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Suggest treatment for aggression after taking prodep
My daughter 17 yrs old is taking prodep20mg and betacapTR 40 for the past 5 days. she is shouting uneasily daily after taking the medicine when asked the doctor says that after 2 weeks only it will give effect. shouting is more and sweats more. what to do? | Hi, thanks for the query. For what indications does your daughter has been prescribed Fluoxetine (Prodep) plus propranolol (Betacap). In general fluoxetine is a very safe drug to use in children & shows good symptomatic improvement over 2-4 weeks. But a few children may develop increased impulsivity, agitation, or irritability. These symptoms appear to be more likely to appear in children who are predisposed to develop, bipolar disorder. Hence, be sure to let your child's provider know if she has ever experienced similar symptoms before without drugs also before or if there is a family history of bipolar disorder. Also, is there any benzodizepine drug like clonazepam or etizolam prescribed by your doctor? Since fluoxetine & other similar drugs of SSRI group tend to cause anxiety, irritability in first week due to so called activating side effects of SSRI. These activating side effects are most troublesome with fluoxetine but they can be easily controlled by adding clonazepam, etizolam (Benzodizepines) etc. for first 1-2 weeks. In either case, consult your doctor immediately or revert back to me for further help. Good Luck | |
What causes numbness in the thumb and blurred vision?
My son, who is 26 yrs. old has developed numbness in his thumb and forefinger as well as pain in the upper part of the same arm. MRI shows no cervical issues or signs of MS and he is now being referred to another Neurologist. He also complains of blurred vision at times. What else can cause these issues? | Hi, The numbness in the thumb can be related to mild nerve root compression or irritation. the blurred vision is not likely to be related to this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon | |
What is the difference between Amlong H and Olways 40?
what is the difference between Amlong H with Olways 40 and Tazloc AM 80 The first two are prescribed by a physician and my cardiologist wants me to take tazloc am 80 instead. I have always had a high bp 150-160/90-80. I also have cholestrol which is under control with Rosavel 10 mg I am 56 yrs | Hello, First of all, these drugs are commonly prescribed to treat high blood pressure. Amlong-H contains a calcium channel blocker (amlodipine) and a diuretic or 'water pill' hydrochlorothiazide. Olways (telmisartan) is an angiotensin receptor blocker. Whereas Tazloc-AM contains both telmisartan and amlodipine both of which help to control high blood pressure. It lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
How to treat severe bruising and swelling in legs following an injury?
i was wondering i was walking my dog and she decided to chase a squirrel i started running and accidently missed my step and slipped off the sidewalk and fell on the cement and hit the side of my leg rolled down a little hill and rolled into a prickle bush. the top side of my right leg is badly bruised it is a size of a salad plate even a little bit bigger and very swollen anything i could do to help with the bruising. please email me back at YYYY@YYYY Thank you | Hello, It is quite common after a fall.Nothing much to worry and it will settle by itself.As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. You can also apply icepacks for faster recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Brown scar on the face, have fair complexion. Can it be cured?
Hello doctor , I have scar on my left side of face in middle just after my nose on cheeks , My complexion is fair and this Scar is of Brown with 2cm in length , It feels so awkward . It came after sun brun , looks apigmentation , It can be cure Pls guide I am female of age 26. applied some cream but it worsen not cured .. | Hi sweeti, Thanks for writing in. You seem to have postinflammatory hyperpigmentation and scar formation. For pigmentation as a general rule- Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin c supplements . You can apply Vaniza cream at night time over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for scar and the treatment required can only be suggested after proper skin examination. Take care. DrSudarshan MD Dermatology | |
Are swelling and pain after lipoma removal procedure normal?
Hi- having had a lipoma removed under local anaesthesia, I am now 6 days post op. the lipoma was in my left flank and appeared to be attached to muscle. i am expereincing alot of pain and the area is stiull very swollen and hard. Is this to be expected? | Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.This swelling and painful lump after lipoma excision, is mostly due to the nerve entanglement in the stitches and due to the bleeding in the cavity of the excised lipoma.I would suggest consultation with ER Surgeon who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | |
Suggest remedy for red itchy eyes, sneezing and cough when in contact with cats
I have been staying at a friends house for the last 3 months and every time I come home I get red itchy eys sneezing and some times rarly cough and weez I have cats and I am pretty Shure I am alergic to them this doesn't mean I have asmthma does it it only happens when I go near my cats for a short period | Hello.Thank you for asking at HCM.I went through your history and understand your question.Recurrent episodes of wheezing usually suggest asthma, be it allergic or non-allergic. There are so many types of asthma. As you have allergic reactions only related to cat exposure, it seems you are allergic to cat allergens (proteins from cat saliva, dander or urine which cause allergy). So avoiding contact with cat as well as avoiding visiting places with cat will be a way of preventing reactions.However, if it is not possible to avoid these, I would suggest you to consult an Allergist-Immunologist who may suggest allergy testing and immunotherapy which gradually "trains" immune-system to react differently to cat proteins. He may also suggest you spirometry with post-bronchodilatation reversibility test to see whether you have asthma and how your lungs function.Hope this will be helpful to you.Wish you best of the health.Regards. | |
What causes severe abdominal pain?
I'm not sure what to doI've been having really sharp pains in my right abdomen and I feel like there is an elephant setting on my chest. I'm also having problems holding my bladder and bowls. my lower back hurts and I figured it would go away but hasn't all these other symptoms have come along now. i havnt been able to keep anything down for about a week. Im very uncoordinated and dizzy and my vision is very blurry. I didn't know if this was something I needed to go to the emergency room or not. I seen a doctor and he gave me fought syrup that had codeine in it which I'm allergic to and I dunno if I need to be seen or what I need to do please help me. | Hi. You need to go to ER.All your symptom complex are suggestive of neurological problems and they have to be investigated ASAP as you are late- about a week you say. You need a good clinical examination and investigations. | |
Rash on buttocks, severe itching. Do I have athlete's feet?
yes i have a big rash on my butt and it is every were i have curently had it for about 4 years. some things to discrbe it when i sweat it itches really bad and when i take a shower it is like a sensation when the hot water hits it i went to the docter a long time ago and got presciption pills for my feet ( athlets feet ) and i think it helped a lil it relived the itchenessn and started reliving the rashes can you identify what it is | Hi, It seems that you are having tinea corporis,also called ringworm infecton.It is caused by fungus..It is exacerbated by perspiration, soap,exassive water bath..etcDiseases like DM,HIV,anaemia and other immunocompromised diseases may increase the rash.Antifungal tablets like ketoconazoe and antifungal cream like miconazole will alleviate the lesion.If there is any other disease, it should be treated.Avoid soap bath.Increae immunity with immunobusters.Do not worry, you will be alright.I hope you got my answer.Dr. Ilyas Patel MD | |
What is the medication for loose motion with green color potty?
HiMy baby is 3 months old. She has loose motion since 14 days. On average around 14 POOS of yellow or green colour with sticky and white substance.Seems to us that she has cold and we assume that is loose motion is due to cold!?Is there any medicine in USA over the counter? | Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | |
Q. Why am I having low platelets?
Hello doctor, My platelets are usually on lower side ranging from 100000 to 120000 since last one month with no physical symptoms. All other tests are all right like LFT, TFT, and abdominal ultrasound, vitamin B12 is 206 while the iron is 90, urine is also clear. What can be the reason behind low platelets and what are the options for treatment or any further investigation is required? | Hi. There are many causes of low platelet. Low platelet is known as thrombocytopenia. The causes include different types of hemolytic anemia, viral infection, dengue, ITP, uremia, kidney disease, etc. So I suggest you investigate as follow for primary workup: CBC to check for hemoglobin level, peripheral smear examination report to check for any schistocytes, if present (to exclude hemolytic anemia), urea, creatinine estimation to exclude kidney disease, IgM dengue Elisa testing to exclude dengue, ANA estimation to exclude autoimmune disease. You can revert back with reports once done. Meanwhile, I suggest you drink lots of water. You can take papaya fruit more to raise platelet. | |
Had a root canal treatment and ended up putting a temporary filling with some medicine. Worried? What could be done?
Hi , One of my tooth had a root canal treatment done week-two ago , however my personal dentist could not finish the whole treatment (cleaning the nerve etc) as when he was trying to touch it it was too painful for me so he ended up putting a temporary filling with some medicine . Today during my lunch I felt like the nerve has 'eaten' half of the medicine my dentist has put in that tooth , living me with a quiet a weird feeling & when I'm biting carefully it feels/reacts weaker than other ones..is that normal?should I be really worried? or just wait until the next appointment which is on at next Wednesday? and I'll ask him to finish it off or do something with it then?Please help me , as this tooth and the pain I went through made me realize that all of my tooth's are really important! | Hello, Thanks for writing in. The pain is due to the infected pulp remaining within the pulp canal. I would suggest you to take antibiotics-analgesics prescribed by your dentist. If pain is unbearable,please do visit your dentist and get the infected pulp removed completely. Meanwhile maintain good oral hygiene. The pain will end once the treatment has completed successfully. Rinse mouth after every meals. Take care. | |
How to determine the date of conception?
Please write your questioin here I had my last period on the 4th of June and had unprotected sex on 13th of June with a guy and later had unprotected sex with my boyfriend on the 25th of June and found out I am pregnant pls help me detect who the father of the baby is | hello..thanks for trusting the health care magic doctors for your health related issues.u had first unprotected sex with a guy during safe period (14 June) but having unprotected sex with ur boyfriend during fertile period, so most probably this baby is from ur boyfriend side.for more confirmation u can go for ultrasound and confirm the gestational age of the baby.good luck. | |
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 --> | |
Suggest cure for lower left side abdominal pain
My husband has lower left side abdominal pain. Started yesterday morning. Hurts when he breaths/ moves etc.. went to the doctor yesterday and took an xray. doc said lots of stool and gas was on xray , however he has had a bowel movement everyday and does not feel like constipation to him. Today the pain is worse and he started running a low grade fever. He also has been very tired, has taken several naps and he looks pasty. I don't belive he is feeling this bad because of constipation. What else could it be? | Hi.Thanks for your query for your husband. He has got a pain in the left lower abdomen, hurts on breathing indicates a severe inflammatory process like diverticulitis or so. Stool and gas can be secondary to this problem too. Low grade fever today adds to the suspicion. I would advise in such a patient to have tests:Of blood- CC, Sugar and routineUrine and Stool ultrasonography to start with and most important is CT scan of the Abdomen as this will get us the diagnosis. Colonoscopy after the attack settles .Get started on antibiotics. | |
What causes severe headache along with blurred vision?
HI, I started having shooting pain on and off inside my brain a month ago, blurred vision, loss hearing, TMJ, neck pain, back pain, nausea, balance problem, fatigue, numbness and tingling on left hands and I was diagnosed with carpal tunnel. I am taking blood pressure and cholesterol meds. Would you be able to tell with the conditions listed what my problem is? thank you so much | Hi, Hand pain may be due to carpal tunnel syndrome. Headache and other symptoms seems to be due to migraine with anxiety or needs to be examined for any secondary cause of headache. Hope I have answered your query. Let me know if I can assist you further. | |
What causes pain in the center of chest?
I am having strong pain in the centre of my chest, which is making it difficult for me to breathe in and out.I am slowly feeling it come inmy neck. I have exercised much. It has been over an hour. I ruled out the possibility of heart attack coz I am only 22 year old female. Please help let me know why is this pain? | Hello, I suggest you go to the hospital and do some examinations like some routine blood tests, ECG, cardiac sonography and a chest X-ray. These are needed to exclude any serious disease. And only after excluding this, it may be due to gastroesophageal reflux or muscle pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician | |
Excessive cold sweat, blood vessels are boiling hot, feel sad. Is this depression or autonomic nerve disorder ?
Hello Doctor, My mom is possibly suffering from the autonomic nerve function disorder, this is just what I guess and I'm not 100% sure if it is. But I need the Professionals to help me identify the illness for her. In the past two months, my mom, 63 years old, always get awake around 4am in the morning with excessive amount cold sweat and she also feel her blood vessels are boiling hot. Furthermore she feels sad and wants to cry big time in the early morning, and the excessive amount of sweat continues the whole day pretty much. I doubted if this is depression but her Chinese doctor said it's not. But I want a second opinion. I tried to give her B12 and B1 to eat plus the Oryzanol, but it doesn't do anything to her so far. I am really worried and eager to help her out, please advise me what medicine can help her problem? | Hi, Autonomic nervous system controls involuntary functions of the body like blood pressure maintenance, heart beat, breathing, sweating, bowel function etc. When this is disturbed it is known as 'Dysautonomia'. It presents with symptoms like high blood pressure, excessive sweating, flushing, bowel disturbances etc. The symptoms can be quite distressing for the patient which can lead to a secondary depressive disorder (depending on for how long she has been experiencing these symptoms and also the relationship between them and the depressive symptoms). This maybe the cause of her symptoms like early morning awakening, weeping and low mood etc. Symptoms of excess sweating and flushing is not usually seen as a part of depressive disorder. This disorder is quite rare and can have primary causes. Investigations would help make a diagnosis. If a cause is found then the treatment would target that condition, if not the treatment would be symptomatic, which means that treatment will be given to control each of her symptoms.Medicines she is receiving right now is non specific. Discuss investigating her further by her treating doctor. Hope this helps,Dr A Rao | |
Suggest treatment for lower abdominal pain
Yes I have one question, I had a Partial Hysterectomy 9 years ago, my doctor let my tubes and ovaries, now 9 years late I have severe pain in my lower and on the close-sides, I went to visit the doctor He could barely examine I was in so much pain, but we talked about the pain and all and he did finally examine me, so he said that he thinks that I have the Entermectreosis again and wants to remove the rest of the organs, is this real, has this ever happened before??? (dede) | Hi.Thanks for your query. Read and understood your history- partial hysterectomy 9 years ago - tubes and ovaries kept - now have severe pain in the lower and close sides - Physical examination with difficult and your Doctor say this is endometriosis. Endometriosis is a possibility that your Doctor has said about and this is not a confirmatory sentence .I would advise you the following:MRI of the pelvis .Diagnostic laparoscopy and removal of the parts if there is a disease.Routine tests of blood, urine and stool.Only this way the diagnosis can be confirmed and treated accordingly. So insit on detailed investigations. | |
Swollen face, headache, ear ache, treated for sinus infection. Fever, chest congestion, cough, abdominal pain
My face has been swelling up on the right side for months off and on along with headache earacheand pain on that side as well. Treated for sinus infection a few months ago didn t help. Saw an allergist determined along with many seasonal allergies(known) I have allergies to dairy, wheat and peanut. last 2 days I have had a fever with chest congestion, cough and the strange part is my right side abdomen hurts all the time and my face is swelled up again. My throat and nose is killIng me. I feel like the abdominal pain is connected to the facial pain as it usually happens together now along with neck and shoulder pain sometimes. | this is reoccurance which takes in every case again get xray done get blood serum tested for specific antibodies for milk wheat and yeast and go for sublingual low dose immunotherapy for cure now take only antiallergics tab singular bd tab thinitidine 150 mgm morning syp mucaine gel 2 tsf tds syp paractin 1/4 tsf night post after tests | |
What does hard, painful lump on hairline indicate?
I have a hard painful lump on my hairline in the back of my neck , it does not have a head and isn't leaking any substance when squeezed. I have neck stiffness and some back pain and i'm wondering if this is a muscle knot from exercise or something else? | as there is no pin point over it or nothing leaking - it is not furuncle or carbuncle.and vigrous exercise can give rise to such swelling but clinical examination will give more clear idea.... | |
What causes itching bites all over while on marijuana?
I smoke marijuana for my RA and IC pain, although, I have bites . This has been going on for about two years, I say bites because they look like bites with a tiny hole in the middle, it itches something terribly. I have gone to the dermatologist and had allergy lab panels and scratch testing done with negative findings.I was already smoking before it got really bad, these bites are all over my body and I can actually feel something sting me. I have yet to see any insect on me. Is the marijuana a possibillity? Thank you, Y. Rodriguez | This may also be possibly caused due to any other medications you have been consuming for your other issues with RA like pain killers or NSAID's or any other disease modifying drugs. If you consider that your lesions increase after smoking marijuana, then you may consider keeping it for pause completely for a few days, even don't consume cannabinoids in any other eatable form. If lesions keep on occuring, then it may be possible that it is happening due to other medications for your RA. Even RA as itself can cause certain skin lesions, basically consider having opinion with your dermatologist and a rheumatologist. | |
Suggest treatment for constant pain in tooth
Thanks for taking this message - I need a dentist's reply. I went in for a tooth bonding, but there was persistent pain. I was placed on anti-biotics for bacterial infection, but the next dentist I saw said the former didn't check my bite, which was the problem. That dentist shaved down the bond, and I left her office in very real pain. The sensitivity has since decreased, but not completely subsided. It does not wake me up at night, but I feel it just a few minutes after waking and then throghout the day. I can't handle this constant pain to my brain, albeit slight. I am not prepared to go for root canal - i would rather live every day with slight pain than that. It's been almost two weeks since the bond shaving, but I'm convinced the pain will not go away completely. If the nerve is agitated, I'm thinking that a re-bonding can't help b/c the nerve will be hit even further b/c it will involve slight further infringement on my tooth enamel, nor do I want to pu the tooth through any more stress in the short term. CAN YOU TELL ME WHAT IS LIKELY OCCURRING AND WHAT I CAN DO? My dentist says there should not be any exposed dentin, but I've been using sensitivity toothpaste anyway just in case. THANKS.. | Hi,Thanks for posting the query, Tooth pain indicates infection in tooth such type of infected tooth needs to be treated with root canal treatment, i would suggest you to get a checkup done take an x-ray of the tooth and start with the treatment. At home take tab almox-c BD and tab ibugesic plus BD for 3-5 days.Take care! | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Suggest treatment for hair loss
I am 60 yr old woman, recently experienced two patches of hairloss about the size of a fifty cent piece. Iam moderatly obese,but in good physical health,and my stress disorders aren't unusual. I am a retired Laboratory technologist and have always had a borderline low throid,(just a good keeper) say most docs. | Hello, i explain everything about hair loss in point twise manner1. 100-150 hair fall every day is very normal. So should be consider hair fall if number of hair more than this.2. Generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. Stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. Straightening and other procedure also cause weakness of root5. Other condition like fever, ptyphoid, maleria, thyroid, etc also cause hair fall( less common)Treatment1. Have good sleep. food., green vegetables , fruits2. Take iron and multivitamines atleast 3 month.3. Check you blood hemoglobine if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause | |
What causes foot numbness and calf pain?
I hope so. I ve experienced numbness in my left foot earlier in the week while at work (sitting on a floor w/cardboard) assembling light fixtures. After soaking in epsom salt and some messaging, now I m experiencing pain in the left calf. What s going on? | Hi, That sort of numbness after prolonged sitting occurs because of nerve compression, it usually goes off within few minutes but sometimes may persists for up to a week or two. Have some vitamin B-12 supplements, and keep doing range of movements of the affected part. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
What causes numbness on the leg after dog bite?
I was bitten on my leg by a dog who broke skin about 6 hours ago. I cleaned it and everything but now as I take the bandage off to let it air out I touched the part where the dog bit me and I can t feel anything. Is that normal to touch the part where it was bit and not feel it at all? | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.Generally the severity of the symptoms depends on the wound size,how extensive is the wound or how deep the dogs canines might have pierced.The area in which u have been bitten has tiny nerves around that are responsible for sensations being intact.If during the bite,any of these nerves has been damaged, it causes numbness,as if the part isnt there.These are normal findings in such cases.what we do at our clinic is do proper clening of the wound,apply cream and start on antibiotic tablets.if the numbness is severe,get a ncv study done and start on pregaba tablets..eventually after 2 -3 weeks,the nerves start healing on their own and the numbness subsides completely.only in rare cases,the numbness remains.Nothing to worry about.Do get back to me after ur mri reports are ready. 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. | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
What should be the proper diet for gastro-esophageal reflux disease patients?
I have a gastric problem. I had been admitted last month for severe pain in my abdomen. Doctors says that it is because of high acidity. An endoscopy test shows patches in the oesophagus. Also, I have been advised to have less spicy and oily foods. My question is can I have chicken eggs with my lunch? Also, can I eat non-spicy non-vegetarian food? I have to take Ocid 20 mg twice in a day for three weeks. Please help me. | I have ACCIDENTLY happened a puncher at my esophagas gastric junction due to a siver phsical action of my hand for pulling long rubber hose ,at that time i feeled siver pain during eating for several days. the pain reduced day by day by applying local medecineas per the advice of a doctor. But after 3months my chest pain reached the maximum ,cough,unable to even stand or walk then it was cured after taking a local injuction from the near by Medical college at back side of my spinal code ( middle of shoulder)this is about 30 years ago- now i am having hart burn--& taking treatment.now i am having geographic mark on my toung . is it asymptom of any other dises.(sadanandan_p2003@yahoo.co.in) | |
What causes recurrent pain in my lower right stomach?
Hi there - I experience mild irritation/pain in my lower right side of the stomach - a little lower than just past the level of my tummy button. It comes and goes and is easd by the intake of food. My doctor says not to worry about it as it may be lazy bowel syndrome. What are your thoughts? | Hi, thanks for posting your concern in the HCM.I think you are having irritable bowel syndrome. Please have a routine examination of your stool done. If it is normal, you may start Mebeverine 135mg daily. You should also take some probiotic daily .For any further information, please write back.Dr. Kaushik | |
What treatment is suggested for lower abdominal pain?
Hi I am experiencing lower abdominal pain that comes and goes. I believe it was due to me drinking 16 oz of bottel before going to bed and not waking up during the night to urinate. Now when I want to urniate I don't urinate like I normally do I only urinate less but no pain when urinating. | Hi, thank you for posting.I think that you suffer from vesical urinary retention.This urinary retention is caused by use of alcohol.To determine the exact diagnosis you need:1. Blood test.2. Urine test.3. Liver function test.You should immediately contact your urologist.Best wishes.Dr. Behar. | |
What causes severe abdominal pain in men?
my husband has had severe abdominal pain that moves from the front to the left side and the back. He has had a CT scan and the results were clear . He is 48 years old and otherwise in very good condition. His Dr has referred him to a gastroenterologist. | Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise your husband for an ultrasound abdomen, and an ECG to rule out any biliary and or a cardiac problem. Till then, I would advise him for an anti spasmodic and a proton pump inhibitor 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. | |
Suggest treatment for swollen and painful lymph node in the armpit
Hello, my daughter aged 36 has just had a mammagram & ultra sound which showed no problems, she then had a biopsy as she has quite a large swollen lymph node under her armpit, it has been there 2/3 mths she was given antibiotics a month ago but did not help. My daughter says that it throbs sometimes and she is feeling not well. She has breast implants (behind the muscle) three yrs ago. Recently she has been taking amphetamines (prescribed slimming pills) could they have anything to do with the lymph node? She is beside herself as my grandmother died of lymphatic leukemia. Also what percentage of biopsies show positive for cancer? Would appreciate an honest straightforward answer, (I m sure you do anyway) thanking you in advance, from mum who loves her daughter from the bottom of my heart regards M | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your concern is valid, the lymph nodes are usually either due to infection or as times due to malignancy, and breast and lymph carcinomas are one of the main causes, the best way out is to remove one node and get a biopsy done so as to clear all doubts.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | |
What causes pain in the lower legs while suffering from fibromyalgia?
I have fibromyalgia which you know is painfull.now when i am doing house work and i have to bend overmy legs from the knee down just stats to hurt and i don;t feel like there is enough blood in them,as soon as i stand up my legs have severe pain and i have to sit down--------annette mchenry | Hello welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advise. Pain in lower legs itself is a symptom of fibromyalgia. It can be due to muscle spasms also. Hope I have answered your question. Let me know if I can assist you further. | |
Can radiation therapy cause low sodium levels?
Hi My mother age 80 radiation treatment for cancer of the vagina 2 years ago could radiation contribute to lowering of sodium level which has happen ended over the last two years now at 120 in hospital at the moment on saline drip any info would help at wits end thankyou | Hi welcome to HCM I have gone thru your query regarding low sodium levels of your mother . I can understand your concern .THE CAUSES of low sodium , known as hyponatremia may be many . But apparently it may be outcome of - cirrhosis of the liver , congestive heart failure , nephrotic syndrome in the kidneys & massive edema of any cause &Diuretic medicines, which increase urine output . Radiation and other therapies also have good or bad impacts on our blood counts .Too little sodium in the diet alone is very rarely the cause of hyponatremia, although it can promote indirectly .A low sodium level in the blood may result from excess water or fluid in the body, diluting the normal amount of sodium so that the concentration appears low. Normal level of sodium in blood is 135 - 145 your mother's level is 120 ,which not very low and is managable with drip followed by proper diet control .suggested by your phisycian .Sodium is found mostly in the body fluids outside the cells. It is very important for maintaining blood pressure. Sodium is also needed for nerves, muscles, and other body tissues to work properly.Chronic hyponatremia can lead to such complications as neurological impairments . Therefore, emergency care is necessary for patients with altered mental status, confusion, or lethargy or those who have had a seizure or cannot be wakened.The treatment of low sodium depends on the underlying cause and as per the patient's blood volume status , intravenous administration of normal saline (salt) is usual, care being taken not to raise the serum sodium levelPrevention is important with respect to hyponatremia. It is important to respect the thirst mechanism to help decide about adequate hydration.little exercise ,pranaya -deep breathing &healthy nourishing diet conaining all essential nutrients will lead her to healthy & blissfull life ahead .It is suggested to consult your doctor for proper guidanceHope this helps solves your query .Take care .All the best .Get well soonDon't hesitate to get back if have any further query . | |
Can growth of tumors be stopped?
is there a way to stop the growth of tumors ? My son is two years old and is showing some signs of multiple exostoses, and i think he had it from me... I m 27 years old, i suffered 24 years of my life because of these painful bone tumors and caused deformity in my right arm and my right knee..i don t want my son to experience the pain that i had... please help me | Hi....by what you say I feel that it could be the same exostoses. I suggest you consult an orthopaedic surgeon trained or experienced in pediatrics regarding this.Regards - Dr. Sumanth | |
Suggest remedies for low BP due to snake bite
my daughter was bitten by a cooperhead 3 weeks ago we are currently out of town and she is in alot of pain her currently her bp is 96/57 i took her to the local er last night however the dr didnt do any thing except tell us to put aleo on the bite (altough she is scheduled for surgery tuesday for a skin graft) | Hello Thabks for posting here.I have gone through your description. BP of 97/57 is not considered low particularly in females and hence you nerd not worry about it. She does not need to be on any medications for the same. You van encourage her to take more of oral fluids like water and juice which will help increase the BP a little bit. Wishing her good healthRegards | |
What causes an oozing, spreading and painful lump on the breast?
hello.. i need advice. im 21 yr old male, 270lbs 5-8 height.. so i am obese.. anyway i had these lump on my right breast.. at first it was solid a sized of a water drop... but now past 2 days.. i woke up one morning it has ruptured it was spreading i think . when i pinch or bump it.. it hurts.. last night pinch the in the pores not my nipple but the pores beneath the lump.. there was clear fluid small amount.. .so what could this be?... and now. i feel the pain when i think of it. . specially i presumed could be cancer.. im scared.. | Hi, It can be infective lesion like abscess as well. But if it is for a long time then mass can be possible. So I suggest you investigate with FNAC or biopsy to rule out nature of the lesion. According to cause specific treatment given. If it is infective lesion then incision and drainage need to be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | |
Dizziness spells on bending or leaning back, stiffness in neck and shoulders, negative results for cervical discs or nerves, taking seizures medicines. Treatment suggestion?
Two weeks ago I woke up with a stiff neck and shoulders, not able to move my head in certain directions. The doctors thought something was wrong in the cervical discs or nerves but it was negative. On Sunday, i started having spinning spells. Every morning I wake up and when I bend down to get dressed or lean my head back. My whole body spins and I have ran into walls almost fallen ever. I have also gotten very nauseous and thrown up after dinner twice this part week and my sleep pattern has changed;I am a lot more tied during the day. I am currently on two medications for seizures and am not sure if anything is related to that. I drive for my job and am nervous about putting myself or anyone else in danger. Please help! | Cd b due to the med :chek with ur doc.take tab vertin 16 mg two times for temporary period for 3days | |
Can unwanted 72 be the reason for abdominal pain ?
My wife is having a light abdominal pain since she took unwanted 72, 6days back. Is this of serious concern? Her age is 26, we had intercourse but i didnt got inside her bcoz of her worry she took unwanted 72. Her periods got over 2 days before we had intercourse. plz let me know any remedy. | Hi Rahuanuvar Welcome to HealthcareMagic. Firstly , she should not have taken unwanted 72.She was in her safe period where pregnancy is not possible.Moreover , you did not ejaculate into her.There stand no chances of pregnancy. Then , pain is not normally seen after unwanted.I advise you to visit your Gynecologist for examination to evaluate the pain. Please lear the calender method and follow it. Take care | |
What is the recovery time and treatment for malignant tumor in the nasal tissue ?
dear doctor , my friend has nasal blockage for last 6 months. and he had done endoscopy and the biospy report was malignant tumour . the features are poorly differentiated carcinoma . how long will take to recover from this? what is the treatment? sheeba | HI! SORRY TO SAY THAT PROGNOSIS IN YOUR FRIENDS CASE MAY BE DISMAL AS THE TUMOR REPORT IS BAD --IT SHOWS A RAPIDLY SPREADING TUMOR WITH HIGH POTENTIAL TO PROGRESS & GROW --- SO NOW FUTURE PREDICTIONS NOW VERY MUCH DEPEND ON TH E SPREAD WHICH HAS ALREADY OCCURED & THE CHANCES OF CONTAINMENT OF TUMOR & ITS RESPONSIVENESS TO TREATMENT ...THIS CAN BE WELL DECIDED BY CT SCAN OF THE SINUS & HEAD & NECK AREA ---DO CONSULT AN SURGICAL ONCOLOGIST /ONCOLOGIST | |
What causes chest pain, breathless in cold water when having long QT?
Hi I was diagnosed with long QT about 4 years ago, this year I had a serious viral infection that kept me out of work for about 6 months!! The trouble is I'm still getting chest pains. At the moment they're coming on every few minutes sometimes sharp but most of the time a dull ache, before the pains come it feels as if I've jumped in cold water my breath goes (only slightly though) then I know I'm going to feel discomfort!! I'm 42yr old male. | HI, thanks for using healthcare magicIf you are having persistent chest pain then you need to be reassessed to determine the cause.Chest pain can be due to any structure in the chest from the skin inwards. It can be from the skin (eg shingles), the muscles, bones, lungs, heart ,esophagus.The original site would be determined based on your symptoms and examination findingsI hope this helps | |
How to treat anxiety disorder?
my husband had a past drug problem but not for the past 12 years and he suffering in my thoughts has bipolar or something, Symptoms: up and down, angry rages for no apparent reasoning. Self denial, shifts blame to me for his anger apparently. No emotion lists goes on Sorry wont pay for this at the moment as he will get angrier with me. Thanks | DearWe understand your concernsI went through your details. I suggest you not to worry much. Don't conclude yourself that your husband has some psychiatric problems. Actually there may not be any. He must be stressed. Ask him. Talk to him. Be patient. Watch his life style, his behavior with others, friends, co workers etc, then you know better. If need be take him to a psychologist or counselor. This could just be restlessness and triggered anger due to stress and he might need positive consolation. Visit this answers your query. Available for further clarifications.Good luck. | |
Epileptic, delay milestone. Inability to express oneself. Treatment?
DOCTOR,IS A EPILEPSY PATIENT WITH A DELAY MILESTONE CAN BE LEAD A NORMAL LIFE?MY SISTER SON IS A EPILEPSY PATIENT WITH A DELAY MILE STONE.SHE S CHILD IS 6 YEARS OLD.SHE CONSULT WITH MANY DOCTORS.DOCTORS ADVICE SHE MEDICINES AND TRAININGS.BUT THERE IS IMPROVEMENT BUT THE IMPROVEMENT ARE VERY VERY SLOW.MY NEPHEW UNDERSTAND EVERY THING BUT HE CANNOT EXPRESS HIMSELF.HE CANNOT SPEAK PROPERLY.USEING ONE OR TWO WORDS HE EXPRESS HIMSELF.HOW LONG THIS PROCESS WILL CONTINUE?WHEN THE BABY WILL GET A NORMAL LIFE.IF WE WANT TO TAKE HIM ABROAD,IS THERE ANY GOOD TRATMENT CAN WE GET?FOR THIS PLEASE RECOMMEND SOME SPECIALIST.IS A DELAY MILESTONE PATIENT Can never be normal.please inform me. | Hi, Thank you for posting your query. It is very difficult to answer your queries without having the full clinical data. We need to know the cause of his seizures and developmental delay. Is it because of complications during delivery, or any brain disease or a metabolic abnormality? We also need the findings of MRI brain and EEG. Having said that, most children with developmental delay would lag behind their peers and would never become "normal" for their age. But they would get better over time. However, good seizure control with medications and specialised training would help the child a lot in getting better. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad | |
Suffering from Oligospermia. What are the treatment methods for increasing the sperm count?
Respected Sir, This is Amit from Kanpur, U.P., my wife is OK, my age is around 37 years, I am suffering from Oligospermia . I am under Homeopathic Treatment but results are very slow (0.65 per month) in semen analysis , (report attached) and due to this problem I am unable to produce a child. Kindly advise in detail about increase the process of semen, medicine, doses so that problem can be cured soon. This act of kindness shall be appreciated High and above…… Waiting for soon reply.............. With warm regards……… Your sincerely, Amit Srivastava | Dear Amit, I would advice you Ayurveda specialist consultation, that can prescribe you right medication, diet and professional support in this matter. Your condition can be reversible if you will follow your Doctor advice. You must know that semen analysis must also include sperm volume, quality, density, motility, morphology. Additionally you can request hormonal analysis. I wish you good luck and if you have additional queries , don’t hesitate to ask. | |
Cancer 4th stage, What are his chances of survival ?
how many days can u survive at 4th stage cancer ,my uncle is 53 years of age has been detected at 4th stage of cancer of intestine. What are his chances of survival like mnths days years in hand | Hi, the question how many days the pt will survive can not be predicted, as u say 4th stage i would recommend u to consult an oncologist nearby who could offer u some palliative treatment like chemotherapy depending on his general condition and tolerability.If he responds to chemotherapy there can be significant symptomatic improvement.Plz mail the detailed reports for furthur opinion. | |
Having stomach spasms after gall bladder removal. Did endoscopy, biopsy. Can online doctor help?
hi i had my gallblaer out last year and i have been having stomace spasams since iv had a endoscopy today and thay have took some biopsys. on my disscharge letter it says gastric biopsy taken for c/o what does that mean and it say it again at the bottom of the letter if c/o positive suggest hp eradication then it says although symptoms could be related to sod please can you tell me what this means thank you | Hi During endoscopy,they might have seen ulcer/ulcers. C/O means complain of. You might be complaining of pain in the upper abdomen. If the biopsy comes positive for H.pylori ,you have to take course of Anti h.pylori therapy. Nothing to worry Avoid spicy foods,caffeine products,cool drinks etc. These ulcers have no relation with gall bladder surgery. If you come back with biopsy report,i will clarify further Wish you good health Regards | |
Suggest treatment for swollen knee
I was involved in a car accident over a year and a half ago. I have had surgery once already and really nothing bad was found. I still have a golf ball size swollen place on the inside of my knee. My dr. said the fat pad was inflammed and gave me a cortizone shot right in the pad itself. It has constantly had pain since the wreck but the shot made the pain so much worse. I had another mri but havent gotten the results yet but am in so much pain. Any suggestions to tell my dr. as he said he has never seen the fat pad swell so much and not know why? | hi,thank-you for providing the brief history of you.A thorough clinical examination is advised.As you have swelling in the knee and is not coming down it could be a fat tissue as mentioned by the doctor. Undergoing physical therapy like therapeutic ultrasound therapy should help dissolve the swelling and post which exercises to strengthen the muscle and tighten the skin will help improve.In my clinical practice such cases respond well to physical therapy regards Jay Indravadan Patel | |
Is it safe to have low hemoglobin for an elderly woman?
my 66 yr old mother in law has been feeling fatigued. she went for tests today and went home after that. she just received a call telling my wife to get her to the hospital for a blood transfusion. they said her hemoglobin level was 5. they told my wife it could be serious but didnt say why. | hi.yes low hb level is dangerous. hb 5 gm/dl is very low for any age. many life threatening complications occurs in this case. she may go in to congestive cardiac failure. or many other complications can occurs. you need immediate blood transfusion. and then go for further investigation to search the cause of that. and then take treatment accordingly.thanks for using health care magic. | |
How can I bring LH to normal levels ?
Hi, Im 31 years old female. Married for 3 years. Since 2 years we are trying to have a child, but unfortunately i have come accross blocked fallopian tube & also having pocs. last year i under went laporoscopy & clipped my fallopian tubes & this month we are going for IVF. But it seems in my 1st week of phase my test LH high. what to do to bring this hormone LH in normal level? | Hello. Welcome to HealthcareMagic forum. Any dietary changes or physical activity is not going to alter your LH levels. It can be controlled only with the help of medicines and the doctor under whom you are planning your IVF is the best person to control all your hormonal levels. Dr. Rakhi Tayal | |
When can I expect the pain in ankle to subside?
I crushed my calcaneus (heel bone) in January of this year and I did have a trauma surgeon do surgery. I do have plates and screws. My ankle is swollen and it burns and I can hardly touch it where the incision was. When can I expect the pain to subside? | just check for infection signs (purulent secretion, redness, swelling, pain) and do an xray. however even if not infected, plate and screws can give pain pressing on your skin. a visit is fundamental to understand which is the cause | |
Does Hydrocodone-Acetaminophen help in the treatment of severe pain in the arm and neck?
Will hydrocodon acetaminophen 5-325 help with sever pain in left arm from a pinched nerve in neck. I’m taking tramadol heck 50 mg and 2of gabapentin 100 mg. They don’t even touch the pain. I have diabetes and 4 stents I my heart. I had my left carotid artery by passed 6 weeks ago. | Hi, You can continue hydrocodone acetaminophen combination. If symptoms are severe, you can consider other analgesics like Tramdol kr Gabapentin. You can consult an orthopedics and get evaluated to find out the cause for the symptoms. Hope I have answered your query. Let me know if I can assist you further. | |
How to confirm the presence of latent TB?
(LATENT TB)Hi,I am suffering something which i dont know ...for the first time i did my blood test every thing was normal apart from the platelet count which was less.Doctor said there is nothing to worry about it ...but i used to feel weak and my whole body slightly shivers , so my doctor gave me some anti-biotics and vitamins. I was ok for sometime but it started again again all the test were done , x-rays, ct-scans everything was normal apart frm the platelet..so we decided to consult a haematologist after diagnosing the blood sample his opnion was positive..that nothing is wrong with the platelet they are just clotted..so nothing to worry abt.but the symptoms remained..so my doctor referred me to a TB specialist who did some test again nothing was found but according to him he said it COULD be tb so he wanted to start tb medicene...but i wasnt convinced on that becoz reports were normal..so those meds were never started....I am facing this problem now since last three years and just want to know can this be latent TB if yes which tests should i go for so that it is detected bcoz i have read about latent tb ,,which says latent TB can remain undetectd for years without any symtomps. | HiYou can do a Quantiferon B PCR DNA of tb bacillus to detect of it os latent tb or not Regards Dr.Jolanda | |
What causes discoloration on the calves and numbness in the legs?
I have discoloration of the calf muscle bilaterally. Tingling and numbness down both legs to the middle toe on each side. The peripheral numbness has been the most important and disturbing symptom. Past history of high sedimentation rate(100-120 consistently) and splenomegaly. I weigh 140 lbs,. and its starting to worry me about my future ability to walk/ Do you have any idea? Thank you so very much! Noreen | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The discoloration with numbness can be related to blood clot or a spontaneous bleeding inside due to enlarged spleen. Hope I have answered your query. Let me know if I can assist you further. | |
Can Minigynon be restarted two a day for birth control?
Hi. I completed a pack of minigynon on saturday. Havent started a new one decided to let my period run its course. I just had unprotected sex with my boyfriend and he came in me. Can i start a new pack of pill starting off with two and i wont get pregnant | Hello dearUnderstand your concernIf you have finished the whole pack of minigyon (regularly without missing the tablet) then you are completely protected. No need to start new pack till the period will come.You have to start new pack from the first day of next cycle.But if you missed one or two pill and you are irregular in taking the pill then you have to take emergency contraceptive pill to prevent the pregnancy.So no need to start pill before the period come as you have taken microgynon regularly. But if period will delay by 10-12 days from normal expected period then you have to go for pregnancy test to confirm pregnancy.If you will pregnant then still you can terminate the pregnancy by using abortion pill under the advice of gynecologist up to 9 week of pregnancy.Hope this may help youBest regardsDr. Sagar | |
What causes foul smell coming from the wound caused by dog bite?
I was ben by a dog 7 days ago and there is a really bad smell coming from the wound along with fluid. there was 6 stitches put in my leg and the skin is red and green around the bite. what is that smell and should I go back to the hospital for infection? | Hi, Thanks for posting in hHCM. I have read your description and understand your concern. Based on the colour change of red and green with presence of foul smell coming from the wound caused by dog bite is indicative of active 'anaerobic infection' of the affected tissues. You need to go to the hospital or consult Physician at the earliest as it needs to be assessed by physical examination. Following which, the problem can be treated with an appropriate course of oral antibiotics and use of topical wound care. Hope the information provided would be helpful. All the best. | |
Could low vitamin and potassium levels lead to ADHD,anxiety and depression?
Hi! My 9 year old daughter is on meds for ADHD, anxiety and depression. She also experiences mood swings and seems very fatigued. I recently had a compete blood analysis done on her with her vitamin and potassium levels coming back low. Could this be the cause of her behavior or do I need to prepare myself for something bigger lie the kidneys? What would you be looking for to further assess the cause of these low levels? | Hello,I hope your daughter is doing better. Completely understand your concern regarding your child.As far as the vitamins are concerned, B vitamins help with the nervous system functioning and being under constant stress can deplete the levels. A deficiency can lead to anxiety and other mood problems. There is no harm in giving B-complex to the child along with probiotics. You can also start with multivitamin after consulting her doctor.There is research that suggests potassium deficiency may be linked to symptoms of depression.I suggest you to consult a good doctor nearby along with your reports and start the vitamin and mineral supements in adequate doses.Hope this helps you. | |
What causes pain in heart and back? Suggest medication
I am sitting at work and I ve just started to drink an energy drink and my heart and back are suddenly very painful! Whenever I move it hurts. I have been having similar pains for a while normally when i wake up in the morning. They are constant dull pains that sometimes become very uncomfortable. | Hello,Your Pain is mostly because of inadequate food at improper timings. Please take sufficient Nutritious food on time to avoid the pain and discomfort in the chest.Also, take this syrup if you are having Regurgitation and Burning Sensation in the Chest.Syrup MUCAINE GEL 10ML twice daily few mins before meals and continue these tablets compulsorily for 10 days:1) Capsule PANTOCAF-LSR 30 mins before food once in 24 hours2) Tablet Ultracet twice dailyHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah | |
Suggest remedy for scar in lungs
hi sir...is there a possibility to remove a scar from a lungs?actually I've been diagnosed of lung infection which is PTB?and i completed the treatments for 6th months and after compliance to the treatment Repeat chest xray had done and there is improvement,but now there still a scar appeared on my Chest xray...the impression of my chest xray is:minimal PTB.what should i do to remove a little scar on my upper right lungs?please do help me! | Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should complete course of akt for prescribed duration. Radiological full recovery sometimes might not happen. Clinical improvement and sputum negative reports indicate akt is effective and there is no resistant tuberculosis bacilli. Fibrosis is irreversible from chronic inflammation and sometimes tiny fibrotic foci might not get cleared. Consult a pulmonologoist for examination with keeping all this in mind. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Parth Goswami | |
What could rapid heart rate with dry mouth suggest?
Hi, i have been having a heartbeat of 93 beats per minute. I felt like i was going to pass out earlier today, Had a severe head ache and and at one point felt like I was going to throw up. Not to mention my mouth became very dry. I ve been having a sharp pain in the left side of my chest on and off for the past week mostly when I breath. Today it was much worse I almost felt like I could not breath. | Hello!Thank you for asking on HCM!I understand your concern and would explain that a careful differential diagnosis between different disorders that can cause this clinical scenario should be done. Regarding the chest pain, the fact that it is induced by the respiratory movements, is a fact in favor of musculo-skeletal pain ( maybe costochondritis).A cardiac related cause can be excluded by this symptomatology. From the other hand tachycardia and dry mouth, seem to be related to an autonomic system dysfunction or other metabolic disorders (thyroid dysfunction, chronic anemia, etc.). Anxiety could also be the cause of your symptomatology. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests :- complete blood count- fasting glucose- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels- kidney and liver function tests- blood electrolytes, etc. If the inflammation tests result abnormal, it would be indicative for costochondritis. In such case ibuprofen taken three times daily for 10 days would help. Hope to have been helpful!Best regards, Dr. Iliri | |
Suggest treatment for ADD symptoms
Dear Dr, I am sending you from Amman Jordan, I live in Lebanon as I have been noticing the ADD symptoms since childhood and I believe it s blocking lots of my life achievements I visited a Dr in Lebanon as he prescribed Ritalin for my case to use as an anti depressant but unluckily I didn t cooperate with the medication since it s unlike adderal that s only available in Canada and US it s a serious case and I truly need it to move forward in my life I am only 21 years old and i haven t completed one course at university I bore easily and I cannot feel prisoned by a book or a title , I am gifted and I believe I can do whatever I want to see as an achievement and satisfaction but I am always annoyed and I don t get the trigger of the move . I really need your help as it s an urgent case. | DearWe understand your concernsI went through your details. I suggest you not to worry much. ADD should be diagnosed perfectly for proper treatment. In your case, it may not be even ADD. You are just 21. Your problem could be low attention span. In that case you should try to make your study pattern more interesting and try new learning methods. Means make your learning "effective".If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
What causes sudden vomiting sensation, dizziness and excessive sweating?
I am 57 and in good health. Today I had an episode where I felt like I was going to faint and throw up and I was really dizzy. I run 2 times a week and am about 15 pounds overweight. I was also sweating profusely. I was having lunch with a couple friends. And suddenly didn t feel well. It came on fast. Then after about 20 minutes or so I felt better. I never actually fainted. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that your symptoms could be related to an inner ear disorder or a possible TIA (transient ischemic attack). For this reason, I recommend consulting with your attending physician for a physical exam and some tests: -a resting ECG and a cardiac ultrasound - a Doppler ultrasound of the carotid arteries for possible narrowing - blood electrolytes - complete blood count. Consulting with an ENT specialist may be needed if all the above tests result normal. I would also recommend performing a brain MRI, just to be sure that everything is OK. Hope you will find this answer helpful! Wishing all the best, Dr. Iliri | |
What does minimal fatty infiltration of hepatic lobe mean?
Cat scan Finding: 1.1x.6cm hypo density in the left lobe of the liver along the falciform ligament Impression: Likely minimal fatty infiltration of the left hepatic lobe along the faliform ligament. History. Female, age 62 weight 112, height 5 2 Breast cancer in 1995 and 2012, recent abdominal pain could be from antibiotics, extreme fatigue and pain feels fainting with weight loss. | HelloYour findings suggests small focal fatty infiltration in left lobe of liver.Focal fatty infiltration of the liver is a common condition and it may be seen in many conditions like obesity,diabetes mellitus,alcohol,drug related etc.It may be due to obesity in your case.You may need few more investigations like routine hemogram,random blood sugar,lipid profile.Underlying cause should be treated.It is a reversible condition.Get well soon.Take CareDr.Indu Bhushan | |
Suggest remedy for lump in vagina while on NuvaRing
I am a sexually active teenage girl, I am currently using the nuva ring as a contraceptive and I just ended my period yesterday. This morning when I tried to put the new ring in I noticed I couldn t get it in much farther than the opening and then about half an hour ago (just after sex) I tried to push it in farther where it is supposed to sit but I realized that there is swelling in what I m assuming is my cervix. It s feels like a large lump. What are some possible causes of this and should I be going to a doctor? | Hii , Welcome To HCM & Thanks For Asking Your Query Here however a vaginal lump is rarely caused by Nuvarings ,but Common side effects of Nuvaring are vaginal infections and irritation,which may lead to a a vaginal abscess more specifically it may be a Bartholin's Abscessit can occur when Bartholin’s glands, located on either side of the opening of the vagina, becomes infectedhowever a vaginal lump can be caused by many other medical conditions and as u did not mention any other symptoms like if there is any pain or discharge in lump , if you have fever or not , seriously it needs thorough medical check up and investigations to spot a confirm diagnosis i will strongly advise you to contact your Gynecologist, he will perform a physical examination to check for any lumps within the vagina your doctor may want to perform a biopsy on any masses found in the vagina to rule out other sources of the problemI hope it help Thanks & Get well Soon | |
Shoulder and upper back pain. X-ray shows loss of cervical lordosis and paraspinal muscle spasm. How to get rid of it?
dear sir, I am 42 years old and have been suffering from left shoulder and simultaneously upper back side pain for last 2 months and went for x-ray report is showing that there is loss of cervical lordosis and paraspinal muscles spasm.dear sir can you please suggest me how can I get rid of this problem.thanking you . regards, DHARMENDRA SINGH | Hello, Thanks for writing to us. It seems you are suffering from cervical disc disease. loss of cervical lordosis is due to paraspinal muscle spasm. Treatment includes 1. Use of cervical collar helps in immobilisation and brings relief. 2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms. 5. You can avoid using a pillow. Hope this helps you. Wishing you good health... Regards. | |
Suffered massive stroke, thrombolysis and decompressive craniectomy was performed, had swelling in brain. Treatment?
Hi, My father suffered a massive stroke on 26 May '13. There was a right MCA infarct. Thormbolysis was performed. But a haemorraghic transformation followed. A decompressive craniectomy was performed due to rising ICP. It followed up by right temporal lobectomy and ICH evacuation. His BP is stable with medication now and the brain swelling is coming down. His current GCS is E4M2VT and on PEG feed. The Neurosurgeon has recommended a specialized centre for rehab - NIMHANS, Bangalore or CMC, Vellore. I wish to know which of these centres would be the right one for him. Thank you - Subin Jose, 0000 0000, Bangalore, India | Hi, I understand the difficulties that would have faced you as a result of your father 's sickness.It is one of the most debilitating diseases to suffer.There is lot of mental trauma involved.Saddenned to hear that the treatment,though the recommended one ,in your fathers case led to more problems.Anyway ,the brighter side of the story is that he is showing signs of improvement.He has atleast fought himself to a condition ,where rehabilitation is being considered.Regarding the two institutes that you have mentioned,I dont think any is inferior than the other.Both are very good. NIMHANs is a leading institution ,and CMC is one of the best in the country.So I feel your decision may be based on other parameters like comfort,travelling etc.Whichever is more comfortable and closer to you, may be chosen.Wishing your father a speedy recovery and dont worry, the day is close when He will speak and be with you as normal as he was before.Just dont give up.All the best. | |
What causes chest pain and pain in the ear canal?
I am under the cardio unit due to missed heart beats, ectopic and series heart beats, the heart rate is often functioning at twice the speed when it should be a resting heart rate. I have been off work for about for months, exhausted. Symptoms are worse lying down at night, particularly on the left hand side. I have solid chest pain for a few days at a time. This week has been the worst with hardly any let up in the symptoms and tonight lying in bed I got two short but severe electric shock sensations in the heart which I haven t experienced before. I have coaliac disease and struggle to absorb iron (regularly borderline anemic) and am on iron tablets. For a period of time the chest pain was accompanied by a severe pain in the right ear canal. My GP thinks that this could be connected to what is happening in the heart, but no answers yet. Awaiting the outcome of the second holter. Structurally an echo showed the structure of the heart to be sound. The latest development of the shocks being so strong (although extremely short in length is disturbing me - hence looking for answers). Are you able to assist. Thanks. A very tired Trace. | some times angina pains radiate to the back of neck, jaw and extend up. this may be what you could have felt in the ear canal. you might need check up from that angle as well | |
What causes cough after the treatment for bronchitis?
my 27 month old son was treated for bronchitis about 2 months ago and the following week he had an ear infection followed by a fever. He was treated and he is fine now except that he still coughs when he runs around. He also sweats a lot especially when its bedtime. Could this be another disease? | looks like bronchitis is stil remaining its traces use nebulisationsgive monteleukast and levocetrizine combinations Syrup for two weeks | |
Suffering from severe chest pains in the morning, no wheezing or breathlessness. Symptoms of asthma?
39 years old. Fit. Not overweight . Non smoker. Avid cyclist. Diagaonsed with late onset asthma a year ago, use albuterol twice a day, only symptom though is bad chest pain , mainly all the time, but especially in the morning. Not tight, no wheezing never really out of breath Chest x rays clear, no heart issues. Does astma sometimes mean just chest pain? | Ask your doctor if sodium cromoglycate puffs every morning would be preferrable to albuterol for prevention of attacks? Lung function tests should be carried out to assess Status.Sometimes Chronic airway obstruction or alveolar function may be the cause not sometimes visible on X ray chest.In your case ,chest pain is unexplained,sometimes in heavy exercisers ,muscle fatigue could be a cause for which get serum CPK level assessed which is raised in muscle trauma in which event you would have to cut on too much cycling-alternatively just cut cycling and wait for 15 days if it is a contributory cause-the pain might go | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Oligozoospermia. Semen analysis. Liquefaction, pus cells, Rbcs. What does this mean? Is it curable?
HiMy name is Arun. I need your advise for my treatment. I have got this report 2 days before.SEMEN ANALYSISVolume: 2.0 mlColor: CreamyViscosity: normalReaction: acidicLiquefaction time: 28 mins (normal 30 mins)Odour: mustyMICROSCOPIC:Count: 2.0Motility: 52%Grade: 3-4Morphology: normal 77% Pyriform: 10 Double Headed: 03 Acute Tapering:03 Others:07Plus cells: 0-1/hpfrbcs: 0-1/hpfIMPRESSION: OLIGOZOOSPERMIAI want to know is it be curable or not? And what should I have to do?Please help | HIThank for asking to HCMThe abstinent period is matter in semen analysis, minimum one week abstinent period should be there, here in your report abstinent period is missing, go for another analysis with abstinent period, take care have nice day. | |
What is the treatment for loss of grip and hand shivering?
started with t.b medicine as a mistake and later it decided as germinoma cured by chemo,radiation but from that point i am suffering from side effects like hand shivering ,loss of grip and facing difficulty while walking some what recently i got fits | HIWell come to HCMI really appreciate your concern, I had gone through the history given and from that I could say that as long as the symptoms that you have, like shivering, loss of grip, and other, may not be due to medicine if Tuberculosis taken, but the symptoms could be due to lesion that you have had "Germinoma" her you have given very little information and it become difficult to say anything in detail, your detail information will be appreciated, hope this information helps. | |
Suggest treatment for chest pain and shortness of breath
I am 20 years old and I ve noticed this past week I ve had shortness of breath 2 times the first time no pain or uncomfortable chest the second time I could feel it in my lower chest and then moved a little bit up.the breath comes back to normal after a little bit.what is happening with me.I do smoke.just to make sure you know.I ve never had a problem before.I am on nexplanon as well. | Thanks for your question on Health Care Magic. I can understand your concern. Since you are smoker, we need too first rule out Pulmonary causes like bronchitis, lung infection etc because smokers are at increased risk of lung diseases. So get done chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. Smoking cessation should be done as soon as possible in any case. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). If all these are normal than rare possibility if Pulmonary embolism. You are taking hormonal contraceptive(nexaplanon), so risk of Pulmonary embolism is high. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. | |
Can clobetasol ointment bp be used for whitening of elbows?
hi can clobetasol ointment bp be used for whitening of elbows hi, can clobetasol ointment bp be used for whitening of elbows? | no, it is a high potent topical corticosteroid and should be used only the purposes it is meant for under the supervision of a dermatologist. 'Dr.Resham Vasani MD, DNB, FCPS, DDV Anand Polyclinic, Near Mani's Lunch Home, Ruia College Road, Matunga east 022 24142841 dr.resham@gmail.com | |
What could refusal to intake solids in a child mean?
Hi I have a 22 month old Daughter. The last few weeks she has stopped eating her food. All she wants to do now is drink bottles of milk. We have tried all types of food to see if she will eat but nothing works. She has also gained a considerable amount of wait in this time. Can you help? | dear parent, I understand your concerns but there might be a thyroid gland enlargement causing dysphagia. dysphagia is difficulty to swallow solid foods. thyroid hormonal imbalance may also cause weight gain. you need a thyroid function blood test to confirm the diagnosis | |
Q. How to treat itchy bumps on my vagina?
Hello doctor, I am a 25 year old unmarried female. From last one year, I have been suffering from vaginal infection. A few small bumps have grown inside the skin of the vagina. Sometimes, I feel itching inside it. I am sexually active with my fiance. I have consulted a specialist. She told me due to stress or irritation or infected clothes or might be bacterial growth this kind of infection happen. She prescribed me some medication and gel. But, that lumps are still there. I am worried. I have attached the images of it. Please suggest. | Hi. It appears to be a contact dermatitis superadded on the warts. Use Panderm cream (combination of Ornidazole, Clobetasol, Terbinafine and Ofloxacin) on the affected area twice a day for 15 days. Also, put Clingen forte vaginal pessary (combination of Clotrimazole, Tinidazole and Clindamycin) once at night in your vagina before sleeping for seven days. You might have a slight vaginal discharge in the morning and that will be due to the medication. Also, you and your partner need to take tablet Syscan 150 mg (Fluconazole) once on day 1 of your period for three cycles. Please do use cotton undergarments and do not use soap to clean your private areas. You can use vaginal wash. For further information consult an obstetrician and gynaecologist online --> | |
Suggest treatment for liquid oozing from umbilical cord in babies
Question My 6 month old son has a naval point which is leaking a liquid which dries out to a white colour. The problem has persisted for 3 weeks and the baby has already been treated for infection with an antibiotic, but this did not help. Presently suspected is gall bladder complications. The general condition of the baby is normal except for this liquid coming out of his umbilical cord. Your advise on this will be very helpful. | Good morning my dear ---your son most likely has a connection which was present in the embroyo which normally closes but can persist sometimes.This is called the omphalomesentric duct ----it can be a sinus,a cyst or a fistula---can be in connection with any internal organ and can sometimes contain a lining similar to stomach or intestine .Best is to check wit a pediatric surgeon who will make some ultrasound images and may give relief by surgically excising the connection.antibiotics alone may not heal and there will be recurrent discharge fronm the site. | |
Can a high dose of paracetamol affect the liver?
Hi there, a friend of mine recently took 5 panado (active ingredient being paracetamol) . I know that a high enough dose of paracetamol can cause fatal liver damage/failure. What would a lethal does of panado be ? I m unsure of her weight , about 65 Kg and aprox. 130-140cm YYYY@YYYY | Hello,Five panado won't cause fatal liver damage. However, I recommend to be more cautious next time, not to use it often the following days.All the best. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician | |
Suggest medications for allergy due to dust and pollution elevated during cold weather
hi i am from india and suffering from dust and pollution allergy . it increased when climate changes or in cold weather conditions .i feel uncomfortable to breathe at night . please send me some names medicines which can help me or aany kind of suggestions | anti allergic tab montelucast and fexofenadine combination is the best for you as it will cover allergy of nose and chest bronchodilator cough syp can ease the chest congestionif very uncomfortable can choose for short course of newer steroids but if you go for allergy tests and find the allergens your sublingual immunotherapy can help you in permanent relief as this is gaining support internationally as it is very effective in treating seasonal allergies by pollen and dusts | |
What does heart attack in a stage4 squamous cell carcinoma patient indicate?
my husband is in the hospital with a collapsed lung secondary to stage IV non small cell squamous carcinoma. The doctors told us he also had a "mild" heart attack during the lung episode. It showed up in blood work. What would that be and what is the number I should be concerned about. Thank you! | Hi,Thanks for writing in.A patient having a cancer can also have a heart problem and the two being unrelated if that was there from before or can be a recent development after the cancer. The heart is a biological pump and helps in pumping blood to other parts of the body. It might happen that he previously had a coronary heart disease which led to decreased blood supply to the heart and when he had a collapsed lung, this problem aggravated and he suffered a mild heart attack.The heart gets weaker with age and since your husband is having cancer and has been getting chemotherapy, some medications can also cause side effects on the heart.You should discuss his echocardiography findings and cardiac enzyme test report with the treating doctor. Please do not worry. | |
What causes black spots on tip and sides of tongue?
Hi, I'm 38 and I have black spots on my tip and side of my tongue. I've had them since I was a teenager. I don't smoke/chew tobacco and other than the marks being embarrasing they don't hurt or bleed. I don't take any medication but sometimes I take acidopholus daily and seem to get better when I'm taking them. Please Help! | Hello,Possible reasons for dark spots on the tongue include: 1. black hairy tongue - excess keratin (benign), poor oral hygiene and dry mouth can contribute - confirm with dental clinical exam, but usually on top, not sides and tip2. trauma causing pooled blood - avoid irritations or contributing habits, stay hydrated3. melanin, blood vessels, geographic tongue - natural pigmentation or pattern variations, flow of blood vessels can give dark blue shadow - hydration may affect appearance, normal individual anatomy, check blood pressure. Pigment change concern for melanoma.4. vitamin deficiency/excess - check balance, check iron levels, exposure to heavy metals?5. bacteria overgrowth coating- thrush, oral yeast infection leaves coating - Acidopholus good choice to maintain balance, Nystatin prescription may be necessary to treat chronic condition.6. surface change - coating from foods, medications, habits- requires increase in oral care, brushing of tongue, change needed to reduce 7. growths - requires clinical evaluation by dentist, monitor condition and ask dentist. Sudden change is of greatest concern. Systemic condition such as Lupus?A clinical exam by a dentist will give you the best diagnosis. Make sure you practice good daily hygiene inclding brushing your tongue, have a balanced diet and keep well hydrated. Look for any triggers or changes to relate to changes with your tongue's appearance. I am glad to answer more questions with additional details.Thank you for your inquiry. | |
What causes relapse of E.coli infection in urine?
Hfi,r maoy Im a nswer your health queries right now ? Please type your query here... my wife suffering from e-coli infection in urin. doctor prescribed antibiotic Magnasef500 first time for 5 days, then for 3 months. after 3 months there is no ecoli in urin test. but after 1 month she again suffering from same infection. what we do? | Hi,Welcome to HCM.It is unfortunate to get the infection again. Magnacef 500 belongs to Cephalosporin group of antibiotics. If any infection is recurring, then you need to go for change in the antibiotics. E.coli infecting her would have been resistant to the antibiotic used. Organism sensitive antibiotic has to be used. Kindly get her urine tested for Culture and Sensitivity. Based on the report, appropriate antibiotic course can be instituted. Wish her good health. | |
Elbowed in the chest accidently. Pain above breast when coughing, sneezing or deep breathing. Any specific signs for deep bruise?
3 days ago I was elbowed in the chest while playing basketball. At the time it stung, but I was able to continue to play. Yesterday my chest, right above my breast, was really hurting...today the same. I iced it and that helped, but when I take a deep breath, sneeze or cough I have such pain! I'm not a complainer or one that runs to the doctor, but are there any specific signs I should be looking for if this is more than a deep bruise? | Hello dear,The chest pain can be attributed to the trauma induced due to elbowing while playing basketball.According to the history as posted, the pain appears to be a muscular type.Increase in severity during sneezing, coughing or deep breath is due to increased in intra thoracic pressure.Symptomatic relief can be obtained by taking analgesics, muscle relaxants, ice compression & adequate rest.However, if the symptoms still persist, then it will be better to consult your General Physician and get a proper physical examination.Investigation like X ray of the chest will be helpfulWishing you a good health.Take care.You can ask me a direct query on this website using the below link: | |
Feeling irritated after inhaling lance crackers accidently
i was opening a pack of lance crackers with my teeth and a piece of plastic came off and I think I inhaled it, it felt stuck in between my throat and airpassage i tried to cough it up would not now i feel so tired and can hardly breathe. I have 2 kids ima single mom. | Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Bronchoscopic evaluation. Your symptoms are suggestive of foreign body aspiration (piece of plastic). And this can be diagnosed only by bronchoscopic evaluation. And if it is aspirated then removal is also done through bronchoscope. So better to consult pulmonologist and get done broncoscopy to rule out plastic piece in the airway. | |
Suggest remedy to increase the weight of an infant
Hello doctor i have 11month old baby his birth weight was 4.10 kgs he had gained weight upto 7.8kgs at 7th month then he got fever and got admitted in hospital for 8 days from then he had not increased his weight and he often gets cold .please suggest to increase his weight and to get resistance. | Hello, I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani | |
Suggest treatment for sore throat and fever in a child
Yesterday, my child had sore throat and fever. Our pediatrician thought it looked like strep infection and gave him antibiotic shot on the thigh. Since today morning, he is complaining of severe pain in thigh and limps while walking. Our ped had confirmed it is not an allergic reaction. Could it be nerve injury? If so, usually, how long does it take to resolve? | Hi...Without examining the kid directly it is very difficult for me to decide whether there is any nerve injury. But usually thigh muscles are very bulky and do not let nerve injury happen so easily. I feel that he might be limping just because of the pain in the thigh due to the shot.Regards - Dr. Sumanth | |
What causes high ESR level after taking anti TB treatment?
Hi my name is babita from last around 5 month i am on anti TB medicine and 2 days back i went for regular routine check up in blood test all report are ok but my ESR is found 52 mm/1hr and even 15 days back my ESR was same . Please suggest me is everything are fine or need to change some medicine | HelloWelcome to HCMI understand your concerns.ESR is the short form of erythrocyte sedimentation rate.It is usually raised whenever body faces some infection.As you are diagnosed as having TB and taking antitubercular drugs,it has raised.It will come down by itself, bit very slowly.So,no need to worry.No need to change your medicine and no need of taking any newer medications also.You continue the same medications.Hope you are happy with the answer.Thank you | |
Suggest treatment for lump on wrist of a child
i have a 23 month old daughter that has a large lump on her right wrist im assuming its a cyst. I wasn t alarmed at first because it was small but ive noticed it has gotten larger. My daughter can determine a bo bo and she acts as if it doesn t bother her. Im making her a appointment but should I be worried and could this be cancerous? | not to worry much as it is likely a ganglion cyst or lipoma and easy to treatit cannot be cancerous! FNAC test can confirm it.all the best! | |
I've been having bone pains going on two years now. Dr. checked for fybromyalga and said I need more sleep and that I'm just depressed. A couple of months ago I had a large infection in my upper jaw and had it surgicaly removed by the dentist. I've had pain and a full feeling on my left side. Now on Friday I noticed swelling where my spleen is located. I do not have insurance and don't know what to do. I'm fearful that the exposer to a chemical from and old work place might have done something. I have many other aches and pains and bowel issues. Any one know ? | Hi.. What is your age??? Splenomegally with chronic history of joint pain, need full evaluation which would include complete blood counts and bone marrow examination... I would suggest you to see a doctor and get a physical examination to confirm if the swelling is a splenic swelling or a local swelling.. "DO NOT NEGLECT THis OR WAIT FOR TOO LONG".. It could be a very serious condition.. | |
What causes high respiratory rate in a 21 month old suffering from down syndrome?
Hi i have a 21 month old with Down Syndrome, currently with a fever of 103 and respirations about 56 breaths per minute. O2 is about 93 (we have a portable oximetry machine) and his color is good, and his lungs sound clear, but i am worried about the high respirations. Can we wait til morning to call the Dr or should we go to ER? | Hi, the respiratory rate (56/min) is definitely high for her age. her saturation is also below 94% which is an indication for oxygen support.She is probably having pneumonia. A through clinical examination, chest x-ray and probably admission will be required. I will suggest you to immediately visit the emergency service of a nearby hospital. | |
Q. I have tender roof of mouth which is grey in color. What is it?
Hello doctor, I have tender roof of mouth. I checked this morning and it was turning grey. I asked my friend to describe it better and told me it looked like grey cotton and as I got a closer look, the color reminded me of grey lint from the dryer. There is not any pain but rubbing my tongue against it irritates it. | Hi. I had gone through your question and I can understand your concern. As per your history, it seems to me like oral thrush or candidiasis. It is a fungal infection. In case you had medication, antibiotics for flu, then it is definitely the fungal infection. If you can upload some pictures, I may provide you better diagnosis and treatment plan. Post antibiotics therapy. Oral examination, upload some picture taken in natural light here. Chemical or heat burn. Acute candidiasis. Antifungal therapy only after consulting doctor or uploading pictures here. Avoid hot foods, soft drinks, and smoking. For more information consult a dentist online.---> | |
Suggest remedy for chest pain
I have had intermittent chest pain for the last 3 days. This morning I have developed a slight wheezing sensation and when I try to take a deep breath it feels like my lungs are freezing and the deep breath doesn't seem to work. The chest pain seems to go across my chest and ends in my left arm pit. I do also have a swollen Lymphnode under my arm as well. Help! Would rather avoid the hospital but I am getting nervous. | Hi I can understand your concern...You are complaining about wheezing with chest pain..So here there might be some obstructive cause...First rhonchi confirmed by auscultation ..Then for confirmation of asthma or chronic obstructive lung disease pulmonary function test done with spirometry.....Chest x ray also useful to rule out obstructive mass if present...If it is present biopsy taken....I am suspecting this as you have enlarge lymph node....According to cause your treatment guided ..Like bronchodilator and steroid like drug.You can keep all these in mind and consult doctor without worry for your respi examination.You can take further opinion from HCM by sending follow up report....Dr.Parth | |
What causes a protruding lump at the right sternoclavicular area?
Healthy 56 y/o female 5'3" 117 lbs I noticed a protruting lump at the R sternoclavicle area about 1 month ago. I seem to have some pressure pains at the location and at time along the underneath side of the clavicle, sometimes worse than other times. Size is about 1/2 a golf ball. The Pains seems worse after sleeping on my right side.I do exercise and push and lift weights at the gym now for several years. I am wondering if the SCJ in inflammed causing the protrution and discomfort. I am without medical insurance and financially not doing well. I been searching and reading and studying on line. I have no apparent injury though I assume pushing weights could aggravate the area. I have full ROM. I wonder if the scj could be arthritic. I doubt tumors..no history of tumors or cancer in any family history. what do you suggest. Thank you | Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged cervical lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. 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. | |
Meaning of straightening of curvature of cervical spine?
Sir what does it means Straightening of curvature of cervical spine is seen Multiple cervical vertebral bodies show presence of anterior and posterior marginal osteophytes. However, cervical vertebrae are nonnal in intensity pattern. Cervical intervertebral discs show normal signal intensity with maintained disc height. However, disc osteophytes complexes at C5-C6 and C6-C7 level are causing mild indentation on thecal sac with partial effacement of anterior epidural space. The underlying cervical cord is normal in morphology and signal intensity. | Hi,normal cervical spine has lordotic curve.When you lose the normal neck curve, the weight of the head is no longer balanced by the opposing curve (kyphosis) in the upper back. This causes muscle power to be needed to keep the head upright.Mostly staightening of cervical spine is due to muscle spasm or cervical spondylosis.Other features are part of cervical spondylosis.In treatment for this is to avoid using pillows and neck exercises.Thanks | |
Q. I have irritation of foreskin and whitish discharge. Please advise.
Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise. | Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online --> | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
What is the treatment for infertility in men?
my sperm count is near 85 million/ml then active is 50 ,sluggish is 10 ,dead is 40 but still im not marry what my question is if i marry any probelm will come for my future and wil become a father? plz answer me doctore really too much thinking abt that | Hi welcome to healthcaremagic.I have gone through your question.Patameters you mentioned in semen analysis are normal, although liqufaction time, pus cells are not mentioned in your reports, they are equally important.Otherwise report is normal.Hope i answered your question.Would be happy to help you further.Take care. | |
Suggest remedy for persistent wet cough
my 11 months old have had a wet cough for a month. The pediatrician put her on antibiotics for 10 days. She finished them about 2 weeks ago. Her cough is still there. I took her again to the pediatrician, she checked her up, her oxygen level was high, lungs clear, no ear infection, all good. We put a humidifier in her room with vicks, we elevated her mattress. She has no fever. She is herself other than this wet cough that wakes her up at night and makes her vomit her breakfast in the morning sometimes. What do you suggest? She is at daycare 3 days a week. thanks | Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does your kid cough or feel breathless?2. How many nights per month does your kid's sleep get disturbed due to above symptoms?3. Does your kid feel breathless when running around or playing with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?Please revert back to me with answers so that I can guide you better.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.yyyyyyyyyyyyyy.com/yyyyyyy/dr-yyyyyyyyyy-yyyyyyyyyy/00000yyyyyy - Dr. yyyyy | |
What causes bronchopneumonia in the right lung and cough?
Hi I had an endoscope 5 weeks ago and becme very unwell after it with a high temp and cough then two weeks ago I was diagnosed with Bronchopnuemonia in my right lungI was given two antibiotics which I finished last week and steroids which finished yesterday. The cough finally stopped last week but I have a really bad pain in the top on my ribs on the left side and I got a cramp in my right ribs last night ... is this normal after all the coughing or should I be worried? Thank you | Hello dear, thanks for your question on HCM. I can understand your situation and problem. There are two possibilities in your case. 1. Pain can be due to spread of pneumonia in left side.2. Coughing can itself cause musculoskeletal pain.So better to get done repeat chest x ray.If chest x ray is normal or resolving for bronchopneumonia then you are mostly having musculoskeletal pain due to coughing. But if x ray is suggestive of worsening of pneumonia or new lesions then you may need antibiotic again.So consult pulmonologist and get done chest x ray to rule out worsening of pneumonia. | |
Q. What precautions need to be taken for having low lying placenta?
Hello doctor, I am 30 years old. I am in my first trimester of pregnancy. My 10 weeks 4 days ultrasound showed a very healthy baby of 36 mm with movements and strong heart beat. It is great news. It also mentioned that anterior placenta extending on the lower end. My gynecologist did not seem concerned at all and even never mentioned it. But, what does it mean? Is too early to judge? Or is there some precaution I must take? Thanks in advance. | Hi. It is too early to judge about placental position. Secondly with growth of baby, placenta normally moves up. So, there is nothing of concern right now. Regarding precautions, low lying placenta which is also known as placenta previa may sometimes bleed (manifests as vaginal bleeding) with sexual intercourse. You have to keep this fact in mind if you experience bleeding. You can avoid intercourse to avoid bleeding, though it is not a must. Sexual abstinence not compulsory, as the placenta is just extending on the lower end and not of serious type which covers internal opening of the cervix. For further information consult an obstetrician and gynaecologist online --> |
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