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Alcoholic, ER told liver was beginning to shut down. How long it takes to completely shut down?
My dad is an alcoholic. He has been for probably 20 years. He drinks hard liquor and wine everyday, all day. About 2 years ago he went to the ER and they told him that his liver was beginning to shit down. About how long does it take for the liver to completely shut down? I would just like to know about how much time I have with him if that's possible.
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Hi, Welcome to Health care magic forum. Your father is a chronic , continuous dry drinker, 2 years back E.R told that the liver is beginning to shit. You want to know the prognosis. It is not possible to count the numbers in the mystery machine the human body. If he stops alcohol, take medicines, he can live a normal life, with long duration. If he continues to take alcohol, and take medicine regularly, he may live for long time but with pain. If he continue to take alcohol and don't use medicine he may live for a short time with pains. .So he can choose the choice, and lead the life. Thank you.
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How to boost motility?
Hi, my husband went for SFA 2 weeks ago and was told he had moderate growth of staph aureas. Motility was 40%,n sluggish 30% and dead 30%. He was placed on ceftriaxone and ofloxacin which he is about to finish. We have been married for 2yrs and no issue yet. Pls is there any other test we need to go for and is there any drug to boost the motility? Thanks
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Hi, 1. What was the complete report? 2. Are the sperm counts normal?3. Has he had antibiotics for two weeks complete? If yes, you can get a Semen culture done to see if there is residual infection. However, there is no need to get a Semen analysis repeated before three months. Only get the culture done.I usually prescribe my patients with a Drug called Speman which is an Ayurvedic preparation from Himalya drugs for three months. It helps improve sperm count and quality. Also, get a Varicocele ruled out by seeing a Surgeon as that can be a treatable cause of the sperm problem. Take care and feel free to contact me directly if there are further queries. You can do so by leaving a Direct or Specialist query for me.Dr Rishi, New Delhi, India.
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What does a painful lump on the tip of the eyebrow indicate?
Hi. This morning when i woke up i suddenly had a hard tender lump appear on the inner almost tip of my eybrow, and i felt as if my eye was a little swollen feeling (which only lasted a little while). I also noticed a very dry very stuffy nostril on the same side as the lump, the lump only hurt slightly when touched and now has a light persistent pain and a little warmth radiating from it, it does not seem to have a tip or a pore in the center. WWhatcould this be?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my surgical experience, this painful lump on eyebrow indicate possible stye formation following some bacterial or viral infection. I recommend hot mop application, antibiotic drops, and medicines to cure it faster. Regards, Dr. Bhagyesh V. Patel
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What is the life expectancy in a case of advanced Cirrhosis with portal hypertension?
Hi I have cirrhosis of the liver in advanced stages and was recently told i have portal hypertension and i am wondering if this is very serious. What is an estimated prognosis guesstimate of someone who has these health issues as life span? I know its only a guess and not concrete i just want to know an approx number of years
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Hi thanks for asking question.As you have portal hypertension it doesn't mean you will die early..Life expectancy depend on many factors like episodes of variceal bleeding, hepatic vein pressure , life style care you are taking etc...Patient have very bad prognosis and die within 1 year only if hepatic vein pressure above 20 and more then one episode of variceal bleed.Other wise 5 to 10 year survival can be there.To reduce death rate treat portal hypertension by beta blocker ..And trans jugular intra hepatic shunt can be put for lowering portal hypertension.For ascites take diuretic and low salt diet.Death in portal hypertension mainly due to variceal bleeding so whenever you have blood in vomit immediately consult surgeon for endoscopic treatment.Cutt off oil in diet.I hope your concern solved.Take care...
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How to treat pituitary tumor?
i have a pituatary tumor,nonactive,thyroid not working, growth hormone deficiency,diabetic on insulin,high blood pressure,high colestrial,bad headaches,back problems with spine,depression,anziety sould i be working or does this qualify for dissability/ssi?
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Thanks for your question on HCM.Pituitary gland is master of all endocrine glands. It regulates the hormonal balance in the body. So pituitary gland is very important to maintain balance of various hormones. And hormones are important in almost all biological activities. So your all symptoms are mostly due to hormonal imbalance. And with hormone replacement therapy your all symptoms will definitely improve.So better to consult oncologist and endocrinologist for treatment. Get done hormone levels and start treatment accordingly.
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What does leg pain and numbness indicate despite physiotherapy?
I told my doctor (nurse practioner) about my feet going numb, she said next time you re in we ll do an ex-ray. The next time she let s schedule you for physical therapy . She did & I went for about 5 treatments. Now my right thigh is absolutely numb, feels like I need to scratch it but It feels like novicain wearing off when I do. Now I have went back to work after losing my husband to ALS 4 yrs ago today. I m a teller & I don t have much opportunity to sit. I work long days several days a week (8:30-6:30) my feet hurt so bad. When I take a lunch break & sit in my car to eat & relax, I get out of my car & can hardly walk. What the heck is going on??
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Dear patient Numbness in feet and thigh common cause is back pathology most likely nerve compression. Sensation in lower limb is given by nerves from the back. So nerve compression there will lead to tingling numbness in thigh leg and feet. Diagnosis can be confirmed by MRI of the lumbo sacral spine. Please get it done from radiology centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime. please visit spine specialist with report.
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Can strenuous exercises contributed to the abrupt rise in my sgpt?
I am 70 years old. Last Dec. 8th my sgpt was 70 only , 72 was the upper normal limit. Last Jan.28th my sgpt went up 122. My ultrasound indicated I have fatty liver. I do a lot of strenuous exercises. Could the strenuous exercises contributed to the abrupt rise in my sgpt or is it caused purely by my fatty liver condition?
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No, It's mainly because of your fatty liver. It needs to be evaluated further with LFT . Considering your age , Blood test including AFP , HBsAg, anti HCV and ferritin should be done
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Suggest medication for hair loss
Hi I am 28 years old woman...I am suffering from severe hair loss..my hair is long till my hip but very very thin...I have been using Himalaya herbal shampoo for the past six months, but still no effect in the sense there is no regrowth of hair..Please suggest me a remedy
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Hi ma'am and welcome to HCMFirstly we need to consider the reason for hair loss. Do note if there were any factors before the hair loss started. Most common are dandruff, hormonal(menstrual,thyroid etc),pregnancy, any lifestyle or residence change, stress, any history of recent illness like typhoid,low iron or nutrition levels, any chemical procedures, etc.Females also may be affected by a genetic type if it runs in the family.Also do note if you have hair loss anywhere else in the body.These causes need to be considered and treated first as they affect hair growth.You need to take a nutritious diet, well balanced, with enough fluids and rest. Avoid stress.Consult a dermatologist regarding the type of hair loss you are facing, and also get some tests to check your hemoglobin, iron and thyroid levels.For now you may start hair supplements daily containing biotin. Also apply a hair serum like Recute or Keratex. They need to be continued at least for 2-3 months.You will notice the hair fall reducing and new hair growth slowly. It depends on your hair cycle.Be sure to see your doctor regarding the possible cause of your hair fall.Further treatments will be advised by your consulting doctor after observation, depending on your results.Hope this guides you
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Reason for burning pain while peeing with yellowish fluid on tip of penis
Hello,Today I woke up and I went to pee but when I tried to pee I would feel a burn inside my penis that wouldn't let me pee.After some hours I felt my penis beeing wet somehow and I noticed a yellowish fluid in the tip of my penis.I didn't have any sex relationship for quite a long time.Is it something dangerous that has to be seen by a doctor imediately?
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HIWell come to HCMI really appreciate your concern, this could be due to urinary tract infection and this need to be ruled out and for that it is advisable to get done the x-ray of injured part till then condition can be managed with the medicines given below, 1) Tab Ibuprofen 400 mg three times in day hope this information helps, take care.
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Suggest treatment for suicidal thoughts despite taking Duloxetine
I take duloxetine Hc Dr 30 caps. 2 a day. But, I still feel like the world would be better off without me. Or maybe I would be better off with out the world. I lost my job about 4 months ago because the director of the nursing home I worked at told me he had to let me go because someone told I was crazy. This person wanted my job, even I knew that. But, I have not been able to get over it. I saw the director 2 weeks ago and he asked if I had lost my small ranch yet. When I said no he was very disturbed. I am having a hard time adjusting to being without a job. But, what he said about losing my ranch really bothers me. That is when started taking antidepressants. I just can t seem to get back to my old self. I am going to be 66 the 18 of this month and to tell you the truth it scares me. The last place I want to be is a nursing home at my age.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It's very disheartening to know about your condition at that age. As you rightly expressed about your suicidal thoughts inspite of taking Tab Duloxetine at adequate dosage, it's better to add on Tab Lithium low dose which effectively works to reduce suicidal thoughts and ideation. Consult your psychiatrist and discuss this with him and take a decision. Morning walk daily exercise for 2 to 3 days which makes you feel better, interact with your friends, watch movies, listen to songs, spend time with your family members. If possible, attend to cognitive behavior therapy sessions from clinical psychologist. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for shrunken gallbladder
I m 67 years old and overall in good health, last September I got very sick with diahrrea, lost about 15 lbs. They made me do many different test and the results were a shrunken gallbladder, they are also telling me that I may have Crohn s desease. The surgeon wants to remove the gallbladder, and the Gastroenteorologist wants to do a colonoscopy to check the small intestine, I m torn in what can be the best thing to do
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HI. In your case not only for being gastroenetrologist me too, but because it seems to me more appropriate, I totally agree with my colleague gastroenterologist: so the first thing to be done if Morbus Crohn is being suspected is the ileocolonoscopy (colonoscopy with passing into the terminal end of small intestine, ileum). Surgery for the shrunken gallbladder has "to wait", because is not an emmergency situation. I hope to have answered your concern.
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Can Wellbutrin be taken with Seroquel?
Have been trying several different medications trying to find right mix. Depression related to recent death husband and several other life situations that presented. Had been on Paxil for about 12 years and it wasn t enough when depression hit. (age 62 no health problems). Was on Paxil for PMS. Lexapro and trazodone both made me so manic. Only slept about 4 hours nightly. Presently taking Wellbutrinand it s working. Not as depressed and working through situation. Trazodone made me manic also. After 4 hours sleep woke and felt REM. Presently taking Wellbutrin XL and Seroquel 50 mg. any problems with combination? Yep, RN of 32 years but under MD care......you how we are. LOL!
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Hi and thanks for question. u r on Wellbutrin and Seroquel and for depression. both drug are different group and different mode of action. and there is no any interaction between them.so if u r better with both drug than continue same treatment. secondly if u have any problem during that period than consult psychiatrist near by u. thanks
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Suggest treatment for severe back pain
i have a back surgery two month ago but still fell pain in my back, i have visit my doctor after esr test he told me that the pain is caused by the high esr and gave me medicines of TB as well, so i want to know that does esr high level has any relation to TB and also the cause of pain in my back
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Dear- thanks for using our service and will help you with my medical advise. ESR is a non specific test that give information related to inflammation, but does not help to identify what is causing this problem. Prior surgery can elevate it due to the inflammatory process that happens . TB also can bring it up, but it has associated symptoms as fever, prior exposure and abnormal CXR. Your back pain is probably from a disc problem, spinal stenosis or any scar tissue that can be pressing the nerve. You might need a new MRI to reevaluate the status of your back after surgery. I advise you to talk to your neurosurgeon about this.I hope that my medical advise has been helpfulDr.Sara
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Can she get pregnant from intercourse on last day of period?
Hello, I have a question regarding my girlfriend. she was on her last day of her period and we decided that she was able to have sex. so we did. And I ejaculated in her. Can she get pregnant on the last day of her period? she told me afterwards that her period started again the day after with signs of blood
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Hello dearI understand your concernPregnancy is not possible when sex was done on the last day of the period.Last day of period is completely safe period.During this time ovum is not released so no fertilization will occur.To become pregnant, penetrative sexual intercourse in unsafe period of the cycle is require.Period started is just menstrual blood.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar
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Suggest remedy for back pain
Sir, I am 36 yr old married and resident of Bangalore. Since last 10 days I am suffering from sevear back pain from buttock to thigh. I am counsult a doctor and adised me to take nevrotin , ibugesic plus and oxalgin gel. but I have no relief . Please advise me further course of action.
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Hello, I had gone through the case and found that the prescribed medicine are right for muscle spasm and nerve trapped.But if pain is as it is then go for X-ray of spine and physiotherapy for back.Also take Vitamin D3 once a week.Hope my answer will be effective for you.Thanks
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Suggest treatment for rash on thigh and pelvis
Rash right at the crack of my thigh and pelvis, only on one side. Small rash that hurts at times but does not itch. There is also a somewhat strong odor resinating from the rash. I m in office cloths all day and spend evenings coaching, which can result in sweaty boxers, especially in the last few weeks. The rash has been around for a few weeks but has not grown.
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Hi, I have gone through your complaints and according to me it could be ringworm infection. I would recommend you to apply anti fungal cream like Clotrimazole cream on the affected area twice daily for few days. Hope I have answered your query. Let me know if I can assist you further.
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Can M protein be checked for multiple myeloma?
My mothers creatinine is 15(fifteen). She is luMy mothers creatinine level is 15. Yes, fifteen. Her WBC is 1. She has what appears to be lyric lesions on multiple bones. They doing bone biopsy to check for multiple myloma. Can't they also check M protein for multiple myloma?
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Hi, dearI have gone through your question. I can understand your concern.Your mother has lytic bone lesion and very high creatinine. SO she has high chance of multiple myeloma. She should go for protein electrophoresis so check level of M protein. It will give you confirm diagnosis. Then She should take treatment accordingly. Lenalidomide plus dexamethasone is the treatment of choice for multiple myeloma. Bortezomib can be used. Stem cell transplantation is the best option. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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Can donating blood cause black out suddenly?
I donated blood about 5:30 6:00 yesterday to red cross. Last night I got up about 12/12:30 to go to bathroom and blacked out. Hit my head, elbow, right ribs, fingers. I think I m OK. Have donated before with no problems. I didnt drink a lot of fluids. Wonder if black out could be related to donating blood?
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Welcome to health care magic.My dear friend i shall like to you tell you than sudden decrease blood volume can cause black out. No need to worry.Its very common problem.You should always take lot of fluids after donating blood and should not stand immediately after blood dontating.Always care of your fluid intake before and after blood donation.Thanx.
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Suggest treatment for 95%blockage in left coronary artery
Dear Sir, my father-in-law ageing 62 is a diabetic patient, recently suffered from first myocardial infaction, after few days of treatment, he has undergone angiography, which shows 3 areas of blockage including 95% in major left coronary artery & other 2 in right sub coronary artery (75 & 80%). please advise
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as left main is 90% blocked so ptca is to be done urgently , to prevent a major hearty attack as left anterioir descending artey and left circumflex artery arises from left main arteryany blockage more then 75% is to be taken care of and should not be managed only by conservative therapykeep your father on ecosprin av 150/20mg oncetab amloking 2.5mg twicetab metolar xr 25mg twicetab elizolam 0.25mg 1 hstab imdur 30 mg once dailyand plan a early ptca(stenting) to aviod any emergency life threatning solutionthanks
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How to treat a soft spot behind head due to a fall?
My son fell from a 3 foot drop right on the back of his head on ceramic tile, 3 days later i noticed a soft spot, hes been acting normal and that spot is still there. If i touch the spot he moves and whines. im just worried, we took him to the hospital and the doctor said it was a cyst. but i dont think so, and the pediatrician said it was no cysts and that it was from the fall i am very worried.
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Hi...it is just a boggy swelling what you are describing. It occurs because of the trivial injury he had during the fall. Nothing to worry. it will get absorbed by itself in matter to 7-10 days. It is definitely not a cyst. At this point I will suggest you the danger signs when you need to worry after a head injury. Be rest assured.Danger signs of head injury include -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. Regards - Dr. Sumanth
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What causes pleural thickening and bronchial dilation?
MY CT SCAN SHOWED CHRONIC-APPEARING PLEURAL THICKENING AND PERHAPS SOMW BRONICIAL DILATION BOTH IN THE LINGULA AND MIDDLE LOBE I HAVE NO WORK HISTORY OF BEING AROUND ABESTOS CAN THIS BE CAUSED BY SOMETHING ELSE iM 60 YEARS OLD tHANK YOU mY NAME IS hELEN
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Hi...I am a pulmonologist and can help u....Pleural thickening can be caused by lots of causes...one such is asbestos exposure...others being infection...may be u have occult Tuberculosis in the past which went away itself....bronchial dilatation may be also due to infection or other systemic causes...If we try to explain both these 2 conditions then infection is the first cause.Causes of pleural thickening are- Bacterial pneumonia Chemotherapy Drugs Infection Injury to the ribs Lung contusions Lupus Pleural effusion Pulmonary embolisms Radiation therapy Rheumatoid lung disease Tuberculosis Tumours (benign and malignant)
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Could white patch on cheek indicate vitiligo?
my 8 year old daughter has a white patch on her cheek. the doctor said it is due to some stomach infection. he gave her a cream and a multi vitamin syrup to be used for ten days. he said that it is not vitiligo, as i feared so. i am still unable to beleive
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Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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Suggest treatment for sinus infection
I believe that I have a sinus infection. I have a few pills from January last year when I had similar symptoms. They are amox-clav 875-125. I have five of these. Is it ok to take them? I originally was given 14 of these. I did take nine of them at that time.
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Hello,Sinus infection is usually treated with a course of antibiotics and decongestant medications. Along with it you need to take some supportive measures as well to get a quicker relief from the symptoms. Kindly take antibiotic course of Amox-Clav twice a day for 5 days. Along with it, you need to take decongestant medication containing Chlorpheniramine Maleate with Phenylephrine. You also need to take supportive measures like steam inhalation twice daily and doing salt water gargling with warm water twice daily. Kindly do not consume any cold items like cool drinks and ice creams till the symptoms are relieved completely.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ashakiran S
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Does intake of vinegar and cinnamon lower platelet count?
HI! I HAVE BEEN TAKING VINEGAR AND ALSO CINNAMON TO LOWER MY BLOOD SUGAR. CAN THEY LOWER MY PLATELET COUNT. I'AM IN REMISSION FROM AML FOR 9 YRS. AND MY PLATELET COUNT IS 65,OOO. I WOULD APPRECIATE AN ANSWER. I WILL DISCONTINUE USE.-----THANK YOU.
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Hi . You have not metioned your age , sex , since when your using this , the quatum of result you achieved with this ? how much was your sugar reading when you started the remedy ? It is good to use vinegar and cinnamon to control Diabetes . It is certainly excellent Home / herbal remedy to control blood sugar . But at the same time , overuse of any thing can lead to disaster . Certainly both have quality of lowering PLATELETS Count and suggest you to You should try each one by one and that too ,not daily . It should be taken once /twice a week .and suggest you to stop it at once , for the time being .Now you should give attention to increase platelets . It should be 1.5 - 4 . You must consult you doctor for immidiate advice .You must now take the maximum care of yourself . You also must supplement these medications, your doctor prescribesIn addition you must eat , a well balanced diabetically correct diet , include in your all meals , Sesame / Olive oil .Berries, green leafy vegetables, oranges, tomatoes can help increase your platelet levels. Foods rich in vitamin E and C will boost the immune system, so all types of citrus fruits, strawberries, kiwi, cauliflower, mustard greens, lettuce, turnip, tomatoes, wheat grass and avocados should be consumed regularly help neutralise free radicals and aid in fighting low platelets count. Drink lot of water and maintain your weight and exercise daily. Make sure you are free from constipation .Hope this reply helps in your query ? All the best Get well soonDon't hesitate to get back if have any further query .
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How can severe anxiety and depression be treated?
My daughter has had depression and anxiety for several years. Since October she has been struggling having suicidal thoughts with increased anxiety. Two weeks ago she decided to go to the hospital where she stayed for 4 days. They did change 2 out of 4 of her meds. The new antidepressant Trintellix we were told won’t kick in for about 4 weeks. They also put her on Vistiral but she is still having suicidal thoughts and anxiousness. She is 51 years of age.
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Hi,I think its better to start her on mirtazapine in the night and ETIZOLAM in the morning which works betterThank you
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Suggest treatment for hip pain with metastasized prostrate cancer
Seven days ago I had Zometa drip and a hormone shot for prostrate cancer that has matastizied into the iliac and pelvic bone. Today I am having severe pain in hip joint. What should I do? Is there a pain killer I can take? Michael Stark, age 67.
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HiI would advise you to take tablet morphine 10 mm thrice daily after food for your hip pain.RegardsDr de
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Rashes in groin area. Taking warfarin to treat blood clots in legs. Causes for symptoms?
I have been taking Warfarin for about a month to treat blood clots in my leg. About a week ago I got a rash in my groin area. I first treated it with triple antibiotic. That didn t work so I thought it was possibly jock itch. I have been treating it with Lotrimin Ultra. I still haven t mush of a change. What could be causing this?
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Hi.rashes in the grion is usually fungal infection.lotrimol will take lot of time .hence try to use sebifin ointment along with sebifin tablets it gets cured
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Suffering from Liver Cirrhosis, gall bladder stones. On Udiliv 300. Cheaper substitute?
28/02/2013 SIR, MY MOTHER IS ABOUT 70 YRS, IS SUFFERING FROM PORTAL CIRRHOSIS OF LIVER & GALL- BLADDER STONES, TAKING UDILIV 300 MG SINCE 1998 (ABOUT 14 YRS), DOCTORS ARE STILL PRESCRIBING UDILIV-300 OR URSOCOL-300 TO CONTINUE TREATMENT. I JUST WANT TO KNOW - 1) MAY MY MOTHER CONTINUE THIS DRUG SUCH A LONG TIME ? 2) URSOCOL (URSODEOXYCHOLIC ACID TABLETS) & UDILIV (URSODEOL / URSODESOXYCHOLIC TABLETS) ARE THE SAME DRUG OR DIFFERENT ? 3) IS THERE ANY OTHER SAME COMPOSITION DRUG IN CHEAPER PRICE ? I AM A PERSON OF VERY LOWER INCOME CATEGORY. PLEASE SEND YOUR VALUED SUGGESTION. email - YYYY@YYYY SAJAL BANERJEE 80/1/1 SITALA TALA LANE HINDMOTOR HOOGHLY
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Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).Udiliv and ursocol contain same salt ie ursodeoxycholic acid. You have't mentioned symptoms, investigations, cause of cirrhosis. Ursodeoxycholic is not helpful once cirrhosis is established and there is normal transaminase levels. So it can be stoppedI hope I have answered your query and this will help you. Remain in touch and get-well soon.
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Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Suggest creams for dark skin
hi.i am from delhi and my name is anshu. i have a dark complexion n have heard about this cream named meladerm.i dont trust this but i want to try this also.where can i get this cream in delhi and does it actually works? can i get a lighter complexion by appying this cream?
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Hello, Thank you for posting on HCM.Complexion of any person is has two two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc and is amenable to treatment.Avoid MELADERM or any similar product as it contains ingredients which can actually damage your skin.I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycolic peel, retinol peel, cocktail peel etc)Also, chemical peeling can be preceded by a simple procedure called microderamabrasion or commonly known as skin polishing to augment the results.Also, at home you can try using cream containing kojic acid, tetrahydrocurcumin, arbutin etc for several months (Melaglow cream) for additional benefit and maintenance.Always use broad spectrum sunscreen before going out in sun.Use a plain moisturiser like cetaphil DAM on daily basis for healthy and hydrated skin.Take plenty of fresh fruits and vegetables in your daily diet.Hope this will take care of your issue.Thank youDr Hardik Pitroda
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Q. Can urethral play cause premature ejacultaion?
Hello doctor, About 6 years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpus spongiosum and corpus cavernosa what feels like an enlarged muscle and seem to run the entire length of the urethra, maybe compression damage done to something there. As a result, I have slight difficulty urinating and very very bad premature ejaculation which did not ever happen. I also have nocturnal emissions frequently on a full bladder. I know I may need to have an MRI, but if the muscles are damaged here, what are the surgical options? Can anything be done? I also tried Priligy and it made no difference (10 to 20 seconds).
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Hi. First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will cause difficulty in urination. Also, nocturnal emissions are natural, although frequency might vary. If you still have doubts, you can proceed with ultrasound Doppler study of penis and cystoscopy. That would reveal whether you have suffered any injury in the past.
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What causes a white coating on my tongue?
I just pulled a upper back tooth (not wisdom tooth) 3 weeks ago. I am a non smoker and don t use any alkohol for 25 years smoked and drink some before I was 27. My diet is healthy but I have had issues with candida in the past because of antibiotic use. I use very little sugar but I do eat some fruit otherwise whole wheat grains and fruits and vegetables, nuts and seeds and some fish. I have white tounge on the side I pulled the tooth. I have been drinking oregano tea, pau darco, black walnut and taking lots of garlic but it is still there. I took the tooth out because it was infected and he scraped out what was infected under the tooth. I don t want to go on antibiotic which just makes candida come back. Do you know if the white tounge can be caused by fungus or something else?
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Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.White tounge is caused by the fungus infection particularly by yeast infection.I advice you should confirm this white tounge by doing swabbing and performing Gram's staining. Yest infection will show up the report Grams positive yeast cells are seen.You can start fluconazole tablet 150 mg two times a day for a week under your doctors guidance. Please do followup after a week.Avoid antibiotic overuse during this period. Take the complete treatment to get cured. If the remnant of the infection is there there is chance of recurrence. So complete treatment will cure this problem. I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank
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How can blurred vision, joint pain and viral fever be dealt with while suffering from chikungunya?
dear doctor, i got infected with chikungunya ,and i've been suffering from joint pains from 5months..... my head is burning....morning sneezes are un stoppable...... recently my vision blurred and ...... i experienced throat pain during viral fever....... muscles and joints are painful..... please help me.......
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Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Chikunguniya is viral fever and all symptoms you have mentioned is common with it except only blurred vision.This may be because of the severe muscle spasm associated with the this infection.I advice you should take aceclofenac with Chlorzoxazone this will relieve the pain associated with muscle spasm. In some severe cases of chikunguniya fever steroid administration can helps you to relieve the pain and muscle spasm.Please take good rest, and avoid exertion as this may aggravate further pain.Please avoid mosquitoes bites to your family members otherwise the infection may spread to them also.You can use repellent, mosquito net pesticides etc to prevent the bites and infection. I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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How to stabilize fluctuating BP levels?
I am 70, male, 190lbs, 5'10" I have been doing some hard work cleaning mildew from the sides of my house. BP in the morning before starting 135/82, after working hard my heart rate is 100 and BP is 84/65. I have had no serious health problems. I have been a type 2 for about 4 yrs. Am on Glipiside and Metformin.
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Unfortunately, this is concerning. Your blood pressure and heart rate should increase with activity. You should have your heart examined throughly. A drop in blood pressure like this could be from valvular disease, arrhythmias, dehydration, or vascular disease from diabetes. Additionally, it could be caused by cardiomyopathy which is damage or dysfunction of the heart muscle. I would continue taking your medication as prescribed. Drink plenty of fluids. If you get dizzy or lightheaded, then you need to rest. If you have chest pain, you should be evaluated at the emergency room.
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Suggest natural remedies for depression and irritability
my daughter is suffering from vitamin b 12 deficiency . she fells tired, irritable and very depressed . some times she starts crying thinking about things happened inthe past .she is a working professional and married for 9 months. what naturalthings should she take to overcome this
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hello,dont worry,try to spend more time with her,relieve her tension,dont make her anxious,try to make her concentrate on the present and forget her past,give her proper treatment through medicines..she should be ok...
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How long after sex is pregnancy revealed on tests?
How many days after you have sex (in my case October 1,2013 ) can you know if your pregnant ? I went to the hospital on October 19,2013 and the URINE TEST came out positive ,is it possible for them to have known that soon ? And for me to have gotten pregnant
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The tests available today can sometimes confirm a pregnancy as early as a week or so after having sex and getting pregnant. After 19 days like what you described in your case, the tests are very reliable at detecting pregnancy. So it is definitely possible that you had sex on the 1st, got pregnant, and then the urine test would be positive on the 19th.
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Suggest treatment for pain in gums and pus filled wounds in mouth after tooth extraction
I am having pain in my mouth after a recent wisdom tooth extraction. My gums are hurting as well as a major headache. Looking into my mouth I see a scab like mush inside each wound, this may be puss I can not tell. The skin around the areas seems to be red and raw. The roof of my mouth also has spider veins running all over it and the skin around it seems discolored.
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Thanks for posting your query to HCM.You should visit your doctor for proper examination of the concerned wounds and there proper irrigation.Hope my answer will help you.
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What do test results Cyanmethaemoglobin method- 10.2gm% indicate?
My brother has severe ankle pain. He was advised to take some tests and the reports are as follows 1. Cyanmethaemoglobin method- 10.2gm% 2. Total WBC - 6900 Per cumm 3.Polymorphs - 70% 4.Lymphocytes - 28% 5. Eosinophills - 02% 6. ASO,CRP, RA - Negative Are there are any known issues that can be found using the above reports. Kindly advise.
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Dear patient Your brother has got low hemoglobin level . Normal is between 14 to 16 gm%. Other reports are normal except slight increased lymphocyte count. Nothing to worry. Has he met with trauma and was Xray done? If not I would advise Xray of involved ankle anteroposterior and lateral views to rule out bony abnormalities. Visit radiology center nearby you and get it done. Start tab diclofenac 50mg twice a day for pain relief. You need to consult expert orthopaedic surgeon with report. All the best.
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How to control ESR level while suffering from fever and joint pain all over body?
SIR HOW TO CONTROL E.S.R.(WINTROBE )FEMALE 63 MM IN 1 HOUR AND ALSO WBC 70-80 HPF. SIR MY MOTHER IS FACING MORE PROBLEM AS FEVER AND JOINT PAIN IN WHOLE BODY. RA FACTOR IS NEGATIVE. PLEASE GIVE THE RIGHT SOLUTION . SORRY SIR I CAN NOT PAY THE MONEY.
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Hi, ESR is not a disease. It is a reflection of internal disease. Any patient with infection or fever can have increased ESR. If the infection is controlled, ESR drops down. If you mean 70-80/hpf is her urine pus cells, it is a urinary infection and needs treatment. her symptoms and ESR come down after getting some antibiotics and pain medications. I suggest you to consult a physician. All the best.
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Suggest remedy for abdominal pain
my husband has had abdominal pain for at least two weeks. Went to the ER last sunday - performed an ultrasound and blood tests w/ normal results. Then visited doctor...doc says gastritis...prescribed omeprazole and pain killers - oxy...pain continues even w/ meds and he wants to go back to ER...which I don t think can help him...not really sure what to do with him
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Hi.. You should have given a detailed history like the relation of food or activities with the pain in abdomen; which area of abdomen , any associated symptoms like nausea, vomiting, fever, loose motions and so on. I think you need to be clinically examined by a General Surgeon or a Gastroenterologist and have an upper GI endoscopy and other relevant blood, urine and stool tests. This will give a better diagnosis and a chance to treat the problem properly ..
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Suggest OTC for chest congestion
I am breastfeeding and have been battling a chest cold, with typical symptoms: cough, yellowish mucus, some clear drainage, swollen glands on right side of neck, no fever, no aches. Normally I would take dayquil/nyquil, but since I am nursing that is out of the question. It started out with sore throat when swallowing, but with use of herbs that is gone, just trying to eliminate this congestion and coughing. Any OTC that would help. I have read online that Robitussin is safe while nursing? Been fighting this since July 1st.
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Hello.Plain Robitussin would be fine but I'd suggest Dimetapp as a better choice.That said, it sounds like you might need a course of antibiotics so I suggest you have your doctor check you out
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What causes a hard lump on the arm?
I am a 32year old female, I weigh 120lbs. I was seen 4yrs ago because of a discoloration(appeared to be broken blood vessels) they did a biopsy and found it to be nothing. The broken blood vessels went away and I had no problems until a few weeks ago my left arm went numb and when I rubbed it I noticed a hard lump the size of a gumball. It does not really bother me, I gave it a few weeks to see if it would go away...still no change
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Hi! thanks for your health query on HCM!Well, you have a significant medical history behind the hard lump on the lump. You had broken vessels that healed itself; you have numb left arm; and the lump appeared after you rubbed the numb area; it does not seem to reduce...I must consider following possibilities in this case:1. post traumatic neuroma-like benign nerve tumor2. inflammatory stromal nodule3. neurofibroma or schwannoma4. parasitic cyst5. aneurysm or vascular malformationYou need a doppler/ultrasound study for confirmation, in addition to a clinical examination; therefore please see your doctor but nothing to worry really!regards,
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How to treat suicidal tendencies?
Hi there It recently occurred to me that for 4 years now, I ve been self-harming. I am semi bi-polar and I suffer from clinical depression. I am on medication for it-Nuzak and Walbutren. I always hide the scars... I always feel like I could just and hurt myself. I hold a knife for dinner and all I think about is slicing it through my arms... Over the weekend I had a friends knife which was apparently very sharp. I cut my upper arm 6 times, only one of them actually leaving a slight mark... I could easily do it again... I ve been doing well on my medication, but it hasn t stopped the self-harm tendencies. I was only diagnosed when I was 16 with my depression-I am now 19-because I was too afraid to speak out. I think about suicide roughly once or twice a week, and on bad days or weeks, everyday and several times a day... I have some scars which I will always have now, it doesn t bother me too much... I know that it is not for attention because I don t tell anyone and I always hide it... I wrote this a few weeks ago : Pain. The only thing I can think about. Physical pain… Emotional pain… Like a plague has been set free on my mind and all it has brought is the thought of pain. The thought of hurting. Hurting myself. I don’t know why. I just know that all I want to do is cause myself pain. I look down at my arms and all I see are passed scars. All I think about is making new ones. Seeing the blood run down my arm, my thighs. The feeling of-not pain but rather pleasure-coursing through my body. The woozy feeling I sometimes get, when everything starts to slowly spin, like I have succeeded in achieving what I wanted in the first place. I think about death. Everyday. And no matter what I try, I feel I want to die, I feel I need to die but never seem to have the strength to actually commit suicide. So instead I inflict pain to make myself feel something. To remind myself daily of the ‘need’ I have to be in pain. The weaknesses I have to cause pain instead of killing myself. Every time I look at my scars, I’m just reminded of the feelings that pulsated through my body to cause the scars in the first place. A constant reminder that I’m weak. Too weak to just kill myself and end it all. The closest thing I have to death is the self-inflicted pain. It feels like I am going through life barely breathing, barely hanging on, yet full of lively scars. Scars that laugh in my face. Scars that tell me just how worthless I really am. As if th
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HiThanks for using healthcare magicI think, you are a patient of bipolar depression and in that case, you may have severe depression as compared to unipolar depression. You need combination of drugs in form of mood stabilizer and antidepressant. That would help you to control the depressive symptoms and suicidal ideas. You can take Better to consult a psychiatrist and psychologist for proper management. In case, you need further help, you can ask.Thanks
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What is the treatment for abdominal pain?
I fell on the ice Friday. Since then I am much more bloated than before the fall. I landed on my left side. I have abdominal pain on my right side. The doctor at the er pushed around in me and make me feel like I was going to vomit. Should I have it checked further?
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Hello!Thank you for the query.After an abdomen injury some swelling of soft tissues (including mesentery and intestines) appear. This can temporary impede bowels movements and result with pain, bloating, nausea. After such injury it is good to have abdominal ultrasound and blood work to rule out more serious injury and bleeding inside the abdominal cavity. If this test havent been done or you feel your symptoms get worse, please have it checked. Hope this will help.Regards.
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How to treat campylobacter infection?
campylobacter relapse. I am now getting the syptoms of campylobacter for the 4th time. Every 3 weeks its starts I am bad for 10 days, have a good week then am back to square one. The first 2 times I had postive stool tests, the 3rd time given erythrymyacin which I was unable to tolerate after 2 days. Now it seems it is back again.I also have CFSany advice, is this normal to keep relapsing?regards Maxine
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Hello Maxine,I read your message carefully and I understand your medical problem.You are going through campylobacter infection for the fourth time now. You mention positive stool test and intolerance to erythromycin. Azithromycin is the first choice in Campylobacter infection. Erythromycin is a drug of choice because its resistance remains low. You are sensitive to Erythromycin so you can not take it. Other alternatives are ciprofloxacin, tetracycline and clindamycin in adults, but in a combination therapy. Actually, there is a schedule for the treatment of campylobacter involving antibiotics, anti-H2 antagonists (ranitidine, cimetidine, etc) and proton-pump inhibitors (omeprazole, pantoprazole, etc). You are experiencing antibiotic resistance. Campylobacter is a bacteria which is able to develop mechanisms to protect itself from drugs.Combination therapy of antibiotics can be of help in this case based on culture and sensitivity test of the stool. Do not forget about changes in your diet habits and keep a good personal hygiene as it is a cause to foodborne illness. Discuss this further with your doctor. Wish fast recovery. Dr.Albana
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Injection to avoid pregnancy for one year, safe to use ?
Hi, i want to now if it is safe to take an injection to avoid pregnancy for over an year
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HI, thanks for using healthcare magicYou may be referring to the depo provera injection. Yes, this can be safely used for a year, some persons use it for longer.Many women who use this form of contraception would notice that they may experience reduced or no menstrual bleeding during this time. There may be some episodes of breakthrough bleeding which is occasional spotting but this tends to resolve as the medication is continued.When you decide you wish to conceive you can discontinue the medications and your cycles would return.I hope this helps
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What causes stomach ache, vomiting, loose motion and high temperature?
My 14 yr old son got up yesterday morning complaining of stomach ache,after which he vomited and also passed stool which was watery. He also had a very high temp of 103. We have been giving him 1 advanced crocin every 4-5hrs but his fever is persistent, and keeps fluctuating. And he has gone for motions quite a few times and it has been watery. He is not eating much due to loss of appetite. We keep giving him electoral after each motion to curtail weakness. A friend of mine suggested that I give him O2 tablet as his son had gone thru similar sickness. Please advise...
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HiThanks for writing to health care magic.Diarrhea is usually viral and may last for 5 days.Give ors and zinc.Ensure minimum 6 times urine output in a day.O2 is antibiotic which is unnecessary if there is no blood in stoolsWishing your child good healthRegardsDr Arun
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How to detect early pregnancy?
my last period was april 9 i started and i was off by the 13 but me and my boyfriend have been having sex every day from the 13 to the 19 then 21 to the 25 of this month. we had sex like 4 or more times a day i want to know if im preganct or not. pls let me know cause i want to have a baby
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to have had sexual contact on days close to, around or on your most fertile days. I do think conception is possible, but then again this depends entirely on your cycle and a few other factors. But I wish you loads of luck, baby dust to you.Hope I have answered your query. Let me know if I can assist you further.Best wishes,Dr. Shoaib Khan
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Q. I get constant headache following neck injury. Why?
Hello doctor, After a neck injury five years ago, I get a headache every morning. Because of this, I cannot sleep for more than five hours, headache wakes me. Osteopathy helps not more than one or two days. Please tell me what could it be? Experts whom I consulted, do not know exactly what is the source of headache and treatment does not help.
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Hi. I feel really sorry for this painful situation you have to face. After careful review of your detailed case, I want to add that musculoskeletal insult is the main cause behind this pain and lifestyle modification is its main solution. I will elaborate all of this in a very simple way so that you may come out of this pain and can sleep comfortably. Thanks for uploading all the supporting documents and I have thoroughly reviewed all of them. (attachment removed to protect patient identity). Fortunately, your cervical spine and the surrounding structures bear no visible signs of major trauma that may have warranted immediate interventions by an orthopedist and neurosurgeons. Your cervical spine, spinal ligaments, and the muscles got extreme stress due to excess weight on them. The spinal in cervical region is not made for weight-bearing. Due to stress or strain caused by weight, there had been a stretch and/or compression causing a change in anatomical structures out there. You need to change the sleeping posture and position your head so that there is a least possible strain on the cervical spine. Keep track of everything you are doing to modify sleep habits. Adopt the one that best suits you. Buy a mattress that is angle adjustable. There are smart mattresses available in the market that makes sleeping a bit comfortable for the cervical spine patients and the general healthy population too at the same time. They are temperature controlled too so if you need to provide heat to the body they help doing it with the click of a button. First, try sleeping without pillows underneath your head. Try sleeping straight (supine position) your whole body facing upwards. Then try sleeping on the right side, then on the left side of the body. It is only you who can tell which ever suits you best. Then you may try keeping a soft pillow under the head. If it hurts again, you need to try the angle-adjustable mattress and try different angles every night. Keep track if raising the angle soothes you or decreasing the angle is a better option for you. Meanwhile, physical therapy is my advice for you. Please consult a physical therapist for proper evaluation and management accordingly. It will assist you in getting out of this pain very fast. You may use heat wraps around the neck to soothe the deep neck structures. It alleviates the pain and improves circulation. Keep a balanced and healthy diet and avoid stressing your spine out by spending a lot of time in front of TV, l
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I am currently taking doxycycline, Will there be any harm to my body ?
hey there, I am currently taking doxycycline for acne . I am 16. I was just wondering whether or not i can drink on the medication ? As my doctore said not to, whereas i have spoken to other people who have been on doxycycline they said there is no effect ? Will there be any harm to my body ?
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Hi Welcome to HealthcareMagic! Yes, there is no interaction between doxycycline & alcohol. Dear, but why you want to to drink at this young age. Drinking does NOT lead to any health benefit. But it's your decision & please don't drink much.
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Is hepatitis B permanently curable?
namaste sir.my father had suffered with hepatytis -B 10 years ago.at that time he got treatment and was cured completely.recently he came to know that he got again hepatytis-B.can it be curable permenantly?pl suggest and we wish to meet u sir.pl tell how to meet u sir?
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Hi thanks for using health care magic.Noted you have hepatitis b infection....Usually 90 to 95 % patient recovered fully ..Only few case get converted into chronic case......Just now take rest....Keep your body well hydrated.....Fruits taken more esp..papaiyaSmall meal taken...Avoid alcohol until liver heals completely with normal report....Pizza , junk food , cheese not take....Non veg avoided.....Take one tsp cumin seed with water daily....Enough protein taken....Udiliv tablet can taken.....Repeat ELISA test for HBSag after six month to rule out chronic conversion...Take care.....Dr.Parth
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What causes depression due to the feeling of overweight?
hiya i lost a lot of weight last year and was made to put on weight and i did. now everyone thinks i am fine but mentally im messed up. All i think about is food and when to make time to exercise. I also feel like i can't tell anyone because i don't look ill weight wise. I dont know what to do, its making me so depressed all i have is thoughts in my head that im fat and i think of ways on how to be the thinnest
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DearWe understand your concernsI went through your details. I suggest you not to worry much. In fact, you are complicating yourself. Who has told you to be health conscious. Your health consciousness is supposed to be limited up to exercising enough and eating balanced diet. You are not supposed to be anxious about your health and weight. There are people who are in trouble physically even though they are of the right weight. There are people otherwise also. Health consciousness is not health anxious. Do whatever you can and enjoy the life when you can. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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Suggest treatment for misaligned bottom teeth
Hello ! i have straight teeth but at the bottom of my teeth thier bumpy my dentist says its from stress and when i sleep i accidently grine them during my sleep, and i order to stop this i have to buy a $5000 plate thing, so how can i get rid of them ? please and thankyou.
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thanks for your query, i have gone through your query. the misaligned teeth cannot be because of grinding your teeth. it can be corrected by taking orthodontic treatment(braces). if you have the habit of grinding your teeth during night time then you can use a soft splint. the splint will not correct the malalignment but it prevents damages occuring on the jaw joint by providing cushioning effect. consult a oral physician and take a radiograph like OPG to see the bone level and plan orthodontic treatment.
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Obsessive compulsive disorder and lack of sleep
Hi doctor i need one help.My sister is facing problem with OCD . he is taking medicine but she is unable to sleep in the night continuously for 2 months .Please help me regarding this
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hi..it is important to know why she is facing insomnia..or whether she is on sedatives or not..if OCD is associated with depression, there may be insomnia..or OCD per se can cause imsomnia out of anxiety due to obsessional thoughts and compulsive acts..so report her psychiatrist regarding all these and optimize her medication..also look to start behaviour therapy with the help of a clinical psychologist..have a good health..
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Suggest treatment for thin and watery semen
Hi. My husband and I are trying for a baby. His semen has been thin and watery for the past 6 months. It used to be thick and white. He is 31 years old. He was recently diagnosed with diabetes and high blood pressure. But his diagnosis was only about a month ago. What can we do? Also, we ve given him time to replrnish as in waiting 48hrs between ejaculation. Thank you.
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Hello,I think your husband should a semen examination done. The report of this will decide the chances of conceiving after intercourse. Thin and watery semen itself can not decide the chances of getting pregnant.Thanks.
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What causes pain in tongue?
I have really bad pain in my tongue on the left side on my tongue under it. I have tried all kinds of oraljell and evev got some liquid med from my dr. none of it helps. I just sit and cry sometimes it hurts so bad and when I numb it with oral jell it numbs it for a few minutes and then the pain comes right back. I think a dentistmessed up a nerve in my tongue when he pulled 2 teeth. I have bee going through this for over a year. help.
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Hello and welcome.Thanks for sharing your concern.Healing of ulcers on tongue takes time.Therefore please do not worry .Avoid continuous irritation and dryness on your tongue.Minimize spicy food intake as well as acidic and hot beverages.Wait for two weeks,in case the symptoms persists please go for biopsy.you should also start vitamin B complex for fifteen days.Hope it helps.Thanks.Take care.
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How can infertility be treated?
Hi... I'm 28 yrs old, n it's been 2 years of my marriage... we r trying to conceive since 6 months...bt no positive results, after consulting doctor, she proscribed me for m2 tone syrup, some folic acid tablets and siphane tablets, it's been 2 months I'm taking the dose regularly... can I get pregnant soon with these medications??
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in my opinion..do serum tsh and serum prolactin...from 2nd day of period start siphene...den do follicular study til follicle size increase to 18mm then rupture then iui fr early results...do husband semen analysis too.
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Deep, swollen sore in jaw below tooth bottom with severe pain. No help from mouthwash and salt water. Help
I read on this site that you can't have a cankor sore on your jaw, however that is where I have a very deep swollen sore on my inside jaw just below my last tooth bottom. I have never smoked nor drink and I am 55yr female. I have had it for 2 months and the pain is getting unbearable. I have done the miracle mouthwash as well as salt water. No luck so far. Thank you greatly.
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hi...thanks for the query...i think you should go for proper clinical and radiographic examination... visit your dentist to explore its cause...don't use any mouth wash for time being... just apply local anesthetic gel over the area... also take vitamin B-complex... avoid hot and spicy foods...hope it will help you...take care...
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What causes grape sized ball with pain in the abdomen?
This advice is for my brother who is 25 years old. There seems to be a small grape sized ball in his lower abdomen, near his belly button that moves. He says it is painful most at night, most noticeable when he is not moving, and of course un-noticeable when hes working out or moving around. What can this be? Should he be worried?
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Hi,Greetings from HCM.I think he is suffering from umbilical hernia which is a protrusion of intestine or extraperitoneal fat through the defect in the umbilicus .it is not a dangerous swelling .if it is producing pain and if it is enlarging in size you have to consult a surgeon and do they needful
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How can swelling and red spots on the legs be treated?
Hello, Dr Rynne. I am travelling in Europe and have been walking a lot coached into Istanbul. My legs have been swollen during the past week I have been wearing flight socks and stockings during transitions. My lower legs have become red and sore with red spots. there is heat when I touch. I have applied a topical antiseptic cream x1 I am currently in Istanbul Taksim near the Taksim square. Thank you
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Hi, The swelling and red spots can eb related to allergic dermatitis or an infective cause. Direct examination is needed for proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
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Suggest treatment for liver failure due to hepatitis b
one of my relative lady patient (Age58) has sevior Liver failiar problem due to Hepatitis B and now in critical stage. Present treating Hospital conformed the failiar of Liver and advised for need to take high level treatment befor going to comatose, So my question is which is the Best Hospital and Department available in northern state of India for further inputs. and what types of treatment is best at this stage.
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hello,Sorry to hear about your relative. Acute liver failure due to hepatitis b causing coma is a life threatening condition.Nuckeoside analogue tablets are used to treat hepatitis. But chances are that she will need a liver transplant.I would suggest either Gangaram Hospital Delhi or Medanta GudgaonHope this helpsRegards Dr Samir Patil
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What is the lump on the cut on stretch mark?
I have, what I'm pretty sure is, a stretch mark on my inner thigh, around my groin area. I think I very minorly cut it last week with little bleeding or anything and yesterday there is a tender lump there. I think it must be related... what could it be?
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Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.The lump on the cut on stretch mark-is post cut hematoma and tissue edema in the surrounding tissue of the stretch mark.This advise is based on the facts from the history you give and needs further clinical check.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N.
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Suggest treatment for fatty liver
I was just told today by my Endocrinologist, that I have a fatty liver. I am overweight, have diabetes, high blood pressure (good control with meds), high cholesteral and triglicerites and I have hypo-thyroidism (Hashimoto s). After reading some info on WebMD, I am pretty sure what I need to start doing. Is there one thing that would help jump start me as I am getting started to help this problem?
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Hello, Fatty liver treated with low fatty diet with lifestyle modification. Eat a plant based food, avoid alcohol, avoid excessive salt and sugar consumption. Regular exercise may useful. Check your serum cholesterol levels. Green tea, weight reduction, eating green leafy vegetables may useful. If symptoms not improved, please consult your gastroentrologist; he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Suggest treatment for fever
earlier i suffered from typhoid on sep 2010.i took medicine & injection for that.i was cured.but something i felt like fever it is mild.for 2 days i am suffering from fever i take norflox but still i am not cure i feel sometime hot & sometime cold.am i suffering from typhoid again?
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Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Saddiq ul Abidin. I have read you question completely, i understand your concern and will try to help you in best way possible.The kind of symptoms you have mentioned, makes Relapse of the Enteric fever aka typhoid, a most probable diagnosis, however it would have been more appreciable if we had known whether or not, any history of altered bowel habits, or any suspicion of a concomitant infection, whether urinary or respiratory exist or not?It is quite possible to have relapse of Enteric fever, because it is one of those infections which has notoriously high tendency to go into chronic or relapsing patterns. Also that partially treated Enterics, or leaving the antibiotic once fever is settled, increases the likelihood of such incidences.The most reliable test would have been a blood culture, even typhidot has also got a lower specificity to the Enteric fever. An associated decrease in WBC count along with some other cell lines in your CBC, can also rise the possibility of typhoid.Also that, the screening tests like urinalysis, Chest X-ray and other baselines biochemistry, monitoring your kidney and liver status, to essentially rule out possibility of any other common systemic infection. Here I would also like to suggest, that you may need a repeated LFTs monitoring, as enteric fever has got the tendency to have complications like Enteric hepatitis.If you were my patient, i would have recommended you tab. Ciprofloxacin 500 twice daily for 10-14 days, even if the fever subsides, to avoid chronicity of the infection. If no response is achieved in 5-7 days, then addition of azithromycin 250mg twice daily to the current regimen has shown to increase the efficacy and better clearance rates.Along with that, use of antipyretics, and motility agents, like domperidone would have been more comforting.If god forbid, the infection persists, and there is no other signs or laboratory findings suggestive of any other organ system involvement, based on the history, Indoor treatement with IV ceftriaxone 2g twice daily would have been the next relevant thing to do, but I hope the things will not go to that extent hopefully. Stay connected to your doctor and keep on seeking regular advice and checkups.I hope this answered your question.If you have more queries I am happy to answer. Otherwise rate and close the discussionRegards,Dr.Saddiq ul AbidinM.B.B.S(Licensed Family Physician)Resident Medicine.
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Suggest treatment for lump on ear after piercing
I have a piercing at the top of my ear, which I put a ring in instead of the stud. Its been perfect for months on end and then the last few weeks it started developing a pimple-like bump at the back. I left it alone, cleaning it daily with surgical spirits. It is now so swollen that the clasp at the back where I could have taken it out has pretty much been swallowed by swollen skin. Its very red and this morning I woke up to it pussing. I'm on my third day of anti-biotics called Biotech Ciprofloxacin and still cleaning it with surgical spirits. I also cleaned it with salt water earlier today. I need advice on how to make it better without removing it, because that is pretty much impossible. Please help me!
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Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Treatment -In my opinion your lump on ear at piercing site is due to the cellulitis with infection at the piercing site.The ring you put is causing a metal reaction.So you need to take treatment under cover of a ER Surgeon and don't self medicate,as your case has become complicated and would damange your ear pinna permanantly.So act fast and get ER Surgeons consultation and intervention URGTLy.If you dont want to remove as you are afraid of its pain, then Show to ER surgeon if it grows and worries more.Ideal solution is to remove the metal causing contact dermatitis, leading to perpetual infection at piercing site.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N.
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How can abdominal pain with fever, vomiting and loose stools be treated?
hello sir, my child is 3 yrs old and she is having abdominal pain and fever since last 2 days. she vomited once 2 days back and has had 3 to 4 loose stools. fever is mild but she is having intermittent recurrent abdominal pain off and on. she is taking her feeds but complains of abdominal pain...please suggest a medicine.
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Give syr crocin if temp is more than 100F. Normal diet has to continue. Give plenty of fluids including ORS. Syr ondem 5 ml if vomiting is severe. Syr decolic 5 ml if pain is severe. Syr zinconia 5 ml for 14days. No antibiotics required, as high chance that its viral infection.
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Suggest remedies for small penis and no pubic hair
hi there im 15 years old i smoke cigarets and am very small i am worried that my penis is very small and i have no pubic hair and cant ejaculate and am getting worried that it may never grow any hair or grow bigger also when i pull my foreskin back a small tiny ball appears where the veins meet i was wondering what you can tell me because i also have no leg/arm pit hairs but all my mates have
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HelloThanks for query .Based on the multiple symptoms that like small sized penis ,no hairs in pubic and arm pits can be due to hormonal deficiency of growth hormone .You need to consult qualified Endocrinologist for clinical examination and detail investigations for hormonal assessment .Further treatment will depend upon the results of these test .Dr.patil.
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What does a lump at the base of the neck indicate?
I have a lump at the base of my neck, on the right side, where my shoulder is. The size of a small plum. It doesn't hurt, but makes my shoulder and neck feel tight and restricted in movement. The lump is semi hard, I can get four fingers around the lump, it doesn't really move when squeezed.
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HI.This may be a sebaceous cyst or a lipoma. Get this checked by a Surgeon and the best way to get sure treatment is its excision . The disease goes away and you get a confirmed diagnosis.
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How can severe backache be treated?
Hello Doctor, greetings! My dad is suffering from severe back pain so we MRI scan then the report shows like altering signal of d11 and D12 destruction of anterior cortex infective spondylodistics can you please suggest us what actually the problem is... and how it can be cure..
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.What is the age of your father? How long he is suffering from back pain? MRI report is suggesting infection of the vertebra D11 and D12 which are last two vertebra of the thoracic spine. Intervertebral disk is also involved.Infection can be due to bacteria, most likely causes are mycobacteria which happens in immunosuppressive state and old age. Diagnosis can be confirmed by biopsy of the tissue.You need to consult orthopaedic spine specialist as soon as possible. Meanwhile, give him strict bed rest. Avoid forward bending and long travelling. Tab tramadol can be taken for pain relief.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza
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Suggest remedy for dandruff and hair loss
Hello sir My age is 21, i am having dandruff and hair fall,some red spots(which come and go) have developed on scalp,i have even visited a dermatologist he tells me that you are suffering from seborrhea and having diffused hair fall Sir my main concern is am i having hair fall because of seborrhea He has advised me to take 1)keraglo men 2)apply topisal 3% mixed with coconut oil 3)hairjoy 5% (On day topisal and other day hairjoy) 4) allegra m tablet 5)use 8x shampoo Plz help me in knowing that is this the right treatment and can hair loss be reversed
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Hello, if the diagnosis is Seborrhea and it is responsible for your hair loss, this treatment is the correct one, and you'll see improvement in a short time.
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Suggest a remedy for anxiety and depression?
Ive been on suboxone for about 3+ years was down to 8mgs and decided to try cold turkey. Now I'm regretting it because I feel horrible. The anxiety is through the roof, depressed, extreme back pain, cant sleep, racing negative thoughts, etc... what do you recommend? I don't know if going back on them is the smartest thing, since eventually I'll have to come off anyway, so why avoid the inevitable, but how can I alleviate some of the more difficult symptoms of withdrawl? Please help...Kathy K
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Hi, thanks for the query. I would like to congratulate you for this brave decision to give up opioid addiction. Though NOT all authorities recommend cold turkey method as its very painful; but some schools of addiction medicine advocate cold turkey method. What you need to try is a combination of certain medications like Pregabalin (acts on alpha2 delta ligands) + ketorolac (NSAID/pain killer drug) + Chlorzozazone/baclofen (muscle relaxant). These drugs will reduce painful withdrawal symptoms; will help to keep your mood reasonably upbeat & thus increase your motivation. You should consult a Psychiatrist for getting these medications & also learning relapse prevention methods to stay clean/sober. Alternately, you can also revert back to me for any help. Good luck
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Lump in the grove of head and ear, have pain behind the ear followed by intense neck cramping causing difficulty in sleeping, moving. Relief measure?
Hello Three days ago I started having pain coming from behind my ear. I have a small pee size lump right in the grove of my head and ear. Normally I would not be soo alarmed but the pain is cramping my neck going all the way to the back of my head, it is getting so painful I cannot sleep. How can I stop the pain before I get to a doc. ive tried heat cold stretching and it all makes it worse. Lying down seems to make it very angry and i cannot sleep because of the pain any help on this one. Please. The pain is what has me worried.
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Hi, Lowarat, Thanks for query. It seems that you might have acute infection in your ear giving rise to enlarge lymph node behind the ear. Go for antibiotic and anti inflammatory medicines for 3-5 days and you will be cured. Ok and bye.
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Metallic taste after temporary filling fell off. Possible complications?
Hi, I had an abscess and needed a root canal. The endodontist drained the abscess and put a temporary filling in and I need to get the rest of the root canal finished. Today the temporary filling fell out and I now have a hole in my tooth and my mouth takes like metal and feels funny. Is this dangerous and what are the possible complications? If I get the remainder of the root canal done in two days is that okay? Should I expect to start feeling pain or any other symptoms?
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Hello,The temporary filling is to prevent the exposed root from any injury and infection.If your next sitting is only 2 days away than you can wait.In the meantime maintain good oral hygiene.Avoid hard foodstuffs and consume soft ones.Prevent food from getting trapped into the cavity.If there are any signs of pain and redness immediately consult your dentist.
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What causes discharge of whitish liquid from penis?
I'm a male of age 19 and my private has just in the past few days started secreting a white-ish to yellow-ish liquid sometimes.There isn't any severe itching, and it only slightly burns when urinating. But everywhere I go online looking at these symptoms it says STD, I was checked for STD 5 months ago and have not been sexual active for 8 months, even then, I have not actually ever had Intercourse. I'm started to get worried and don't know what to do. I'm scared that I may have to get blood taken, and that's an extreme phobia of mind which induces panick attacks.The liquid is similar to that of when I got my ears pierced and they were infected.
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Hello, If you are masturbating and you are able to produce semen and sperm, is there any resemblance? Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand
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Trying to get pregnant. Done follicular study. Taking Eltroxin
I am trying to get pregnant and i don t know whats wrong.my doctor has started follicular study from 5 months but still no progress as my reports is normal. Every time i have 2 or 3 follic.The size of the follicle 22 or 24, ET is 14 to 16.. Rupchered on 14th or 15th Day all time. I am taking eltroxin 25mg from 2011 my blood test reports says normal till today but still i am not able to conceive i have 1 male child from 1st marriage. now i trying for 2nd child from 2nd marriage. My age is 35. husband report is normal ... pls suggest me....
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Hello, Thanks for the query. Good that your thyroid profile and your husbands semen analysis is normal. Only problem is with ET. ET of 14-16mm is not very favorable for implantation. I recommend you to get a D&C before starting drugs for the next cycle after consulting with your gynecologist. Maintain ideal BMI 18-24,Have balanced diet and continue taking folic acid. Hope this helps, regards, Dr Nilofer
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What does small bands of atelectasis versus fibrosis in the lower left lung base mean?
Hi, may I answer your health queries right now ? Please type your query here...hello recently i was in the hospital and on the med papers i got on release said i have ( small bands of atelectasis versus fibrosis in the lower left lung base. can you tell me what that is please?
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Thanks for your question on Healthcare Magic.I can understand your concern. Atelectesis is partial collapse of part of lung. Fibrosis is healed scars. So if you had lung infection in the past then possibility of fibrosis is more. But if you are having fever, cough, expectoration etc then possibility of atelectesis is more. Best way to clear the doubt is HRCT (high resolution CT) thorax.So get done HRCT thorax. If it shows atelectesis then chest physiotherapy and mucolytic, expectorant drugs are needed. If it shows fibrosis then nothing should be done because fibrosis is healed Scar lesion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Will the bump under scar go down?
I landed face first pretty hard on a glass candle 3 1/2 weeks ago right in my forehead plastic surgeon did about 13 stitches in a hook kinda shape like a horse shoe the skin right underneath scar is a lump not going down I m concerned not the scar that lumpy skin underneath it scar itself is red and indented I put vitamin e and maderma on all day long will the bump go down?? Was pretty deep
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Thanks for contacting HCM with your health care concernsYou had a laceration repair 3 weeks ago and below the scar is a hard lump. This lump is due to the sutures and the trauma. It may take several month for that lump to resolve. I would recommend continuing with the Vitamin E and Maderma it may help reduce the lump.
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Can pregnancy happen after missing a birth control pill?
I missed a birth control pill sometime last week and just realized it today when i started my new week of pills. i took the missed pill, plus the one i was suppose to take today. any chance of me getting pregnant? I had sex last Sun and Fri both unprotected.... help me calm my nerves. i have never missed a pill. i am suppose to be on the "sugar pills" next week.
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It is really unlikely that you can get pregnant from just missing one pill. In order to get pregnant you would need to ovulate or release an egg. I suggest to my patients to continue taking their birth control pills and to use condoms for the next 2 weeks. After the 2 weeks, take a pregnancy test. If it is negative, you can stop using condoms but continue the birth control pills. If you want to further confirm that you are not pregnant, you can go see your doctor who can order you a blood test. The blood test is definitive.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Monica Kapoor
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What to do for disoriented talk?
My mother is being very disoriented talking out of her head. She was in the hospital a week and half ago due to her sugar dropping to 25 . The got er sugar up and sent her home. I brought her to my house for a few days to keep an eye on her has been doing well except a few times she has got like tonight, she usually lives by herself but I'm afraid to let her go home and my little ones are getting scared of the way she is acting. Help what do I need to do/?
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Hi. Please check her sugar , might have dropped again giving rise to disoriented talk. Give some sugar preparation and see the results. Habit of Living by herself can be another reason for psychological disorientation. Few patients may need a CT scan to rule out any problem in the brain.
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Suggest treatment for pain and hurt in knee
Hi. I was doing an aerial (a cartwheel without hands) today at an open gym and I landed with a straight leg on my left foot. I m in a lot of pain and it hurts when I straighten my knee all the may or if i squat down and lean towards my toes. Please help!
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Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Suggest treatment for low immunity
i have been diagnosed with H.S. and it cause me to have a staff infection about a year ago my doctors in dayton told me that my immune system has been weakend and my nerver get back to what it used to be. since then i have been getting sick all the time even now i have a cold, however this cold feels more like a flu how do i treat a cold with a weak immune system?
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hi sir, welcome to HCM, i understand ur problem, tobacco and alcohol also reduce immunity, u have to stop that if u have that habit, take protein powder with milk twice a day, get enough sleep and manage stress, eat plenty of fruits, green leafy vegs, nuts, seeds etc, take cyperheptidine syrup thrice a day after food 10ml, walk everyday one hour, hope u satisfy with my answer, thank u
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Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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What effect does heart anomaly have on the atrial fibrillation?
I was recently diagnosed with a heart anomaly .... the artery is within the heart muscle... myocardial bridge condition.. I m 73 years old.. I m also being treated for AFib... taking meds: Sotolol 80 mg...Eliquis 5 mg... Metoprolol 5 mg... each 2x daily...Losartan 25 mg. 1 x daily. What effect does the anomaly have on the AFib?
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HelloAtrial fibrillation could be there without the heart anomaly, you have not mentioned what kind of heart anomaly is there although both the A-fib and cardiac anomaly are different condition and nothing to take anything with each other.Hope I answered your query, let me know for further assistance.
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Severe anxiety, high TSH, take half dosage due to palpitations, shaking in hands and legs, remain confined to home due to enervation. Advise?
Hi I am 48 , Male. I have high TSH (14.8). I have typical hypothyroid symptoms. I also have very high anxiety level and depression. I am advised on thyroxin sodium 50mcg but unable to take even half of it because it gives me palpitations, trembling hands and shaky legs. I am taking Atenolol 25 (once a day) and alprazolam . 25 (twice a day). I was also advised Duzela 20 but didn’t take it. Now I am confined to home almost, very low energy, get anxious/depressed all the times , get dizzy many times. Please advise. Thnx, Rajeev
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Hi Rajeev, As you told that you are suffering from hypothyroidism and have a very high level of TSH 14.8. This is really very high level and the only treatment for this is to take the medication properly and in proper dose so that this can be controlled. Other problems which you are suffering from can be because of this hypothyroidism only and once you can control this problem other things will also go off. Now as you told that you are not able to take the whole tablet and have some problem with that, than I would suggest you to consult your doctor and ask if it is ok to take medication in multiple doses and 2 or 3 times in a day or you can ask for some preparation which can be taken more frequently. You are already on medication for palpitation and anxiety and hope this help you in controlling your condition, but you have to take medication for this hypothyroidism and after controlling this your condition will improve. Thanks and take care.
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Suffering from severe abdominal pain, burning sensation. Difficulty while urinating. Did tests, no problem. Cure for symptoms?
hi there i am riyaz,,i am suffering from abdominal pain and burning sensation and i am feeling difficulty while urinating for the past one and a half year...i have gone through all tests like CUE, SERUM CREATININE, ULTRASOUND, CT SCAN, X-RAY,URINE CULTURE etc..........all the results are resulted as negative...i dont know what to do.....i am helpless....going through an unbearable pain the severity of which i cant explain in words........its like hell.....plz plz plz is anybody out there who can help..............plz help me........thanks
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hi there, you seem to be suffering from severe UTI and as the urine is sterile or negative you have to look for cause like bacteria which cannot be easily grown like mycobacterium. You could be also suffering from some obstructive uropathy which explains the difficulty in urination. Please visit a urologist and he will investigate into the cause of dysuria. If necessary a cystoscopy may need to be done to rule out obstr5uctive pathology. YOu havent mentioned your age, if in the 40 plus age group then prostatomegaly should also be considered. Take care.
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Q. Why did my urine test show 200 pus cells?
Hello doctor, I am a 50 year old female, who weighs 65 kg, and I am 5 feet tall. I had a urine test, which showed 200 pus cells, RBC 2 to 3, protein 2 to 3, and urine culture showed E.coli. I am suffering from fever, high blood pressure, and high sugar level. My face is swollen, and sometimes my feet are also swollen. I also have pain my legs and arms.
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Hello. Hope this clears your doubt and get back if you have any doubts. For further queries consult an internal medicine physician online -->
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How can recurrent hives and cough be treated?
Active, athletic 12 year old male.. muscular. Sudden onset of severe hives/ rash / fever about 1 month ago. Treated with benadryl at hospital.. all seemed ok. Then recent onset of some type of virus/ flu and has had fever on and off x 2 weeks..recurrent bout of hives/ body rash and a deep cough especially when active and when going out into the cold then into the warm air. Feeling a little achy- recent onset of Osgood Schlatters disease in his knee.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems that your child is suffering from an allergic reaction which can be treated with an antihistaminic medication once daily before going to bed or by corticosteroids if resistant to antihistaminic medications. Hope I have answered your query. Let me know if I can assist you further.
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Suggest remedy for lump below genital area
Hi, I ve have this same lump that s about the size of a pea, just below my woman area. Its been there for about three months at first I thought it was a spider bit so I sliced it open and nothing but blood came out. It wentaway for about 2 weeks and know its back again and kinda has a yellow white appearance and its hard as if a large BB is in there. I m not study exactly what it is.
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Hi, dearI have gone through your question. I can understand your concern. You may have some benign cystic lesion near your genital area. Itis very common and mostly it is non cancerous. So no need to worry. You need examination. Consult your doctor and go for examination and if needed go for surgical excision.Thanks for using health care magic. Wish you a very good health.
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How to treat stiff/slight aching neck?
HI I have a stiff /slight aching neck. Very dull pain. I went for a neck massage. I am 38 year old male. the massage was 30 minute upper body back and neck massage. On completion of my massage I have double vision which lasted about 10-15 minutes. Is there underlying problem. Ive been for massage presviosul but jsut for relaaction. I went for this massage to particular aid me with dull pain in the neck/balk I am trying to get rid off. Can you offer advice?
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hi,thank-you for providing the brief history of you.As you have a dull neck pain it could be due to inflammation the facet joints or may be due to nerve pinch. Also, this occurs due to muscle weakness and massage actually makes muscle more weak and leads to abnormal symptoms. I will advice not to undergo massage.Also, having an x-ray or MRI of cervical spine will help understand the pathology and also a clinical examination.You may need to see a physical therapist who can help reduce the pain and also strengthen the muscles which will help avoid this dull aches.also, the double vision you need to take a further advice and exmaination from a neurologist. I feel it was symptomatic due to massage but in future if it comes again you need a Neurological examination.In my clinical practice most cases are restricted for massage and physical therapy is advised.Regards Jay Indravadan Patel
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History of removal of appendix. Will this relapse with sexual activity?
Good Morning,I am a 28 years old man, I had my appendix removed precisely on the 14th of may, and I got discharged from the hospital a week later,I felt normal with just very little pains! A week later I had sex,though not serious one.. My question is hope the one I had will not hunt me and can I continue having sex? This is because I'm scared of relapse! Thank you
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Hello,You must have had a laproscopic appendicectomy I guess.As you have said, the pains have reduced significantly.Appendix once removed does not recurr again.So you can have peace in mind that the same disease will not relapse again.But please keep in mind that having sex is a strenous physical activity and may not be all that good until 3 months after surgery are over.Please re confirm with your doctor.Hope this helps.
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What is the life expectancy in stage 4 lung cancer patient?
My Mom has Stage 4 non-small cell lung cancer. The tumor is in her left lung, she has pleural drain after fluid build-up in lining. Her doctor says there s nothing left to do, except a low dose chemo (which she s had treatment once a week over the last 3 weeks) with a 20-25% chance of slowing it down. The tumor is growing into the pulmonary artery & caused blood clots. She gives herself blood thinner shot 2X a day. Now she is bloated and tired. How much time does she have? I ve taken off work to care for her off & on the past year and a half. I don t know whether to take FMLA or just go help when I can. She s 2 1/2 hours away.
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Thanks for your question on HCM.In my opinion you should take FMLA. As your mother is progressing towards end stage malignancy. Lung cancer when spread in pulmonary artery and gives tumour thrombi, this suggest worst prognosis. Your mother soon develop massive pulmonary embolism (tumour thrombi) and pulmonary hypertension. Infact she may started this as you are saying that she is puffed up. Lower limb edema is the earliest sign of pulmonary hypertension. So in my opinion you should take FMLA and spend as much time as you can with your mother as in my opinion she has less than 3 months of life expectancy.
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What is the treatment for chest discomfort?
Hello, recently I have been having this warm pinchy feeling in my left lung, it feels more uncomferable then painful, but also it feels like a lump on my left side again but on my back and I cant lay on my back. My spine has burned a little I smoke about 25 Ciggarettes a day for about 6 years now
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Thanks for your question on Health Care Magic. I can understand your situation and problem. Since you are smoker, possibility of either lung infection or bronchitis is more. In both these conditions, uncomfortable feeling with back pain are seen. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x ray to rule out lung infection. 3. PFT (Pulmonary Function Test) to rule out bronchitis. If both are normal,then no need to worry much. You need to quit smoking as soon as possible. Once you quit smoking, your problem will be solved. Hope I have solved your query. Wish you good health. Thanks.
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Wierd stomach noises.
After having food, i develop wierd noises in my stomach. i dont have these problem when i am empty stomach. its almost gurgling sound in the stomach. does it mean some cancer of the stomach ?
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No. It means the food is getting passed down your intestines. are you thin? my brother is very thin and we can hear these gurgling sound in his stomak too..the doctor said it was fine for him after checkup.
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Taking dianette pill. Feeling of being pregnant. Effect on fetus while taking these pills?
I am on the pill dianette and think i may be pregnant. I missed a couple of tablets and took them the following day with the others. My husband and I have decided to try for another baby anyway, but my concern is if i got pregnant while still taking this pill what is the likelyhood the foetus could be harmed. I was told a long time ago that a boy conceived could carry female organs?
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HIThank for asking to HCMI really appreciate your concern your history suggests that you are not pregnant it just your feeling and you have not done any test to confirm this so in my opinion it better to confirm the pregnancy first, taking any medicine during the pregnancy is not at all advisable least concern with the side effects they might be exerting, hope this information helps you, have a nice day.
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How can leg pain caused by sciatica be treated?
I am 65 yrs old woman, having sciatica problem in left leg for last 3 months.mri report shows slight problem in l 4 and 5.have lots of pain during night.please suggest as to what should I do .have taken treatment from ortho but hasn t made any difference.
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Hello, I have studied your case.If you’re MRI says L 5-4 disc then Due to compression of this nerve root there can be tingling numbness in your leg and pain associated with it leading to walking difficulty.Medication like methylcobalamine with neurotropic like pregabalin will reduce pain; you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.I will advise to check your vit B12 and vit D3 level.MRI shows disc compressing on nerve root then surgical decompression is permanent solution. You can send your MRI films or report. So that I can help you better.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.
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Suggest remedy for severe mouth ulcer
helo siri have severe mouth ulcer. i think it is a side effect of leaving habit of 10 year smoking...despite of several remedies i am not feeling relaxed....now i m feeling burning in my mouth..plz suggest me something best..i have checked by ENT and Gerointentestinal specialist..but nothing is working
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HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that this could be chronic stomatitis and in my opinion biopsy would be required and for that it would be advisable to see the dentist he would be the right parson to handle this case, hope this information helps you, take care and have a nice day.
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Is Scoliosis hereditary in nature?
Hey. Myself and my children have thalassemia. One of my daughter s hemoglobin count remains around 93 this is normal for us. I had to have 10 units of blood during each of my pregnancies. This is something my daughter expects when she gets pregnant. This is were my questions comes. She is very serious about a man. This man s mother and sister has scoliosis. He seems fine BUT, can he be tested for this? If he doesn t have it can his child? And, are there addition dangers for them to have children together?
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Scoliosis is believed to be caused by a combination between GENETIC as well as ENVIRONMENTAL factors including medical conditions that may trigger or favor the development of the disease such as cerebral palsy, Marfan's Syndrome, chronic muscle spasms of a severe nature that do not respond to treatment, and certain tumors such as neurofibromatosis. There are no genetic biomarkers available yet or approved by the FDA for testing individuals with or without clinical evidence of scoliosis. There is a genetic test currently being looked at but not approved for adolescents diagnosed WITH scoliosis in order to predict future progression of curvature....but nothing for people who are not clinically diagnosed to predict the probability of offspring having the problem.Since I stated above that scoliosis is believed to be a COMBINATION of genetic predispositions and environmental factors there is no verifiable or certain way to predict the outcome of having children even if families where scoliosis is known to exist since there are many examples of children born to parents (both of whom have scoliosis) and who never develop the disease.My recommendation is if there are significant concerns of your daughter on this topic that she should seek out a genetics counselor or geneticist for more directed guidance.Feel free to send more questions to: www.bit.ly/drdariushsaghafi and I would also appreciate your 5 STAR rating of our interaction.
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What causes lymphatic tuberculosis?
I am diagnosed with lymphatic tb. I am taking att drugs and my liver enzymes (LFT done after 18 days) are rising as well as uric acid. I am also surprised that I have persistent cough, mostly dry. It specially gets elevated when i sit in an ac room. Kindly advise.
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Hello and thank you for your question. Tuberculosis is an airborn bacterial infection. Once it enters the body it can move to other parts of the body from the lungs like the lymphatic system or even the spine. To help with the cough avoid air conditioning, use some nasal saline spray and make sure you stay well hydrated by drinking at least 2 liters of water daily and avoiding caffeine. Take a multivitamin and get plenty of rest. Take your anti-tuberculosis drugs as prescribed and make sure you are getting regular liver tests.I hope you are better soon,Dr. Robinson
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What causes severe cough and fever at night?
My brothers wife age is 29 suffering from severe cough, fever at night and suspected for pneumonia and TB but x Ray did'nt show the result again we went to our family doctor and according to his suggestion we scan and he is saying that it is primary complex, Is there any chance of primary complex attacking her? her heamoglobin level is 10
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Hithere is a wide range of differential diagnosis for fever with cough. Your Sister in law is 29. any contact with TB patient ? Has she lost weight ?What is differential counts of CBC. ESR LDH beta microglobin .Liver function. CT chest perhaps will help. how long had she had this problem? She might need a bronchoscopy to wash her lungs for TB culture. Has she ever had raw milk ? this can give Brucela.Lymphoma is uncommon but can happen and give symptoms like you have said.There is no such thing as primary complex as diagnosis. it is a radiology and pathology term. Whether she has got TB or something else you to see a chest Physician. hope this helps.
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