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What can cause chronic chest pain?
My friend has constant chest pain. In her sternum and has been advised to take this medicenes. ezact90mg. Been under treatment for a year and no improvement. Best of the doctors from mumbai and chennai have been seing her but no conclusion. She is being treated for tubercolosis as the tests show positive.
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Hey there,Seeming at her case it looks like she might having severe gastritis due to anti TB drugs.You can hold treatment for 2-3 days, take OMeprazole and domperidome combination for now. then once she feels ok then we can start antiTB drugs again.
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What can cause constant abdominal pain?
I have had constant right side pain, sometime lower abdominal, pain in right lung area and right shoulder for 15 months. Cannot lie down, very little sleep. Doc has done all sorts of scans and tests and apart from mild kidney stones about 9 months ago nothing has been diagnosed.Initial thoughts were gallbladder, I am 47 and overweight and when I was admitted to hospital I was told I had shingles and sent home the next day. I have been told that I now have PHN and have recently suffered a flare up of shingles.I am absolutely at the end of my tether, painkillers don't work and just about get through each day at work, but am emotionally and physically exhausted the rest of the time. This effects all parts of my life and my husband and I have slept with a pillow between us for a year now - I can't bear the thought of that area being touched. Sometime the pain is most severe just under my back shoulder and on a scale of 1 - 10, it is a 10! I sometimes think that I can't go on.
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HIWell come to HCMAbdominal pain that you are having could be nonspecific if all the test turned unremarkable, some time emotional stress could be the reason for this, if I would be your treating physician then I would treat this case with the following medicines, if this fails to responds then this can be further investigated and MRI Gastroscopy would be advisable,1) Tab Clinidium with Chlordiazepoxide three times in day take care and have a nice day.
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Please suggest a treatment for severe leg pain
Hi, I used to masturbate daily once. sometimes twice...from 2 years. Recently (1 month back) I found that my left leg back of upper thigh portion is paining a lot. I am unable to walk properly. Especially morning, when I wake up it pains me a lot. I cant put a step to move further after i got up. My right leg is fine. Only problem is with the left leg. And I cant jump, run, cant do anything,.. only I need to walk slowly. if I feel the pain then I will stop and again i will start slowly. pain is always there in my left leg, based on my leg movement it comes suddenly don t know exactly when. Its really bad pain. I couldn t bare this pain. I stopped masturbating slowly. But pain is still there. I don t know if the pain is because of excessive masturbation or not?. Specially morning, it pains so much when I got up from the bed.. Please help me, what I should do to come out of this pain permanently. Why this has come to me recently. what is the cause? What is the medicine to use? I didnt consult any doctor yet. Do I need to take any medicine or shud I consult any doctor? Also, I didnt take any medicines. I am applying pain balm. Please respond to my query & help me.
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Hello, As when you do masturbation there will be an isometric contraction of the muscles of the abdominal region, pelvic floor, thigh muscles and leg as well. Due to which there will be fatigue to set in, and muscles become over tiring and weak. Avoiding too much masturbation or in fact avoiding it for time being will be a good choice. Do simple exercises like walking or aerobics with low intensity and regain muscle strength and bulk back. This is one of the commonest reason that after undergoing sex most people feel tired as maximum energy is being utilised. The best way is to have a good diet, water, and avoid masturbation. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Can the bedbug bites be harmful during pregnancy?
I hope this is free of charge because i am broke, but I was bitten by a bedbug and I am 6 months pregnant. I also have serious liver problems which makes this pregnancy very hard to go through. Can bedbug bites hurt my unborn? I am 35 years old 155 pounds (120 pre-pregnancy weight) 5 foot 4 inches tall and my medical history...well, sit down for this one: I have systemic juvenile rheumatoid arthritis (diagnosed in 1978), Fitz-Hugh Curtis Syndrome (diagnosed in 2007), peri-hepatitis (2007) Hep C (discovered in early2007;my ex had it)Wilson s Disease (kaiser-flescher rings around my corneas) (my opthalmologist saw the rings in early 2007)peri-hepatitis, cirrhosis (my gallbladder surgeon cut them off my liver when he took out my gallbladder in Nov. of 2007), hypoglycemic, anemic, ovarian cyst and its rupture during my second month of pregnancy with my fourth child (out of 7 going on 8),adhesions from my c-sec all the way to my liver. I have been pregnant 13 times, 7 living, 3 abortions, and 2 miscarriages). I also tested for Asperger s and passed (in other words, If you score 32 pts or more, odds are, you have it. I scored 38. My second child had hydrocephallus and needed a shunt put in. My sisters son has Autism. Strokes run heavy in my family. I also saw a pain specialist before I got pregnant and I took myself off the lortab 7.5 over 500 Q.I.D.. This was a 5 month process of weaning, so I did not suffer withdrawls much. I have a compression fracture of lumbars 1-3. Acute Spina-Bifda of T-1, and I have extra blood vessels growing insife my eyes. I have had con junctivitis 3 times, 2 were viral, and one was chemical (bad saline stuff). I am severely nearsighted (-4.75 in each eye). I am sure I am forgeting some things but I dont have all night so I hope this is enough. If you need me for a case study, feel free to contact me at 0000. Thank you Dr. for your time in this matter.
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Hallow Dear, Bedbug bite does not harm the baby in the uterus. However, you have to take cognizance of the other so many ailments, particularly liver conditions and so many infections you are having. Please report to the Obstetrician and be under the close supervision of Obstetrician. Wish you safe pregnancy and delivery.Dr. Nishikant Shrotri
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Suggest cure for itching on the stitch line
hello, ihave three ceaserians . the last operation was injune,2008. For last year there was no problem at all. But before three months my stiches were opened. again same thing happened with me on another side last week. now there is no wound at present but I am getting loss of itching on my stich line. What is happening I dont know. please advice. I am 37 years old and no other health problem at present.
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Hallow Dear,When the wound is healing the sensations are returning giving itching sensation. If you do not have any discharge or tenderness over the scar, you may neglect it. Dr. Nishikant Shrotri
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What causes itching in the scrotum after shaving?
hello i am a male 24 years old.i shaved my pubic hair scrotum area and around and now it itches like hell continuously and i scratched it causing it to swell on scrotum region where i specifically scratched.the itching doesn't go away.i wash it with dettol or savlon and the itching stops for a while like an hour or two then gain it starts.please help.
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DearWe understand your concernsI went through your details. Itching can happen due to irritation and inflammation or certain types of skin allergy.You should check the razor with which you had shaved that part. There could be some allergens. May be the allergens were already there and it got agitated when you shaved the area. in any case, to treat itching for the time being, you can use warm water. Clean the area with warm water twice or thrice. Fix an appointment with a dermatologist and consult him.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care.
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What could painful lumps on legs oozing watery liquid when burst indicate?
hellothere's this lump coming up on my leg it hurts and it's getting swollen thats the third one i'm having i've had one on my inner leg close to my knee another on my bottom and now on the outer side of my leg it is latter filled with water which i burst but i'm getting concerned please help me
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Hi. IF there is a clear liquid like water- this is a reaction to to something. Apply an antiseptic liquid to the wounds to avoid secondary infection.It would be a better idea to consult a Dermatologist as this is not a very common condition. A proper diagnosis is necessary .
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Why does my knee swell if I am on my legs for a long time?
I have recently had an arthroscopy (5 week ago) and is undertaking physio. My knee still becomes very swollen if I am on my feet for a long length of time (to the point of crying in pain). My physio keeps saying my body is out of alignment in particular a bone in my foot and also a rib.
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In my opinion you can check if postural alignment is the problem by simply standing on your heels (ankle dorsi flextion ) and leaning forwards for 1 min , if pain goes away then you physical therapist is correct if not this means that you probably have a torn meniscal horn or ACL tear Good Luck
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What causes upper abdominal pain and fatigue?
I have had colon cancer five years ago. I am having upper left abdominal pain and upper left back back presently. I was just diagnosed with Epstein Barr a few months ago and it has caused my spline to enlarge several times. My fatigue and pain is getting so much worse. Now my new symptom is diarrhea.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your pain and fatigue are suggestive of splenomegaly (large spleen). The diarrhea can be a consequence of the spleen impacting on your large bowel, allowing only loose stool to pass to your rectum. I suggest you to have an ultrasound and colonoscopy to assess your spleen again. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for brain edema
respected sir , my wife has got unconcious /fit on 22 dec morning . Neurologist advice us to go for c.t scan thereafter MRI ( in Kota having 1.5 tesla machine only ) gone through all reports ( ESR & Chest X Ray ) he advise for cyst ( some bacterial infection mainly through uncooked food i.e edema in the brain ) please advise
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Hello, Cannot say in your particular case, and it all depends on specifics like how much brain edema and what organism is infecting the brain. Bacterial infections severe enough to cause coma are generally fatal by that point even with the best care. Likewise infection with amoeba are usually fatal by the point of brain edema. But neither of these are 100%. Soonest antibiotic as possible. Lowering brain swelling with steroids, or diuretics or hyperventilation or medical coma would be urgent. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
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Is the semen analysis report normal?
Hi Doctors, SEMEN ANALYSIS REPORT Sex Male Age 30 Years Volume 3 M Consistency thick Reaction alkaline Epith Cell few Morphology ab form 10% Sperm Count 90 M Active 75% Dead 15% Sluggish cell 10% Pus Cell 0-1 Am I normal and also tell me problems if any in this semen analysis report. Suggest me any thing better for marriage bcoz I am being married in next 7 months Thanks shahbaz
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HelloVolume, consistency , reaction epithelial cells sperm counts , all are normal so need not to worry .Now read following carefully :Studies suggests that NORMAL FERTILITY is associated with sperm counts of > 48 million/mL( while in your case it is 90 million i.e normal )with a motility of >63% ( in your case motility is 75% i.e. absolutely normal )with >12% exhibiting normal morphology ( in your case it is 10% near normal and above all this is not a cause of concern).Pus cells 0-1 , normal .In my opinion you should not worry as you are a fit case for fertility.Hope this will help you.
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What causes a lump on the finger after a sebaceous cyst drainage?
I just got a sebaceous cyst drained from my finger atleast that's what doctor thinks it could have been lots of cheesy yellow stuff came out but came home soaked it like he said to do and tried squeezing more only drops of blood...but there's still a lump there help
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my surgical experience, the lump on finger after sebaceous cyst drainage, refers to post operative residual inflammation effect at the operative site. * I recommend not to squeeze it for further damage, rather than continue medications given by doctor and do regular follow up with your doctor for dressing as per the advise. Hope I have answered your query. Let me know if I can assist you further.
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How can breathing difficulty due to food allergy be treated?
I had 1 teaspoon of tuna with chili and I had a bad reaction. I couldn't breath! I went outside to try to catch my breath or to run down my neighbors for help. I felt it was the chili in the tuna. I am shaken but can still feel the chili in my mouth. I did take a bendryal.
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Hello,You need not get worried. Slowly your breath gets normal by slow inhalation.Take a cup of Luke warm water, put 10 drops of lemon juice and 4 spoons of honey. Fill your mouth full, retain it for 5 seconds and drink it slowly. Repeat the same with remaining water till it finishes.Your chili feeling will vanish and you will recoup your strength. In any difficulty, you should consult your physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Suchda
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No nausea, vomiting or any after effects after taking ipill. Am I safe?
I had sex wid my husband yesterday, unfortunately condom burst n the sperms ejaculated inside. then i used ovulation strip which shows positive result so i took i-pill after 4hs of intercourse. but i there is no nausea , vomiting or any kind of after effects till now...I m really worried plz help me i just had medicinal abortion last month i dont want to repeat it again...plzz reply
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Hello and welcome, If you have taken the pill after 4 hours and there was no nausea. It is a good sign. You are safe. I pill does not cause nausea in every women. If vomiting occurs within 2-3 hours after taking the pill, in fact the efficacy of the pill may decrease and it may not protect. So you are protected. Do not worry. Have a good day.Dr Madhuri BagdeConsultant Obstetrician and Gynecologist
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Suggest treatment for depression despite taking Trintellix
I am taking Viibird now. Told my doctor I didn t think it was working anymore. He scribed Trintellix. I took it for 2 weeks with no results. Went back to Viibird , depression is getting worse. I am a heart patient taking Sotalol. My question is, do you recommend giving the Trintellix another shot? Sorry to bother you. I don t have the dollars at this time.
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Any antidepressant will take at least 2 weeks for effects.Please continue drug viibryd for adequate time.Start viibryd at 10mg daily for 1weekIncrease to 20 mg per day for 2 weeks and after it increase to 40 mg per day. Thank you.
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Q. I am not able to achieve proper latch and quantity of my breast milk is also low. Please help.
Hello doctor, I am not able to achieve proper latch and quantity of my breast milk is also low. Need help for both, please suggest. My baby is 3 weeks old.
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Hello. I would be very glad to help you. Because being a mother of two, I could very well understand your state of mind now. This is a common problem that most of the new mothers face at this point of time. First of all sit back and relax, do not take too much of stress. Because stress is going to affect the quantity and quality of breast milk. Proper latching is essential for both you and your child to feel comfortable during feeding. First sit in a chair comfortably leaning your back with good support. Lift your baby and hold him near your breast. You can keep pillows below the baby to achieve the height without much weight over your hands. When your baby opens its mouth, You have to put the nipple and the areola around it inside the mouth. Search for breast feeding photos or videos online and you can very well understand it. Amount of breastmilk secretion depends upon various factors. Important one is demand. If you feed the baby often the whole day today, definitely your secretion will start to increase from the next day as your body will sense the demand and produce more milk. Feed minimum once every 2 hours in the day and once every 3 to 4 hours in the night. Keep hydrated. Drink atleast 3 to 4 litres of water per day as 80 % of breastmilk is water. Take balanced diet. Include lot of vegetables and fruits. Definitely you can produce the quantity of milk your baby needs.
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Gets nervous and starts trembling
Hi. When i m nervous my hands start trembling. For example, I play the flute in band and whenever I have to audition for one of the band directors or play infront of everyone by myself, i get really nervous and start trembling. How can this be prevented or what can i do to stop this from happening. I also notice i tremble very little even though im not nervous. This has been going for a very long time now.
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Hi and Welcome to Healthcare Magic... Thanks for your question. From your question I gather that you become excessively nervous and have trembling of your hands, especially during social situations. So, in other words, you seem to be having an "anxiety" problem... Generally, anxiety can manifest itself in two ways: 1) psychological... i.e. feeling nervous, tensed, unable to relax, etc. and 2) somatic... i.e. bodily symptoms like trembling of hands, rapid beating of the heart, sweating, etc.Now, it is important to know whether your anxiety is confined ONLY to social situations or whether you keep experiencing some anxiety most of the time and are unable to relax completely. If your anxiety is only confined to social situations and if you are feeling well and relaxed during other times, then you most likely are having "Social Anxiety". Having some amount of anxiety is normal but it becomes abnormal if... it is either excessive or if it affects your normal functioning...So, if you feel that your anxiety is present too often or too much or is interfering with your functioning or performance, then you may be having an anxiety disorder and you need help.Therapy for anxiety disorders is usually of two types: 1) medication and 2) psychological therapies like behaviour therapies, talking therapies, etc. This choice would be based on the severity of your symptoms, the availability of a good therapist and of course, your personal choice as well. Often, relaxation techniques such as breathing exercises, progressive muscle relaxation, yoga, etc. can help a lot in reducing anxiety symptoms.You also mentioned that you have mild trembling even when you are not nervous. Some people can have a mild basal tremor which is called an "essential tremor", which is generally harmless and does not need any intervention unless it is disabling. I would suggest that you consult a psychiatrist locally, so that he / she would be able to assess you in detail to find out what type and how severe your anxiety is and whether you need any medication or any other therapy for the same.Please feel free to clarify any doubts that you have...Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist
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Q. I am 22 years old and not able to acheive full erection. Why?
Hello doctor, I have ED problems for about a year. I am 22 years old, healthy, active, no other physical health problems. A possible reason for this is I had a bad case of blue balls on a night and was not resolved until the next morning. I believe this may have affected my veins in my testicles. My ED may be mentally too, like libido, but I do not think that as much as a physical problem with blood flow. Please help. I did a test with that gel stuff on testicles and x-ray type thing and they said nothing wrong.
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Hello. I would like to know a few information about your general health. Is ED present all the time or noticing association with anything particular? Do you take any medications in general or anything for ED? The most common cause for ED in your age is psychological. Any undue stress in life? Any family history of medical problems diabetes, cholesterol, etc? Do you have a partner? Any change in partner recently? Any relevance you notice either this? Also, I am not very sure what blue balls exactly describe. But seeing that you have had an ultrasound of scrotum, I think it is unrelated to ED. Scrotal scans are not relevant for ED. So need more information on how and why you had this? Stress, psychological. Check fasting lipids, glucose, thyroid and testosterone levels. Also need the reports of scans, consultation reports already done. ? Varicocele (incidental not a cause for present complaint). Anorgasmia. Dysejaculation. All these are far less likely. ED (erectile dysfunction). Ensure no stress, take help if needed. Reassure that ED due to pathological cause at this age is unheard of. Try a dose of drugs like Viagra, purely to see responset. It is not recommended as long term until we have further information. Relaxation techniques. Avoid stress. Reassure positively. Highly recommend to take proper urological consultation to work up properly either locally or online.
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Could exercising cause red, painful and hot to touch area in the knee?
HI…I have been doing exercises for the past few weeks, a lot of squats and lunges. I noticed yesterday that my knee had a red area on the front and it feels hot to the touch. It also hurts when I kneel on it or touch it. I do not remember injuring but it feels as if i banged it.
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HiHope this msg finds you in good health.I have gone thru ur msg & understand ur concern. seems u have sprained ur knee. take analgesics and anti inflammatory tablets. compression bandage. local gelFeel free to ask me a FOLLOW UP QUERY anytime.Take care.God bless.
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Is it safe to masturbate with a urinary stent insert?
I had a kidney stone earlier this month and required the basket procedure to remove it. I have had a urinary stent in my kidney/bladder since the surgery and I have an appointment to remove it on the first of next month. I'm not exactly sure how this stent thing works, Its not visible externally from the body at all, and its not one I can pull out via a string. Every night, I have a strong urge to masturbate, but I have been really hesitant to do so while this stent is in me. I've read a few questions/answers that were posted on the Internet about masturbating/having sex with the stent in place, and a lot of them have me confused on whether it is advisable to do or not do so. So please, can you tell me whether or not I can do so while this is still in me? the month is nearly over but every night I get more and more anxious
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Hi,Ureteric stent is kept inside the tube connecting kidney and bladder. The upper end gets coiled inside the kidney and lower end coils inside bladder. It does not touch the penis. It is safe to masturbate with the stent inside.However, if there is any associated urinary infection (related to previous kidney stone or the procedure itself), this may lead to pain in urethra (the urinary tube passing from bladder to the tip of penis). If you experience any pain or discomfort while masturbating, please avoid masturbating further and consult your Urologist.Hope I have answered your query.Wish you a good health,Dr. Raguram G.
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Is it safe to use Clingen vaginal suppositories for itching and burning sensation during pregnancy?
Hi I m 27 weeks pregnant. I m having itching and burning sensation while peeing and I also have a urge to go to the bathroom very frequently. I feel like I have some kind of urine infection. Can I use clingen vaginal suppositories for this infection and is it safe to use it during pregnancy?
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hiwell avoiding medication in pregnancy is betteryour symptoms shows you are having the urine infection and not vaginalbetter to to urine routine and culture test and then decide for medicationblindly taking cling-en is not a good idea
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Gastroscopy shows stomach ulcers. On antibiotics. Had severe swelling in ankles, feet, eyelids. Inter-related?
I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication??
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Hi,Thanks for posting your query.I am Dr.Ratnakar Kini and I am pleased to assist you.The swelling you have in the ankles, feet and around the eye lids is not related to the stomach ulcers or the medications you tak.Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease.You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes.I hope that answers your question.Regards,Dr.Ratnakar Kini
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Could the bump with pain on foot be due to fracture?
Hi, I dropped a small can of olives on my foot today. I had a big bump where the can hit for about hour afterwards. Now it just hurts. It hurts some to walk on it. If I point my toes down it hurts really had. Feels like my skin it tearing. The can hit me right on top of my foot. Could it be broken or fractured?
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If there is swelling and if it is tender to touch, and hurts you a lot on weight bearing on the affected foot, then it can be a injury to the bone or the joint. It is better to take a radiograph and confirm it. If there are no open wounds, with aseptic precautions, you can apply Ice for upto 10 to 15 minutes, 3 to 4 times a day.
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What causes shaking and drowsiness in a child after recovering from fever?
Hi, may I answer your health queries right now ? Please type your query here...8 yr old g.dtr on Tylenol for fever 3 days. No fever now but still not eating & seems shaky, wants just to sleep, but not sleeping normally. I don t think she has been going to bathroom either. Has drank water
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Hello,Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will be there for 4 to 7 days. So do not worry about duration if the kid is active.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani
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What does the sperm analysis report indicate?
Hello Doctor,I just got my Sperm Analysis report and it reads as follows:Volume: 4mlColour: Opague grayReaction: AlkalinePH: 8.0Viscocity liquefaction time: > 1 hourFructose test: PositiveTotal sperm count: 85 million/mlActive motile: 40%Sluggish motile: 25%Non motile: 35%Pus cells: 2-3Macrophages: 0-2RBCs: NILYeast/ Bacteria: NILAbnormal forms: 5Immature forms: 3Agglutination: NILClumping: PresentPlease suggest if this report is ok.
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HelloSemen analysis as :Volume, color, reaction ===Normal .Viscosity liquefaction time >1 hours ===It should be less than 1 hour. ABNORMAL .Motility overall 40%, 35%, 25 % ( active, sluggish , non motile). Usually it should be 90-100 % motile ( abnormal in your case0.Fructose test +ve Normal.Pus cells , RBCs, all are non-specific in your case.Abnormal forms 5 .Normal fertility associated with sperm counts > 48 million/mL, motility>63% and 13% exhibiting normal morphology( motility and morphology are abnormal in your case).For NORMAL INFERTILITY , you should consult an INFERTILITY specialist and get his opinion.Hope this will help you.
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Suggest remedy for memory loss
I am 22 years old and have recently in the past year have lost alot of my memory. Its all memory long term and short term. I also loose my train of thought and struggle to finish sentences sometimes as i forget what im saying. I forget what i do with my keys, money, ect but remeber passwords for things. I struggle to remeber my schooling or my childhood. i cant remeber conversations iv had. I have been on anti depresents since i was 16 but its only been this year i have really been having trouble with my memory.
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HIThanks for using healthcare magicI think, you have pseudo-dementia due to depression. You are facing this problem due to lack of concentration. In that case, carry on with antidepressant and that would help you to maintain memory and control depressive symptoms. You can try some stimulant like modafinil that would help you. Better to consult about it with your psychiatrist. In case, you need further help, you can ask.Thanks
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Q. What does it mean if I tested positive for hepatitis C?
Hello doctor,I am hepatitis C positive with IgM + IgG of 14.2. This test was conducted five years ago. What is the significance of this? I have full medical test including LFT from two months back including sonography where things were normal. Do I need to worry about this? Does it require a treatment or the count is within limits?
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Hello. You need to get the hepatitis C quantitative assay (RNA level) done and need to get treatment depending upon that. There is no need to worry. Your other labs are fine (attachment removed to protect patient identity). But please be under the strict follow-up of a nearby gastro/ hepatologist. Regards. For more information consult a medical gastroenterologist online -->
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Does the intake of marijuana cause any harm while you are pregnant?
I have a friend going through a custody battle and his wife smoked marijuana and took Vicodin while pregnant with his twins. The twins are now almost 2 years old. Would any of the pre-birth drug use show up in a hair follicle test? She also used while breast feeding the twins as well.
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Hi,Since the twins are already 2 years old it is not possible for the marijuana to show up in any test done on the kids.Marijuana can get secreted in breast milk and cause developmental delays and sudden infant death in kids who are breast feed by women taking marijauna. A lot depends on the source of marijauna itself as if it is contaminated, then the complications will increase.But it is very very unlikely that any thing will show on blood, urine or hair follicle test conducted.Hope this helps.Regards.
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What causes swelling and pain in the neck after a bug bite?
Hi um I lately have been feeling very dizzy and offbalance at times. On Sunday I went fishing and this bug bit the back of my ear and the bottom of my hairline on my neck in the back of my head. They aren't tick bites but they are really red and about the size of a dime but a little smaller. I live in Wisconsin so it can't be anything tropical. But the next day I woke up to find the side of my neck swollen and what I think to be my limph nodes sticking out the side of my neck they're midly painful. It's sorta like a akeing sensation. I also have asthma and this rash on my arms which itches sometimes. I'm 14 btw . I really hope you could heip me out or somthing or at least give me an answer because I'm freaking out so uh ... Thanks
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bug bite can cause skin and soft tissue edema and pain. as you have history of asthma too, you need to seek medical advice and should take anti inflammatory medicine with anti allergic too to prevent asthmatic attack. swelling will take some time to regress. morever edema presses the nerve near the ear so it causes dizziness.
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Suggest treatment for dog bite
i was nipped by a dog on friday - only just broke the skin, and small bruise in the area - was a little sensitive the day after but have woken today and its becoming more sensitive, its slightly red, have put savlon on it. The dog is known to me & does not have rabies. what should i do?
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DONT BE PANIC.YOU HAVE TO TAKE FIRST ANTITIENUS VACCINE AND GENTELY WASH THE BRUISE AREA.YOU SHOULD TAKE ANTIBIOTIC DRUGS. AND MOST IMPORTANT IS ANTIRABIS VACCINE. IT MAY BE EATHER INTRAMASCULAR OR SUBCUTANIOUS INJACTION.
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Suggest remedy for dog bite
my son was bitten by our dog twice but the first bite anti rabies injection was given to him in full dose and our dog also was given vaccine after he bites our son.and today again for the second time our son was bitten again.his last injection for anti rabies was given last march 17.that was the last injection for full dose.pls.let me know if he needs another injection for antirabies.thank you.
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HIWell come to HCMI really appreciate your concern, it is most advisable to get done the vaccination even the dog being vaccinated but it can not be taken as granted it may be risky, hope this information helps, take care and have a nice day.
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How can the paternity of an unborn child be confirmed?
I had sex with my boyfriend on December 28th through the 31 with no condom and he injected his sperm in me all the time ..and 2 weeks after my period came..Then we broke up and I had intercourse with someone else around January 20s I can t remember the day it happened..and my period was supposed to come February8 but it didn t I just got spotting today..and if I m pregnant I don t know who the father is
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you got menstrual period after 1st relation the possibility of pregnancy is less. If the pregnancy test comes positive this time possibly the second person he should be the father because as your expected period is on February 8th, so there is possibility of ovulation around January 20th. Conformation can can be given only through DNA matching. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for bruising caused by puppy scratch
My daughter was playing with a very young puppy (8 weeks old) and the puppy was play biting her. Looks like a lot of scratches not deep bites at all but is it normal for bruising to occur as well? This was yesterday and today she has a lot of bruising from it.
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Hi,As there are multiple bites and scratches she requires,ARV shots,Tetanus toxoid shot.Clean the part and apply antibiotic cream over the part.Consult your doctor and get examined.Ok and take care.
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Had hip replacement, yellow pus in incision, positive bacterial sample. Taking antibiotics. What is wrong?
5 weeks and 1 day out from partial hip replacement, wound/incision on side of thigh isn't healing, oozing yellow pus. now doctor is cutting off all antibiotics to see if they can finally get a positive bacteria sample (previous two cleanouts / tests showed no infections. what to do? othro wants to wait 10-14 days and go back in again. is this superficial or deep tissue infection? allergic reaction to partial hip replacement hardware, slow healing due to compromised immune system? she also has felty's syndrome.
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Hello. Thanks for writing to us. After a partial hip replacement, the discharge like you are having can be due to an active bacterial infection in the area or a reactive fluid from the joint due to inflammation. You need to get the fluid cultured for proper diagnosis. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal drtayal72@gmail.com
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What is the relation between cholesterol and leg pain?
I am currently taking crestor, niaspan and lovaza for lowering cholestrol? I have been having terrible leg pain in my inner legs that makes walking difficult. I have been reading about the leg pain that many people have experienced with crestor I am seeking an alternative. What do you suggest?
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Hi There are 3 reasons for leg pain with the history that you have given.Of course it would have been even better if had told us about your smoking habits. 1) since your pain is present on the inner side of your thighs, there is a possibility of AVN of the hip joints. What it means is that blood supply to the ball of hip joint socket decreases, causing death of the femoral head(ball bone). This can give rise to pain primarily and also secondarily due to arthritis in the hip 2) PVD. Peripheral vascular disease means narrowing of blood vessels due to high cholestrol. This is the same phenomenon that occurs due to a heart attack, but this is albeit happening in the peripheral vessels. Also a combination of cigarette smoking, alcohol, and atherosclerosis can give rise to what is called as 'claudication pain' or simply pain due to narrow vessels 3) Crestor can cause muscle pain. this is a well known cause of muscle pain in people using anti-lipid lowering agents. Either way you will require a full assessment by an orthopod with x rays of the pelvis with both hips, and perhaps MRI of the pelvis looking for AVN, and an arterial duplex looking for narrow blood vessels, if any. If you are diabetic it is imperative that sugars are under control and if you smoke, quit it as soon as you con.Hope this helps,Do let me know if you have any more queries on this one,Dr Purushottam Reddy Padala MS(Ortho) FRCSConsultant orthopaedic and joint replacement surgeonHappy Joints Orthopaedic centre. Hyderabad. India
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How to increase the size of penis?
Sir , I introduce myself Rajesh, my age is 28, my penis looks small,i have more temptation on sex , so i daily use to masturbate, bcos of that i feel guilty that i couldnt do sex properly with my partner after my marriage, and ialso want to check my sperm count, where i can check this, ineed suggestion on this.
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Thanks for writing to HCM.I understand your concern about masturbation and penis size.Masturbation is akin to sexual intercourse. What penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm! This is a natural activity. Not a disease.Just as sexual intercourse cannot lead to weakness or erection problems, so how masturbation can do it?Masturbation should not be at the cost of sexual relationships with your partner. This needs open sharing of likes and dislikes of either partner.You can go for pathologist to have semen analysis.Important and more practical fact is that the size of penis has nothing to do with sexual satisfaction of the partner. It is 'entry' followed by continuous thrusting movement considered as sufficient. The method of lovemaking according to partner's preference rather than size is more important.Sexual sensations are in the outer aspect of vagina i.e. the clitoris, inner lips and lower one third vagina. Inner two third of vagina is largely insensitive. Wish you good health.
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Suggest remedies for bleeding from gums and swollen throat
Last week I moved and was without running water for sometime. I was unable to brush my teeth for a few days, when i finally did they were already hurting/itchy. They bled instantly when i began to brush. After a few days the pain/itching subsided but bleeding continues slightly. THis was also all accompanied by a slight sore throat and I can feel a bit of swelling in my throat.
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Thanks for your query, I have gone through your query.The bleeding in the gums could be because of the gum infection(since you are telling you did not brush) secondary to the deposits over the teeth.The other causes can be any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. Consult a oral physician and get these things ruled out. Get a complete blood investigation along with INR to rule out the bleeding disorders.If I am your treating doctor, I would advise you to get the teeth cleaned and use topical gum astringents like stolin gum paint. If the bleeding does not stop even after this I would suggest you to get a complete hemogram includingBT, CT, PT AND INR to rule out bleeding disorders.
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Suggest treatment for nagging cough in infants
Hi, I have a Twin baby (boy and Girl), both are having cold and they have running nose. while coughing we can hear the cold inside their chest, what is the best medicine i can give them, I m from UAE, so would like to know what is the OTC medicine i can buy and give
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query your children have nagging cough, cold and runny nose which seems to be due to chest infection/ chronic upper respiratory tract infection. I would suggest you to take nasal sprays and do warm saline gargles. You can take Anti-allergic Benedryl or cetrizine, it helps to reduce mucous production. Take proper course of antibiotic as well. Visit pediatrician once and get it examined. You should get throat swab test and paranasal sinus x-ray done and start treatment after proper prescription. Avoid oily and sharp food. Drink plenty of fluids.Hope your concern has been resolved.Get Well Soon.Best Wishes, Dr. Harry Maheshwari
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What causes itchy rashes around mouth after taking antibiotics for lung infection?
My sister has been sick with some sort of respiratory thing for over a week-she is very susceptible to pneumonia-so we always make her go in. She was on antibiotics, and after five days on them developed a very itchy rash and swelling around her mouth. Her hands and feet swelled. Her Nurse practitioner changed her antibiotic, and she has only worsened. She is in so much pain she can hardly move, and now her throat is really sore tonight. She is 51 years old and has stopped all her meds today as she thinks they are making her sicker-I do too. I was leaning toward strep and trying to convince her to go to emergency room tonight...Could It be that?
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Hello! I can understand your concern. As you have rightly pointed out , your sister seems to have developed severe allergic reaction to the antibiotic she took . The most important treatment now is to stop the culprit drug. She will also need a short course of Cetrizine or other antihistamine medication , and oral or injectable Dexamethasone , which is a steroid that treats the allergic reaction. You can get an allergy panel test done to find out what all drugs your sister is allergic to, so that these can be avoided in the future. Hope my reply helps. Do drop in your valuable feedback.
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What causes a lump in the upper left quadrant with numbness on it?
I have an oblong acorn sized lump in the upper left quadrant. The lump just became noticable over the past few weeks. For months, I have felt an odd sensation of numbness, spasm and brushing of a feather on the skin in the 2" diameter area of the lump. When I bend over to tie my shoes, I can definitely feel pressure on the lump. At times, the lump is pulsating, especially when I've been active. It is located directed below the middle of my breast about 2" below my last rib. When in a car, it feels like the seatbelt is pressing on the lump area but in fact, nothing it touching it. There is relatively no pain, unless I have been pressing on the lump.
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hello dear thanks for query on HCMwith the history you have given i would suggest you to meet you physician at the earliest , get a complete blood investigation with peripheral smear, ultrasound abdomen and follow the instructions... hope your query is answered
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If the body couldn't produce acetylcholinesterase. What would happen?
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1.Acetylcholinestearse (AChE) also known as acetylhydrolase causes hydrolysis of acetylcholine at neuromuscular junction and cholinergic brain synapses, where it causes termination of synaptic activity. 2. During neuro transmission, acetylcholine is released from the nerves and binds to acetylcholine receptors on the post synaptic membrane to relay the signal, Acetylcholinesterase also located on the post synaptic membrane terminates the signal by hydrolyzing Acetylcholine. This choline is again taken up by the pre-synaptic nerve and acetylcholine is again synthesized. 3. Now if for any reason this acetylcholinesterase is inhibited or not produced in sufficient amount this will result in accumulation of acetylcholine and acetylcholine is an EXCITATORY neurotransmitter thus resulting in muscular paralysis, convulsions, bronchial constriction and death due to asphyxia. 4. best known example is organophosphorus poisoning. 5. Acetylcholinesterase inhibitors are used to treat Alzheimer's Patients.
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Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Suggest treatment for dog bite
hello, i am a bit worried, my dog bit my finger playing around with me, and i barly bled, but i bled, im worried if i might have gotten rabies because after symptoms show, i heard that its too late to do anything, its been two days since he bit me, the cut looks fine, its not infected, i dont have any symptoms, i eat and drink fine, the only thing tht i have is tht im drowsy, but tht is because i was up all night worried the day i got bit, my dog shows no sign of rabies, my brother had told me he had gotten his rabie shots but seemed unsure at first, i feel completely normal except for the paranoia tht i might have gotten rabies, do u think i might be infected? or am i safe? p.s. my parents do not want to take me to the docter because they think im being foolish.
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Thanks for contacting HCM with your medical concernsYou are worried that you may have become infected with rabies from a dog bite. This is highly unlikely as the dog has more than likely been vaccinated with the rabies vaccine. Also the dog is not exhibiting any behavior that would suggest rabies. I recommend that you keep the wound clean with soap and water. I can reassure you that you do not need to worry about rabies.Hope this answers your medical question. Please contact us again with your health care concerns and questions
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Why does the baby cry consistently?
my daughter is almost nine months old(though she was born 2 months early) and she constantly cries. it s not a hurting cry, but it s constantly and the doctor said she s too old for it to be colic so he s stumped is there any reason why she could be crying constantly? nothing that we do helps with this
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most babies cry because of hunger due to inadequate feeding but sometimes they cry because of colic pain, ear pain or simple nasal block i would suggest you to give a paracetamol drops and nasal saline drops and to get ENT examination to just rule out ear infection in case if baby has excessive crying, sweating on the forehead while feeding or bluish discoloration of oral cavity or if your baby has suck-rest-suck cycle while breast feeding or refusal of feeds i would suggest an 2d echo
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Can different pain killers be taken for knee pain?
i m currently taking tylenol3 for my knee while waiting for knee replacement surgery from my Primary care. After being sent home from hospital will pharmacy fill prescriptions for pain medicine after surgery. My concern is different pain meds from different drs may be a problem for pharmacy.
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Hello, I have studied your case. Different pain killers are not going to be a issue. As more of less all have same mechanism. After knee replacement you will not need any very strong pain killer.You can discuss with your doctor about this issue . I am sure he will help you and offer you same pain killer which he thinks will be safe for you.I hope this answer will be useful for you. let me know if there is any other followup questions. thanks for using healthcare magic.
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What causes greenish discharge from the penis?
Hi,, I have noticed that a green fluid is coming out of my penis for a week but only in morning time when I wake up and the amount is just 1 or 2 drop of it!! I checked up for stds and it all came negative.. There's no burning sensation or anything else.. The last I had sex was 3 weeks ago and the checkup was made 5 days ago!! What it can be??
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Hi, Thanks for posting in HCM. I understand your concern. It appears from your description that you could be having asymptomatic urethral infection. Kindly get the urethral discharge culture and sensitivity test done. Kindly consult Urologist with the report for clinical evaluation and appropriate management. Hope the information provided would be helpful. All the best. Regards, Dr. Ashakiran.S., MBBS., MD.
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Can I get pregnant without having vaginal intercourse ?
i am 34 yr old, unmarried girl. 4 days before i had sex but no vaginal intercourse , my boy ejaculate sperms and spread on my clothes , arm, underwear. can this make feel pregnant . my periods started yesterday only and last for only 1 day, anything to worry about?
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the sperms will only get fertilized only when they are released in to vagina or cervix.if u have any doubt u can go for urine pregnancy test
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Could stage 1c cancer of endometrium be treated without chemo or radiation ?
My mom is 65yrs old and two weeks back she had her hyterctomy done ( total hysterctomy) for adenocarcinoma of endometrium diagonised as stage 1c ( invasion in more than half of myometrium. one doctor has recomended chemo/radiation .i need to give her a treatment without chemo or radiation as she is very weak and I dont think she will be able to take it. please help me with a treatment without chemo or radiation( all nodes are fine)it is clear cell carcinoma it seems.please help with an answer
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hi welcome to healthcare magic I appreciate your decision of not going for chemo and radiotherapy. this is the time to improve her immunity so that her body itself can fight with diseased cells. chemo and radio will kill immune cells also with cancer cells. so you should plan such a treatment which improves immunity and also prevents regeneration of cancer cells.. We got very good results with combination of HOMOEO AND OZONE therapy.. for any help contact sufia_banu@yahoo.com
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Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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What are the causes and treatment for pain in pelvic area
I have been having pain on and off in my pelvic area down to my inner thighs and also around to my right back side. It is noy constant but gets worse wiyh intercourse and has still been present on and off while i have been avoiding intercourse. It has been 5 days now. I went to the ED and yhe sent me home telling me to follow up with a dr in 1 day but i cannot get in until october 30.
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Maybe ur suffering from urinary tract infection, or sum minor pelvic infection, take acourse of antibiotics wid urine alkaline syrup citralka 15 ml twice daily 4 five days
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Suggest treatment for allergic sinusitis along with ear infection
hello sir,just 1week before i got allergic sinusitis as my ENT doctor told me and my ear also rings throughout the day. My ENT told me that i got ear infection too and i am working in call center . i am worried and depressed what to do and sorry to say but i have been smoking since 3 years.Now i am feeling like suicide .what to do even i am taking the medicine by doctor but i just wanted to know whether my ear will stop ringing or not after medication.Thankyou name-SANJEEV KUMARage-27 yearsweight -approx 74kghistory-having sinus since 4-5 years
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Hello Sanjeev Kumar,Thank you for asking at HCM.I went through your history and would like to make following suggestions to you:1. Sinusitis and ear symptoms are closely linked. With treatment of sinusitis, ear symptoms also improve, but they take more time to show improvement as compared to sinusitis.2. Were I treating you, I would prescribe you an antibiotic for 14 days, intranasal corticosteroids for at least 14 days, montelukast and daily nasal irrigation with saline. 3. I would also suggest you to regular check up by your ENT doctor to identify any change in ear. Ideally, you should get your eardrum checked every 3 to 6 months by an ENT doctor.4. Personally I would suggest you allergy testing which will help you to identify the substances that you may be allergic to. Avoiding these substances is the best strategy in managing allergies.5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. Please get professional opinion to help you quitting smoking.With above suggestions, I am sure you will feel much better and improve gradually.Wish you the best of the health.Thank you & Regards.
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Could taking statins cause kidney failure?
Yes, thank you, I am wondering about the relationship of cpk to creatinine levels and the EGFR likely to result from a high cpk. Is it wise to continue taking statins if the EFGR is only around 50 or 52 and cpk is 209? Could the statins (Crestor, in this case) cause kidney failure this way?Thank you.
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maximum dose of atorvastatin is 20 mg per day and rosuvastatin 10 mg per day. further increase in dose can cause decrease in eGFR.
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Suggest remedy for persistent chest infections
I have had continuing chest infection for nearly two months. x-ray showed pneumonia in one lung and a few weeks later same in other lung. I have been on antibiotics all this time and have just recovered from head cold.Have had flu vaccinations during all this. I am in my 70s and had whooping cough vacs as a child. Dr. said I haven t got whooping cough but have had some coughing fits similar to whooping cough. Am on large doses of puffers to I guess dry out lungs of pneumonia. I have had asthma and bronchitis (mild) all my life. Some days feel as if I m getting better then symptoms come back.Please doctor tell me what is the name of this bug and when will I get better?Thanks Diana
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thanks for posting your query to HCM .As I understand it is a chronic respiratory problem may develop in to Chronic obstructive pulmonary diseases (COPD) . Improper aeration in all segment of lung because of solidification and improper drainage of secretion because of constriction of bronchiole favour growth of microorganism . Immunity is also decreses in old age . All this facor are responsible for your problem .first you should investigate for culture and sensitivity exmination of your SPUTUM to know the causetive organism of pneumonia and antibiotic to treat the organism . As untill and unless you will not take antibiotic properly and completely you will not get cured .once you will be free from infection it would be easier for your clinician to give you symptomatic treatment .take care .
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Suggest treatment for mild carpal tunnel syndrome
Hello Doctor, I have been diagnosed with mild carpal tunnel syndrome in my right hand and the surgeon i consulted suggests that I get an operation done to correct it. Is such a drastic measure advisable for mild CTS? Are there natural non-invasive alternatives? The reason I ask is because my left hand also appears to be developing similar symptoms and the prospect of multiple surgeries is a little frightening.
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Hi, For mild CTS you can go for physiotherapy along with steroid injection in your wrist and take Gabapentin and nortriptyline. If it is not getting relieved by these means then go for surgery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
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Is Metoprolol 50 mg the right medicine for depression?
Hello--I am writing you on behalf of my 70 year old dad. He is severely depressed and has been like this for about 4 months (following a cancer diagnosis of my mom). His PC increased his Prozac to 60mg and added wellbutrin XR 300mg. but he is not improved at all. It is a debilitating depression. It is hard to find psychiatrists in the area of florida where he lives. His PC suggested dropping Prozac to 30 and trying 10mg Lexapro. We aren t sure what to do about the wellbutrin. Does that require a tapering off? And he also added metropol 50mg recently and wonder if that can cause side effects and if we should taper that off.
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Hello,Thanks for puttin g your query on HCM.I can understand what you are going through.If I had similar patient viisting my clinic,looking at his age, I would have given him Mirtazapine 7.5 mg and then gradually raised to 15 mg as required. It is considered antidepressant of choice for elderly because of better side effect profile than other antidepressants.Wellbutrin is mischievious to sometimes worsen depression and bring suicidal thoughts so if the patient doesnt improve,it should be stopped.Metoprolol might have been added to meet hypertensive issues and it should be continued.Hope I have solved your query.If you have further query please feel free to ask.
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What causes mood swings for every few days?
My husband behaves quite abnormally every 15 days especially on full moon days and no moon days. For no reason he becomes furious and gets anger. He shouts for a long time for even silly things. This happens every fortnight. Can you please clarify the cause of this?
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HIThanks got using healthcare magicI think, he has rapid bipolar disorder. In that, patients usually have frequent mood swing and that last for few days to many days. That could be the reason in your case. You need to consult a psychiatrist for proper mental evaluation as well as management. In case, you need further help, you can ask.Thanks
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Suggest treatment for lesions on the lungs and the brain
my mother is 70 years old undergoing radiotherapy treatment.In pet scan it is detected that she is having lesion in lungs and two lesion in brain.Now radiotherapy for brain is completed and for lungs is going on.Now i want to know that this treatment is sufficient and any other checkup required.plse guide me.
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Respected user, hi I evaluated your query thoroughly.* Oncologist is the best person to judge all your treatment cycles according to the stage of your lesion .* If you want to know the sufficiency of treatment , you can have discussion with your doctor to take follow up MRI to evaluate the progress.Hope this helps you.Welcome for any further assistance.Thanks for using Healthcaremagic.com & giving me an opportunity to assist you.Wishing her fine recovery from the same.Regards dear take care.
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Suggest treatment for infertility problem
Hi, I am 30 years old, me & my husband trying for a baby from last 3 years. My husband works in the ship & he comes for 2 months vacation, so we get only 2 months together.We both have done all our test & its normal, still i have not conceived, & is it safe to travel when we are trying to conceive? My husband is at home for vacation right now.may i know the reason wat is the problem? Please help
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Hi welcome to health care magic.I have gone through your question.As your both reports are normal and still not conceiving means it is unexplained infertility. As many couple now a days suffering from this.I would advise you to do intercourse in fertile period on alternate days. Do yoga, take healthy food, avoid stress.Yes you can conceive during travelling. Its totally safe.Take care..
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Can bad habit of masturbation lead to low blood pressure and become psychiatrist patient?
hello sir,,,i have an bad habit of mastrubution,,,,when i do it,,,i feel my bloodpressure low,,sir i have already a Psychiatrist patient,,,but i m young and do this,, sir u tell me,,,that mastrubution have any concern with my head problem or b.p? (sorry for wrong english)
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Hi and thanks for the query.I am Dr. Alok and very pleased to be assisting you with your health questions today.I am so sorry to hear that you are in confusion of myths. masturbation never leads to low blood pressure. but due to myth in society, it leads to sense of guilt. this guilty sense leads to various psycological problem. I think you should see a psycologist as soon as possible and discussIf you have any further queries, please donot hesitate to call me againHope this helps and provides answers to your question.I wish you good health.Dr. Alok
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Suggest treatment for fever
i have been battleing this fever i was 102.7 last nite then this morn 100.6 and this afternoon 101.5 and now 102.3 i cant take it any more im throwing up and have hot and cold flashes my chest is killing me whats wrong with me i am snowed in and cant go anywhere
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Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have persistent fever ranging from 100-102 which is due to viral infection. You immunity is getting lowered down and making you prone to infections. I would suggest you to take combination of antiviral drug along with anti-inflammatory drug. Take nimuslide along with paracetamol as well. Take diet rich in multivitamins and vitamin C. Your symptoms will resolve in 4-5 days. If symptoms keeps on persisting visit ENT specialist once and get some routine blood investigation done. Apply wet cold sheets on your head to lower down body temperature. Avoid hot, spicy and sharp food substances.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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Diagnosed with bronchitis which is causing shortness of breath
I was diagnosed a couple of years ago with bronchiectasis. I have noticed lately an increase in shortness of breath. I use a pro-air inhaler and it helps, temporarily. I am not coughing up anything. My coughs tend to be dry. Wondering what could be causing the shortness of breath I am noticing. No change in lifestyle or diet. When I inhale, it is like sucking air through a straw with a hole in it. Best way I can describe it.
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HI, thanks for using healthcare magicBronchiectasis refers to a condition where damage to the airways causes widening. It is likely that this is contributing to your shortness of breath.It would be best to visit your doctor for a review. In addition to reviewing your symptoms to determine if it is a flare up, your doctor will also be able to rule out other possible causes such as heart related causes of shortness of breath.I hope this helps
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How to stop growing of septated anechoic mass in liver?
my liver is with homogenous parenchymal echogenecity. a septated anechoic mass is seen at segment 8 of the right hepatic lobe measuring 3.1 cm in diameter. what shall i do in order for me to stop this from growing or to get rid of it? thanks and GOD bless.
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HIThank for asking to HCMI really appreciate your concern looking to the history given here I would like to say that, without knowing the exact nature of growth in your live it is difficult to say anything moreover the entire management of this lesion would be depend upon the type of lesion and for that you have to get done some important test, like biopsy CT thorax, these test would clear then diagnosis, hope this information helps you, have a nice day.
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Suggest treatment for sore throat , runny nose and fever in a child
i have a son that is three years old. he have tearing eye with puss on both eyes, running nose, sore throat hurt to swallow, senstive to the light. Fever been up and down few times. He did vomit last Friday few times that was it. Lets go back to few days ago. He kept telling me that his right nose blocked for a while. when we all go to wet n wild. He was having good time.. The next day we drove to Myrtle beach for one day. He was playing in the shore and the hotel pool. All of us went to amusement park. He rides. The next morning he woke up with eye sticking puss close hard to open he cried. Thats when it start.
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Hi...by what you quote I feel that your daughter might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. if it is negative then it might be viral illness and doesn't require antibiotics at all.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth
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Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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How can allergic skin reaction on the abdomen caused by Iodine application be treated?
I had surgery 1 week ago and they used idione was used to wash the trunk of my body. I am having allergic surgery reaction to the same area of my belly and under chest. I have pink bumps that are itchy and red. I am using the cortisone cream and benydryl but not helping. Please advise.
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Hello, It is very important that you avoid the agent that is causing the allergic reaction. If it is Iodine you will need to thoroughly wash the wounds to completely wash it off. Sometimes, it is the band-aid used to stick the gauze that is the cause of the allergic reaction and these may need to be avoided and the area gently and thoroughly cleaned to remove any remaining on the skin. You may go on with the Benadryl to help with the allergy. Sometimes, oral steroids are used for better effect (you will have to get permission from your doctor to use these- depending on the surgery you had). If you get face swelling or shortness of breath you will need to urgently see a doctor. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Regards, Dr. Antoneta Zotaj General and Family Physician
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Can non penetrative sex lead to pregnancy?
I was hvn a for play with my girl nd it happend that i placed my dick right in front of her vegina naked nd on after d whole thing whc we dnt last i started ejaculating after i hv hold my dick with my hand, so after dat i looked into her virgina nd saw watery fluid in front of her vegina. Pls. Can dis lead her geting pregnant And she is still a vigin. And pls how come the fluid.
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Hi welcome to HCM If during ejaculation semen went in to vagina even without penetration it can lead to pregnancy , otherwise not . Regarding watery fluid it can be vaginal secretions or semen . If you did not ejaculated on vaginal opening, and there was no penetration, chances of getting pregnant are not there.Hope I answered your query.thanks
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Suggest treatment for pain in right side of the ribs
Helo im a renal patient i am on dialysis. ,but iv ben having pain in my right side of ribs and shoulder,its 5days since it started the pain isnt as bad now but im so scared because iv tb twice and then brain menigitus , 13 new lines/grafts ,basicaly one prob after anotha in3yrs please help me
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It would be advisable to get evaluated by a chest x ray as with your previous history you would not want to take any risks.
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What causes hard vein under the skin of penis at the base?
Hi, I have what feels like a hard vein under the skin of my penis at the base, it is not painful, but the size of my penis is about an inch shorter and at the base near my public area looks almost like it s not getting as hard but the rest is, like there is a belt around it. It has gotten me completely depressed and worried that it will never be the same again.
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Thanks for asking in healthcaremagic forumIn short: Veins are normally visible on the penis.Explanation: I dint get your problem properly, visible veins are normal on the penis. Did you have any injury over there. It is not possible that your base of penis is not hard and periphery is. Do not measure it. Go visit a doctor to clarify your doubt. OR else please resend your query.
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Suggest medications for cough, fatigue, and headache due to allergy
I began a new job with new kids, the environment is different. I developed a cough, fatigue, and head ache. I recognized these symtoms as i have had then in the past, and was diagnosed with allergies and bronchitis. Ive been on the z pack for five days not coughing any mor but ears are blowing up. My old MD used to give me a cortizone shot. HELP
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Thanks for the question.What you are describing certainly sounds like allergies. Bronchitis as well can be allergic in nature, or infectious, but probably allergic the way you describe it here. A Z-Pack, or azithromycin, is actually usually over-prescribed, as it does not help will allergic cough, only infectious cough. Treatment of allergies is really best done with antihistamines, such as loratadine or diphenhydramine, both of which are over-the-counter. If cough persists, you may benefit from treatment of asthma, such as an albuterol inhaler. A cortisone shot for allergic cough would only be helpful in rare or emergent circumstances.I would recommend trying these over-the-counter remedies, or returning to your primary care doctor for further discussion.I hope this helps.Dr. Sheppe
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What does it mean to have pus in semen as shown on semen analysis?
I am a practising Doctor since 1970.I get patients with pus in semen on Semen analysis and full of debris under Microscope.Urine R/e Doesnot show pus cells 6-8 only.KFT normal,Harmones with in normal limits, no fever or burning. no irritation.Please let me know what can be source osexcessive pus cells in semen.
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HelloThanks for query.Presence of pus cells in semen is suggestive of infection either Seminal vesicle or Prostate .Get semen culture done to confirm the diagnosis .He needs to take antibiotics like Doxicycline twice daily for one month.Dr.Patil.
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Suggest treatment for sores in the womb while trying to conceive
Hi, i am a 26 year old female and i ve been having painful pains on my waist, when i go to the doctors they are telling me that i have too many sores on my womb, do i still have a chance to get pregnat because i have been trying but no luck. what can i do?
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Hello,Thanks for writing to us. I will be able to comment further if you can upload any relevant reports. Erosion of the cervix and infection as such are not a hindrance to conception, and should be treated effectively. Infections, however, may delay the process. Polyps and fibroids can enlarge during pregnancy and can cause miscarriage. So, it depends on what you have and how treatable your condition is. Hope you find this information useful. Wish you good health.
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What is the cure to get rid of hand practice and to have a healthy body?
Sir....I have a big problem of hand practice from last 5 year now iam still 18 .... I do hand practice 4 - 5 in a week ...when I do this I control my mind I losss my mind ? A Sir...I am week from my childhood ...but In that case I started hand practice ....now I am fell iam no healty from my body still I look 12 year boy.....I am think many time to drop but I can t ? sir tl me how I quite this from my life ? What wil treatment & medicine ? but sir pls pls tell me the solution how I quite otherwise I quit.....? Sir pls pls ...tell me the medicine also anf how will make health.& diet also ? pls pls help sir
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HelloThanks for query .You have been indulged in masturbation since 5 years and now facing problems related to your general health which you think it to be due to masturbationFirst of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday.Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation.Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate.Finally it is your self determination that will help to quit this habit.Dr.Patil.Dr.Patil.
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Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Suggest treatment for vomitting
My 8 year old daughter will throw up a little bit after eating and it's been happening just a few weeks ago. It can be after eating during the daytime. I was wondering if she might have acid reflux and should I take her to see the doctor or just wait it out to see if this will go away?
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Hi,Thank you for posting your query in healthcaremagic.comThis is Dr. Swarnava dattagupta answering your query.I understand your concern.Well, acid reflux for few weeks is not very common in this age group. It can occur once or twice but you said that it is happening for a few weeks.Do the following-give her small frequent dietsavoid fatty or fast food and give dietary fibers moregive her tablet ilaprazole 10mg once daily for 7-10daysgive her tablet ondansetran 4mg SOSyou can take her to a PAEDIATRICIAN if it does not decrease after this.Hope i have answered your question.If you have any further questions i will be happy to help.Regards
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Is it normal to have lightly red & burnt skin after 2nd sitting of peel treatment for pimples?
Dear sir, I have been taking peel treatment for my pimples and afrer 2nd seating mybskin was seemed to be lightly red and burnt. Is it normal?? Or i have got side effect of peel?.if this is side effect upto how many days it will last.? Wheb my skin become normal like before? Pls help me
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Hello,Thank you for posting on HCM.Chemical peeling is a simple procedure which causes controlled burning of skin leading to exfoliation superficial skin layers, decreases acne and pigmentation and gives you a rejuvenated skin. Usually post peel, redness and crusting is common and usually moisturizer and sunscreen is enough to take care the post procedure sequelae. Sometimes, chemical peels may cause excessive redness/crusting due to deeper penetration of peel, but its difficult to rule out without proper clinical examination or pictures. Anyways, start applying a cream containing desonide (Desowen cream) twice a day gently over red/irritated skin followed by good quality moisturizer like Cetaphil DAM. Always make sure you use your sunscreen before going out in sun and repeat application after every 3 hours and use proper clothing to cover face. Avoid pricking/scratching/peeling of skin. Use gentle cleanser like Cetaphil cleanser for sensitive skin for regular face wash.Take some antihistaminic like Levocet if excessive itching is there. Hope this will take care of your query,Thank youDr Hardik Pitroda
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What is the life expectancy of stage 4 breast,lung and bone cancer?
My daughter was diagnosed with stage 2 breast cancer in July, 2013. She opted not to do chemo and traditional treatments and chose instead to do all natural treatments. Now, 1 year later, she went to Cancer Treatment Center Of America and now has stage 4 breast cancer, cancer in her lungs and in her bones. I just would like to know if you can give me some idea of life expectancy for something this severe. Also, her dr gave her hormones and told her that would keep the cancer from spreading and that she can do that for 3 months while she decides if she wants to do chemo. TRUE OR FALSE???
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The reason that the cancer returned and in a more severe form is because your daughter opted for a non-scientific method of treatment and so was under-treated. Based on her stage and extent of disease now, she should immediately start on chemotherapy and not waste time thinking about it. Hormone therapy in her case will be inferior to chemotherapy. Of course, she should be fit enough to tolerate chemotherapy which only her treating physician can tell.With proper treatment and good response to chemotherapy, her chances of living 5 years is 30% and her median survival will be 18 months.
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Abdominal pain, fever, vomiting, difficulty in holding urine. High blood cell count. Any ideas?
MY DAUGHTER WAS SEEN IN THE ER FOR ABDOMINAL PAIN,FEVER,& VOMITING. HER LABS CAME BACK SHOWING HER WHITE BLOOD CELL COUNT WAS HIGH. SHE WAS SENT HOME WITH NO PERSCRIPTIONS AND WAS TOLD TO FOLLOW UP WITH HER PRIMARY CARE PHYSICIAN. NOW SHE IS AT HOME STILL IN PAIN,HAS THE CHILLS AND CANT HOLD HER URINE. CAN YOU TELL ME WHAT IS WRONG?
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With high blood cell count, chills and unable to hold her urine I would think of a urinary tract infection as a high possibility. Check urine for routine and microscopy examination and then proceed for further investigations if required.Take care
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Have gallbladders stones. Taking antibiotics. Itching, rashes in vaginal tract, white and cheesy discharge. What should I do?
Dear Doctor, I am suffering from Gallbladder stones and am scheduled for surgery late this month. I have had two attacks till now and I am on high doses of antibiotics . After going on the antibiotics however, it started getting extremely itchy down there and I also have developed rashes/ warts inside my vaginal tract, accompanied by milky white, cheesy discharge . What do you think I should do? Please advise.
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Hello! Thank you for the query. Such white cheesy discharges are most likely caused by fungal infection of the vagina. It can be associated with antibiotics intake, as there are natural bacteria in the vagina protecting it from fungal colonization. Antibiotics do affect this bacteria destroying them and causing such infection. You should visit gynecologist and have vaginal suppositories should be prescribed. Hope this will help. Regards.
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Q. There is no period after the removal of Mirena. Why?
Hi doctor, I had Mirena removed before a month and had what I think was a period the next day that lasted for four days. It has been 37 days with no period and three negative home pregnancy tests. I have been nauseated with cramps that are dull while some hurt good enough to stop me from moving. What is going on?
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Hi. Mirena is a progesterone-containing IUCD (intrauterine contraceptive device). Its sudden removal induced you periods last month. Your current delay in periods is also because of the same. It takes time for the body to restore the normal hormonal balance after removal of Mirena. Do not worry. Wait for another week or 10 days. You should get your periods. If not we can start you on medicines to induce the period. Hope you found this information useful. All the best,
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Can a whooping cough cause a heart murmur?
It s a little complex , cough for 7 months , whooping cough diagnosed, blocked sinuses , chest infection followed, still coughing ...been to docs 2 days ago , more tests to follow to determine if reaction from whooping cough or something else ...and then doc says I also have heart murmur , now worried. I am 45 year old , have cycled all my life, dead on right weight, never smoked. Perhaps a little sleep deprived , stressed and have couple more drinks than ideal....and now quite worried. DOc to listen to heart in 1 month but say not too worried if I can still red up steep hills...which I can, but I also have an awareness of my chest, can feel it, not sure if cough and lung related or heart. Comments welcome
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pls take a 2D echo u will know whether this heart murmur is physiological or pathological.physiological heart murmurs can be treated easily and doesn’t carry any further risk.
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What causes burning sensation and throbbing pain on knee?
I feel about 45 minutes ago and feel on my knee, it was hurting so bad I couldn t move for a moment. It was burning and throbbing with pain going up and down my leg. I immediately put ice on it and elevated it but the ice did not help and one side of the knee is swollen. And it is still burning very badly. Have I damaged my knee?
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Hi there, thanks for your question at HCM.I am sorry I have to say this, but it looks like you have damaged your knee. Focused swelling only in one side of the knee , suggests a focussed trauma to ligament/ bone at that particular area.Also ice , rest and elevation of limb usually help with pain when applied over time over the first 2 days.If you are not able to stand or walk on your leg , you should see your physician to get is evaluated further. Hope this helps.All the best. Regards.Dr SBK
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How can pain in the legs and increased pain in the foot while walking be treated?
I can’t figure out if the achiness in my left leg is just something minor or if it is something like dvt? It does feel warmer than the right leg and the foot tends to hurt when I walk on it. No visible redness or swelling though. I am nineteen years old also. Any help would be great, thank you!
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Hi, As one leg is warmer than the other, DVT has to be ruled out. You can consult a general surgeon and get a venous Doppler done to rule out DVT. As of now, you can take analgesics like Acetaminophen for pain relief. Hope I have answered your query. Let me know if I can assist you further.
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What precautions need to be taken in case of tuberculosis lymphadenitis?
Hi my sister has been diagnoised with Tuberculosis lymphadenitis.The doc just did a surgery and removed the lymph node and is gonna start with the treatment in a weeks time. Could u please tell me the precautions and diet to follow and anything else that can be done to get rid of this condition?
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Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.Strict adherence to the treatment and diet is essential.As you undergone surgery most of the tuberculosis burden has gone. It's now essential to maintain good treatment adherence.Please take good diet which is rich in protein. Please start exercise early in the morning daily. It helps in reducing disease burden.Hygiene is important. It helps you cure from the disease and also prevent transmission to other.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
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Endoscopy done and biopsies of throat and stomach taken. Nissen Fundoplication. Nausea and painful stomach. Concern?
Hi..I had a endoscopy yesterday and he said he had to take numerous biopsies of my throat and stomach. I had a Nissen Fundoplication in 08 for extreme gerd. Lately my body has gone haywire after a brain tumor in 2010. It was taken out but everything is going wrong now. The latest is I am so nauseated that I am throwing up on the spot...for no reason...very painful stomach ache. How worried should I be. My brain tumor was not cancerous.
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NamastheWelcome to Healthcare-MagicGreetings of the dayKindly get fundus exmaination from opthalmologist to rule out raised intra cranial pressure as cause of your symptoms. Kindly get back to me with complete medical history so that i can assist you further.Regards
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End stage lung cancer, had bowel cancer, oxygen level is low. What can we expect now?
My father has end stage lung cancer .(secondary to previous bowel cancer ) he is on 40% oxygen as his oxygen levels were as low as 78 on Friday. He is still up, just not moving far. (10 litres per minute) He asked what would happen if he suddenly couldn t breath. Every movement is tough so it is crossing his mind more and more. What can I expect and how would I deal with it? I would hate for the oxygen not to work and be in a situation of panic as that would be terrifying for him. i have talked to him about breathing exercises and relaxing etc. He is still at home where we would obviously like him to stay if he continues to be comfortable. Can you give me some brutal idea of what to expect. I know what is coming but I would like to be quietly prepared so I can help him as much as possible in the absence of anyone else etc. (he is 78) Thank you E.
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Hi, lung cancer secondary to bowel cancer uncommon commonly bowel cancer metastasize to liver first , your case the lung cancer may be of second primary. Anyway as his pulmonary status is very poor it is possible that he may develop respiratory failure. At present overenthusiastic treatment by putting the patient on ventilator or similar attempts may not be a realistic approach. It is better to manage him conservatvely and have an opinion from any palliative care specialist.Take care.
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Suggest treatment for scrotum infection
Respected sir, my husband suffering from scrotum infection problem. they suffering from one year firstly right scrotum infected & pus made there now in left also infected as same they take lots of medicine but not cure .why always pus made in scrotum what causes behind it.
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Hello Infection in scrotal area may be due to many possibilities ,these include:1 Due to improper hygienic care , as this is most common cause of such pus formation.So take care about ,because there are rugaea ( wrinkling in the scrotum skin ) ,so wash these with lukewarm water , apply anti bacterial soap .2 Dermatitis or eczematous dermatitis . Usually there develop wetness due to dermatitis . Wash with lukewarm water , dry , apply clobetasole+neomycin cream .3 Fungus infection . In my opinion consult a dermatologist and get his opinion.When such patient visit I advise to take ampicillin+cloxacillin capsule with anti inflammatory tablets .Good luck.
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How can I have a healthy pregnancy ?
hi i was diagnosed with uterine fibroid and ovarian cysts last sep then my doc gave me danogen for three months ,my symptoms was severe pain in the left side of stomach just 5th day of mentrual cycle later pain ll subside after 4 or 5 days flowed by brown coloured watery discharge . now my course for danogen is over and later m supposed to tk ovigyn and levotol can u plz guide me regarding this . m planning for baby also this year .
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Danazol is jst completed by you and you conceiving may take few days after you complete the course of ovigyn and levotol. You consult your own OBG specialist planning your next baby.
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Could the lumps on scrotum and penis be Fordyce spots?
Hi doctor, i have small little lumps on my scrotum and penis they look like Fordyce spots, but at the back off my mouth on my tounge it looks like big red warts visible, and i have anal warts as well could this be Fordyce spot or do u think it will be more genital warts (hpv) :
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Hi, It can be a manifestation of sexually transmitted diseases and human papilloma virus. Check for those with an STD panel. If there is no STD, then it can be due to fordyce spots and bacterial infection.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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Suffering from jaundice frequently. How to get relief from it?
Dear Doctor, Plz note I am suffered three time for Jaundice in 3 year and recently I am suffering since one month as very mild the same ( having 2.29 bilirubin ) , I want to know that why frequently I got Jaundice and need your advice how to get relief from it since now my health is spoiled like any thing , Plz note my age is 46 and pure vegetarian no other problems ( sugar and blood pressure )
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Hi, Thanks for your question. I will like to ask you certain questions before coming to the diagnosis. Does any family member of yours have similar illness? What is the colour of your urine,stool? Do you have fever,weakness,itching over body,abdominal pain? Do you smoke or drink alcohol? Also I will like you to advice some investigations like: Complete Blood Count. Liver Function Test. Ultrasound Abdomen. Also i will advice you to take Liver Supportive enzyme syrup. Wish to see you soon and in the best of health.
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Struggling with OCD. Taking lanozep. How to overcome this problem. Any effect in planning pregnancy?
Hello doctor, my concern is towards my husband. My husband is struggling with OCD and past few days he is taking LANOZEP on a daily basis. Lanozep gets him sleep and also he starts using abusive language, looses his power to stay calm and listen to me. I need to take him out of this at any cost. please suggest. And also we are planning for our second baby, is there any side effect Lanozep on this .
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Hello Thanks for question OCD or obsessive compulsive disorder is one of disorders of anxiety spectrum disorders. It is one of disorders that is very difficult to treat but treatment options are available and treatment is also successful. Both medicinal and non-medicinal (psychological) treatment are available, and combination of two results in best outcome Medical treatment is based on use of SSRI medicines (Fluoxetine, Paroxetine etc.) or Clomipramine. These drugs are used in higher doses for OCD. And the medicines are safe also with no major side effects. In addition to this benzodiazepines like he is taking (lonazep) are used for control of anxiety. But these are with abuse potential and individuals tend to become dependent on them. So they are usually prescribed on SOS basis only and these are controlled drugs. Non medicinal treatment includes- Behavior therapy, which is best treatment of OCD. Thought stopping techniques, exposure and response prevention, desensitization etc. are modalities of treatment used. So as per my opinion- - combination of treatment is best for OCD and you should consult your psychiatrist for proper addition of medicines if symptoms are not in control - Psychotherapeutic treatment is best if used with motivation. - as far as plan of baby is concerned, as per my opinion there is no harm to baby from your husbands side. thanks and take care
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History of thyroid. Missed the period. Pregnancy test negative. Suggestions?
hello doctor i have thyroid for more than 6 years. im taking 100 mcg eltroxin regularly. got married last year. we r trying for baby since got married but didnt conceive. before marriage my periods was irregular. after marriage i started to take clomifene tab & hcg inj 4 or 5 times, that time my periods was almost regular.i have discontinued those tablets from nov 2012. now my periods is almosy regular between 28 to 32 days. my last lmp was on 26 feb, till now i did not get my periods. this is my 45th day. i did a home preg test yesterday ie apr 10th but it came negative. i checked my thyriod level in jan my T4 level is 12.3, T3, TSH levels r within normal range. now i want to know why my period is delayed this time.will thyroid levels be altered during summer & is my period delayed due to my thyriod or will i be conceived. should i take a blood test ? please reply me as early as possible
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Hi,Thanks for the query.You once consult gynecologist and go for blood test for pregnancy and ultrasound.By this the possibility of the pregnancy can be found out and also in the absence of pregnancy the cause for delayed periods can be identified.Thyroid levels can be altered depending on many factors like activity of individual but there may not be seasonal variation.So you once get examined for other factors also like PCOD, prolactin levels etc.After the workup the possible cause can be identified and treated.For more details you can ask me through: care.
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Q. What should be done for grade 1 endometrial adenocarcinoma in a 48-year-old?
Hello doctor, What is the treatment plan for 48-year-old women with grade 1 endometrial adenocarcinoma and right ovary with endometroid carcinoma well differentiated 4.5 cm?
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Hello. Please also provide me with the following details to provide a treatment plan. 1. Depth of myometrial invasion. 2. Lymphovascular invasion- is present or not? 3. Status of the lymph node. 4. Peritoneal or omental sampling is done or not? 5. Pre-operative MRI findings.
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Q. My friend had stabbing chest pain and breathlessness. Is it mini-stroke?
Hi doctor, A good friend of mine was headed to work one morning. He got a stabbing pain in his chest and his vision went blurry. The pain went down his left arm and hand. It eased up, but the numbness stayed in his hand for about a week. He ignored it. A few nights later, he woke up gasping as if he could not catch his breath. Again, he ignored it. A few days later, at work, he experienced the same stabbing pain in his chest and inability to catch his breath. Several minutes passed and as always he ignored it. He has been diagnosed with high blood pressure and was prescribed with medication, which he takes rarely. What could all of this be? From what I read, it sounds like a mini-stroke. Please help.
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Hi. I am really sorry to hear about it. Chest pain with radiation to arms associated with breathing difficulty and blurry vision points towards classical angina. According to the symptoms, a cardiac event is more likely than a stroke. As per the history mentioned by you, the patient is hypertensive and obese. Both are the risk factors of coronary artery disease. I would suggest to go for a 2D echo test to rule out any lack of blood supply or any mild myocardial infarction, treadmill test, lipid profile and echocardiogram. When done together, then have a sensitivity rate of more than 75%. Apart from that, I would like to know if the patient is a smoker or diabetic. Also, is there any chest discomfort or breathlessness on walking fast or climbing upstairs? Revert back with the investigation reports to a cardiologist online -->
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Suggest cure for chronic asthma
why asthma is a untreatable disease?i am 24 years old,married women,suffering from chronic asthma from last 5 years when i was studying in B.Sc.2nd year in Microbiology honors.my problem is that my asthma never be controlled by using any measure.i am using Esiflo inhaler 250.improper digestion or acidity and some hypersensitivity like skin rashes, redness,and also heavy pain in muscles,abdomen and weakness.now what to do to fit myself?i could not go for M.Sc. program.i fail to do heavy work as shorten breath with trouble,pain in chest,neck etc.please help me.
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Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. At present I would agree with Esiflo inhaler and would suggest you to use it regularly for at least 2-3 months with ensuring proper technique of using inhaler.2. Were I treating you, I would add regular montelukast and an antacid like pantoprazole before meals. I would also suggest you to use salbutamol inhaler on as-and-when-needed basis for asthma symptoms.3. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.Based on the allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms on a long term basis.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run by improving lung capacity and immunity respectively.6. For skin rashes, redness, etc I would suggest you to take an antihistamine like cetirizine or hydroxyzine on as-and-when-needed basis.7. For pains, I would suggest you to take paracetamol on as-and-when-needed basis.To summarize, appropriate medicines, immunotherapy and life-style changes would help you a lot.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.
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How to manage Neuropathy with severe pain, constipation, fatigue and mobility?
Dear Doctor, My dad is suffering so much from a neuropathy. He had this disease 15 years ago, got treated for it and he was ok. But since 1 year, this disease came back and it is getting worse and worse. He has now pbm with digestion, constipation, he is very tired,and he has lost 7 kilos in 3 weeks. And the worst thing is that he lost the motricity of his right leg! He is very weak and since 8 months the only treatment he s been having is 2 injections of vitamin b1&6 every week! But this just does not work. He doesn t eat and the pains have made his life so hard. We live in New Caledonia, and not only this disease is not wellknown but we have just 1 neurologist. So i would love him to have a second advice from you, and also is it possible to get an appointment with you? We have relatives in Sydney and one of my cousins works for the hospitals in Sydney so we could manage to be there whenever you could receive him. Many thanks in advance for you response Kind Regards, Stephanie Watt
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HIThank for asking to HCM I really appreciate your concern for your father, you did not mentioned the age of your father this was necessary here, looking to the history, this could be a general debility, if he has diabetes then this could be diabetic neuropathy, general nursing care and vitamin supplements some time gives very good response, hope this information helps you, have nice day.
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Suggest treatment for open sore caused by friction
I have an open sore that is beginning to heal up but not quickly as it should. I do have diabetes and I know it takes longer for things to heal up. The sore is a result from masturbating to hard and too often. Also from that sore is a hard infection core and I was wondering which antiboitics I should take to cure the situation.
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Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.I advice you to take ampicillin and sulbactam antibiotics under your doctors guidance for wound infection.Diabetics may have resistance infection from the bacteria. I advice you to take culture and sensitivity from the wound. Taking treatment according to report will cure your infection early as well as cheaply.Maintaining the local hygiene like cleaning and dressing can help cure infection early.I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun TankIf you are satisfied with my answer rate me as five star and close the answer
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What is the treatment for Chronic Asthma?
My daughter is a chronic Asthma patient. She has been prescribed with Combitide Starhaler 125/25mcg 2 puffs 2 times daily by doctor of CMC,Vellore. In Kolkata I am not getting it. Can I use Combitide Starhaler 250 which is available in Kolkata with 1 puff daily ?
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Hello.Thank you for asking at HCM.I went through your daughter's history and understand your concern about the medication which is not available at your place in Kolkata.Combitide Starhaler 125/25 contains two drugs - Fluticasone 125 mcg and Salmeterol 25 mcgCombitide Starhaler 250 contains - Fluticasone 250 mcg and Salmeterol 25 mcgCombitide Starhaler 125/25 2 puffs twice will give her total Flutocasone 500 mcg and Salmeterol 100 mcg in a day.However, Combitide Starhaler 1 puff twice a day will give her total Fluticasone 500 mcg and Salmeterol 50 mcg in a day.Thus, she will not get dose of Salmeterol recommended by your doctor if she uses Combitide Starhaler 250.There are other similar inhalers containing Fluticasone 125 and Salmeterol 25 which may be available in Kolkata, but they may be manufactured by other companies.So, personally I would not suggest you to use Combitide Starhaler 250 in place of Combitide Starhaler 125/25 unless her treating doctor allows you. It will be best option for you to ask her doctor regarding this. Online purchasing her prescribed inhaler may be a good option if it is not available in your city. If it is not possible to contact her doctor in Vellore or to wait till delivery (for online shopping), in my opinion, second best option may be to give her inhaler with similar contents manufactured by other company till your next visit to Vellore. Hope above information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health.Thank you & Regards.
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What is the treatment for epilepsy?
I have been diagnosed with epilepsy. I don t lose consciousness or fit. I have a focal seizure of the esophagus. I lose taste in mouth. I do weird burp. Sometimes vomit. Eyes water. Episode lasts5-15 seconds. Use of sodium valproate has reduced occurrence dramatically but still get the odd one. Increasing of dosage mg does not seem to be stopping episodes...
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that's a very atypical seizure. regardless the treatment for epilepsy is the same and you are one agent that appears to be working. talk to your doctor about maximizing therapy and possible second agents
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What causes elevated WBC and neutrophil count?
Ive had some blood tests done recently and The last ones were done a week apart. One on 9/21/17 and the other 10/12/17. the first one showed high wbc as 13.4, normal rbc and high neurtophils (absolute) 9.0 and high lymphs (3.6) the second one showed high wbc and rbc as 12.7wbc and 5.30rbc . the neutrophils and lymphs have been high since january 17.. why are these high and is this is a sign of cancer or something else? Im scheduled to go to a hematologist but havent gotten appt yet and im freaking myself out thinking its lukemia or tumor or hiv or anything.. Im just thinking any possibility. I know you cant give direct answer but please tell me if these numbers are cause for concern. Ive been extremely tired, getting lots of headaches, my head feels heavy and almost like its swaying. but i think that stuff has to do with a strain on my eyes maybe so maybe not connected to above? I only take meds for high cholesterol and just vitamins nothing else.
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HiI have heard your history in detailsAn elevated WBC and neutrophil count could be due toInfectionImmunosuppressionMedications such as corticosteroidsA bone marrow or immune disorderCertain cancers such as acute or chronic lymphocytic leukemiaInflammation such as that experienced with rheumatoid arthritisInjuryEmotional stressLaborPregnancySmokingAllergic reactionsI would advise you to do a blood culture test.I do not think you have cancer.RegardsDR DE
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