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What causes severe chest pain?
My partner is a 26yr old male, approx 5'11, about 115Kg, eats a lot of high in salt foods and has recently started complaining of severe chest pain near his heart, he has a stressful job has a chef which leaves him quite tired at the end of a 12hr day, can you please tell me what's going on with him? | Thanks for your question on Healthcare Magic.I can understand your concern.In my opinion, we should definitely rule out cardiac chest pain first.So get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases.He is also having stressful life. Stress can also cause similar kind of chest pain.So better to consult psychiatrist and get done counselling sessions. He may need anxiolytic drugs too.Don't worry, he will be alright. Tell him to avoid stress and tension, be relax and calm.Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks. | |
Prescribed Nexium for reflux, strong stomach pains in the night, chest pains radiating into shoulder and throat, shivering. Reasons ?
I had reflux and was prescribed Nexium 40 mg, I took this the last 3 nights. The symptoms lessoned but I noticed strong stomach pains in the night. Today I woke up with flu like symptoms, sharp chest pains , radiating into my shoulder and throat. I am also shivering . I think I may have the flu, but it s a bit scary having the chest pains. | Hi, Thanks for posting your query. Do you have fever/ watery diarrhea/ constipation/ spasmodic abdominal pain/ nausea or vomiting/ acidic belching/ mucus discharge during defecation? With the available described symptoms, there could be possibility of acute viral gastroenteritis. Myalgia is an integral prodromal symptom of viral infection. You should consult with internal medicine specialist and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, endoscopy and serum electrolytes. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics. You should maintain your hydration by taking potassium rich liquids. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava | |
Bladder cancer survivor, noticed blood and seminal fluid. PSA exam done, checked prostate and had biopsy. What does it mean?
8 Year bladder cancer survivor. Mayo Clinic patient. Last visit August 2013, last month. No cancer detected. Last PSA exam 1.0 - doctor checked prostate, no concerns, urine came back no cancer cells floating around, ETC ... doctor entered bladder, took biopsy of one very small area, and reported negative returns. A few days ago .... while going to the bathroom to defecate, I noticed blood on some seminal fluid that dripped out of the tip of my penis due to borderline constipation and apparently the force to relieve myself caused this fluid. I have ordered another PSA test for this Monday. The last PSA test was 3 months ago. Any opinions? Thank you so much. | Hello and welcome to HCM,Appearance of blood at penile tip could be due to blood in urine rather than blood in semen.Since there is history of bladder cancer in the past, there could be due to re-appearance of cancerous growth in bladder.At PSA levels of 1.0 ng/ml, prostatic cancer is unlikely.You need to get urine examined for malignant cells and bladder cystoscopy to see the inner part of the bladder.If there is any growth in the bladder, a biopsy can be taken for microscopic examination.If there is presence of tumor, chemotherapy and BCG treatment needs to be given.Thanks and take careDr Shailja P Wahal | |
Suggest treatment for aggressive and abusive behavior
My boyfriend s father had a stroke 3 years ago. He has lost the use of all but his left hand but it is very week. My boyfriend takes care of his father during the day and works at night while his mother watches his father. This is taking a toll on my boyfriend’s health in many ways. Before the stroke, his father was a mean man who cheated on his mother and put my boyfriend down, not to mention gambled away 100,000 dollars in life savings. Since the stroke, the father is even worse. He constantly puts the family down and threatens to kill them. On Friday, my boyfriend said his dad threaten to kill him 4 times in the most horrible of ways. The dad has also physically hurt his mom and sister with his good hand. The sister does not want to take care of the father and goes off with her boyfriend, leaving the mom and my boyfriend to take care of him. The cops have been called numerous times and they and a lawyer have said that his mom should divorce his dad and turn him over to the state. His mom has not looked into doing anything. My boyfriend wants out so bad. He is depressed all the time, has gained weight, and barely gets any sleep. The family feels hopeless and every time my boyfriend brings up that he wants to move in with me and start a life, his family thinks he is a horrible person. He has given up 3 years of his life and contributed to the family s finances while the sister has done nothing and the mom wants to be a victimized wife. My boyfriend does not know what to do and neither do I. What can be done? The family doesn t have much money to put him in a home but they shouldn t be subjected to the Dad s cruelty. Where can we look for help? | Hi, thanks for the query. Lets look at this problem in 2 parts; part 1 is your boyfriends dad being an abusive kind of person even prior to episode of stroke suggesting a personality pattern (antisocial personality disorder possibly) part 2 being the recent bouts of physical & verbal abuses after having suffered from stroke. Depending upon the location of brain affected by stroke; stroke is known to cause certain behavioral & personality changes like aggression, depression, excessive unprovoked laughter or crying spells etc. These changes can be ameliorated to a certain extent by use of psychotropic drugs like escitalopram, quetiapine etc. You should consult a Neurologist & a Neuropsychiatrist for proper assessment & drug prescription. Hope this helpsGood Luck | |
Suggest treatment for fever, sneezing and coughing
My 4 year old son had a fever with sneezing, cough, stuffy/run nose this past 3 days. The fever is gone nose still runs off and on but the cough is very persistent...continuous and sounds really bad from the chest. Not sure of what to do...it sounds bad. | hi according to your history any fever in children persists for 3 days need to evaluate best option is channel a doctor and child might need some blood investigation and if the lung sign oblivious might need x ray toosputum colour also important whether it's yellow or white sometimes might need antibiotics | |
What could black spots in laparoscopy and colposcopy be?
I had a pap and an HPV test. HPV test came back negative. Pap showed squamous cell CA. I had a laproscopic (sp?) colpo that revealed black spots that appeared to look like cigarette burns and clusters of bumps together like a raspberry....biopsy results not available for another week. What could they be checking for? | Hi, dearI have gone through your question. I can understand your concern. Your pap smear test shows squamous cell carcinoma. Your colposcopic findings are also suspicious. You have high chance of squamous cell carcinoma. You should go for four quadrant cervical biopsy. It will give you exact diagnosis. Then you should 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. | |
Suggest medication for itchy white patches in my inner thigh
Hi I have small white patches on my inner thigh and it itches when I walk..my legs are necessarily rubbing together though.....when I scratch it becomes flakey when im sitting iot sort of itches but not as much when I walk im a small girl about 128lbs | Hello and welcome to healthcaremagicI would keep a possibility of fungal infection. This is because closely opposing body folds e.g thighs and groin, axilla, submammary folds etc can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation.If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/sertaconazole/luliconazole cream, twice daily, regularly for 4 weeks. Etaze AF cream contains topical terbinafine+mometasone. I would rather prefer a plain antifungal like clotrimazole/sertaconazole/luliconazole because mometasone if used for too long can cause side effects like skin atrophy and striaeSince you are already using an Oral antifungal e.g oral terbinafine once daily. I would suggest you to continue with it for 4-6 weeks for a more complete cureAn OTC antihistamine e.g cetrizine 10mg once daily would help you in symptomatic itch relief.Keeping the folds dry by using an antifungal dusting powder would help in preventing the recurrence.regards | |
Suggest remedy for constant back pain
I have had constant back pain since the middle of last year. It first started in the center of my lower back but has now spread up into my spine. My spine hurts now when pressure is exerted on it. It also hurts when I bend forward and backwards. I also get a lot of muscle movements in my back. They started in the center of my back on either side of my spine, now I feel them in my stomach and on the sides of my body. My muscles on both sides of my spine are tight and get really sore especially when sitting. Sometimes my back muscles feel tingly. I have had an X-ray but doctors said they couldn't see anything so they advised me to have physio. I have been having physio for 9 weeks now and my spine and its surrounding muscles still hurt. The pain has spread to other areas of the back since I first started physio. What is wrong with my back? | welcome to Health care magic.1.Your x-ray findings are normal, you may try get MRI lumbar spine done.2.It will help to analyse the status of your disc and nerve and chord. Depending on the findings you can do the needful things.3.The back pain exercise you keep doing on the daily basis.4.A back support / belt is needed in some patients depending on the disc condition.5.Find out the cause and then do accordingly.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. | |
How can cellulite on the buttocks of a child be treated?
My son is 10 and slightly chubby but since a young age, even when slimmer, he has had a lot of cellulite on his bottom, he also has man boobs, I though maybe just hormones. Also his penis isn t very big, I m now worrying as he is approaching puberty that something is wrong | Hi.... I understand your concern. By what you say I feel that your child is having morbid obesity and along with other features which you have quoted, I feel he may be having Prader Willi Syndrome. I suggest you get in touch with your pediatrician and get him evaluated accordingly.Regards - Dr. Sumanth | |
How to care a mentally sick person who refuses medicines?
What is the best way to care for a mentally sick loved one? We cannot keep her permanently in an institution and if we bring her home she makes everyone misrable. She will not take medicines at home (because she feels she is well and does not need them). Please Help. | Hello,If you have taken her to a psychiatrist and have a diagnosis- then you can ask the doctor to prescribe liquid formulations of the drugs instead of oral tablets (that can be added to the food items.) refusal to take meds and to go to a psychiatrist is a common problem in psychiatric patients.many a times a psychiatrist can be requested to make a home visit and talk to the patient indirectly- thereby examining and interviewing her.So, try to take her to a psychiatrist once ( may even require force to doso) and then one may give meds mixed in food for sometime. With proper meds taken regularly for sometime, patient shows good improvement and many times starts accepting the oral meds.Hope the reply is useful for you.Wish you good health.Dr. Manisha GopalMD Psychiatry | |
Is conception possible after supracervical hysterectomy?
I am 44 yrs old, 5'5'', 290 lbs. I had a supracervical hysterectomy in 2003 due to dysmenorrhea and fibroids. I still have my ovaries. I have one child now aged 15 but born at 24 weeks in 1995. My question is: Is it possible for a pregnancy to occur? | dear Ms, the fact that you haveyour ovaries means that you can produce oocytes. providing that your ovarian function is optimum. the fertilized oocytes needs a uterus to be implanted for pregnancy to occur. you can use a serragate mother if your country law and your religion permit. in this case your oocytes will be fertilized by your husband sperms and then implanted in another woman uterus | |
Taking cymbalta for fibromyalgia. Trouble sleeping. Is there a tricyclic antidepressant which would not cause weight gain?
Hi. I spoke to a Dr.yesterday about trouble sleeping taking cymbalta for fibromyalgia and wondered if I could go back to the amytriptolene that I took before that was ok. I wanted to take it at night to sleep and the cymbalta in the daytime, He said the combo could be a problem with seratonin syndrom. Therefore after I am off the cymbaltra I will go back to amytriptolene. I was trying to lose weight on cymbaltra which I did 10lbs. But I couldn t sleep and ached and got depressed. Is there a tricyclic antidepressant that doesn t cause weight gain? I plan to see my Dr. this week. Thankyou | Hello Welcome to Health Care Magic Cymbalta belongs to SNRI group and it has no effect on weight. While almost all of TCAs will have weight gain as side effect but they cause sedation so help in sleep. And combination will definitely result in Serotonin Syndrome. Other option you can discuss with your Psychiatrist regarding addition of some sedative drug for sleep for some time and continue taking Duloxetine for your problem of fibromyalgia. Thanks Dr. Seikhoo Bishnoi, MD | |
What does "rbc morphology abnormal" mean?
i am looking at my lab results online and it says RBC MORPHOLOGY abnormal... whats this mean for me? and what is the RDW? it is out of the normal range they gave meWBC 6.7 RBC 5.44 HEMOGLOBIN 12.1 HEMATOCRIT 39.3 MCV 72.2 MCH 22.2 MCHC 30.8RDW 16.3 PLATELETS 292 MPV 11.3 NEUTROPHILS 68.0LYMPHOCYTES 24.4 MONOCYTES 5.4 EOSINOPHILS 1.2 BASOPHILS 1.0 NEUTROPHIL ABSOLUTE 4.5 LYMPHOCYTE ABSOLUTE 1.6 MONOCYTE ABSOLUTE 0.4 EOSINOPHIL ABSOLUTE 0.1 BASOPHILS ABSOLUTE 0.1 PLATELET EST. ADEQUATE PLT COMMENT LRG PLTS RBC MORPHOLOGY ABNORMAL | Hi, dearI have gone through your question. I can understand your concern.According to your RBC indicies your RBCs are slightly decreased in size. RDW suggest red cell distribution width and it is almost normal. No need to worry about that. You may have mild iron deficiency anemia or may have some other disease. you should go for peripheral smear examination and serum iron and ferritine level. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
Q. Is surgery advisable for abductor spasmodic dysphonia?
Hello doctor, I suffer from abductor spasmodic dysphonia diagnosed nearly 11 years ago and I have received Botox injections every three to four months since then. Generally, they did work over the years until the last two years or so outcomes have been very poor. The last Botox shots by GA (six units left side) were a month back and again not successful, leaving me with little or no phonation. Botox is the only treatment offered in my area. Over the years I have tried every possible cure like prolonged speech therapy, laryngeal massage, vocal exercises, transdermal microphone, hypnosis, occupational therapy, and psychotherapy. Nothing proved to be a success. Surgery is the only option at this stage. I have had discussions with various ENT doctors who say they can see the problem very clearly but it will be very difficult to resolve. Two of the consultants strongly suggest thyroplasty type 3. Another suggested arytenoid adduction or coagulation of the PCA muscle by radio frequency. I am asking you for independent advice as to which surgery is best to restore my voice at even a relatively acceptable level. I understand thyroplasty type 3 and arytenoid adduction but should I choose thyroplasty 3 over coagulation of PCA muscle by radio frequency? I look forward to hearing from you. I have got videostroboscopy done. | Hi. First of all, you have to know that among spasmodic dysphonias, abductor variety is the least common type. In this, your vocal cord is away from the other vocal cord and the muscle is in unrestricted contraction resulting in voiceless or breathy voice. So, the treatment is mainly directed to reduce the contractions or spasms of posterior cricoarytenoid muscle (PCA). This can be achieved by mainly two treatments. One is Botox injection and the other is surgical which is mainly nerve ablation. The main treatment is Botox. Each Botox lasts for approximately six to eight weeks. Last failed botox may be due to fibrosis of muscle due to repeated injections. You can once again repeat the injection. That may be the best option. Surgery in abductor spasm is rarely done and not in literature. Avoid surgery. The next thing you can do is voice therapy. All cases of abductor spasm may have nasal flaring. You can sit in front of the mirror, start with vowels and sentences and try to reduce nasal flaring by looking into mirror. By reducing nasal flare, your voice will gradually increase. For more information consult an ENT otolaryngologist online --> | |
What causes hard lump on forearm?
Hi, Yesterday a small lump suddenly appeared on my forearm. The lump has diminished but now there is bruising in the area and a hardish pea-sized lump under the skin. A few days ago I had some skin biopsies on my elbow on the same side. I m not sure if this is related to the recovery from the biopsies or something to be concerned about. Thank you. | Hello and welcome to HCM,Development of skin lumps is not associated with previous biopsies.Healing of biopsies will lead to redness and healing scars but not lumps.The lumps need to be investigated for the most probable cause.Lumps in the forearm can be due to soft tissue swellings.Aspiration cytology of these lesions is required to know exact nature of the lesions and thus plan treatment.Thanks and take careDr Shailja P Wahal | |
Q. I am suffering from chronic migraines. What to do?
Hello doctor, I am a 30 year old male, who is suffering from chronic migraines. Occasional marijuana seems to have helped. But, I test positive for drug tests. What do I do? | Hello. I just read your query. Try all these regularly for good results. I hope you find my answer helpful. For more queries, you can consult me. Thank you. For more information consult an ayurveda specialist online --> | |
What causes platelets count fluctuation with pneumonia, heart and sugar conditions?
one patients is suffering from the platelets count fluctuation. now patient is admitted in hospital due to sever pneumonia, now pneumonia is controlled. but platelet counts are still fluctuates, as per the doctor, it could be either ITP or MDS, (actually we don't know much about these two dieces) please note that he is an heart & sugar patient as well. his age is 70+. This was found out by doctors before 3 year and taken treatment. | Hello and welcome to HCM,The platelet counts are decreased in viral infections.In case the pneumonia was viral in origin, the platelet counts can decrease along with pneumonia.The platelet counts recover when viral infection is treated.ITP is also known to occur in viral infections.Thus, there is possible relation between pneumonia, ITP and low platelet counts.However, the diagnosis of ITP is confirmed after examination of bone marrow aspirate.MDS is also diagnosed on bone marrow examination.Thus, whether your patient is suffering from ITP or MDS, it can only be diagnosed on blood film examination and bone marrow examination.Thanks and take careDr Shailja Puri | |
Suggest treatment for epilepsy
dear doctor my son 20 years old getting diffrent type of epilepsy and gettin aggressive some three to five times a day we were giving him clonazepam (rivotrill) and Valporin now we have stopped what i can we give him to control his convelsion (seizure) | Hello Thanks for asking from HCMA lot of individuals with epilepsy mood symptoms like aggressive behaviour are seen. Mood swings aggression can occur due to persistent mood changes because of chronicity of illness. Other reason for aggression is illness itself, aggression can occur due to increased seizure discharge in brain. You have stopped Sodium Valproate and Clonazepam. I would advise you to consult your doctor again and start Sodium Valproate again. The drug is an anticonvulsant and has good mood stabiliser effect. The drug will help to control mood symptoms and seizures also. If seizures and aggression are not controlled with medicines then other augmentation medicines like Levatiracetam, Lacosamide etc can be used. Secondly for his aggressive spells I would advise you to give clonazepam in SOS basis only. Don't self medicate him and if problem persist consult a neuropsychiatrist for evaluation. Thanks | |
Continuous cold and cough, LFT showed high bilrubin, prescribed cough medicines, liveril forte. Guidance?
Hi Doctor, I am Kapur/28/M. from last month I am having cough/ cold related symptoms. I was taking antibiotics and other tablets. In LFT my sgot is 55 and sgpt is 74 bilrubin 0.9 direct bilrubin 0.2 and indirect bilrubin 0.7. Also my weight got reduced by 4 kg. I saw many doctors and most of them are concerned only about bilrubin and told me that other counts are fine and asked me to medcine for cough/cold and liveril forte for sgpt control. Can you please guide me. | Hi, Thanks for writing in. Certain antibiotics can cause alteration in liver enzymes. In your case the alteration is very minimal and should not be a cause for concern as other liver enzymes are normal. You can continue with liver tonics containing ornnithine such as hepamerz tablets. Stop the antibiotics as early as possible. I hope this answers your querry. With regards | |
What causes disturbed sleep in a child?
my child is one and half year but he eats little only solid food is khichdi once in a day and rest is milk .also he does not have a sound sleep .he used to wake up after 2 to 3 ours at night also .are these the symptoms of having some worms in his stomach?please tell me... | Hello. Welcome to HCM. As a Sleep Baby Consultant and also a Certified Breastfeeding Specialist i would say that this has nothing to do with worms in the stomach. The sleep disturbance in babies are very often due to behavioral manners than a medical condition manner. He uses a prop/association to sleep. He needs to sleep independent and able to soothe himself. Just keep a good bedtime routine. At this age he need only 1 nap a day and a 12 hours stretch sleep at night without any waking. If you are breastfeeding him make the nursing the first thing that starts the routine and not the last. If you have again difficulty contact me and we can do a sleep training for your baby. | |
Is conception possible after having intercourse during periods?
i stopped taking birth control pills on the 9th. i got my period from the 12th-16th & had unprotected sex on the last three days of my period (14th,15th,16), i did not take the next box of birth control pills because i forgot to order them. can i be pregnant? | HiGREETINGS Chances of pregnancy is very less since you had sex immediately after your periods,.You had unprotected intercourse only 12 to 16 while on menses.Much before ovulation. Hope my answer helps you. Regards | |
Suggest treatment for cough & asthma
Hi Dr,my 2yr old son,has been having irritating cough,then later on will have an asthma attact is it save to give him Ascoril expectorant syrup.and he has been having an attact it s every month since February this year...won t miss any month till today...please help | Hello,Thank you for asking at HCM.I went through your son's history and would like to make suggestions for you as follows:1. Were I treating your son, I would suggest him daily montelukast for at least 3 months.2. I would suggest him allergy testing which will help you identifying allergies, if any.3. I would also suggest him avoidance of dusts, smokes and air pollution as much as possible.4. A healthy diet rich in vitamins and minerals will help improve his immunity and prevent repeated infections. Please make sure that his hemoglobin is maintained around 13-14 g%, it is also important for immunity.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health ahead.Thank you & Regards. | |
Q. Can migraine cause sharp pain in ears?
Hello doctor, I have a migraine. I have readjusted my eyeglasses prescription for headaches. I feel sharp pains in my right and now started to feel like it is in my left ear as well. Please help. | Hi. If you would have presented to me as an outpatient, I would have told you that your medical history is grossly inadequate to make any clinical impression. Migraine is unlikely to cause sharp ear pains. It may be related to inner ear pressure abnormalities, eustachian tube abnormalities or TMJ (temporomandibular joint inflammation). Stress caused by wearing improper eye glasses can cause stress headache which can cause precipitation of even migraine episodes. Meanwhile please start taking tablet Tryptomer (Amitriptyline) 10 mg once a day at bedtime. Along with that start mental relaxation exercises, Pranayama, and yoga. These things will likely help you. Please have an ENT opinion also. | |
How will I know if am completely cured of non-epileptic seizures/conversion disorder?
Hi, I have Psychogenic Non-Epileptic Seizures/Conversion Disorder. I have a few questions: If my seizures FINALLY stop, will I still have to put CD on my medical forms and things like that? When would I know if my seizures are gone for goo? And should I wear a medical bracelet? | Hi,Thank you for posting your query.I have noted your medical details.I would like to reassure you that you would be completely cured with treatment. You need counselling and psychiatric medications.There is no need to put CD on your medical forms after you get cured. Also, there is no ned to wear a medical bracelet.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Q. My 2. 5 month old kid has tongue tremors. Is this due to SMA?
Hello doctor, I have a 2.5-month-old who I recently noticed developed a tongue tremor. I looked up online for the causes and found them as SMA. She has great motor control, we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement. My doctor believes it is benign tongue tremor, unfortunately, we had a telehealth appointment due to COVID so he was unable to see her but he told me not to worry and to keep an eye if things get worse. I am so scared it is SMA, what else should I be looking for? | Hello, Welcome to icliniq.com. History noted as above, your 2.5-month-old has developed tongue tremors. Please provide me more detailed history such as preterm or full term, birth weight, normal delivery or LSCS. How is her weight? Is she gaining weight and let me know more about family history or any other in the family suffering from SMA (spinal muscular atrophy). SMA is confirmed only by Genetic testing or by muscle study. There are many types of SMA some of them develop symptoms later in life and a few develop in early life. Keep a watch on her development like head holds muscle tone and power and let me know me know if tongue fasciculation increases and the child becomes more hypotonic. | |
What causes intermittent bruises on the leg arms and tendons?
I have bruises that appear intermittent on leg, arm, bones, tendons. As well as white marks that look like needle sticks since more than a year, they appear the evening and seem to be caused in the night before. They look like a triangle. Are these signs of disease. 3 dots at every angle. What is this? | Hello,Abnormal bruising may be caused by clotting disorders. You need to see a doctor and have blood tests done to sort this out.Regards | |
Suggest treatment for red rash,itching and swelling on face
I have a red rash on my face that appeared after getting sun through the car window on a long drive south. It seems to come and go and is itchy. I have had roscea on my nose - could this be more of the same? My face also seems a bit swollen on my lower cheeks. thanks | Hello,Thank you for posting on HCM.Acute sun burns are sometimes frightening but nothing to worry as its pretty easy to manage.Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day.Antihistaminics and antioxidant tablets can additionally be added.Use high SPF broad spectrum sunscreen everytime before going out in sun.Cold sponging will definitely help.Hope this will take care of your issue.Wish you best of health.Thank youDr Hardik PitrodaM.D Dermatology | |
Have hand tremor, body pain, burning, numbness, tingling, fever, nausea in the morning, low blood pressure
I have hand tremor since last 5 years And since last 2 year ..I am getting severe pain in my entire body... I am suffering from different kinds of severe pain like burning, numbness, tingling in different parts of right side of the body from head to feet.Sometimes it happens in the left side as well. Sometimes I get the pain throughout the body but sometimes it is at particular parts like in the nerve from the ring finger to the wrist, just below the elbow, in the shoulder, right cheek, near the right ear,below the right ear at the neck, right side of the chest, in the waist, thigh joint, knee, and nerve from the finger of the feet. I feel numbness in one nerve from the knee to the feet. All these pain makes me weaker and causes fever almost every night.(The temp remains normal or low temperature nearly 97.5-97.8) The pain gets more acute with more physical stress. Any pressure in hand or leg increases the numbness leading to pins and needles. Sitting at a particular position increases the burning sensation and cramps at the back. I have hand tremor since last 5 years. But it was not causing much problem to me. But because of all these pain and weakness the tremor has also increased. Feel nauseatic normally in the morning because of Low BP(90/60) | HIThank for choosing HCMAs usual you also have not mentioned here your age and sex, any way here is the answer (May not be much helpful).This could be essential tremor, but need to be differentiate with Parkinson's disease, this not a low blood pressure, it is your idea that low blood pressure induces the vomiting and nausea, in case of low blood pressure first symptom would be syncope, hope this will help you a lot Have nice day. | |
Q. Do you feel that the enhancement of a rib on MRI is due to metastasis?
Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold. | Hi. Revert with the images to a radiologist online --> | |
Are nodules in the pancreas cancerous?
I have a history of ulcers that were treated with antibiotics last year, this year I had 3 hernais pop up, now a pancreatic nodule was found in an ultrasound, i go for a CT scan tomrrow. Are all nodules in the pancreas cancerous? are the ulcers and hernias a secondary condition because of this pancreatic nodule? | Since your ultrasound is showing pancreatic nodule i would suggest u do biopsy from nodule to see whether it is malignant or not.Blood test for Ca 19.9 will also help.CT scan of whole abdomen also needs to be done.Hernias and ulcers are not related to pancreatic noduleRegardsDr DE | |
Q. Are the medicines I am taking for chronic diarrhea effective for my condition?
Hello doctor,My weight is 47 kg, and my height is 5 feet and 9 inches. I was diagnosed with chronic diarrhea. The doctor has suggested medicines like Normaxin, Rifagut 400 and VSL#3. Are these effective for chronic diarrhea and gas? What foods should I take so that I start gaining some weight? | Hello. Hope I have cleared your concerns. Please feel free to get back as needed. Good luck. For more information consult a medical gastroenterologist online --> | |
What causes raised bumps on a baby?
Just got back to Colorado from vacationing near Cancun,Mexico. Our 10 month old daughter has small, raised, pimple like bumps. They were flat for the full week we were there, and now they are raised. They are not spreading, but just raising up considerable more. They look just like the pictures of bed bug bites. Is this the usual pattern when they are going away? It doesn t seem to bother her at all, but looks awful. We just wondered if this was the normal appearance, going from flat, to raised over a week or so, or if she might need a little help from a dr. Thanks | Hello, It's so hard to say. In general, that can be a healing pattern. As long as you are not seeing an open sore, or any redness, or pain when you touch or squeeze her where they are, it's problem OK. Sometimes there is also a little increase in pigmentation/color as the skin heals. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Lisa Baker, Pediatrician | |
Q. Is it normal to bleed heavily with clots after medical abortion?
Hello doctor,This is an emergency. I underwent a medical abortion at eight weeks stage and everything was going fine but suddenly since yesterday, I have been bleeding very very heavily. It happens suddenly and there are large clots as well that passed out. I took the medical pills two weeks back. Please can you help me out? | Hello. If you are having heavy bleeding then probably your abortion was not complete. You should immediately get an ultrasound scan to see if the uterus is empty or not. If the uterus is not empty then you have to get it resolved by removal of products of conception by using instruments. If you will neglect this it may lead to sepsis and adverse effects on your health. | |
Suggest treatment for lump in neck with abnormal PAP
Hi, I had a blood test done about 8 months ago and everything was normal. I had another blood test done because of an abnormal pap & it said my absolute eosinophils were high (1100) It says normal range is 5 - 500. I got a biopsy for the abnormal pap today. I have also been a little worried about a little lump in my neck, left side, moves around easily but in the same area. Would like to get your thoughts on these issues, Thanks. | hi.it could be a separate entity. tho there's still a possibility for it to be related. have your neck lump checked by a doctor. a physical examination would be of help. it could be a lymphadenopathy/lymphadenitis which could be secondary to an ongoing infection. or it could be lesion with an etiology other than infection. further diagnostic examination (such as neck ultrasound or ct-scan) and management will be directed accordingly.hope this helps.good day!!~dr.kaye | |
What is the treatment for dry cough and wheezing in a child?
the problem is the pt is a60 yr old and heis c/o dry cough and infrequent wheezing for 3 yrs.his exam revealed hypertension &his tests acreatinine of 2 &cardiomegally and bilateral interstitial lung infiltrates.How to combine these findings ,from his history i am expecting obstructive lung disease rather than interstitial / | Hi....by what you say, I feel that the patient may be having COPD... Chronic Obstructive Pulmonary Disease.The other findings you mentioned seem to be age related changes.Regards - Dr. Sumanth | |
Having lower back pain in periods after taking of ibuprofen, what could be the problem ?
Hi. My girlfriend is normaly Ibuprufen tolerant. However when she is close to her period, if she takes this medication she can sometimes have severe stomach pains. Today she is within 2 or 3 days of starting her period and has pains in her lower back similar to if she has a trapped nerve or has pulled a muscle. She has taken 400mg of Ibroprufen and now has bad stomach pains. Why could this be? | She should not take the ibuprofen empty stomach, take tab Ranitidine along with this | |
How long does co-amoxiclav side effects last?
i take co-amoxiclav for 7 days, 1 tablet every 12 hours, after taking the drugs i experience its side effects, i have slight diarrhea and rashes appear in my skin although its not itchy. What should I do, how many days will the side effect last. Thank you. | Thanks for contacting HCM. dear patient you have not mentioned why are you taking this medicine. If you are developing rashes after taking it then you must stop this medicine immediately as anaphylaxis can be life threatening and should always remember to avoid it in future. Always tell your doctor that you are allergic to this drug as further exposure can be life threatening. Diarrhea cause by c0-amoxiclav usually stop by itself in a day or two after stopping drug, if it persists beyond that you ca take sporolac and amicolon sachets twice daily for 3 to 5 days. Similarly rashes usually disappears in a few days after discontinuation of medication but if that does not happen then you cat take cetrizine once a day and prednisolone 10 mg twice daily for 2-3 days. Regards | |
Suggest treatment to control nightfall and widening of shoulder
Hi doctor i am 22years of old and weighted 65 kg and 5.8tall,my problem is nightfall how can i control this its happening frequently in me.my body shape is also not good my shoulders are not wided how can i come up from this doctor please reply me i am waiting for your answer. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Night fall or wet dreams is a natural process in human males where old sperms are removed from the body to make room for new sperms as the process of sperm formation is ever going in males. Some people who are not sexually active will get frequent night falls while others who are more sexual active will not have it as they ejaculate there sperms and body does not need to remove them to make room for newer ones. Hope I have answered your query. Let me know if I can assist you further. | |
What causes watery eyes in kids?
Hi my daughter was just playin an she said something bout her left eye it was tearing at the time.so I looked an it like a srach.at the time I used a little light to see and u could see its one the eye but not in it wat she I do .rite not she s ok the eye is not tearing. | Hi,She might have an accidental scratch with finger nail or something while playing. Just wash thoroughly with clean water. If it is painful you can give paracetamol. You need to take her to doctor only if she develops photophobia (discomfort / pain in bright light), eye redness or sticky eyes.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician | |
How to treat numb feeling in feet?
My left foot feels like it goes cold and hot. It was swollen 4 days ago but has gone done and basically looks normal. It started 2 weeks ago after going for a long walk for the first time since spring rolled around. During the end of the walk, my legs felt very tired. 2 days later, my leg started to feel funny. It had this pain around the front calf & front of the ankle that felt like someone was pulling my leg hair....or pulling my veins, today the pain is almost gone. And I only felt it when I put my socks & shoes on. A week later, I puled up my pant leg and really noticed my socks leave a deep crease in my leg when I wear them. I never noticed it before. When I wake up in the mornings, it feels and looks great and normal. By the evening now, it feels hot/cold....annoying feeling. A numb feeling...but not numb..... Could this be from the long walk? | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.Numbness is caused by sort of hormonal,calcium or vitamin deficiency. Another possibility is neuropathy,protien loss,that can be cured by pregabalin tablets.You can get an Xray and detailed blood profile done to find out whats wrong.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. | |
Suggest treatment other than radiation therapy for esophageal cancer
My aunt (aged 51) has been diagnosed with Esophageal cancer in Stage 4. Doctors are advising radiation therapy combined with chemotherapy. They also doubt whether she can withstand radiation therapy since she is too weak and weighing only 35 kgs. Is there any other treatment available? How long is the life expectancy? | Hi,Thanks for writing in.Cancer is a difficult condition to treat and if your aunt has stage 4 cancer then survival even with the best care can vary from 6 months to two years. It is important to know the exact area of cancer involvement. Cancer in esophagus happens due to the growth extending in to the lumen and then proliferating to cause obstruction to ingested foods.Surgery cannot be done at this stage and therefore radiation therapy has been recommended by her doctors. To increase passage of flow through the cancer area, you can discuss with your doctors if she can be given monitored doses of radiation followed by inserting a metallic stent to cause improvement in swallowing. Radiation is best and chemotherapy may be even more difficult for her in this case. Please do not worry. | |
What is the solution for fever, cold and cough and if pus cells are found in urine of a baby?
Hi My daughter is 8 months old and had fever, cold, cough for 3-4 days. Urine test was done and found out in the result that pus cells count is 8-10 hpf. Please suggest remedies for this. We have given another sample for culture test and is due in a couple of days time. But in general, are there any natural remedies and is there anything to worry about? | Pus cells 10-12/hpf in urine indicate urinary tract infection which is the possible source of the fever the child is suffering from. It might also be related to a viral infection which generally causes the cough and cold. You need to visit a doctor and get it treated with a full course of antibiotics. The doctor will be able to subsequently tally using the culture and sensitivity reports if the antibiotics are supposed to be effective in the particular case of your daughter. The main natural remedy to reduce such infection would be to drink plenty of water which will help in flushing out the infection and would provide relief. It has to backed up with proper antibiotics and you need not worry if the course is completed. Maintaining proper hygeine is essential. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
How can a fluid filled blister on the gum be treated?
I HAVE A TOOTH NEXT TO THE BACK TOOTH ON BOTTOM THAT HAS A SILVER CAP. I HAVE A BLISTER THAT HAS CAME UP ON MY GUMS UNDER THE CAP A LITTLE. IT DOESNT HURT BUT IS LIQUID FILLED. IT GOES AND COMES AND HAS FOR 2 OR 3 WEEKS. ANY SUGGESTIONS. TOOTH DOESNT HURT AT ALL, SHERRY | Hi..Thanks for the query..A fluid filled blister on the gum below the tooth that has a silver filling can be due to Periapical Infection causing abscess formation..However it can also be due to gum Infection leading to gum boil formation..Pain is none to minimal in cases where the fluid or pus drains off and due to which there is no pressure build up..But to rule out the exact cause consult an Oral Physician and get evaluated and an x ray should be done..If there is tooth Infection then Root canal treatment can be done followed by antibiotics and painkillers..If there is gum Infection then localised cleaning can be done followed by antibiotics and gum paint massage..Hope this helps..Regards.. | |
What causes severe back pain that radiates to the leg?
I have severe pain from mid shin down for over 2 months ankle stays swollen and turns black and blue been tested for clots all good circulation all good xrays no fracture. I have severe back pain that radiates down my left leg could this be the cause | Hello, Thanks for your query.It seems you are quite disabled due to pain. Low back pain radiating to legs may be due to lumbar spine disc prolapse or spinal stenosis. I would suggest to consult a spine specialist and you may need to get Xrays and MRI of the spine.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Q. My cousin is on Carbamazepine, but still getting seizures. What to do?
Hi doctor, My cousin has a history of epilepsy and using Depakine Chrono 750 mg twice daily. He used Allopurinol and got allergy and fever along with seizure. He was given Hydrocortisone injection and Carbamazepine 100 mg twice daily for 10 days and increased to 200 mg twice daily after that. But, she still gets seizures. Last night, she got twice at 10 PM and 4 AM. Her body temperature is about 37.2 degree Celsius. | Hi. I read your query and understand your concerns. If your cousin was seizure free before Allopurinol, then I do not think Carbamazepine is the right thing for her. She should be given anti-epileptic such as Clobazam, which has immediate action. I think Carbamazepine should be stopped gradually and his treatment protocol should have added Clobazam per day for a duration of two to four weeks and dose of Depakine -Valproic acid should be increased. In case, your cousin is having recurrent seizures despite Depakine 1500 mg per day, then there is a need to increase the dose of Depakine. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The recommended dose of Depakine in seizure disorder is 15 mg to 35 mg per kg per day and for her weight it will be somewhere 1500 mg to 3000 mg per day. For further information consult a neurologist online --> | |
Is azoospermia curable or not?
husband has zero sperm count (azoospermia) m 29 years old all my reports are normal what are the solution i m maried for 3 years, with al the reports normal, my husband has zero sperm count(azoospermia) doctor says we cannot have our baby as this infertility is not cureable | Hi welcome to hcm.I have gone through your question.Azospermia should be investigated with color doppler ultrasound of scrotum to rule out varicocele, to see vascularity and if needed vasogram should be done. Then one can comment that azospermia can be treated or not.Hope i answered your question.Would be happy to help you further.Take care. | |
Q. Kindly tell me about the cut in the mouth of a patient with lichen planus.
Hi doctor, I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male. | Hello. The cut you are referring to seems to be due to cheek bite (attachment removed to protect patient identity). I need to know if there is any pain in the cut or pain on taking any specific food or liquid. I need to know when where you diagnosed with lichen planus. And have you been taking any medicine for that? The whiteness around the cut seems the keratinization that usually occurs due to the cell growth around the cut and that is normal. I would advise you to maintain good oral hygiene and if you have pain, apply some analgesic ointment on the cut. I would also advise you to have a visit to your nearest dentist in order to rule out any other disorder. | |
How can back pain due to a degenerative disc disease be treated?
My husband has been diagnosed with an irritated nerve root from his lower back several years ago. The pain radiates down his hip and leg. He has been to a pain clinic here in Canada where they started him on opiods for pain . He has seen 2 neurosurgeons after having MRI s done and both have said that there is nothing they can do for him. He also has lower back degenerative disc disease which of course cannot be treated with surgery. Even with the oxyneo twice daily plus morphine 2mg for breakthrough pain, he still suffers. I would love to see him off the opiods but it seems as if nothing else helps. He has been for acupuncture, chiropractor, physio, massage...you name it and he has tried it. What would you recommend that he should do. | Hello, I have been through your question and understand your concern.Degenerative disc disease usually causes persistent pain and sometimes refractory to the pain killers. Since there is no indication for surgery and you have used several treatment I would recommend epidural steroid injection.Hope this helps. Please feel free using healthcare magic for further questions | |
Q. Which mast cell stabilizer would help my multiple allergies?
Hello doctor,I am a 23 year old. I have got a lot many allergies. Actually allergy from almost everything. 15 to 16 to be precise and reports of my prick test are attached. I get stomach problems, hyperacidity, indigestion, hives (urticaria), sinus, breathing problems and my eyelids and a part below that stays swollen almost all round the year. My weight fluctuates a lot. There is a difference of 1 to 2 kg somedays in the morning and evening measurements. The things stay under control when I pop in about two antihistamines a day and 2500+ mg Vitamin C and occasionally vitamin D. But management is difficult. I have tried diet changes and everything. Bromelain helps too. I also have anxiety issues for which having 25 ml rum every night helps me and stops me from getting so frustrated that I stop everything.I am allergic to ghee, neem, wheat, dust, paper dust, cats, mouse, fish, chicken, milk and milk products, and few more insignificant things that I cannot recall at the moment. Immunotherapy will not work that is what my last doctor said and well, to be honest, it was so expensive Icould not have gone for it anyway. Please give me something so I can reduce the amount of medicines I take. I was actually looking for a mast cell stabilizer that brought me here. | Hello. Cromolyn (Cromoglicic acid) is a mast cell stabilizer. Sodium cromoglycate is the chemical name for it. You must try allergen avoidance. That seems to be the only way. Allergy to so many substances will make immunotherapy very difficult. The success of avoidance depends on how strictly you follow it. It will be very cumbersome initially but over time you will learn to avoid the offending stuff. Although regarded less predictive than skin prick test, blood allergy testing may be useful in you in reducing the positive allergen detection. If we are able to pinpoint to fewer allergens then avoidance becomes easy. Blood allergy testing or specific IgE testing is called immunoCAP. For more information consult an allergy specialist online --> | |
Can missed period be a symptom of pregnancy?
Hi, My wife took a postpone tablet on the 28th day of her cycle and on the same day we had unprotected sex. She also took a emergency contraceptive pill (iPill) after 48 hours of our intercourse. She has not got her periods yet. and today is 32nd day after her last period. Is there any chance that she is pregnant? | Assuming that she took the iPill within 72 hours of intercourse as you describe, she shouldn't be pregnant. The fact that her period is delayed may be a result of the iPill which can sometimes cause irregular periods. However, if you also had intercourse at any other time in the cycle, without taking the iPill or using another form of birth control, then she could be pregnant. I would recommend taking a pregnancy test either way, just to make sure she isn't pregnant.I hope this answers your question, please let me know if you need any more information. | |
What does brown spotting and a little bleeding after IUI indicate?
Hi doctor, I have done iui on 11 feb 2011, right now on the 24 feb 2011 I have a brown spotting and a little bleeding when I go to the bathroom, after iui my doctor gave me crinone 8% insert to vagina I m so scared right now, this is my second iui 2 month in a row, and I already have miscarriage twice, is that s mean Im not pregnant doctor? Thank u so much for your answer | HI, I understand your concern. After IUI the injected semen fertilizes the ovum.. so mostly IUI is done around ovulation. The ovum is viable till 36 hours & sprm remains active for 3 days of ejaculation. After fertilization the fertilized ovum migrates to uterine cavity & gets implanted by 8 th day of fertilization. In your case the bleeding can be implantation bleeding.. Which is evident in many patients. So please don't worry, be +ve. you do have all the chances to conceive successfully this time.( IUI being simplest way to aid conception & also all the factors as detailed above, needs to be repeated a couple of times ).. Crinone is a hormone essential for maintenance of pregnancy.. you should continue to use it/ avoid physical or psychological stress & wait patiently for +ve response. Thanks. | |
Have depression and forget to eat. Feel happy and sad for no reason. Bipolar?
Hi, i get manic sometimes, which causes me to start a project and keep going until my body can t take it. I even forget to eat sometimes; i get really depressed when i finish my project . People think that i tend to over react all the time and that my emotions are out of control, sometimes i m really sad or really happy for no reason. My friends think that i m bipolar, i don t think i am. Thank you for reading | Hello and welcome to Healthcare Magic. Thanks for your query. Having alternating periods of "mania" and "depression" can be indicative of a Bipolar disorder. However, there can also be other possible psychological causes for such mood fluctuations, like certain types of personality disorders, etc. A detailed history and psychological assessment is required to make a definitive diagnosis. ince your problems seem to be causing you a lot of distress, I would suggest that you have a detailed evaluation by a psychiatrist, so that appropriate treatment can be initiated. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | |
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? | 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 --> | |
Suggest treatment for pain in the back of head and around heart
Hi. I am 23 years old. I have sharp pains in the back of my head. I don t get them often but they hurt badly when I do. I have also been getting sharp pains in my chest around my heart. My biggest problem is my back. My whole back is aching all the time. My muscles feel stiff all day long. When I bend over it feels like my muscles are pulling apart. It is very painful and constant. My family doctor didn t seem too concerned. She gave me Naproxen which made me feel weird, and shaky and didn t help me at all. Then she gave me two different types of muscle relaxors which knock me out or make it so I cannot function and it didn t ease my muscles or my pain. I have a 4 year old daughter so I need to be able to function. Please give me advice. | Hi, The best way to find out what's going on with your back is an MRI scan of your spine. Try to talk to your doctor to refer you to that exam. Meanwhile, try to practice light yoga, it is very good for your back. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lilit Baghdasaryan, Cardiologist | |
How to treat the back pain caused by falling?
hey i'm concern about my lower back because when i was playing basketball i landed on my lower back real bad and i've waited a month for the pain to go away but it haven't. it seems if i do anything physical like working out, or anything my back goes out and its hard for me to stiff my back straight i'm 16 years old an i'm really scared this can cause me not playing basketball anymore | Good evening. Well you need to consult a spine specialist and get an MRI of the spine done. If the symptoms happened after a fall, one needs to rule out ligament tear or some minor fracture in the vertebra. Try using some analgesics and physiotherapy sessions. but do consult someone at the earliest. | |
Applied face wash to cure acne, did not wash it off, little damage to skin. Cure?
Q: How do you cure skin that has been taken by acid? (not a lot of skin) Background: I have been using a face-wash lotion called neutrogena that cures acne treatment (and etc.) and i have been putting on my face and i did not know you were supposed to wash it off. (i kept it on) This face wash has 5% acid and i have been using it over the past year and it has not done any damage except a little now on my left side of my face. It is not big, it is small but not too small. I don t know what to do to make my face back normal, do i stop using it or use a certain/different kind of lotion or what? | Hi, Welcome to Healthcaremagic. 5% acid is not strong enough to cause any apparent damage to the skin.Need not worry. If you feel it has really affected the do stop the offending agent and start applying calamine lotion which will surely nullify the effects of the acid. Wish you good health. | |
Why does a person wake up in the middle of the night and do strange things? What is it?
HI JUST WANT TO ASK A QUESTION ABOUT MY HUSBANDS SLEEP PATTERN HE DOESNT SLEEP MOST OF THE NITE HE WOULD GET UP OUT OF BED AND WALK AROUND THE ROOM SEARCHING FOR THINGS SOMETIMES HE GOES DOWN STAIRS AND BRINGS FOOD UP TO THE ROOM AND EATS IT ALL WHILST SLEEPING HE WOULD SOMETIMES REMOVE MY PAJAMAS LAST NITE HE WAS UP AT THE WINDOW TRYING TO OPEN IT IS THERE ANYTHING U WOULD SUGGEST THAT HE COULD DO TO STOP THIS | Hi there, your husband seems to be suffering from what is commonly known as sleepwalking and sleep eating. Technically they are called somnambulism and are a group of sleep disorders known as parasomnias. It would help to develop a good sleep hygiene and avoid any habits associated with loss of sleep at night and daytime sleeping. Good sleep hygiene handout at this website is helpful - . It might also help to consult a doctor if none of these suggestions seem to improve sleep. I hope this helps. | |
What causes burning and painful sensation at the back of neck and headache?
I ve been having this burning and painful sensation at the back of my neck every time I sit down in a chair for a prolonged time. When I turn my head either way, it makes this loud cracking noise. The pain is only on the left side. I ve also been having severe headaches lately. | hithank you for providing the brief history of you.A thorough clinical examination is advised along with MRI of the spine.as the pain you are facing might be related to the pinched nerve in the cervical and lumbar spine where you face symptoms of pain and burning sensation.Also, taking an MRI of cervical and lumbar spine should help understand the level of the nerve root pinch and the correlation between clinical findinga.I will recommend you to undergo physical therapy as most cases in my clinical practice responds well to physical therapy.RegardsJay Indravadan Patel | |
Suggest remedies for difficulty in conceiving
hi i am 35 i conceive quickly normally it has took nearly 6 months now i am o neg blood group i had my last baby in december as it was christmas eve they were late giving me my anti d is this why i am not getting pregnant we are active 2-3 times over the whole of my fertile days and few days before also | hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..can delay in giving anti d causes delay in future pregnancy..right.my straight forward answer is- NO. anti d not related to delay or getting pregnancy.let us discuss about the anti d. anti d is the antibody( immunoglobulin), which are given in the negative blood group women to protect the future pregnancy from the harmful effects of the antibodies against the positive blood group baby. so during pregnancy when mother with negative blood group giving the birth to a positive blood group baby, the anti d is given to the mother within 72 hours after delivery. because during this period the protection effect of drug is highest. it can be given up to 28 days after delivery but it is less effective.lastly I want to tell u that anti d will not causes delay in future pregnancy. it is only having protective effect for future pregnancy from antibodies against positive blood group.I hope the above information is useful, informative and helpful for u.regards-Dr sudha rani panagar(i can understand ur tense-full situation DON'T WORRY, delay in giving anti d will not delay the future pregnancy) | |
Oral infection caused by composite filling in the teeth, taking Oflin. How long should the medication be continued?
i am suffering with oral infection caused by composite filling in the teeth . when i found it did not suit to me, i asked the dentist to remove the composite. after removing the composite, infection became more sever and it is almost now 3 months are becoming completing. i used number of tablets related to anti allergy . but there was no use. atlast i realised that it is infected i have to use antibiotic . then with the advice of a doctor i started oflin 200 mg. since 3 days i am using these tabs 2 per day. morning and night. i found 50% is alright within these 3 days of course. can u suggest something for me now at this moment with regard to prescription and how long that i shall continue this medication etc.? | Hello, Ofloxacin is not the best choice of drug in this case; and the only addition would be metronidazole to cover the anaerobes. Anti-allergy treatment only helps with the swelling and the real treatment would be to ensure the nerves are not exposed and reinfection occuring in the future. Do consult your dentist to ensure root canal treatment is not the long-term option here. Thanks. | |
Bleeding during urination, horrible stomach ache after missing taking birth control pills. What to do?
Im 18 im on the birth control pill have been since may. I usually start tuesday at the end ofthe month. When my pack is at the end on green is when i start. Ive been missing takin pills friday i went to bathroom urinated n it was blood yesterday i had the worst stomach pain ever. Whats wrong with me | Hello. Thanks for writing to us. The missing of the pills is causing a withdrawal bleeding. The pain in the lower abdomen can be related to the premenstrual symptoms. You can take an over the counter anti spasmodic and see if it helps.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,drrakhitayal@gmail.com | |
Why do i have ache like pain underneath my breast or near chest area?
I'm getting ache-like pains up underneath my breast bone, sometimes travelling out my back and up around my chest area. i had my gall-bladder out years ago but the pain can be quite similar. i'm on 15mg of neomarcazole for hyper thyroidism. Could that be a side effect?? | Thanks for your question on Health Care Magic. I can understand your situation and problem. No, this kind of pain is not a side effect of neomercazole. But this kind of pain is seen if thyroid hormone levels are abnormal. Neomercazole is used in hyperthyroidism. So possibility of thyroid hormone imbalance is high in your case. So better to first get done thyroid function test to rule out thyroid imbalance. If it is present than you need dose adjustment of neomercazole. If thyroid function test is normal than no need to worry for it. Possibility of muscular pain is more. So take painkiller and muscle relaxant drugs. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
How to treat cut calf?
i cut my calf muscle from side to side. about half the muscle was cut. it happened 2 weeks ago and i have just started to walk on it. I don t have the money to pay for physio but wanted to know what exercises are the best to do to get my leg back to being operational. | Hello, As I would like to know if the wound is healed. If healed now what is the status of the movements of the foot. Are you able to move the feet up and down easily along with toes? If so then doing gentle massage over the wound region to make it flexible. Slow stretching of the calf muscles and strengthening exercises of the thigh and leg muscles should help. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Suggest remedy for stinging pain in the place of cut on foreskin
I am 43 years old married man.Two weeks ago I got a small cut in the top potion of my fore skin of my penis.I used some antiseptic cream and got the cut cured.Now my problem is that during erection of my penis ,at the place of that cut round area , flexibility of forskin has been lost and at that place in round maner it tights the penis like a sting has tightned the penis. In result I feel very uncomfortable and it seems that veinas of forskin will burst. Please advice what should do I? | hithe cut on the foreskin has gone through process of inflammation which ultimately leads to fibrosis and due to fibrosis the foreskin has shrunken and it will be much difficult for you to retract the foreskin over the glans penis, this condition is called phimosis and this would get worsen over the time, i would recommend you to get your circumcision done to get rid of this problem once and for all. | |
Uterus not opacified, fallopian tubes not visualised, TSH is 5.64, cause of infertility ?
i am 32 years old female. My HSG Report says Uterus : Is not properly opacified Fallopian Tubes :- Tubes are not also visualised No spallage noted. My TSH count is 5.64 Of late,my periods are coming at an interval of 34-35 days though it happenned at an interval of 30 days previously. Unable to concieve since last 8 months. Kindly advise. | hello welcome to HCM HSG report - from what you have mentioned suggests may be the dye has not filled the uterus and tubes properly Under the circumstances it can be repeated or you can go for the next level like a laproscopy diagnosis TSH seems slightly elevated usually upto 5 is normal - but please check the normal range written in your report if the periods are delayed then you can proceed with a pregnancy test and see if it has worked all the best hope to have answered your query Dr Nandita Thakkar | |
Suggest treatment for loose stool in kids
My 7 month old baby has been having frequent (4-5 times daily), green/brown oily/slimy loose stools with loud toots for the past 36 hours. His behavior hasn't changed and he is sleeping normally. He hasn't ran a fever or been sick in any other way during this. I have recently started him on solid foods. Should I be worried?? | Hello,Thank you for asking at HCM.I went through your baby's history and would like to make suggestions as follows:1. I find nothing to worry with him as there is no fever, no vomiting and no signs of sickness. So please do not worry about such frequency of stools.2. I would only suggest you to continue breast feeding and give more liquids during day such as coconut water, rice water, lemon water, etc. Please avoid fruit juices and cold drinks if possible. You can give him ORS also if he accepts it (Some babies may not accept it because of its taste).3. If diarrhea persists or worsen, I would suggest you his stool examination in laboratory as well as consultation of a pediatrician. In that case supplementation with zinc and probiotics may also be helpful.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your baby the best of the health ahead.Thank you & Regards. | |
What do elevated WBC levels indicate?
Hello. I have had an elevated wbc for the past couple of years every time I go to the doctor for routine visits. These high levels were not when I had any notable infection, just routine bloodwork. My levels usually stayed around 11 or 12, with the highest being last week when my count was 16. I have a hemotologist that I see regularly for anemia, which is now under control. My pcp is sending me back to my hemotologist to have this high wbc further investigated. Should I be concerned? My dad has leukemia. Also, when I had my bloodwork drawn, I had bacterial vaginosis. Could this cause my wbc to be 16? | Hello,First of all, your bacterial vaginosis is an important reason for your elevated white blood cell count. You should get a repeat blood count done 2 weeks after the infection has settled.In addition to this, a peripheral smear should be able to rule out any suspicion of leukemia, though your history doesn't suggest any such thing.You can share your reports if you want to inquire anything else. | |
Can breathing problems be result of underlying allergies before septorhinoplasty?
hi.. i had septorhinoplasty some time ago but still expeience breathing difficulty thru my left nostril. i can do heavy weights as a result of this. at night i need to sleep on my left side so that i can breath better.. the GP said it could be a result of underlying allergies before surgery that are causing a proplase? | Hello,Welcome to HCM,Allergy is condition where our body immuno system hyper react to the substances which are not tolerated by the body.The procedure which you have undergone is to make your airway clear.Allergy as such cannot completely eliminated from the body but its effect can be brought down by immunotherapy either by sublingual immunotherapy or subcutaneous immunotherapy.Present symptoms may be due to the existing allergies in your body.Identify the allergen by undergoing skin prick test.Then you can take proper treatment.Thank you. | |
How long does punctured vein take to heal after angiogram?
I just had angiogram 3 days ago. My heart arteries an not clogged and are healthy. I am concerned about my groin area, how long does the punctured vain takes to heal? Does it ever heal in such a way that I don't worry about it?At present all look good from outside. | Hello. Thank you for your question and welcome to HCM. I understand your concern. The femoral artery is used to retrogradely go to the aorta and the coronary arteries to check them if there are blockages or not. The punction site can be considered healed in the first 48 hours. In our clinic's experience, the patient who underwent the angiogram via the femoral pathway is advised to assume a lying position, without moving the leg, for 12 hours. Thereafter he/she can stand up, and for 24 hours should ambulate by not giving angles to the leg of pucntion. After 48 hours, to be sure, even showering and light to moderate activity are allowed. Congratulations on the good news you had from your coronary angiogram. I hope I was helpful. Take care. Kind regards, Dr. Meriton | |
What does abdominal pain with fever and nausea indicate?
im haveing alot of abdominal pain below my belly on both sidim haveing alot of abdominal pain below my belly on both sides its buring blowed stabbing feeling worsens when i move ive had slight fever and ive had nausea for awhile now what could it be and what should i do? | Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you for a urine routine,microscopic and culture sensitivity test to rule out a UTI. In addition, I would go for some routine blood tests like a CBC, blood sugar, and also an ultrasound of the abdomen if thought necessary after a clinical examination of your abdomen to rule out any kind of other intra abdominal pathology, like inflammation/infection of any of the organ therein. In case of a female patient, would also think of a gynaecologist consultation to rule out a PID. Further management would depend on the clinical findings and reports of the investigations noted. Till then, you could go for an anti spasmodic drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Is there any way to remove the stitch mark ?
hi, Am 22 years old and 8 months back i got a surgery done on my nect near the chain line. its very much noticable mark and it has a bulging skin on the stitch area. i wnat to get rid of this. is there any way to look out. | Dear Jaeshela, Welcome to Healthcaremagic! You are suffering from hypertrophic scar or keloids. There are a number of treatment options available. 1st get it properly diagnosed by doctor who performed the surgery. If it's a simple scar or hypertrophic scar, you can go for scar revision surgery. Fraxel Laser is also a good option. Topical gels like Hexilak or silicon gel/sheets can also be used. For keloids, best results are seen with intra-keloidal injections of triamcinolone. Good luck. | |
Why experiencing tingling and numbness in shoulders and tightness in chest?
Hi, I have been experiencing tingling and numbness starting in both shoulders and then tightness and pain in the brisket area of my chest and lasts a few minutes then it kind of feels like it moves to my stomache and tingling goes down my arms and then I feel fine (weird). More frequent now than yesterday. | Hello,In my opinion, we should first rule out heart diseases for your tingling and numbness. So get done blood pressure monitoring, and 2d echo. If all these are normal, then no need to worry about heart diseases. Sometimes vitamin B12 deficiency can also cause similar symptoms. So get done vitamin B 12 level and if deficiency then you will need supplements. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar | |
Suicidal thoughts, depression. What is cure?
i m 40 year old lady having one son of 13 years. my husband is in love with other lady since about 10 years who have 2 sons. now since 2 years i come to know this. my husband is blaming me for very small matter of house or family. then torchers me that you r not doing properly or sleeping whole day. he don t allow me to do job or extra activity. he says, if i will start earning, i will go to my daddy s home. yesterday he told me that some of his friends r doing well today due to their hardwork and he is diverted on wrong track. so can t expand his business of construction,interior. now i can t understand how to behave with this guy. some times i feel that he will suiside. | Hi there ~ I understand that you have been having a tough time handling your husband's mood swings and feel like he is at the end of his ropes and is contemplating ending his life and has depression. I concur with you regarding his wanted to be treated. I feel that you have been stressed out yourself with his extramarital affairs. I suppose you both need to see a family therapist who can help you both out with your marital discord and also have you guys be referred to a qualified psychiatrist so that you can benefit from being treated appropriately with psychotropic medications as well as counseling. I hope my answer helped. Take care and have a good day ! | |
Q. Which anti-anxiety and insomnia medicine will not raise blood pressure and heart rate?
Hello doctor,One of the doctors (DM) prescribed me XeFexor Duo (combination of Flupentixol and Escitalopram) for psychosomatic symptoms due to persistent anxiety. All my tests like TMT, 2D echo, 48 hours Holter monitor, ECG, kidney or liver tests, blood tests, vitamin tests, etc are normal. I read the side effects of Flupentixol like thrombosis, embolism, QT prolongation, etc., and I am little nervous about this medicine. I am yet to start it. Are Flupentixol and Escitalopram safe and effective for anxiety induced somatic symptoms? I am currently taking Metoprolol Tartrate (50) twice a day, Amlodipine 5 mg (twice a day) and Atorvastatin 10 (once in the night). For insomnia one of the general physician (MD) prescribed Mirtazapine 7.5. I have been taking Mirnite 7.5 for last 3 months. I was convinced about Mirtazapine safety and decided to give it a try. It makes me sleep though quality of sleep is not great. What is your opinion on XeFexor Duo? Do you recommend any other medicine for persistent anxiety and insomnia? I need something that should not increase my BP and heart rate. My BP is very much controlled (less than 110/80) and resting heart rate is normal too (70). | Hello. You must understand that there is a difference between potential side effects that are reported with the drug and commonly seen side effects with a drug. While the side effects that you mentioned have been reported in the literature, they are not common and I have not seen any of my patients having them while on the medicine. Still, this does not mean that there is no risk of having them. But the risk is minimal and almost every medicine (psychiatric or otherwise) has a risk of developing some or the other side effects. I use it for anxiety and psychosomatic symptoms in my patients and I find it effective. However, it may not work for everybody. The only way to ascertain is by taking it for two to four weeks. By the way, Mirtazapine at a dose of 15 to 30 mg is also effective for anxiety and psychosomatic symptoms and you can ask your doctor about it. For more information consult a psychiatrist online --> | |
Recurring itching on the shin. Used cortizone in the past. Not responding to steroid creams now. Why?
Hi,I have a recurring itch on my right shin. I was told I had this as a young child and my mother treated it with some sort of cortizon ointment. When it seemed to come back during the last few years the itch would normally be light for a day or two and then get intensified to the point where I'll itch until the skins breaks. I tried using some low strength cortizon cream for a week but could not notice any real effect.The itch tend to come and go. I might be itchy for about 4-5 days and then not itch for a week or two and then come back again.What could it be? | Hello mitra Welcome to healthcare magic It seems like you are suffering from chronic eczema what we call lichen simplex chronicus. But a fungal infection (Tinea) has to be ruled out by a dermatologist first. If it is lichen simplex a mild steroid like cortizon may not work. You might require a more potent steroid like clobetasol propionate ointment twice a day. Frequent application of a moisturizing cream will also give added benefit. Avoid touching or scratching the rash as it tends to worsen it. So half the treatment is in your hands. Hope this helped Take care. | |
What relieves the sore palate, swollen and bleeding gums?
I have stopped smoking now for 4 months and as a result suffered from sore palate and tongue, swollen and bleeding gums. I have been to the dentist and am keeping my mouth really clean and though not as bad my gums are still tender. What can I do to help this go ? How long is it likely to go on for ? I have been smoking for 30 years with the exception of stopping both times I was pregnant . | Hello and welcome.Thanks for sharing your concern.you require gingival scaling(cleaning).That is cleaning the gums.Once the dead,infected and diseased gum tissue is removed.Then automatically there will be reduced gum bleeding.Continue with your oral hygiene measures and also do three to four times gargling with warm saline.See your dentist in this regard.Hope it helps.Thanks .Take care. | |
Q. Is the painless lump next to my anus a hemorrhoid?
Hello doctor, I have a blue or grey or purplish raisin sized lump next to my anus for three to four days now. I believe it is hemorrhoid but as I have never had one before and I am not sure. It almost looks as if a small blood clot is inside due to the blueish hue. It is not painful (maybe slightly uncomfortable at worst), it is not itchy, and it does not bleed. I never had rectal bleeding or any blood in my stool, and I have no abdominal pain or discomfort. Several days ago I did strain slightly while passing a massive bowel movement and it was after this BM I noticed a bit of soreness around my anus and then felt and discovered this lump. I have no other symptoms or issues other than this small lump. I am a 31-year-old healthy female with no medical history, I take no medications other than an over the counter multivitamin, and I have no known allergies. Is there a way for me to send a photo for reference? | Hello. I saw the image (attachment removed to protect patient identity). It looks more like external hemorrhoid with a blood clot within. Is it increasing in size? How are your bowel habits, frequency, and stool consistency? Please revert with details so that I can give a specific opinion. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Short-tempered, unappreciative spouse, behavior causes depression. Treatment options?
Hi Dr, Im having problem in my marriage life because of my hot tempered hubby..he dont appreciates me for whatever i do,im trying more than my level best to become a good wife and most of the time i just kept quiet when he shouts at me..day by day it causes more depression to me and i feel like want to find another companion to ease my pain...plz advice me....thank you | Hello, Thanks for using health health acre magic for posting your query. Keeping quite is not a right solution. Any problem can be solved only by having a proper talk. You can stay silent when he is very angry but ones things settle down, you should discuss what actually went wrong. If you feel that your marriage is so troubled then in that case you should talk to him and convince him to seek a marriage counselor or marital therapist. That would help you both. Other than this you should take care of your health. Get evaluated for depression and if there is any seek treatment for the same. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than happy to help you. | |
Is hypothyroidism curable with medicine in a child?
hello! I am Sukhninder Kaur. I have children - one elder and then twins. One of the twins is down syndrome. My elder Son recently diagnosed with thyroid. He is 9 years old. His TSH is 579 and FT3 and FT4 are also not normal. Doctor prescribed him thyronorm 100mcg. I want to know whether he can get rid of this problem or not? Is it a lifelong problem. For your information i would like to tell you that me and my father have also thyroid. | Hypothyroidism can be congenital or acquired such as after thyroiditis. Either way the child will need to take thyroid replacement therapy for the rest of his life. Your child with Down Syndrome also has a higher risk for developing low thyroid function so should be tested periodically. Fortunately, thyroid hormone replacement does solve the problem entirely. | |
What does hyper-inflated lungs in chest x-ray report suggest?
My Chest x-ray report shows the followings Broncho vascular markings of both ling fields are accentuated - suggest bronchitis Both lungs appears slightly hyperinflated Both Hilum are slightly congested.Both Domes of diaphragm appears slightly flattened.No consolidation / collapse of lung seen. Costrophrenic angles are clear. Cardio-thoracic ratio is normal Bony thorax is normal.What does all these mean? | Thanks for your question on Healthcare Magic.I can understand your concern. Prominent bronchovascular markings and Hilum are commonly seen with bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. This patient may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS).If this patient is smoker then smoking cessation should be done first. Hope I have solved your query. I will be happy to help you further. Wishing good health to this patient. Thanks. | |
What do these blood sugar levels during pregnancy indicate?
Sir my wife is predancy 8 month raning now. Before 7 month blood sugar is ok,but just start 8 month blood sugar is fasting 77mg/dl and after lunch 171 mg/dl.So I am and my wife very apsad.Tale me fasting 77mg/dl-----after food 171mg/dl is ok or bad my wife and my baby is ok.... | Hello, Thanks for the query.The blood glucose levels fasting 77 mg is normal. However, 171 mg after lunch if that is after 2 hours, then does signify presence of gestational diabetes. My suggestion is get a Oral Glucose Tolerance Test done immediately. If the test values are above 180 mg after 1 hour, & >153 mg after 2 hours, then it is confirmed as gestational diabetes. This has to be immediately controlled first with dietary control. If that does not work, then Insulin injections . It is absolutely essential to maintain blood glucose between 90 to 120 mg all through out the day. For expected normal outcome of pregnancy and for the health of the fetus this is necessary. Increased glucose level can lead to a bigger fetus (macrosomia) and difficulty in delivery. So please get the necessary test immediately. Then follow doctors instructions meticulously. Thanks. | |
Suggest medications for swelling in inner labia
Hello well on Saturday I had sex and we used condoms since then my inner labia has been swollen and it hurts so much that I can't even have sex. It hurts when he tries. To penetrate me. What I wanna know is how can make the swelling go down? I tried ice and even a&d ointment and neosporin but nothing | Hi,It seems that due to rough sex there might be having some soreness, irritation and induration giving rise this problem.clean local part with warm water and apply antibiotic cream.If infection is more then you might require one course of antibiotic medicine for 3 days.Keep local hygiene clean and healthy.Ok and take care. | |
What causes solid particle discharge on inflamed vagina?
Please I have noticed a solid tiny particles discharge on my vagina. It is not liquid. I used a toilet when I travelled and started noticing serious itching and now the tiny solid particles. The area is also inflamed and reddish. When I shave little scales falls off. I have not been involved in sex or sexual relationship now, since over a year. There is also strong burning itches when water touches my vulva hair at times. I have used antifungal n antibiotics drugs. N antifungal cream n vagestan insertion. Please what do I do. Help me please with the remedy. | Hi,It seems that you might be having yeast infection with super added bacterial infection.Go for one antibiotic medicine course for 3-5 days.Apply triple action cream locally.Keep local hygiene clean, dry and airy.Ok and take care. | |
Suggest treatment for severe cough with pain in shoulder blade
I have had a bad cough with serious mucus drainage since before mid November off and on. i have been on 2 rounds of antibotics and steroids also cough syrup. I feel better for a week or so and then it comes back . i am not a smoker . I have also had severe pain on left side from shoulderblade to below ribs . | hi,thanks for providing the brief history of you.Since you mentioned you had mucus drainage in November and you were on antibiotics and steroids that means you had some sort of infection. Even you are not a smoker.Why don't you just get your sputum culture get examined once in lab. It is safer to get this done as this mucus is not going away on its own.Also check your pulmonary function test, which can help assess the functioning of the lungs and the capacity of it. Also you can take one chest x-ray if any accumulation of fluid is there since you mentioned the posterior aspect of the lungs.Also in the mean time you can start doing breathing exercises and steam inhalation. Which help strengthening the lung tissue and muscles also steam will help keep the lungs humidified.Avoid taking any cold food and also keep your lungs area covered. Keep the cotton in the ears to avoid any cold air to pass in by.Breathing exercises - there are types of it, i will mention here which you can perform by your own or can take a guidance from a physical therapist, it might take a day or two to learn and later you can follow at home every day till we do a reassessment of your lungs via pulmonary function test.1. Deep breathing2. abdominal breathing3. coastal breathing4. pulsed lip 5. diaphragmaticAlso perform some slow and simple CR endurance training like shoulder girdle movements, core strengthening, cycling, etcDO NOT PERFORM TREADMILL TRAINING.For pain as you mentioned it is happening in your back from shoulder blade to ribs, you can use hot water fermentation for it.For more queries you can ask me a direct question.With the grace of God i wish you a speedy recovery.RegardsJay Indravadan Patel | |
Suggest treatment for swollen and painful ankle
Metal adjuster on a water hose hanging from the ceiling was swinging and smacked into the inside of my right ankle on the bone. It has been two days I still have shooting pain dull throbbing pain little swollen achy sometimes can t bear weight on it. Should I see a Dr? | Hi there. Thanks for your question.Rest, Analgesics, Ice and bandage application can help relieve the pain and swelling associated with your ankle injury.48 hours after injury if you have pain while standing or walking it needs further evaluation and to be seen by a physician in person.Hope this helps. All the best. Regards. Dr.SBK | |
Unable to conceive due to follicle size. Sperm test, ultrasound done. Treatment?
i m married from 2.5years havnt conceived reason was first follicle size can u tell me wat will b the size i can havv to get pregnent and after treatment my last ultrasound shows 13 day of my cycle 2.4mm of two follicle but on mean time my husbands report was done and it show 2million spem per ejac so suggest me wat do i do now | Hi, welcome to HCM I am Dr Das From your history, i think the problem is with your husband. According to your husband's sperm count, 2 million sperm per ejaculate is very much lower than normal level.( 40 million sperm per ejaculate as per WHO1999) . You did not give the sperm morphology or motility which also indicates to some abnormalities . So, what you have to do? Do a total hormonal assay of prolactin , lh, testosterone . | |
What causes depression and anxiety while born with brain lesions?
i am a 27/m 6ft2in 260 lbs i am having deppression/anxiety/harmful thoughts/mind racing paranoid/not sleeping/anger issues i have been to my local mental health but they pretty much blow me off like i am making it up what are my options on getting help?i am also epliptic and was born with a brain lecian can that cause those things to be going on?i take tegrital xr and kepra for seicures can those have a affect on it? | Hello,If the lesion is located at the frontal lobe it may cause your problems. Discuss your issues with a Neurosurgeon, and after that with a Psychiatrist. This way you can be treated successfully.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | |
Suggest remedy for lumps in butt
Hello I havetwo painful lumps on the inside of my butt cheek. They are soft but hard around the edges. It is painful to sit down. I took antibiotics and they shrunk in size but never completely went away. They are back to original size. Any info is helpful | Hello!Thank you for the query.Such painful lumps in the mentioned location are most likely caused by a pilonidal cyst. This condition is caused by ingrown hair which irritates tissues and causes inflammation. From time to time the pus accumulates inside causes pain and hardness.The best way of its treatment is a surgical removal. Please consult a surgeon with this issue.Hope this will help.Regards. | |
Suggest remedy to get pregnant as i have PCOS
I have been married in the year 2013, and for last one year trying to get pregnant. My age is now 35 and I have PCOS, for which I suffered from headache, nausea, bulging of stomach, pressure in lower abdomen and acute pain in lower abdomen during periods. Please help. | Hi, Thanks for posting in HCM. I understand your concern. Polycystic Ovarian Disease (PCOD) is a treatable disorder caused due to alteration in hormones leading to irregular menstruation and untimely ovulation, resulting in infertility. You need to be treated for getting your cycles regular by use of medications like birth control pills. You may also need supplementation of ovulation inducing drugs like metformin and clomifine along with. Along with it, you need to reduce weight by means of intake low calorie foods and moderate exercise. Kindly get a regular follow-up done and follow advise accordingly. Have patience as it may take some time to improve the chances of conceiving.Hope the information provided would be helpful. All the best. | |
Suggest remedy for costochondritis
My daughter has what seems to be costochondritis. Her doctor says her rib is not attached, possibly genetic. She was referred to a spine and pain specialist. After an injection and an MRI she suggested we see a surgeon for rib removal. Is this our last option and how are the success rates? | hithank-you for providing the brief history of your daughter.A thorough musculoskeletal assessment is advised.As she is having costochindritis, and she is advised for rib removal I wish to know her age. If she is under the age of 18 then it is advised to wait since the growth hormone is still active to get the connection happen. Also, you haven't mention which rib is it in particular. If it is the lower ones or the middle or the upper one. Is the sternum involved or not? also, making a connection in the empty space may be tried but it's totally a Surgeon's choice. I will advice to check for optional things is connection is made beteen the missing area of soft tissue. A bone graft may work but it's all on surgeon's choice and knowledge.RegardsJay Indravadan Patel | |
MRI shows left sided brain compression, tremor's in right leg and hand. Taking Parkinson's medicines
MY LAST QUESTION WAS NOT ANSWERED CORRECTLY. I FELL WHEN 19 AND HIT HEAD. 3 TESSALA MRI FROM DUKE SHOWS LEFT SIDED BRAIN COMPRESSION. I HAVE SEVERE TREMOR'S IN MY RIGHT LEG AND HAND. I AM WEENING OFF PARKINSON'S MEDS BECAUSE THEY NO LONGER WORK AND I HAVE BEEN TOLD I DO NOT HAVE PARKINSON'S DISEASE BY 5 NEUROLOGIST. THEY WANT TO MEASURE THE DOPAMINE WITH A NEW TEST BEFORE RULING OUT PARKINSON'S. ANOTHER DR. THINKS I HAVE BOXER'S SYNDROME. WHAT DO YOU THINK? | HIThank for asking to HCMIF you want right advise then I request you to describe your history with important point, you have not mentioned your age, most of the patient I notice here do not mentioned age while age is very important in medical field, you seems to have essential tremor try "Propranolol" have great day. | |
Q. What is causing foamy urine with dry mouth?
Hello doctor, I have been experiencing foamy urine since last six months. The froathing in the urine has considerably increased in last one week. I often also notice dry mouth symptom. I had undergone a kidney function test a couple of times and reports were normal. I am not diabetic nor any other history of medication. My age is 38 years and weight 88 kg, height 171 cm. | Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). Your reports are mostly within normal limits, there is nothing to explain about the foamy urine in it. There are only two common possibilities for this, one is protein in the urine or could be dehydration. Ideally, I would like to examine you to see whether you have any signs of dehydration, I would strongly suggest you visit your local physician to have a check. If it was due to dehydration, I would suggest you increase your fluid intake by about a liter a day. If there is no response to that, then maybe you need further tests to definitely check whether there is any protein leak in the urine as the routine dipstick test is not always accurate. | |
What causes blood coming out of mouth during sleep?
I have being having blood coming from for some months each time I sleep and weak up or relaxing blood will just come out from my mouth ,upon that I am using month wash only as the doctors instructed if might be gum decease yet it come and go after all my treatment, please advise me on what to do | Thanks for using Health Care Magic.Read your query.Bleeding can be due to recurrent infection, resulting from improper maintenance of your oral cavity.Once you get your teeth cleaned from your dentist ,ask him to demonstrate the proper method of brushing and do accordingly.Continue with the using of the mouthwash and use a desensitizing toothpaste for a while.If still persistent ,please get a general checkup with your GP to rule out any issues with your general health.Hope this was helpful.Thanks and warm regards. | |
Will food pipe transplant treat cancer permanently?
I am Indian by origin age 51 and flying between India and Japan last 30 years, spending half and half time,2010. I was told that I had food pipe cancer and that was operated on 5th Dec.2010 through endoscopy in National cancer Hospital in Tokyo and I was told that it has been completely removed but since last few I weeks I was feeling bit uneasy and 4 days back I examined again in India and Doctor told me that it looks like it’s just before malignancy so it might happen again, I want to know is there any food pipe transplant technology is there? And if so how long patent can survive after that ll;/ya YYYY@YYYY | Hi, dear. I have gone through your question. I can understand your concern. You have had oesophagus carcinoma. Recurrence is possible even after complete removal of tumor. We can not transplant oesophagus. We can just go for resection and anastomosis. And prognosis is poor even after surgery. 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. | |
What medication can I take for itchy rashes in my shin area ?
Hello Sir.. I am having a kind of skin rash for the past 2 months on my left leg - shin area. Occasionally, it feels like itching over the affected area and the area gets white. Please suggest me the medication | Hi...dear ankur.., Thanks for choosing HCM., U have IRRITANT DERMATITIS.., White patch is due to damage of melanocytes...ok., Cause is...contact with Allergen., So avoid it.., Good treatment is available..., 1) Dip Ur left leg in Lukewarm water with.., added KMno4 powder...for 20 mts.., 2) Clobetasol and gentamycin cream 2 times ., daily ., 3) Tab Levocetrizine daily night times.., 4) Tab Ofloxacin 200 mg 2 times daily for 3 days.., ok....thanQ., | |
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? | 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 --> | |
Can blood tests for suspected MS mean a different diagnosis?
I MS suffer told me that there is a disease that mimics MS. I a still in the stage that they seem to think that they believe a am 97% that I have MS. My neurologist after recently having a MIR sent me now to have blood tests.Could this mean they are considering something else. | Dear there area by desease which has similar symptoms that's why doctors make a lot of examinations before determinate the diagnose.Blood tests don't really helps in determinating MS but exlude other pathologies.MS diagnose is made by clinical findings,MRI,PEV and CSL examination.Anyway you should be patient and wait the result of the examination.Dont hesitate to contact me for further questions, wish you all the best | |
What causes a breast lump?
I am a 31 year old white female with one pregnancy delivered via c section. I have a history of lumps in my Breast and under my arm which are palpable and painful and can become as large as a racquet balls. At present I have approximately 5 lumps currently just in my left Breast. Ultrasound today revealed nothing. Even the radiologist came in and he was amazed that these palpable lumps cannot be seen on ultrasound | Hi,dear ,Scotts,thanks for the query to my HCM virtual online clinic.Its my pleasure to help you .After the indepth study of your query My diagnosis -is -Fibroadenosis of left breast.Tenderness at the spot is due to hormonal changes with inflammatiory changes in left breast.I would advise Not to Worry and keep a watch by -Self-Palpation daily.Report to Surgeon if the lump grows in size.Tb NSAIds, and Cold compresses would reduce the pain and worry with it.Special treatment would be given if the problem is severe so as to controll the size of the painful lumps.Dont worry and act fast.This would solve your worrysome query.Hope this would solve your query.Wellcome to my HCM clinic once again.Have a Good Day. |
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