have seen all your reports (attachment removed to protect patient identity). Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production. I do not have to explain you much about thalassemia as your doctor might have told you the details and consequences about it. Few symptoms and complications that you need to be aware of due to thalassemia are as follows: Major complications that you need to consider is iron overload, which could either be due to recurrent blood transfusion or due to excess cell break down. Comming to the weakness, it is generally due to low hemoglobin. Symptoms of anemia can result in feeling tired and pale skin. A decrease in the hemoglobin level was mainly due to blood transfusion. The patient can be on iron supplements, and it requires about two months on an average to improve hemoglobin level. Ferritin is a protein that stores iron and releases it when the body needs it. It usually lives in the body’s cells, with very little circulating in the blood. Treatment will be based on patient's response, how the patient responds to the chelating agent, etc. For more information consult an internal medicine physician online --> | |
Are syndopa and pacitane ideal medications for parkinson s disease?
My mother age 77 is suffering from parkinsons since 2004.. She was advised syndopa plus 125 three times a day. Along with half pacitane. Now pacitane is discontinued and syndopa plus is replaced with syncapone 50 seven times a day. What are the advantages of syncapone over syndopa plus? | Hi,Thank you for posting your query.Parkinson's disease is a non-curable disease, and is caused by deficiency of dopamine in the brain.Both syndopa and syncapone provide dopamine. In syncapone, in addition to levodopa, there is additional entacapone. This allows for a lower dose of levodopa to be used. Lower dose of levodopa leads to lesser side effects. This is the advantage of syncapone over syndopa.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog: | |
Trying to conceive. HSG results normal. Taking clomid, premarin. Having pelvic cramps, back pain. Reason?
trying to conceive from 7months.Had an HSG .results came back normal.Right now am on clomid ,the very 1st cycle on clomid from day 5 to day 9.And a premarin on day 9th and 11th.Today s day 12th and am having severe pelvic cramps and back pain and also severe thigh pain.I usually get very bad cramps and pain 6-7days before my period s due.This is happening for the very 1st time. | Hello Welcome HSG may cause pain lower abdomen but you have not mentioned the month in which the procedure was done.Premarin is a conjugated estrogen so it is better to take evadiol which contains estradiol valerate .Estrogens are taken from 6th to 9th day of the cycle along with clomiphene citrate which is given from second to 6th day of the cycle.You can take tablet meftal spas for the cramps and thigh pain under doctor's prescription.Get proper investigations done for the infertility treatment like FSH , LH , Estradiol , Progesterone , prolactin , Thyroid profile and follicular studies etc. Best wishes and good luck | |
I have a small hard lump on the left side of my neck. Should I be concerned ?
I have a small hard lump on the left side of my neck near my collar bone about the size of a pea. My neck muscles on that side are also sore . I haven t been sick. I do have asthma which flares up occasionally but haven t had any problems with that in a few weeks. I m female. Age 29. Should I be concerned ? | Hi Kristen, Welcome to HealthcareMagic Forum. Do you have associated cough, fever or weight loss? Do you breast pain? May be it is a Enlarged Lymph Node. But it has to be examined by a Physician and a Gynecologist. Get your Chest and Breast examined to rule out any underlying Pathology. If it is changing in size and shape, it may be sent for biopsy and you will be evaluated Further. Wish you Good Health. | |
Suggest treatment for weeping of the arms and legs
What causes the skin to weep on the arms and legs? Also recently started to build up so much fluid that it caused blowing up in the abdomen. The swelling started in the ankles and worked its way up. Now uncontrolled weeping of the arms and legs. Can this be treated and cured? | Hello,Welcome to the magical world of health care, I went through your query, and you have anasarka, which is generalized edema over the body, see your physician for the cause, as it can have multiple causes, ranging from heart problems, kidney diseases and thyroid disorders.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | |
What is the cause for painful pea sized lump in the heel?
I woke up this morning with a pea sized red lump in my heel that is painful to walk on. In the center I see a tiny white spot in the middle.. There are possibly two but they are tiny on rough skin so I can t tell. I m afraid it is a brown recluse bite | Hello!Thank you for the query.This might be a bite indeed. It is really hard to tell not being able to see it. It is also possible that you have a callus or wart. Both give pain while walking however it is hardly possible for both to appear suddenly.I suggest you to have it under observation. Just wait and see if it will be getting larger and more painful or not. If yes, than consult a doctor.Hope this will help.Regards. | |
Any suggestion for itchy and pain around shoulder blade and sore breast?
Hi, I am Pattye...my question is I have pain around my shoulder blade that hurts all the time and itches. There is no rash...also this pain travels to the breast. very sore to the touch. I was taking B complex at the sugestion of my ciropracticter. He told me to stop taking the B but I am also takintg Flax seed caps. I stopped the B for a short time, then the pain started. The pain hasn t gone away. | Hi with the above description I think that you may have cervical spondylosis with C5 nerve root pressure( which has the same pain distribution as you have described). I would suggest Pain killers , Muscle relaxants , Pregabalin , and physiotherapy. If there is no relief then go for an X Ray of neck. | |
Will there be a restriction of lifting heavy objects post a fracture?
Hello my name is Donald and I broke my 3rd metarcarpal in 2-18-13. I had a titanium plate and 8 screws put in. In may of 2013 I had a strength test done on my right hand and it cracked the titanium plate where one of the screw holes are. The doctor said the bone has healed and recommended surgery. My questions is will the holes where the screws were fill in with new bone? Also will there be a restriction of lifting anything heavy for the rest of my life? Thanks, Donald | No get your plate removed, it is stress fracture in the plate, The holes in the bone where the screws are may or may not be filled with the new bone ok, once the fracture has healed Yes you can lift weights as normal as before , there should be no problem at all OK Go ahead | |
Q. What could be the reason for high WBC and neutrophils with immature granulocytes?
Hi doctor, I just received my blood test WBC is 22000, neutrophils are 8700, high absolute immature granulocytes and low lymphocytes. I have noticed that for three years my blood tests have been on the high levels for WBC. Should I be concerned? I have been in and out and they never call me for a follow up. Maybe I should change the doctor? Also, can Phentermine be the cause of this? I only took it for two days before the blood test. I am a 39-year-old female. I have bone pain, neck pain, dizziness, and hair loss. | Hello. Following is my opinion for your asked question. Your total WBC count and neutrophils are high. Mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body. Your detailed physical examination and investigation should be done to find the underlying cause. For your complaint you can investigate further with ANA (antinuclear antibody) estimation, USG (ultrasound) abdomen, Vitamin D estimation, serum calcium estimation, blood pressure measurement, and blood sugar estimation. Your ear examination also should be done. Antibiotic courses can be prescribed as per the provided report. However, before that physical examination and above investigation can be done. You need to follow up your CBC (complete blood count) with peripheral smear examination report after a few days to check values once again. You can consult a good internal medicine specialist for your examination and investigation accordingly. | |
What causes pain in the lower back?
In2002 I had emergent surgery due to a hole in my small intestine. The wound was left open so that any toxins could be cleaned out. At the same surgery I had appendix, and one overy removed and my splee repaired (?). Now, all these years later, after the resection I am having moderate to severe at the colostomy site. I saw my GP today and he gave scripts for two antibiotics and told me that if not better in 3 days, to call him back. The paqin is on the lower left quadrant and goes around to my lower back. Any ideas? | Hello,Thank you for contact us,I would like to aware you that Now a days its mostly the common problems in humans.Mainly its due to inactivity of muscles it.Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs.For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest.Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same.Another way is to take massage with hot or cold water, Some people take cold water and some take hot for massage.In case of accident or something big issue than you have to concern good doctor for the same.Other exercise should be done as doctors suggest after checking you physically.Hope it will work for your back pain.Good luck, Take care.Thanks & regards,Dr. Gaurav Prajapati | |
My egg got ruptured, do we need to have physical relation?
My egg got ruptured on 19th day today is 21st day. My question is do we need to have physical relation today? we had relation on 19th day and didn't do on 20th day. Age - 28 Gender - Female Medical history - Started my follicular study from 12th day. Growth was good, took injection on 19th day. Egg size was 19*19. Ruptured same day evening. Didn t take any medicine. | Hi,thanks for query.Yes you should.This helps in some cases.You should always take a chance.bye. | |
Q. A new mark developed on my forehead recently. What is it?
Hello doctor, I have a new mark on my forehead that has developed over the last week or so. It feels a bit crusty and is somewhat sore. But it does not look like a scab or a mole. What can it be? | Hi. Your concern can be the following: I suggest you try using the following: If there is a response within a week, then continue the sunscreen and withdraw Hydrocortisone cream. If no response, then consult a dermatologist in-person for further physical examination. For more information consult a dermatologist online --> | |
Will undissolved stitch of a prolapse repair lead to further complications?
I had a prolapse repair in Nov 2009. I have had a leakage of pinky, yellowy water since which has an odour to it. My doctor has now found a stitch has not dissolved. How will it be treated and are there any possible side effects from this. I also have a dull acHe all the time in the area. The dotor said it is nflamed. | Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.If unfortunately it's not dissolved, it is definitely needed to be removed. And that is inflamed too. So it's obligatory to be removed. It can be done through Minimally Invasive Surgical approach in which you do not give a large incision. Only 5mm and 10mm holes and you may go home after some couple of hours.If we don't remove the stitch, it will cause rupture of the organ in which it is placed at the moment. It will cause severe inflammation with passage of time. It's very wise to get it removed as soon as possible.Hope I answered all of your questions. In future, if you need further, detailed and quick assistance on any health issue, feel free to click on 'Ask me a question' directly from my profile. Have a wonderful time ahead.Regards!DR. MUHAMMAD M. HANIFUSA | |
Why does discontinuing lomela result in darkening of skin?
hi my name is Miss. subha. am 28 years old. Am using lomela for past 7 months. it shows good result to my face. but when i stop using it, my face becomes dark. After continuing with lomela i got a clear skin again. whether it is good for continuous use of lomela. | Hello,Welcome to healthcare magic.Lomela cream contains a mid potent steroid mometasone, hydroquinone and retinoid and it is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. We do not recommend it daily for more than a month following which we taper it and stop and add on a non steroidal lightening cream. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone. Long term use can cause steroid induced rosacea, acne, thinning of skin, redness, rebound skin darkening and increased sensitivity to sunlight. Please stop using this cream.Use a sunscreen with SPF 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non steroidal lightening cream containing kojic acid at night. Hope this helps you.Take care. | |
Will accidental contact of penis with vagina result in pregnancy? Should i take pill?
Hello, I am in need of advice urgently. My boyfriend recently rubbed his penis onto my anus. His penis was dry but I worry of pre ejaculation. Or perhaps an accidental contact with the vagina during this action. Could this result in pregnancy? I am under 18 so I need to know as quickly as possible so I can receive a plan b pill. Please help! | HelloThanks for writing to us with your health concern.Without vaginal penetration,it is impossible to have a pregnancy.You need to have penetrative vaginal sex in order for the sperms to enter the female genital tract, and lead to a pregnancy.Just rubbing the penis onto the anus cannot result in pregnancy.Do not worry.In future though, always have protected sex to safeguard against STDs also.There is no need for you to receive Plan B.Do not stress out.All the best. | |
Suggest treatment to relieve in leg and hip pain due to ruptured discs
hello I have a repture dis between L4 and L5 the pain dr. has already given me two injections, but I am still having lots of leg spasms, it hurts my ankles when I walk after awhile a leg goes into a spasm, when I bend down to pick up something off the floor my hip hurts, so I put a boot on myself, is this what I need, | Hi,Slip disc pain doesnt get relieved easily. You can try out physiotherapy and certain excercises along with that . Physiotherapy helps alot. You can also consult your doctor regarding options for a surgery and the safety and outcomes of it. Most people go for physiotherapy to decrease the intensity of pain along with pain reliever medications.Regards,Dr.Riyanka | |
Had teeth extracted, infected, numbness, constant pain, running fever, swollen glands. Taking motrin. Will I be okay?
I had 2 teeth extracted #28 and #29 they were infected and the area wouldnt numb completely. the extraction was excrutiating! I have had constant pain since and this was 4 days ago. The area is white in color and draining large amounts of clear frothy liquid. The pain is throbbing and builds to severe until fluid is expelled then the cycle repeats. I have also been running a fever of 100 to 100.5 in spite of taking motrin 800mg q6h and tylenol in between. My glands are swollen under the extraction site and the pain extends under my tongue and into both ears. HELP! | Hello,Thanks for writing to us.Drainage of clear frothy fluid can be due to-abscess occured at the site of extraction which has not drained or curetted well following tooth extraction.I would suggest you to visit a dentist and get the socket curetted well.Irrigation with betadine as well as dressing the socket with ZOE has to be done.Take complete course of antibiotics-analgesics.Avoid stressful jobs.Take care. | |
Q. Is it advisable to put Lidocaine viscous 2 % oral topical solution in ear for pain?
Hello doctor, Can I put Lidocaine viscous 2 % oral topical solution qualitest in ear for pain? | Hello. Please do not put Lidocaine 2 % viscous into ear for pain. First of all, ear pain can be due to multiple reasons. The causes of ear pain are as follows: 1. Localized causes: External ear: pinna, ear canal, Middle ear cleft: eustachian tube, facial nerve, mastoid cavity, inner ear: eighth nerve, petrositis. 2. Referred causes: Throat : tonsillitis, pharyngitis, Neck : cervical spine disorders, spondylosis, Oral cavity : glossitis, tootache, tooth infection, Larynx : laryngitis, epiglottitis. Under each infections, inflammations, tumors, malignancies, non-malignant growths, hypersensitivities, etc can result in ear ache. Referred earache is due to sharing of same nerve supply by the ear as well as the above said organs. Hence, please do not treat earache on your own. I will strongly suggest you consult an ENT specialist doctor and follow his advise. Please provide us with details with regards to the following : Onset of ear ache, duration, nature of pain : pricking, dull aching, throbbing, any associated giddiness, ear discharge, headache, nausea, any throat pain, nose block, change of voice, difficulty in swallowing, any previous relevant history with regards to the ear or nose and throat, which ear? both ears? You have fever? Any neck problems, tooth ache, artificial dentures. Next, Lidocaine 2 % viscous is for use on oro-mucosal surfaces. It is not for use inside the ear, it will not get absorbed from intact skin surfaces like what you find in the outer ear where you are planning to apply the viscous top solution. To relieve pain I suggest you try Paracetamol 650 mg tablet, one tab SOS (not more than 3 tablets per day). However, it is prudent to ascertain the exact cause for the earache and treat accordingly. Do contact us for any more queries on the subject. | |
What does upper backache on the right side indicate?
Hi, I m a 19 year old girl and in the morning I started experiencing sharp pain in my right upper back. Then maybe a couple hours ago the pain still occurs in my back (not as often as earlier) but now I am noticing it in my right chest right below the breast bone is where I feel the sharp pains now. What could it be? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can EB a postural muscle spasm or a renal pathology. Hope I have answered your query. Let me know if I can assist you further. | |
Need treatment for hair loss
I had folliculitis then my hair started to fall out in the front of my head, then I got sores white ringworm. The dermatologist just gave me cream, I still have sores that ooze. I went to another Doctor She gave me nystatin cream and gris ofulvin. I still have the sores and alot of oozing, I lost my hair in the front , I have to wear a wig when I go out. Please help me. I had this since Jan 2014. I can t handle this anymore. It itches alot too | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of folliculitis and hairfall, my treatment advice is - 1. Avoid hair oil application for 1 month. 2. Apply an antifungal lotion like Clotrimazole lotion twice daily on affected part. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. Hope I have answered your query. Let me know if I can assist you further. | |
Is it normal to have white bowel movement in a baby?
my 18 month old has white poop my husband is a critical care doctor and tells me it is a blocked something or other but he is not a pediatrician he has checked his abdomen and says it is ok but it has been white for a week he is a very active toddler and does not seem to be in pain please advise thank you | Pale coloured stools in 18 month old is not common mam..it might be due to obstruction of bile duct..whether the child has jaundice and high coloured urine? Abdomen distended or not mam?? If the reply to these questions is NO then u can be reassured..but if any of these is present kindly proceed with liver function tests and use abdomen.. | |
Suggest treatment for trochanteric bursitis
I have been diagnosed with severe trochantic bursitis. I have complained about an uncomfortable passenger bucket seat in a 2015 Town and Country van we bought in August. Each time I ride in it, the irritation increases. The five other seats are comfortable but the wing of the passenger seat hurts me in the hip/lower back area. Foam back pillows have relieved the pressure somewhat. Could this irritation possibly be the cause of my bursitis? | Hello,Yes of their is continuous imitation at same point then it can cause such bursitis. But it is very uncommon. I would suggest you to visit a orhtopaedic doctor and get it examined. Some time it can be misdiagnosed and problem can be something else. If you are confirmed for this diagnosis then you need to take voveron 50 mg tablet twice daily. Fluid aspiration is also helpful. Hot water fomentation is also useful. Some time in resistant cases you need to remove this bursa surgically. | |
Suggest treatment for swollen elbow after falling on nail
My daughter fell on a nail, i was not there however i cant tell how deep the puncture wound is the top layer of skin was not ripped off and is kind of stuck however it obviously bled enough to stain clothes and bleed down past her elbow her hand is now swollen and is hard to the touch im aware she obviously needs a tetnus just unsure where the excess swelling could be coming from | Hi,The swelling is due to deep wound, it is a way of body's protection from infection. You need to take proper wound care to avoid any kind of infection with proper cleaning with antiseptic and application of Betadine cream. Tetanus needs to be taken.Hope I have answered your query. Let me know if I can assist you further. Regards,Jenis Bhalavat | |
What does painful tightness in chest and feeling of something stuck in throat mean?
I am a 34 y/o F. For the past two nights I have been experiencing a painful tightness in my chest, accompanied by a feeling like I have something stuck in my throat. It comes in waves and seems to travel to my stomach causing pain there, too. I also have this super itchy welt like rash all over my torso, arms, and neck. Thoughts? | Hi,Thanks for asking.Based on your query, my opinion is as follows.1. It appears to be anginal pain.2. Get an ECG. If normal, a stress ECG should show abnormality.3. Rashes require evaluation. If itchy, need to rule out fungal infections specifically in wet areas. More details necessary. Get ECG done first.Hope it helps.Any further queries, happy to help again. | |
What does below X-ray diagnosis indicate?
My left knee has had a total joint replacement, it is about six years post-op. Last week I had a fall onto the kneecap. An x-ray was taken and the findings are an oblique line medial distal metaphysics cortex which continues distally paralleling and 2 to 3 mm deep to the surface of the medial condyle which appears to be a non-displaced fracture. No evidence of periosteal reaction. What does this mean? I cannot get an appointment with an orthopedic surgeon for some time, and I have no idea what to do for this knee. Thank you. | Hi,Thank you for providing the brief history of you.As the xray reveals there is an undisplaced fracture, it is nothing to worry much. The initial things you should do is to stabilize the knee with a knee cap and later take proper rest for 2-3 weeks. Also, no weight should be applied on the injured leg as it may increase the pain too.In the duration of bed rest, perform simple knee exercises as taught by physical therapist during the knee rehabilitation.In my clinical practice, we find cases complaining such and with proper bed rest, non weight bearing and simple bed exercises patient recovers well.RegardsJay Indravadan Patel | |
What could cause shivers and shakes in old age?
My 81 year old mother s health is slowly deteriorating. She has had ongoing illness for the last 6 months. She recently hurt her shoulder cleaning the house and now has chronic pain in her left shoulder. The doctor has prescribed panadol for arthritis and I rub her shoulder with Voltaren twice a day. She now is complaining of Shivers and Shakes . What is causing this? | Hello,The shivers could be related to an infection. For this reason, I recommend consulting with her attending physician for a physical exam, a shoulder and chest X-ray study and some blood lab tests (complete blood count, PCR, ESR, urine bacterial culture, blood bacterial culture, etc). You should discuss with her doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
What are the signs of having throat cancer?
Hi, I have just noticed a yellow mucus on my throat and a little on my tongue. It is located where my tonsils would be (had them removed years ago). My throat doesn t really hurt, a little sore. I ve been coughing a little bit this past week. No other symptoms that I ve noticed. I just want to know if I can still get tonsilitis after having them removed or if it may be strep or at worst case, throat cancer? I don t smoke but did dip for a few years (never swallowed the spit and recently quit) so obviously I m hoping it s not that... Just a little scared and looking for some advice. Thanks | Thanks for your question on HCM. In my opinion you should not worry much about cancer.As these are not symptoms of throat cancer. So be relax and calm.You are having throat infection. Mostly bacterial as yellow phlegm is there. May be due to streptococcal infection but not due to cancer for sure.So take antibiotic and antihistamine drugs.Drink plenty of fluids. Warm water gargles 5-6 times a day. Don't think too much about cancer. And quit all habits. | |
Suggest remedy for persistent fever
My daughter is 2.11yrs and she is suffering from fever from last couple of months. Earlier fever use to come once a month, than it changed to week and now the fever only goes till the medicine is effective i.e after ever 4 hrs the fever is coming. Her blood test report: Hemoglobin:- 10.2 against 11.5 - 15.0 PCV:- 30 against 34 - 45 RCB:- 3.4 against 3.8 - 5.0 Total WBC count:- 12,800 against 4000 - 11000 Neutrophils:- 86% against 40 - 70 Lymphocytes:- 10% against 20 - 40 CRP:- 12 against Less than 6mg/dl Need help to cure my daughter | Hi...Thank you for consulting in Health Care magic.Looks like a viral illness. I will explain you how a viral illness behaves. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth | |
Suggest treatment for male infertility
i m 26 male. I have low sperm count and low motility problem. I am taking Paternia Tablets from last 10 days. My wife has everything normal. I want to be father soon. Can you suggest me what should i do for the same? Our marraige has completed 3 years. we have planned for baby from last 2 years . My sperm count was first only 3 million, .This is for your information. my email id is YYYY@YYYY . Please answer me as soon as possible. I m very worried.......please help me. Please tell me how much time it will take?(sperm count-3 m/motility :slu 20 minuet seen ) | HelloNormal fertility is associated with sperm counts >48 million/mL, motility >63 % , exhibiting normal morphology >13 %.You mentioned that your sperm counts are 3 million,while sluggish motility 20 , so it is very difficult to say without read of exact report .However , normal sperm counts is important for fertility , so also motility .In my opinion either upload all detail reports of SEMEN analysis or consult an INFERTILITY specialist and get his opinion.Good luck. | |
Q. Had unprotected sex but there was no ejaculation. Is there a chance for me acquire HIV?
Hello doctor, I am 27 years old heterosexual male. I am married and have a three months old baby boy, I never had sex before my marriage neither outside it, but yesterday I went to a massage center which including massage with oil, sona, steam room and then moroccan shower by the lady. During the shower she did touch my penis and kissed me but the kiss without tongue, and it was like a pure kisses then she started rubbing her buttocks along my penis one thing led to other she inserted my penis inside her for about 10 to 20 minutes and I removed it for a few seconds then I inserted back again for few second maybe less than the first time or similar then I removed it and immediately washed my penis pretty good for a while, no I am so afraid for my self and my wife. And I cannot hold not having sex with my wife for any time longer. 1. I asked the girl she said she always get tested every six months and she said she is clean, but I cannot believe. 2. I did not ejaculate, and neither she and I am circumcised, and all the time I was cover in oil and soap, she was also (I do not know this bad or good). 3. I cleaned my self (penis) repeatedly and immediately. 4. Please tell me what to do. I am so afraid. | Hello. The answer to your question based on the various things that unprotected sexual act without ejaculation still puts you at some risk of contacting HIV as you do not know the other person status. But the good thing is that you are circumcised and there is ample evidence that male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60 % (world health organization (WHO)). WHO and UNAIDS (The Joint United Nations Programme on HIV and AIDS) even recommended it as an efficient intervention for HIV prevention. In case there are no tears or fresh open wound, chances are very low. However, I do suggest you undertake HIV rapid test now and if negative then a repeat HIV test at three months and then at six months. Take precautions for the future. I hope your query is answered, but if you still have, please revert. | |
Pregnant, frequent loose stools. flatulence, acidity. Blood test shows amoeba. Treatment?
Hi Doctor. I'm 29+2 weeks pregnant and since yesterday I've experieced frequent loose stools, flatulence, acid in the stomac, colics with cramps in legs and arms. This morning I went for a stool test and they told me it's amoeba. Because I live in the subsaharian Africa and here in the village we don't have any good doctor, I'd like advice on which medicine to take, and how often. Thanks. | Hi madam, came to know about your problem of loose motion colic's and cramps,as you are residing in rural remote area and pregnant 29+2 weeks , i want to suggest you to take plenty of fluids with electrolytes if available to you , if not than you can take sugar+salt+ lemon water 2-3 liters in a day,also take Metronidazole 400 if you have, for your cramps you may have your medicines as advised regularly in pregnancy i.e. folic acid, iron & calcium as given to all pregnant women along with these you must take a glass of milk regularly during this period.you can also take curd & rice to control your loose motions and flatulence too.Good Luck take care, recover soon. | |
Suggest treatment for plexiform neurofibroma in abdomen
My grandson has plexiform neurofibroma in his abdomen! Will it continue to grow if not treated? If he has the NFi gene, can it be treated with meds? If not what kind of treatment is available. The mass in his abdomen also shows it s wrapped around major arteries! What now? | hi,Thanks for writing in.Plexiform neurofibromas in strategic locations are to be removed through skilled surgery. It is important to know the size and extension of the tumor and if there are any cancerous areas which are developing within. In that case, you must consult an oncosurgeon and vascular surgeon and know the implications of the tumor causing pressure effects or the rare possibility of the tumor infiltrating the arteries. Medicines are not a treatment option for these tumors. Though the tumors are usually benign and harmless, increase in size with time and malignant transformation cannot be entirely ruled out in your grandson. That might take years to happen but it can be easily prevented by getting treated through surgery at present. | |
Cracked tooth, roots wrapped around jaw. Medication for pain relief?
i am disabled and all i have is medicaid for insurance. none of the clinics are excepting new patients for about a month. i cant take ibprophen due to high blood pressure . is there any way you can prescribe anything for the several bad teeth i do plan on getting removed soon. i cant get into any dentists in my area to even get a prescription and i have one tooth with the roots wrapped around the jaw and cracked in half | hello and welcome to HCM forum, i would like to inform you that, the roots which are now left out should be extracted first as they can be the reason for infection, also if all your teeth are periodontally compromised then its better to get them removed which should be followed by dentures, you have not mentioned your age or any other medical condition you are suffering from besides high blood pressure, i hope you are taking medication for that. i would recommend a few measures which will be easy for you to follow; 1. use a mouthwash, if brushing teeth is not possible, 2. rinse your mouth with plain water after every meal, 3. massage your gums with a gum paint using for finger for a minute, 4. do visit your dentist at regular intervals. i wish you good health, take care. | |
Suggest remedy for excess sweating and freezing body temperature
My husband is 83 yrs. old. He has this condition where he wakes up soaking wet and yet he s freezing. We have to get up, change his clothes and sometimes even the bed linens. We are puzzled by this as no one can seem to diagnose his problem. We have seen an infectious disease doctor and he just plainly told us he didn t know what was causing this. Do you have any suggestions as to what we should do? He has just awakened from an afternoon nap and everything is soaked down to the mattress. Thank you for any advice. | 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.There are two clinical condition that can be suspected in your husband.He is either having a hyperthyroidism or he is having hyperhydrosis.Both condition can cause the problem.In my advice you should visit the endocrine specialist doctor. They will diagnose properly with detail history and clinical examination.You should take other precautionary measures like put him in a good AC room, wearing a cotton only cloth, using telcum powder, loose clothing etc. This simple measure can help him better life.Hyper thyroidism can be treated with antithyroid drugs, and hyperhydrosis is the clinical condition that requires only a simple home measure.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Suggest remdedy to prevent hair fall
hello sir, i am 22 years old.i am suffering from hair loss. front part of my scalp has no hair & hair falling gradually. i want my hair back , please provide best solution for me to gain my hair,and give suggestion to which product is best for hair gain.thank you. | Hi!Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern.Daily shedding of upto 100 hairs is normal . Excessive hair fall can be due to male pattern baldness, physical or mental stress, anaemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help . Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week. A hair growth lotion or serum can be advised to you depending on the cause and severity of your hair fall. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps!Good luck! | |
What causes spasms around the heart?
36 5ft 11 215lb. Spasm around the heart top/bottom left and side. Been happening 4 or five times a day. Doesn t hurt and all of my heart test were ok. If I drink alcohol it more noticeable sometimes. I run and play recreational baseball. So, i think I m in good shape. These flutters/Spasm kinda worry me. Is it my heart or muscles around? | Hi,This looks like a gastritis and reflux problem. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode | |
Suggest treatment for night fall
Hello doctor i had masturbated frequently up to last 4 years, after that i felt tired,hair losses, so i stopped that habit..but now i having night fall problem even i doesn t watch any porn movies before bed at night...whether is it problem,,any remedies there? Kindly give solution. | DearWe understand your concernsI went through your details. Please understand that masturbation is not a sin. Masturbation cannot harm your health. But it can make you lethargic and anxious if you masturbate more. Four or five times a week is maximum.Regarding your nocturnal ejaculation (night fall). This happens if you do not masturbate. Your body produces sperm whenever you are sexually aroused and the produced sperm is a waste product. Body finds a way to throw it out. Nothing to worry. enjoy masturbating and concentrate on your education and career.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
What causes mucous vomiting while suffering from quadriplegia?
My son is 6 and has quadripalegic CP, he is on a 24/7 feeding tube and listed NPO. Last week he had a bad head cold, but his mucus lessened and he hasn t had any meds since friday. Tonight he is much worse, heavy stridor breathing, and he has begun vomiting mucusy foam, which I ve seen before, except it is brown and not the normal yellowy/green. Any ideas, or should I just try him on some expectorant and decongestant and observe? | brownish colored mucosy bleeding may be due to gastric ulcers either stress induced or due to irritation by ryle tube. u can use proton pump inhibitors along with prokinetics such as pantoprazole with domperidone in this condition. | |
Depression, panic attack, primox, indral10, oliza 2.5, zapiz0.25, restless
My mother is suffering from Depression and Panic Attack. She is under treatment for more than 6 months now. She is taking following medicine: primox indral10 oliza 2.5 zapiz0.25 But still she feels very restless, she does not get sleep . She always looks depressed and asks everyt time why she is not keeping well and when she will be fine and so many. Please let me know what we should do for her fast recovery. i will be really thankful to you | Hello. Thanks for writing to us. The depression is a disorder in which not only the medical treatment but the cognitive and behavioral therapy and support of family and friends is equally important. It takes around 4-6 weeks for the treatment to show its effect. You can try to interest her in some hobbies and a social life. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
What medication is suggested for Enpheysema?
hi my dad is going for a ct chest scan tonight.in november he had a chest ray done that showed enpheysema.when he saw the consultant they had not received this xray and sent him for another.the xray showed fluid at bottom of right lung but he said he neede to check this out but he was 99% sure it was just fluid.could this be cancer.? | Hello , The more common reason of having fluid in a patient with emphysema is infection , so I would request that you shouldn't jump guns and relax . A CT chest will make the picture much clearer and will also help quantify the fluid . If significant aspiration of fluid and analysis of the same will give us further information. So I would like to reassure you that though cancer is a possibility, there are far more common causes why fluid should get collected . Regards Dr Priyank Mody | |
Loose scrotum, hanging lower than testicles, loose skin. Treatment?
Hi, My scrotum has become very loose and hangs lower than my testicles. Imagine a bag with a couple of oranges at the bottom of the bag. -This is normal. Imagine the oranges are held half way up the bag. So there is excess empty bag below the oranges. -This is my situation. I can t find any information regarding this. Please help. | DearWe understand your concernsI went through your description. I suggest you not to worry much. As you are aware about the normalcy of your testicle sacks. You know that they can be loose and hang down along with the testicles. You should also learn that the testicles are not actually two free oranges. They are attached to the scortum with the help of blood veins and other tube like structures. Means even when the sack hangs, the testicles can be anywhere in the sack. There is nothing wrong in your case.You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.healthcaremagic.com for a telephonic consultation session. Hope this answers your query. Available for further clarifications.Good luck. | |
How to get rid of pain after a rib fixation surgery?
I broke right side ribs all and 6 on the left side, flail chest. I had rib fixation surgery after on of my broken ribs punctured my lung. I had 3 right ribs fixated by plates. Now the skin is painful to the touch. I also have a good size knot near where rib #2 meets the sternum and have felt it pop with extreme pain, what can I do to get rid of the constant pain? | Hai.rib fractures are really very much painful.due to multiple nervous innervationTat too added with lung injury & flail chest is really very sensitiveU hav to follow slow deep breathing exercises (not vigorous)Pain control with opiods will be helpfulEarlier to this u can start with tramadol or tapendetol twice daily, added painkiller like diclofenac+pain muscle relaxants like chloroxazoneLocal application of pain relief gel will be of some helpTo prevent gastritis please add up with antacids & ppi'sRegular physiotherapy &saline nebulisation will be of gud helpTake care | |
Suggest treatment for severe chest pain
I just fell on the ice today skating with my kids and I landed directly on my chest. It knocked the wind out of me for a moment and now it really hurts from my left side of my chest to my back. It really hurts when I bend over on my left side of my chest. What can I do and what is wrong? | Hello dear, thanks for your question on HCM. I can understand your situation and problem. You are having blunt chest trauma due to fall on ice.Following are the possible complications of blunt chest trauma which can cause symptoms, you are having. 1. Rib fracture2. Pulmonary contusions3. Pneumothorax4. Muscular injurySo better to get done chest x ray to rule out all these. If chest x ray is normal then no need to worry much. You are having muscular injury only. So try to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad posture and movements in sleep. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. Don't worry, you will be alright. | |
What causes irregular heart beats and stomach bloating?
Hi Dr, Gastric cause irregular heart beat or irregular heart beat cause gastric. Every time when I got irregular heart beat my stomach bloated. How to prevent irregular heart beat from happen. It always happen early in the morning.It will stop by itself after few hours. | You need to undergo a detailed cardiac evaluation. Irregular heart beats occurring on a frequent basis is not to be taken lightly.To start with get an ecg and a 24 hour holter monitoring done which may be required in your case. You will need to get a thyroid function test.Once the cause or abnormality is identified treatment can be initiated.The stomach bloating does not seem to correlate directly with your symptoms. In case you consume alcohol, or too much of coffee it is best you avoid them. | |
Suggest treatment for lower right-sided back pain
my back hurts on the lower right side,can hardly walk,the only time feel good is laying on side hurts to sit and can hardly walk,this happened in summer time,after hanging a mirror when i climbed on a couch went away and hasnt bothered me til i did alot of physical work and then was simply loading the dishwasher and turned the wrong way and now im in alot of pain | Dear patient you seem to suffering from acute back sprain. Sudden turning may have put strain in your back which leads to sprain. Start tab myoril 4 mg twice a day with tab diclofenac sodium 50 mg twice a day for pain relief. Take rest for at least 3 days. Avoid forward bending and weight lifting for a week. local application of diclofenac gel also helps. Try this for a week and you will be fine. | |
Trying to conceive. Undergoing Follicular Monitoring test. Is this something to worry about? Concerned?
Dear Dr. Samuel,Hi.My wife is facing some difficulty in concieving. I underwent the semen test and that was normal with sperm count 90 million and motility normal. There was infection and hence puss cells were there. Got it treated and now it is all ok.Presently my wife is undergoing Follicular Monitoring test- 5 tests have taken place and the last one has to take place after one day. They have tested under the parameters--- Right Ovary size-- left ovary size- E.T. (in mm) and remarks. The Remark has been mentioned as NOFF. and as per the doctor, the growth in sizes of the Ovaries is below normal. Can you kindly let me know the nature of problem and how serious is it? We have one child -4 years old and planning for 2nd one. Wife is her late 30s and me in early 40s. | Hellothanks for your query.IT appears as if there is no dominant follicle growing during follicular development .This could be due to age related ovarian ageing.There is no known treatment for this.However, DHEA is a new drug known to improve results.Please consult an Infertility specialist and have her ovarian reserve tested.Take care. | |
Q. I had unprotected sex next day after taking I-pill. Should I take another pill?
Hello doctor, I had unprotected sex on 11th of this month, and took an I-pill the next day and again on 13th, the condom leaked, should I take another I-pill? I finished my periods on 10th of this month. | Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. The pill will be effective for 72 hours of intercourse there is no need to repeat the same. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> | |
Is Amoxicillin the right medicine for lower abdominal pain and diverticulitis?
I have lower tummy pains hard to go the bathroom but I do alittle bit I have diverticulitis before it also come with sharp pains under the belly button is amoxicillin good to take for this. wow just a ? where s the justice in charging somebody money to get an answer | Hi.Thanks for your query. Read and understood your concerns. Noted your history of pain in the abdomen, inability to evacuate the bowel and are a known case of diverticulitis. Amoxicillin is not the drug of choice in such a condition.You may need an antibiotic active against intestinal pathogens like Ofloxacin or cefixime, metronidazole and pro and prebiotics. I would advise you the following in such a situation:Get a clinical evaluation and examination by a general surgeon to have a clinical diagnosis. To undergo the tests like CT scan, of blood, urine and stool. And then only to proceed for proper treatment. I hope this answers your query. Consultation needs charges and the set up cost money hence the charges. | |
What will happen if over dosage of medicine is given than the prescribed one?
I accidentally gave my 8 year old a double doze of amoxicillin for her ear infection (prescription- 5 ml 3 times a day; gave her by mistake 2 teaspoons under the impression this was 5 ml). I did this for the whole term of her treatment. I just realized. Should I be concerned? She weighs about 65 pounds | Hello, Nothing will happen and no definite treatment is required. One time the overdosage of Amox does not cuss any problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
How is chronic lymphocytic leukemia treated?
I have a neighbor that says she has Chronic Lymphocytic Leukemia (sorry if i spelled that wrong) I know she does not, but regardless she gets completely beligerantly drunk off of vodka every night. My question is could this even be possible if she were receiving chemo? By the way she says one minute she is having radiation treatments, and another she is having chemo. | Hi, dearI have gone through your question. I can understand your concern.She have chronic lymphocytic leukemia.Treatment of chronic lymphocytic leukemia depends on stage.In early stage no treatment is required. Just wait and watch approach is sufficient. In later stage chemotherapy should be given.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What does pain in the lower back on the right side indicate?
Good evening, I am a male 64 years old and started having lower right side back pains a few days ago. That pain has become more pronounced and the area of pain has grown and now includes my right side and right front abdomen. I have no fever and only a slight headache that comes and goes. Any thoughts? | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Get x-ray KUB, ultrasound abdomen and urine RE done. There may be small renal calculi or stones that may be causing such pain. It's better to have a little workup.Till then, take tablet Drotaverine and tablet Diclofenac Sodium for 5 days.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rana Ahsan Javed | |
Do i need to take the tablet and drink trilyte for colonoscopy?
I am having a colonoscopy on Thursday and I have instructions from the doctor s nurse on a typed sheet, it says step 1 - take one 10 mg bisacodyl tablet step two mix Trilyte Lemon-Lime and mix in bottle. That I only have to drink 1/2 of Trilyte prep. My question is do I need to take the tablet and drink the Trilyte or just one? | You need to do both. The colon needs to be cleaned out really well to have an accurate colonoscopy. These medicines will do that. The pre-colonoscopy prep is actually much more uncomfortable that the colonoscopy itself!Hope this answers your query. If you have more questions, I would be happy to answer them. | |
Lower back pain, difficult to sit, stand or walk. Advised Zerodal. Any side effects ?
I m 40 yrs old male, having lower back pain from last week, on fist day it was so painful and difficult to sit , stand or walk, so I took 5 days complete bed rest (sleeping on back), after that visited doctor and he gave Zerodal TH 8 20 tablets for 10 days. So I would like to know that is there any side effect of this tablets, is so please explain. Thanking you | Zerodol contains Aceclofenac which is a NSAID(non steroidal anti inflammatory drug). Most common side effects are on stomach ie gastritis, gastric erosion and bleed. Not to be taken empty stomach and antacids may be added. | |
What causes burning sensation and tight chest in an asthma patient?
I'm asthmatic , I woke up with a burning sensation in the abdomen. An hour later I felt my chest go very tight. I do not have pains whilst breathing, but sometimes they occur randomly. Cold temperatures worsens the symptoms. I also have high blood pressure. This has been going on for 5days. | hi i read through your question and understood your concerns.this mainly looks like a dyspepsia symptom.This can be due to:-intake of spicy foods- pain medication etc.In your case if u r an asthmatic on oral steroid medication then the likelyhood of dyspepsia is more-dyspepsia and acid reflux tend to aggravate or exacerbate asthma.If I were your doctor I would recommend you to continue your asthma medication and take the foll. medication: T.Pan-D once daily syp.reflux forte three times daily before foodtake these medications for atleast 2 weeks, when u start using them your symptoms may appear to improve , but it takes at least 2 weeks for any ulcer in your stomach to heal.-eat less spicy food-don't sleep immediately after you eat....give a gap of atleast 2 hrs-don't eat a heavy dinner.-eat food rich in fibreWish You a speedy recovery..!! | |
Unconscious during getting up from bed, distorted face. No other health issues. Reason?
hi my mother fell unconscious just getting up from the bedshe is 60 years old, no health problem as suchthese was head reeling for few minutes and then she fell downher face was distorted (drropled) for half a minutethen she got back her consciousness and got upbut she does not remember anything about the even afterwards | Hi,Thank you for posting your query.The most likely cause for brief loss of consciousness in your mother is syncope. In this condition, the blood supply to the brain reduces for a short period, leading to fainting. The underlying causes can be hunger, tiredness, infection, diarrhea, etc. Please get her examined by a physician to exclude any underlying cause. The other cause can be a seizure (fits), but it less likely.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
What causes popping in knees with pain?
When I sit down and then cross my legs, my left knee pops. I ve been playing soccer since i was about 7 and I m 17 now. I ve been having to play with a knee brace for about 6 months now and get pains in my knee from time to time. What is causing my knee to pop when I cross my legs? | Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, this is usually an indication of internal derangement of the ligaments of knee, get an MRI done and revert back with the report. I hope that answers your query. If you want any more clarification, contact me back. | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
What causes lump around inner thigh?
Hello,The other day when I was applying lotion, I noticed a pea sized, hard, lump that doesn't move around on my inner thigh above my knee. I thought it was maybe a cyst or something and tried pressing on it a little bit, but nothing came out. It hurts when I push on it. Just wondering if this is something I should be concerned about? | Hello!Thank you for the query.Most likely it is a varicose vein. If its hard and tender, some blood clot can be present in it. This is more probable if you have also legs swelling when standing for a long time.I suggest you to consult a surgeon first. Dopplers ultrasound should be done.Hope this will help.Regards. | |
What causes hanging testicles and low sex drive?
hi i m male 27.once i used to have sexual desire now n then in a day with erection.For the last 6mnths to 1 year things changed.1st with right testicle n now for last 6 month with left one too.it feels like they got isolated from penis.n now less sexual tension.veins loose & hangin balls.early ejaculation | DearWe understand your concernsI went through your details. I suggest you not to worry much. Premature ejaculation, delayed ejaculation, erectile dysfunction and lack of interest in sexual matters are mainly due to anxiety and lack of knowledge. You are anxious or rather apprehensive. You are worried about your sexual performance. Such worries, rather apprehension drive you anxious.Have faith and confidence. Stop worrying about future. Psychotherapy techniques should suit your requirement. 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. | |
Severe toothache, rinsed with alcohol. Swelling and burning in hard palate. Is it irritation or infection ?
Hello can I ask a question?2 days ago i had one big toothache....painkillers didn't help, so i started rinsing my mount with alcohol (votka) to relieve the pain. I kept the vodka in my mouth for 10 minutes at a time throughout the whole evening (So i had votka in my mount 3 hours non stop....not swallowing, just rinsing). But since then my hard palate burn and is filled with red patched, and my gums on the side where I rinsed are swollen and have are red, like bleeding gums. Did the alcohol cause another infection or is this "just" irritibility? Drinking and eating is very painful, cause even the sligtest touch makes my hard palate burn very badly:( | hello and welcome to HCM, Tooth ache indicates bacterial decay or infection in the tooth that involves the exposed tooth nerve tissues . such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist. you may need a X RAY examination done for your teeth to confirm the spread of infection. i would suggest you to start with antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days . Swelling and burning sensation in the hard palate is due to prolonged use of alcohol , this will subside with time dont worry. discontinue the use of alcohol , apply oral antiseptics like dentogel topically over the affected area. i hope this helps , take care. | |
What causes lethargy, pounding heart, and excessive sweating?
Dear Doctor, I am 73yrs old,I do take blood pressure tablets,I have experience highs of 245 over 110, lows of 90 over45.I have had blood tests done all seem to be o.k. But lately Iseem to be having no energy, the heart seems to be hiting very hard,I sweat alot around the neck, and forehead, even when I am in bed, also I feel very hot inside my body which makes me feel very listless and tired. My weight is 80kl height 5ft 9inch | Hello thanks for posting here. i have gone through your description. Since you suffer from high blood pressure, some of the above symptoms like pounding heart, hot inside body can be due to high BP during those episodes. Feeling of tiredness, fatigue, listlessness can be caused by a number of factors. Going by your history and my experience, i consider the following probabilities here. First is vitamin D deficiency which can cause tiredness, fatigue. Get your vitamin D levels checked and if it's low, correct it by taking vitamin D supplements usually the once a week tablets. This will drastically reduce your symptoms in 2-3 weeks. next possibility is heart disease which can also lead similar symptoms. Don't worry, it's better to be safe than sorry. Since you have a high blood pressure history, and your age is 73, i advice you to undergo a cardiac check up which should include a ECG, 2D echo and a treadmill test. These tests are very sensitive to evaluate cardiac disease. So to summarise i would advice you to do a vit D levels, fasting and post lunch blood sugars, ECG, 2 D ECHO and treadmill test. wishing you good healthregards | |
What does this blood test reports regarding frequent infections indicate?
Hello doctor i have 3 year old child and he continuosly gets throat infections almost once in a month. 10 days back also he has infection in his throat near tonsil area and cold(started greenish very think) and cough sometimes. Doctor treated with refzil antiboitic syrup. We thought he had improved we comleted dose of 7 days almost. Since yesterday night he started fever today it is very high temparature is touching 102. Doctor did blood examination attached below are the reports can you please help me understand what went wrong with my child. Thanks | Hi...for me to get back to you after seeing the reports you need to post a direct question to me.You can approach me at the following link. Please find the link below.www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696But by what you quote I feel that he might be having recurrent viral illness or recurrent tonsillitis.Kindly get back to me with the reports.Regards - Dr. Sumanth | |
Suggest treatment for a painless lump near the waistline
I have a spongy golf ball size lump near my waistline on the right side... It is painless, soft, smells sour and the colour is same as skin colour... It has been there for quite long and the size might have increased very very slowly... what should I do? | Hi,From history it seems that you might be having growing lipoma on the site.Nothing to worry.If size increases, consult surgeon and get diagnosed.If lipoma is there, go for removal.Ok and take care. |
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