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Normal pressure hydrocephalus. Is there any medical nutrition therapy that can be implemented?
Hi, I am a dietetic student. I currently have a patient with normal pressure hydrocephalus and am wondering if there is any medical nutrition therapy that can be implemented? Either now, post removal of CSF , or post shunting if it comes to that? Any credible websites (.orgs, .govs, or .edus that will have information on nutrition for this condition? | Hi, Thank you for posting your query. Normal pressure hydrocephalus (NPH) is a condition, that can be treated with surgery, called as shunt surgery. In this condition, the brain water (CSF) needs to be diverted, to reduce the pressure in the brain. This leads to improvement in the patient's problems. Walking and gait improves the most. Other problems such as dementia and urinary incontinence improve only a little. There is no role for any specific diet in treating NPH. Best wishes, Dr Sudhir Kumar MD DM (Neurology) | |
Should medicine be continued for expressive language disorder?
My son has receptive and expressive language "disorder". He was previously diagnosed with ADD, non attentive type. When he was diagnosed with the language issues, the pyschologist said that he really didn't test for ADD. My question is...does he need to continue with ADD medication? He's on Focalin now and the teachers haven't commented on any improvement in his lack of attention. | Hello,I think you should talk to your treating psychiatrist if the child is not improving. There might be some issues with the drug dose or he can change the drug. secondly, he must recheck the diagnosis.Many a time learning disability can be misdiagnosed as ADD. If the the problem is only learning disability, there is no need to give any drug.Thanks. | |
Can cocaine abuse result in inability to have full erection?
I am 27 years old and i cant get a full erection and i only last a little i used cocaine but i have been clean for about 3 years now.I get seizurs since i was a little boy once in a while. I am 5ft5in and i weight 160 and i am married. I started having sex at 16 and my ex wife and me would have sex about 3 times a day for like 6 days a week. | i think your problem might be due to cocaine use only.cocaine use may leads to erectile dysfunction and impotency.kindly consult your sexologist for further followup | |
Sore throat, headache and cough. Suffer from anxiety and depression. Do I have cancer?
About 3 weeks ago I came down with the flu sore throat runny nose achy headache once these symptoms cleared I had a cough was coughing greenish phlegm flu cleared was checked by doc but I still have a sore throat it is only on one side and it only hurts to swallow and my ear hurts when I swallow also it doesn t feel like a typical sore throat now. Please do not answer that I may have cancer as I am a very anxious person and suffer from major depression and anxiety and I am very worried that it is throat cancer | Hello Melembru, I read Your Problem. Do not Be Penic. Believe me You are not Suffering from Throat Cancer. Throw away your worries. Be Relax and calm. You Probably got Upper Respiratory Tract Infection after Common Cold episode. You need to do is to follow few Instructions. 1) Avoid Cold Stuffs like Cold drinks, Ice creams etc. 2) Avoid Oily foods having more cheeze,butter& all. 3) Drink HOT breverage like Hot Coffee,Hot Tea, Hot Soup 3 times a day 4) Do Gargling with salt water 2-3 times a day as local remedy. You can Purchase Throat Gargles by Medical store with Your Doc Guidance. 5) Consult Your Doc again to treat Ur throat Infection & Ask him for Proper Antibiotics. Ask me again if any queries. With regards, DR JIGNESH | |
What causes swelling and tenderness in armpit areas?
My daughter started developing intermittent swollen glands in her neck in middle school. She s had them off and on since (she is now 20), but now she finds that she also has intermittent swelling and tenderness in her armpit areas. What should be done? | Hi,Thanks for your query.Lump in this location can be enlarged lymph node, infected sebaceus cyst or ganglion cyst.Lymph node is usually movable and rounded. It is not quite soft, rather hard. Can be painful.Infected sebaceus cyst is a kind of benign soft tissues lesion. It tends to get infected. In such situation it becomes reddish, swollen and painful. Fever can be present as well.Ganglion cyst is connected with a joint (shoulder in this case) and filled with joint fluid. Pain is characteristic for this lesion especially when moving the limb.I suggest you to consult general surgeon with this issues. Soft tissues ultrasound should be done to diagnose it. Cyst or ganglion can be removed.If its a lymph node, biopsy should be done.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Suggest remedy for sleeping problem
I don" get sound sleep and i am suffering from this problem for the past one year and the Dr. had advised me to take 0.5mg of stress nil daily at bedtime. Does it have any proven side effect. I am not a diabetic and taking 40Mg arbitel for BP. I have tried other sources like taking honey with milk at bedtime,regular walking and hearing light music at bedtime etc., but of no help. kindly suggest me a solution to get rid of sleeping tablet I am aged 60yrs.. | nidra nash is what you are suffering from.here some simple home remedies may be tried out.drinking a glass of cold buffalo milk at the time of sleeping and rubbing of feet planter surface with coconut oil[room temperature oil not warm oil] for 20 minutes .also in my experiance reiki which is a energy transfer system in healthy sleep inducer.you your self can do a two day reiki course.shiro dhara and are also solutions.i have seen paients falling sound asleep will the taila dhara is being poured on patients forehaed i e during he shirodhara procedure. | |
Lump on shin above ankle, knee hurting severely, causing a knot. Is it due to lupus?
Yes i have a lump on my shin right above my ankle idk if it might have something to do with why my ankle and knee are hurting severely or not i already have a bad knee and now this knot has appeared and i think its causing the pain in my ankle and knee but i dont know what it is. I do know i have lupus so any advice would be great thank you | it could be related to the knee pain which sometimes may radiate to the leg. | |
Suggest treatment for olivopontocerebellar atrophy
My husband has Oliverponto cerebellar and was only given 6mnths/2 years. He was told this on the 30th of November 2011, he is really fighting but now he is sleeping a lot and continually has urinary infections due to being catheterised. Is it okay for him to continually take antibiotics and is it normal for him to sleep so much? My husband is 57 yrs old | Hi,Thanks for writing in.The condition olivopontocerebellar atrophy is degenerative and slowly gets worse, and there is no cure. However, it may be years before someone becomes significantly disabled. Your husband might be having a slower course of the condition and his life can be prolonged. The patients having this problem can have frequent trauma due to falls. Supportive care with gait-assisting devices is especially important to minimize falls. Since your husband has urinary tract infection, he needs to get treated for it completely. It is suggested that in consultation with urologist he gets urine investigations done regularly and take antibiotics at a low maintenance dose as recommended. Catheter hygiene must be maintained. The sleeping cannot be controlled and medications that work on the brain in this condition have shown mild response. By taking good supportive care you can prolong his life. | |
Suggest treatment for eruption cyst in infant due to teeth growth
Hi, My son is 18 months old and cutting 4 molars at one time 3 have surfaced but one had a bubble that formed on his gum, the Dr. called it an eruption cyst he has had a fever of 101.0 F. and is very very fussy, he will not take any pain medicine, he does not want to eat, but he will still nurse. We checked the spot and now it is filled with whitish yellow puss, do we need to be concerned now? | Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain it seems that a bubble on the surface of the gum with signs of teething seems to be most probably an Eruption Hematoma or an Eruption cyst that occurs as a fluid filled pale coloured lump and it is not a harmful condition and will resolve as the tooth will erupt..The first tooth to erupt in mouth is at the age of 5-6 months and is lower front tooth..But in case if there is any problem associated with it or the tooth gets delay in erupting then it has to be removed to let the tooth erupt in the mouth and once the tooth erupts there is no further problem associated with it..Fever can however be due to teething but can also be due to viral infection and for this you can give him Acetaminophen but if the fever does not resolve or exaggerate then consult a Paediatrician..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Q. What is the management for boils near rectal opening?
Hello doctor, I am a 42-year-old man, active in sports. Recently about five days back, while playing football on a concrete floor, I slipped and fell on my lower back (coccyx area) and injured myself. I, however, can carry on my daily activities at slightly slower speed now, and there is slight pain on bending forward. Since two days, a big boil has appeared near my rectal opening. It is dark yellow in color, may be filled with pus, not sure. It is painful whenever I pull in my pelvic or butt muscles. Stools are normal, luckily the boil is above the rectal opening, so no problem in passing stools, but while washing, I can feel the boil and it is painful. I have pain also while walking. I have three questions. 1. Did the fall I had lead to the boil? Or are these two independent problems? 2. What is the reason for the boil? 3. How to treat it quickly? | Hello. 1. This is most likely a bacterial infection affecting either hair follicle or perianal glands. 2. It does not seem likely that it is related to your lower back injury. 3. The causative agent is mostly the bacterium known as Staphylococcus aureus. 4. The pus has to be drained, for the immediate relief. 5. Most of the patients get better with antibiotics and anti-inflammatory drugs in a few days time. 6. So I will prescribe you the medications for five days and it is likely that it will get better. Bacterial infection Not required right now Furuncle, perianal abscess Furuncle, perianal abscess 1. Capsule Augmentin 625 mg(amoxicillin+potassium clavulanate)thrice a day. 2. Capsule Bifilac 1 once a day. 3. Tablet Flexing twice a day. All after meals for 5 days. | |
Suggest remedy for back pain
I am 29,5'4, 145 lbs. I have been experiencing left lower back pain I believe to be my kidney area very uncomfortable a lot of discomfort but not . I have been drinking alcohol and a fewa little more than usual lately and a little stressed. Not drinking enough water as well. I also passed blood in my stool yesterdat | Hi, thanks for posting your concern in the HCM.I think you should immediately stop drinking and have a stool routine examination done coupled with obt. Lower back pain may be due to numerous reasons including urogenital infection, spinal abnormalities, colonic pathology, anxiety disorder, mechanical back pain etc. A detailed history is needed also along with clinical examination. If you are having bright red blood in stool, it may be due to hemorrhoid or diverticular disease or inflammatory bowel disease or gi infection. The later three may be associated with back pain.If the blood is dark or altered , peptic ulcer disease must be ruled out, particularly because you have become alcoholic.You should consult a specialist in internal medicine at the earliest for further evaluation.You may also need to have the following tests done-Complete blood count, urea, creatinine, electrolytesUrine for routine examinationStool for routine examination and OBT.Xray LS Spine- ap/lat viewUSG lower abdomenYou should have plenty of oral fluid for the time being.You may also try relaxation session every day to beat stress.Please also avoid prolonged sitting to avoid worsening of back pain.For any further questions, please write back.Regards,Dr. Kaushik | |
What causes swelling and tenderness in the back?
To the left of my spinal cord in the middle of my back is swollen and tender to the touch. It just randomly came about last evening. I used a massage chair while getting a pedicure so I dont know if that's what caused it or if it just made a prior injury worse. | Hello. Thanks for writing to us. The swelling and tenderness can be due to an infection in the area. A para spinal abscess needs to be ruled out after a direct examination.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,drtayal72@gmail.com | |
Q. Will Clomid and Ovafin help me to get pregnant after a miscarriage?
Hi doctor, I am a 24-year-old female. I am married for about 11 months. My weight is 77 kg and height is 5.4". I conceived in the very first month, but unfortunately, I had a miscarriage after 10 weeks and had D and C. Till then I am trying to get pregnant but having a problem in it. My gynecologist suggested me hormonal test but I could not understand its result. Please explain to me the report and help me to find out the actual reason for infertility. According to the test report: T3: 0.7 ng/mL. T4: 5.2 ng/dL. TSH: 1.0 mIU/mL. LH: 4.8 IU/L. FSH: 8.6 IU/L. Prolactin: 5.6 ng/mL. Progesterone: 1.5 ng/mL. Testosterone: 0.2ng/mL. My menstrual cycle is of about 31-32 days and last time I had periods within 28 days. I am using Clomid and Ovafin from the last three months in two to seven days of menstruation, but I have not conceived yet. Along, with infertility, I am suffering from vaginal farts, weight increase, facial acne, mood swings, and headache. I am very stressed. Please guide me and tell me the reason for infertility. | Hi. All of your test reports are normal. You are trying for pregnancy just from last seven to eight months. Kindly give yourself some time and you can get pregnant naturally. As your periods are regular, in my opinion, you do not need ovulation induction medicines like Clomid. In fact, you do not need any medicine right now. Just continue Folic acid tablets and continue trying naturally, you should get pregnant naturally. If there was any infection after last D & C (dilation and curettage), you can get your tubes checked by HSG (hysterosalpingography) to be sure that everything is normal. You can do that test after trying naturally (without medicines) for three months. I hope this helps. | |
Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?
Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. | Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> | |
Suggest treatment for 30 percent artery blockage
Hi, In 2011 I was diagnosed with complete heart blockage & had a pacemaker implanted .. since then I have never regained stamina, tire very easy, at times dizziness. I have had an angiogram and an echocardiogram. There was a 30 % blockage in one artery with my angiogram. When I overdo it I get very tired I lose my colour. The only thing I can do is lay down and have a sleep. I am 61 years of age, I am overweight but losing weight as fast as I can. I take hydochlorothiazide for blood pressure. What do I need to do to get back my ability to do physical work? | Hello, I would like to explain that when discussing your physical capacity it is necessary to consider your overall cardiac performance (mainly by echo) and your physical de-conditioning. Only after reviewing them both, it would be possible to decide the right strategy to improve your physical profile and the most suitable training program. In addition, some lab test is advisable to verify your thyroid glands, liver and renal function; blood electrolytes level. Closely controlling your BP values would be recommended. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
IS the HCG and Clomid treatment correct for the semen count of zero?
My husband has used steroids on and off many years . He had a seamon analysis and his count was 0. He had been off steroids for 3 months. Its been 7 we still have not concieved. How can we get HCG and clomid for him we have done alot of research about that. | HelloThanks for query.Based on your statement it seems that your husband has what is termed as Azoospermia suggesting no sperms in semen .This is due to either of the two causes 1)Absence of sperm production by testicles .2) Blockage in the pathway of transmission of sperms from testis to urethra.What you need first is to do Testicular Biopsy to confirm whether the testicles are producing sperms or not (Spermatogenesis).If there is a spermatogenetic activity as revealed on biopsy you will have to undergo radilological test Vaso Vasogram to rule out /confirm the blockage in transmission of sperms.If there is no sperms production by testis no drugs either HCG or Clomid will help to stimulate the spermatic activities by testis .You need to consult qualified Urologist for evaluation rather than doing any on line research yourself..Dr.Patil. | |
Q. I have blurred vision. Is it due to glaucoma?
Hello doctor, I think I might have glaucoma. I have vomiting, loss of consciousness, and blurred vision 6/12 in the right eye and 6/6 in the left eye. All details are in the attached report. I can send photos. I am currently taking medicines for depression. | Hi. I have seen your attachments. (attachment removed to protect patient identity). It seems like you have posterior uveitis. There is a reaction in vitreous and also inflammation in the retina. However, vomiting and blackouts can be due to neurological deficits. Please get an MRI brain and also followup with a neurologist. In the meantime, start Timolol eye drop twice daily and Moxifloxacin and Dexamethasone eye drop four times a day. | |
What are the symptoms of potential lupus?
I began college 9 weeks ago and I am two hours away from home. I play basketball for my college and one day about six weeks ago my ankle began hurting after weights. I stopped conditioning after seeing my trainer and I was out for five weeks. The pain did not go away even after spending a week in a boot. The pain is uncommon to me though I have sprained my ankle multiple times and broken it once. It will stop hurting for a couple of days and then for four or five days in a row it is very swollen and painful and there seems to be no source. I began practicing again two weeks ago and I had to go to the ER four days after I started practicing due to a very swollen lymph node. At the ER they found a condition called Rhabdomyolysis which is my skeletal muscles breaking down and releasing a substance into my kidneys, as you probably already know. I don t think it is a condition that you are predisposed to again after you do it once though. I have been extremely fatigued lately, my body aches and my ankle has continued to hurt. I am seeing an orthopedic surgeon tomorrow but I was wondering if there could be a connection between all of my problems. Could it possibly be an auto immune disease? My mother has Lupus so I would think I could be predisposed to have one. I have looked it up and I have many common auto immune disease symptoms. | you should definitely be seeing a rheumatologist,cosidering that you have a family history of lupus, an arthritis definitely needs to be ruled out. | |
What causes numbness and swelling on leg which was fractured?
i fractured my knee& ankle on the right side on nov.2nd.2013. I started physcial thearpy inend of dec.2013 I had 8 weeks of thearpy 2-3 times a week plus i would due them at home on days i didn t go. Aprox.2 months ago my left foot started going numb. I told my thearpist about this but she was only concerned with my right leg as that is what her orders were for. Now my left foot is almost a swelled as my right one.My feet will get either real hot or real cold,sometimes real red & they feel funny like things are in their moving around.My good knee also has an indention on the top toward the outside.What could be going on?i am stuck out of state plus my medical got cut off .I am really worried. Please answer a.s.a.p. Thank you so much. Cynthia. P.S. I have also been getting real cold inside.It s cold that blankets or turning heat up will not help, and then it will get real hot but usually i am always cold, My feet are so swelled that it is very hard to walk.I keep trying to do my exercises,i have missed aprox.5 days.I do not have a credit card.Will you plese let me know if i am in any danger? | In my opinion you have to check1-your lower lumber vertebra for possible spondylitis or disc 2-do a calf doplar to check for Vein thrombosisGood Luck | |
What causes coughing up of yellow/green mucus and weakness?
My husband is 35 yrs old 5,10 and 155lbs.coughing up yellow/green mucus and coughing ALOT. He also gets very sweaty then very cold. I took his temp and its reading at 95.6. He feels very drained and weak. He has been like this for the past 10 days now. | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Your husband is suffering from the respiratory tract infection.I advice you should do culture and sensitivity from the sputum.It will guide us regarding the possible pathogen and it s sensitivity for various antimicrobials.Once you take the drug according to report it will cure the infection rapidly.Along with drug please also do respiratory exercise. Like deep breathing and others. Physiotherapist can guide you regarding this.Please maintian good hygiene, locally and systematically. Do not discontinue the antibiotics in between. It will create resistant in the bacteria and makes the future treatment difficult.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
I had a GB sonogram that was negative but showed a cyst of the right kidney . They scheduled me for a HIDA scan and Renal sonogram.The HIDA scan with minimal function. The renal sonogram shows mayo thinning of kidney and the cyst. What is that on the kidney? Could the gallbladder be causing kidney problem. My abdomen is swollen on right side. | Hello. Thanks for writing to us. The gall bladder problem and renal cyst do not seem to be related. Renal cysts are usually asymptomatic and do not pose any problem and remain as such for the life. Single renal cysts do not need any treatment. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drtayalrakhi@gmail.com | |
Suggest treatment for lump caused by a horse kick
Hi i got kicked by a horse 3 days ago my elbow. Its still swollen and it hurts to touch. I can move it in all directions but does hurt when doing so and is stiff. My lower arm ( just under the elbow) aches aswell if i dont keep busy and takes me a while to get to sleep be ause of the achey pain. Could i maybe have a hairline fracture. | Hi! Good evening. I am Dr Shareef answering your query. The lump on your elbow could be due to collection of blood caused by the kick by the horse. This would normally get absorbed in a few days if there is no more active oozing. If I were your doctor, I would advise you for an anti inflammatory drug along with a proton pump inhibitor for a week to ten days for a symptomatic relief and control of the inflammation. Also a cold compress and rest to the elbow with a supporting sling would add to hastening of the improvement. If it persists or the pain increases, I would then advise you to consult an orthopedic surgeon in your area for a possible radiological investigation and further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
What are the side effects of masturbation?
with hope i can have better solution by throught this chat Actually from last 10 years i am having sex my self and now time for marriage but i am afraid to take this step, as i feel i have lose my strength, and i want to know the better solution....? | Hello,,Masturbation has no side effects on any organ or system of the body or sexual potency of a man. It is the myth of common man which causes many doubts and creates anxiety about masturbation.Trust me for one thing, masturbation doesn't cause any harm to your body.It only harms your mind, that too by reading in relevant myths about masturbation.Masturbation has no effects on your health at all, so stop worrying. Every one does this activity in his life.Important here is that it should not effect your normal routine activities.You can enjoy the act but in limitations.Thank you. | |
What are the side effects of masturbation?
Hi there, I masturbated this afternoon, a few days before that I got tummy pains and I knew that was for my period. About half an hour to an hour after I masturbated I got my period and it really hurts so bad, Im wobbly very hurting. The thing is Im worried im bleeding after masturbating! Please answer quick I dont know what to do is everything ok with me? | Hi, The side effects may include tiredness, insecure feeling and loss of self esteem. Check for ultrasound abdomen.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | |
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. | 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.---> | |
Are there chances of getting pregnant ?
we just started planning for kids sometimes i don t release while having sex and comes after my husband releases his is there chance for getting pregnant .. Thank you | Hi, Thanks for query. There is no relation with reaching climax. Once semen goes into the vagina irrespective of having climax ghances of having pregnancy is there. Ok and bye. | |
Q. My CBC shows an iron deficiency. I am really nervous. Please help.
Hello doctor, I had an iron deficiency in the past. So, my doctor ordered a CBC. My CBC came and it really worried me.The reports showed that I also had low B12 and Vitamin D. I have attached those reports. I lose a lot of blood during menstruation. I am really nervous until my next CBC. Right now my physician told me to take iron supplements and Vitamin D. I had low iron in the past and it improved with iron supplementation. Is there anything seriously wrong with the results below? I will feel better if you answer me. | Hello. I have gone through your reports (attachment removed to protect patient identity). Take care. Consult a physician keeping my answer in mind. Hope your concern is solved. For more information consult a hematologist online --> | |
What causes lump with dimple under eye?
i was punched in the face 5 weeks ago and the area around my eye is still black. it isnt bruised any longer but the area under my eye is black. There is a lump where i took the impact and when i pull my skin tight there is a slight dimple where the lump is. do u know what this could be? | Hello!Thank you for the query.Most likely there is some blood collection under the skin. Due to the injury blood vessels were ruptured what caused the hematoma. If it is a small lump, your body should absorb it by its own. However in some cases such hematoma needs to be drained.I suggest you to consult a general surgeon with it. In case of doubts, an ultrasound can be done.Hope this will help.Regards. | |
Treatment for distended stomach in a child
My daughter has always seemed to have a promblem with her stomach being distended. I avoided certain foods when I use to breastfeed but didn t seem to help much. Her doctor just keeps telling me to give her mylicon gor the gas. I thought she would outgrow it as she got a little older she s. 18 months 27 pounds problem hasn t gotten better or worse. She seems to be in pain from gas at least 2 to 3 times a week. She eats well and is regular going to restroom once or twice a day but but its either loose or kinda hard. Her stomach looks like she s swallowed a ball. Is there something I should worry about should she see a gi ped | Hi,I suggest to search a GI ped. Try an abdominal usg, there are some disease that could be detected by this exam. Try to reduce the total amount of milk per day too. | |
Car accident, abdominal contusion, back sprain, belly grown, lump on left side, painful
I was in a car accident two days ago. The ER diagnosed me with abdominal contusion and back sprain . Since the my belly has grown by 14 inches around and it s hard as a rock. I also have a fist sized lump on my left side toward the front that is warm to the touch and red. When i sit, stand, cough , sneeze or just about anything that lump area gets a sharp stabbing pain that bring me to my knees. Is this normal or should I return to the ER. | hi you should contact ER because it must be due to hematoma due to tearing of some abdominal wall blood vessel. it might require drainage of hematoma and ligation of vessel . if left untreated it might get infected leading to abdominal wall gangrene you should take it seriously you should also get abdominal CT scan , ultrasound will not be effective in presence of hematoma of abdominal wall | |
Q. Can I use Nexret gel for anti-aging?
Hi doctor, I am a 35 year old female with borderline oily skin living in a very humid city. Only gel-based products work for my skin. I was wondering if I could start using Nexret gel, as a night treatment for anti-aging and general maintenance on a long-term basis. I have a few sun spots and pimple marks that need to go. My father and grandfather have vitiligo, and that is one reason I fear using products that tamper with the pigmentation process. Currently, I am using a face wash, Micellar water, and an anti-shine gel moisturizer in the morning and night. I also use vitamin C day gel and a sunscreen gel with SPF 50 in the day. Thank you so much in advance. | Hi. I have seen your query and concern. Please attach a picture if possible, for better evaluation. For further queries consult a dermatologist online --> | |
What causes severe pain in knees?
I have developed severe pain in my knees when getting up or down from a seated position over the last weeks. I have tried physical therapy for patella femoral syndrome and they have only gotten worse. I am being seen by a pain specialist whom is doing facet joint injections on my back. I see an orthopedic doctor for my knees. I have excruciating pain at night when I straighten my legs out and when I get up. I am scheduled for an mri on both knees. I was wondering if the back injections could ve caused this or what else can it be? | Dear patient you may be having early inflammatory arthritis of both knees. what us your age ? if you are past 50 yrs osteoarthritis may be likely. I would like to advise xray of both knees anteroposterior and lateral and skyline views. Mri will be more sensitive and specific then xrays. Please take tab ultracet twice a day for pain relief. You need to consult orthopaedic surgeon with report. | |
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? | 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 --> | |
Bleeding in brain. Became unresponsive. Had tracheotomy. Opens eyes when moved. Alive due to feeding tube?
My mother had several bleeding on right side of brain was in February 14, 2013. She would squeeze had and node her head 2 days later she became unresponsive . Was in hospital for 3 weeks , had a tracheotomy and transferred to skilled facility . Has not woken when moved opens eyes . Being that it s month since stroke is she here today because of feeding tube? | Hi,From your details I learn that your mother had massive haemorrhagic stroke in right cerebral hemisphere of brain which has lead to low GCS (Glasgow coma scale) for which she might be ventilated and then tracheotomy done.Since it is almost 4 months following stroke, she should show some recovery signs in form of obeying commands.She requires active physiotherapy, and stimualtion (auditory and visual)Review with treating doctor for electrolyte imbalance and EEG to rule out non convulsive status(type of fits where there won't be involuntary movement)Hope this should help youRegards | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Having pain in lower abdomen, swollen testicles. What could be this?
About a week ago my lower abdomen starting hurting bad my balls feel swoll,en and have pain to.it will start hurting more so or bring pain when I getting worked up wth the wife it does feels better when I get off but the pain comes and gos no pain when peaing kind of like a pulling burning or I should say a worm feeling | Hello, Thanks for the query to H.C.M. Forum. I would come up with these possibilities for this testicular pain , these includes.1 Epididmo-orchitis , diagnosis can be confirmed by physical examination by a surgeon and ultrasound of parts.2 Trauma any blunt injury may be responsible for such type of reason.3 Tumor may be responsible , diagnosis can be confirmed by physical examination as well M RI .In my opinion consult a surgeon and get his opinion.Good luck. Dr. HET | |
Can clofert and duphaston help in getting pregnant ?
Hi, I am 33 yr old, trying pregnancy for the first time, i have a medical history for Thyroid for which I am taking 100 and 75 mg alternatively. I hav ealso been advised Clofert 50mg from 3rd day for 5 days and duphaston from 14th day until 18th day. Want to know how helpful this line of medication is? As i am no more very young i was anxious about my pregnancy? | Hi, as far as thyroid treatment is concerned, you must continue your treatment to keep your TSH within normal limits. Clofert is used for inducing ovulation in women who have irregular or no ovulation. I hope your doctor has tested your ovulation status & has found some problem to justify this line of management. In women with normal ovulation & no history of fertility problems there is no indication for clofert (rather it should be avoided) as it is not without risks. Some doctors prescribe Duphaston for supporting any anticipated pregnancy (hormonal support) . I think you should discuss with your doctor about the indications of last two medicines as she or he knows the most about you. Take care. | |
What causes intermittent pain in the abdomen in a 13 month old?
my 13 month old son has been having abdominal pain that is intermitten and very intense (almost like labour pain) it last anywhere from 3-15 minutes and is 1-15 minutes apart (can be couple hours or days apart. It s has been going on for almost 9 weeks now, we have been to family doctor, peditrition and the emergency department about 11 times now, ultrasound, x rays, blood work, stool samples and urine samples. Nothing helpful according to doctors we have been told that he is constipated, but his bowel movements had the hardest where the texture of peanut butter, but usually when he goes a couple days without pain he has watery(no solids) bm or mucus and string/jelly like bm. he has had white bm more than one occasion, has also had vomiting with the pain occasionally. we have also been told that his spleen is on the large side of normal. his pediatrition suspects intucception, but we have no evidence of that yet (the ultrasound was only 5 minutes long?? long enough??) Don t know what to do?? pediatric gastroenterologist?? Please help!!! | severe intermittent pain with bloody motions could be a sign of intusseption.u need to visit a pediatric surgeon and i ts an emergency. | |
What could cause infection post appendectomy?
i had an appendectomy 5 weeks ago which got infected(superficial) and pus was being drained from it. still feels some slight pain with litthle opening but no more pus coming out and still on antibiotics(levo floxacin). Is it adviceable to get pregnant now? | hello,post appendectomy infection occurs many times, and if it is not severe then it is not the matter to worry about.such infection is usually cured by the good coverage of antibiotics.levofloxacin is good in this and as per you told, as the pus is not coming out it is suggestive of infection weaning off.i hereby suggest you not to get pregnant uptill the wound heals completely.once you are fully recovered from the thing, you can go ahead with your family planning.thanks regards | |
My tooth gums are peeling off and become reddish and i have white patches around inside my mouth. What could be the reason for this?
Hi, I have problems with tooth gums . they are peeling off and become reddish. Even a very low hot spicy foods burns like something. white patches around inside my mouth. Very rarely i am taking alcohol. I had quit smoking from 2006 onwards. (started smoking from 99). i have consulted my doctors they give oinments to solve the burning problem kenacort . so please advice me what should i do to completed overcome this problem. | Hi, the difference between Candidiasis and Leukoplakia is that the white patches in Leukpolakia do not peel off on rubbing. So you do not seem to be havig Leukoplakia. Candidiasis recurs in case of immune deficiency. Take lots of Vitamin C supplements and other multivitamin supplements. Please consult a physician. Take care! | |
Suggest remedy for severe jock itching
Hello doctor, I have a jock itch problem. I have to travel around 3 days in a week. So I can t avoid sweat in the groin area. I have ring worm on abdomen and bums as well. I have used ring guard, clotrimazole + neomycin cream but none of them was effective for me. I can t stop itching as well even after knowing that it irritates the skin :-( Please suggest me what should I do? | Hello,Welcome to HCM,Jock itch or Tinea cruris is nothing but a kind of fungal skin infection. From your history it seems you have got tinea infection.Therefore, I would recommend proper course of highly effective antifungal drug like itraconazole. Itraconzole 100mg capsule to be taken once daily for one month after lunch. Along with oral antifungal, local application of sertaconazole cream over affected areas twice a day will help to reduce the symptoms.Take oral antihistaminics for itching as required.Use antifungal dusting powder while going outdoors.Avoid tight undergarments and use cotton clothes as far as possible.Thank you. | |
Suggest treatment for uncontrolled hypertension
Hi, sir, i m from new delhi a heart patient. I was using metolar exr from last five years but unfortunately this capsue/tablet doesn't effect my after regularly 5 year. Now from last 2 years i was taking betacad 50 mg & i was to control my bp within parameter but now a days it also doesn't suited. plz suggest what to do now | Hello,Metaolar or betacard are not first line antihypertensive now a days. Instead you should get prescribed tab Telma H 40/12.5 or 20 mg once a day, according to your bp. However, you me know your bp readings in a last few days including maximum one in order to start with appropriate dose. Dose can be modified and if needed another medicine could be tried according to your bp response.Hope this helps you and get back if you have any doubts. | |
Suggest treatment for cold and bronchitis
I use a v.a doctor and only 52 yrs old, it s hard to compete Geting in for spots for sudden colds , bronchi is, and inhalers , use to smoke , every cold got straight ti chest. Also have anxiety problems from family problems. It s same thing every yr, oh and testrone shots every two weeks , can I use a online doctor that takes insurance and co payments | Hello, No, I am afraid not. You should just discuss with your doctor for your concerns. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | |
Are vomiting and sweating symptoms of heart attack?
my dad 56 years old had a heart attack this past june followed shorty by kidney failure. He was mis diagnosed with pnemonia and one thing led to another. Without getting into all that, it was a long summer. He had the cath surgery only to find he didn't need it (saying he didn't have a heart attack) followed by a blood clot that sent him straight back to the or, this time he returned to us on a vent because he was having seizure type symptoms and blood pressure that shot way up to way low. (can't quite remember the numbers but it was bad.) he was in icu for a few days this way, and a few more for monitoring. Spent a couple days on the regular floor and sent home. He then had a problem with the surgery from the blood clot (home nurse sent him back to er) because they didn;t change his bandages and it turned green blah blah blah. He continued getting sick again which led us to transfer him before they killed him.(act of congress when someone is a vetern or so we were told) He ended up in another hospital with kidney failure to find he had been given too much of a drug he wasnt suppose to have until some levels were checked. Its been about two months now since he has been home(he had dialysis) and he is now in bed throwing up and complaining that his left arm is hurting. He is under blankets cold but is very sweaty, we can't get him to go to doctor. Should we be alarmed about a heart attack? He is a smoker and they told us if he didn't quit he would end up where we started. He quit for weeks(mostly the ones he was in hospital for.) | yes it is beer to take him to a hospital get an ecg and cardiac markers to be checked. if it's normal nothing to worry,if however otherwise he needs an hospital with cathlab,sweating,vomiting could be atypical manifestations of heart disease. | |
Suggest treatment for lower abdominal pain with constipation
Hi I have adenomyosis, and have pain that is associated with this problem. However, lately I have been very constipated and my pain has gotten worse in my lower part of my abdomen. I also have hemorrhoids again, when I had my son I had hemorrhoids for a short time, but the muscles reverted itself and I have not have it til now.I have been taking over the counter medicines such as borage oil and pycnogenol which help with my lower abdominal pain. However the constipation seem to make it worse and not sure what to do.Thank you CJ. | Hi.Thanks for your query.You problems looks to be due to Constipation; the fissure in ano or the piles (Hemorrhoids) got accentuated by the pregnancy.This may cause pain in the lower part of the abdomen and should be solved by the laxatives like Borage oil and Pycnogelol which you already have taken. Adenomyosis does cause the lower abdominal pains. The correct treatment is obviously Hysterectomy. I would advise you to go for the following:Colonoscopy after preparation. CT scan of the abdomen. Try other laxatives if required, Change of the diet habits to suit clear bowel movements.Hysterectomy Any procedure for the colon if found positive on colonoscopy and CT scan . | |
What causes painful lump on the neck?
my granddaughter has a lump to the left back of her neck that is progressivly getting bigger, it is painful to touvh for her but not excrutiating. he md said it is a lymph node but me beeing an er nurse, dont believe that is what it is, becuase it is not going away, just getting bigger and the location of it is not anywhere near the lymph nodes, and it is painfull to touch, what should we do? | Hi.Thanks for your query and an elucidate history.Very nice to know that an ER Nurse is asking the query and the medical language you used is really great. Well, you are absolutely correct, this is the rare site to have a lymph node. I hope she (granddaughter) id already out on the correct antibiotic and anti-inflammatory medicines as per her weight and severity of the condition. Please give it for 7 days minimum.GO for ultrasonography and FNAC=fine needle aspiration cytology. Both these investigation will definitely support the diagnosis. If this is non-specific infection in origin and a lymph node - please continue medicines for 3 weeks and the problem will be solved. If this is not a lymph node, it would be wise to get the lump excised. for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis- makes you tension-free..All the best , I can understand when a granddaughter is ill ... | |
Had kidney infection, stomach issues, bloating, missed period. Negative pregnancy tests. What can be done?
i am never late for my period and i am 2 wks late i am getting over a kidney infection which ive never had trouble with that before and i have an iu. cA paragaurd in im concerned that i might be pregnant but i have had 2 negative pregnancy tests but my breats are sore i have some bloating and have been a little sick to my stomach on and off i was supposed to start jan 31 for my jan. period and as of today still no period. i didnt know if my kidney infection could be causen a false negative on the test or what my urine test the dr did on feb 1 when i found out i had a kidney infection should i had a blood count of 250 and lekocysts of 500 so idk whts going on i have to go the 18th of this month for a kidney ultrasound Can you give me some insight? | Hi, Any infection may cause delay in periods or pre-pone them as this leads to hormonal imbalance in the body. Since you are anyway going for a renal scan, get a trans-vaginal sonogram also to rule out the possibility of pregnancy. if the pregnancy is confirmed, you may decide whether to continue depending on the severity of your renal infection and the treatment needed, after consulting your gynecologist. Take care. | |
Has blood cot. Admitted in hospital. On blood thinner. Have polyps in chest. Recommendations?
I have a family member in the hospital due to a blood clot. She was a admitted on this past Friday. I did speak to her, she not being released until her blood level goes up. They're putting her on a blood thinner, and she receiving shots in the stomach. She also mention that she had to see a pulmonary specialist, due to having polyps in the chest. What cause polyps in the chest cavity. I not the patient, just her aunt that concern. | Hi, thanks for using healthcare magicIt is possible that your aunt has a pulmonary embolism which is a blood clot in one of the blood vessels in the lungs.Persons with a history of pulmonary embolism have to be on anti coagulants or blood thinners for a time period to reduce the chances of another event. When her blood is thin enough (this is checked by a blood test called INR) then she would be allowed home.Polyps are an outgrowth of tissue,they can be benign (not associated with cancer) or cancerous. Polyps in the lung are rare ,they can be due to chronic infection, asthma, foreign objects in the lung, injury or occur spontaneously with no known cause.I hope this helps | |
Suggest treatment for pain and swelling above knee after injury
Ortho MD. Needed Female, 48, successful ACL reconstructing 11/16/11. 2 months ago I started doing high intensity on ellyptical to build leg muscles, forward and backward movements. Played kickball with 10 year old and power walk. I noticed that entry wound started to swell and became painful, Ice would help so I only focused on power walk and icing after. 6 weeks ago I fell gently on knee now I can t bend it without pain and swelling above knee cap, pain left side of knee and back of knee when I attempt to bend knee, and swelling will not go Down neat entry where screw is. I lost job so no insurance since I have to pay cash I need best advise how to peruse treatment. | Dear patient You have got injury to knee which already has reconstruction of acl 4 years back. Pain with swelling and difficulty in bending the knee might be due to tear of reconstructed anterior cruciate ligament or recent meniscus injury. This must not be neglected. I would like to advise mri of involved knee to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile wear long knee extension brace and avoid bending and taking weight on involved limb. Apply ice packs to reduce swelling. You need to consult expert arthroscopic surgeon with mri report. All the best. | |
Q. Through ayurveda, how to release tight foreskin?
Hi doctor, I am a 32 year old married male. I am facing the foreskin tightness, but there are no cuts. Sometimes, it makes me uncomfortable in intercourse. Please help with some ayurveda medicine. | Hello. The tightness of foreskin is called phimosis. According to ayurveda, you need oleation therapy both internally as well as externally. Oleation therapy will solve your problem. In case you have some infection, redness or swelling along with tightness, then you need to visit a nearby doctor for clinical examination. The treatment is only for tightness of foreskin and not for any other problem. Take Ashwagandhadi ghrita. Take one teaspoon with lukewarm water once a day in the morning empty stomach. It will help you in internal oleation. For external application, you can take Ksheerbaladi oil. If you cannot find this, then you can take coconut oil or sesame oil. Do gentle massage with oil for five minutes daily and then after some time take warm bath. Try both things regularly, and you will soon feel positive results. For further information consult an ayurveda specialist online --> | |
What causes painful bruise on lower rib cage and back pain?
Bruise with appearred on my right side at lower rib cage. Had been having pain on that side and in my back yesterday and some this morning. Now I notice what appears to be bruising of the skin and it is painful to touch. I haven t fallen or beenhit by anything that would have caused it. | Hello, As the bruised area is painful to touch I will advise doing icing which will desensitize the skin and reduce the pain. Post that please undergo some laboratory tests for blood routine which can help understand if any infection is causing this issue. As the skin is only painful to touch when there is some infection. Also for back pain do regular simple exercises like breathing exercises and simple flexibility exercises which will help improve the muscle property. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
How can laryngitis and soreness on the tongue be treated?
Hi. I recently had a condition that was diagnosed as acute bronchitis caused by unknown organism. I was given predisone, azithromycin and a bronchodilator. My sinus congestion has disappeared, but I still have cough and some chest congestion, and I now have laryngitis and a sore tongue that won t go away. This has been going on for nearly 3 weeks. I have had a chronic cough for years because of GERD. | Hello,You have symptoms of laryngitis and soreness on the tongue which seems to be due to acid reflux, nutritional deficiency of vitamin B12 and folic acid, stress, and it could be recurrent aphthous ulcers. Need not to worry. I would suggest you visit an oral physician once and get it examined. Go for blood and throat swab test once and start treatment accordingly. Take light food and do not lay on the bed immediately after having food. You can apply an ointment like Mucopain and you can take medicine like vitamin B12 supplements. Do soda bicarbonate gargles. Avoid intake of sharp and spicy foods.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Harry Maheshwari | |
Absence of periods, negative pregnancy test. Taking fertyle and oligocare. What are the chances of preganncy?
hi, my LMP was3-Mar-12, since then i have not had my periods. i have tested twice for pregnancy but the result was negative. Since I wanted to conceived i was stated on fertyle tablets and my husband was started on oligocare. kindly advise if there are chances of me being pregnant since the test done twice has come negative | Hello. Thanks for writing to us. Since you are overdue for your periods and your pregnancy test is negative, the delay in the periods is likely to be due to a hormonal disturbance. You need progesterone withdrawal therapy to resume your periods. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
Suggest remedy for tenderness and soreness in forearm due to alligator bite
I was bit by an alligator on thursday while it was not full force &. I have only 3 minor punctures which are not infected & their no signs of bruising or broken bones. My fore are is still sore & tender but no swelling. Is it just the truma of compression due to bite force? | Hi, I am sorry for the accident you went through. Feeling your forearm still sore and tender is due to compression of bite force. I am happy there is no swelling, meaning that no infection is present. It will take a few more days for the soreness and tenderness to get reversed. You can take oral pain-killers to ease the soreness. Wish fast recovery! | |
Suggest treatment for bipolar disorder
sexcul effect togo mental digges bi polar disorder?age31.height-5ft 6inc,weight 92kg.6/3/2002 i red diploma engineering colliege anyther time heavy tention& nitght polutin,hand use penes.i marriage 2010. my drags cotinue two time after 12hrs tablet lithosun sr 400mg for doctor advice.iwant nice advice? | HiI admire you for positive outlook.If you have bipolar disorder then lithosun 400 mg is very ideal drug to treat it.Dose of it varies according to severity of illness.It takes time to recover to normal.Usually it takes 2 week time to get good effectThere is some alternative.This kind of condition can be treated with sodium valporate and carbamazapine please discuss about it with your treating doctors.Other wise lithosun is also good drug for bipolar disorder.Take treatment regularly and get well soon.Thank you. | |
Does budecort rotacaps help to treat asthma in a kid?
Hi, My name is Sajid Ahmad Quadri I have used budecord 200mg capsule with using rotocap of cipla company proudct on 1998 and i have been almost freed permanently from asthma till now.My query is about my brother son he is suffering from asthma and he is just 9 year old, i need to know can i recomend him to use budecord capsule using rotocap ? and if yes what mg capsule is required.its very urgent I will always be thankful for that.I will be waiting your answer. | Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for your brother's son as follows:1. It is important to mention here that characteristics of adult asthma and childhood asthma are often different. So it is very important to get him examined by a pediatrician/pediatric asthma specialist doctor who can decide whether he has asthma and whether he needs regular treatment with inhaled corticosteroids (Budesonide, i.e., Budecort).2. Although usually 9 years old children can use rotacaps effectively, some children may be more comfortable with metered dose inhaler. It is important to prescribe appropriate type of inhaler device for a child.3. So, of course, budesonide is a part of treatment of asthma in children, I would not suggest you to use it without prescription of a doctor. Please remember that it is a corticosteroid and not devoid of side effects. Hope above suggestions will be helpful to your brother's son.Should you have any further query, please feel free to ask at HCM.Wish him the best of the health ahead.Thank you & Regards. | |
Is periodic pain in chest caused by mitral valve prolapse?
I am male, and 42. My blood pressure averages around 140/90. I was diagnosed with Mitral Valve Prolapse about a year ago, after having a very disturbing afternoon of (painless) racing heartbeat, then series of pronounced heart thumping for a few weeks. Since then, I have been prescribed 50mg Atenolol and the heart palpitations are gone, but I still have periodic pain in my left chest, but never due to exertion. Lately, I feel a whooshing sensation under and to the left of my right nipple. How common is pain associated with Mitral Valve, and is regurgitation a possible suspect? | Hi,Palpitations may be caused by mitral valve prolapse, but pain is not typical for the prolapse and most probably has another cause. It may be a neuromuscular pain and caused by costochondritis or spine problems. It is disturbs you much, take Ibuprofen 400 mg three times a day for five days after a meal.Take careCome back if you have any further questions | |
What are effects of smoking and skipping medications after heart attack?
my dad(54 yrs) had an attack recently ,he doesn t take medicines and keeps smoking.what will happen if he keep continuing this?he used to smoke 30 cigarette before the attack and now 6-12 cigarette.and doesn t take medicines regularly.he was given -1) cardace5mg (2times a day)2)Embeta 50XR (1 tab -daily)3)Clopitab A 150mg ( clodrel 75 + asprin 150)4)Storvas 40mg.plz tell me what happens if he doesn t take these medicines regularly. and tell me is there any chance of getting an attack again ? | Hello, It may be just muscle pain, as in your age the possibility of having a heart pain is quite low. However, to be on the safe side, I would recommend you to refer a doctor to do cardiac stress tests to rule out heart disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Lilit Baghdasaryan, Cardiologist | |
Are there any side effects of consuming metalox and aquazide for hypertension?
I have hypertension. My blood pressure is 160/90 similarly. Dr advised me to eat Metalok xl (50)(1-1 tab in morning & in evening) & nicardia r(20)(1-1 tab in morning and in evening) & tab aquazide(12.5) (1 tablet twice in wk) and i am taking it. And my age is 20 years n my weight is 46kg.What is there any side effects from eating it. | Hi,Thanks for asking.Looking at your query, my opinion is as follows:1. Every drug has side effect.2. Looking at the medications and your age, I would not be worried about its specific medications.3. Be regular with medication and maintain a low salt diet along with moderate exercise and good nutrition.Regularly check your blood pressure. For your age, there is not specific side effects other than affecting fluid balance and can lead to hypotension.Any further queries, happy to help again. | |
What causes leg pain during sleeping?
I am suffering with pain in my legs during sleeping.I am also suffering with tension due to over work, and also feeling sad & irretation. I am using daily Epitril md tablet 0.5mg one tablet daily as advised by doctor at bed time. My body temp mostly remains less than 98.5 deg F.Sir is this right to continue it. | Hi, Tab epitril is usually given for epilepsy or stress and anxiety disorders. It may cause some sort of restlessness but frnk pain in legs is not a side effect of it,so you can continue taking the medicine. Your leg pain have its etiology separate from epitril. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
What causes pimples around the base of the penis?
For sometime I have came to notice around the base of my penis hard pimple like things were appearing I between my skin and as of lately is has began to spread across my penis and have become somewhat larger especially when I have an erection but I have also noticed the ones around my penis base have started to grow hair I am a virgin and uncircumcised is This normal ? | HiThank you for asking HCM. I have gone through your query. Your problem can be most likely due to Fordyce spots. If you send a picture of it then it will be more helpful in identifying. If it is that then harmless. Taking more garlic and antioxidants helps. Also change sweaty clothes in time and wear loose underwear. Tretinoin ointment for local application also is helpful. Hope this may help you. Let me know if anything not clear. Thanks. | |
Will antibiotics and syrups given for a fever affect a pregnancy?
hai sir. im pregnant sir. my last period date is jan 7,2014. bt i have severe fever 23rd onwards. so upto feb 3rd i took injectiions antibiotics tablets syrup etc. but after that only i know i am pregnant. so it affect my baby or not. im in fully confusion. please clarrify my doubt. | Please submit the components of the syrup and the name of the antibiotic you took. In any case, most medications do not harm a developing embryo or fetus | |
Do i need to reduce the medication?
i have factor five leiden and am on lifetime warfarin. I have been scheduled to have a tooth extracted. My recent inr was 2.7. Do I need to reduce or discontinue my warfarin prior to the extraction? The dentist office said that my inr should be 1.7 or lower. | HIThanks for posting your query to HCM . Yes your Dentist is right . Your INR needs to be less than 1.7 else it may cause bleeding after extraction . You have not mentioned what dose of warfarin you are on ? I advise you to take half the dose and repeat INR after 4 days . IF it's less that 1.7 get your tooth extracted , but if its still more than that you can repeat the test after 8 days . Kindly re start the previous dose 1 day after extraction . | |
Is canthradine oil effective in reducing hair loss?
i have came across hair loss problem for the first time ever .. ive lost most of my hair from the frnt section of my head ... n its is somehow becomin visible now... my doctor suggested me for canthradine oil ... just want to knw that will it really help me for my hair growth ...? | Hello,Cantharidin is an irritant and is usually used for a type of baldness called alopecia areata. I would personally not advise its use as it can cause severe redness and irritation.Please take a second opinion regarding the same after consulting with another dermatologist.Take care. | |
Suggest treatment for ringing ears, headache and numb hands
I had the flu, H1N1 over 3 weeks ago. I now have severe ringing in the ears, almost constant headaches and waves of pain in my head that get worse at night when I lay down. Had an episode last Sunday where my head and hands were numb and went to the ER. They did a cat scan and some blood work as well as a urinalysis and cannot find anything. The numbness is gone but still having symptoms. I am 49 years old with high blood pressure and high cholesterol. | Thanks for posting your query to HCM.As I understand you are suffering form some kind of upper respiratory tract infection that could be viral or bacterial .it causes swelling in inner part of sinuses which is responsible for producing such symptom. but dont worry as such kind of infection usually resolve within 7-10 days of period.you should booost your immunity by taking good nutritious dite , multivitamin, zinc preparation .Antihistaminic like Loratidine 10mg once a day can be taken to releive symptoms.Aceclophenac 100mg for pain releif can be taken .Steam inhalation 2-3 times a day will help in decresing internal congetion .If not releived or complaint increases consult to ENT specialist. Medicine should be taken under guidence of clinician .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask. | |
What causes leg tremors and arm weakness?
Please help me...my legs started shaking a few months back for no reason...now sometimes my arms and hands will shake..afterwards my arms are weak where I cans hold them up...I can t sleep at night I always wake up about...2:00 pm..idk what s going on it s scaring me... | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have leg tremors and arm weakness. Well there can be many reasons for symptoms you mention in query like essential tremor is the most common type of movement disorder , parkinsonian tremor , dystonic tremor , cerebellar tremor , psychogenic tremor or orthostatic tremor. There are other reasons also like arthritis , compressed fracture , pinched nerve or lack of sufficient blood supply . I would suggest you to consult neurologist for proper examination . Doctor may order CT scan , MRi of brain and spine , nerve conduction test along with taking history . Doctor may prescribe muscle relaxant along with anticonvulsant or antiepileptic drug along with vitamin and mineral supplements . For now do light stretching exercises and do mind relaxing exercises like yoga and meditation . Doctor may also refer you to orthopedic surgeon for other reasons . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Obsessive compulsive disorder, getting serious with difficulty in switching tasks without touching the nose, cannot hold any device without touching it from the center. How can I get rid of this?
Hi, my name is Kacy Velez, I am 19 years old and am currently suffering from Obsessive Compulsive Disorder . It was mild at first but now I feel like it may have gotten worse. I can t move on to another task without constantly touching my nose . I can t even hold the computer mouse, remote control, cellphone or just about any device without perfectly touching it from the centre. Please, I need help, it s ruining my life. Thank You. | The treatment for OCD begins with a consultation with a psychiatrist. The psychiatrist will likely recommend medication and psychotherapy to help you. Medication that has proven efficacy includes SSRIs and tricyclics. Look these up online to learn more about them. Typically these meds are initiated at low doses and gradually increased until the patient reports some symptom improvement. Sometimes high doses of these medications are required in order to see a significant response. If one medication is not enough to relieve your symptoms, the psychiatrist may decide to add a second medication to the regimen in an attempt to capture more of your symptoms. Cognitive behavioral psychotherapy may also help you with some symptom relief. Don't give up hope; there is help for you out there. Feel better and best of health to you. | |
What causes elevated GGT and ALP with no medical history otherwise?
Hi, My GGT reading is 243 and ALP 177 and have been high for 3 years. I don t drink alcohol, hepatitas ruled out, and I don t take any medications. My BMI is only slightly higher than it should be and I eat healthy foods 95% of the time. Any suggestions? | Hi, Thanks for posting in HCM.Your high levels of GGT and ALP with higher BMI indicates that you might be having gall stone disease. Kindly get your fasting lipid profile done along with ultrasound abdomen to know the status of gall bladder. Kindly take an opinion from Surgeon with the reports for further management. Hope the information provided would be helpful. Wish you good health. | |
What do red spots on penis indicate?
Hello Sir, My penis top point has red marks and it comes for few days and then goes. i also have a problem that when i involve sexually with my girl, the 1st trip i cum within 15min and then for 2nd trip i sometimes fail to satisfy her because my penis doesnt erect properly. kindly suggest me a rapid solution for the same. Thanks Dhruv | Thanks for asking in healthcaremagic forumIn short: Maybe due to friction/erosionExplanation: If its a ulcer/swelling/growth then visit a doctor. Otherwise it may be because of friction. Give time between the episodes of intercourse, your body and organs require time to recover and again to act. | |
Is abdominal pain and belching normal after Cholecystectomy?
I recently had gall bladder surgery. Today I had pain so bad in stomach area I thought I was having a heart attack and I couldn t touch my stomach because it hurt so bad. I started to belch and after about 30 minutes it started to ease off. I was really scared. This is the first time this has happened to me. | Yes, they are common and considered normal but the degree of severity you had was not common unless it's first few days in post operative period that too is not that much severe In general. If I were your treating doctor I Would like to seek other causes related to it. Hope I have answered your question. If you have any further questions I will be happy to help. | |
Taken treatment for chronic kidney disease. Suffering with fishers problem. Blood coming from anus. Looking for treatment
Hello, Iam from India. Iam suffering with fishers problem and blood is coming out from the anal.doctor is sayng that it is fishers and it may be piles problem also because blood is floating, but he can t find out now abt piles because they remains inner side. and iam the patient of kidneys from my child hood. Iam suffering with chronic Kidney Desease( CKD ) at present. previousely i went thru steriod treatment(Used wisoline tablets. started from 120 mg and gradually decreased the doage of it. now it was stopped. 3 years ago i used this treatment for my kidney desease).may be because of that only iam suffering with this piles and fishers problem now. plz advise me treatmernt.Thank you. Prashanth Seth | HelloThanks for your query.Based on the facts that you have posted it appears that you have chronic kineny disease form childhood and treated with steroids.Now you have problem of bleeding from anus and has been diagnosed to have Fissure in anusPlease ocnsult qualified General surgeon for clinical and digital proctoscopic examination to rule out presence of Haemorrhoids.(Piles).In the mean while Please take diet rich in vegetables and fruits with plenty of fibres to soften the stools .Use topical soothing local anaesthetic ointment like Nupercaine for local application.Take stool softener like Isabgol to soften the stools. Further treatment will be decided by a general surgeon.Dr.Patil. | |
What causes yellowish white pus from stitches?
i had a surgery for pilonidal sinus on 30th may , yesterday my stitches pained allot and i got fever at about 100 F ,today i was feeling fine but i planned to get my stitches redressed and noticed a little yellowish white pus in two of the stitches ,is it normal | Hello, Thnx to contact us. I understand your concern. If I am your treating doctor I advice you that pus in the stitch is never be normal. Its always a infection that cause pus in your stitch. I advice you to do good dressing and cleaning thrice a day. If possible do Gram's stain, culture sensitivity of the pus and treatment according to sensitivity report. In other case you can directly start treatment with one of the good antibiotics like Cefixime three times a day for atleast a week to get clear form the infection.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | |
Suggest treatment for thoracic vertebrae pain
mild multilevel degenerative changes of the thoracic spine including anterior osteophyte formation and disc space narrowing most prominent in the mid thoracic spine is the MRI Prelim All I know is that I have thoracic vertebrae pain, extending into Bilat Shoulders and Left rebs, A and P. I am a neuro surg nurse wh0o aches every day! | Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : I am a neuro surg nurse wh0o aches every day!Answer : Your pain can be treated with Life Style Modifications When you go home after the shift, just keep two pillow below your back at the level of heart and lie down (without pillows to head) in such a way that your body is a bit arched with head and pelvis hanging down and resting on the bed . Do this for 45 minutes Most cases of thoracic vertebrae pain will be relieved with this without the need of tablets If there is further pain, let us know and we can suggest more exercisesHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
What could be the reason behind extreme itchy skin and scalp with rashes?
For the past few months Ive been breaking out into an etremely intense itch followed by tingling/itchy red patches on my skin. After some time I noticed tiny blood blister looking dots on my lower body and arms that would appear in bblotches. An extremely thin almost invisible layer of a rash sseems to appear in blotches as well, the color is a tad bit more red than are my skin tone. Ive also gotten super bad dandruff, itching on scalp, and little tiny scrabble like bumps on scalp. RRecently I decided to really observe my skin when it starts to itch and noticed that tiny pin sized red dots would appear very sporadically on my legs right before a break out. What could be my issue?! I've moved two three different states, with completely new furniture and clothes, changed up soaps, lotions, deodorant, and I've even started taking allergy pills. It's drivn me nuts! | Hi, You seem to be sufferings from Urticaria and Dandruff . For your Urticaria ,you need evaluation in form of blood tests to find possible allergen ,urine and stool examination alongwith long course of antihistamines. So you need to consult your physician ,who can arrange for all these investigations. For your dandruff , kindly avoid use of any hair oil and use anti-dandruff shampoo regularly Hope it helps. | |
What does the following semen analysis test result mean?
Semen Analysis Report Volume : 3.0 ml Rection : Alkaline Color : Off White Liquefaction Time : 10 min Viscosity : Thick Sperm Count : 12 million /ml Sperm Motility: Active 40 % Sluggish 30 % Dead 30 % Morophology: Normal 70% Abnormal 30% Head Piece Defect 15% Mid Piece Defect 02% Tail Defect 17% Pus cells in semen analysis = 17-20 /hpf rbc s = 08-10 /hpf epithelical cells = Nil /hpf | HelloSemen analysis : Volume 3 .0 ml ( normal 2-6 ml ) , so normal in your case.Reaction :alkaline ( 7.2 -8.0) normal in your case.Color :grey opalescent and homogenous ,while in your case it is white .Liquefaction time within one hour ,while in your case it is 10 minute ( abnormal but non specific).Viscosity thick in your case it is normal .Sperm count 12 million / ml ( normal >40 -60 million / ml ).Motility 100 % ( while in your case very low )Morphology normal in your case also .Structure is also abnormal and we will discuss in detail in following line.Pus cells 17-20 , so get in a course of antibiotics , but not so specific and not a cause of concern.RBCs also abnormal but non specific .Normal fertility is associated with sperms counts of 48 million/ml with a motility of >63 % and >12 % exhibiting normal morphology.In my opinion you should contact an infertility specialist and get his opinion.Good luck. | |
Will depo injection cause periods to late?
hi my periods have been irregular since finishing the depo injection in january i had my last period on the 18th of last month so im not sure if its late or not as it should of been due yesterday on the 15th im hoping im pregnant but when should i test | Hello, Slight irregularities in the menstrual rhythm are seen with depo shot. Generally the periods will become regular by it own. If periods are persistently irregular, it will be better to consult a gynaecologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
How long does buckle fracture of the radius take to heal?
my 12 year old has a buckle fracture of the radius. We want to know how soon she could realistically play volleyball. It will be 7 weeks this Friday, she is still in a splint. The PA-C who saw her this week says her x-rays are great and she is healing well. | hithanks for the questionIt would be of great help if I could see the x-rayany with buckle fracture I am assuming that bone which is closure to wrist is affectedbuckle fracture or torus fracture are impaction fracture basically where there is no displacement between the fragments.If fracture is that and you told your child is 12 years oldthen children tends to heal earlier then adults for bone injureies.As you have told that already 7 weeks have passed, personally I feel it's much more time for splint.in child 3-4 weeks of splint with gradually activities resumption helps in restoration of activities.Please visit an orthopedic surgeon so that he can asses and guide you appropriately | |
Is swelling in legs a result of lung or kidney problem ?
My foster mother passed on two days ago. She has been suffering lung problem for a while now and the legs were really swollen. Is the swelling a result of lung or kidney problem? Before she passed on she was fine and healthy. A day before she died she was strong and energetic and even ran her errands but she started experiencing blood coming from the nose and when she was coughing blood came from the mouth. The morning following, there was still bleeding but this time it was more. She got tired and could not walk, she was laid in bed to rest and suddenly she stopped breathing and she was gone. What do you think could be the cause of death? Could there be some foul play- she had been involved in a 2 days quarrel a day before her death she | Thanks for the question my dear. Swelling of the legs can result from medical conditions related to any of the four organ systems - Lungs, heart, kidneys or liver. Its only after careful assessment including examination and tests that we can tease them out. With regards to you second question, it is impossible to come to any conclusion as to the cause of her demise - could be simply choking on her own blood or something very serious. may she RIP. Best wishes. | |
What causes flapping of knee cap after an injury?
I have weeks ago, I banged my knee on an object and I thought I had bruised the bone and the weight was causing my pain. The pain gradually got better so I put it down to the bone healing but I am just curious as too; if it is something more. I have now straightened my legs one at a time, so the knee cap is completely tucked in supporting the leg, upon touching and feeling my right leg the knee cap is solid but when I do the same thing to the injured knee, it can move, be pushed in, as if the knee cap is flapping... Could I get an online consult on this? | Hello,Your symptoms are not suggestive of any serious medical condition. As long as you have no pain, there is no reason to panic. Anyway, an online consultation with an orthopedist would help clarify better everything.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Low HDL, left hand purple in color, scaly skin on head. What could be this?
I had a series of blood work done and all came back normal except my HDL is low. I have an appt already for a artery doppler. my left hand just above my rings have started to turn purple and the skin on the top of the hand is scaly and doesn't feel like real skin .. the dr thinks that i may have a blockage somewhere. what should i do? | Hello,The purplish skin discoloration of skin on your hand can result from arterial insufficiency. For this your doctor has referred you for upper limb arterial Doppler. In this the arteies and flow of blood will be investigated.Medicines will be prescribed according to your condition.Hope this helps. | |
Q. When does implantation bleeding occur?
Hi doctor, I have few doubts regarding fertilization and implantation. Is it possible to have implantation bleeding after your period? Is it possible to get an egg fertilized a week before your period? Also, how long does sperm last outside of the body? Is it true that once the ejaculate has dried, so has the sperm? | Hi. Implantation bleeding occurs only after 15 to 20 days of the period. From day 1 to day 10, it is safe period. There is no chance of pregnancy as there is no ovulation happening during this period. For further doubts consult an obstetrician and gynaecologist online --> | |
Feeling anxious and get stressed while walking? Suggest
Dear Doctor, My query is, perhaps, a simple one, but, to date, no doctor has been able to help me. I get anxious that I am going to fall and I am constantly up-tight when walking. I used to love country-walking and found it very relaxing, but not anymore. This has been gradually coming on for past 7-to-8 years and an osteopath whom I attended told me that the stress muscle in my neck was not relaxing and asked how was my walking in the house. It is ok in the house, but not on the public paths or even on the beach, although it is better on the beach because of the sand. I feel I should be able to relax more, but seem unable to do so, and every magazine I read advises one to walk. Is there anything at all you could suggest? Perhaps Yoga or Pilates, but I would have to travel by car for something like that as there are no classes in my locality. The swimming pool is within walking distance but even walking around the pool is very stressful for me, but the swimming is, indeed, very relaxing. Thank you, sincerely, Annemarie Malone | Hi friend, Welcome to Health Care Magic You may benefit from Psychiatric assessment and assistance... If there is no problem in swimming / if walking in certain areas like the beach is better - an anatomical abnormality is less likely to be responsible.... Take care Wishing speedy recovery God bless Good luck | |
Feeling of an electric current on back, shoulder blades. History of neck fusion. Cause?
About a month ago I began getting a feeling on my back, right shoulder blade like an electrical current. It is quite annoying and I m not sure how to treat. About 12 years ago I had a neck fusion C-6 and C-7. What s going on? I am 60, work with special needs kids and stay active. Could it be that our freezing cold temps, for about a month, have something to do with this? Thank you. | Hello, First of all let me explain you that a given medical symptom like yours could be due to various causes. Back pain and current like sensation could be due to spondylosis in the cervical spinal cord, or other causes (any tumor, demyelination, spinal cord problem) can cause similar symptoms. In old age this could be due to spondylosis. You need a detailed neurological examination in order to determine the exact neurological problem. The presence of current like sensation is a point of concern as it suggests that one structure in the spinal cord is being compressed. Hence an urgent neurological evaluation will be required followed later by a repeat imaging and nerve conduction study (may be optional depending upon the early evaluation). Your treatment will largely depend upon the cause. Hope this explanation will help you. Best wishes | |
Suggest treatment for fever and headache
Hi doctor it is for my husband it will be (8) days tomorrow it started out with pain in the legs then became the whole body it goes and comes but along with fever 102 .4- 102.7 temp along with headache to the forehead.He get so hot then gets cold and starts to shake until he warms up.i got him dayquil cold and flu, but he is still having the temps and it gets to his head. please tell me what to do | Hi I can understand your concern....Noted you have fever, headache and cold.So it could be here viral influenza indfection.Symptomatic management done...Get your CBC done....If high total count and neutrophilia bacterial infection can be cause.It s better to take antibiotic now...like cefixime....Take lots of fluid...More water....Excess spicy and fried food avoided for few days.Avoid smoking like respiratory irritant..Take antihistaminic drug to relieve inflammation.If still condition increasing then auscultation needed with chest x ray like investigation...Take care.Dr.Parth | |
Q. Since taking birth control shot, I have brown discharge. Will it ever go away?
Hello doctor,I started Depo three months ago because the pill was leading to yeast infections. But every day since taking the shot birth control, I have had a brown discharge that feels like is causing another yeast infection. Will the discharge ever go away? What should I do? | Hello. Yes, Depo (Medroxyprogesterone) may cause a yeast infection. Other few conditions Iike stress, antibiotics, weak immune system, high blood sugar, hormonal imbalance and pregnancy may aggravate the condition. So, I suggest you use candid-B V gel (Clotrimazole vaginal gel) locally, tablet Fluconazole 150 mg once a week for five weeks. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a general medicine physician online --> | |
Whom should i consult for tremor in head ?
i am 25 yrs old and i have been feeling heaviness in back of my head and tremors for past 4 years. it doesn t pain but the feeling is very annoying and i have noticed that while talking also my voice trembles and excessive sweating.i feel very cold inside but outside the body temperature is hot. i feel like i am walking in sleep eventhough i sleep for 7 to 8 hrs a day. i have had a medicine called nitrazepam 2 years ago via one of my M.R friend and that weird feeling was gone for 2 days. i have done MRI of my head and spine but nothing showed up except a mild bulge in C4-C5. the tremor and heaviness is constant for so many years. there is a problem while rotating my head and tremor is very high when i sit. i feel a kind of fear and now from past year i stop being socialized and didn t want to go to any functions. is this some kind of phobia . whom should i consult?? | Your symptoms are suggestive of generalized anxiety disorder along with social anxiety (Note that nitrazepam is an anti anxiety medicine and it helped you). A psychiatric consultation should help you overcome your problems.Apart from that, you can consult an orthopedician to see if the mild bulge in c4-c5 is significant or in any way related to your symptoms (which is unlikely). | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Q. Why do I have bad smell coming from my nose?
Hello doctor,Why do I have this bad smell coming from my nose? It is embarrassing. People around me smell it all the time. I do not have my mouth open and people smell it soon as I walk in the room. What is it? | Hi. The first thing that comes to my mind is a disease called atrophic rhinitis. Here, the mucous membrane and structures inside the nose shrink and the nasal cavity is filled with crusts, which get infected and smell. In this condition, the patient has decreased sense of smell, but others can feel bad smell coming out from the patient's nose. A diagnostic nasal endoscopy is sufficient to diagnose the condition. It can specify whether it is atrophic rhinitis or something else. If it is at all atrophic rhinitis, the treatment is frequent saline nasal washes and mechanical removal of the crusts by an ENT specialist. Rarely surgery is needed. For more information consult an ENT otolaryngologist online --> | |
How to get rid of itching all over the body?
I am 20 years old boy.. I am taking decdan & practin tablets since I joined a Gym. I continued taking those tablets for 3 months on alternate days. and I could gain my weight upto 7-8 kgs....but during consumption of these tablets my skin color started becoming dark and looked oily also. So I quit taking those tablets. but now, after 2 months I am facing side-effects like- itching all over my body especially my fingers and legs...Plz give some advise to overcome this problem. | Never take this medicines to gain weight bcyz of severe side effects on body.dexamethsone and cyproheptadine both increase our appetite but do have many side effects on skin,liver,kidneys and heart.Its good that u yourself stopped this.now your itching part.. U can take antihistamines but first u undergo liver function tests bcuz I have seen many patients who develops jaundice after oral steroids.Immediately go to your physician. | |
What causes body twitching in infants?
I have a 6 day old daughter, we noticed 2 days ago she twitches when shes asleep, the twitching has gotten more frequent and this evening i held her for two hours while she slept and she would twitch the whole time and when i say this it would be 3 body twitches then 2 then 5 then 2 then 1 and in no real order with little pauses in between them what could be going on? | Good afternoon..!!Tour baby might be suffering from seizure disorder.Please consult your doctor for further evaluation and management.Thank you, have a nice day..!!! | |
What causes pain on right hand and leg bones?
i am 22 year old girl.i am suffering right hand bone pain.i think pain inside the bone.sometimes leg bones also have the same.this happens usually on rainy days.my hb level is just below the normal. why this happen?is it is the symptoms of bone cancer? | Hello, As the symptoms you mentioned are not connected to bone cancer so you can be relaxed. Also, the pain and aches you feel can be due to lack of calcium, vitamin D and iron. Taking an oral supplement of the above via diet and medications should help you good relief. Also, doing simple stretching, strengthening and weight-bearing exercise will help improve the overall physiological process. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Why suffering from indigestion and pain due to kidney infection? Took painkillers and antibiotics
I have been in pain with a kidney infection for 9 days. Started last Thursday although I had my period and cystitis which I didn't realise it could of been a kidney infection Tuesday I booked in the doctors prescribed antibiotics and painkillers a sample of urine was taken on Wednesday evening I suffered servely with indigestion which resorted me in floods of tears and horrendous pain in my back. Back to doctors Thursday changed my b and still now I feel very unwell sleep pattern is a mess I have been awake all night and laid here with hot water bottles on my back and stomach. I have hardly eaten but trying to drink plenty. I very pale and very cold how long will this last. I am on my own 2children with no family around and in a new town. I hope to start to recover soon but why am I suffering from indigestion as well my pain feels doubled. When will it go Tearful | HIThank for asking to HCMI really appreciate your problem this could be infectious state either intestinal or urinary tract infection if I would be your doctor then I would treat you with the following medicine,1) Tab Ofloxacin 600mg twice in day 2) Tab Metronidazole 400 mg twice in day3) Tab Acetaminophen with Dicyclomine three time in day no need to worry about this it will be fine soon take care and have good day | |
Suggest medication for wheezing and bronchiolitis in an infant
Hi my son is 5 months old. He is suffering from wheezing and bronchiolitis .Doc prescribed him coscopin + monticope + nebulize with salbair neb 2 ml + ipravent 1 ml and budotz 2 ml. By mistake I have given him ipravent 2 ml and budotz 1 ml along with salbair 3 times. Will there be any side effect. Now we have changed doc and he has prescribed some other medicine. | Hi, I had gone through your question and understand your concerns.Using 2 ml ipravent instead of 1 ml is not going to cause any major side effects except some irritability and sometimes tremors . Wheezing due to bronchiolitis usually responds poorly to nebulisation , it usually takes 5-7 days to resolve but you need to be alert as symptoms may worsen very rapidly sometimes . Keep a watch on respiratory distress , oral acceptance and activity of child . Take care of hydration by frequent feeding .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | |
Abdominal pain, blood in urine. Anemia or sepsis?
Our son, 13 yrs of age, experienced right sided abdominal pain to the point of doubleing over for a couple of minutes. He said it was because he had to go poop. He pooped and felt better. An hour or two after that he experienced gross blood in his urine . It was bright red and looked as if was all blood and no urine. We took him for to urgent care . They took a urine sample. The next morning we went to the ER ( it was Saturday) A blood draw was done and a number of labs were performed. Most came back normal one they had not gotten back. We were to told to follow up with his pediatric physician. I feel nothing was answered. Do we need to worry about anemia , or sepsis? | Hi, . Severe abdominal pain with blood in the urine point's towards urinary tract problem. Perhaps this may be a case of renal stones. Passage of stones through the ureter can cause severe abdominal pain and the trauma results in bleeding. This condition usually settles with good hydration. I would be concerned if your son is persisting to have the pain and is still bleeding; test like ultrasound abdomen and urogram are entailed then. Continue to hydrate him well with plenty of fluids. He should be alright in a few days. Hope this helps. All the best!! | |
Have pain in the lower abdomen. Uterus became very tender. Painful to put in a tampon. Have regular cycle. Cure for symptoms?
Good evening. I am on my 6th day of my period and two days before it started I began to get sharp pains in my lower abdomen and my uterus became very tender. It would hurt a little to put in a tampon and I could feel the tenderness by simply pushing on my lower abdomen. I am 48 and still getting my period on a regular cycle. I am slender and fit. I usually only have a dull aching lower abdomen pain for the first two days of my period and this is the first time I have ever had these symptoms. | Hellothanks for your health query.You could be having abnormally heavy pre menstrual symptoms.Also, a pelvic infection, specifically, a uterine infection ( endometritis ) could also cause such a picture.Women who have endometriosis also experience such symptoms.I would ask you to wait for your next cycle, and if the same amount of pain and tenderness recurs, then definitely consult your gynecologist for internal examination ( per vaginum and per speculum ) and pelvic ultrasound scan.All the best. | |
Are acidity, bowel problems and vomiting cause of concern of a 6 month baby?
Hello. My 6 months old daughter hasn t have a good bm since Tuesday. I notice shes been passing gas a lot and pushing like shes going #2. But nothing when I check. N now I feed her she vomited all her milk that she just ate. Should I be concern n have to see her doctor? Thanks. | Thanks for asking I gone through your question. and understand your concern just one vomit is not cause of concern, You should try after some time , hope fully she will accept it. And there no cause of concern it not passed good motion one day. if the baby vomit again then you can give syp ondensteron 0.15mg per .that will check her vomit. If the vomit not stop after the medicine you can see doctor hope i answer your question | |
What causes breathing problem, cough and tightness in the lungs?
I am experiencing tightness in my lungs and throat, trouble breathing, sometimes heart fluttering, along with a sometimes severe raspy cough, no matter how hard I cough I can t seem to get my lungs cleared, I am a smoker, I would blame it on that, except this condition came on suddenly, one day I was fine, the next day the coughing started and has progressed since then, I did have a mild cold prior to this condition, but this is beyond your common after effects of a cold, the only thing I ve done differently is clean up an area infected with of black mold, it wasn t a lot of mold. . I m also on phintermine , I ve been taking it now for about 6 months. The only other medication I am taking is Synthroid. | Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in depth .* This is in relation with smoke induced bronchial irritation with aggravation by underlying anxiety issue .Hope this will help you for sure .Regards . | |
What causes severe pain in the back and thigh despite taking Flexeril?
I started last week with lower back/left hip pain and saw my dr. He prescribed Voltaren and Flexeril. After about 4 days of the meds, my back pain eased up some to the point that I stopped taking the meds. This morning after getting out of bed, I had severe pain in my left thigh. The pain seemed to be more in the front of my thigh and was excruciating. Laying down eased pain. I started the meds again last night. I got some relief after taking the meds. This afternoon, I laid down for an hour or so. I am comfortable when lying down. But again, my upper/middle left thigh became very painful after getting up. I describe the pain excruciating but there is also an element of numbness or tingling in the same area. | Hello, It could be a spine-related problem like a prolapsed disc or nerve compression. If symptoms persist better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Does dental infection cause rash and tightness in chest?
Hi I am jus writing about a concern I have had a tooth infection for about 3 months now I have used one lot of antibiotics and that was 2 months ago. I saw a dentist a few weeks back and says I still have the infection. I am having a root canal done and have an app in two weeks. I am also worried about a rash that has come up on my face and seem to have tightness in the chest hard to breathe I have been reading and it seems that these may have something to do with the infection. I am very worried about the infection especially seeing as on the net there is a lot about tooth info tins being fatal. Eel help please.. | Hi,From history it seems that you might be having developed root abscess producing plenty of induration affecting face and chest.You might require extracrtion of decayed tooth and removal of pus.Go to ER without waiting dentist appointment and go for treatment.You might require one course of antibiotic and anti-inflammatory medicine for 5-7 days.Do antiseptic gargles daily.Ok and take care. |
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