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How to treat a lump near the anus?
I'm 31yrs old and 25weeks preganant with my first child. I noticed a small lump about 2weeks ago around half a centimeter away from my anus (in the direction of vagina). It's elongated as it's slightly grown, isn't painful to touch, I have no blood in my stool and have never had any lumps etc near anus before. Should I be concerned?
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Hi, dearI have gone through your question. I can understand your concern. You may have piles or fissure or fistula. Avoid constipation, take plenty of water, green leafy vegetables and high fiber diet. Treatment of choice is surgical excision. Don't take any medication without prescription in pregnancy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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What causes severe pain in the mid of the abdomen?
I was running earlier today and I had to immediately stop as I had this unusual pain in the middle of my stomach. It went from the belly button to the lower right. The pain was intense enough to make me unable to run. It was like a squeezing aching feeling. I went home and it eased off after half an hour. Later on this evening I felt sick after having something to eat, I only had some soup as I wasnâ??t feeling hungry. I still keep having moments where I feel milder dull aching pain in the same place as before but it comes and goes. When the dull aching pain is not there I can still feel a sensation. It is not a painful sensation. It is similar to one as if Iâ??ve just done some sits up. When I press on the area it isnâ??t painful. Iâ??ve been relieving my bowels slightly less than usual.
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Hi.Thanks for your query and an elucidate history.At least from your classical history of sudden pain in the middle of stomach which shifted to the right lower region, indicates the possibility of appendicitis. This can be confirmed by :Physical examination by a Surgical Gastroenterologist.CT scan of the abdomen. Once the diagnosis is made a proper treatment in the form of an antibiotic and metronidazole can be started and surgical option is available if there is a surgical cause.
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Suggest therapy for high BP
Im a lady patient of High BP and Thyroid.. In the month of April I had my Liver test,In which I got SGPT-62 & SGOT-60.. This week I reconducted my liver test which showed SGPT-130 & SGOT-91. Im taking Thyrox-25 & Amlopres-AT25 regulary.. Kindly advice me,how can I control my SGOT & SGPT levels.. Im 52 yrs old & weight 56.. No alcohol,No smoking..
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Hello, Regarding your concern, I would explain that your increased levels of SGPT and SGOT are not related to your current therapy. Coming to this point, I recommend performing an abdominal ultrasound in order to examine your liver and biliary tract. It is also necessary for performing further blood lab tests (HBsAg, anti-HBV, anti HCV, immunoelectrophoresis). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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Suggest home remedy for limpoma
I have a very large growth on one side of my rib cage and a smaller one on the opposite side. One doctor believes that it is a lipoma and another doctor thinks that the muscles split after delivering three close to nine pound babies. I was rushed to the hospital in the Fall of 2010 for severe pain under my right rib cage . Nothing was concluded from all the cat scans and utra-sounds that they took. I was sent home with Vicadin and still in pain. The second doctor that I previously spoke about said that the emergency room doctors would have noticed cancerous tumor at that time if there was one . I did go to physical therapy to try to pull the muscle back together. No noticable changes were found. The therapist said that surgery would be the only way to correct this. If, however, this is a limpoma,what type of home remedy would you recommend? I am so confused. Should i disregard this as being something serious or should i try to handle this on my own?
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Hello, I have a certain question regarding the swelling. Has it increased its size? is there any similar swelling? And as you have said nothing was concluded from CT and USG. A big probability is it might be a LIPOMA itself. Which is a benign swelling and can be removed with a simple surgery. TO CONCLUDE: 1) Get to a surgeon and consult 2) If it's a LIPOMA can be removed by simple surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr ASIF, General & Family Physician
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What medicines should be taken for hepatitis B infection ?
hi! my boyfriend,22 is experiencing coughs, colds, chills and fever probably due to his infected wound in his right foot. His inguinal lymph nodes are also swelling. .What proper medications should he take considering that he has a HEPA B infection??..
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Dear Friend, Welcome to HealthcareMagic Forum. Hepatitis B infection is not a contra indication for normal treatment. If Hepatitis is there, then only need to be cautious about the drugs Contact me for more information or guidance Wish you Good Reproductive & Sexual Health With Warm Regards, Dr. A CHAKRAVARTHY MBBS; MBA; (MHSc Reproductive & Sexual Medicine) Consultant, Sexual Medicine / Sexologist, TRIVANDRUM, KERALA Email: dr.a.chakravarthy@gmail.com +91 – 944 77 050 77 / 94471 55 0 77 / 99 464 2 55 77 President, International Association of Sexual Medicine www.drchakravarthy.com / www.sexual-medicine.org
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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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Is Prednisone effective in the treatment of cough and bronchitis?
I have had an upper respiratory virus and cold with congestion, coughing Itchy irritated throat and malaise. Four weeks later still have some cough and congestion and seems to have settled into Bronchitis. Would a round of Prednisone help to clear this all the way up? Thank you, Rob
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Steroid is strong anti-inflammatory drug and short term Betamethasone BD dose for five days can be prescribed But before starting steroid Auscultation can be done and spirometry done If needed to assess severity. In cough for more than three week chest x ray also has to be done Take care Hope this will help you Consult pulmonologoist for examination
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How can severe toothache be treated?
Hello my name is Manuel Flores. My question is and I need an answer ASAP please lol but I was proscribed Ibuprofen 800mlg a pill obvs lol but the pain “tooth ache” was so bad they gave me “Hydrocodone/acetaminophen” 5-300TBAnd I took that at 10:30pm and right now it’s 12:17am. And pain have not gone away so I took the 800mlg ibuprofen but instead of 1 I took 2 so 1600mlg. Should I try to throw this up right now or will I be a ok? I’m 6’0ft tall 320pnds So..and it takes awhile for pain meds to give in. Like for example “they gave me 3 shots of morphine just to stop the pain when my appendix bursted. So yeah please let me know thank you
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Hello,As per your query, you have symptoms of a severe toothache which seems to be due to the presence of infection which has reached pulp. You have already taken so much medication. You should not do over dosage as it could lead to side effects.I would suggest you visit dentist/ oral and maxillofacial surgeon once and get it examined completely and start treatment accordingly.You should go for IOPA that is an x-ray of that tooth to check the level of infection and take the proper course of antibiotics. You should take Tramadol which is stronger than Ibuprofen along with Azithromycin.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
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How to avoid varicose veins and pain in knee?
I am 60years young, builder of 40yrs. My first pain started at my coxac about 9 months ago after doing sit ups on a decline bench. I find it hard to sit for long periods 1 or 2 hours . I have server pain behind my left knee & serve pain down the left side of my left leg. When I massage down my leg I can feel small lumps down my leg. Over the last 4yrs quite a lot of varicose veins have appeared. Please help. Frank
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Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.if u have been diagnosed as a varicose veins,u should stop standing sitting for long periods at a stretch, use stockinettes full length of leg, if unrelieved get an doppler of the leg done. the knee pain usually is coz of radiating pain. if its severe get an mri knee done to rule out other possibilities. varicose veins are nowadays well cured with advanced laser treatment.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
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Are nausea and stomach cramps side effects of stopping birth control pills?
Hello, I m a young boy with bad anxiety and I have a question. My girlfriend started taking the birth control pill Sprintec the Sunday her period started. She stopped taking it on the following Friday because of the side effect. It has been about 20-22 days since she has last taken it and about a week or two after getting off of the pill she started saying she feels nausea and gets bad cramping. We ve had protected sex and I always take caution and pull out before I finish. It is the 25th and she usually starts on the 1st. Could she be pregnant? Or are they side effect of getting off of the pill? And can the pill push her period back some? She did have spotting about 2-3 days after she stopped taking the pill.
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Hello,Thanks for letting us know your health concern. I have gone through your query and would like to offer some information. Withdrawal effects of the oral contraceptive pill can cause the symptoms she is experiencing and also the spotting that she saw. If you are practicing only the withdrawal method, chances of failure are more. You need to use double protection for better result. She may also experience a delayed period in this cycle since she used the pill for sometime. Please get further help if she becomes overdue by ten days. Pregnancy chances are less in the current scenario. Hope this helps.
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What causes pain in toe with swelling?
Hi! My second toe has been hurting for the last couple of days. It really hurts to walk on it, and today it has swelled up some. I ve been putting ice on it and some heat. I have no insurance to go to the doctor. Is there anything I can do for it? I didn t do anything to it, it just started hurting on its own.
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Hello,It looks from your details that there is no history of injury to your foot. In that case swelling and pain at your toe may be due to following:- Infection or cellulitis- Raynauds phenomenon- High serum uric You should do following to have relief in this case:- Take a good analgesic like aspirin,ibuprofen or paracetamol- Avoid weight bearing over toe- At present avoid cold or hot application over toe- Take an antibiotic on prescription- You may also apply turmeric powder over affected area. Turmeric acts as an antiseptic agent. If problem does not resolve in 2-3 days then it will be better to consult to your physician. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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What can cause pain and discomfort in the legs while walking?
Hi, was putting on a pair of jeans and, as I stepped in to them , my left leg seemed to get pulled. The inside of my leg aches as well as the back (by the bending joint) and I feel some pain and discomfort when walking. I put on a compressed bandage and that makes it feel better . Any ideas?
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Hi, It may be a ligament sprain or minor contusion. You can apply ice packs for symptomatic relief and take analgesics like Acetaminophen or Tramadol also. Generally, the symptoms will settle in a couple of days. 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.
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What is the normal results that needs to be obtained in angeogram?
Hi My father had TMT test done, exercise time was 3:25 min, Max HR attained was 155 bpm (95% of target 164) and maximum BP 200/100. Max workload attained :5 . All other tests done like ECG, Echo, Sugar, cholestrol, HB% are normal. What is your suggestion as the consulting doc is asking to do another test of angeogram.
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Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.ETT is done to rule out underlying ischemia but it is only 77% specific n can give wrong result or either not show any thng even patient may have Hiden IHD that may come as in form of heart attack later at any stage ... this report showed that ur father had not good exercise capacity mean heart is not functioning good n as he might have other risk factor for coronary artery disease n along with this report he need to undergo to angiography to make sure is isn't having serious underlying pathology .. But if ur father iOS hesitating to under go intervention tha. CT angio can be down to look for any CAD( stenosis ) with doing intervention ... I suggest ur father should go for further investigation as advice by ur cardiologist , but u can choose the procedure that whether to do CT /coronary angiogram n then will Tx accordngly after report ...I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician..
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What causes bald patches on the head?
I have been experiencing this type of hair loss for 9 months now. Blood tests for Iron deficiency and thyroid are normal. I have undergone treatment from a dermatologist which included monthly visits for Kenalog injections and use Clobetesal nightly. I did not have an appointment this month as the thought was it may be my last affected area. Now I have 5 bald patches ranging in size from a nickel to half-dollar. It is thought that it is due to emotional stress as my husband was diagnosed with terminal cancer last January and these spots started to appear the following March. My husband is undergoing chemo with little to not side effects and the treatment will add years to his life, so one would think I would no longer be stressed, I am grateful for that. I just don't know why these are still appearing and should I consider another method of treatment. I plan to schedule another appointment with my dermatologist and I am not sure what to ask for. Could you give me some alternative choices that I may be able to ask him about? I appreciate you being there. Thank you. Claudia Crowe
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to be having Alopecia Areata. You can opt for PRP (platelet rejuvenation plasma) treatment where the plasma from your own blood is injected into your scalp which further strengthens your follicles and stimulates new growth. This is done once every 4-5 weeks for a minimum of 8-10 times. Hope that helps!
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What causes heart flutters while having acid reflex?
I am 33 yo female, 5 ft. 10, 260 pounds (i've been trying to lose, 12 pounds in last two months) on acid reflux and hbp meds. been experiencing heart flutters, sometimes several in an hours time. I hate to go and find out its nothing and waster the drs time. any ideas
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Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) for your heart flutters. So get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes, stress and anxiety can also cause palpitations whish gives feeling of heart flutters. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Control of anxiety will also control your acid reflux. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What cream should I apply for these red pimples which burn ?
i have a number a red pimples that produce alot of puss. i have a number a red pimples that produce alot of puss. they burn and sting and they are situated on my legs toes feet pubic region and face im 17 male and have a history od psorisis
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Hi!, Welcome to Healthcaremagic forum, You need to explain your problem in detail.Are these red lesions itchy too over legs.The lesions on the face and legs seems to be two different things .kindly clarify. Take care, Dr.Chawda
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What causes smoky smell and metallic taste after rewiring braces?
Hi, Im 16 years old and i recently got my braces rewired, a few days after i did i started smelling this weird smoky smell and tasted a gross almost metal like thing in somethings that i eat. Its not in all food, but most. Its making eating unenjoyable.
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Thanks for your query, I have gone through your query.The metallic taste and the bad breath could be because of the deposits secondary to the braces. After placing the braces its bit difficult to maintain oral hygiene. Consult your oral physician and get your teeth cleaned and maintain the oral hygiene. You can use mouth wash after that. Rinse your mouth soon after eating anything.I hope my answer will help you, take care.
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Small smooth white spots ringed in red on the roof of my mouth, suggested for biopsy., family history of oral cancer. Suggestion?
I have 5 small smooth white spots ringed in red on the roof of my mouth. They started out as bumps that you could not see but you could feel. On the 13th of march they will do a biopsy and I wanted to see what this might be. I am scared cause my mom had stage 4 oral cancer at 47 and my sister had stage 1 oral cancer at 37, I am a female age 28
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Hi, Oral cavity cancer can be related to chewing tobacco , so this addiction history is very important. Multiple oral cavity lesion not always signify cancer, there are other benign causes and infections also. As your doctor has suggested a biopsy there may be some suspicion. Anyway, nothing to be worried right now, every disease has treatment. Follow your doctors advise.
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Q. What are the symptoms of pregnancy?
Hello doctor, I and my fiancee became physical last week. Now we are in doubt that she might be pregnant. We need some help and suggestions regarding this.
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Hi. There is no contraceptive that will work now as it has been a week now. Emergency contraceptive works only within 72 hours. I suggest you wait for her period and if it gets delayed by a week do a pregnancy test and check. If positive we can handle the issue as per your need. All the best.
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Could you suggest home remedies for the Phimosis and a cut on the fore skin?
I am 52yrs,. what will be ayurvedic or home remedies for phimosis. at present I am using Alovera leaf gel resulting swelling got down. but i am not able to masterbate and feel pain and I have also seen a very very minutely cut on foreskin of penis. please suggest. I am not able to pay anything.
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Hi,If phimosis is not since beginning and appeared recently then this might be due to collection of smegma and strictly adhere to glans called Belano-prostitis, can be corrected.Clean the smegma by gentle cleaning while taking bath.Apply some moisturizing lotion or antibiotic cream locally.Ok and take care.
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Can occasional marijuana cause fib in heart patients?
I have 3 stents in my heart, I m an otherwise healthy 54 year old male . Workout 3 times a week,eat healthy, have hx of a fib. recently smoked some marijuana at a party, had a episode of a fib. Went to ER, pulse was 170 at one point. Fib was broken with medicine. I have occasionally, in the past, taken 2 maybe 3 hits on a joint with no adverse reactions. I have neuropathy in my feet and found that an occasional hit or two seems to calm my feet down and take away the pain. I have not smoked any marij. since last episode of a fib. I believe that that episode was brought on by the large amount i smoked that night . Question is , would an occasional hit or two be ill advised due to the a fib ?
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My advice to you to keep away from marij. And alcohol as you can,alittle of this or that is enough to cause severs arrythmia that your heart will not stand for it
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Suggest treatment for lower back pain
I developed a severe inflammation of lower back and could not sit up or walk unsupported. the i was injected in the back with inj diprofos 2mls twice at monthly interval. i feeling substial pai relief. should i be optimistic that my condition is getting cured or its a mere temporary relief of severe back pain?
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Dear; thanks for using our service and will try to help you with my medical advice. The importance of how you are going to respond in long term depends on the reason of your pain, if it is a herniated disc, muscle spasm or spinal stenosis . There is no timeframe that I can tell you but if you use a back support and avoid heavy lifting it should last longer. If your back problem is severe,you might need another shot. Usually is not recommended more than one shot every 3 months, no more than 3 in a year.Please give thanks if I helped you with my advise.Dr Sara
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How to treat penile cuts?
Hello Doctor, I am 27 year old and i have a small cut in tip of my penis (meatus). It s a small red cut but i don t know how i got that cut. Yesterday i was swimming at the morning and i had a burning at tip of my penis. Later when i see it properly then i saw that red cut. It burns after like 10 sec after i urinate and cut is at tip from where we urinate. It also burn occasionally when i don t urinate. Also, during swimming i had itching in my balls and i had to stop swimming after this itching and burning in tip of meatus. I think Swimming pool water was also not that good I had protected sex with a prostitute more than 5 months and had sex with other girls after that also. Thanks
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The cut will go with its own. You do not want to do anything more in it.Only thing you have to maintain good hygiene over the cut. Please take cefixime 200 mg three times a day, aceclofenac three tinea aday and pantoprazole two times a day for three days.Avoid sexual intercourse during the period. Or you can do protected sex with condom.Drink plenty of water. This will dilute the urine and your burning will reduce to much extent.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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Shaking hands, breathlessness, light headed, stomach discomfort, eye pain, migraine. What to do?
im fourteen and i think i ahve a nervous problem i have this thing called trimmers so my hands shake alot and sometimes when i get nervous or angry my hands start shaking evan more i get short of breath my stomach feels funny i get light headed my eyes start to hurt really bad and i get this bad migrane for hours i dont know what to do?
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Hi, Thank you for posting your query. Based on the symptoms, you are most likely suffering from essential tremors. These tremors tend to get worse with anxiety. Since you also have migraine, you could take beta blockers such as propranolol, as it would help in controlling both tremors and migraine. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
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Q. I have been sick with very sore joints and muscles. What could it be?
Hi doctor, I have been sick for the last two years with the following symptoms. Fatigue, ringing in ears, very sore joints, sore muscles, follicular carcinoma, passing out, and extreme headaches. I am taking Synthroid currently. I just had a flow cytometry and numerous bouts of blood work. I have attached that for your reference. Please help.
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Hi. Based on test results, my opinion is, it could be chronic Lyme disease. Low CD57 with additional symptoms provided except follicular carcinoma, could be due to chronic Lyme disease. Chronic Lyme disease is associated with a decrease in the CD57 lymphocyte subset that may persist over 10 years. The decrease in CD57 cells appears to reflect a selective immunologic abnormality in patients with chronic Borrelia infection. Longer therapy, maybe up to 11 months with Tetracycline may be necessary. It could be helpful. Your doctor can guide you with further management. 1. Prolonged antibiotic therapy could be helpful. 2. Any co-infections present should be treated first.
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Suggest remedy for foot & ankle swelling
Why am I still having foot ankle and toe swelling after bilateral squamos cell wide excision split level skin graft surgery on May 30th? I have a history of edema, but even with the ace bandages and leg elevation, it will not abate. On anterior legs
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HelloI have read your query. There can be possibility of edema and venous congestion post surgery. I will advise you venous doppler study. If required CT scan and angiography. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
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What causes swollen eyes, excessive sleepiness and dark urination?
My husband is 61 and has symptoms of puffy eyes, sleeps for long periods of time and pee is dark. All three go hand in hand it seems. He also has distended abdomen. Has had recent blood work and ultrasound to check gallbladder. What could cause the puffy eyes and sleeping though, could there be infection?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Depending upon three symptoms unable to come conclusion but we will discuss about possible causes of above symptoms. 1.renal failure with facial puffy Ness with high colour urine with uremic encephalopathy. 2.Liver failure with hepatocellular renal syndrome with hepatic encephalopathy. 3.Acute viral hepatitis with bilirubinuria with acute liver cell failure. 4.Heart failure with dependent edema with cardio renal syndrome etc. Without proper history and examination it is difficult to say what it is. Please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.
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Suggest me drugs to abort 1 month fetus
please suggest me drugs to abort 1 month fetuswhich should easy to use and safe I am suffering from abdominal pain and missed my period upto 7 days and and pregnancy test kit is showing positive result, so I wants to know the names of drugs-to-abort-1-month-fetus which should safe and easy to use
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hi welcome to health care magic there are drugs which help in preventing pregnancy if they are taken before results show pregnancy.In order to abort the foetus ..there are abortion short procedures which are painless....please consult an gynaecologist. she will help you out with this.. do not panic.. take care
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What causes neck poping with shock feeling down right arm?
Ive had a problem with my neck poping for years. Im only 24 but have done hard physical labor all my life. Recently ive had a strong shock feeling down my right arm and sometimes so bad my arm involuntary moves. Not sure what it is or what kind of doc to go see about it
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hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As mentioned you were a hard physical labor and also now having strong shock feeling down your right arm, i feel you need to consult an ortho and get clinical neuromuscular assessment done. By which the cause of injury can be understood. Also your ortho may ask for an MRI of cervical spine to see the soft tissue injury, by which the next rehabilitation plan is prepared.As per me, due to hard physical labor, you may have now called as cervical spine degenerative disc disease, for which the disc is giving pinch on the nerve root/s where you are getting such symptoms,With the combination of medication and physical therapy, symptomatic pain can be relieved and also strengthening of the muscles can be performed. As in 99% of cases in my clinical experience the patients responds well to physical therapy and the normalcy is attained in 3-4 weeks. But in the later stages, you may have to perform exercises regularly at home to make sure the muscles of the neck are strong enough to hold the head.Regards.Jay Indravadan Patel
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How can anxiety and depression be treated?
I m experiencing aniety, depression, low energy, & other conditions much more lately. I take an antidepressant, levothyroxine, & many meds for cholesterol, BP, & more. Something hs changed recently & it s making my life miserable. I turned 70 1st of the year, so what should I look to, to find some avenues for treatment. Thanks-
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You might need a higher dose of an antidepressant to take care of your remaining symptoms. Get your thyroid levels checked as they also cause anxiety and depression symptoms. Contact your psychiatrist to get educated about your illness.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Rohit Kothari
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Suggest treatment for gallbladder cancer
hello doctor iam from india..............my aunt is diagnosed of gallbladder cancer. we took her to very renowned hospital in india.....where doctors told us .......nothing can be done .............cancer has spreaded all over the liver .........we are going throgh trauma.......... i want to know is anty thing possible ......can we stop her death .....please help us.
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Hi, dearI have gone through your question. I can understand your concern. She has gall bladder cancer with wide spread liver metastasis. It is stage 4 cancer. No curative treatment is available. Surgery is not helpful at this stage. Chemotherapy and radiotherapy is the treatment of choice. It is palliative care only. It will not cure the disease. Despite of any treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Moreover chemotherapy has its own side effects so its better not to take any treatment. Consult your doctor and plan 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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Very bad pain on left side between waist and bottom of rib cage, please help
VERY BAD pain on left side between waist and bottom of rib cage my 9 year old son woke up with a VERY BAD pain on his left side between his waist and bottom of his rib cage he cant hardly stand up or anty thing what can this be
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relax.This could be renal colic means pain due to renal stone or muscular stretching due to some trauma or physical activity.see your doctor he will help.Give some medication for pain like brufen or acetaminophen .You can also apply some local analgesic mild one.
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Suggest remedy for severe phimosis
Hi. I have serious problem. ..I don t know where to look how to start.. I recently was appoved for medical ..and I can put that to use..on an emberrasing problem I have.. I ve been searching up alot .. it looks like I have a severe phimosis .. pinhole.. I don t have primary doctor.. no allergies none that I know of.. where do i start or who would I have to see for this emberrasing problem..could never pull my foreskin back ever since I was a child i am now age 24 .. I shouldve got it looking at ...but just financial problem and emotion got the best of me thank you
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HelloI think you should consult your nearest general surgeon. This must be surgically treated.Thanks
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What causes intermittent sharp pain in the lower part of my head?
Both my boys keep having random sharp pains in the lower part of the back of their heads. These pains only last a few seconds, but can be so severe they fall to the ground. Have noticed that it mainly happens when looking up or down. My 13 year old s first incident he said it felt like he was bleeding inside his head.
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Hello!Welcome on Healthcaremagic!These types of headache, could be related to occipital neuralgia. This is a benign type of headache. So, it does not indicate any serious medical condition. Just relax and don't worry about it!If the problem persists, I would recommend consulting with the pediatrician for a physical exam. Kind regards, Dr. Aida
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What causes lump like growth at bottom of the rib cage?
hello. I have an odd shaped lump or growth in my bottom right ribcage. It feels as if it is growing directly on it. It also feels like a deformed rib sticking out. It does not really hurt when I touch it, but it gives me an unusual sensation when I do touch it. It is under the skin. I can feel it whenever I move a certain way.
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Hi, There are a couple of things that come to mind. One is called a lipoma and that may be the most likely type of lump or nodule. Another thing that comes to mind is something called a neuroma. The first item is a tumorous growth of fat tissue (entirely benign and noncancerous) and the 2nd is a tumorous growth of nerve tissue (again benign). Lipomas are never painful unless they are overriding a sensitive structure such as a nerve. Neuromas are often painful when squeezed or compressed but if you leave them alone they'll do the same. In either case, it wouldn't be a bad idea to have a doctor take a look (and a feel) just to make sure all is in order. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
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What kind of mask should I use for hyper-reactive airway & chemical bronchitis?
I have been diagnosed with hyper-reactive airway & chemical bronchitis. I recently attended an office with an airborne irritant which caused my lips to burn, then my cheeks & eyes felt warm then burning, then voice changed, airway tightned. I went to freshaire, used hfa, symptoms lessened but lasted for 3 days. Can you recommend a kind of a face mask I can use that can eliminate all my exposure while using an O2 canula?
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Thanks for your question on HCM.In my opinion you should use N 95 mask.This mask is specifically designed for prevention of swine flu. And it is having very good filters which acts as barrier for most of the organism and dust, fume particles. And it is easy to use, very light weight and make up of soft material. So good for facial skin too.And you can also use nasal cannula for oxygen with this N 95 mask.
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What causes breathlessness after quitting smoking while having asthma?
ok im asthmatic and trying to quit smoking down to 2 to 4 a day sometimes not even that i use to smoke a pack a day 20 to 30 cigs a day . now i feel i weez on and off hitting on the inhaler every 4 to 6 hours and i get like this weird short of breath spells on and off why
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Dear, First of all , i appreciate your effort to cut down on smoking. You will improve if you completely stop it. Well, you have not mentioned which inhaler you using.For patients like you, i recommend, Changing to long acting preparation(salmeterol) and steroid inhaler(beclomethasone and budecort) as asthma has bad and good days with change of season/other factors sometimes. If you feel no relief even after that, you may get chest xray done and oral steroids may be considered , if x ray comes normal for infection. Take Care
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What causes heartburn and bruises on back?
Hi there. i have been waking up alot of mornings and feeling very sick, sort of like heartburn but it will only last for about half an hour then go away. I also have unexplained bruising on my back. I remember falling asleep then my girlfriend woke me up and found the marks.
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Looks like the you have a GERD and it is caused by reflux of acid contents of your stomach into the esophagus you've been awarded this by taking small meals by elevating your head while sleeping and to avoid eating four hours before sleeping for symptomatic relief you can take some ancestorsUsually that is no relationship between heartburn and any rash on the back if you're ashes assistant you should see a dermatologist thank you
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Q. Are my symptoms due to HIV infection? I had a high-risk exposure 15 months ago.
Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are: severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back. I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you.
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Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online -->
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Chest pain, breathing problem, brain fog after placing gold crowns in mouth. Is it due to mercury?
My son had problems after 2 gold crowns were placed in his mouth abutting mercury fillings. Severe back pain , numb tingling in arms legs and head, chest pains, problems breathing insomnia and the list goes on. Brain fog was also very severe. Gold crowns were cut out and symptoms subsided almost immediately. We went ahaed and removed four large mercury fillings and the next day he had brain fog, flu like symptoms and back and chest pains and the following day we ended up in emergency as he would just fog over and could hardly speak or move when tha waves hit him. He would cry uncontrolably and he knew when it was going to happen. Cat scan was normal as was blood work but they wouldnt test blood mercury levels. Doctors say it is all a coinsidence and he has sezures but it has not reoccurred. Is this from the neuro toxin called mer ury ?
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Hi,Thanks for asking the query,According to your clinical symptoms i suspect that you have developed toxicity to mercury, but to confirm this you need to get a blood mercury analysis done.Also visit to the Physician and get complete physical evaluation done, if present with toxicity you can start with the treatment, diuretics can be given to remove the amount of mercury from the body.Hope this helps out.Regards...
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Does masturabtion affect fertility?
sir , i have been doing masturabtion sisnce 7 or 8 years daily 1 time .. i m doing prone masturabtion means lying my stomach on bed and rubbing penis against bed. i m getting married after 8 months . i m very terrified about my sexual life please answer my queries 1 will i able to have a child????? 2 is there is any process to regain if i have lost like stamina , sperm quantity ? please help me
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HelloThanks for query.You had been indulged in masturbation since many years and now worried about your sexual potency after marriage .First of all there is myth in a mind of common man that excessive masturbation is the reason of allsexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ orsystem in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delayejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil.
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What causes severe abdominal pain after eating?
my aunt had pancreas ca She had total gastrectomy and total pancreactomy Now she has severe abdominal pain 30 60 min after eating . she is eating small portions of food,lying down 30 min after eating. but she isstil having pain she is also using dramamine, acarbose for dumping sydrome . What can you recommend for pain relief. Thanks
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Hi.The patient who has undergone gastrectomy with total pancreatectomy for Cancer of pancreas can have such problems as the intestine is directly connected to the esophagus and there is a blind loop carrying the bile via the 'Y' limb.First of all your Aunt should stop all the foods and beverages increasing this type of pain. I would advise for Endoscopy and barium studies to find out the cause of pain and rectify it surgically if warranted. Till then she can be kept on fluids only. She should walk around after feeds. Continue the medicines she is already on.
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Suggest treatment for fever and cough in a child
Hi, may I answer your health queries right now ? Please type your query here...my 7 months old baby is sufeering from nasal congestion and dry cough from 10 dayss she is suffering from high temperature from yest iam giving her azee 100, crocin and atarax drops
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you must give your child good antibiotic as ceclor 125 5 ml every 8 hours and paracetamol to control fever may use antitussive as selgon supp twice daily with nasal saline
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What medication is suggested for crushed vertabrea at the back?
I crushed a vertabrea in my back about 10 years ago and have been in lots of pain since then.I think I also crushed a nerve in it also,as when I walk,stand or sit too long get burning throbbing pain so bad I feel like throwing up.I had MRI and Cat scan but nothing shows up,as they are taking lying down and I am not in pain when I am lying down it is the only relief I have. Am at the end of my wits and don't know what else I can do.Any suggestions.
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Hi,Welcome to healthcare magic.After going through your query I think your You are suffering from chronic backache.It is related to posture. Treatment of back pain is exercises and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation(Bon DK 60K weekly with milk) can be taken.Avoid long continuous sitting .Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily. I think your query answered.Welcome to any follow up query
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What causes headache, stomach pain and constipation?
stomach pains headaches nausea and constipatedive been to my doctors about having bad stomach pains and my stomach going very hard and swollen, im always nauseous and have had a tension migraine for about 4 days solid now I did have diarrhoea that was mostly water to begin with which the doctor said was gastroenteritis but then I went to being constipated and the pains grew worse so I went to hospital were they told me it could be appendicitis which I dont believe it was as the pain eased for a day but came back and ive now been constipated for 3 days with only bean sized poop coming out and the headaches are getting alot worse and its been seven days altogether since I went to the hospital and today ive not pooped but mucus has come out instead and my stomach is constantlyy throbbing and painfull and my headaches get worse when I move so im limited to doing anything.
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HI.Thanks for your query and an elucidate history. Your symptoms still look to be a form of gastroenteritis and the hard stools might have been due to Loperamide you might have been given. I would advise you the following:Get a proper course of an antibiotic, metronidazole, probiotic and go for soft bland diet. Get the following investigations:Blood- CBC- Widal for Typhoid as these symptoms fit into the description of Typhoid. Urine and stool tests;Ultrasonography for appendicitis or other inflammatory conditions. Consult a Gastroenterologist if the treatment fails for further investigations, diagnosis and proper treatment.
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What causes night sweats in a 4 year old?
Hi, may I answer your health queries right now ? Please type your query here...my 4 year old has been having night sweats with a cough? I am worried about it and wodering if I should get blood work done on him to make sure its not more than a bad cold.
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Dear parent,Make sure that its not too hot when he sweats.If he has cold and cough, better take medical advice.Don't go for blood testing directly.
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What causes pain in forearms when I cough or sneeze?
hello,, I have pain in my forearms when i cough and sneeze and no tylenol can take it away,, it started a week ago after i choked on food and it felt like my lungs were over inflated . that was when i started to feel this .. i have been to the doctor and it did not help me .. i am worried please help me
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Hello, Welcome Thanks for consulting HCM, I have gone through your query you have cough and cold means it can be chest injection , pain in forearms may b due to infection in your body you Should go for proper investigations chest X rays , so that diagnosis can be ruled , For pain in your forearms and cough and cold you can take one Capsule Amoxicillin 250 mg three times a day and one Tablet Combiflame twice daily and one capsule Vitamin B complex once daily for 3days . You should consult physician go for proper investigations done. Hope this will help you.
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What is best treatment for tear in aorta?
I have a relation who has a 6cm tear in his aorta. Operation is not an option due to his weight and religious stand to no blood. His only option at this stage is to get his blood pressure down and stable and allow it to heal itself and at a later time when he is stronger, insert a stent? Is this possible?
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Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.The best option of treatment for an aortic tear , we call aortic dissection is to get a surgery done and remove that part of aorta which has a tear. Along with that is is very very important to control his blood pressure to a maximum of 130 systolic , even below that. Because blood pressure can cause tear to proceed further and cause more problems, even after surgery a high blood pressure causes risk of creating a new tear in the intima of aorta.If religious stand point does not allow surgery then there are very limited reliable options available , stenting has been tried but result have been controversial. Most cardiovascular interventionists prefer surgery , stents have their own problems and they are usually ok for aortic narrowing but in a widened torn aorta they usually don't settle well and don't show good long term results.In this case scenario I would suggest that the patient should keep strict control over his blood pressure and can talk to a vascular surgeon who can do minimally invasive procedure, in this way a surgery with very little blood shed will be possible , here i want to mention that even stenting will cause some blood shed so for the sake of saving life this much will have to be discussed. In a nut shell, surgical repair is the best option , if the surgeon can do it with minimally invasive technique it will need much less blood loss. I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad
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Suggest treatment for leg pain during pregnancy
hi i am 36 weeks pregnant and this is my 2 nd pregnancy. I ahve always had pain in my left foot even as early as 13 weeks....... but since a week or so.... my right leg would just give away as i am walking and i feel like the nerve in my left leg thigh down is getting twisted in another direction and is quite painful.I did not have any of this with my first child . what can i do to minimise the pain
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dearyou had pain in left foot at 13 week of pregnancyat this stage you feel that your right leg will give away & you also feel nerve in left leg getting twisted.pl sleep with legs raised, you can use soft pillow.while sitting rest your legs on table or any other chairavoid prolong standing take supplements as adv by your obstetrician .get yourself checked for varicose veinsDr. Mira Butani
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How can severe pain in the shoulder and around the sternum be treated?
I have a harsh sharpening pain in my right shoulder underneath it that ranges just to the right side of my spine around to the front right half of my sternum and down my arm what’s wrong with me it hurts when I move the wrong way so bad that I cry I can’t even reach over in bed without it hurting
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Hi, kindly tell me if you are a diabetic? In diabetics, usually there is a condition known as frozen shoulder. it's painful in the early part of disease and range of motion also decreases with time. You need to have regular exercise and ultrasonic therapy from any nearby physiotherapy centre. It takes time to get relief but if no relief then you can get a local infiltration into your shoulder. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon
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Is it normal to get period with cramps after taking plan b pill?
I took Plan B after having protected sex ( my Boyfriend insisted that I did just incase, which is not a regular thing) and the night we had sex i had just finished my period. It was the first time i have ever had to take plan B and I took it Sunday night ( last sunday) at 8pm, we had sex that Friday at 1am. I felt fine with just a few cramps and then on Thursday i got my period. And I m wondering if that is normal Thank you.
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Hello, and I hope I can help you today.It is completely normal to have some vaginal bleeding 3-5 days after taking Plan B. The drop in hormones after the plan B leaves your system is one of the ways that it works to prevent pregnancy, and the fact that you bled is actually an encouraging sign that you did not conceive.Your next cycle may be delayed because of the Plan B as well- i would expect your next real period to come about a month after you saw the bleeding after the plan B.I hope I was able to adequately answer your question today and that this information was reassuring.Best wishes,Dr. Brown
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Severe scoliosis, lower back pain, have post polio syndrome. Pain persist after taking epidurals. Solution?
I am a 63 year old female with severe scoliosis and low back pain. I also have post polio syndrome. I have had 4 epiderals for my low back pain since July and I still am experiancing severe low back pain. I currently live in Fairhope, Alabama. I was wondering if you could direct me to a qualified orthopedic doctor and a physiatrist in Fairhope or Mobile. Thank you Nancy Webb YYYY@YYYY
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Hello, I have studied your case. Due to compression of this nerve root there severe pain associated with it.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.As you have persistent pain after epidural shot spinal decompression may be required surgically.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
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Suggest treatment for infected root canal with puss discharge
Hi, i m rahul madaan from mzn. 3 years back I had root canal on my front tooth of upper jaw nd removal of infection or pus from the tip of tooth and consumed lots of antibiotics for so many dayz..but it didnt work nd i m having same problem nd pain nd pus in it
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Hello,Thanks for consulting HCM, Read your query ,as you have pain and pus discharge from tooth it indicates infection is still present at root tip dont be worried so much I will suggest you to consult your dentist and go for iopa xray and re rct of tooth . Inmeantime you can take antibiotics like Amoxicillin or Ofloxacine and painkiller like ibugesic plus or ketrol dt .Hope this will help you.
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Suggest treatment for a stomach infection
Hello Doc, My baby(girl) is about 8 weeks old, she keeps on sleeping all day and in the night she just takes a nap for about 10 mins and cries loudly as in frustration or somewhat like stomach problem. She drinks milk very good, burps, pass on the gas loudly. I am giving her Janma Ghutti its ingredients are Anjeer: Good for the infant s liver, it acts as a cooling & soothing agent for the stomach and has high nutritive value Draksha/Kishmish: Contains essential minerals like calcium, magnesium, potassium and iron in an assimilable form. It is an expectorant, laxative and blood purifier, and is useful in fevers and colds arising due to thrush in children Ajwain: Prevents flatulence, indigestion, colic dyspepsia & diarrhoea Palas Beej & Bidang: Expel intestinal worms Vach: Prevents flatulence & loss of appetite. Useful in dyspepsia and choleric diarrhoea Amaltas: Acrts as a laxative, especially for habitual constipation Sanai: Mild laxative Also contains: Saunf, Unnab & Gulab Jal I copied them from manufacturer s website other thing i give her is gas regulator with dropper and sometimes fennel seeds in distilled liquid form is it too much for her? or should I try the white noise type of remedies? please help we both husband wife are working but we are unable to concentrate on our work in day time
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Dear parent,You have not mentioned if the child is breast fed or top fed. If the child is breast fed, which she should be, then you need not give her any thing. NO JANMA GHUTTI NOTHING.You eat good nutritious and balanced diet regularly that will make good quality milk for her. Even if top fed, make formula as prescribed, if packet milk then check with her pediatrician how to make it properly. In this case also she does not need any ghutti.As far as sleep is concerned this pattern is normal for children. They don't sleep according to you but you need to adjust according to them.If she is happy, passing urine motion and gases, increasing weight you need not worry. Adjust yourself with her.
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Q. My TTG IgA is high. Do I have celiac disease?
Hello doctor, My tissue transglutaminase IgA are high but I have not done any biopsy but done only an endoscopy (normal). If my TTG IgA is high then I must be having celiac disease because this level only goes high with celiac disease, am I right? Then why do I need to go for biopsy as it is a painful procedure?
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Hello. It is useful for comparison of severity of bowel involvement in raised antibody status. Raised IgA TTG level grade according to Marsh classification if your antibody level less on Marsh stage you may need a biopsy. If the patient is suffering from hypoglobulinemia present with less IgA level may present even though positive results but severity of bowel involvement is high. So, in that case, we need confirmation. I think I answered your question. If you have more questions feel free to ask. For more information consult an internal medicine physician online -->
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Is large knot like in spine means cancer?
When I lean my head forward there is a large knot at the top left of my spine it does not hurt and I did go see a chiro and I was just scared it was cancer but he said from the X-rays it didn't look like that but he really didn't tell me what it could be I'm going to a reg dr on Monday and he said my neck is a little out of alignment so he adjusted me back and neck but I know one wont make a difference but I'm still worried
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Hi,Thanks for writing in.If your doctor has examined you clinically and said that the know is due to a malalignment of the spinal vertebrae then most likely it is not a cancer. The spine is made up of many small bones aligned on top of each other. This is further supported by small discs in between any two vertebrae that provides cushioning to the bones.It is best that you get a MRI scan of the concerned region done as a part of evaluation of the problem you are facing. MRI scan will give complete details and there is no ambiguity of the presence of any abnormal tumor or cancer. Any malalignment also requires a MRI scan to be studied in detail.In conclusion, it is best to do a MRI scan of your spine in the region of the knot. This will show the malalignment in vertebrae and if there is any pressure on the spinal cord. Cancer of the spine will also be rule out by this way. Please do not worry.
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Suggest treatment for dental infection during pregnancy
Pregnant pt 9 weeks pregnant, has not been seen by OB/gyn yet (disadvantaged) and has dental infection presenting as swelling. Pt needs treatment and administration of local anesthetic, antibiotic and pain medication... recommendation would be no epinephrine, amoxicillin or clindamycin and paint no ibuprofen?
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You are less likely to have dental problems during pregnancy if you already have good oral hygiene habits. Suggestions include:Brush your teeth at least twice daily with fluoridated toothpaste.Floss between your teeth.Visit your dentist regularly.If you are planning on getting pregnant, see your dentist. It is more convenient to have elective procedures done before you conceive. If you require dental treatment during pregnancy, non-urgent procedures are often performed after the first trimester.
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Drug induced jaundice, later diagnosed auto immuno hepatitis. Having Azoran. Any permanent cure ?
my daughter was affected at the age of 3 but deducted as drug induced jaundice but later when she developed again at the age of 6 after doing so many tests found that it is auto immuno hepatitis .she is now having azoran 50mg every day .please expain when her dosage can be reduced and is there any advanced treatment which will cure her permanently. pls advise.
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Hello, The etiology of autoimmune hepatitis is unknown. Several factors (eg, viral infection, drugs, environmental agents) may trigger an autoimmune response and autoimmune disease. For more than 3 decades, corticosteroids, either alone or in combination with azathioprine, have been the mainstays of drug therapy for patients with autoimmune hepatitis. The prognosis of autoimmune hepatitis depends primarily on the severity of liver inflammation. Patients with a severe initial presentation tend to have a worse long-term outlook than patients whose initial disease is mild. In children with autoimmune hepatitis, 70% require treatment until adulthood. Many patients already have cirrhosis at the time of diagnosis. Almost 20-25% of children with autoimmune hepatitis die or require liver transplantation as a result of the disease. You have to continue giving this drug to her and the only definitive treatment at the moment is liver transplant. Thanks
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Suggest diet during treatment for hepatomegaly with Grade 2 BHP
My father is 52 years old. In the recent health checkup doctor diagnoses the problem as Mild Hepatomegaly with Grade ii BPH. My father is a vegetarian and Non-Alcoholic. Can you suggest what type of diet is best suited in the current stage. Also can you tell whether this is a serious problem ?
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Hi, I can understand your concern for your symptoms, avoid oily foods and alcohol. take green leafy vegetables. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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Sharp pain on the tail bone after exercise without supervision. X-ray says loss of lumbar lordosis. What is it?
hi, my weight is 55. i am a female. the issue is a sharp pain around the left hip area, probably the tail bone. the issue began last year while i was at gym doing my regular yoga and execricse without supervision. One morning i couldnt move, sit bend nothing at all. went to the doctor, did an x-ray, the report said "loss of lumbor ludorsis", the doc said nothing to worry and gave me a few calcium and vitamin tablets. i was better then but the problem remains.plz help.
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Hi Mrs Neelu, Thank you for posting your query. Your evaluation is still incomplete. If your symptoms are persisting, you would require an MRI of the hip and lumbar spine, to look for disc bulges and any pinched nerves. As of now, physiotherapy and back extension exercises may be done. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com
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Suggest treatment for dryness and skin peel off after masturbation
Hi, for about 6-7 days now when i masturbate the parts of my penis that are used for the act are drying and the skin peels off. I was tested for std after the last time i had sex and the results were negative, also day by day the amount of skin that peels off decreases should i be worried and what causes that to happen? please help me because i am worriedKind Regards
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Thanks for contacting HCMYou are concerned about dryness and peeling skin on your penis> This is a form of dermatitis and can be treated with use of a topical steroid cream. After showing or bathing place a small amount of steroid cream like hydrocortisone daily. This should reduce the redness and skin problems.Hope this answers your question. Please contact us again with your health care questions and concerns
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Taking medicine for concentration. How long should the medicine be taken for it to be effective?
Hello Doctor I want to start taking methylfenidaat HCI to help me to concentrate. Can you please tell me for how long as I have to wait to see the effect of the medecine? Becuase currently I am doing a reserach which needs my full concentration and focus. What do you advice me? Thank you so much and looking for your reply
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If you feel better continue for 9 months taper it to minimum dose with breathing exercise and jogging.If that time no problem you can stop.medicine but continue your exercise.
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Is surgery only way out to treat soft spot on head in babies?
Sir my 6 month old daughter may need surgery. We have been taking her to pediatrician. We asked about her soft spot being closed at 4 months. One docter mentioned her soft spot was small at about 2 months. When we visit for check ups doctors seem to claim it was ok for size or didn t seem to notice. Now it has closed completely and they now recommend seeing a orthopedic; that her sutures, soft spot is closed. From what we researched she may need Surgery. You can see a line in the front of her forehead. What is the level of cost involved for cranial Surgery by a neurosurgeon? How successful? Is she too young? Can she still have endoscopic craniosynostosis at this age. Thank you very much. We await your timely response. As we need to consult with a Doctor ASAP.
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The time of closure of the anterior fontanel usually occurs between 4 and 26 months of age. The posterior fontanel which is the smaller of the two closes after the first month or two.If her head growth(determined by the pediatrician measuring her head circumference and plotting it on a growth chart) is normal and she is doing the things she ought to do developmentally at six months of age, then closure of the fontanel is of no concern.NO SURGERY! Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Arnold Zedd
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What causes vaginal bleeding and cramps during early pregnancy?
Hi, I am sixteen years old and took a pregnancy test last week that was positive. I took the test because my parents asked me if I was pregnant due to symptoms and morning sickness. But today I started spotting and having normal period bleeding and bad cramps. What does this mean????
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Hi,Bleeding and spotting during early pregnancy is a sign of miscarriage.It is very likely that you are already in the process of miscarriage and this should complete by itself. But if you have a prolonged and heavy bleed, please see a gynecologist immediately, as then you may require medical help.Also I would advise you to repeat the urine pregnancy test after 3 weeks.At 16 years, would advise you take an opinion from a Gynaecologist /General practitioner regarding what would be an effective and safe method of contraception for you.It would be in your best interest to delay pregnancy till you are 18 years of age.Hope this helpsRegards
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What causes fast heart rate and abnormal EKG?
My mother had a quadruple bypass in August of 2009. She went to the dr. this morning and her heart rate was fast and had an abnormal EKG. They sent her to ER and they did another EKG and it was normal and they sent her home. Should we be concernced?
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Hello. I understand your concern towards your mom's health hopefully, she will be fine. From your explanation, your mom probably has supraventricular tachycardia (SVT) more specifically "Paroxysmal supraventricular tachycardia". It's not harmful most of the time, just could be scary. Most of the time they spring up suddenly but go away in an instance and rarely require medications, except if physical maneuver fails. Warm regards
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Suggest remedy for low sperm count
hai sir/madam my pennis size is 10cm lenth and 1.5 cm round when in mood.i have a hand pump habbit. i ussually do it for 4 times a week.i am doing it since from 4 years.now iam getting very less quantity of sperms after peek stage.is there any problem in size and quantity of sperms.am i fit for marrued life.iam 23 old.
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Hello,,There will be some cause for low Sperm count like Hormonal Imbalance , testicular problems like Varicocoel. As long as cause of the problem is not known treatment will not be effective . So I advise you to get the following tests done Fasting and Postprandial Blood sugars, Serum TSH, LH, FSH , Prolactin and Scrotal Ultrasound . Depending on what your reports shows treatment shall be advised accordingly. But till that time you can ask your doctor for a prescription of Tablet Paternia which will improve the sperm count . Thank you.
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What could be the cause pain and tightness in arm?
i have left humerus pain radiating down to forearm and a tightness to hand.i have had an mri of neck and i had some pathology but was told it was mild. i am now going to have a shoulder mri to r/o rotator cuff tear or other pathology. now i have spasms to flank hips and calf? what could be wrong with me? i work in the operating room and i am getting very frustrated.i am 55yrs old and have been employed for 33yrs.
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Hello, Your symptoms may be due to cariogenic, First consult a cardiologist or Physician for proper investigations like Blood pressure checking, ECG, 2D Echo. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Krishnakanth. K
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What causes breathing problem along with dizziness and bloated feeling?
I went to the hospital on may 1st because i had trouble breathing and felt like something is pressing on my heart and left lung. last saturday i had almost the same feeling but less, i felt tired dizzy and bloated. now i still have this feeling and when i go to the toilet its not my normal its very small. and i still feel dizzy and as if someone is pressing on the back of my head.
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Your symptoms are very vague but since you are so uncomfortable and feeling unwell, its better to consult your local physician and get a complete medical check up which should involve a complete check for heart and lungs.
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Q. Kindly suggest a diet plan to reduce fat in the stomach area.
Hi doctor, This is regarding fat accumulation at major fats at stomach area. Is there any method so that it could be reduced since my marriage is fixed in 15 days. Is there any diet plan?
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Hello. Well, you have a very limited time then. Follow a strict regimen that should be performed regularly twice every day. Have a fat free, carbohydrate-less meal, protein-rich diet containing dal, pulses, green vegetables and fruits. Have a carrot, cucumber, every day in the morning after breakfast and in the evening to avoid binge eating. Walk twice a day, minimum for 30 minutes each is good. Sufficient sleep, pilates like hundreds, crunches are fruitful. Drinking enough water cuts fat deposit. At least four liters. Green tea instead of milk tea. Fibre rich diet with no rice, no banana, a low-fat milk should be included. Warm water intake in the morning before breakfast detoxifies the body.
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Suggest medications for oozing & holes in skin due to ppd allergy
Hi, my hasband has had an alllergic reaction to ppd, it has become infected and he was prescribed sulfatrim.. the sulfatrim has taken away the swelling and redness but there is some oozing and oxidation going on and the area now looks like there are holes in he skin and bleeding.. I desperately need to find him some relief he has been on these meds for four days now..please help..
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HI, thanks for using healthcare magicThe antibiotic course is normally 7 days at least, it can sometimes be extended if needed.Since he is only at day 4, it is possible that improvements will continue to occur.It is possible that he may also need dressings to the area. He may need to revisit his doctor to find out if this is necessary.I hope this helps
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How to treat gallbladder stones?
55 years old - got my period after not having it for 7 months. The day I got my period I felt cramping and shooting pains in pelvic area, but never went away. I went to several doctors and a small cyst was found on my ovary, but nothing else. Cancer was also ruled out. Do you know what could be causing this pain? Stones were found in my gallbladder around the same time and was removed. All the pain came on simultaneously - gallbladder and cramps. Do you have any idea why they don't go away. Can get very severe it I'm not on a pain reliever.
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Hi and welcome to Healthcaremagic. I understand your concerns.If your galbladder wasnt removed then it would be good to have laparoscopiy cholecystectomy and this may be cause of your pain. Ovarian cysts may lead to cramps but also hormonal imbalance or endometriosis. It would be good do do exploratory laparoscopy to see what is going on if all tests are negative. So you should consult your doctor about this,especially gynecologist.I hope I have answered you query.Kindly regards. Wish you a good health.
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Why the tip of my tongue is sore and tender?
The tip of my tongue is sore and tender to the touch, my tongue is also has a burning sensation. Last week my tongue palates had turned white, so I've been swishing hot salt water but not getting any relief. I have had a terrible eye allergy this last week but don't k ow if this could be part of that.
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i read your query.This does not seem to be caused due to the eye allergy. You did not mention your age and other habits. Cut down on smoking if you are a smoker. Dont stress yourself. White patch and burning sensation suggests lichenplanus.Visit your local dentist if it persists.hope this helps.
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What causes liquid discharge with bad odor from the keloid on the back?
I am a 52 year old woman who had an excision of cyst on the upper part of my back 4 years ago, my doctor left the site open and not stitched. Few months after that, a keloid was then developed. A year after the keloid has come out, i have noticed and smelled a foul smelling thing on my back which i believe is coming from the said keloid. i am wondering, what could this be? i have always kept my back and keloid dried and clean as possible, and yet the foul smelling still remains.
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Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand..As per your complain it seems that there is bacterial infection in the area of the scar where there is formation of keloid and the foul smelling discharge is due to infectious liquid known as Pus..You should consult a general physician or a general surgeon and get evaluated and in case of infection he can advise you oral antibiotics like Ciprofloxacin and Metronidazole, anti-inflammatory painkiller like Ibuprofen and topical treatment like cleaning the are with antiseptic solution and application of triple antibiotic ointment over it..The area should be kept clean and limit water exposure and do not cover it with a bandage..Many a times if there is recurring or persisting problem scar/keloid removal can be advised..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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How to treat swollen lymph nodes in the neck?
Hello, I am 26 years old and I am very worried. I have had swollen lymph nodes (or glands) behind my right ear, in my neck, and in my groin for the last 3 to 4 months. I also keep getting Candida or what looks like thrush on my tongue that is reoccurring. I have had oral sex from prostitutes in the past (that I dont do anymore) mostly protected but a couple times unprotected. I also had sex with a prostitute once and the condom broke, I immedietly pulled out and put a new condom on, that was about 5 months ago.Also, right around the time my lymph nodes swelled up I got pink eye, and a girl I was dating got it also but she got it a couple days later and she did not see me during that time. I was tested for HIV about 3 and a half weeks ago and it was negative. I am still very frightened about possibly having an HIV infection, even though the doctors tell me I dont. I am having surgery for a hydracele in my right testicle next week that I have had for years and is starting to become painful.and I just started dating someone I am very interested in, What should I do? Can I have sex? Do I maybe have Lymphoma, I need help.please.
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Hi Dear ,Welcome to HCM,As per your query you have swollen lymph nodes in the neck . Well there can be many reasons for symptoms you mention in query that problem related to wisdom tooth in case if you have an erupting or impacted wisdom tooth and gum flap over the tooth is inflamed leading to swelling and in the area as well as swollen lymph nodes . You should consult an Oral surgeon and get evaluated and an X ray can help in confirming the cause . The symptoms can also occur due to tonsillitis due to upper respiratory track infection or lymphadenopathy. Consult ENT specialist for this . Doctor may prescribe antibiotics along with anti inflammatory or recommend tonsillectomy .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Q. Is Mometasone dangerous to use on Face to clear my acne pimples?
Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this?
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Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online -->
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Q. Can IUD cause constipation and back pain?
Hi doctor, I had my Skyla IUD placed before two and a half years. In the last two months, my period has stopped for about two to three days. Then, again returned after another three days. This month, I had my periods for two times with terrible constipation and lower back pain. Could the progesterone be wearing off?
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Hi. IUD (intrauterine device) does not cause constipation. But, back pain can occur, because of the bleeding patterns after placing IUD. You can take syrup M2 tone (Ashoka and Lodhra) two tablespoons thrice daily for one month. Take Ibuprofen 400 mg thrice a day for three days. Take syrup Cremaffin pink (Milk of magnesia and Liquid Paraffin) two tablespoons at night for constipation. You will get relief. For more information consult an obstetrician and gynaecologist online -->
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Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Suggest treatment for transient global amnesia
My father has had two episodes of what they call Transient Global Amnesia . However, I am worried that it could be something more life threatening and wish they would do more investigative tests to rule things out. First episode was march last year- he is 57 and he was outside in winter, not to cold of a day shovelling snow and cutting up wood- physical work for sure. he forgot what he was doing and had memory loss that took approx 6 hours to subside. his long term memory intact but that day he couldn t remember the morning and a few things from the week before he forgot- ex he forgot he was renovating his own bathroom. went to near hospital. blood work, ECG done, only thing they said was low B12. He had CT done and a 48 hour CT repeated.. they said it was clear.. He was on a medication for high cholesterol, ASA and pariet prior to event. they increased ASA to 325 mg in case.. but since lowered it back to 81 mg a few months ago. Today he had second episode- almost 10 months in difference. He was shovelling snow, and it is cold weather. came into the house and couldn t remember presenting same way as last march. Went to hospital they did blood work and sent him home.. his memory is still not back and he is discharged home.. I am concerned...
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please visit a neurologist. a magnetic resonance imaging or an mri can give a clearer picture. it might be a type of dementia.please make a note of other changes you notice in him.
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What causes muscle cramps while on Docusate?
I am post knee surgery. I am taking large doses of tylenol, a little oxycodone and docusate for possible constipation. Today I have had muscle cramping (intercostal) all day. Could it be the docusate? I get muscle cramping seeverely when I ingestsulphites.
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Hi, It can be a simple musculoskeletal pain. As a first step you can take analgesics like Ibuprofen or Diclofenac 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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How to treat lower back, thighs / pelvic pain caused by vertebral protrusion?
I have been dealing with pain in my low back, pelvic region and upper legs for a couple of years now. My MRI showed an annular tear at L5 S1 with a broad base protrusion. There is no obvious impingement of the canal. My pain is worse after sitting for more than fifteen or twenty minutes and my legs are heavy and uncomfortable for the first few steps after sitting. My low back also pops and snaps a lot with movement. I had previously gone to a pain clinic and they tried injections with little, then no relief. I ve seen another pain doctor who tells me that there is no reason that he can see for my pain, other than inflammation in my SI. He injected those and I seemed to get some relief at first, but it didn t last through one lawn mowing.
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The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Between the bones we also have nerve roots originating in the spinal cord and passing through foramen between bones.You seem to be having discs at a particular level that is protruding between the bones and this protrusion is backwards and causing symptoms.The discs protruding at level L 5 - S 1 with a tear at the periphery of the disc. It might also cause obliteration of lateral recess and neural foraminal compromise. This is leading to pinching of nerves causing severe pain.There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers for up to a year. Injections are also given for relief. However this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the lower back region by a neurosurgeon. Presently, laser assisted surgical techniques and radio frequency ablation is also available.The inflammation at SI joint requires regular injections.You can try to feel more comfortable at work by taking small breaks every 30 minutes and not straining your spine especially the painful areas.
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What causes severe vertigo and nausea?
Hi- I am a 21 year old female, 5 2 , 135 pounds. Four days ago I suddenly started experiencing severe vertigo and nausea. Since then, the vertigo has been constant, though less severe now than in the first two days. I have no ear pain and have not been on any boats, roller coaster rides, bumpy buses, airplanes, or anything else that might account for upsetting the equilibrium in my inner ear. I have no history of vertigo or any other illness. Could there be a serious underlying problem, or should I just let the symptoms go away on their own?
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Hi dear,severe vertigo and nausea may be due to many reason but according to your age and symptoms not to worry much. just consult ENT specialist.at this age vertigo may be due to ear problem of tympanic membrane or food poisoning etc..also may be due to hypoglycemia or hypo tension.so not to worry about it and wait for week and if not improved consult.Thank you
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Suggest treatment for severe pain in spine
Dear Doctor, Why have I got extreme pain in the lower spine, to the left of the spine which shoots down my legs at different times and sometimes up my spine, and also sometimes I get that pain in my legs, I know it is nerve pain. I had a car accident at the beginning of February. I also get pain which is there all the time across the base of my back ( hip area ) going from one side to the other, it is always there. I have muscle spasm pain in my legs. All the pain seems to be getting worse.
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hellothis is Dr Rohitbased on your symptoms and your doubt I would say it is sciaticawhen you had trauma/accident you could have sustained 1.spinal disc prolapse 2. spondylolisthesis 3. unnoticed fracture vertebraany of those leading to pressure on the nerve roots exiting from spinal cord leading to painI would suggest to consult an Orthopaedician or neuro surgeonand get doneMRI spine to know the cause and treatment based on the findingsfeel free to ask for more questions
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What are the chances of survival in developing throat cancer ?
What is the probability of healing for someone suffering from tongue cancer and is beginning to develop in the throat? Thank you
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Welcome to Healthcare Magic Good Day There are various stages of cancer. Each stage has different Results of treatment. You must geet examined by ENT Doctor to tell you what is the possible Results of possible cure.
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Suggest treatment for high fever in a child
My 3 year old son....fever of 103.7 on Saturday evening. Has had a fever of btwn. 101 and 102.5 ever since. Tonight it is up to 101 again. It broke earlier today but is back up again. Saw doctor on Monday. He said if it does not break by Thursday to bring him back in. He s just miserable. Eyes are watery. Phlemmy cough that clears up some when fever goes down. No rash on his trunk. Just paranoid I guess. Tried luke warm bath and cool wash clothes. Piggybacking tylenol and Motrin. Anything else I should be doing?
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Hi! Thank you for choosing Healthcare magic. I'm sorry to hear that about your son. Fever is a sign that you're body is fighting off an infection. With his cough and colds, it can still be a viral infection probably of the upper respiratory tract. Continue what you're doing with the fever medicines and make sure you're giving the right dose based on your son's weight. Give him lots of fluid throughout the day in small frequent sips. You can also do spongebath to cool his body. it's just supportive and lots of rest at this point. Try to monitor for other symptoms that might arise like rashes , worsening of cough and difficulty of breathing.If any of this appears bring to your doctor so he can give additional medicines and advice. Hope your so feels better soon. Sincerely, Hannalae Dulay-See, M.D. Pediatrician
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Q. I took I-pill within 24 hours of sex and have vomiting and lower body pain. Kindly help.
Hi doctor, I had unprotected sex five days back. I took I-pill within 24 hours of sex (this was the first time). Now, I do have flow but no blood stains and following symptoms are there like lower body pain, unable to eat anything, as I vomit after eating anything (it started on the third day), and blackouts. Please let me know should I wait for two to three days more for the pill to show result or consult the doctor as soon as possible.
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Hi. You may have stomach infection if you had unprotected sex before five days only because pregnancy symptoms do take times at least 20 days from unprotected sex to show up. Do urine pregnancy test to confirm after 20 days from the day of unprotected sex. Periods can delay due to I-pill. You may have bleeding within one or two days due to I-pill as withdrawal bleeding and stomach pain may be due to it. Drink more water. If the pain is non-bearable, then consult a nearby gynecologist. For more information consult an obstetrician and gynaecologist online -->
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Suggest diagnosis for siezures.
I am having many symptoms and keep getting different diagnosis from different Dr.s. I keep sever headaches on a daily basis, also suffer from migraines. I have hypoglycemia, low potassium, hypothyroidism have also been diagnosed with possible TIA have had multiple ekgs all which have shown prolonged T waves. Have also been told that I have A-fib. I keep chills and stay cold all the time. My nose fingertips and feet stay cold.I also have balance problems have fallen many times in the past few months, having to be treated at medical center. I also suffer from siezures which they have not been able to find out why. Is there any one diagnosis that you can possible think of that I can mention to my dr. just to see if they will look into it further. Thank you
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Hello!Welcome on Healthcaremagic!Considering all your symptoms, I would explain that your symptoms could be related to adrenal gland dysfunction coupled with thyroid dysfunction. The TIA are related to atrial fibrillation. That is why it is necessary taking anticoagulation therapy, as you are at high risk for stroke, considering the repeated TIA. From the other hand it is necessary checking your thyroid hormone levels and also cortisol and aldosterone plasma levels to examine your adrenal gland function. It is necessary to regulate these hormone balances in order to have relief of your symptoms. The seizures could be related to thyroid dysfunction and hypoglicemia. It is necessary checking your insulin levels for insulinoma. A possible diagnosis which is associated to multiple gland dysfunction is Pituitary gland dysfunction. I recommend performing a brain MRI for this reason. Hope you will find this answer helpful!Take care, Dr. Aida
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What is the treatment for an injury?
I fell on a rock that had a sharp point and it hit me right below my ribs on the left side kind of between my back and belly. is there anything there that i could of hurt really bad? or is there any reason to go to the er to be checked out? thank u Abigail
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There is spleen and left kidney in that region which may get a shear laceration and bleed profusely. But, if you find yourself haemodynamically stable and don't have a rapid pulse rate, that means that these organs are not injured and no intervention is required at present.
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Suggest treatment for bilateral thickening of lungs
I have CREST and latest xrays show bilateral thickening of lungs and calcium granules in bottom of left lung I am 69, 5 7 , approx. 100 lbs, have had Crest since my 20s. Diagnosed at about 50. . My hands are hardened and curled inward. I still ride bike, walk and swim. It is getting harder to have energy. I am only on .05 prednizone and 40 mg pantoloc for esph. I live in Philippines. We moved here for care for my husband who has ALS. Should I think of moving back to AZ where my children are or will this be a slow progression? Also I noticed my eyesight is worsening, could this be lack of oxygen? We moved here 4 years ago and the weather is great for us. My husband is confined to wheelchair and doesn t have a lot of time left accoring to doctors. He has round the clock caregivers, who are wonderful and very inexspensive. The only downside is we have no insurance here, for medicare will not cover here. Thank you!
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Hello, * Sorry to say but there is auto immune response to the underlying inflammatory issue and which is responsible for the bilateral thickening of the lungs. * Preventing the secondary lung infection by immunity boost up is the best remedy you can adopt for yourself. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon
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Have catamenial epilepsy. Have seizures, convulsions. On lamictal, keppera. Suggest?
I am 26 year old female, I weigh 115 pounds( underweight for my build, medium), and stand 5 2. I have catamenial epilepsy , and now things are getting desperate . I started having seizures(I have simple partials, complex partials, grandmal convulsion, and a hybrid grandmal convulsion where I m fully concious(sp) during the convulsion). I started having seizures in 2002. I am 26 years old. I lived off of Lamictal and keppera and then in 2010, I ran into the miracle drug - Depakote! I haven t had a convulsion in over 2 years after taking this and my simple partials were not nearly as many as back then(it was horrible back then!)! And I have only had two complex partials(which were very mild) withen that time line - but then, last year, the simple Partials started kicking up again. I was stuttering like I used to in those old horrible days. And to make things even worse - I had a convulsion just 2 weeks ago. I used to take sleeping pills for over a year(I stopped after the convulsion), and yes I m sure they took role in the simple partials after waking up in the morning cause I usually don t have any if I sleep without them(unless during my period). It s very hard to fall asleep. I ve had to miss out work many times cause sleep deprivation is a trigger for my seizures. But I am confused. That convulsion I recently had - what was the trigger? I had it in the early morning, waiting for my ride to work. I was on my period, but period-based convulsions usually occure in the late afternoon. Infact majority of my convulsions occure in the afternoon. Only missed-pill and drinking(it only happend once, I was just curious about what it s like being drunk - and it was not fun)convulsions happen in the morning - but usually interrupt sleep in the middle of the night. And I took my pills and did not drink. What can I do? Thanks for any help
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Hi,Thank you for posting your query.Epilepsy can have many triggers, and sometimes, seizures can occur without any obvious triggers also.So, the correct approach is to use full dose of anti epileptic drugs, and avoid the known triggers, such as sleep deprivation, fasting, stress, etc.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist
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Why are my WBCs and platelet count abnormal?
Hi, i've been nauseas everyday for over 3 months now and i vomit sometimes too. I went to the doctor and they did blood work and my WBC was low i think 35.5 and My doctor found 2 swollen lymph nodes on the left side of my neck and one in my grion so she put me on amoxicilin and nothing happened and i got blood work done again and my WBC was normal but my platelets were high and they said my swollen lymph nodes and my neusea were too different issues should i be worried about something serious like cancer?
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Hello and welcome to HCM,WBC count of 35.5 is high and not low.High WBC count is commonly seen in cases of infection.High WBC count along with lymph node enlargement further potentates presence of infection.Thus, you need to consult your doctor to look for focus of infection.The enlarged lymph node also needs to be investigated.An aspiration cytology of the lymph node needs to be done wherein cells are aspirated with a needle, spread on slide and stained with appropriate stains.The stained cells are studied to know the site of origin and nature of the lesion.Thanks and take careDr Shailja P Wahal
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Suggest treatment for lump on the back of head
Hi. For the last year or so ive had a hard pea sized lump on the back left side of my head . It is non moveable and feels hard to the touch. The lump does not move hiwever sometimes it feels bigger than others. It feels like pressure when i touch it and i suffer with pain around the area...could this be something to worry about or is it normal.. please help?
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Hi, thanks for writing to HCM.If I were your consultant for this case of back of head nodule, I would come up with three possibilities as per your description, these include: 1. lymph nodes due to some chronic disorder like tuberculosis, dandruff, viral infection, tonsillitis or chronic throat / neck infection or even malignant diseases in elderly people!2. The second possibility is of benign and simple conditions like lipoma or neurofibroma or skin papilloma/dermatofibroma; there is nothing to worry about these! 3. The last possibility is of sebaceous cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also!I suggest you to go for an FNAC and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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What causes pain in the back and ankle post a surgery?
I am a chronic pain patient with 4 titanium screws in my back after it collapsed back in 1996. I recently had to have a total ankle replacement due to an awkward fall on my own ankle on ice. After 2 surgeries I thought I was going to have to have it fused but found a dr. who said he could take away 85% of my pain. My question is - it s been almost 2 years and the pain in both my back and ankle are always in pain. If not a low level pain it can go to a 10 when snow, thunder or any other low pressure system is on the way. How can I find a doctor that will treat me with both pain medications and physical therapy?
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Hi there.You should get evaluated for complications like arthritis, loosening or breakage of the screws, re-fracture, degeneration of the spine etc. Avoid forward bending and lifting heavy weights. Consult your Surgeon and get evaluated for the same. Take pain killer muscle relaxants like Diclofenac with Thiocolchicoside to help with the pain and muscle spasm. Apply warm compress to the painful areas.
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Suggest treatment for sore, reddened area under left breast with lump
Female 70years 220 lbs 5th 6. Have reddened area under left breast that has a center lump that is very sore when touched. Seemed to appear overnight. Soreness increasing in degree. Seems to have very small whiteheads. Is this possibly a boil? How should it be treated? Have been applying A&D ointment.
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Hi, dearI have gone through your question. I can understand your concern.You may have some cyst, abscess, fibrocystic disease of breast or breast cancer. Chances of cancer are very less likely. But you should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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What are the side effects of mastrubation?
hello ,,,does the masturbation make any double vision? i have been doing it since i was 14 years old and i am 22 years old now i feel double vision now and once i have it my eyes hurt me i always do it every 1 week one time only...and what should i do to my eyes?
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HelloExcessive indulgence into masturbation may cause various harmful effects on your overall health Double vision might not be related to it, so I would advise you to consult an ophthalmologist for detailed check up for refractory error and ophthalmoscopyYou should take multivitamin and vitamin A supplement after discussing it with your doctor.You should control this habit now 3 to 4 times week is still OKHoep this answers your questionPlease don't not hesitate to ask for further assistance.Best wishes
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Suggest treatment for Knee Pain
I took a hard fall this morning onto my left knee. It is now very swollen. I can hard put any weight on it and it hurts to more it at all. I have had other semi recent trauma to the area. But this fall is the worst pain I ve ever felt. im worried I may have torn somthing.
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Here there is only one way of checking it, that is visit a ortho or physio doctor. With out checking it physically we can not guide you. Knee is one joint where even if there is a internal damage of ligament or menisci injury person can use the cold pack frequently and can recover up to some extent But complete recovery may not be possible. So I suggest to visit a doctor get it evaluated properly since you have swelling and pain and if there is range block then I am sure there must be internal damage to. Doctor may ask to go for MRI if needed. You can go ahead with this and based on report orthopedic will give you either surgical or conservative physiotherapy plan along with some medication which you can follow as it is. And I am sure you will recover if this is followed step by step.Take care.
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Can a bed bug bite lead to bleeding?
Hi. I work in a daycare and after folding and putting up bedding after nap time, I felt something bite my ankle on the front and looked down to see a small brown thing on it and swiped it away. I then notice it was bleeding and want to know if it could have been a bed bug?
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Good day and thanks for your question. It could be an insect bite (bed bug) which was itchy and scratching it might lead to inflammation and subsequently bleed. Hope it helps. Thank you.
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Q. Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same?
Hello doctor, I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well.
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Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days.
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Can accidents cause delayed rib trauma?
I was in a car accident 5 days ago. Taken to hospital with pain every where the seat belt hit me including left breast and base of ribs on left side, and shoulder and neck pain. X rays and cat scan were clear, no broken ribs or spleen issues. Today 5 days later ribs right under breast has sharp pain. Bad enough that when I move it hurts Breast has bruised deep purple completely under breast and have a small bruise at base of ribs. Any help as to cause of pain would be appreciated
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Five days is a long time for any delayed rib trauma or any fracture to occur, it must be a soft tissue bleed under your breast and around rib base that has lead to formation of hematoma. So don't worry take anti-inflammatory medication containing serratiopeptidase , give hot fomentation over the bruise and relax it will take some 10-15 days to resolve.....tc care
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What causes stoppage in periods?
hi Dr, I once had sex with my boyfriend o nthe 18 January 2014 tryin to concive, i did see my period and i check pregnancy test and scan it showed that am not pregnant,well i continued to have sex with my boyfriend on the 15th,21st and 22nd February 2014, well i did pregnancy test yesterday on the 2nd March still it shows that am not pregnant, even my ovulation test yesterdy.now because i havn t see my period we want to start thins fresh and we decided to take yasmin pills and am also taking folic acid pills, it is ok?was think that yasmin pills makes period reggular because once i start them on the first line i have to see my period after seven days so i was thinking to atteck before period,is that a good idea because i want a baby so bad.please hide my ID
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It seems you do have irregular periods. that is why the pregnancy test is negative. it is ok to take pills for 2 to 3 months and then stop and then try to concieve.
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Taking femilone pills. Weight loss. Medication side effect?
i dont have any problem with it. I m taking femilone pills from last 3 yrs after 1 baby. i dnt want any other child but i m experienced 4 kg wait loss since last 3 yrs. it was 48 kg now it is 44 kg.Is it due to these tabs. or whenever i will discontinue these tabs will i suffer from any side effects like wt.gain,0r any other?till how many yrs we can continue these tabs safely?
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Hi, thanks for asking in Healthcare Magic. Femilone contains Desogestrel and Ethinyl Estradiol. Generally COMBINED oral contraceptives can result in weight gain. Both estrogen (water retention) and progesterone (androgenic action) are responsible for the weight gain. Desogestrel in Femilone is a progesterone preparation. It is devoid of the androgenic property of most other progesterones. So it does not result in weight gain. But as a progesterone, it results in severe nausea, loss of appetite and bloating sensation in stomach all of which can contribute to your loss of weight. You should stop Femilone at least 6 months before you plan for your pregnancy. Although it may take only 1 to 2 months for the return of ovulation and fertility to in some persons ovulation may be delayed. Weight gain after stopping the pill is not noted in many people but in your case the improved appetite that may occur on stopping the pill may contribute to weight gain. Loss of 4 kg in a span of 3 years is not a drastic weight loss and may not necessarily be due to pill and could be due to other factors like stress. Being hormonal preparations, both estrogen and progesterone can result in increase in blood sugar level (pre diabetic) that can also contribute to weight loss. However since you are taking the pill for 3 years, it is better you consult your treating Dr to rule out other causes of weight loss. I hope this helps.
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