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How to cure hematoma with kidney blockage?
I had a robotic partial hysterectomy on 04/30. Two week later I was in the ER with a hematoma and blocked kidney. The hematoma is still causing pain almost two months after the surgery. I also have a stent placed to unblock the urethra and some back pain. How long does the hematoma clear and are there chances that it might end up as an infection?
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HelloThanks for query.You have undergone robotic surgery of Hysterectomy following which you developed hematoma in the abdomen which blocked the ureter resulting into developing hydronephrosis of the kidney.The D.J stent has been placed to decompress the kidney and will remain there for 4-6 weeks ,by this time hematoma will get absorbed .Take prophylactic antibiotic like Augmentin twice daily to prevent hematoma from getting infected .Dr.Patil.
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Q. My chest X-ray shows enlarged heart due to cocaine use. Will it get better?
Hello doctor, I was taking cocaine and alcohol once a week for 20 years. On the first of this year, I started getting a cough and breathlessness. I continue to do my binge until four weeks ago when I was diagnosed with mild left ventricle dysfunction. I then had a chest CT scan and lungs come back clear. I had an X-ray another day, and I have got an enlarged heart. I have no family history of heart problems. I know this is done through cocaine. I have been clean for four weeks, but I am still experiencing breathlessness. Can you please tell me if this can get better? If so how long does it take? Because I have no improvement and I have been working out too for the last four weeks.
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Hello. Your reports are showing mild LV dysfunction (left ventricle) with no lung disease (attachment removed to protect patient identity). LV dysfunction is likely to be related to drug abuse. Still, it will be useful if you provide your ECG and echo cardiography report. If you stop taking these drugs and take medicines as suggested your symptoms are likely to improve. Duration of improvement varies with each patient depending upon the damage to the heart and compliance of the patient to the prescribed medications.
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What causes swollen lymph nodes?
do tonsils disappear on their own ? I have a swollen left gland in the jaw area. And a canker sore in my bottom inside mouth for a week now. I looked at the throat tonight and my tonsils are not there, throat red but not swollen. I did have very large tonsils so you could see them .
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A canker sore can be triggered due to high stress, long periods of acid reflux disease or just some tooth edge trauma. If you have a fever with a swollen lymph node then it is an indication for active infection. Otherwise sometimes a swollen lymph node is just the body fighting off some insect bite on the area of drainage. If your tonsils are painful or you have difficulty swallowing then you should see a doctor who would examine you and take appropriate action like putting you on antibiotics. Otherwise you can wait it out and let the tonsils recede on its own. Thank you for your query
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Suggest treatment for a foul smelling tissue in tooth socket
My husband had all 4 wisdom teeth pulled. He now has a huge piece of whitish material hanging from one socket. Since its a long weekend his dentist on call said it was part of blood clot & should whipe off. It is still attached, doesn't wipe off, actually bleeds if he pulls on it and SMELLS LIKE DEATH! It has now made him I'll from the smell. I didn't believe him until he showed me & standing 3ft away I can SMELL it & man is it bad. His dentist won't see him for 2 days. What should I do?
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Thanks for your query, I have gone through your query.The foul smell from the socket can be because of the following reasons,It can be because of the food debris accumulated in the socket orit can be because of the secondary infection like dry socket. The whitish material hanging near the socket can be a interdental papilla or the pericoronal flap of the extracted tooth. Nothing to be panic, Consult a oral physician and get it irrigated with betadine. Mean while you can gargle your mouth with chlorhexidine mouth wash, do it 4-5 times daily. Continue the course of antibiotics prescribed following extraction.I hope my answer will help you, take care.
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What should be done for pain and discomfort in the knees?
I fell flat on my knees last April on a hardwood floor. I used Arnica on them successfully nd took a hot bath and soaked them. I am feeling some pain and discomfort for the past couple of months. It interferes with my walking and sleeping. What should I do? I have not been seen by any physician yet.
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Hi, As a first line management, you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Q. Is it safe to use Xolair for urticaria?
Hi doctor,I have been suffering from preliminary chronic urticaria for unknown causes for the last 13 years. It is not responding to antihistamine treatment for the past six years. Sometimes, it gets as severe as I have to use Corticosterone injection (Diprofos). All blood analysis showed no cause. Dermatologist started to recommend immunity treatment such as Arpimune, which is better but very slow. Finally an immunity and allergy doctor recommended Xolair (Omalizumab) for six months. Shall I use it?
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Hi. I understand your concern. Chronic idiopathic urticaria is a type of urticaria (wheals). It is a disturbing illness and difficult to manage. Most urticaria patients benefit from prolonged antihistamines and some may require immune suppressing drugs like Cyclosporine to control urticaria, which were also given to you. When the relief is not satisfactory from all these options, the physicians opt for a biologic medicine called Omalizumab. This medicine prevents the release of urticaria causing molecules in your body. It is considered safe and has proven efficacy in appropriate subjects. It will be given under a physician's supervision and side effects will be monitored. It has helped many patients to attain a longer symptom free periods. You can go ahead comfortably with the treatment. For further doubts consult a dermatologist online -->
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How to overcome my sneezing problem?
doctor i got sneezing problem sometime i sneez for the whole day my one side nose get blocked and water flows out from noise and stops only when medicine is taken i had done lot of treatment which show block in forehead. i had taken an ayurvedic treatment for my back pain six month back started from then
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Hello dear,The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis.Management includes:1. Antihistamine preparations like Allegra can be taken for symptomatic relief.2. Montelukast preparations, used as a maintenance therapy.3. Nasal decongestant drops4. Steam inhalation5. Maintain adequate hydration & take a healthy balance diet.6. Also make sure that you are well protected from cold, dust & other allergens.Wishing you a good health.Take care.
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Planning for IVF. Blocked tubes, scanty periods, first delivery c-section. Is it possible ?
I have blocked tubes and am planning to go for IVF . I had taken a hormone blood test which all is normal. But I am facing very scanty periods, this has become more after my first delivery (c-section). I want to reduce my weight before I go for IVF, so I thought of taking Glucophage , cod liver oil and folic acid and I think walking for 30 minutes with a little diet will work. Hope I am in the right track. What worries me is the scanty period but it comes on time every month.
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Hi, Thaks for your query. Dont worry about scanty periods. You have very high chance of getting pregnancy by IVF as you have delivered a child previously by LSCS. Weight loss is must. Loose weight and go ahead with IVF. All the best. Regards, Dr. Mahesh Koregol. IVF & Infertility specialist.
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What is primary site of metastasis for stage IV squamous cell carcinoma?
Hi, may I answer your health queries right now ? Please type your query here... Hello, my brother has stage iv squamous cell carcinoma, primary is unknown. He is having surgery on his neck to remove the tumor and send to pathology for further testing and I guess to find the primary site of his metastasis. What should I expect? I have some medical knowledge. Thank you
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hi ...it can be an unknown primary with secondaries in neck. you should ideally go for a PET scan to locate the site of primary which is the best investigation. however if you cant spend that much,you should visit an ENT surgeon to get a panendoscopy (esophagoscopy,nasal endoscopy, DL scopy,bronchoscopy ) done to assess all the primary sites of cancer.you will also have to undergo blind biopsies from sites like nasopharynx and tonsillectomy which are the sites for hidden carcinoma.squamous cell carcinoma mean it will be mostly from head and neck region especially nasopharynx or oral cavity or upper GI tract.if you get evaluated in a manner the way I told you will definitely get the primary site.all the best.
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hello dr, one night before my period was suppose to start i had massive pain in my lower abdomen/pelvic region. I tried going for a bowel movement, but it did not help. Pain only last for 30-45 minutes. The next day my period was supposed to start, and it still has not, i am 8 days past my missed period. My last period was 18th of Aug, and I am on a regular cycle of an average of 28 days. The shortest cycle (last cycle of 26 days) and the longest ever being of 29 days. Now I am on CD 37. Negative HPT, more than usual headaches. My husband and I had intercourse on 7th or 8th of Sept, and according to what i remember I had ovulated either a several days back or just couple of days (can't exactly remember, just remember ovulating). Is there a chance my hcg level is too low for urine test to pick up, and maybe I actually am pregnant, and need a blood test done???? Or was it bc of that weird pain I experienced the night before my expected period that caused me to miss it??? (I normally never experience any sort of pain during my cycles). I am not under any stress, no diet change, no exercise. Is it possible to have a negative urine test and actually be pregnant?
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HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.First of all do not panic.If you had regular periods and you have missed the periods; negative urine test indicates that you are not pregnant.In case of doubt, blood levels of beta HCG will be of help.Simply if test is negative please be patient and await onset of menses.If pain does not subside then USG is advisable.I hope my answer helps you.Thanks.Wish you good health.
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Completed epidural shots for spine, pain. Taken betamethasone dipropionate and kenalog. Are many procedures required?
I just completed four epidural shots for my spine between the L4 & L5. the doctor used kenalog. I am still in some pain . Two of my friends had the same procedure done one time to the L4 & L5 using betamethasone dipropionate. They have been without pain for five to six months. Why did my doctor do this? I have also read that kenalog is only 1/5 to 1/6 the steroid potency of betamethasone/ dipropionate. I am thinking it was just the fact that he does these four procedures instead of one just to make more money. I would love to hear your opinion
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HIThank for asking to HCMIn my opinion such invasive therapy some time causes danger out come because this could be just symptomatic treatment and not curative if this is true then why to go for such invasive procedure when the same result one can get with the oral drugs, better to avoid such therapy and have opinion form good spine surgeon, hope this information helps you have a nice day.
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Suggest treatment for white elastic blobs in poo
hello i have a 8months old girl for he last 3 days she has had white kind of elastic blobs in her poo my son had salmonella about a year ago and her poo looks the same as hid did and she screems every evening before she has a big poo like she is in pain with traped wind
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Hi dear,It seems he has dysbiosis after Salmonella infection. We such presentation in my clinic, we usually do stool culture, stool analysis. I suggest you-Add Enzymes syrup during meal.-Probiotics- Babylac for monthWish your baby good health
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How to train a 5 year old for toilet?
My son is almost 5 & refuses top use the tiolet. His kinda teacher suggested not buying anymore pull ups, which we did, now he wee s & poo s in his underpants. We have tried to get him to go outside & he won t do that either. We have run out of ideas. Please help. Jennie
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Hi jennie,your son must be scared to use adult toliet so you can buy small seat for him which you can kerp ocer adult toilet.Usually kids have the fear of falling down in the toilet..this will help you.
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Can throat infection cause chest pain?
My chest hurts and has been hurting all night. I was in the Emergency Room last night for a sore throat and he said it was just a throat infection but the nurse said my BP was 138/90. I have never had high BP before. I just don't feel right. I am a 37 year old female, very healthy.
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Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* Throat infection can cause chest pain due to - severe coughing stretching chest muscles - associated viral or bacterial infection of the lungs - others .* Regarding BP reading , its absolutely fine for 37 years age .Hope this will help you for sure .Regards .
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Q. What has to be done for stage 2 glioblastoma?
Hello doctor, One of my very close relatives has been diagnosed with glioblastoma, stage 2. We need immediate consultation and guidance.
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Hello. According to the MRI report, it looks like high-grade glioma and more likely glioblastoma. Just to correct you, glioblastoma is a grade 4 (highest grade) tumor and it is synonymous with brain cancer. But it needs to be operated. Then only we will get a definite diagnosis and after debulking the tumor, he can undergo radiotherapy and chemotherapy if it is a glioblastoma only. Overall prognosis is bad if it is glioblastoma. Surgery with chemo or radiotherapy will only prolong survival by a few months but definite diagnosis can only be done after surgery and biopsy of the tumor.
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What are the side effects of stopping venlafaxine?
I am currently on 150mg venlafaxine and have been for 5 months but have had horrid side effects so my doctor has given me mirtazapine 30mg and advised me to do a straight change. Could you advise if this is safe to do as I have heard that stopping venlafaxine suddenly can be pretty nasty.
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Hi,Venlafaxine can produce 'discontinuation syndrome' if stopped suddenly. If you stop taking venlafaxine suddenly, it can cause 'discontinuation syndrome' characterized by anxiety, vertigo, dystonias (abnormal movements like torticollis), tremors, fatigue and irritability. Hence, it is not safe to do so.If you wish to switch over to mirtazapine from venlafaxine I would like to suggest the gradual reduction of dose of venlafaxine as follows:One day before actually starting mirtazapine, reduce dose of venlafaxine to 75 mgOn day-1, further reduce the dose of venlafaxine from 75 mg to 37.5 mg and simultaneously start taking mirtazapine in a dose of 15 mg/dayContinue reducing the dose of venlafaxine by 50% every day and taking Mirtazapine 15 mg every dayThen on day-8, stop taking venlafaxine and continue taking mirtazapine only in a dose of 30 mg/day.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Q. I am afraid of flu and skin rashes I had after oral sex. Please help.
Hello doctor,I received oral sex from a sex worker without condom and sex with a condom. After two weeks, I got flu (no fever), then I was panic, too much stressed and worried. And I had body burn like sunburn about a week. I have a skin rash on my backside and a few spots. I worry about this problem. I have it for the past 22 days. Kindly help.
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Hello. 1) Oral sex is a less risky activity, but, that does not mean that it is risk-free. 2) The likelihood of HIV transmission from a person with HIV to a non-HIV infected individual depends on the type of contact involved. 3) The risk of HIV transmission during oral sex, i.e., seminal or vaginal fluid with HIV finding it is the way in non-HIV person is more likely if there is associated inflammation, cuts, sores present, presence of an infection in throat or mouth which will cause inflammation. 4) Bad oral hygiene and taking ejaculate (cum) in your mouth is a bad combination which can turn your low-risk activity to high-risk behavior. 5) The risk of becoming HIV infected through unprotected oral sex is lower than that of the unsafe sexual act. 6) Studies have shown that if you are using condom consistently and correctly, and if the condom did not break while the sexual act, HIV risk would essentially be nonexistent. 7) Skin rash, body burn, and flu can have multiple causes. At the same time, I also suggest that there is no harm in knowing your HIV status. For that, you need to undergo HIV rapid test at any accredited lab, one at this time, and if negative a repeat test at three months and then at six months of exposure. I hope your queries are answered but if you still have, please revert.
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Had root canal done. Removed tooth after severe pain. Noticed slight pain. How long will the pain exist?
hi,i ahve done root canal for my left upper firsat molar 2 mtnhs agao as i was having sever pain, and the doctor said it was infected.then he fixed cap for the same. but the pain didnt subsidzed. i was on contrionus pain killers.then he removed teh cap and he called a endodontist. he also did soemthign on my tooth. but yet pain was not going. one day it will not be tehre next day it will cumat last teh doctor decided w ell remove the tooth. and he extracted the same.1 week wound pain was there and after that it was better. i was not eatign that side.but these days i do slight sensitivity and pain over there.i feel pain over the next tooth also. but whne took xray he said ther eis no infection in any other tooth.after extraction how many days the pain will be there.
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Hello there , Thanks for writing your query, Extraction of tooth often ends with complications like pain and swelling post extraction . usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection . After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing. i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain. follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse. i hope this helps , take care.
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Is Yasmin effective?
i started taking yasmin in the sunday after my period, i had been taking the pill for three days when i had unprotected sex, but he didnt finish, am i good to go? i have been taking the pills the same time everynight. My yasmin booklet says its fully effective after three days...
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Hi, Effectiveness depends upon which day of your menstrual cycle it is taken. If you have started taking Yasmin on days 1-5 of your period, you will be protected against pregnancy immediately. Since you had an unprotected sex on 4th day after taking pills you seem to be on safer side. However, if you take the pills on the other day of your menstrual cycle, the pills will take at least 7 days to start working so in that case you are at a risk of getting pregnant. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali
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Is HCG diet beneficial in treating absent seizures?
I have heard that a hcg diet can be beneficial in treating absence seizures. My daughter is 5 and has recently been diagnosed with petit mal. We don't really want to put her medication as yet and want to try alternative methods. Can a child be on this diet safely?
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**1. Since Epilepsy is mainly caused by abnormal electrical signals in the brain, thus prior to opt for any alternate system of medicine, make sure there aren't any secondary cause of the same [neurological/metabolic disorders]2. Epileptic seizures can be triggered by many additives that are in processed foods, thus avoid Aspartame [phenylalanine & aspartic acid]3. Vitamin B-1 and vitamin E have shown very positive results in helping people who are suffering with epilepsy, as also Zinc Supplements.4. HCG diet is available OTC [over the counter] which has shown some benefits. But there are no studies to say it is safe, moreover this is not FDA approved drug with any known efficacy and safety.
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Intubation after heart attack, blinking but not waking up. CT scan showed MCA
My dad had a heart attack and was intubated on 9/27, when they went to wake him up from sedation on monday october 1st - he didn t wake up. He can t move his rt arm and the ct scan of his brain showed a large left MCA. He seems to blink and move his left side alot but not following commands or waking up. I know he may have severe deficits. Do you think he has a chance to wake up? Yesterday has been a week.
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Hi,Thank you for posting your query.It is unfortunate that your father has suffered a massive brain stroke of the left side of brain.This has resulted in right sided weakness and inability to speak/understand.The recovery is going to be delayed and incomplete. Regular physiotherapy and speech therapy would be very useful in ensuring good recovery. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
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What is the discomfort on my penis after sex?
Hi ive been having discomfort sometime during and also after sex on my penis. My symptoms are swelling little redness and a little pain just underneath the head of my penis. My question is what causes it and how can I stop it from happening. Thanks in advance.
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Hello,Welcome to healthcaremagic.com,swelling with redness and pain underneath head of penis just after sex is suggestive of having an infection around penis. Most probable infection type seems to be genital herpes from your descriptions of complaints that you have provided. Genital herpes is contracted by oro-genital route by means of unprotected sexual intercourse. Its manifestations includes red coloured painful lesions around genital mucus membranes, vesicles, erosions, burning sensations, dysuria, painful coitus. Treatment includes antiviral medications such as acyclovir for 5-7 days, however chances of recurrence is very high. Precautions includes maintaining genital hygiene, avoiding sexual intercourse for about 2 weeks tills lesions heals, avoiding unprotected sexual intercourse.Also try to seek an opinion from venereologist before starting treatment.Thank you.
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What causes hair loss?
hello doctor, i am 28 years old,5 feet & 55 kg woman.I hd lost tremendous hairs from my miidle scalp n m still loosing more. I am really worried about my situation.I had taken homeopathy as well as beauty treatments but all in vain.Please help me out.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query you have alopecia problem( telogen effluvium) which can occur due to may reasons like genetic factor, fungal infection, hormonal changes and could be due to stress. Need not to worry. I would suggest you to take biotin capsules on daily basis and maintain hair and scalp cleanliness. You should consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination. Doctor may also prescribe supplements like Vitamin A,Omega-3 and Vitamin E . Use cosmetics with less chemicals in them, prefer herbal one for hair oiling and shampoo. Hope I have answered your query. Let me know if I can assist you further.
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Q. Is it normal for intestine to be not inside in 12 weeks fetus?
Hello doctor, I am 12 weeks one day pregnant. I went in for my NT scan today and they said it has possible gastroschisis and I am honestly just so worried. I have a checkup in the next two weeks but I am just curious to know if it could be normal that the intestines still are not inside the fetus? Is it too early to diagnose? I am so stressed and worried.
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Hi. Normally intestine is outside body of the fetus from 6 to 10 weeks of gestation is known as an intestinal hernia. Around 11 weeks it should be inside the body of the fetus. If you have been irregular periods there could be a discrepancy of dates between the scan and your menstrual periods then you need rescan to check things again. Gastroschisis and omphalocele two defects if a similar place of a fetal body with some difference. Better to have nuchal translucency check now as it should be done around 13 weeks via scan in fetus having a risk of congenital defects. You might need double marker test to check for any syndrome. So better to have serum beta hCG and serum PAPPA (pappalysin-1) checked. Have nuchal translucency and double marker test now and discuss here or local gynecologist and then repeat scan as per schedule after two weeks. For more information consult an obstetrician and gynaecologist online -->
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Suggest treatment for low blood count and nosebleeds in a 90 years old lady
My mother is 90 and generally good health, but lately has found through blood tests that her blood count is low and she has over the last few years suffered from nosebleeds. Other information: had hip replacement 2010, had 9 children, cataract has almost taken the complete use of her left eye (she was told it was congenital and that she should have something done when she was 16) she had laser surgery to the other eye. Nodules have formed in a part of her liver, but have not been found to cause any serious setbacks for the number of years she has had them.
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Thank you for your question. A little clarification regarding your mothers blood counts would be appreciated. Does she have a low hemoglobin level or other counts also reduced. If she has a low hemoglobin level she probably has anemia which in this age maybe nutritional. Other causes may also need to be ruled out in old age. A peripheral smear examination may help with pointing us to the cause. For the anemia you may give her iron supplements in the form of tablets or syrup. And an improved diet including green leafy vegetables. As for the bleeding from nose I would advise you to get an ENT consultation to rule out any sttuctural problems in the nose and a condition called atrophic rhinitis. Does she have hypertension or increased blood pressure. Uncontrolled blood pressure may also cause epistaxis and bleeding from the nose.Also is she taking any blood thinning medications or aspirin? They too may cause epistaxis in elderly.I hope this helps you. Please do let me know if you need more clarifications.
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What causes shortness of breath even for simple tasks?
Hello,Within the past few months, I noticed that I've been having more difficult breathing as a result of simpler activities, such as going up the stairs and moving heavy objects. I am 24 years old, 5'2" and 125 lbs. 5 years ago, I came to Colorado from Florida and weighed 180 lbs, yet I seemed to be in better shape than I am now. My primary care tested me for anemia and blood clots and had a chest X-ray done. She then sent me to a pulmonologist, who gave me a full PFT, echo, and methacholine challenge. Everything was normal, but the pulmonologist noticed that I had consistently high pulse rates (around 98 on both visits). The first visit, he had me go up a flight of stairs and my pulse went to 125. On the second visit, he was about to send me home and tell me I was just out of shape and need to exercise, but sent me to a cardiologist after he checked my pulse (after sitting in the waiting room for 40 minutes, it was 98). My resting pulsing rate used to be 70-75 but has since gone to 80-105. It typically raises dramatically when I do activity (like 135 just walking 15 feet), but these high readings aren't consistent. Some days I can go up the stairs and my pulse goes up to 110. Other days, it'll go up to 160. Is it really possible that I'm that out of shape at my age AND some days are better than others? I'm not super active but at the minimum, I'm on my feet running around at work 8 hours a day 2-3 days a week, which is more activity than a friend around my age. My cardiologist seems to think that I might have Wolff Parkinson White because of a tiny blip on the ECG that doesn't look nearly as prominent as the typical ECG reading for Wolff Parkinson. Are there any other ideas of possible causes?
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Hi, welcome to HCM, have you done a 2D Echo to rule out MVP (mitral valve prolapse) ? That is one of the possibilities besides WPW syndrome--regards
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Is pregnancy, related with sore breast,abdominal pain and dizzy spells?
Hi, Doctors my name is mariah and i think i am pregnant i have had dizzy spells, big sharp pains in my abdominal area so bad i can barely walk or stand, feeling sick but not actually throwing up, my breasts are bigger than usual and hurts to hug someone, eating alot of food and sleeping more than 12 hours a day and still tried..Am I Pregnant?
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Hi dear, I have gone through your question and understand your concerns.The symptoms you have mentioned are present in early pregnancy and even in premenstrual period.I would suggest you to get a urine pregnancy test to confirm the pregnancy.Hope you found the answer helpful.Dr Deepti Verma
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What is the treatment for psoriasis?
hello doctor, IM Aparna,Age 23 ...actually im suffering with psoriasis skin disease from past 11 years ... Though now the scales are reduced but the patches of scales are still there ...patches are of black color ..can you please suggest how to reuce those patches ? that will be a gr8 help to me
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Thank you for writing to us at healthcaremagicPsoriatic patches may resolve with post-inflammatory hyperpigmentation (PIH). I think that is what is concerning you at this stage.You may apply a moderately potent topical steroid e.g fluticasone propionate cream, twice daily for a few days. This would gradually fade them away.An Oral Vitamin C supplement once daily would also help with faster resolution of post-inflammatory hyperpigmentation.Regards
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Anxiety issues coupled with dizziness, frequent urination and broken ankle. Ativan and zofran have helped little. Kidney infection?
My dad is in a rehab center with a broken ankle. He also has anxiety problems. He has been in here for about 3 weeks. This afternoon he had an anxiety issue and took Ativan. When he got up for dinner he got dizzy and sick to his stomach so took zofran and something else. Then suddenly his leg started hurting so he took a pain pill. I am saying all this because I don't know if any of this has an effect on him, but now he is peeing a lot for him. Is that bad ? Does it mean kidney infection?
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Hi and thank you so much for this query.I am so sorry to hear about what your dad has been experiencing. Peeing a lot has to be well interrogated to find out what the possible causes are. Is he urinating several times in small quantities or is he urinating large amounts of urine several times a day? is he having any pains, discomfort or difficulties during urination? Is the urine stream weak?This could be related to prostate pathology, an infection, diabetes, etc. In order to get clues and investigate to establish the cause, please let you father get consulted. His primary care physician would be a great place to start and he shall receive referrals to specialists if need be.Please, drugs are not taken with each symptom. Talk to the doctors and make sure you are getting the indications and use correctly.I hope you find this helpful. Thank you so much for using our services and feel free to request for more information if need be. I wish you the best of health.Thanks.Dr. Ditah, MD
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Q. My 9 year old son has wheezing problem. Suggest treatment
Hello doctor, My son is 9 year old and developed the problem of wheezing when he was 3 years old. My father is asthmatic and I had wheezing when I was a kid (2-3 years of age). We were residing in an area where the industrial pollution is very high and he used to get wheezing more frequently there. In the less polluted parts, incidences of wheezing was much lesser. We shifted to another city 3 years back and the city is highly polluted. The weather here also is very erratic like dull, cloudy, occasional rains and sunny in between. My son had several incidences of wheezing initially though it was never serious to get him admitted. We have a nebulizer at home. We used to give him asthalin before, but now it is either Levolin or Budecort or a mixture of both for nebulization when wheezing is bad. My son was given Omnacortil forte syrup and tablet (10 mg - two tablets per day) for the first time last month. The duration of medication was for 5 days. This year the weather here has been very bad and hence incidences of wheezing have been higher. As per the advice of the doctor, we give him Budecort 50 mg inhaler twice a day as a preventive measure (for 2-3 months in winter but this time in monsoon too) and Levolin inhaler two puffs each 3-4 times a day as and when needed. We have been doing this for more than a year now. This time during the period of wheezing, he complained of chest pain for the first time. We noticed that when we gave him inhaler, the pain reduced. The doctor told that it is related to wheezing and there is nothing to worry. Still we got the chest x-ray done and he is fine. But he regularly used to complain of the chest pain, especially when he stood for long in assemblies. Sometimes we felt that he was making it up to draw attention/to escape studies. Now the weather is warmer and he is fine and there is no trace of chest pain. My younger son who is six years also has had wheezing instances but only 3 times during the past 3-4 years. We also give him Budecort 50 mg inhaler now twice a day. Please suggest a routine management for wheezing. Secondly, should we try to find out any other possible heart problem for chest pain? Thirdly, is it fine to give Budecort continuously/intermittently for 4-5 months in a year at a dosage of 100mg per day?
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Hi. First of all, I am replying to your main 3 questions as follows:1. Routine management of wheezing: 2. Should we try to find out possible heart problem for chest pain? 3. Is it fine to give Budecort continuously/intermittently for 4-5 months a year at 100mg per day? I want to clarify a few points here: Hope above information and suggestions will solve your queries. I would like to add further suggestions for both of your children: Hope above suggestions will be helpful to both of your children. For further queries consult a pulmonologist online -->
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What causes severe hair loss when RN is on 137 of Tirosint?
I have been on 188 of Tirosint from para thyroid tumor surgery and found cancer in my thyroid and had spread to some lymph nodes. I felt so much better after surgery until radiation. I have felt awful for two years now since the radiation. I told my MD last week I was going nuts and had every condition of over dosing or allergies to this drug. She said to get off of it for a week. It is amazing at how much better I feel. I am allergic to another drug I was on for thyroid replacement. I just had a DNA test of my P450 as it metabolizes drugs fast and I have over 80 medications I cannot take. I AM LOSING HAIR, from using Tirosint. And I must of been on too high of a dose. I am seeing a second ENDO Wed to pick her mind as my ENDO said he should drop my dose but did not think I could take it because of my P450. I get the results this week. My RN is on 137 of Tirosint and has lost half of her hair just as I have.
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Hi, This symptom one of side effect of Tirosinit, you may discuses with your doctor for the dosage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Esmeralda Sera, Oncologist
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What are the chances of pregnancy after unprotected sex without having ejculated inside?
Hii ny1 der ?? I had unprotected sex wid my gf on 13th evening nd I dint cum inside her nd nw m worried ifh she vll b pregnant.. it was our 1st tyme.. wht shuld v do just reply meh as soon as possible.. is there any doctor whom I can speak to via calling.. please send meh the number.. m worried a lot and confused what to do..??
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Hi, If you did not ejaculate inside her, then, there is 0 chance she might be pregnant. Do not worry too much. Try to use condoms or other preventive measures next time.Dr.Sejdini
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What causes painful swelling beneath the legs while having systemic lupus?
Hello: I am experiencing swelling in my legs during the day. Not bad but can tell where my socks are at. With that said I am experiencing pain in the backs of my legs when I sit for a prolong time and when I try to go to bed. I have tried raising my legs up on a pillow with no help. My right hip seems to ache more than the left. I do have systemic lupus and no thyroid - take meds for both. Just not sure what is going on?
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Hello,Please make sure your primary care physician does an ultrasound to rule out a blood clot. Is it the whole leg or just nodules which are painful under the skin? If you have tender modules under the skin you may need to go on prednisone. Please check with your primary care physician.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Priya Sadanandan
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Which treatment gives best result for removal of pimples ?
sir i have problem of pimples &black mark . i tried more but cant give any better result sir plzzzzzzzzzzzzzzz help me
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Welcome to Healthcare Magic Regarding acne, good treatment is available. Depending on the type of acne the treatment is used. For some types of severe acne Retinoic acid is the best and works wonders. Also chemical peels will help clear blackheads. Drink plenty of water. Avoid oily and fatty food. Avoid stress by Pranayam, Yoga and deep breathing exercises. Eat fresh green vegetables and fresh fruits.
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MRI brain revealed coalescing granulomata. Diagnosed with neurocystocircosis. Prescribed levitricetam. Right diagnosis?
My mri of brain revealed coalescing granulomata measuring 8 x 4 mm are seen abutting the cuneus on the right side which appears hyper intense in long try images with hyper intense intramural modules and minimal perilesional oedema in flair images, lesions appear hypointense in short try images and do not show enhancement in set 1 gd images. My neurologist and radiologist diagnosed likely neurocysticircosis in degenerative stage and prescribed levitricetam tab 500mg nd and tab folic acid 5 mg od . Please suggest that has it been diagnosed correctly or should I go in for a second opinion.
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Hi, welcome to HCM. From the description it looks like a granuloma. However it is difficult to say whether it is neurocysticercosis or tuberculoma without actual examination of scan or images. Depending on your symptoms like only convulsions are there then it is mostly correct diagnosis. If you are having cough then you need second opinion on scan. You can upload images on premium question facility for detail diagnosis. Hope I have answered your query. Regards.
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Swollen, painful skin piece of skin above canine. Had tooth filling done. What does this indicate?
I had three fillings done last wednesday on my upper right side, starting behind the canine tooth and the fillings were inbetween the teeth. The next day I hoticed that the little piece of skin above the canine was painful, I think its called a fenula, the next day it was swollen to a point where i noticed it in my mouth and really hadnt ever paid it much attention prior. Its still swollen, still very painful to smile, chew, or when my face is touched outside the area. What would this be
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Hello,The swelling at the site of restoration done,may be due to-overfilling or deep carious lesion involving pulp of the filled tooth causing pain.Based on the clinical interpretation,tooth has to be either re-filled or root canal treated.Please do visit a dentist for further reference.To relieve pain amoxycillin and diclofenac tab.has to be administered.Hope this helps.
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Suggest treatment for chiari malformation and fatty filum
My son was diagnosed with Chiari 1 malformation and fatty filum. His neurosurgeon says he needs surgery and soon..his pediatrician and neurologist say he doesn t have tethered cord and doesn t need surgery. Now he has choking/clearning his throat. Should he have surgery and is the choking/clearing of the throat related to the Chiari?
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I am not totally qualified to answer this, but I think the problem in the back of his spine and lower brain is likely to cause dysfunction of the lower cranial nerves and thereby, affect swallowing, the gag reflex, vocalisation, tongue movements, etc. So, the probable answer is: yes, but I strongly recommend taking him back to his neurosurgeon first and seek a professional opinion, rather than sitting at home or consulting other professionals who are not trained at recognising such issues.Dr. Taher
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What is the effective medicine for dark lips to get natural lip color ?
My lip are quite dark from unknown time,upper lip is darker than the lower one. I do not smoke or drink coffee or tea a lot.My face looks odd coz of this.I have heard of hydroqunion creams which can be applied lips also.Is it safe to do so? OR Please suggest any effective medicine for lips to get natural lip color. Thanks,
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welcome to healthcaremagic it is not possible to change the colour of your lips with drugs staying healthy and with normal haemoglobin level in blood will give natural healthy lips matching lipsticks may help
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How to treat jaw and shin injury?
Last week I banged my shin on metal lawn chair didn t look serious, so I put some first aid cream on it....however, it has developed a red circle around the wound, just larger than a quarter...no streaks. Subsequently I hshouldave had a sharp pain in my foot (same leg) and now a little discomfort in my jaw and neck all on the left side. Should I be alarmed....I haven t had a tetanus shot in years. I am 75
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Hi therean open wound over the shin is to be taken seriously because they heal poorly and have potential for infection. Please visit a local doctor to have a look.
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What causes a painless lump in the groin?
My husband went for an ultrasound for a lump (about the size of half of an egg and painless) in his left groin. He noticed the lump last week when he was taking a shower. But he had noticed slight pain in the same hip for 6-8 months. The pain is not always there, only occasionally when he lay on that side and sometimes he notices slight numbness.The result of the ultrasound is inconclusive, now he is waiting for a biopsy. His GP originally thought it was hernia, and he said he is pretty sure it is not his lymph nodes. He said that it can still be a hernia. We are starting to worry. Please help. Is it cancer? Or is it a lipoma? How common is cancer in this area?
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Hi, dearI have gone through your question. I can understand your concern. He may have hernia or some lymphnode enlargement or soft tissue tumor. First of all he should go for examination by surgeon. If it is hernia then it can be easily diagnosed by examination. If needed go ultrasound study. If it is not hernia then it can be lymphnode enlargement due to reactive hyperplasia, tuberculosis or lymphoma. Or some soft tissue tumor. For diagnosis he should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then he should take treatment accordingly. But make sure to rule out hernia because FNAC is contraindicated in that case. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Spotted pink, painful abdomen. Contracted Trichomoniasis. Taken metronidazole. Suggest?
Hello! This is probably going to be one of those all over the place problems. I contracted Trichomoniasis from my girlfriend. So I went to the doctor, had the tests done and was given called metronidazole I believe. From what I noticed everything has cleared up. This was three weeks ago. Two weeks I was on my period so I didn t notice anything strange. Today while I was in the washroom I noticed a bit of pink blood on the toilet paper. It s light pink discharge almost similar to what you d expect to see the first day of your period. I do have pain in my abdomen . Its on either side and the pain is actually quite high up. I haven t had sex in the last month and I m a lesbian so the likely hood of pregnancy does not exist. I am actually driving myself insane thinking about what could be wrong.
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First check whether u have taken adequate dosing of metronidazole (about 2g as a single dose) Ur symptoms suggest pelvic inflammatory disease. Consult a gynecologist and get examined by a speculum, and get tested for STIs (infections). U may need an ultrasound examination.
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Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. Are there any natural ways to treat open pores and melasma?
Hello doctor,I had flawless skin until I got pregnant with my fourth child. I now have enlarged pores on my cheeks and top of my lips. I have tried exfoliating and other procedures, but nothing seems to help. I also developed melasma, and I have to wear makeup to cover it. It is making my pores look terrible. Are there any natural ways to improve this?
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Hi. Melasma and pores develop due to hormonal changes after pregnancy. It can also be due to consumption of oily and spicy fried junk foods. Sometimes, oral contraceptive pills and corticosteroids also cause those symptoms. Anxiety and stress can also cause melasma. But do not worry, it can be managed through ayurvedic medicines and yoga. All these medicines are ayurvedic and have very good results. Along with the medicines, I suggest you do the following: For more information consult an ayurveda specialist online -->
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Is surgery for DNS possible in one year old?
Hi. My son who is one year old, weight is 11 kg, is suffering from DNS, his right side of nose is completely blocked and water comes from his mouth, eyes and nose. While sleeping he experiences difficulty in breathing and voice comes from his chest. what is the treatment, can we get DNS operation for him, as he is just one year old? Are there any other method to open the nose say fitting a pipe in the nose etc? should I consult ENT specialist or paediatric specialist?
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Hi thank you for choosing healthcare magic. It is very uncommon to have severe DNS at this age, it tends to improve as they grow old. But as he is having difficulty breathing contact an ENT specialist as they will evaluate the degree of obstruction and advise simple airways to open his nose till they grow old.Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care.
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What is the suggestion for chronic pain on the soft palate and very dark veins?
I have had a chronic and sometimes unbearable pain on the soft palater in my mouth. The pain has been constant for about 5 months and NEVER stops. It feels like it is in the tissue and not on the surface. I recently took a photo in my mouth and noticed a lot of very dark veins. Coincidently, the areas that have the largest and darkest veins seem to be where the greatest pain comes from. Could veins actually be causing this constant and intense pain? Any other suggestions that I should research? I have had a CT Scan and I am clear from cancer. Waiting to see an ENT.
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Hello, thank you for consulting with healthcaremagic. As you are mentioning that you are having pain in your soft palate, there dan be two reasons for this pain- first it can be possible that one of your tooth adjacent to that area of palate may be infected and now it has formed an abscess in the apical region of tooth which might be spreading towards palate. -second it can be possible that there is a soft tissue cyst in that region of palate.But there is nothing to worry in both the cases, as you should visit a dentist who will take a full mouth x - ray and confirm the condition.And treatment will be planned accordingly. Thank you.
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How does Yamini tablet help to conceive?
Hello mam I have pcos since 2 years nd ws trying for my second baby got conceived wit the second cycle of clomid 100mg nd got miscarried in the last year nd aft dat continued it for another 4cycles but failed to get pregnant. Nd nw last mont my period ws irregular wit heavy bleeding nd stopped aft takin regesterone tab nd dis month I got my period early as I missed to take some of the regesterone tab nd my doctor has nw suggested me to take yamini tabs for 21 days so pls tel me in wat way dis tab could help me...
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yamini tablet is given to you to regulate your hormonal balance.It's a contraception plus hormones regulating medicine. Once your cycle wil get regular, your gynecologist wil ask you to concieve. Don't worry.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal
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Acute pain in head. What is going on? Need I worry brain Tumor?
hi doctor, my name is vishwa, and i am from New delhi India. from past three weeks, after coming from office i feel a acute pain in my head, on the right side of my head, and it goes for two to three hours, could you please help me with this? as i am very worried about the symptoms. i heard that it could be brain tumor .
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Hello VishvaForget about tumour .history suggest that after full day work in office when you are tired you get pain and after 2/3 hours back from office you take rest office exhauston is gone and you feel bettorplease go for BP checkup blood sugar checkup eye checkup and look for stress factors in office and get treatment accordingly otherwise also join yoga relaxation exercises deep breathing and morning walk you are likey to be benefitd Take CareDr LalPsychiatrist
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What causes belching and dry heaves after open heart surgery?
My husband had open heart surgery Jan 3 2012. 2 weeks ago he had a heart cath and 2 of his grafts were closed off. They put 3 stents in. he felt better at 1st and for the last week he has started belching and some times dry heaves. What can cause this?
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He must be on heavy doses of anti platelet like Ecosprin /clopidogrel/ ant others... he may need good antacids ...like daily tab pantocid in morning....if still symptomatic Ivan take help if gastroenterology person
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Suggest treatment for fever and headache
My son has a fever of 100.3 complaining of being unusually cold , he has a mild headache his feet and hands feel like ice very cold , also has cramping gassy stomach his forearms look like circles of pink and purple no visible rash but little circles under the skin can u suggest what this could be?
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Hi...by what you quote I feel that he might be having hypothermia or low body temperature. This is not a good sign. The little circles under the skin are suggestive of status marmoratus a temporary skin condition which occurs due to lower body temperature.This could be due to viral illness too. But I suggest you consult a physician immediately or get to an emergency room.Regards - Dr. Sumanth
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Suggest treatment for pain on forehead without any bruise
My daughter (13 yrs) started to develop pain on the outside of her forehead. She says it feels like a bruise but there is nothing visible that would indicate a bruise or any type of physical damage. We put some ice on it (over a towel) but the pain sensation did not change. Any thoughts what this might be and what we could do to alleviate that pain? Thank you.
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Thank you very much for contacting healthcare magic. You have problem of pain at forehead region that may be because of tension .Stress may cause pain problem. Migrain cause forehead pain problem. Any history of injury at forehead region may ruled out.Constipation problem may cause headach problem. High blood pressure can cause headach. Consent a physician for diagnose. Proper history and physical examination give exact idea. I hope my guidance is helpful to you. Take care. Thank you.
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What causes tingling and burning sensation on penis?
I am 62 years of age. Six feet one inch and 168 pounds. I am married and have been for 35 years. The marriage is very affectionate but largely sexless. I am unable to maintain an erection with my wife. Two years ago, much to my regret, I got into another relationship that ended 6 months ago. We never had penetrative sex, she gave me oral sex. I half entered her just once, and then for a couple of minutes only before discontinuing. I have been checked out for 'standard' STIs - chlamydia, gonnorrhea, syphilis, HIV, and shown clear. This was after I started to worry about having contracted something. I had some urinary difficulties that my GP felt were probably a UTI, and I was treated with Cipro. The current difficulty is that I started to focus on my penile area when I first began to sorry about it. Since then, I have noticed an almost constant tingling/burning in my penis (this has been over a period of probably 6-8 weeks. It seems to affect the end of the penis and the underside. There are no lesions.sores to be seen. It seems not to be there when I wake up, but worsens as the day goes on. I also seem to feel a tingling in the sole of my left foot. I suspect if may be psychosomatic, as it seemed to coincide with me first worrying about an STI. It also seems to be absent when I am distracted. My concern is whether there could be a clinical reason
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Hi, The tingling in the penis is a non-specific issue, manifested by excess thoughts and fear of having STD and other issues. Do not panic, relax for the next 24 hours, maintain hydration with plenty of liquids and if problem afterward, then consult a physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
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What does suspicious lymph nodes and vascularization in the cervical nodes mean?
My sister is a 12 year cancer survivor, but mets showed 2 years ago as seeding in the abdomen, causing SBO. She also has had other primaries ie...thyroid(total throidectomy) bladder(probably from agressive chemo), second primary breast. Now her lymph nodes are suspicious on U/S and they are reporting vascularization in some cervical nodes..also suspicious ...what does this mean? they want a needle bx i
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Thanks for your question on HCM. Any cancer can spread by three routes.1. Lymphatic route 2. Hematogenous route3. Direct spread.So lymphatic spread is very common in gastrointestinal tumours and thyroid tumour. So if your ultrasound report suggest increase vascularity in enlarged node, you need to rule out malignancy first. And for this needle biopsy is needed.So get done Needle biopsy.
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Suggest remedy for fluctuation in bp
Hi there I have question regarding my mother high blood pressure.she is 70 years old and suffer from high blood pressure for more than 35 years.currently she take one concor 5 plus tablet in the morning and one Coversyl 5mg tablet night.i discovered recently that her blood pressure start to be less than normal (average 116 h, 63 l, 85 beat) and she feels dizzy so, i stopped Coversyl 5mg and stick to one concor 5 plus tablet in the morning.average changed now to (average 133 h, 67 l, 84 beat) but the last 3 readings average of today is (147 h, 71 l, 87 beat) i'll keep checking for another one or two days but if it keeps on that rage or higher should i get back to Coversyl 2.5mg instead of 5mg in addition to concor 5 plus?thanks for your time.
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Hi,Welcome.In some patients bp fluctuates very frequently. At this time stopping one of the bp medicine suddenly can make it to go high again. So its important to not stop it suddenly, but taper the dose & if bp still remains low stop it by tapering.So I'll advice you to continue Coversyl 2.5mg & as the bp fluctuates either way, you can increase or decrease the dose of coversyl.Thanks
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How to treat an increasing spleen 14.5 to 16.1?
my spleen is increasing 14.5 to 16.1 since last two years. before three years i was suffered with harpies roster. my alkaline phosphate is 186. no any tomour is seen in USG AND CT scan. the white blood test WBC 3500.. some time itching tendencies over abdomen. on right side of abdominal (MIDDLE) varicous vein are seen and swelling like coin at the side. i get cough and cold easily. please digonest and let me know which test is required. Shambhu nath singh age 57 years.
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Hi, I have gone through your question. I can understand your concern. your spleen size is increasing. now there are many causes for that. but as you have no tumour according to your usg report. you have prominent vein on abdomen. so you may have portal hypertension due to any reason. Which leads to increase the spleen size. Thare are many sites for portocaval anastomosis. One of which is around umbilicus. So you need to consult physician. Investigate for that and take treatment accordingly. hope i have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. wish you a very good health.
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Suggest treatment for thyroid cancer
About 10 years ago, I had thyroid cancer and had my thyroid removed. No further treatment was done after that. I have been fine until a couple of weeks ago. I have been choking on food and have gotten hoarse. I m wondering if it is due to thyroid problems or sinus/allergies?
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Hello,thank you for your question . If you were my patient i would suggest a blood exam and ultrasonography based on the anamnesys of thyroid cancer to rule out tumor of the neck . I think that is first think you need to rule out . Contact your endocrinologys for physical examination .
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Have diabetes and hypertension. History of stroke, urethra stricture. Treatment for high creatinine levels?
Hi, Could you please suggest the treatment of high creatinine and what can be changed in medicines ? Diseases- Old MI - 1992 Diabetese - 2000 onwards Hypertension Stroke on left side - 2006 and 2013 Urethra stricture Left kidney is of small size by birth Surgeries- OIU - feb 2004 Angioplasty - may 2012 OIU - may 2013 Medicines - Janumet 50/500 BD GP1 BD METOLOR XR 0.125 BD ECOSPRIN GOLD 20 MG OD DONEP 5 MG OD NEXITO 10MG OD ACITROM 3MG OD HOMOCHEK OD ROLIFLO 4+0.4 MG OD Test reports - Sample - 3rd AUG 2013 PT - 15.6 , INR - 1.35 S. CREATININE - 2.0 SUGAR FASTING - 124 SUGAR PP - 114 BLOOD PRESSURE - 110/80 WEIGHT - 80 KG Age - 57 years
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Hello,Your creatine values are slightly high and considering your weight and age your eGFR is around 46 ( COCKROFT AND GAULT EQUATION ) which denotes moderate stage of kidney failure.It is very important for you to be very cautious and try not to let your kidneys deteriorate.Creatinine starts rising in blood only after if at least 50% of kidney nephrons are dead.Do's for you.It is better to switch to injection insulinYou must control your blood sugar blood pressure and serum lipids meticulously.Instead of METOPROLOL,you should be put on ACE INHIBITORS OR ARB's.Reduce the consumption of mutton,beef etcReduce your exercisesAvoid pain killers Avoid nephrotoxic antibiotics like gentamicin etcReduce citrus fruitsGet 24 hour urine estimation of protein Consult a nephrologist and it would be best on your part if you are jointly managed by a diabetologist and a nephrologist.Thanks
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What causes pain in the groin and testicles?
I saw a urologist because I was having pain in my groin and right testicle. He diagnosed me with epididimytis and a inguinal hernia. After seeing the surgeon he referred me to, He said I do not have a inguinal hernia from seeing my cat scan results. I am still experiencing the same pain and feel even more worried that I dont know what is wrong with me. Would it be wise to get a 2nd opinion from other surgeons
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hernia unless obstructed is unlikely to cause pain. Most probably it could be epididymitis or orchitis which may not be detected in scan. Hence urologists opinion may be considered. You can always take second opinion. Hope I have answered your query. Let me know if I can assist you further.
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Q. Being a PCOD patient, how to overcome the depression and high BP during the ovulation period?
Hello doctor, I have PCOD since last ten years which progressed to hypothyroidism. I do not get my monthly menstrual cycle at all without medicines. I get into severe depression and emotionally unstable with high bp during the ovulation period. Please help.
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Hello. I want to help you. PCOD (polycystic ovarian disease) causes irregular period due to changes in hormones level. It can be managed naturally through ayurvedic medicines and Yoga practices, but it will take time at least three months. Kindly consult your doctor, and take the treatment with consent. 1.Tablet Kuberakshadi Vati, 2. Tablet Hyponidd, 3. Tablet Kanchanara Guggulu and 4. Tablet Arogyavardhini Vati. Hypothyroidism, PCOD USG abdomen, thyroid profile. You can take the following medicines. Avoid spicy and fried junk foods. Do regular kapalbhati and Mandukasana as well as.
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Suggest medication for rash
My 15 month old has this rash on his stomach and the top part of his back. Its a red purplish color. He doesn t have a fever but he hasn t been eating normally for the past few days. The rash just showed up this morning. What could this be? He is also teething right now and acting normal besides the loss of appetite.
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Hello,Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on the healthcare magic website so that I can guide you scientifically. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani
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Get a burnt feeling on tongue post wisdom tooth removal. Any insights?
I recently had a wisdom tooth removed and was informed of all the risks e.g. nerve damage etc.. It has now been a week and although am feeling well, there is a sensation I feel on my tongue that is similar to that which you get when you burn it. I haven t eated anything that could burn my tongue and am a bit concerned as it has been this way for a about 3 days now! This irritation seems to be on the same side as that which had the wisdom tooth removed. Any help would be much appreciated! thanks
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hi and welcome to HCM, Nerve damage post extraction is a rare condition unless the extraction of wisdom tooth is traumatic . Numb sensation in the tongue or parasthesia is caused due to damage of lingual nerve due to traumatic removal of the tooth. In your case i suspect , damage to the peripheral nerve branches during extraction may have developed this loss of sensation which is temporary. Nothing to worry about as these nerve fibres regenerate with time so you can wait for another week or two, if the symptoms persists after that please consult your dentist. i hope i answered your query, get well soon.
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Persisting small sores around the elbow. Gets worse on itching. Tried home remedies but of no use. Treatment?
I have a skin problem that is persisting. It is localized on my left arm around the elbow area...it is a number of small sores. They don't seem to heal like usual sores and new ones appear as small bumps that become worse if I scratch them. I have tried numerous home remedies but nothing seems to make much difference. It gets a little worse then a little better but overall just persists.I would love to know what it is and what I should try to treat it.
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HIThank for asking to HCMLook skin lesion are difficult to judge without clinical examination and observation, but still I could say that it must be some bacterial infective boils apply some broad spectrum ointment , like Povidon iodine, will give best result and if does not cure then see the dermatologist , have nice day.
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Q. Though I am on medications for depression, I have some impact in the morning. Please help.
Hello doctor, I have been using Fluvoxin 100 mg, Oxetol 450 mg and Quetiapine 100 mg for depression and OCD for five years. My problem is I am not regular to work as I do not feel to go to work. I feel like this only in the morning. I want to be in the bed. I do not feel it is because only of sleepiness. I do not understand the reason as well. I have lost 12 jobs in the last five years all because of the irregularity. Please find the reason for my problem. I am extremely upset with my behavior as my family depends only on my salary. I am facing extreme financial problems because of frequent job loss. Please help.
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Hi. It seems that your depressive symptoms are bothering you. It may be helpful to increase the dose of Fluvoxin (Fluvoxamine) and reduce the dose of quetiapine, so discuss with your psychiatrist for increasing the doses of antidepressant Fluvoxin. Do regular exercise, or go for a morning walk at least five times a week.
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What cream should be applied for body acne ?
creams for body acne ....i have acne on my back which looks so bad and ugly .....please suggest some home remedy or cream for the acne to clear without any marks
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Hi...Dear Lathaf., Thanks for choosing HCM., I gone through your history..., yes it could be ACNE VULGARIS of body type.., 1) Frequent washes with Triclosan with Znoxide soap.., 2) 5% Bezoyl peroxide Ac gel--Persol 5% gel(Wallace)apply on affected area 2 times daily... 3) Tab Tretinoin(Tufacne) 10 mg for 15 days will give good result good luck and bye...,
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Suggest treatment for tiny lump under my tongue
I just turned 24 today, im 5"9', and weight 160 lbs. I've had a pretty good medical history, nothing major. Pretty healthy. I have a tiny lump under my tongue. But it looks like a little tiny bubble or like balloon filled with blood. I'm taking a guess and saying that its from sucking hard last night...no sexual activity of that sort, just to clear any confusion i suppose.
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Hi dear ,The tiny bump under the tongue occur probably due to irritation to the mucosa . There are many factors that can cause such bump like any action like sucking and biting , any food that can irritate mucosa like acidic and hot food . Such bumps usually go away by their own without any treatment . I would suggest you to do hydrogen peroxide gargles mix with equal amount of water and maintain proper oral hygiene . Also do warm saline rinses 2-3 times a day. If condition doesn't get better the consult oral pathologist for proper evaluation of the condition and rule out conditions like mucocele ans other malignant condition.Hope your concern has been resolved.Get Well soon.Best Wishes,Dr. Harry Maheshwari
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Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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How to treat cough with chest tightness?
hi, i have had a cough for at least 2 weeks, it started out dry but turned wet after a couple of days. it is now to the point where i cough so much i gag, and after i cough my chest gets tight. i was wondering if i should see a real doctor about this? or if you can tell me what might be wrong.
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Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* These symptoms are due to lower respiratory infection with bronchi constriction .* Must visit your doctor for x-ray chest and further management .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .
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I am in constant pain and feeling very weak continuely with a fever at times. Is it kidney problem or something else ?
Hello I am a 37 year old female who is just home after having an ultrascan on my kidneys and they found a small white shadow on my right kidney. I have experienced several kidney infections over these past nine weeks the first which I was hospitalised with and it was named as Pyelonephritis and treated with IV antibiotics. I have had a further four antibiotics and am taking one at the minute. There are constant small amounts of blood in my urine. I am quite concerned as the doctor said this shadow does not bother him. I am in constant pain and feeling very weak continuely with a fever at times of every new infection. Now I am at loss as to why this is happening and would like to know your recommendation as to what steps to take next as I can no longer live like this or in this discomfort. Please help. Elizabeth xx
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Hi,Elizabeth, Thanks for query, Your case requires evaluation. You might have now chronic nephritis leading to some damage to kidney. Go for blood for S.creatine,blood urea. Consult nephrologist for diagnosis and treatment. ok and bye.
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How can shortness of breath due to lung cancer be cured?
Hi im zarina. My father had been diagnosed having lung cancer stage 3. He cannot be operated as doctor says he is having weak lung. He is having shortness of breath which got worst soon after midnight. How can i help him to overcome it? So far no treatment had been given yet.
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Hello dear Zarina , hiWarm welcome to Healthcaremagic.comI have evaluated your query for your father in details .* Partial relief can be obtained as with following measures :- Keep the body in semi reclining position of 40 degree when resting .- Deep breathing exercises , YOGA are of paramount help .- Bronchodilator , steroid tablets help to some extent .- Balanced nutritious diet .- Walking in fresh air , exercises .- Avoidance of smoking , exposure to dusty weather .Wishing him fine recovery .Feel free to ask any further doubts .Regards .
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What is causing whitish discharge from my penis?
hello I am a 25 year old healthy male, and I have noticed a sensitivity at the tip of my penis that has been present for the past five days and seems to be progressing. I am in a monogamous relationship and my partner and I have both been tested about six months ago (both were cleared of STD). It does not burn when I pee, and I have noticed a clear/whiteish discharge on my underwear. What could this be?
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Hello, First of all, you need to assess what the whitish discharge is so that your doctor will be able to diagnose your problem. Do you have any pain, burning sensation, uneasy feeling etc? Therefore, I suggest consulting an urologist for physical examination, diagnosis and treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
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Why does my abdomen get tight and crunched up while sleeping?
I recently had a Inguinal hernia repair 4 weeks ago (and a lot of scar tissue removed resulting from my aorta bi-fem bypass I had done one year ago). At about the end of the 2nd week, I will wake up in the middle of the night stretching. My abdomen will get real tight and be crunch up. My ab muscles seem to do it automatically. Also, as this is happening and I try and turn onto my side, I have excruciating pain. Once I am up and out of bed, this all goes away. Why is this happening?
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Hi.Thanks for your query.This is a very rare but a known phenomenon.Why this happens , no one knows.This may occur due to discharge of electrical impulses due to new formation of nerves supplying the muscles in this particular area.There is no specific treatment. Take a help of a neurologist- Medicines like tegritol etc may help. These need prescriptions--
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Q. Can a person with GERD get diarrhea and burps?
Hello doctor, My doctor, a long time ago, said that I have GERD. It is an acid reflux condition. I get really disgusting burps that taste like rotten eggs and I get diarrhea. That will go on for about three hours and then I throw up and I feel fine. I take acid reducers but I still end up getting it. I have also tried eating less and drinking more water instead of tea and coke. Can you tell me anything that I can do?
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Hi. Yes, you are having GERD which is gastric esophageal reflux disease which means acid of your stomach along with food regurgitate into your food pipe known as the esophagus. There are many causes for that like being overweight, excess tea, coffee or cold drinks intake, excess alcohol, chocolate, fatty food, going to bed immediately after eating especially dinner. And certain food as you mentioned. First of all, you should avoid the food which causes these symptoms. Secondly, avoid coffee, cola, alcohol, chocolate, and fatty spicy food like burger, pizza, etc. Reduce your weight as you are over weight with 120 kg. Eat your dinner early with at least a gap of four hours between your dinner and going to bed. Place blocks under the head end of your bed so that your head end is elevated 30 degrees and food does not regurgitate into your food pipe. Along with that use following medications. Esomeprazole 40 mg, one before breakfast at least 30 minutes, syrup Gaviscon two tablespoons after meals three times a day, tablet Maxolon 10 mg, one tablet twice a day before meals 20 minutes. Use these medications for four weeks, then let me know.
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Suggest remedy for numbness in leg with hip pain
I take 60 mg of neurotin 3 times a day with meals for numbness in my leg and pain in my hip and back. I just recently felt like I was bloated and un- comfortable for a few days. Malanta seemed to help. Will neurotin cause this discomfort? I am 81 and will avoid back surgery at all cost. I have already had 2 back surgeries.
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Hello,I have studied your case and I think that you are taking right medication for this problem. YOu are having disc herniation and for this you need to take Neurotin. It can cause sedation but it usually not causes bloating of the abdomen. It can be due to vitamins tablet if you are taking any, I would suggest you to take pentaprazole daily with Domperidone combination. It will help you in taking care of this bloating. Along with this avoid high protein diet and you will be better .I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks
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Suggest remedy for nasal fungal infection
Hi,I am 23 years old and suffering from nasal fungal infection, it was one year now since i took the surgery for polyp removal, and now in a relief state only if i use the wysolone 5Mg daily night.And most importantly i would suffer with allergy rhinitis if i stop using wysolone for 3days, what i want to know is there any good method in stopping this steroid(Wysolone 5mg) just want to get avoid from side effects. or is it in continuing this way....
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, you can stop it in only one way.You can find out possible allergen causing allergy to you.Wysolone is steroid and prolong treatment can cause fungal infection to you. Steroid causes immunosuppression so inhaled fungal spores can greo and cause fungal infection.If you can search the possible allergen than you can gradually tapper the dose of steroids. And once you feel that you are free from the possible symptoms you can switch down the steroid.Please get your blood sugar done as diabetics can have increase possibility of fungal infection.Please maintain good hygiene as it is equally important in treating the infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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Planning for IUD mirena removal. What are the chances of bleeding or spotting post removal?
HI, Im planning on getting my IUD Mirena removed after 4 yrs the beginning of August, I have my cycle now. Hoping its over by that time, but I should still be able to get it taken out even if I m still spotting? And immediately after removal will there be bleeding or spotting and for how long?? I know everyone s body is different, but an estimate will be helpful. Thanks!!
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Hello,You can get the IUD removed soon after your period. It can be removed with more ease if it is done during a period, since the softer cervix makes pulling the IUD out easier. Most often, the removal is smooth and there is no bleeding or spotting. Withdrawal bleeding can sometimes occur as with any progesterone pill. In case there is some trauma to the soft parts while removal, or if instrumentation is needed, some amount or spotting or bleeding can be seen. Hope this helps.
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Which Foods are avoid during jaundice ?
which Foods are avoid during jaundice ?
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Hi Ankur,Welcome to HCM.In case of Jaundice the most important thing to do is to first identify the cause for jaundice. Depending on the cause, jaundice is managed accordingly. If jaundice is due to Gall stones obstructing the the bile duct, surgery may be required to remove the stones. In all cases of obstructive jaundice, cause of obstruction has to be detected and treated.In case of infective or cirrhotic jaundice, Fat restricted diet is advisable, including restriction of milk and milk products.Alcoholic drinks are absolutely contraindicated.Wish you all the best.
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Will taking Amoxicillin affect Microgynon efficiency?
Hi I have been on microgynon for a few years and have been prescribed amoxicillin for a chest infection. I have read lots of information on wether the amoxacillin will affect the pill but I m unsure what is actually true! Please can you give me some advice?
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hello dear.understand your concern.yes,it increase chance of failure of microgynon .failure rate is 0.5%,so not to worry a lot.but for safe side ,i will advised you to take extra precaution like condoms,diaphragm up to use of amoxicilin.i think ,it will help you.stay safe & healthy.thanks.Dr.sagar
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How to cure heaviness & tingling on head and face?
FOR THE PAST TEN DAY I HAVE BEEN EXPERIENCING A HEAVINESS IN MY HEAD AND A TINGLING IN MY FACE. CAN YOU PLEASE HELP ME. I WENT TO THE DOCTOR TODAY AND HE CHECK MY BLOOD PRESSURE, MY EARS, MY EYES AND SOME BALANCE TECHNIQUES AND HE SAID EVERYTHING SEEMS TO BE FINE. HELP.
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Hello, Did your doctor run lab tests looking for anomalies in either your thyroid hormones (TSH, FT4), nutritional elements (Vit. B12, folate, Vit. D, homocysteine, methylmalonic acid), or other hormonal imbalances (testosterone and FREE testosterone if male, cortisol)? If not, then, I would ask that your doctor run the above tests and if Vit. B12 is Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
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What is the best treatment for torticollis?
Hello Dr. My daugther is 6 months old, she is detected with a mild torticolis on the right side. She can move her neck easily to both left and right direction, only when you pick her up straight with her face towards us, you can note the slight tilt of her neck towards the right side. She can roll on her back, she can fall on her stomach, only thing is she is slightly floppy, she does not hold herself on her stomach for a long time and we feel she does not give same balance to both her elbows, specially right. We are giving her some physiotherapy which is very very painful for her, infact the physio stretches are so bad that her skin has peeled off and she bled slightly, we are a bit concerned of what will be the best treatment for her.
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I feel physiotherapy is the available treatment at this age, but consult pediatric surgeon, who can help you further.thank you
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For how log a ductal cancer patient can survive on radiation?
I was diagnosed in Jan of this year with stage ll ductal cancer. I had a lumpectomy Feb 13. No lymph node involvement and clear margins. I had the ONCO DX test and my score was 17. I chose not to have chemo but agreed to radiation which is , I guess, protocol. It has been close to three months now and I still have not been cleared for radiation. What are my chances of survival if I do not have radiation? I am also taking Aridimex. ER PR positive Her2 neg.
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There are a few problems in the way you are being treated. First, Oncotype Dx is not for stage II breast cancer, only for stage I node negative cancer. Stage 2 patient should always get chemotherapy. Secondly, in patients who conserve the breast, radiotherapy is mandatory without which, the disease is bound to come back in the same breast. Thirdly, the radiation should be started as soon as possible after surgery and definitely within 2 months. So please start radiation asap else your disease will definitely recur. Lastly, Arimidex is started after radiation therapy and not before or alongwith.
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Dermatophagoides pteronyssinus, dust allergy, trouble breathing, diet and cure for this
I have a problem that maybe you will help me: now I have dermatophagoides pteronyssinus from 3 years ago. Dust is everywhere, at home, outside, at work and can not remove . I have trouble breathing , sometimes even drowning . is there any cure for it will help me? what should eat and what not, what to drink and what not? and who is the best cure for this? thank you
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SEEM TO B FOOD ALLERGY GET BLOOD SERUM TESTS FOR SPECIFIC ANTIBODIES FOR FOODS POLLENS AND ACCORDING TO RESULT CAN PLAN DIETAND DO CORRECT TREATMENT OF POLLEN ALLERGYIN MEAN TIME CAN STAT ANTIALLERGIC TAB MONTELUCAST 10 MG BDLIQUID ANTACD BDBRONCHODILATOR SYPNEOMYCIN EYE OINTMENT IN NOSE BD FOR PREVENTING LOCAL IRRITATION BY DUSTS
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Suggest treatment for rapid heart rate and high pulse rate
Hello doctor. I am 28 years old. Have a son 7 years old. I started having a constant heart beat of between 112 and 117 beats per minute. At first i thought i was unfit. I bought a trojan exercise bicycle and tried to ride that. My pulse then goes up to 163. I then stopped because i dont know if its dangerous.. should i seek medical help? Or maybe just by Cardio care disprins? Please help?
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Check ur thyroid hormones and get an ECG. Do u feel irregular pulse/heart beat sometimes ? Do u have palpitations? Blood pressure? Revert back & also get examined by physician .
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What does a circular red and white spot on scrotum indicate?
Hi there. On my scrotum sort of close to the base of the shaft I have a circular red and white dot that I have had for over a year now .. I went to a doctor before and she said it was like a ingrown hair which I think it has a good possibility of being as well. It started as a hair I believe that I seen had a little ball and i squeezed it and pus came out and then it just grew much larger. When I squeeze it hard white puss comes out all stringy, but it is painless and just is a bit red and looks like a white ball above skin. Just wondering if I should go get it checked again as its been a year and its been the same for about 11 months.
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Thanks for asking in healthcaremagic forumIN short: May be a cystExplanation: By your explanation it seems to be a sebacoeus cyst. Sebaceous cysts are harmless unless infected. Please visit a dermatologist for its removal, do not try yourself. Hope you understand .
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What causes chest pain while breathing?
Ive look up what i have and the symptoms seem to link up with pericarditis. My chest hurts when i breathe and its hard to breathe every now and then, it hurts my chest with a Really sharp pain when i lay down and hurts more to breathe. Pericarditis apparently is ment to pass quickly but this has been going on all day so im not sure what to do can you give me any feedback and suggestions? Thank you.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern for your health and I would like to tell you that please check if you got hurt on your chest and cause for pain is muscular injury which can trouble you continuous. It's recommended for you to consult a physician personally for proper physical evaluation and management. Hope I have answered your query. Let me know if I can assist you further.
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What causes fever, sore throat and metallic taste in the mouth?
my 8 year old daughter has been complaining of a metallic taste whenever she eats or drinks anything for over 24 hours. She has been warm and not eating, To avoid dehydration I have been pushing fluids, pedia pops, tylenol. Tonight I finally checked her temp it is 102.6 has headache and sore throat. Still pushing fluids.
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Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then the kid will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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.Warm saline gargles will be soothing and will give a lot of relief if the kid can do that.Regards - Dr. Sumanth
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Had appendix removal. Why am I getting abdominal pain during urination?
I am 46, I had my appendix burst 4 weeks ago and alas have had it removed. Everytime I need to pass wind I can feel it travelling down my stomach and I have excruciating sharp pain with it, it does not hurt when I pass urine or open my bowels which have all been normal, the pain does not dissipate until the wind has passed, what could be the cause of this.
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Hi. The problems are looking like to be of gastritis or Diverticulitis that involved inflammation of stomach or intestinal walls that can be due to increased gastric acid secretion in the stomach. U should avoid chillies and take medication such as antacids and drugs that can increase gastric motility such as Domperidone and antacid such as Esomeprazole.
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Suggest treatment for myasthenia gravies
My father age is 67 years old. Last month , he had dedeceted myasthenia gravies . Dr started the medicine myestin 60 , one tab three times a day. My father has 10% relif. Now dr suggest to start a new medicine azoran 50 g. But this have some side effects . Blood test report is _ ACHR ANTIBODIES , ACETYL CHOLINE RECEPTOR ANTIBODIES _ 20.1. Nmol/l please suggest me.what can I do???
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Hello ! Than you for the question on HCM!Regarding your concern I would say that his antibodies are really high . The small effect of myestin, is very indicative for a possible progression of the disease. This disease can lead to respiratory insufficiency, causing high morbidity and mortality. So I agree with your doctor to have a more aggressive treatment. We should put into balance the side effects of this drug and the benefits, taking into consideration the severity or this disease. Another option would be steroids. But they are contraindicated in hypertension, diabetes or gastritis and ulcers . I don't know if your father has any contraindications to oral steroids. I would also recommend a thoracic CT scan for thymoma, or thymic hyperplasia. This high level of antibody may be related with this disorder. Surgery would be very helpful in that case. Hope to have been helpful!Best wishes, Dr. Abaz Quka
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Suggest remedy for pbc grade 4 and aih
sure, if you don t charge me! this autoimmune is breaking us to possible & foreclosure!I have PBC -grade 4 & AIH-stage , so far we ve been to 3 different dentist, who took over $12,000.00. They were going to do implants, we ran into complications & I started having seizures, my neurologist said NO to implants for the danger of infection, etc.
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Hello,I think you're already on medication for primary biliary cirrhosis with auto immune hepatitis. Immune suppressants may need for AIH and PBC need to take ursodeoxycholic acid supplement. Tooth extraction with immuno-suppressive drugs may lead to infection probably. so please consult with your treating doctor he will adjust medication or treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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What causes frequent hives in children?
My daughter gets severe hives frequently at least once a month. She has hep c from meth use. Also takes Percocet from back injury in Iraq. She keeps telling me the v.a. Can t find the reason why it reoccurs. My suspicion is from the hep c or meds. True?
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HiIn my opinion, your child seems to be suffering from an allergic tendency. It doesn't seem to be due to medications or hepatitis C infection as it's not persistent. Hives occurs due to hypersensitivity to any substance in the surroundings which the body doesn't accept as does any normal individual.It could be due to any aeroallergen, food products, insects, etc.You should try to find out an allergens 1st. Also , go for IgE and AEC lab tests to help the diagnosis.Antihistamines are the first line of therapy for urticaria.Diphenhydramine (25 mg IV or 50 mg IM or PO) or hydroxyzine (50 mg IM or PO) should be administered if they are available.If any features of anaphylaxis (eg, hypotension, respiratory distress, stridor, gastrointestinal distress, swallowing problems, joint swelling, joint pain) are present, immediate medical intervention should occur.Acute urticaria may progress to life-threatening angioedema and/or anaphylactic shock in a very short time, although it usually presents as rapid-onset shock with no urticaria or angioedema.If associated angioedema is present, especially if laryngeal angioedema (eg, hoarseness, stridor) is suspected, prehospital administration of 0.3-0.5 mg of intramuscular [IM] epinephrine may be warranted. If associated bronchospasm is present, prehospital nebulized albuterol may be warranted.Other measures may be appropriate, such as continuous electrocardiography (ECG); blood pressure and pulse oximetry monitoring; administering IV crystalloids if the patient is hypotensive; and administering oxygen. For further questions, do contact us.
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What causes stabbing pain around my belly button?
I have had a fever for several days, some nausea, and a lot of ashes. Sometimes just my skin hurts. My biggest complaint and the one that worries me is the severe headache, and intense stabbing pain around my bellybutton. Mostly to the right, about for inches over. I am only an eighteen year old girl. What is this ??
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HI.This looks to be generalized disease causing varied problems.I would suggest such a patient to undergo:Blood tests - particularly for typhoid, malaria and so on.A clinical examination by a Doctor is most important as high / low blood pressure, other clinical findings and their correlation with the lab report alone can give you the perfect diagnosis.Ultrasonography to see for the cause of pain in abdomen.To start an antibiotic like cefixime and supportive medicines as per Doctor's advise and om his prescription .
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Brain tumor, removed, loss of abilities, possible melanoma. Will I feel better?
Hello, my son had a stage 3 brain tumor on the left side 8 years ago....removed successfully except for losses in his abilities,however, he had surgery on his lip a few months ago and now this lump ( size of a tennis ball) under his R arm they are calling possible Melanoma. They are ( considering) taking it out........he is so worried that they might even take his arm off. His wife tries to console him ( and herself) that it is just the lump. His appointment is for next Thursday. Please help me understand......
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Hi,Thank you for posting your query.I can understand the personal and physical disabilities your son is going through at this stage. He needs all possible care and compassion to deal with this.The exact nature of the lump in the arm can only be ascertained after the surgery, when we receive the biopsy report.If it comes as melanoma, then, it would be considered as a more advanced stage disease than stage 3. however, if it is something unrelated to the melanoma, then, it would be a good news.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist
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Is it normal to experience chest pain and cough after undergoing the treatment for Pneumonia?
i am a 72 yr old man diagnosed with Pneumonia a week ago .. discharged from hospital ast Tuesday and although feeling much better still have a pain in my left chest and prolonged periods of a bubbling feeling which seems to subside after much coughing and bringing up phlegm .....I have one more days antibiotics and tablets .. please can you tell me if this is normal ...thank you
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, these kind of symptoms and feeling are normal during recovery phase of pneumonia. It's only 7 days of pneumonia. In pneumonia, usually complete recovery is seen after 2-3 weeks. So you will be alright after 1-2 weeks more. So no need to worry for these symptoms, they will definitely subside after 1-2 weeks. If you develop fever or worsening cough or chest pain even after 1-2 weeks then consult doctor and get done fresh chest x ray. Hope I have answered your query. Let me know if I can assist you further.
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My friend is suffering from bone TB
My friend is suffering from bone tb..upper back pain..i am taking akt4....is it curable n one month...
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Hello Welcome to health care magic forum bone tuberculosis takes slightly longer time than lung tuberculosis .one month is very short period.Take regular full course of anti tubercular treatment for 6-9 months without any failure for speedy recovery.Don`t lift weight,as some times it leads to compression fractures.of vertebrae.As anti-tubercular drugs are hepatotoxic also ,so get liver function test from time to time. Wish you good health Disclaimer
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Q. Is Thyroxine an effective medication for under-functioning of the thyroid?
Hello doctor, I am a 46-year-old female, and I am pre-menopausal. My present weight is 54.5 kg, and my height is 158 cm. Eight years ago, I have been diagnosed with under-functioning of my thyroid and since then I have been taking the medication, Thyroup. I started this medication at 25 mcg. But, as the dosage was unable to keep my TSH level within normal limits, doctors increased the dosage. Gradually, the dosage increased from 25 mcg daily to 150 mcg daily. I got my blood tested yesterday and again I found that TSH was still high. I do not know if the dosage is still to be increased or changed or something else has to be done. I feel there are hormonal disturbances at this age. I feel I have pain in my legs and heels. I experience symptoms of indigestion and difficult to control my weight. I have stomachache very often, more particularly when I eat a banana, whether half-ripe or ripe. I also have stiffness in my shoulders. I request you to advise me in this regard.
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Hello. I just read your query. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->
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Q. I have a hard lump on my palate. What could that be?
Hello doctor, I have had this lump on my hard palate for about three months now. It is located near the middle line and a few millimeters to the left. It is about 2 x 2 mm in size, pretty round and it does not hurt. I thought this might be torus palatinus. But, I heard that this torus is mostly symmetrical and my lump is only on one side of the palate. In the picture, it looks a little red because I scratched it with my finger nail. It was just a little bit more red than the other side of my palate as I scratched it. So, what could this be? I am scared that it might be some kind of cancer.
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Hi. Torus palatinus. If torus palatinus, then it is completely harmless and require no further investigations. Revert back with the answers to the above questions to a dentist online.--->
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What could cause stomach pain and the unconsciousness?
My 8 year old son was exercising with his dad (which his does nightly) he complained that his stomach hurt...grabbed it...and my husband said he looked like he could cry and then passed out. What should we do? We have given him water and he is eating (he has not ate like he usually does today and slept a lot today) but he says the pain is gone.
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Causes of syncope in a child may include dehydration, hypotension, neurogenic diseases, cardiac diseases etc.As your child was exercising, complained of abdominal pain and felt unconscious, as per guidelines episode of syncope after exercise needs to be investigated to rule out cardiac causes. Hence consult your doctor and ask for appropriate investigations.
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What causes lump on breast?
my 32 year old daughter woke me up this morning to show me a very large lump on her breast. it is under the nipple and heavy feeling seems very large and tender. she had a lump removed earlier this year on the other breat no cancer. she is on her period.
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Hi,Thanks for writing in.If she has had a benign lump removed earlier then this too can be another similar lump which has developed over time. This condition is commonly referred to as breast fibroadenoma and sometimes it can get painful due to infections. An ultrasound of breast will give more confirmatory information. If confirmed, it's important to monitor the fibroadenoma with follow-up visits to her doctor for breast ultrasounds to detect any changes in the appearance or size of the lump. Surgery may be considered after discussing with her doctor.
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Q. My fiancee has nausea after unprotected sex. Could she be pregnant?
Hello doctor,I had unprotected sex with my fiancee on the 27th of this month. Her period was due on the 29th. She has a yellowish-white discharge for the past few days. Does it means she is pregnant? When will she get her periods?
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Hello. This really does not mean that she is pregnant. It is possibly due to PMS (premenstrual syndrome), which is indicative of forthcoming menses. But, as the sex was unprotected and considering the possibility that she may have had a delayed ovulation, an emergency contraceptive pill is recommended. For more information consult an obstetrician and gynaecologist online -->
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Suggest remedy for high BP
just got back from the doctor, bp was always low in my younger years 90/60 now that I'm 55 140/72 I'm active, road bike 30 miles per day and 5'5 130 parents had high bp but always thought it was because of their diet and lack of exercise. Is this high, doctor didn't seemed concerned at all.
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Hello, thanks for posting a question.Your blood pressure at 140/70 mmHg is slightly high. This means stage 1 hypertension. Sedentary lifestyle, genetic factors, family history causes hypertension. Your family history increases your chance. I usually do not commence medication on patients that I detect with stage 1 hypertension immediately, till after 3-4 weeks of continuous high blood pressure. Instead, I advise my patients to eat a diet that contains green vegetables, fruits, fish etc. Exercise at least 3 times a week and reduce salt intake. I advise you to discuss with your physician so he can fully examine you. Best regards
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Suggest treatment for dizziness and numbness in the hand
Hi. I am extremely dizzy and i get an pins and needles numbness onthe rightside of my mouth and my Right Hand. I had a stomac bug earlier in the week and I went to my doctor on wednesday. i went again on friday as the dizziness did not go away. but from today i get pins and needles in my face and hands acompanied with the dizziness. Please can you help?
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Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : Suggest treatment for dizziness and numbness in the handAnswer : The Exact treatment depends on the cause of dizziness and numbness. This can be a simple neuropathy or some problem in posterior fossa of brain. The latter needs immediate attention. So I suggest you visit a Neurosurgeon at the earliest and rule out this. Then symptoms can be managed easily by proper treatment Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
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What is causing tummy pain along with palpitation while having d3 tablets?
I have a pain in the lower left side of my tummy, that isn t really bad, but annoying, I take 6 d3 tablets a say prescribed by my doctor, but no other medication. I have no back pain, but still have palpitations, feel hot, then cold but don t sweat, but feel warm all the time. What can cause this?
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Hi. This sort of pains are not related to D3, I think. This can be due to flu or some other problem, can be an intestinal infection too. Subclinical form can give only pain in abdomen and feeling of warmth..Have a course of antibiotic and see the results will be fine.
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