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Suggest treatment for positive TB skin test with negative chest x-ray
I've been in Hospital for took Chest Xray, I had been twice chest Xray because in my skin test is positive result but, my X- ray negative, I'm not sick I can't feel any symtoms on my body..What should I do? Do I need take medicines? Best Regards Janice | Hi welcome to HCM...You have positive tuberculin test but chest x ray negative ....So you are confused whether to start AKT or not ....Let me know you mere skin test positive doesn't always mean you have TB ...False positive result can be from if you have prior vaccination history or having infection with atypical mycobacteria other than TB bacilli.....Clinincal correlation necessary in your case ...You are also asymptomatic ...So as such just now no need for starting AKT ....Regular follow up done ...Take care .....Hope your concern solved. .Consult pulmonologist for examination .. | |
Suggest treatment for sharp pain near the heart
I had a sharp pain near to heart !! it was paining about 12 hours after that it was quite well!! again by night it was paining during moving my body or taking breathe hardly!! about 3 days slowly its gone!! and sometimes i am feeling like some what paining!! what is it? | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms do not seem to be related to any cardiac disorders. A musculo-skeletal pain could be the cause of your complaints. The fact that the chest pain is triggered by deep breathing or body movements is indicative of a musculo-skeletal pain. Coming to this point, there is no need to panic!I would just recommend avoiding straining physical activity and take acetaminophen or ibuprofen to help improve your situation. Hope you will find this answer helpful!Kind regards, Dr. Iliri | |
What causes anal irritation in a child?
every time I put my 1 year old daughter in her highchair or car seat, she will push her bottom against the center restraint and keeps rubbing against her groin area as if it itches, there are no rashes at all. Her doctor says she is just uncomfortable, but now she would jump on my stomach and do the same type of rubbing. What is going on and how can I stop it? | hi, itching at anal region could be due to worms infestation at perianal region, anal tear, infection at perianal region. you should do stool for routine microscopy and stool for ova/cyst test. deworming should be done by giving Albendazole. If there is no improvement then and examination by surgery specialist doctor should be done to rule out perianal tear, infection. also, history of loose stools should be taken, because loose stools if acidic in nature can also cause itching. Have a good day. | |
What is the cause and remedy of lump on butt crack ?
On the inside of my butt crack I have what started out as a small lump under the skin. It also had a head on it sort of like a zit. Of course I popped it but it never fully went away. I have been watching and as I was bathing today it feels like it has grown a bit and is sensitive to touch. | Hi, dearI have gone through your question. I can understand your concern. You may have some external piles, fissures or fistula. You should go for examination. Then you need to go for surgery accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Q. I have slight tremors after stopping Trigabantin disease. Is this Parkinson's?
Hello doctor,I was taking Fluoxetine and Escitalopram before two years for around nine months and slowly tapered them, and I stopped taking them. Recently I visited a neurologist for nerve pain and burning feet. The neurologist gave me Trigabantin and Nexito forte. For restless leg syndrome and burning feet. I could not take them and stopped taking Trigabantin cold turkey in two days. After stopping Trigabantin, my legs are feeling slight tremors when I am trying to sleep, and also I experienced muscle spasms, and my muscles were not in control of me when I woke up sometimes.I felt like paralyzed when I woke up suddenly from sleep (this happened twice) after which I went to a psychiatrist, and he gave me Panzep ls. Now I am taking Panzep. Also, he prescribed me Nextril 50, Dicorate er 125 mg and Arifine 5 mg, these three I am not taking out of fear. My body is sometimes shaking on own from left to right when I am tensed or worried.I fear I have Parkinson's disease. I fear that Trigabantin may have damaged my GABA receptors as well as dopamine receptors. Please advice me what should I do. Also, I am taking 100 mg Thyroxine for thyroid. Is my tremors due to anxiety or Parkinson's please help as I am not able to go to work out of fear. Also, why am I not falling asleep usually and waking up gasping for air in between nights? Please advise. | Hello. Tremors can be a part of EPS (extrapyramidal symptoms) due to medications which can not be predicted by any doctor beforehand, some medicine can manage them, and if the drug is causing it is removed, the tremors also subside. You should meet your psychiatrist and have a second opinion, and please do mention the tremors and your concerns beforehand. About Parkinson's disease, do you have any family history of Parkinson's or any other neurological disorder in your family? Because your tremors have started after the medicine, it is highly likely that it is EPS. But you should meet the same doctor and get a second opinion. | |
What causes right abdominal pain after gall bladder removal?
I had my Gallbladder removed 2 weeks ago, I have been suffering from right abdominal pains for 2 days. Pain seems to increase in the afternoon. I went to accident and emergency where they told me I had a bad infection (UTI) do you think that is the case as I feels teh pain is going right through me to my back? | yes ,UTI can cause pain if its causing infection around kidney sometimes stones can also cause such pain radiating to back ,pain because of gall bladder is very unlikely since its almost 2 weeks .get usg kub to rule out infection around kidney /stones drink plenty of fluids cranberry juice /syrup alkasol can help in reveling UTIto review with reports if required | |
Suggest treatment for stomach pain and constipation in a child
Hi Doctor, i have a 2 years old daughter. For the past 3 days, she wokes at 4 or 5 am due to pain in her stomach. She tries to pass motion but cant and starts crying. So that time i give her colicaid drops (1 ml) and after 15 min i give her a glass of milk. Then after an hour she sleeps. In the day time, she passes motion but not freely but dont cries. Please tell me what to do. | if she is chronically constipated , she may be having anal fissures causing pain while passing stool, with holding , resulting in further hardening of stool and a viscous cycle of pain and constipation. she will require a rectal suppository or an enema followed by daily laxative , lot of fluid orally along with diet rich in fibre. Anal fissures if any may be treated with local application of an anaesthetic and an antibiotic creme in the anal canal. | |
Q. Why does a 10-year-old behaves as a 16-year-old?
Hello doctor,I am asking about a 10-year-old girl. She is acting like she is much older than her age (in the wrong way). She is exhibiting behaviors of a 16-year-old, and it is very concerning. She is wearing heavy makeup, making lip-syncing videos using songs that have explicit language and talk about topics like sex, drugs, and alcohol. She is also trying to dress like she is 16 as well. She has a sister who is 21, and I think that she is trying to act like her, but her sister does not make these types of videos or work in this sort of way. Kindly advice on what to do. | Hello, Welcome to icliniq.com. From your description, it appears that the 10-year old girl in your family is modeling her behavior and trying to emulate some women around her. There may be a socio-cultural element that is driving this behavior, but the young girl's safety needs to be prioritized. Developmentally she is very young to be indulging in these type of practice and will not be mature enough to handle the unwanted attention. She may be putting herself in a vulnerable position by posting age-inappropriate videos. How is she doing in other aspects of life generally? How is she managing at school? How is she getting on with her friends? She needs more support and supervision from her parents or responsible adults in the family. Are you directly related to this young girl? 1) Try to discuss your concerns with the girl's parents or responsible adults in the family. Make sure there no safeguarding issues. 2) Try to be friendly and supportive of the girl. She should not be handled punitively but offered support and encourage her to talk. 3) Try to limit access to the internet and social media without supervision. 4) Encourage her to participate in healthy sports and play activities. 5) If there are any other emotional or behavioral problems, try to get her seen by a counselor or school counselor who can explore further and support accordingly. | |
What causes tightness of legs after treadmilling?
Today after running 3 miles on a treadmill my legs were tight. I often get anterio shin splints and tightness... while i was stretching I realised that there was a small bump/lump/ball pushing up from under the skin/muscle. About midway between ankle and knee on the anterior surface... It doesnt hurt really... but its HARD If i let my ankle relax into plantar flexion it is more visible with lighting... and doesnt hurt. If however I dorsiflex, the ball looks to sink back into the muscle and causes some pain. IS this what they call a shint splint? or is it a REalllly tight muscle ?? or damage/inury to a small part that is inflammed? Is it normal and harmless? Thanks!! :) Ryan | Hello, The symptoms seem to be related to a strained muscle. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using Voltaren gel for local application. I suggest using cold compresses in the area of the pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Can I use hair removal cream while suffering from penicillin allergy?
Hi,Im a male, 25, 6'1" 190lbs and healthy with only a penicillin allergy. While doing some 'male grooming' today I used Veet on my genital region. I have used the product a couple of times before without a problem. This time however, just above my left testicle (the tube that attaches the testicle to the body?), feels enflamed, slightly enlarged and aches a moderate amount compared to the right which is smaller and does not ache. I washed thoroughly in the shower to remove the cream in the instructed time but I want to know if this enlargement may lead to permanent damage or if I must seek medical attention? Suffice to say I wont use hair removal cream again in the future, lesson learned.Many thanks in advance for your answer. | Hi,Read your problem thoroughly.I think there is nothing to do with penicillin allergy with hair removing cream.Second thing..if you feel pain at inflamed epidydymis( as far as I understood from your description) then no need to worry,it might be because of local tissue reaction to the ingredients of cream.Take analgesics and short course of antibiotics( cephalosporins group preferred) and you will be alright.Don't think of permanent damage as this is not a big deal and what you said about 'lesson learned',see its a very common thing to remove genital hairs nowadays,so no need to think like that.You will be alright.Thanks | |
What could cause inflammed bone marrow in tibia with stress fracture in tibia with significant fracture?
I have inflamed bone marrow in a large portion of my tibia as shown on MRI. I have a stress fracture in my tibia that won't heal (3 months). The MRI also revealed that I have a significant fracture in my tibia. Why would my bone marrow be inflamed? My blood work is all within normal range as well as SED rates. | Hi..Bone marrow inflammed due to constant stress placed on the bone for a long period of time.. this phenomenon is responsible for the fracture of tibia as well..If you are under my care..thenI want you to completly restrictions bearing weight on affected leg... atlaest for6weeksFrequent Icing on the affected area..and on calf muscles as frequent as once in every 2 hours for 15 mins..I will put you on a good glute rehab exercises...like clamshell...bridging..prone leg lifts...core stability workouts like dead bugs..Hundreds...Superman reach...stretching of glueus...hamstrings...quads...calf and hip flexors.. frequently...I would put you on a compression sleeves in the legsSince your blood work is normal I want you to take diet rich in calcium...Hope this will help you..kindly revert back in case you need further clarification... | |
Suggest treatment for astrocytoma
Hi ,My Dad has astrocytoma . He got operated on Dec 09 2012 and also done with his radiotheraphy . Currently chemo is going on 5 days of every month . Now a days he become physical week and unable to walk for more than 5 mins also having constipation. Kindly advise how he can regain his physical strength back and what diet and exercise required to perform . Also I want to know if there any place which give better /treatment/facilities for this cancer. Thanks | Hi,Thanks for writing in.Astrocytoma is a type of brain tumor and if it has been operated up on then it is likely that he had a low grade astrocytoma. Please refer to biopsy details to conform a low grade astrocytoma. Chemotherapy and radoation thearapy are recommended for most cancers after doing surgery. This is because some cancer cells persist after surgery and it can regrow in to the tumor once again. Also tumors in the brain are difficult to operate and usually a little bit is intentionally left behind due to its adherence to adjacent structures.His weakness is due to the chemotherapy and radiation which he is presently taking. Chemotherapy causes the cancer cells to die and get shed in the circulation. There is also a release of toxic substances and then leads to weakness. Please give him lots of fluids and diet rich in proteins. You can also add vitamin supplements to give him more energy and daily supply of nutrients.It is possible to give you information on cancer treatment if you can give details about your location. Please do not worry. | |
Is there any chance to get pregnant even after taking postinor?
I stopped taking Yasmin after 2 months and had my period on 9th June. on 13th july i took postinor ( emergency contraceptives) as it was the 4th week which i dnt need to take yasmin. i was scared i mite get pregnant i took postinor so i'll be safe.my period is late. cud i be pregnant? | Hi I think you should do a urine pregnancy test at home. it will confirm whether you are pregnant or not. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods. Sometimes periods can get delayed due to stress. | |
Suggest treatment for abdominal pain and blood clots while urination
I am not on my period but I am having black blood clots when I pee. My upper abdominal has also been hurting and the pain goes to my back. I am not pregnant but I did have an infection about a month ago. I went to my doctor and they prescribed me medication, which then solved that problem. Now it seems to be back, but worse. Do you have any idea what this is? | Hi.Thanks for your query.The history of an infection about a month back indicates the possibility of a recurrence.The passage of hte black clots at urination, back pain and pain in the upper abdomen can suggest a chronic tubal pregnancy, uterine infection or PID. I would advise you the following:Preliminary ultrasonography and CT scan along with tests of the blood, urine and stool will help for the diagnosis and plan a proper treatment. | |
Is it necessary to administer same dosage of inhaler while switching from Ventolin-by GlaxoSmithKline to Asthalin by Cipla in a 2 years old child?
hello,I have a 2 year old son and has been on ventolin inhaler for a couple of months now(inhales using spacer)we recently switched to using Asthalin by Cipla.Do I still give him the same amount of dose as the ventolin-by GlaxoSmithKline??would there be any difference at all??please advise. | Hello,Welcome to HCM,Both the drugs helps in reliving the broncho constriction and improve the symptoms of broncho constriction.Compared to ventolin, Asthalin drug is safer in children aged 2 years.Asthalin effect lost for shorter duration compared to ventolon.Dose of the drug depends upon the age and severity of the symptoms.Use the drug as prescribed by your paediatrician.Hope I have answered your query.Thank you. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What causes restless joint pain and involuntary jerking?
I am 22 years of age. For the last 7 to 8 months i have been going through a lot. relentless joint pain, random dizzy spells to the point of almost passing out. Shaking episodes that last for hours at a time. Involantary jerking. An overall feeling of being sick. My kidnyes seem to be hurting and acheing. Blured vision from time to time. back and neck pain that bring on migrains. memory loss and siver stomach problems. It is very over welming, and i don t know what is going on. When i try to sleep i eather wake up with siver pain or just seem to wake up every hour on the hour its like my body won t let me stay asleep. Do you have any idea what is going on? | Hi, Muscle spasm occurs in response to some painful pathology ranging from a herniated disc to a vertebral collapse...you need to get a thorough clinical examination along with an MRI done to know about the exact cause of the disease. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
What does the blood report with TSH 4.0, free T4 and SGPT 33 mean ?
My son is 11 yrs old. He went to his annual physical and they drew blood. The only results that were off were TSH 4.0, Free T4 (Direct) .88 and ALT (SGPT) 33. What could this mean for him? His Dr. said to come back in 6 months to be checked again. Should I wait that long or do something sooner? | Hello..Thanks for your query.The reports(TSH,Free T4,SGPT) are within normal limit and it means no need for any interventions right away.You can wait as his doctor advised to repeat the thyroid profile test for detecting thyroid under activity tendency(as free t4-0.88 is lower border normal value and TSH--4.0 nearly upper border normal value).Hope i have answered your query.If any further questions,happy to answer you.Take care. | |
Better options to get relief from GERD.
Whether surgery is a better option for getting relief from GERD symptoms; 2. In India, where is it performed; and 3. Is it a simple or complicated procedure. | Surgery is a onetime procedure, most people get relief and it is important in young people. Alternative is to take medicines life long with dietary and lifestyle adjustment such as: stop smoking, avoid fatty food, take multiple small meals, and avoid alcohol. Surgery is quite safe and most gastrointestinal surgeons can do this laparoscopically. | |
Is eating of ice cubes advisable during pregnancy?
Hello I would just like to know if eating bags of ice cubes are bad for you? I am 38 weeks pregnant and for about 12 weeks now all Ive wanted is ice cubes. I would like to know also if they are not bad for you then why do they make you pee constantly? Or will that be the baby on my bladder? | Hi, Thanks for asking. Eating ice cubes in pregnancy is considered as Srt of compulsive desire ofeating ... it hardly affects nutrition of the mother to be. Eating ice cube is known to raise the basal metabolic rate...&this may hinder desired rise inmaternal bodily changes (like fat rwserves .. which in future privide energy while breast feeding.)So she would need extra nutrition while feeding the baby. Change in maternal metabolic rate does not affect fetak development/weight. Though drinking excessive water would cause more urination...there are no known changes in maternal or fetal urinary system. Thanks. | |
Sharp abdominal pain after laugh, going to washroom, anything involving push. Cause?
Hi, I was wondering something. When I laugh, or go to the washroom, or anything that involves a push... I get this sharp pain in my lower left abdomen ... Where my intestines are. As soon as I feel that pain, I quickly refrain from the push because it hurts and it scares me. I don t get it every single time, but I do get it quite often. I am wondering, what this could possibly be? Thanks | Start a course of stool softeners and continue it for at least a week. Drink at least 2 litres of water per day. This will prevent you from straining while passing stools. If the pain disappears then its fine. But if it persists you need to consult a General Surgeon. | |
Could the serum creatinine levels be brought to normal?
Hi doctor, my father age was nearly 60 he had the problem of highblood pressure in recent blood test it was detected that the serum creatinine was about 1.5 ,doctor suggested that the persistant blood presure may leed to increase in the serum creatine. can u pls reply me how the serum creatine can be bought to nornal level thus it effect my father in any way.pls do reply me thank you | HELLO THANKS FOR QUESTION HERE ON HEALTH CARE MAGIC PLEASE USE HOMOEOPATHIC MEDICINE UREA 200 10 DROP MOR AND EVENING WITH CUP OF WATER ALFALFA Q 10 DROP WITH CUP OF WATER NOON AND NIGHT WITH CUP OF WATER THANKS DR PRAVEEN PATHAK | |
Does the Plan B pill effect the results of general physical and pap smear test?
hello, i have just taken the plan b pill after a condom broke. i am scheduled for general physical and pap smear in 2 days. i read somewhere the pill can affect the results of the test. should i rescedule for a later date? does the pill induce your period? thank you | Hello,The plan B pill does not affect the cervix or the pap smear result so I do not think you will need to reschedule the examinations another time. On the other hand, the plan B pill may cause your menstruation to be one week earlier or one week later, so you may have your periods when you do not expect them. In this case, if you are bleeding, the doctor may decide not to do the pap-smear because the presence of blood may affect the results of the pap smear.I hope this answers your query. I remain at your disposal for further medical assistance.Regards,Dr. Antoneta ZotajGeneral and Family Physician | |
How to confirm a kidney infection?
Hi I am a 28yr old woman with an implanon implant in my arm. I have had 2 children and urinary reflux since i was born. The reflux seems to have settled down and i have had quite a few kidney infections in my life. usually it starts as a urine infection for a few days if i don't get onto it it can turn into a kidney infection. I had pains all of a sudden like kidney infection last night and went to the doctor today and there were no signs of a urine infection a fter i had taken ural but i had very high levels of protein in my urine. I undrstand i may need a blood test to test my kidney function but with my history it has never shown this before... can semen from the night before affect the urine sample i gave thedoctor? My doctor has been blazare about my condition before and am worried he isn't being thorough enough considering i have rather bad scaring on my left kidney. | Hi,It seems that you might be having chronic renal infection and might have affected your kidneys.To know position of kidneys and type of infection, you might require,1, Routine urine with culture and sensitivity test,2, Blood for S. creatinine, urea,3, Ultrasound of kidneys.Consult urologist and get examined and investigated.Ok and take care. | |
Is coughing while on Salbair and Budecort inhaler a symptom of asthma?
My son is 4.5 yr old now...we are giving him budecort inhaler 100 2 puffs twice a day...and occassionally salbair in haler when the coughing is more....it has helped him and there is a visible improvement....bt we are using this since more than a yr as suggested by doctor...from last 4-5 days he gets cough in the night when he is sleeping and also when he gets up in the morning...for few months we gave motair 4 tab also...what should we do now?is it a symptom of astama? Hw long he may take to get rid of it? | HelloYes the cough might be a symptom of asthma.Better to discuss with his doctor for this again.RegardsDr.Jolanda | |
What causes severe pain in the right side of the stomach?
I've been having horriable stomach pain on my right side my dad says I pulled something but i know it isn't pulled anything just because of the pain i can sit up with it hurting or even lay down its just there its a horriable aching pain. It's always there and it just started today,Please help me | welcome to Health care magic.1.Yes, even your dad can be right as it does gives such pain.2.Such sudden pains also seen in the Gall bladder stones and renal stones.3.My advise is take some pain killers, if its uncontrollable and other symptoms added - then see your doctor.4.If symptoms persists get an ultrasound done.Anything to ask ? do not hesitate. Thank you. | |
Can I get pregnant if my FSH and Prolactin are higher than normal ?
i am 26 years old . female. i am trying to conceive from 8 months but i am no getting pragnant. last month i got menses on 18 of march then i took cerophene 50 mg from 5 day of my cycle but nothing happened then i got menses on 14 of march but they are in brown colour and only last for 1 day then my doctor suggest me for harmones test on 2 day of my cycle but i got menses again on 29th march i gave the blood for FSH, prolactin and LH. Lh is n normal range and it is 5.8 where as prolactin is 36.2 and FSH is 17.7. i am very much disturbed please help me | Hi welcome to HCM Read your prob.first you have to rule out the cause of infertility by getting sonography, follicular study. as your hormon leval is normal so find out other cause of infertility like PCOD, Tuberculosis, defect in ovulation in you n semen analysis of your partner. discuss all of it with your doc n start proper treatment. Dr aseem 9982583020 aseemadhuri@gmail.com | |
What causes pain and numbness in finger after an injury?
My daughter came down on her hand from a fall off her bed. She said she rolled over and off the bed. She has been complaining with pain ever since. She has been taken ibuprofen and had it in an ace bandage. She has been unable to use it. Today I took her to Dr. And for a xray. The xray was negative for a break. However tonite she is still hurting and now says her hand and all fingers but the pinky is numb and she can t feel them. Her pinky expecially hurts and her hand is swollen.. | Hello,Thankyou for your quiry.From the history it seems that she might have injured her radial nerve.Which supplies medial side of hand.But if she is having numbness in lateral side then it could be ulnar nerve.As nerves tend to be deep below the muscles and pass near to bones,so when ever there is strech or tendinous pull or fracture ,the nerves can be injured.My suggestion would be ,she may need physiotherapist and needs checked by a orthopaedic doctor for further discussion.Hopefully my answer will be helpfull.Regards,Dr.Maheshwari | |
Suggest treatment for hip dysplasia
I had hip dysplasia when I was a baby and I had to wear a pavlik brace and the problem was fixed. I m 13 now. Lately, I ve notice that when I stretch or try to do the splits (I do color guard), my hips seem like they won t bend and they have been bothering me occasionally. I have no trouble walking or doing normal things. Is this normal? Should I go to the doctor? | Hip dysplasia can cause some problems in hip movements. it can be due to tight hip adductor muscles and it is normal. If there is no problem in walking then it is ok. If there is difficulty in walking or running then you can consult bone doctor. You may need to get x ray. If you want then you can share your x rays with me. Than i will be able to comment if you need any surgery or not. I hope this answer will be useful for you. Let me know if there is any other followup questions,thanks | |
What causes pain under the nipple without any mass?
Hi, may I answer your health queries right now ? Please type your query here... I am male, 69, for the last six months I have had pain in my left nipple. The pain is directly under the nipple and can be felt when the nipple is pressed directly. There are no masses. | Hello, It may be because of hormonal problems like high prolactin, high estradiol or low testosterone. Check blood for these hormones. Do NOT press the nipple as it can increase the discharge. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta | |
Suggest treatment for mental decline
head trauma About 5 years ago i fell head first off a horse. I blacked out for maybe 5 or 6 minutes. I was never the same after that I don t process alot of things as i should be. im socially withdrawn and lack social skills. i wasn t like this before i fell and has been getting progressively worse since march. is there anything that can be done to stop my mental decline | you have history of fall down from horse and after that history of blacked out for 5 min. and this may be due to some injury to the brain so first of all do MRI and EEG which may be suggestive of YOU may have Seizure disorder. and give me full detail like whether you have such episode frequency , associated symptoms etc. if reports have any abnormality then start anti epileptic treatment and if reports normal and only one episode dont worry much about that as one episode may be due many reason | |
Will i conceive easily as i have irregular periods?
my age is 33 years old n i m married from last 1 month.i had my periods on 30th of june n not yet got d periods back.me n my husband stayed together for 8days startin from 30th june includin my periods days.my period cycle is usually of of 38 to 40 days n once or twice in a year i skip my periods for 1 or 2 months.will i be able to concieve easily?is it possible that i m pregnant now? | Hi, you can do a urine pregnancy test at home. It will clear the doubt that you are pregnant or not. But as you are having irregular periods, go for a evaluation first. Do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo | |
What could be the sudden chest pains along with difficulty in breathing?
hi ive been getting chest pain that comes on very sudden and i find it hard to breathe,i have noticed that certain movements bring it on,i have had all tests to check for a heart complaint but have been given the all clear,i have noticed that about four inches below the leftside collar bone is very sensitive and sometimes sore to touch,any ideas what this could be ,thankyou | Hi thanks for asking question.1.First you have pain during particular movement so possibility of muscular strain ruled out.It might be by improper sleep posture or strain during some activity.Take simple analgesic and hot compress for that.take enough rest.2.You might have costochondritis.means inflammation of ribs which are refer on touch.3.Third if you have smoking history I also want to rule out bronchitis or emphysema by chest x ray and pulmonary function test by spirometry.4.If you have associated fever and cough then respiratory infection like pneumonitis has to be ruled out by chest x ray.5.Rule out gastric problem like dyspepsia or acid reflux that can lead reffered chest pain.But possibility of this pain in your case is rare.Wish you good health | |
Brown discharge. On marvelon pill. History of forgetting intake of pill followed by intake of 2 pills the next day. Thoughts?
Hi, I'm writing on behalf of my girlfriend, she's on holiday atm. She's just texted asking if I can help with something. She's on Marvelon (contraceptive pill) and for the past couple days has found a brown discharge. She's in the middle of her course of pills, but forgot to take one of the pills one night, taking it the next morning and continuing as usual. What could be the cause of the discharge? | Hello,Brown discharge is mostly due to implantation bleeding. Other reasons are old endometrial tissue, pelvic infection, stress, hormonal imbalance etc. However, she must confirm her pregnancy through home pregnancy test after missed period or around due date. | |
What causes orange urination and bowel movement while having constipation?
My 2 and a half year old daughter has had two,Orange wet diapers. Her BM this morning was orange as well. She has had a bit of constipation the last 2 weeks and we have been using senna and mineral oil to help her along per her pediatrician. I m not sure why her urine is orange? She doesn t not seem to have any pain when urinating. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Orange color urination may be due to 1. Medications (antibiotics/ATT drugs) 2. Some foods (excess carrots) 3. Less water intake Concentrated urine Rx: give plenty of liquids nothing to worry. Better to do complex urine examination (CUE) For constipation Rx: give fiber diet, fruits and more water. Constipation may cause urinary tract infection and hence orange colored urine. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for itchiness on the penis
i am 31 years old. when i was 7 or 8 i had an operation to bring down an undescended testicle. i have lived with this my whole life but it seems to be getting worse and more painful as i get older. my right testicle hangs normal, inches from my penis shaft. my left testicle is basically right on the base of my penis shaft, and seems to have gotten closer and tighter with age. because the "wiring" of my testicle is so short it curves my penis to the left, and i think it has kept me from "reaching my full potential" since the left side is so tight. When i get erect the more excited and blood engeorged i get my left testicle pulls back inside of me and to the left of my penis shaft. this is very painful and i dont remember it being so painful or if it even pulled inside of me when i was younger and first became sexually active. what should i do? | Thanks for contacting HCMYou are concerned about having an undescended testis. From your description is sounds like the undescended testis is not fully extended and giving you discomfort. From this I would recommend that you see a urologist and see if there are any surgical way to correct this problem. The urologist maybe able to extend the length of the testis.Hope this answered your question. Please contact HCM again with your medical concerns and questions | |
Small uterus, trying to conceive. treatment?
hi, when i was 16 i was told by the doctors that i cant have any kids due to my small uterus , i am 24 now and have been marrierd foer 4 years and still trying but no luck | Hello. Thanks for writing to us. The size of the uterus does not cause any difficulty in conception unless the shape of the uterus is normal and there is no abnormal septation inside. You can get an HSG done and confirm about any deformity.I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal drrakhitayal@gmail.com | |
What is the treatment for stress and depression?
I am Praneetha,32. I am an Engineering grad but a house wife.There's always waxing and waning in my thoughts.Sometimes i feel very confident and someother time i feel very low..most of the times i feel worthless and feel like dying..I hate my mom and the way she brought me up..she always restricts me from mingling with others which i like very much..again i feel that i am thinking wrong about my mom...i have 2 year old kid...my thoughts and behaviour may effect his further life.i am totally woried..very confused about myself | HiWelcome to Hm.I understand your concern.Change in stream of thought suggest mood variability.Psychological stress can produce low mood and fluctuation in moods.But change in mood only can not suggest depression.It may associate with other features like lack of interest, sleep disturbance, loss of weight and thought of hopelessness and helplessness .etc.If you have all this and persist for 2 week then need to go for psychiatric evaluation and consultation.This kind of condition can be treated with SSRI and benzodiazapin.Choice of drug depends upon clinical presentation and symptoms.Do consultation and get well soon.Still have a query then feel free to ask.Thank you.Happy to help you. | |
Suggest treatment for chest pain
for the past couple of weeks ive been having chest pain on my right side. The pain goes down my arm, i alot of cramping on my stomache and diarrhia for two days, i also have to catch my breath most of the time and i have no energy and i feel faint please help im 29 yrs old and ive been feeling like i have the flu every day | hello, Mostly it's a acidity and reflux disease. Do you also have nausea, vomiting, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. For cramps you can tab dicyclomine 20 or hyoscyamine 10 mg whenever needed basis prescribed from local doctor. If it doesn't respond, you should get yourself examined and need some investigation like Ultrasound and stool examination. One ECG to rule out heart problem although doesn't appear to be one. Also, may need deworming with Albendazole etc. | |
Child has no appetite, rash on back. No itching. Allergy?
My 16mth old daughter has had little to no appetite for 2 days now and there is a rash-like symptom on her back mainly and front. I am not sure if it is hives or something else or whether or not we should take her into the ER as the earliest app we can get is the 25th. the rash does not itch but it is spreading up into her hair. she has no allergies that we know of but was sensitive to milk or milk products when i was breastfeeding but she has had no problems with whole milk since she was 12ish mths maybe as I lost my supply by 14 months. Also milk is all she has really been consuming the last 2 days. could it be an allergy? should we take her into the ER? could it be something else? everything went away after a bath and some food. could it have been something else? It does make sense as a milk allergy but she seems to have no problems most of the time. | this is milk allergy actully child needs mother milk for 2 years adding other animal milk before 2 year definately leads to this add other substances like fruits rice etc withdraw all milk and diary products it will be fine | |
Had brown blood traces. Was I ovulating?
Hi, 4 days ago I thought I was ovulating. I had a bit of see through discharge then it got worse, changed to the colour brown, after that i seem traces of blood in it. I have also had really bad tummy pain, I had all the sti tests when I got with my boyfriend but everything was fine. Neither of us have slept with anyone else since being together so it s definitely not that. I have the Marina coil, I can still feel it so not moved, but I ve googled this problem and the same thing keeps coming up, pregnancy! I have already one child and I didn t have this when I was pregnant with her. I would usually go to my dr about this but it s bank holiday weekend :((( can u help? | Hello. Thanks for writing to us. Since you are using a mirena coil, the pregnancy seems unlikely. The minor occasional spotting that you are having is likely to be due to the coil itself or due to a minor vaginal infection. A direct examination by gynecologist will be helpful. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com | |
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.---> | |
What causes high blood pressure during pregnancy?
my daughter lost her mucas plug yesterday. Today at Dr.s and her blood pressure is so high they have her in a holding room. she is 35 weeks pregnant with identical twin girls. Her blood pressure has been perfect through the whole pregnancy . What could be the problem | Hi there,,Twin pregnancies are known to be more high risk for the mother. More so if she is having identical twin pregnancy. Do the girls share they same amniotic sac ?Monozygotic (same Sac) twins have a higher rate of complications and if her blood pressure is not being controlled, her Obstetrician should plan for an early delivery.Twins mature faster than singleton pregnancy and if the maternal condition is getting unstable it is best to consider delivery.The loss of mucus plug also indicates that she is likely to get into labour soon. Twins may require monitoring post delivery and the pediatrician should be informed and two pediatricians should be available at the time of delivery.Hope this helps.Regards. | |
Had a root canal. History of intense reconstructive surgery. Failed to get root. Permanently filled. Now gland swollen. Suggestions?
I had a root canal on Friday. I have an old injury to my left tmj joint which required an intense reconstructive surgery about 15 years ago. Any prolonged dental work where my jaw has to be forced to stay open usually causes the tmj and my ligaments around my jaw to swell. Because of my condition my endontist was not able to successful get all the root in one of my canals after trying for two hours. He decided to permantly fill the tooth. He gave me 600 mg of ibuprofen and 7.5 by 325 of Vicodin and told me to Alternate them for the inflammation and pain from the procedure and the trauma of the procedure to my ligaments. The pain in my jaw and ligament are less sensitive, but now my gland under my jaw is swollen and is very painful. When I take the dose of 600mg of ibuprofen the pain remains the same or worsens in my gland its hard to swallow. When I take the dose of Vicodin the pain in my gland is much less. I called them today and they started me on pencillin incase some how the procedure caused an infection. I'm starting to wonder if the ibuprofen is the reason my gland is reacting in the first place. Could it cause the gland to react? | Hello,Thanks for writing to us.The swollen glands are due to improper root canal treatment undergone.Entire infected pulp has to be extirpated prior to placement of permanent restoration.I would suggest you to visit a dentist and get re-rct done.Take medications too.Hope this helps. | |
Provide cure for muscle pain
About a year ago I had a mole removed on the upper right arm because it was itching. Afterwards there was pain in the bicep muscle where the root of the mole had gone down into it. The root area was cauterized by the doctor. Well, that muscle area never got well. Even though the site of the mole itself is OK, there is contimued pain in the bicep muscle. It hurts especially after I do push-ups or other strenuous exercise.Any ideas re cause, treatment and cure? | Hello, It could be an inflammatory reaction following mole removal. As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. You can also apply warm compresses also. If symptoms persist better to consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
double Ds
im only 15 years old and im a dd-cup size :( how can i convince my mom that i want to get a breast reduction? i dont have back pains, but i cant wear ANYTHING without my breasts being extremely noticeable and it causes unwanted attention.. :( im 5'5" and 110lbs.. | Explain that you don't like the way certain men are looking at you and give her a list of things that the extra weight cause later in life. You will be looking forward to becoming heavier because you wouldn't really want to exercise as much with the ladies bouncing and your back hurting, and you will have deep groves on your shoulders. She might just be afraid because it is surgery, so give her facts on how well it turned out for others. | |
Q. Why does the face of penis bend during insertion?
Hello doctor, I am married for the past six years and stayed with my wife for around two years in these six years due to job location reasons. My wife has asked for divorce now as I am not able to insert my penis into her vagina in these six years. I have done following test up till now: Semen analysis, erectile dysfunction tests, testosterone tests also. I am not suffering from any early ejaculation also. Whenever I try to insert penis into vagina, it is bending at the face of the penis. I masturbate very easily and erection is better while during masturbation as compared to when I try to do intercourse. I am still a virgin at the age of 35. I do not know whether my erection is sufficient to insert it. Whenever I try to insert, the erection does not sustain also for a very long time. I also lost confidence whether I will be able to do intercourse in my life with anybody. Now my wife has left me so I cannot try to insert it at home. Please guide me. | Hi. I read your query and understand your concerns about ongoing issues with your sex life after going through all the attachments (attachment removed to protect patient identity). Although, it is never possible to comment conclusively, but from the available description, it is clear that you are suffering from erectile dysfunction. Failure to sustain an erection during intercourse and bending of the penis at the base on attempted intercourse indicates that there is a problem. However, the presence of early morning erections, normal biological reports and the ability to have successful masturbation indicates that the problem is psychogenic rather than organic. Considering these two facts I feel you should see a psychiatrist without delay since the problem is psychogenic erectile dysfunction. I understand that you have lost your confidence but I must assure you that the problem is largely treatable and there is little to worry in this era of advanced medical care. In my experience, more than 80 % of individuals with psychogenic erectile dysfunction show good results after a few sessions of psychotherapy. | |
What massage oil should I give to my baby for his dry skin?
Hello Doctor! My son is 2.5months old and he has a dry skin. So pediatrician advice me to use Atogla lotion for him. I am using this location after bath. But I want use oil for him to message before bath.So please suggest me any message oil which I can use for my baby before bath. | Hi. You can use coconut oil or olive oil for massaging the baby. You can keep alternating both the oils also or just stick to one oil.Olive oil need not be virgin which is very costly. Olive pomace also will do. | |
Suggest remedy for pain in back and rectum
Hi I am experiencing pain on my left side, and back. I am urinating frequently and feel some discomfort in my lower stomach. Additionally, sharp pains strike out of know where in the rectum it feels like constant pressure. I have been taking ibuprophen it works but when pain returns it is excruciating. | You might be having UTI. Start taking proper antibiotic and symptomatic. Take plenty of oral fluids. | |
What causes nostril burning with odor after teeth removal?
I got my wisdom teeth taken out yesterday and about 30 minutes after i gargle the mouthwash given to me, my right nostril will burn a little bit and start to smell minty. Then it starts to run sporadically. When i put a tissue to it, there is a slight pink/red tint | Hi,Thanks for asking the query, I think that you are developing some kind of allergic reaction with the chemical i would suggest you to avoid its use instead use lukewarm saline rinses 3-4 times a day, take multivitamin suplements at home maintain a good oral hygiene, visit your Dentist for routine checkup of the solution. Take care! | |
Suggest treatment for heart arrhythmia
Hi, i have a question about my heart arrythmia. If i am feeling a random quivering sensation in my chest before or after a skipped and racing heartbeat, and it occurs with activity, stress, eating a meal, execrise, having coffee and tea and alcohol, does it sound like lone atrial fibrillation? I have seen 2 cardiologists in the past 2 years who found two hundred and something supraventricular ectopic beats in an hour with my holter monitor. They did not, however, catch my episode that i complain about..it gets worse as the years go by and i have a strong feeling this is what i am up against. ((i am a 23 year old female with 2 young kids)) | Hi, I hope your stress echocardiography and ECG is normal. If these are normal, then avoid tea, coffee, alcohol. Also, undergo thyroid status monitoring and blood pressure. If all ok then I will suggest taking low dose beta blocker as metoprolol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician | |
Extreme pain in left upper arm, heartburn, pain under rib cage. Ultrasound showed polyp on gall bladder. Opinion?
I am a 59 year old woman. I have been experiencing extreme pain in my left upper arm. So extreme it keeps me awake. I have been experiencing heartburn, some reflux and pain in the upper right quandrant area under ribcage. I am overweight, around 180 lbs. and 5' 2". I have telling myself I just need to loose weight. Recently the pain in my arm has moved to my shoulder down towards my left breast area. I was scared it might be my heart. I went to the doctor and had an EKG. It was normal. I had an ultrasound on my gallbladder. It showed a polyp. Then I had another scan on my gallbladder which took 2 hours, I had to lie perfectly still. I think it was called a hidascan where they intravenously put nuclear dye in to see how your gallbladder is functioning. It came back normal. What could possibly be wrong with me? | Hello, Thanks for the query to H.C.M. Forum. As pain is on both sides left as well right. First of all we will discuss about the left side pain. The first possibility is of peptic ulcer disease or Hiatal hernia. Diagnosis can be confirmed by upper G I endoscopy. Try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or drinking 2 hours before you lie down. You should avoid alcohol , drinks with caffeine in them, chocolate or spicy or greasy food. Also take some antacid but if symptoms are severe you might need drugs like proton pump inhibitor. Now on the right side as ultrasound shown polyp consult a surgeon and get his opinion as gallbladder disease is not good for fatty ( obese ) person. Try to reduce weight it will also help you. Good luck. Dr. HET | |
Could the irritation under the foreskin be causing pain to retract?
y uncircumcised 11 year old son has had pain in his genital area for 4 days. He is not running a fever and no pain during urination. His dad thinks maybe he needs to be pulling the foreskin back further, because he can not pull it back very far. Could he have some irritation under the foreskin causing the pain? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would need physical examination done to know exact cause but looking at the history it seems that your child is suffering from phimosis which is the inflammation of glans penis due to tight foreskin which causes pain in glans penis. If it is that case then I would suggest you to get his Circumcision done. Hope I have answered your query. Let me know if I can assist you further. | |
Are there any side effects of mikacin and mirtaz ?
is there any side effect of par it D? i have been discovered irritable bowel syndrome (IBS). and also a bit of PID (pelvic inflammatory disease). have been prescribed mikacin 500mg injection twice a day and morease with par it D empty stomach. also mirtaz (anti depression) twice a day. are there any side effect or mikacin and mirtaz ? | Hello,Mitraz long-term use may cause anxiety, palpitations,dry mouth, tremor and irritability. Amikacine may cause fluid retention, nephro and ototoxicity.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | |
Should I take physical therapy for calcified disc fragment sitting on a nerve?
I have a 9mm extruding disc at my L5 S1, causing indentation on the nerve roots. Over the past 3 years this extrusion has calcified. Recently I have had tingling and numbness in my left leg, with occasional severe shooting pain. Is physical therapy an option for dealing with a calcified disc fragment that is sitting on a nerve? Or is surgery my best option? I ve been told that the calcified fragment isn t going anywhere without surgery and will only get larger over time, which will cause more symptoms. Thank you for your input. | Hello, Physiotherapy can provide symptomatic relief. If symptoms persist better to consult a neurosurgeon and get evaluated. You can opt for a steroid injection to the spine which has got good results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Suffer from allergic bronchitis. Wheezing persists despite using salbutamol and bechlomethasone. Reason?
I am suffering from allergic bronchitis since 25years,allthough i am not taking dairy products(allergic and creates cough) in my daily diet,but then to I am having wheezing chest,for your information,I am daily using broncodialators like ,SULBITAMOL, AND BECHLOMETHASONE DIPROPINATE) ,One puff each in the morning and evening and montelukast sodium 10mg in the night.Having taken the above medicines daily,wheezing and cough is not goingRegardsAbdul Qadir | Hello!Mr Abdul Qadir.... Generally any Allergic Condition Occure in the body due to LOW IMMUNITY and HIGH SUSCEPTIBILITY of the body.In Homoeopathy,Constitutional medicine will help you to increase your Immunity.Specific Homoeopathic medicine will also help in your acute attack of Bronchitis.So you have to consult homoeopathic Doctor.Thanking You. | |
Love marriage problem
I am having problems in married life.. ours is love marriage. and we fight a lot due to our parents.my husband does not like the way my parents are and vice verca. I am really worried like how to go about it. What should i do? | Once you are married, only you two have to stand by each other. Stop this parents things from both the sides, sort out things between yourself, do not let anything spoil the love and happiness of your marrige. If needed go separate, and be far from both the parents. You should still respect them as they are your spouse parents. But if you fight between yourselfs bcos of them then it is not right. | |
What causes tingling and burning sensation in the face with neck pain and migraine?
Hi i am a 31 year old female. i have been experiencing tingling and burning in my face for the past 7 months. I have neck and upper and lower back pain. I recently started having migraines. Also I have had burning in my back,neck and back of head. I can also hear a grating sound in my neck with i move it. I have left arm pain too and tingling in my fingers.It is hard for me to lift my left arm up in the air shooting pains into my shoulder. Never had an mri but had a ct of the head for the headaches and everything was normal. Also had x rays of neck and lower back but they say they were normal too. Any type of help would be appreciated. Thanks | Hi, If symptoms persist, better to consult a neurologist and plan for an MRI brain to rule out possible intra-cranial (inside the brain) causes. As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Taken morning after pill after unprotected sex. Brown spotting mid cycle. Normal?
Hi, I had unprotected sex a month ago and took the morning after pill the following day. A few days later I had a very heavy period that lasted a week. I am now due my 2nd period and have experienced spotting (brownish sometimes with a little red in it) but nothing like a normal period. Is this ok? Also, be advised that I gave birth 9 weeks ago. | Hi, Thanks for the query. Emergency pill can cause menstrual disturbances like altering the period of menstruation and also they can cause inter-menstrual spotting. For more details: Possibly this spotting will subside soon and you will resume your cycles. Usually bleeding will stop after around 4 weeks from delivery. Better to avoid emergency pills and choose some regular method of contraception like barrier method or progesterone pills to avoid future problems. Take care. | |
Can we prevent hep B infection from carrier to normal person?
my brother is a hepatitis b carrier, in good health, 31 yrs old. he is getting married in 6-7 months. what is the chances that his wife getting the infection from him, whether it will be active or non active like my brother's? any chance the wife getting infection be prevented? | Hi thanks for asking question...Let me know you hepatitis b antigen can be spread by sexual route ..So your brother wife can get acquire infection by sexual intercaurse....Use condom or barrier method to prevent its spread.Blood and secretions having this virus.So avoid contamination of things by secretions.Items contaminated by secretion wash by diluted bleach....If your brother have woung it is dressed properly....Your brothers wife and you must be vaccinated ...Regular check up of both you for hepatitis b done....Take care.... | |
What causes enlarged spleen and pain beneath chest?
hi im 20 years old, and im having pain just beneath my chest, its a sharp pain, causing me shortness of breath, if i try to breath at the time it hurts, the pain last for less than a minute and it comes and goes, been about a month now. also i noticed that my spleen may have enlarged. Do you know what may be wrong with me? | Hello, I suggest you do cardiac and abdominal sonography, to rule out possible pericarditis, and after that, the pain may come from the enlarged spleen, not from the heart. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician | |
Q. Due to abfraction, my upper front teeth are discolored. Are my teeth dead?
Hello doctor, I am seeing by my top gumline 6 of my teeth have mild abfractions and are changing color from the gumline down. I do not know what to do and I am freaking out. Are my teeth all dead? My last visits to the dentist's office is in November of last year and I noticed some color change in February but I did not know it was severe. What are my options? | Hello. I went through your query and seen the attached image (attachment removed to protect patient identity). The image is not clear to determine any specific concerns of yours as color was not visible properly. But as an expert, your teeth looked fine. You need scaling. Do Betadine gargle in lukewarm water. Take tablet Metrogyl ER 1 tablet bd for five days. Your left lateral looked short. It might be due to the quality of the image. If it is like that I doubt it to be deciduous can be sure, the image was hazy. Anyways no worry, nothing is dead, so please do not freak out. Stains and calculus. Intraoral x-ray of the upper left lateral incisor. Scaling and medications. Avoid sticky or sweet food. Follow up after 7 days. | |
What causes pressure behind eye, sore throat and fever?
I have what seems to be some fever on the right side of my head. very slight pressure on the back of the eye...it does NOT affect my vision. some soreness on the right side of my throat and a tenderness on the right side of my head. I also feel a slight sensitivity in my right ear. age 58 225 No alcohol/drugs 6 1 Generally excellent health no recent trauma for the past couple of days a slight increase in anxiety which I normally NEVER have. | Hi,As per your symptoms it could be due to upper respiratory infection( pharyngitis, laryngitis,tonsillitis, epiglotitis etc) or middle ear infection, sinusitis etcYou should undergo routine blood investigations and after that you may take antibiotics ( quinolones or macrolides group) with antipyretics and analgesics with other symptomatic treatment according to underlying cause.You consult ENT surgeon for further advise. | |
Have hepatitis C genotype 3A. Elevated liver enzymes. USG showing mildly coarse liver. Took ribavarin. Have pedal edema. Advice?
I am 38 years old. I gad hep c genotype3a. Elevated liver enzymes. Normal bilirubin,albumin and INR. USG suggested mildly coarse liver. I took six months course of peg ifn n ribavarin. Viral load decreased five logs after 4 weeks but it is not negative at end of treatment. Now two months after end of treatment i m having pedal edema. Please suggest. | Hi, I have gone through your reports fully. I like to say that you have taken the appropriate treatment and follow up. Your worry is the results are not negative and you have pedal edema. Pedal edema is usually associated with your problem. I like to explain certain world statistics about the prognosis. Out of the 190 patients, 155 (81.6%) achieved End of Treatment Complete Response (EOTCR) whereas 35 (18.4%) were nonresponders (NR). These 155 patients, who showed complete response were followed for six months after the treatment to assess sustained viral response, which was seen in 112 (72.25%) patients whereas 43 (27.7%) were relapsers. So a periodical consultation + symptomatic treatment is advised. Best wishes Hepatitis C virus (HCV) is leading cause of chronic liver diseaseThe relative prevalence of HCV genotypes varies with the geographic area but genotypes 1, 2 and 3 have worldwide distribution. HCV 3a has been the predominant genotype (causing disease in 62% - 70% patients) in Pakistan based on the last ten years data | |
Can kidney stone be diagnosed through another test apart from a CT scan?
I had blood tests done a couple months ago, it showed a small reduction in my kidney function. Since then I have had pain in my side and it has recently gotten much worse. I think I have passed some kidney stones and I think I may have one that is too big to pass. The doctor suggested a CT scan, I read about them and I am very afraid to do this as the contrast dyes are damaging to the kidneys, is there any other way to find out what is going on, the pain is now all across my entire lower trunk. | plain CT scan without contrast can diagnose kidney stone. so no need to worry about contrast. apart from that USg also can pick up many stone( but not all) | |
Severe chest pain, stomach pain and pain in diaphragm. On zoloft, busiprone and generic prilosec. Suggest?
After drinking alcohol of any sort I get a severe chest pain through my stomach, and my diaphram, which can sometimes make it hard to breath. This is not caused after binge drinking , but generally after one drink if it comes at all. I am also on zoloft , busiprone, and the generic prilosec , all through the VA, and all are taken as perscribed. | Hi Thank you for your query From your problem i can think of two possibilities. First is gastritis. But since you are on prilosec, it should not be the case. But still adding antacids should help you. Also see your physician for the same. You may need an endoscopy for further evaluation. If you have developed a sliding hiatus hernia (part of stomach slips into the chest), such symptoms may be experienced. It is aggravated by alcohol too. And lastly and hopefully not, angina can also present like this. So a visit to the physician is a must. Hope that helps God bless you | |
I have abdominal cramping, rib and back pain
hi, i have been having frequent general abdominal cramping recently for about a month. It stopped a few weeks ago ago so I just forgot about it. Today I had an aching pain in my lower left rib cage.It is tender when pushed on and it feels like I have a little bone sticking out of the bottom of my rib cage. I also have lower back pain . I am a healthy 20 year old female. | Hello. . The pain you are having in your rib cage might just be a result of excessive exertion or weight lifting or an injury. For pain below ribcage, just do a hot fomentation and apply a muscle relaxant ointment thrice daily for 3-5 days. You might also take a muscle relaxant tablet orally for severe pain. Dr. Rakhi Tayal | |
What causes a lot of spitting up of milk in a child?
My infant granddaughter has had a lot of spitting up since she was born they have changed her formula several times. she has been admitted into the hospital 8 times and she is only 5 months old. the doctors always say that it is an virus because her white blood count is high. I would like to find out what else could be wrong with her. It seems that the doctors ignore what we say. | HiThe most likely reason can be gastroesophageal reflux disease which can lead to recurrent pukes. Also, immune deficiency can lead to such recurrent infections. I would recommend you to visit a pediatrician for complete evaluation and definitive treatment. | |
What causes high blood pressure with heartbeats?
I have never had a high blood pressure reading. I have been feeling very fatigued lately and thought it was due to my connective tissue disorder. After seeing my rhuem dr. I informed him my new system is loud vent noise in my right ear. He said it could be due to my blood pressure 119/98. I am 45 years old and this was my first time having an issue with this. Tuesday went to walgreens took my pressure it read 132/86 119 heartbeats per m. Wed I went back it read 142/83 heartbeats still 119bmp. Should I be concerned? | Hellowelcome to HCM Since you have connectige tissue disease, I presume you are or were on steroids. Steroids can cause Calcium and vitamin D deficiency in the body. Vit D deficiency can cause generalised fatigue, shortness of breath etc. VitD deficiency could be causing your symptoms. Please check your vit D levels and take correction for the VitD as well as calcium if levels are low. You will feel better with the same.None of your BP readings are worrisome and they must not cause you any symptoms. Among the above readings only the reading of 142/83 is slightly on the higher side and hence an acceptable reading. However your heart rate is on the higher range. This can cause early tiredness and fatigue also. You can take tablet ivabradine 5 mg twice a day to keep the heart rate under control. If despite above measures you don't feel well, I suggest you get evaluated from cardiac point of view with a ECG and a stress test (dobutamine stress echo if you are not able to walk.). These tests will show whether your symptoms are of cardiac origin. Wishing you good health. Regards | |
Suggest treatment for child suffering from cough, cold and loose motion
Hello Dodtor, My son is having severe cough and cold due to which he constantly having High fever.Moreover having severe loose motion too. We are giving him Sinarest-AF, Paracetamol syrup, Amoxyxillin with clauvunate and Metronidazole. but the problem still persist. His age is 8 months and weight is 9 kg. Please suggest what to do? | Hi,Some time amoxicillin, claunate syrup cvan cause loose motions.consult your doctor.Change of antibiotic will help to control loose motions.Keep him well hydrated.Ok and take care. | |
What is the remedy for kidney problems?
I,m having serious kidney problems,creatinine 1.6 and microalbuminaria high according todr. what can I eat to al least low levels,before I have kidney failure,also diabetic with a1c of 5.7 and high blood pressure for many years probably under wrong medications. Thank you. | Dear sir/madam, You are having early changes of diabetic nephropathy. ideally you should have optimal blood sugar and blood pressure control. How much evere these are in control, the progression renal disease will be delayed. Along with these, reduce salt intake, reduce high fat intake, do regular exercise. There are drugs available which can reduce albuminuria and prevent progression of renal failure. So better consult your diabetologist/physician regarding this. But dont worry, your problem can be handeled safely. Hope u find this informative. | |
What causes chest pain?
i have high gas problem. sometimes chest pain. my ecg has been nomal and treadmill test is normal too. i am taking Amlopres 5 and 2.5 mg, dytor 5 mg, nebicard 5mg and rosuvas 20mg per day as prescribed ny the dosctor for controlling blood pressure. my blood pressure remains normal now bt still there is sometimes chest pain. what exactly is it due to ?? | Thanks for your question on HCM. Since your ECG and stress test is normal with controlled blood pressure , I don't think you are having any cardiac cause for your chest pain. In your case GERD seems more appropriate cause.It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. The gas problem you have, is mostly a part of this only. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. | |
Difficulty in breathing post septoplasty
hello dr,sumit i am dr. pradosh from jipmer. i have grossly deviated nasal septum to left.. i hav undergone septoplasty 10 yrs back. still i dont feel any improvement. i even cant breathe properly through left nostril.. frequently i am having fever and worse headache for this. sir i want a solution for this. my consultant told me to again go for septoplasty. but i am afraid whether it will help. plz give ur expert opinion..thank u ... | Thanks for your question on Health Care Magic. I can understand your concern. Best treatment for deviated nasal septum (DNS) is surgical correction (septoplasty). DNS is fixed mechanical obstruction. Without correcting it, your nose will not be opened. So repeat surgery is needed. Better to get it done through experienced ENT surgeon. Also start 1. Plenty of fluids orally and keep yourself hydrated 2. Steam inhalation 5-6 times a day. 3. Intranasal spray containing steroid (fluticasone).4. Oral combination of antihistamine and anti allergic drugs. All these and septoplasty by experienced ENT doctor will definitely help you. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes recurring rhabdomyolysis?
I suffered from rhabdomyolysis about 4 months ago from strenuous activity and had severe pains. Since then I still have reoccuring pains similar to that of the rhabdo that occurs almost every day now, sometimes for over an hour. I was wondering if this was normal and what I should do. | Hello, The recurrent rhabdomyolysis can be due to a muscle injury or history of intake of cholesterol lowering drugs like statins or inadequate stretching or warming up exercises. Increased fluid intake will help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | |
Suggest treatment for leg cramps
Blood flow to my legs and feet is causing cramps in my legs and pain in my feet. I had micro vas treatments that seem to help my legs but not my feet. The pain in my legs have started up again. I presume this is vascular. What can be done? i can't deal with the pain anymore. Something needs to be done. | Hi,From your past history of your micro vas treatment that you have had DVT deep vein thrombosis before or you had a vascular pathology before. Anyway you have to treat the cause of pain to prevent it from coming back so you may need to ask your vascular specialist for some imaging and investigations like PT, PTT, INR, doppler U/S. For now you may start with aspirin once daily after breakfast to increase your blood fluidity, always stay rehydrated with more fluid intake, elevating the leg and wearing stretches helps a lot. Advil tab twice after lunch as an analgesic in addition to drugs your specialist will add to you like heparin or warrfarin for coagulopathy (dosing of these drugs is very important).Hope the above information helps you. Let me know if I can assist you further. Regards, Dr. Ahmed Aly Hassan | |
Burning sensation while urinating, blood in urine, pain in lower abdomen. Urine test normal. Symptoms of kidney stones?
Hi i went to the er last night because I was feeling like I had a bad uti and had alot of blood in my urine, they did a cat scan, blood test, and urine test and said it all came back normal and the dr said he is not sure what is going on, he thinks maybe I passed some kidney stones but refered me to a urologist, today the bleeding is gone but I still have a mild burning feeling when I pee and also notice a slight throbbing twitching pain in the lower right side of my stomch (like ovary bladder area)?!? Just really worrying | hello,thank you for ansking this question,your problem seem to be related with a kidney infection.Kidney infection (pyelonephritis) is a specific type of urinary tract infection that generally begins in your urethra or bladder and travels up into your kidneys. Signs and symptoms of a kidney infection may include: Fever Back, side (flank) or groin pain Abdominal pain Frequent urination Strong, persistent urge to urinate Burning sensation or pain when urinating Pus or blood in your urine (hematuria) Antibiotics will usually clear the infection. An antibiotic is usually prescribed straightaway if a kidney infection is suspected, even before the result of the urine test is known. Some germs (bacteria) are resistant to some antibiotics. Therefore, sometimes a change of antibiotic may be needed if the urine test shows a bacterium which is resistant to the initial antibiotic. The course of antibiotics is for 7-14 days, depending on which one is used. Painkillers such as paracetamol can ease pain and reduce a high temperature (fever). Stronger painkillers may be needed if the pain is more severe. Non-steroidal anti-inflammatory painkillers such as ibuprofen are not usually recommended, as they may cause an increased risk of problems with the working of the kidney during a kidney infection. Lots of fluid should be taken to prevent dehydration.I strongly suggest for a repeat to the urine test, and a culture of it.Kind regards | |
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 back pain
ag e 65 height weight about67kilos i have back pain Istand for hours | Hi Welcome to HCM. Your back pain is probably related to aging and long standing habits. Diacerine 1500 mg daily is useful is age related backache .For pain Diclofenac slow release tablets are used. Sometimes backache is due to deficient VitaminD3. If vitamin D3 level is low than its supplements are given in back pain. | |
Child have stomach pain
My daugher is 2 years old and she started to complain of stomach pain in the evening. she vomitted all that she ate. We gave her colic aid and now 3 ml of meftal spas. she is still complaining of mild pain. what is the dosage of meftal spas for a 2 year old kid | Hi,Your daughter has vomiting and abdominal pain. You should watch for loose motions, dehydration, fever, urinary problems etc to rule out underlying pathology. In the mean time give her proton pump inhibitors according to her weight. also give her anti emetic. If symptoms still persists then consult a pediatrician.Dose of meftal spas syrup will be 5 ml three times a day 15 minutes before meals.Hope this helps you.If so please vote. | |
What could cause severe pain in the abdomen?
Hi About a week ago I had extreme pain in my center upper stomach. It eased off. But now has come back and it is a 9 out of ten. It is going into my back and will hurt constant and pain will hurt more I waves of 30 secs. Or so. It has been hurting for about 2 and a half hours. | Hi, The most probable causes I can think about are:Gastric ulcer on the posterior wall.Pancreatitis with or without gall bladder colic or due to pancreatic stone causing spasmodic pains.Rare cause about the conditions of the retro-peritoneal structures should also be kept in mind.The best possible ways are as follows:Rush to ER.CT scan of the abdomen can help a lot.Relevant tests of blood and urine.Upper GI Endoscopy is feasible.All these will lead to a proper diagnosis and a plan of management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon | |
Q. One mole of mine has gotten darker. Should I be concerned?
Hello doctor, This mole of mine has gotten darker. Can I send a photo and can you please tell me if I should be concerned? | Hi. I understand all your concerns. Please send some clear photos of the mole and measure the size of the mole. For more information consult an internal medicine physician online --> | |
How to treat chest pain?
dr , hello sir, i am 31 years old male ,i have feeling of chest pain at the apical region, for that i hv done my thallium scan which is normal and my ett showed no ischemic changes and i completed bruce protocol 3 . why i still feel pain sir .and i hv gastric problem as well, too much flatulence .help me sir | Thanks for your question on Health Care Magic. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry for major heart related diseases. In my opinion, you are mostly having GERD (gastroesophageal reflux disease) associated pain. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Excessive flatulence is also due to this. So better to avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Start proton pump inhibitors and prokinetic drugs. Go for walk after meals. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Suggest remedy for bruise on cheek after an injury
Hi, My daughter just bumped her cheek quite hard and immediately (within 5 seconds) had a lump that looks like a black eye, about the size of a dime and raised out about half a centimeter, looking bruised. It almost looks like a large bruised bubble in her face. Should we be worried, or is it just a bruise that will be fine? Thanks. | Hello. I just read through your question.it is most likely just a bruise. Is nothing to be overly concerned about. It may look worse tomorrow then it does today. This is also nothing to be concerned about. Over the course of the next few days it will resolve on its own. | |
Is Ropinirole HCL the right medicine for restless legs syndrome?
Yes, I was given Ropinirole HCL 5 mg for restless leg syndrome, or actually to help me sleep at night. I have had perpetual neuropathy since 2009 in both legs and a few weeks ago I started having problems with both of my hands. The Dr. is saying this is probably neuropathy and some arthritis in my hands. When I received my literature with my prescription for Ropinirole it states it is for Parkinson s. My question is, do you think this would be the right medicine for me? I am already taking gaberpentin (sp) 300mg at night. | I think Methycobalamin 1500mcg must be prescribed also with neurobion forte,physical therapy and hot packs massage before sleep would help | |
Q. Please suggest some medicines for severe left-sided headaches.
Hi doctor, I am a 25 year old female, who weighs 70 kg and I am 5.3 feet tall. I have severe headaches in the left eye and ear. I consulted a general physician, who diagnosed it as a migraine. I have a thyroid problem and I am highly constipated. I take Laxopeg for constipation. Please suggest some medicines. | Hello. Revert with more information to a neurologist online --> | |
Am I pregnant if had no periods since 3 months and HPT is negative?
I was wondering if i am pregnant or not. My last period was Dec 8 2013. Ihad spotting before my period date of Jan 9. Still spotted on that date and there after until Jan 17 2014. Still no period. Took a hpt pn Jan 15 came -. Still no period. Havent bled since Jan17 but feel crampy. When should i take another hpt to get accurate results. Mary 41 | Hi,Absence of positive pregnancy test rules out pregnancy. Please repeat it to confirm the results. In such case the absent periods indicate hormonal imbalance (pituitary/ovarian or thyroid problem) or severe general weakness. You need investigations and specific treatment. Consult a gynecologist. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Vasudha Jayant Athavale | |
What does severe pain in the lower back indicate?
I am having severe pain in my lower back and the front where my ovaries are. There is no way I am pregnant (as I haven t been sexually active in 4 years). I can t lay down or sit without severe pain. Walking and standing isn t much better. What could be wrong? | HiThank you for asking HCMI have gone through your query. Your problem should be thoroughly investigated. Ultrasound examination of abdomen and pelvis will be required to rule out any pathology. If you can spine tenderness in back then x ray of lumbosacral spine also will be required.Thanks. | |
What causes a lump on the inner lip of a 4 year old?
my 4 year old son has a very rounded ball of skin (now approx 3/4mm on his inside lower lip. It is the same colour as the rest of his mouth but has been there and growing for around 4 months, maybe slightly longer. It doesn t hurt but is definitely getting bigger. He has a fungal toenail infection in each toe on one foot which doesn t seem to be going despite topical medication - he s had it well over 2 years but is otherwise very healthy and fit. What is it? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son have symptoms of lump on the inner lip which is mainly because of viral infection such as herpes, canker sore or frictional keratosis. I would suggest you not to panic about it. Maintain oral hygiene by brushing and flossing daily. Do listerine mouthwash rinses. Your symptoms will resolve in 10-14 days. Drink plenty of water and have diet rich in multivitamins. Avoid hot, sharp , spicy food. Take ibuprofen if it is tender to touch. If symptoms keeps on persisting visit oral physician once and get it biopsied and examined. You should start treatment after complete examination.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Abdominal fluttering on sitting, lying down. How can I cure this?
HI I feel like I have some problem in my left side of abdominal . TO me, It seems like some muscular issue. When I walk, I lay down straight, I sit..I Feel fluttering or kind of bubbling not sure what is this...I do not have pain. I feel un comfort when I walk or sit or lay down. I want to go to doctor but not sure which specialist doctor will take care this disease. Please suggest. | Hello Sir, Kindly follow the below medication and you will be fine. * TRIPHALA CHOORNAM Take 1 heaped Tsp of the powder, mix it with a glass of warm water and take it at bedtime, after dinner. Do it for a week or two or more since it is a natural product and has no side effects. Regards, Dr Gautham | |
Suggest remedy for body pains, weight increase and back pains
Well I will just give you my systems.... This has been going ob for about 4 years getting much worse. I am very tired all the time. My body almost like in the muscles ache & throb like i have the flu. I cant sleep. Its getting to the point that it hard for me to get up and done. Mt knees hurt and pop even give out going up and down steps. My reflexes are 10 times stronger then a normal person. Some days it hurts to have my shirt rub against my arm or my pants to rub on my leg. I have gained 60 pounds in the past 3 years. Im tired to hurting. We my legs or body get cold like in a cold A/C room. outside in the winter. My back hurts just standing and doing dishes. I have lots of other systems as well. | Welcome to Healthcare Magic. Thanks for your query. The symptoms you have mentioned fit into a complex of low calcium in your body and bones. This causes increased irritability, increased reflexes, body weakness, limb weakness, disturbed sleep. It is advisable to get your Serum calcium and Vitamin D3 level tested to look for any deficiency. Avoid dehydration. Drink plenty of water. Eat fresh fruits and vegetables to avoid electrolyte imbalance. Sunlight exposure will help with use of prescribed medicated sunscreen to help increase calcium levels. Eat food rich in calcium like egg, cheese, butter, nuts, lean meat etc. Kindly consult your Doctor regarding calcium deficiency and also hormonal disorders like Hypothyroidism need to be ruled out. I hope I have answered your query. Thanking you. Regards, Dr. Aashish Raghu M. S. Orthopaedic Surgeon | |
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 --> | |
Allergy in eyes, started in ear, nose. Itching, bitterness, darkness on eyes. Help?
Hallo Sir , Pls help me. m from ludhiana(punjab, india) . i have allergic problem to my eyes from 11 years. pls give me any drop for eyes. i have problem 4m air, water , smell..etc. also now starting little bit ear and nose allergy cause of eyes. every doc. said to me this problem has no limit. i have lot of itch in my eyes also feel bitter. also darkness on my eyes . pls help me pls | Hi. You seem to have allergic conjunctivitis. There is no permanent solution but you can take preventive steps like using completely covered glasses to protect your eyes. You need to use some steroid eye drops like FML and antihistaminic eye drops. Your ophthalmologist would be the best person to judge your dosing schedule based on the response to therapy. Thank you. | |
Q. How can fasting blood sugar be more than postprandial in pregnancy?
Hi doctor, My wife is with height 159 cm and having weight 72 kg. We checked her BSL in lab for fasting and BP a year back and both results were normal. Yesterday we again checked the reports and her reports are like fasting BSL 172 , urine: no sugar detected. After two hours of lunch FBL was 173 and urine: no sugar detected and HbA1c comes as 9.1 %. Before eight months there was no sugar detected in the reports and now it is like this. Need your advice for this. Fasting seems to be big value. How fasting is more impacted than PP? How severe is this? Can it be controlled only via diet and exercise?First pregnancy we had stillbirth. There was no sugar detected till ninth month of pregnancy. Till start of ninth month, sugar reports were fine but still we had stillbirth. She was detected with gestational diabetes which came to normal within 15 days after delivery. After one and half year we again had pregnancy and we have little girl of 3.6 years old now. During second pregnancy she does not show symbol of sugar but to avoid risk we opted for C-section at the start of ninth month itself. | Hello. This is very possible. Ladies who develop gestational diabetes are more prone to develop diabetes in the near future. It is like a warning sign to start healthy lifestyle measures so that you can avoid developing diabetes. Currently your wife is having diabetes and she will require medications. She will need to exercise and follow a strict diabetic diet along with the medicines. If she manages her diet and exercising well, she can get off the medications. But for now, she will need both. So when the fasting sugar is high, that means the glucose produced by the liver for our organs (especially brain) during our sleep even when we do not eat, is uncontrolled. While the post food rise in blood sugar indicates that the body is not producing enough insulin in response to the food eaten. I have tried to answer to your query in a simplified manner. Kindly meet with your local physician for start of medications or you can consult me as well. For more information consult a diabetologist online --> | |
Suggest treatment for persistent numbness in back caused by an accident
Please tell me first, how much is your fees? The Drs online Always charge at least $25-100 payment. I can t afford it(sorry). I got hurt in car accident few yrs ago & lost job-No pension, nothing! Lay on back numbness, but no pains. I can(old) move easily,but do so..Sleep is 3-4 hrs/night. Lost some wt I went to Int.Med=Nml lab, but MRI l/s, thorax=5+ HNP ( old) now. It takes effort to walk,etc.. Thanks for helping me..MEDI-CAL Drs don t help here... | HiWelcome to healthcaremagicI have gone through your query and understand your concern. This question of your is posted in free question section so I want to clear you that you have to pay nothing for this. You got accident due to which you may have got injury to spinal cord due to which you may be having numbness in the part lower to injury and back. Mecobalamine is helpful in reducing numbness. Multivitamin and trace elements supplements are of use.Further medical advice can be given by seeing your investigation such as x rays and MRI. You can You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.Wishing you good health.Take care. | |
Can HVS invite other forms of infections too?
Hi. I was recently diagnosed with HVS 2 on Nov.4, The OB lasts 4 weeks. At the same time , I developed other vulvla issues like post inflammatory hyopopigmentation, and Lichen simplex chronicous. Plus another doc believe the LSC could be lichen sclerosis despite a biospy. i used a hydrocortozone cream and now 3 days later, my 2 ob. I have never had these issues before being infected by my ex with HSV 2 in Oct. I truly believe HSv 2 brought upon these other conditions. Im not diabetic, no thyroid issues, heart conditions, or chlorestorial problems. Do you think it is quite possible hsv brought these other issues on? | thanks for posting your query to health care magic.HSV is a viral infection and your other complaint are not related to any kind of infection but these may be develop because of some kind of stimulation. these issues are not directly related to HSV but lichen simplex develop whenever there is chronic irritation , rubbing or scratching of area . bu no need to worry as these can be easy o treat and cured .but you need to confirm the diagnosis about lichen .thanks . | |
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 --> | |
What causes dizziness and balance problems?
Hi, I'm a 21yo female, 5'8, 110kg. I woke up this morning with severe dizziness and unbalance. I was literally leaning towards my left side. It's been an hour and I'm not as unbalanced anymore, but I still feel extremely airy and very slightly nauseous. | Hi,Thank you for posting your query.I have noted your symptoms and based on that, you seem to be suffering from peripheral vertigo. The commonest possibility in your case could be BPPV- benign paroxysmal positional vertigo, where the symptoms of dizziness get exacerbated on change of head or neck position.For relief of symptoms, you may take betahistine tablets.You should undergo an ENT evaluation if symptoms persist for long.Vestibular rehabilitation exercises would help prevent its recurrence.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
What causes bumps on the face?
my daughter keeps getting pimple like bumps on her face that itch, they go away for a few days then about five or more come back again, this has been going on for about four months. The doctor thought she might have mono, but the test was neg. What could this be? | Hi,Your daughter suffers from acne. I can understand your anxiety related to your daughters problem. You may be knowing that acne is a recurring disease. And there may be many factors responsible for it.So, have treatment for long time with patience. It may be precipitated or exacerbated by factors like stress,anxiety,oily food,hormonal disturbance,drugs like steroids,dandruff..etc.There may be genetic influence. She has to reduce anxiety related to acne. Have positive attitude. Few episodes of acne lesions may be there even during treatment. She may continue treatment for few months. I would like to suggest following line of treatment...- antibiotics like minocycline or azithromycine in proper dose- isotretinoin in low dose- clindamycine or benzoyl peroxide gel- cleansing the face with antiseptic facewashHave patience for the good result.Thanks.Dr. Ilyas Patel MD | |
What causes frequent nightmares?
Im 20 years old five foot one about 135 pounds i have been having frequent nightmares for over a month now and they are just getting worse usually they are multiple a night and every night i have looked up what can cause it but im not under alot of stress or on a meds so i really dont know what to do | Hi dearI understand your concern.Nightmares are normal and it is depend upon many things.Better treatment is to avoid thinking and not to remember dreamsI prefer low dose of benzodiazapine like lorazepam in my patients if dreams are more trouble some.Thank you. | |
Ectopic pregnancy, problem in ovarian tubes, infection. Can artificial insemination help?
Hi Dr. my wife had an ectopic pregnancy and one of tube will never work . and the other tube is not real good for the baby. am asking if there is a way out that he ovary can be taken and fertilised with sperm then we have a baby at the uterus , we are fearing if the fearing that the tube will also get infected. pliz advise. and how much will it cost me | hello welcome to HCM if the tube is not healthy - it will be advised that you have IVF (test tube baby) done here the eggs from your ovary are collected and fertilised with your husband's sperm and then replaced in your uterus It can be done in you case wish you all the best dr nandita thakkar |
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