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Are Amoxicillin and Clarithromycin safe to be taken for H.pylori infection?
ONE YEAR AGO I WAS DIAGNOSED WITH H PYLORI. TREATED WITH AMOXICILLIAN 500 MG 2/DAY 14 DAYS AND CLARITHROMYCIN 500 MG 2/DAY 14 DAYS. HAVE NEVER FELT WELL SINCE. HAVE HAD MANY TESTS: SONOGRAM, COLONOSCOPY, EGD, HIDA-SCAN, CT OF ABDOMEN, AND GASTRIC EMPTYING STUDY (ALL NEGATIVE). I HAVE BEEN LACTOSE FREE FOR A YEAR. KEEP ELIMINATING THINGS OUT OF MY DIET, BUT STILL HAVE STOMACH ACHES, DIARRHEA AND A WEIRD, FRONT FORHEAD HEADACHE WHEN I EAT MUCH OF THE TIME, NOT 100 PERCENT OF THE TIME THOUGH. ABSOLUTELY CANNOT EAT AT A RESTAURANT. GET SICK WITHIN 30 MINUTES. I AM SO FRUSTRATED AND SICK OF FEELING SICK. ANY HELP OR SUGGESTIONS? | I would recommend that you see a psychiatrist or psychologist. Sometimes the mind manifests these problems and it passes onto the body. This is known as somatoform disorder. If you do have this condition, the psychiatrist and psychologist will assist by teaching you coping mechanisms so that you can start to eliminate these problems slowly from your life. | |
Could having low thyroid effect procedure for getting pregnant?
hello doctor,i'm 27 yrs female not married yet.i'm having hypothyroid and taking tablets for past 1year.Thyroid level is normal now.Marriage proposals are going.I have read that thyroid patients will have problems in getting pregnant.Can i get pregnant.I'm very confused and get angry very often.will it affect my family life in any ways?Please help me doctor. | Hi, Thanks for the query. I understand your concern .It seems you are under medication &your thyroid levels are normal now. Please always consult the treating endicrinologist routinely.. get thyroid function tests repeated ... as per his advise..and continue the thyroid supplements without any break... Though low thyroid affects pregnancy &child (irregular periods causing difficulti in conception&low intellectual development of the fetus ) * but with thyroid level maintained normal there is no such risk. Be cool. *The irritation you have does not seem to be due to thyroid....it's the tension you have about the possible problems in your family due to rhyroid... now as it is settled,you would be tension free&pleasant personality again. Thanks. | |
What causes chest congestion and coughing?
I am having chest congestion and coughing with thin white sticky mucus. I consulted 7 days ago and had paracetamol[combination] and cough syrup. While 3 day medication I got slight relief. But now Its getting worse. mucus is coming when I dry cough and spit. I am 37 yr old, diabetic and with very early CKD. What to do? | Thanks for your question on HCM.In my opinion you should rule out chest infection and cardiac cause for your chest congestion and coughing.You are known case of Diabetes and early CKD (chronic kidney disease) , both of these can cause low immunity and lung infection.So get done chest x ray to rule out this.DM and CKD also cause cardiac disease. So get done ECG and 2d echo to rule out cardiac cause.If all above mentioned investigations are normal than you are mostly having upper respiratory tract infection (URTI). So do warm water gargles, drink plenty of fluids and take antihistamine.You will be alright. | |
Does self en-rooting the tooth is safe ?
Hello my daughter tried pulling out her tooth but then realized that her roots were all out but her gums are stuck into the middle of her tooth. She only feels a little pain when she tries to pull it. I am worried that she will rip her gums and do damage. What do I do?? | hithank you for consulting HCMPulling of teeth with all roots out and stucking into the middle of her tooth should be consider seriously.firstly you should stop her doing this activity and identify the cause why she is doing. Is it because of unwanted habbit, anxiety, stress etc ?visit your dentist get OPG xray done to reveal the status of tooth and periodontium both which will reveal the current status of teeth.thank you | |
Pain in chest on sneezing, doing exercises, braxton hicks sensation. Causes and treatment?
Whenever I sneeze or I m doing exercises and crunches I get a pain around my heart area and there is some bulging and also a feeling like the Braxton Hicks sensation like when I was pregnant and my tummy would get hard and it gets hard in there and I have to stretch out my spine as much as possible and sometimes it hurts more than others. I know this sounds really weird | THESE ARE ALLERGIES AS IT IS AFFECTING YOUR NOSE BY SNEEZINGBURNING AND BULGING OF STOMACH IS AGAIN ALLERGY AND DURING EXERCISE THE BLOOD SUPLY DECREASES WICH FURTHER INCREASES THE ALLERGIESYOUNEE TO FIND CAUSEMAY E FOODS MADICINE OILS SHAMPOO COOKING OIL DYES HENA AND OTHER BODY APPLICATION MATERIAL UPTO DIAGNOSISYOU CAN APPLY NEOMYCIN H EYE OINTMENT IN NOSE BDSEA WATER 2 DROPS AT NIGHT IN EACH NOSE ASTHALIN AS BRONCHODILATOR LIQUID ANTACID THREE TIMES AFTER MEAL FOR STOMACHTAKE MONTELUCAST 10 MG NIGHT FOR LONGTILL YOU GO FOR DIAGNOSTICS | |
Could the elevation of liver enzymes be due to vitamin D supplement?
I take 50,000 of vitamin D 3 times a month. My level was still low so my Dr. told me to take 1000 of vitaminD everyday along with the 50,000 3 times a month. My level shot up to 53. However my liver enzymes were elevated. Could that come from the vitamin D.? It was never elevated from taking the RX 50,000 3 times a month . Since I have added the additional over the counter vitamin D it is. | Hi, No, there is no relation between vitamin D and your liver enzymes, you may need to do some more investigations like ultrasound abdomen to know the cause of this elevation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
Can heel swelling be caused by eating raw rice ?
Hello Doctor, i m urmila 38 years old and i have 3 kids. i am badly addicted to raw rice. i eat approx. 2-3 tbsp daily.Now i m suffering from heel swelling and burning. Recently i have taken vit b-com, evening primrose oil capsule and orofer(iron). What could be the cause? | Hi, First of all, let me assure you that heel swelling and burning is not related to your habit of eating raw rice. Most likely you are having Plantar Fasciitis. Start painkillers, local heat therapy and soft footwear. If you do not feel any improvement in 2-3 weeks, go for an orthopaedic consultation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | |
I have been taking levothyroxin for about 1 month. Had followup lab sork done yesterday and nurse called and said I need to increase amt; however, I am convinced that this medication has raised by blood pressure significantly. I am on blood pressure meds (only 10 mg enalapril) and it has worked great, but now blood pressure is consistently too high (aver of 165/105). Is high blood pressure related to lexothyroxin? | Welcome to health care magic.My dear friend as you told that you are taking levothyroxin,its mean that you are patient of hypothyroidism.As your nurse told you to increase your levothyroxin dose,its mean your serum T.S.H in not under controlled.its also true that some patient also face shot up of high B.P after takin levothyroxin.Hypothyroidism can also cause hypertension so its also necessary to control thyroid hormone.I suggest you for regularly check up your blood pressure and add another anti hypertensive like hydrochlorthiazide 12.5 mg to control blood pressure after approaching your nearest Physician.My dear friend i also suggest you to do complete lipid profile test because hypothyroid also impair lipid profile that cause hypertension.Thnax for your query. | |
Suggest treatment for swollen and bruised calf
My dogs got into a fight about 20 minutes ago. While trying to break it up, I got bit on the back of my left calf. It s starting swell, bruise, and form what looks/feels like blood blisters on the darkest parts of the bruise. The skin is not broken at all, but it feels as though the muscle is being tugged. Should I be concerned? Is there anything I should do to handle it? | Dear patient This is matter of great concern as dog bite leads to rabies which is 100 %fatal. Safe and effective anti rabies vaccine is available and you should take it asap after bite. Total of five dosages are given as per shedule. You need to consult infectious diseases specialist nearby you and get yourself vaccinated. Dressing of local part also needs to be done and short course of antibiotics is required. All the best. | |
Q. Is it normal to have numbness in tongue and jaw after wisdom tooth extraction?
Hello doctor, My lower right side impacted wisdom tooth has been extracted a week back. Till now my half tongue and jawline of the right side are numb or I am not feeling hot or cold at that side. I am so much worried. Is that normal or is it a concern of worrying? I am panicking for getting sense in my tongue back. Please advice. | Hello. If the tongue feels numb even after a day, then you may have a condition called paresthesia. It occurs when the injection injures the nerves. and such numbness can remain for a week or two, sometimes even for a month. But it will go away as the nerves heal slowly. Take capsule Becosules (Vitamin B1 and B2) once daily for 15 days. But it is better if you go back to your dentist to show him first. | |
Suggest treatment for high heart rate
I am 34 years old....I smoke and drink lots of coffee...I know these are contributing factors to a higher heart rate...I also lead a pretty sedentary lifestyle...lately my resting heart rate is higher than it usually is....currently 95 BPM....should i be concerned and should I see a doctor? | Hello, I don't think is something to see a doctor, a 95 bpm is not a problem. I recommend you a more healthy lifestyle, fewer cigarettes and coffee, more physical activity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician | |
What causes recurring asthma attacks and breathing difficulty?
HOW MUCH IS IT ? -May not be able to get the answer--but this question might help some one else--and I THANK YOU MUCH if I can,t afford to pay and if there are no answers for me-. -I do have adult asthma of severe attacks- off in on. Pretty healthy most of the time other than headaches often.-----I keep Symbicort with me -close by most all the time.and only use it when necessary. Plus nebulizer.with Albuterol with but the last Dr visit with my lung Dr was upsetting. I was having a very hard time breathing at the time.-Just gasping for air.-- The Dr. listen to my chest and back with a stethoscope and told me my lungs were getting better -come back in six months. That was it. Have not been back even through its been over six months but still having attacks now and then. Sometimes I get chocked easy -start coughing and have a bad asthma attack. Some days are really rough-, in trying to breath normal . I don,t smoke-nor drink and never have but was around second -hand smoke a lot and worked in a air polluted place. What would you suggest --not easy to find a new Dr. but wondering if I Should.---Thank you for any suggestions. One lady at church says it,s all in my head -breath deep and I will be fine. So wrong she is, but I just let it go and wish I could breath normal. | The symptoms you describe indicate that your asthma is not controlled very well. I would recommend taking your Symbicort inhaler every day (twice a day) even on days that you feel well. Symbicort works mainly as a preventive medication, to prevent you from experiencing the troubling symptoms you describe. I would advise that you take it regularly even when you feel fine. If after doing this you are still experiencing poor asthma control, you should see a doctor to help you determine what your next best step up should be.Hope you feel better. | |
Is methotrexate level in body high because of not being excreted or is Lymes level high?
My husband has RA and is on methotrexate injections along with a lot of other medications. Recently he was prescribed an antibiotic for possible lymes disease which he took the full course of. After his last blood test he was told that he would need long term antibiotics because the lymes level is very high but that antibiotics interact with his methotrexate. Now I am confused, is it his lymes level that is high or is it possible that his methotrexate level is hight because it isnt being excreted through his kidneys or liver? | it depends on what antibiotic is being prescribedmethotrexate is excreted through the kidneythe idea is that most antibiotics are also removed from the kidneythereby making the kidney an easy targetthe best idea to answer your question would be to monitor the sreum methotrexate levels daily for the next three days when he takes the next injection of methotrexatebest of luck | |
Have back pain. MRI shows disc protusion with no nerve involvement. Thigh is shaking. Related to disc problem?
Ive had back pain for 40 days. MRI shows disc protusion L3, L4 with no nerve involvement, L5 S1 disc protusion with minimal displaced nerve root. I have severe low back pain when sitting and driving. Minimal leg/hip pain. My question is about my thigh shaking when I walk down stairs, feels weak like it will give out, is this related to disc problem? | Hi,It seems that you might have stiff back due to osteoartheris changes in your lumbo-sacral vartebrae giving problem of backache and problem while driving.Go for physiotherapy daily and regularly.Do back extension exercise.Use hard bed for sleeping.Ok and take care. | |
What causes pain in knuckles of hand after accident?
My computer keyboard id acting up a bit, so please bear with the potential typos. etc. I was recently in a bad car accicdent. I felt fine afterwards even though the car wa s totaled . But the next day the main knuckles i.e. closest to my hands hurt so badly I couldn t move them, and below the knuckles down to the base od the thumbs burned like fire. The right hand eventually healed but the left just seems to get worse asnd worse (and I m lrft handed). This is very distressing to me. I ama professional quitarist and have been so for forty plus years. A nurse friend said it might be broken. Any ideas? | Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.though it seems very likesly,but still i advice you to get an xray done to find out the cause of pain,even if it is broken proper treatment should heal it up.You should eventually get back to normal in coming few days.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless. | |
Suggest treatment for boils on infant s head and face
hi doctor,i have a three year old daughter who has been getting boils on her head and face since she was about seven months old.I took her to the doctor many times,he would always prescribe antibiotics.Usually the boils would go away after taking the antibiotics,however it always keeps coming back and its always alot of boils.I have another baby who just turned seven months and she s also getting the boils on her head.Any advise...thanks | Sure there is advise --because boils though small pustular lesions can cause irritability and pain ---they appear mild at first and limited to a skin infection --but one has to look a little deeper to see if there is an allergic process on hand or the immune system is not functioning normally as it should ..the children,have to be seen by a pediatric dermatologist who will prescribe some change in diet ,topical applications and blood tests involing the bodys defence mechanism by the white blood cells . | |
Suggest treatment for a heart disease
Hi Respected doctor, My sister in law is 62 years and general medical specialist referred her to cardiologist for stress thalliumtest/debulleaine plus minusCA-RP. She is diabetic for the last 22 years. We consulted the cardiologist who after seeing the history and on going treatment first conducted TMT and then advised and carried out angiography, Angiography report is as underHTN, DMII, CA-DOE, TMT moderately positive(21/03/11) and CAG-Triple VesselDisease(22,03.11)Past History k/c/o DMII 22 yrs on reglar Medicine ,HTN since 20 yrs on regular medicineNo H.o RHD/BA.TB/ other chronicillnessangio graphy report as followsLmca normalLAD MID AND DISTA lad-SEVERE CALCIFICATION,LONG TUBULAR 70 PERCENT Stenosis Ds normalLCX Co Dominent VesselOMs-OMI-Diffused DiseasedRCA Dominent Vessel- Mid RCA 75 percent stenosis PLV/PDA-NormalLV ANGIO NOT DONEFINAL DIAGNOSES CAD, Triple Vessel Disease DMII,TMT POSITIVE (MODERATELY)RECOMMENDATION Stress Thallium for Inducible Ischemia.Now we are advised to go in for Thallium Test. Kindly advise whether Thallium test only as recommended by medical specialist should have been carried out before Angiography or the cardiologist has used his discretion as we are laymen and did not know about thallium test . If thallium test was not available in cardiologists clinic/hospital why he did not refer us to another hospital where Nuclear Science test facility for Thallium test was available. ALso we shall be grateful for the correct advice at this stage to safeguard the interest of the patient ,.REGARDS | After having gone through the reports and the finding of triple vessel disease on coronary angiography, i dont think stress thallium would achieve anything much as far as diagnosis is concerned. It has probably been advised because tmt has come put to be moderately positive instead of being strongly positive which wpuld be expected with the angiography findings.She mostly needs a coronary artey by pass surgery ( CABG ). | |
Treatment for muscle pain, cold feeling and headache after eating fish
after eating fish and chips at a not so good restaurant, approximately three hours later I developed muscle ache in my legs and neck, and then starting have severe chills and shaking. I had bad headache also. Although my stomach seemed upset, I had no diarrhea, or vomiting. After several hours of rest the symptoms abated but I still have headache | Hello,Thank you for asking at HCM.I went through your history and would like to make following suggestions to you:1. From your history, I would first think of "Histamine fish poisoning", a kind of foods poisoning resulting from eating improperly preserved/improperly refrigerated fish.The symptoms are due to excessive release of histamine in body.2. Were I treating you, I would suggest you taking ranitidine and hydroxyzine. I would also suggest you to take paracetamol for headache.3. If you have any of the - dizziness, swelling in throat, breathlessness, suffocation, etc - please consult your doctor immediately. 4. Such occurrences can be prevented by avoiding fish from not-so-good restaurants which might not be maintaining high standards in preservation of fish.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & regards. | |
Can I take a pain killer for stomach cramps after icsi embryo transfer?
Hello doctor, I my icsi embryo transfer yestetday in the morning. After that I was ok till around mid night . I was having a stomach cramp till now am still having it though it is not very sharp it was at night. What is the problem and should I take any pain killer . | Hi,Welcome to HCM.Some of the pain killers are not safe to be taken immediately after embryo transfer. If you can avoid using pain killers it should be better. If you can't, you can take antispasmodics like dicyclomine for pain relief.Wish you good health. | |
What causes raised SGPT level?
hi my brother have viral hep A in sep2012, on starting his billirubin was 3.9 &sgpt was 2800,after 2weeks his billirubin raised upto 19 then his sgpt was only 284,on 39th day of hep billirubin was 3.4& sgpt is 112 but a week before sgpt is 110,why the sgpt is not coming down | Hi, dearI have gone through your question. I can understand your concern. His SGPT level is very high initially with hugh bilirubin level due to hepatitis A. Now his SGPT level is decreasing. It is slightly high but its decreasing so it will come back to normal within few days. Don't worry much about that. Avoid fatty food and alcohol. Take high protein diet. Drugs like liv 52 is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Should I worry fro Alkaline Phosphatase level being 344?
Should I worry about my 4 month old having Alkaline Phosphatase level being 344 u/l, ALT being 112 u/l, AST being 131 u/l, creatinine being .1 mg/dl, BUN/creatinine ratio being 70.0, and Total Protein at 5.9 g/dl.? Baby is having plenty of wet diapers (he is exclusively breastfed). Thanks | Hi,Thanks and welcome to HCM .Your investigation report suggests that the baby may be having some liver problem.Needs investigation to establish the diagnosis .Consult pediatrician as soon as possible.Hope this reply serves your purpose.Further queries invited .Dr.M.V.Subrahmanyam. | |
What causes abdominal pain after the removal of gall bladder?
I am a 25 year old female and I had my gallbladder removed about 4 years ago. During the operation, the doctor clipped the "common bile duct" instead of the "cystic duct" causing me to have a major open surgery to repair the duct and reconstruct everything. Ever since that incident, I have had chronic abdominal pain (around the site of the open surgery incision/scar) mostly under the right side of my ribs as well as uncontrollable and unpredictable nausea and vomiting. However, within the last year or two, I have been getting horrible gas. I have disgusting, foul sulfur smelling burps along with a lot of flatulence but the "episode" would only last a few days and when it would disappear I wouldn't have it again for months. Well, within the last few months, I have had the rotten burps every single day (with maybe 1 day or 2 without symptoms) but it is definitely getting worse. Now, when I get the rotten egg smelling gas and vomit, it feels as though I am vomiting pure alcohol not to mention I have sharp, stabbing pains under the right side of my ribs, I now find myself waking up in the morning with the most awful pain in my back. At first I thought it was the way I slept, but after trying different pillows, different positions, even a different mattress none of that seems to make a difference. The back pain is excruciating! I can't seem to get any answers from my physician. I would just like to know what could be causing this and if it is treatable. I don't know how much longer I can deal with the back & ribs pain. And the burps are incredibly embarrassing. Please help me! I just need to know what all of these symptoms could mean. | Hi,Clipping the common bile duct during cholecystectomy is one of the most feared complications of this kind of surgery. Can I ask you how your "common bile duct" was repaired during this open surgery? The best long term solution should have been a hepaticojejunostomy, meaning that a piece of the small bowel is connected to the common bile duct if the bile duct is heavenly damaged.1) If you're suffering from pain since the open operation, then my first suggestion would be to have this checked with an MRCP scan (this is a MRI scan that can check whether the repair of the common bile duct is still ok, meaning no stenosis (= narrowing due scar tissue). For example, after this kind of problem it's important that you're checked regularly (1x/year) to see if everything's allright.2) I should also recommend to have your stools checked. Some people suffer from pain and some kind of diarrhea due to overwhelming bile salts in the stools. It's called bile acid malabsorption. This can be treated with medicines.3) When smelly burps like rotten eggs, one must also think of a kind of bacterial or other infection in the bowels. One well know is for example Giardiasis. This is a disease caused by a parasite which gives most of the time diarrhea, but can also cause bloating, abdominal cramps, and sulfur smelling burps. If not cured by itself you need to take medicines. But other possible problems must be ruled out. So I would recommend to visit a gastroenterologist to have this all checked. Hope this helped. Let em know if I can assist you further.Regards,Dr. Koen Vermeiren | |
Suffering with MCTD, hypothyroidism, asthma, have multiple dry patches on arms and legs post formation of dent, nausea, diarrhea. Help?
I have multiple dry patches that have appeared on my arms and legs. The first was on my shin and started as a dent that changed into a reddish, dry, slightly flakey spot. Now I have more forming on my legs and arms. The original one (3 months or more old) is still there and is now just a crusty, dry spot. I have had several others form then the dryness goes away and a white mark appears (I am white but darker complected.) the spots will not tan . There is one on my arm above where I wear my watch that is extremely irrated and redder than the others. Now I am getting nauseated and have the diarrhea. It may be unrelated. I have MCTD, hypotyroidism, asthma , and stinging insect allergies. I am on Synthroid , Cytomel , adipex , Adair, and albuterol. I am 35, 128, and other than the diagnosises, I am in good health... | MANY OF YOUR SYMPTOMPS AND SIGNS ARE RELATED TO COMMON FOOD COMPONENTS LIKE MILK WHEAT AND POTATO YOU HAVE TO GET BLOOD SERUM TEST FOR FOOD SPECIFIC ANTIBODIES FOR MILK WHEAT POTATO CHANA RICE NUTS EGGS OR OTHER FOOD WHICH ARE YOUR FAVOURITE AND YOU LIKE MOST AFTER THE TEST GO FOR ELIMINATION OF FOODS COMING POSITIVE RESULT AFTER 3 WEEK OF ELIMINATION YOUR MANY SIGNS AND SYMPTOMPS WILL DISAPPEAR AFTER THAT YOU START DESENSITISATION THERAPY TO ADD THT FOODS AGAIN IN YOUR DIETS | |
Pain from abdomen to tummy, didnot get menstrual cycle. Should I take pap smear test?
I have sharp needle like sharp pains from my abdomen up into my tummy if I may call it an had this pain in my left shoulder an neck fr the past three weeks I have not had my menstrual cycle all of November an it was late as well last month an if I may add I had my tubes cut 8 years ago an doc cannot pick up a baby in my ultra sound tht was done 2 weeks ago I was last wth my hubby in early October an I don't know what is wrong please help desperate my doctor suggested a papsmere but I still fear I may be pregnant in my tubes even if the home preg test says negative | HiPlease go for ultrasound abdomen for confirmation of pregnancy which may also help to find out if everything is ok inside No harm in going for pep smear Please follow your doctor advice Take careDr Lal | |
What is the prognosis for stage 4 cancer of prostate, lung and liver with blood clots in the kidneys
brotherinlaw; stage 4 cancer of prostate,lung & liver. now he is suffering thru blood clots thru the kidneys; they have put in a catheter but the blood clots keep clogging it. give me an idea of what to expect; I don t expect you to give blow by blow, just something so we can know what to look out for. what is causing the bloodclots we don t exactly know; don t want to open him up unless life threatening. | Hello,I have gone through your query and understand your concern.You have to understand that Cancer itself is the risk factor for the blood clot.Because tumor cells release some chemicals which promote blood clot formation.Further cancer in the liver and lung are potential to cause blood clots and also he is in stage 4 stage.As he is in stage 4, he may now either immobile or bed ridden. This in turn increase the risk of blood clot formation and deep vein thrombosis ( blood clot formation in deep veins).If he is on chemotherapy or radiotherapy, it may also pose him to the risk of blood clot formation.At this stage, he need blood thinners like injectable Heparin or Oral warfarin.Hope this helps.Please write back for further queries.Wishing you good health. | |
What are the symptoms of appendectomy?
Hi, i am a 14 year old male and i just had an appendectomy and i have been having some pain on the right side of the chest basically the right of the heart. It hurts when i get up and move and it throbs, hurting whenever the heart beats. It goes away when i lay on my back but not before i feel something. Why is this happening, i heard it may be a problem related to gas. | Hi. Such type of pain is not related to the Appendectomy or gases . This is quite classical of a condition called costo-chondritis. Take a course of anti-inflammatory medicines. Apply rubrafacient ( locally making warmth ) liniments. Avoid strenuous work which can pull on the chest and such muscles. | |
What causes the enlargement of the liver and spleen?
We recently did USG abdomen scan for my father result as follows liver is enlarged (16.5cm) in size showing bright & echo texture with surface nodularity. Intrahepatic biliary & portal redicles are normal.portal vein is mildly dilated (15mm).spleen is mildly enlarged(15.0cm) in size. | Hello,Welcome to healthcare Magic.Mild hepatospleenomegaly may be normal or may be due to many other causes.Fist you consult your surgeon and do physical examination and correlate with USG findings and if doubt , do repeat USG.Most common cause are Viral hepatitis A or B infections, alcoholic disease, heart failure.Please find out the cause and treat accordingly.Hope this will help.Thanks for contacting.Take care... | |
Is continence still possible with just the posterior bladdder sphinster after being diagnosed with prostate cancer?
Yes I m a 60 yr old male having urethral reconstruction due a stricture from radiation treatment for prostate cancer. this will remove the anterior sphinster however the posterior will not be damaged. Is continence still possible with just the posterior bladdder sphinster. Part of the my prostrate will be removed to clear scar tissue and a small part of my urethra will be removed and put back together. | With just the posterior bladder sphincter, you are bound to have urinary incontinence for quite sometime, since the anterior sphincter is the main one. With time and practice and excercise, you may develop partial control over your urinary urge but the time it will take for this to happen is variable and unpredictable. Till that time you will have to use diapers and the like. | |
Can taking Nitroglycerin be safe for heaviness in chest?
What does it mean when a doctor tells you home health nurse not to make any changes to your meds when in CHF and End Stage Cardiomyothopy, He has been on liquid lasix before several times and is on lasix regulary, two-three a day. He is also taking nitroglycerin almost on daily basis, his chest is heavy and he cannot walk more that 5-10 feet without losing his breathe, i just wonder if we are at the end and the doctor has done all he can do | Hello,As per the case is of CHF and end stage cardiomyopathy, the only remedy is supportive measures.Nitroglycerin will work as anti-aging medication in this instance, but it should not be consumed by own that whenever chest heaviness consume rather it should be used on regular basis as per the advice of the consultant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
Suggest treatment for pain on left side of the spermatic cord
Hi, Im 38 years old, 5ft 10 tall, and 11 stone. My medical history is, i had appedersitus and therefore my appendix removed 5 years ago, cycle accident 3 years ago causing long term back lower back pain which is managed by stretching etc, glandular fever about 10 years ago, as a baby i was circumcised but dont know the reasons why, and as a child had bronchitus. recently ive been getting pain in what i think is my spermatic cord on the left side. its not a constant pain, but any time its touched or slightly knocked, the feeling is the same sensation as being kicked in the balls (although nowhere near as painful!). the pain sometimes also travels up to the lower abdomen. Do you know what is causing these pains? regards, Ian | Hi, I can understand your concern for your symptoms, it can be renal calculi, Epididymitis, Testicular torsion, Urinary tract infection. Doing an ultrasound abdomen and ultrasound scrotum can help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist | |
History of mastectomy due to adenocarcinoma. Bone scintigraphy shows increase in osteoblastic activity. Meaning?
Greetings in Trinitian Spirit! Last 2000 , I had rt breast mastectomy , it was stage 2-3 adeno carcinomma and I had chemotheraphy for 6 sessions.I was free from cancer up to 2008. Had remission last July 2009 , it metastasized to the lungs and bones. This is my latest bone scintigraphy , it revealed mild increase in osteoblastic activity in the posterior 6th right rib, T8-T9 and both hips. Stable osteoblastic activity in the anterior 5th right rib, T10. L2 and L 4 vertebrae. What does it mean Sir? Thank you for your time in aswering my inquiry. | Hi and thanks s much for using our panel to get answers to your medical questions. I am so sorry to hear about this battle with breast cancer and the recent scan and all the unanswered question this has raised in your mind.This reports shows that there is synthesis of new bone in these areas. This is highly suggestive of breast cancers metastasizes. I am sorry about this. But then we solve our problems by identifying them and not shying away. So, we can now tackle this problem.You will most likely get some more testing eventually another round of chemotherapy, hormonatherapy and ay be radiotherapy to address these lesions. I think meeting and talking with your oncologist at this time is the best way to go.I know you must be devastated by this but I am advising that you stay even stronger in the face of adversity if you must win and i know you can win.I wish you a complete resolution of symptoms.Chobufo, MD | |
Suggest treatment for tortuous aorta with high cholesterol
i m 36 year old women with having problem of high cholesterol , hypertension , fatty liver , diabetic and hiatas hernia , also i daignosed before 10 years as tortious aorta but this thing i gnored now want to ask that tortious aorta could be treated without medical treat3emnt or should i consult with cardiologist also i got symptoms of heaviness in chest and also get drowsiness in day time | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely consult cardiologist for your co morbidities (hypertension, high cholesterol, diabetes) and tortuous aorta. Your tortuous aorta is mostly due to high cholesterol, obesity and hypertension. Once you control all these, your aorta problem might resolve also. You should start antihypertensive, antidiabetic and lipid lowering drugs to control all these. Even after control of all these, you have tortuous aorta then you may need surgical correction (Stent placement) of aorta. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Need medication for pain & swelling on the roof of the mouth
i had 7 teeth pulled last thursday and i am currently expreienceing alot of pain i cant stop pacein back and forth it hurts so bad the roof of my mouth is white in the middle but on both sides it red with yellow circles i dont know what to do my mouth is swallon as well | thanks for your query, i have gone through your query. the pain could be because of the residual infection or dry socket or any bony spicules. consult your dentist and get the extracted site examined if there is infection get it irrigated with saline and betadine. if there is bony spicule get it trimmed or smoothened. you need to take radiographs of those teeth to confirm the diagnosis. do saline gargling and complete the course of antibiotics. i hope my answer will help you. take care. | |
Q. What dosage of Novolog is recommended for TID?
Hi doctor,I was diagnosed with TID 14 years back. I will run out of Lantus before the next shipment arrives, but I have plenty of Novolog on hand. My daily dose is 32.5 units Lantus at 10 AM and 12.5 units at 8 PM, with a sliding scale for Novolog (typically 0 to 6 units). What dosage or schedule would you recommend for temporarily relying on Novolog only? | Hi. I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog (and not sliding scale of Novolog- Insulin aspart). You can take Novolog but it has to be every 3 to 4 hours, and it has to be scheduled. Also, you need to check your blood sugar every 3 to 4 hours before taking a shot, that is a must. You will run into very high or very low blood sugar and will see an erratic pattern, you will have to adjust the dose accordingly. Watch and check your ketones 2 to 3 times daily, should not stay without Lantus (Insulin glargine) for more than 24 hours. Novolog dose at least should be seven units every four hours (calculated from your current regimen you should need at least 1.8 units of Insulin every hour to survive). If feeling sick with nausea, vomiting, diarrhea, belly pain, blood sugar less than 70 or more than 300 you should go to ER or urgent care center. You are at high-risk ketoacidosis. For more information consult a diabetologist online --> | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
What does an inverted t wave in a ekg suggest?
My wife has been experiencing shortness of breath, tightness of the chest, and elevated heart rate. Our GP ran a ekg and told her she had an inverted t wave, she is scheduled for a CAT scan, but we are nervous and don't know what to expect. What can you do for an inverted t wave? | Thanks for your question on Health Care Magic. I can understand your concern. Inverted T wave on ecg (electro cardio gram) is due to myocardial ischemia. It is due to reduced blood supply to heart and most common cause for this is coronary artery obstruction. Her symptoms like shortness of breath, tightness in chest and tachycardia (high pulse rate) are also favoring coronary artery blockade. So she needs to consult cardiologist and get done CT coronary angiography. This will diagnose coronary artery blockade if present. If she is having blockage then urgent stenting should be done. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks. | |
Suggest treatment for chronic kidney disease
I suffer from chronic kidney disease. I have only one kidney that has had a consistent gfr of 39 but it has now dropped to 23.5 in two weeks. CT scan shows cortical atrophy and an ultrasound shows cortical lobulation. I previously was diagnosed with FSGS. Could all this be happening as a result of the FSGS. I should mention my BUN was 33 and creatinine is 2.4 Thanks! | Dear Patient,FSGS is a though disease,and it is just an histological diagnosis since may belong to several etiologies. Was it secondary to hypertension? Was it defined as primary? Please send me every detail that can be useful to give you an opinion, included serum albumin, urinalysis, actual 24h proteinuria, autoimmunity, etc. In general, the only validated approach is ACE inhibitors or Sartans at the highest tolerable dose. Moreover, avoid NSAIDS, control hypertension, make sure the general risk factors for cardiovascular disease does not apply to you. Let me know, | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Does a penis glans injury need medical attention?
My 3 year old son was peeing this morning and the toilet seat fell on the tip of his penis. It is bruised but he seems to be fine. He hasn t complained when he goes to the bathroom and we were only able to put a cream on it. Should we take him to get examined? | Hi...if the kid is not complaining anything, there is no urgency. But I would like to give an opinion after a seeing an image if possible.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)., | |
Is siphene recommended in case of PCOS in order to conceive?
i am smitha age 27,height 5.2'and weight 61kg..i hav pcod ,trying to conceive from 2 years and my dct gave me shiphene 50mg and on 15th day i ovulate,16th day i hav ruptured follicle and a matured follicle.what is the chances of conception this month? | Hi, thanks for writing..Yes, PCOS require siphene for ovulation to occur as most PCOS donot ovulate.. Since you have a mature follicle and a ruptured follicle by 16 th day, intercourse during this time helps in achieving pregnancy to the maximum..You can get an IUI done in the next cycle if you dont conceive in this cycle.. in the postovulatory phase, take progesterone for 10 days for luteal phase support.. hope i have answered your query.. good day.. | |
Suggest remedies for severe cough and pneumonia
my son having 4 years he is suffering with Pneumonia since 15 days we met doctor and he advised to use clavam 375 for 10 days and we followed the same yesterday we approached the doctor a he given some medicines yesterday night night onwards my son repeatedly with 5 mints gap he highly suffering with cough? | pneumonia is being treated with antibiotics. . the details of the medications that has been prescribed on the second visit is not divulged with most likely an expectorant.. continue medications and get back in touch with your doctor for a physical examination as it's more likely to yield a diagnosis than an incomplete history.. | |
What causes extreme pain and soreness at the base of thumb?
I have what I thought might be carpel tunnel. It started in the thumb of my right hand several months ago. It is very painful and now there are times when I move just right that I get the tingling asleep feeling in different places ranging from shoulder to foot. The base of my thumb is very sore to the touch and I am having problems buttoning my pants as well as taking care of personal hygiene when using the bathroom. Is this something I should be concerned about or will it go away? | Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and it seems you are suffering from both CTS and arthritis of the base of thumb call CMC arthritis, There are two investigations you need urgently1 X Ray of your Hand2 NCV of median nerve at wristthe diagnosis can be cleared once these investigations are available.Mean while take analgesics as required, and do not let your wrist flex at night for which carpal tunnel splint can be used.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks | |
Can duromine tablet has any effect on baby?
Hi, I have just found out i am pregant, only two or three weeks i think and i was taking duromine. I was not taing them daily just every secong day in the 40g. I stopped straight away but im scared i may have cause damage to my baby. Could this have caused any defects? | Hello, and I hope I can help you today.Many women find out they have become pregnant after ingesting alcohol, food, or medications that we do not recommend taking during pregnancy. However, in the very early stages of pregnancy, the fetus is not yet developed enough to be at risk in the same ways as it would be when the body and brain have begun to develop.In your case in particular, Duromine, is a mild stimulant that makes your heart beat faster and raises your blood pressure. For those reasons, it is not recommended to be taken during pregnancy, however there is no evidence that it or the class of medication that it represents cause any form of birth defects or harm to a developing baby.So at this early stage of your pregnancy, you not need to worry about accidentally having taken Duromine. In the meantime, you can prepare for healthy pregnancy by avoiding alcohol, eating a well-balanced diet, and purchasing a multivitamin that is designed for pregnant women (prenatal vitamins)I hope that I was able to adequately answer your question today, and that my advice was helpful.This for the rest of the pregnancy,Best wishes Dr. Brown | |
Bleeding in urine, abdominal, stomach, testicle pain. History of kidney stones. Treatment?
i have blood still in urine .. been taking anitbiotics now for 14 days... pain in abdomin, stomach and testicals comes and goes and is very uncomfortable at times.. (i had a stone crushed in april, the stindt didnt pull out so i had a second surgery to have removed from back of kidney .) when i exercise and move around alot it bleeds bad, all parts of stone have passed, had a ultrasound two weeks ago of kidneys and there is nothing in there... sometimes when i urinate there are blood scab like pieces that pass.. | Hello, Welcome to Healthcaremagic. Do you bleed from your mouth or nose ? If you did a recent urine analysis, kindly attach its result. Regards Dr Ahmad | |
MRI showed partially calcified ring enhancing granulomas in left high frontal lobe. Is it TB granulomas?
sir my MRI contrast shows conglomerate partially calcified ring enhancing granulomas are noted in left high frontal lobe with moderate vasogenic edema in underlying white matter . These appear infective granulomas either NCC or tuberculomas. In view of no response to onging antiheminthic treatment possibility of tuberculomas nees consideration. I have shown to this report to my neuro Phy he told me that its most ly likely to be tuberculosis granuloas but he is 90% sure about it and 10% he is not sure he started anti TB treatment is it TB granulomas? and is it curable? | Hello, There is no fool proof method to determine if it is NCC or tuberculosis.If anti-helminthic treatment is not helping then it's common and quiet ideal approach to start anti-TB treatment even if there is no definitive evidence of TB.I think you should go ahead with TB treatment.And yes, it is treatable but there are chances of recurrence. Regards. | |
What causes lower back pain while standing completely upright?
Hello. I have two problems. One is regarding my low back. I feel pain there but only when I stand completely upright. I had a similar problem a few years ago and every time I do some heavy lifting or bending I can feel the same pain.Another problem is concerning my skin. The skinn on my inner thighs is extremely dry and full of cracks and although I put a lot of body lotion a few times a day, it's not getting better. I don't know if it because of the cold and dry weather or hard water or even the fact that I wear a lot of clothes. | Dear patient As per your description you are having mechanical back pain. This is caused by back instability or minor fracture.i would advise Xray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Visit radiology center nearby you and get it done. If it's normal start back strengthening and back extension excersise from reputed physiotherapy center. If it's abnormal you need to consult expert spine surgeon with report. For your skin problem you need to consult skin specialist. | |
What causes choking sensation with chest pain?
i feel like there an earthquake in my chest/throat area... i dont know what it is..been going on for a couple years now an happens a few times a month..feels like im choking-but im not actually choking..pain in chest area, only for a short moment (couple seconds) | DearWelcome to HCMWe understand your concernsI went through your details. Your current problem is going on for around two years. In that case you must have consulted a physician for further investigation. If not, I suggest you to consult a physician.Anxiety and obsession along with acidity symptoms are the prime cause of consistent chest, stomach, lower rib area pains. Due to acidity pressure, when the diaphragm is pushed up, the chest cavity constricts and results in choking and constrictive feelings. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Abdominal pain around gallbladder, not severe. On antacids. What is wrong?
Thank you. My adult son is having right side abdominal pain around the gall bladder. Not severe and can stop the pain somewhat by sitting. Not really worse after eating but has gone on all day. gave him antacids but pain still there. No accident or bruising. seems like it could be gall stones or something. Are we Ok to wait till morning to take him to Doc ? | HelloThanks for writing to HCMYour son needs proper clinical examination and investigations.Causes may be liver or gall bladder pathology,renal calculus,acidity etc.Investigations include routine hemogram,urine RE/ME,ultrasound of abdomen,upper GI endoscopy,CT Scan of abdomen can be done if needed.You can wait till morning if he is not having severe pain and can give analgesics at home.Get well soon.Take CareDr.Indu Bhushan | |
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | |
Suggest treatment for radial nerver damage
DR. MY MOTHER HAD AN SMALL ACCIDENT 2 MONTHS BACK AND HER INJURY WAS SHOULDER DISLOCATION AND SOME ARM BONE CREAKS DR S DONE SMALL OPERATION AT “HIHT”, JOLLYGRANT DEHRADUN UTTARAKHAND INDIA AND INSERT A IMPORTED PLATE ON RIGHT ARM TO SUPPORT SHOULDER AND NOW THE SHOULDER IS LITTLE BIT OK BUT FINGERS AND THUMB IS HAVING VERY SMALL MOVEMENT ONE DR ADVISE HER TO DO RADIAL NURVE TEST, WE DONE THE TEST AND THE REPORT SHOWS FOR RIGHT ARM REDIAL NURVE 80% DAMAGE. MY QUESTION IS, IS THEIR ANY WAY TO GET HER REDIAL NURVE BACK…… PLEASE REPLY…. MY ID IS YYYY@YYYY | Hi, There are many options to take care for the nerve damage. We can suture the nerve, we can take branches from other nerves and can join them to radial nerve. You hadn't mentioned the age of your mother, in advanced age we prefer to do physiotherapy only so as to get as much function as possible from the remaining nerve, as risks of surgery outweighs its advantages. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
Should swelling in the leg be considered a matter of emergency?
My daughter’s leg is swollen from thigh to ankle. She has a baker’s cyst on the back of this knee. She was on her feet at work from four until ten. Does this require emergency room or can it wait until an immediate care facility is open in the morning. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion this does not require any visit to Emergency room, you can wait till morning. In presence of Baker's cyst and prolonged standing it is very common to have swollen foot and leg. This can also happen ( if associated with pain) If the cyst ruptures ( can be confirmed by ultrasound examination or MRI). Hope I have answered your query. Let me know if I can assist you further. | |
Can I get pregnant while having mild PCOD?
I have a mild pcod I am planning for a baby for last one yr but I consult my gyno 2 months back then I come to know abt this .I am taking chrominac a ..should I able to conceive or not .my age is 32 I have a 5 yr old daughter that time I concevie naturally.. | Hello dearI understand your concernYou have mild PCOS and pregnancy is possible after taking proper treatment.I would suggest to take treatment under the advise of the gynecologist.You can continue chrominac as it decrease the insulin resistance.Along with that you can also ask the doctor:Progesterone pill in second half of the period : to regularize the period and for hormonal imbalanceClomiphene citrate can be used to induce abortion and maintain fertility.Avoids stress, take healthy diet, take small frequent meal and avoid excessive sweet in the dietDo regular exercise and loose 10-12 % body weight if you are obeseHope this may help youContact further if follow up neededBest regardsDr. Sagar | |
What causes hard knots on thigh and arms?
HI, About a year ago I noticed a knot on my upper thigh - it was fairly hard but not painful. Since then, I have developed a large bruise and lumpy areas on my thigh. The bruised area is warm to the touch. Tonight I noticed another knot on the inside of my upper arm. I am a 53 yr old female with no major health issues other than hypothyroidism (surgicially removed malignant thryoid tumor) when I was 17 yrs old and a positive result for lyme disease 4 years ago which was treated with antibiotics. | Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or some othet lesion. You should go for either fine needle aspiration cytology or biopsy. Search for the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
What is the prolonged numbness in tongue and lips?
hi i have been experiancing numbness in my tongue and lips and the area around my lips for two days. i was refered to hospital by the on call doctor last night. they took blood tests, sugar count and a chest scan. all came back normal so i was discharged. this has continued throughout the day with the addition to pain in my right arm. any suggestions? | hellooo....read thru ur query...i can say that numbness can occur in tongue and lips if ur having any infected tooth in the side of numbness....so please check for that...if any tooth is paining or have got big hole with no pain all can cause infection ...these can be cause in numbness as far as dental concerned...so its better to go to dentist and check for the oral cavity and see for xrays....bcoz rest can be said based on clinical aspects....hope u got the reply...have a nice day!!! | |
Suggest remedy for persistent lower back pain
Hello Dr. My husband is suffering with lower back pain he complains it by 10 years almost. It is not pain but something makes u very week and then cannot bend down to above. He is 46 and having little uric acid and blood pressure but no medication till now | HiThank you for asking HCMI have gone through your query.You should get his Blood pressure checked again.Serum cholesterol also should be checked.A high blood pressure and cholesterol will also gives a back pain.Uric acid also gives it.So these parameters if excess then should be controlled initially by diet like low salt diet for hypertension.Avoiding excess meat and fish products and drinking for high uric acid and decrease fatty food consumption for high cholesterol if he has.If not getting controlled by these measures then medications should be taken.Other conditions causing back pain like osteochondrosis or lumbosacral disc herniation should be ruled out by doing a physical examination with orthopedician and an X ray lumbosacral spine if needed.In such case NSAIDs and physiotherapy will benefit him.Hope this may help you.Let me know if you have any further query. | |
Is frequent masturbation the cause of soreness inside the penis
Hi I m a 24 year old male. My girlfriend And I have had a long distance relationship the past few months and we would do a a lot of Sexting. I feel like I ve masturbated more often then I used to. Recently my penis has become sore on the inside, mainly when first reaching erection and then it subsides as I become fully aroused but it is a little sore if I squeeze on the sides to hard. It s definitely an internal penis pain and it feels like its just on the siides. It s not a terrible pain but alarming because I ve never had penis pain before. In hoping it could just be from over use and I should just take it easy? All the other info says Peyronies disease but I feel like I m to young for that plus theirs no hard lumps or bands or a huge bend or anything. Any ideas? | hi,your symptoms can be due to too much masturbation which can lead to urethral inflammation and even soft tissues injury.first of all you should take complete abstinence and avoid any sexual act till you are totally cured.you can take some anti-inflammatory drugs and analgesic like piroxicam or ibuprofen for a week or so, you can also add some antibiotics to treat urethritis like doxycycline for a week, you should maintain proper hygiene .even after 1 week you are not cued completely then you should consult a sexologist , as far as peyronie's disease is concerned if may occur due to excessive repeated sexual trauma for long time as it is nothing but a result of chronic persistent inflammation of the soft connective tissue of the penis resulting into fibrosis and collagen diposition and band formation , so it is better to not to neglect it .wish you all the best | |
What causes lower back pain?
I have sharp pain in my lower back right side close to my right kidney, I can t lift my right leg the pain is so sharp. What could it be, I m taking morphine and muscle relaxer what could be the problem ursine test came back ok blood work came back ok | Hello, I have studied your case.Your flank and back pain can be due to muscle strain or renal calculi.You may need x ray and Ultrasonography.And also check your vit B12 and vit D3 level.If required you may need MRI spine.Medication like methylcobalamine and analgesic will reduce pain.You can do yoga exercises and focus on spine extension exercises.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this helps. Wish you a speedy recovery. Take care | |
Is cystic fibrosis curable in a 14 year old?
My friend has Cystic Fibrosis and he is 14 years old, and i will be 14 in june, and i want to donate one of my lungs to him when i get to the age i am able to. What age do i have to be to donate a lung? Will i be able to function normally with one lung? Will it make his Cystic Fibrosis better? | Thanks for your question on Healthcare Magic. I can understand your concern. You can not donate your lung because you won't live normal life with one lung. So forget about donating your lung. Yes, cystic fibrosis patients can live good quality of life after lung transplant. There is lung transplant registry maintained globally. You should enroll your friend's name in it. When the donor lung is available, your friend will get lung transplant done. So consult local pulmonologist there and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. | |
Suggest treatment for a blood clot in the arm
I have a blood clot in my upper arm that I got as the result of an intervenous hook up. It is in a surface vein. I am 64 years old and have no health issues at all. I need to have rotator cuff surgery. They put me on blood thinners for the clot. Now a blood Dr. said I cannot take my permpro because she said it will interfere with the blood thinner. Is this true? I have been taking prempro for 10 years. I have tried to quit taking it a couple of times, but I have break through bleeding when I do. Is this normal? | Dear Patient,Are you taking blood thinning agents just for a clot in your superficial vein, rather than giving your body systemic bad effects of drugs that can be surgically removed. if your body has a propensity of making regular clots than off course you need to take these blood thinning drugs. So be certain of that.secondly your doctor has rightly advised you to stop permpro, along with blood thinning agents.Hope that answers your queries,ThanksDR Narender Saini | |
Hand tremors and shakes, fatigue, weakness, headache, back pain. Reason?
Hello, I am a 20 year old female. I have been having a tremor in my hand when i try to make a fist and my thumb also shakes. I also have alot of fatigue and weakness in both my arms and legs. Other symptoms include a tremor in my jaw, which looks like im constantly shivering .Also, when I get out of a hot shower, my pain and tremors worsen and my legs shake after I shower. Alongside, I have really bad headaches that get so bad that my jaw and teeth will hurt. Often the headaches are so bad that my eye squints from the pain. Another thing is that I have really bad back pain which stops me from sitting without support and gets worse at night | Hi there , some of your symptomatology suggestive of thyrotoxicosis. Commonly occurs due Increased hormones( thyroid hormones) production from thyroid gland( also called as Hyperthyroidism) . This disease is quite common among young females. Weight loss, loss of sleep , palpitations , neck swelling , menstrual disturbances etc are the other problems patient faces due to this disease. I suggest you to visit a Physician for clinical examination and doctor will order Thyroid profile test to confirm the diagnosis. | |
Can tachycardia cause dizziness ?
Hi, I'm sixteen, 5'1 and I'm currently on a weight loss program. I'm at 135 pounds but I am working to my goal of 115. Anyway, for about a year and a half I have experienced tachycardia. It has landed me in the hospital and the doctor several times. It normally at resting is 100 or higher, and when I'm walking it's over 120. It makes me dizzy, faint occasionally, tired, and plain sick. What could be the general causes? | low hb is one of the most common causes tachycardia and dizziness. other causes hyperthyroidism, anxiety, low oxygen level in blood. do u have any sleep related problems like snoring or excessive day time sleepiness which could cause sympathetic hyperactivity and high hr.also get ur sugar level tested. if on any medications get those reviewed for side effects. | |
Will a kidney fail due to exposure to chemicals?
Hello...I was diagnosed with Glomerulonephritis in 1992 - no history of kidney disease in family at all - career has been in an office - was in Viet Nam and was exposed to Agent Orange - question: is it at least possible that my kidney failure was caused by exposure to the chemicals found in Agent Orange? Thanks. Chris Boroughs - YYYY@YYYY . | Hi Chris and welcome to HCM.As an Urologist, i can understand your anxiety.You're right in suspecting chemical agent reaction, leading to kidney failure.You can ask your doctor, if other people have been diagnosed similarly.Chemical agents are known to be toxic and have caused kidney failure.Specific data about Agent Orange, is not reported in Urology studies.So it's difficult to comment,but your doctor should be able to tell you that.Wish you well.Dr.Matthew J. Mangat. | |
Suggest treatment for asthma and allergy
Hi My son has been diagnose with Asthma since February this year.He has a very high allergy level especially for grass, cats and dogs.But he did test positive for almost everything.Now he has some kind of Flu.He is coughing a lot and his left eye has also some kind of yellow discharge and the eye is red.Is it also part of the allergy?Can I give him some adco tusi linctus infants or some Mucospect gor infants?Can I also give him his asthavent pump every 4 hours like the pediatrician suggested when he if he gets flu?he has a fever , so I have gave him ibugestic fever syrup.The fever has come down now. Please help . please help | Hello dear,The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to bacterial infection.Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages.Management includes:1. Asthalin & Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, you can use it whenever he is having an acute attack.2. Analgesic antipyretic preparation (like crocin or ibugesic syrup) to control fever.3. Antihistamine preparations like Allegra & Cough expectorant syrup for symptomatic relief.4. A course of antibiotics needs to be taken to manage secondary bacterial attack.5. Maintain adequate hydration & a healthy balance diet.6. Also make sure that your son is well protected from cold, dust & other allergens.If still there is no improvement, kindly consult his treating Pediatrician/ Pulmonologist for further evaluation and management.Wishing him a good health.Take care. | |
What causes slight bloody discharge from 5 month baby?
Hi, may I answer your health queries right now ? Please type your query here... My 5 month old daughter has a slight bloody discharge and nourish discolouration to side of left nipple. What may be causing this? Is it likely to be serious? She hasn t obviously had any trauma to the area | Helloits probably due to duct infection.Give him amoxicillin 125 mg/5ml4 ml three times a day for 5 days along with ibuprofen 100 mg/5ml 4 ml three times a day for 3 dayshope it will help | |
Treatment for stomach ulcer
I have stomach ulcer, having problem in digestion of food, particularly spicy items. can I have any remedy to live like normal ppl n eat likewise? | Dear maria.cryptex stomach ulcer is complete curable take full course of traetment. change your food habits avoid eating spicy and fried food and dont keep your stomach empty for long time eat small quatity of meals frequently at least 4-5 times a day. drink cold milk befor egoing for bed. | |
Could the viral fever turn into dengue?
My daughter is diagnosed with viral fever since 2-3 days. I am worried can viral fever turn into degue ? Because the doctor told us that if blood platelets count lowers then it can be dengue. But till now her blood platelet count is quite good . Please guide . | Hi.Welcome to Health care Magic.Yes, there are chances that a viral fever can turn into dengue. But there is no hard and fast rule for it.Usually the viral fever subsides on its own by 7-10 days.During this period you can monitor your daughter's platelet count, if its normal then it is absolutely fine. If it's low then you can consult your Physician and get it further evaluated to confirm it as Dengue.Try the following things so that your daughter's fever subside soon.1. Tepids sponging.2. Have boiled and cool water.3. Enough bed rest.4. Have healthy food.Hope this helps.If you have any other questions, then i will be happy to answer them.Wish your daughter a speedy recovery.Take good care of her.Regards.Dr. Surender sharma. | |
Q. Is it advisable to do weight training after laser eye surgery?
Hello doctor,I have been doing weight training for six months but recently my eye specialist told me to not lift heavy weights because I had laser treatment for retinal holes three years ago. So, should I stop weight training completely or should I drop the weights? Currently, I am doing deadlifts at 20 kg and bench press at 10 kg. So what should be the maximum safe limit to protect retina? | Hi. There is no limit of weight lifting as such. But usually heavy weight lifting or strenuous exercise is banned if there are untreated breaks. If breaks are secured with a sufficient laser that usually takes 1 to 2 weeks for maximum effect. But there is always a risk of new retinal break formation that is caused by vitreous detachment. If vitreous is detached completely and there is no break, you can workout freely. There is no sharp line of weight. These are just protective measures and varies from patient to patient. That does not stop you from living life. Continue exercise but do not stretch urself too much and protect your eyes from any trauma or injury. | |
Is taking Nexito safe for anxiety and depression?
Hi DOc, I met with an accident in 2013 june. I got brain injury after which I was not able to manage my Anxiety and depression. My doctor started with Nexito 20 and Oleanze 5 I tapered off the medicine on my own to Nexito 5 only. Now I am taking Nexito 5 for last 1 month. Is this a good time to stop Nexito 5 or I should continue it for some time. Thanks, SUnil | HiThanks for using healthcare magicIf you do not have any depressive or anxiety symptoms, that can stop it. There is not need to take nexito 5 mg, it is below therapeutic dose. You have already completed 8 months course for treatment, it would better to leave the drug. In case, any thing depressive episode happens in future, you can again consult your psychiatrist.Thanks | |
What causes low blood platelet count ? How can blood count be increased ?
why Platelet Count is reduced. 1 week back my relative blood level will reduced below 4 point is there.and admitted in the apollo hospitial 4 packet blood will be given and taken bone marrow test is not clear result. so again taken the bone marrow test. why blood is decreased, 10 days back neck and shoulder pain is come what is the reason. in further step what to do. | hello you have not mentioned about you sex if you are female excessive mense may be on of the cause. in not then have u ant diseases. certain mendition depressed bone marrow function and reducied platlets count. other wise you me be suffering from hoyoplasti anemia etc wish you good health | |
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | |
When should I have intercourse to conceive?
hi sir m a.,/i,22yrs old,in a relationship,wanted to know abt the safe time to hav sex with my partner..i mean PLEASE TELL ME WHICH TIME PERIOD IS FAVOURABLE FOR INTERCOURSE .....I MEAN WHEN PREGNANCY DOESNT OCCUR.....m not getting the days circle 28 days before or 15 days later..could u pls analyse it | Hi, How are you dong ?Ovulation day is determined based your periods duration. For a lady with 28 days cycle, ovulation will be on day 14, that is 14 days before periods.So if your cycle is regularly 30 days , ovulation is on Day 16, so on. First day of bleeding is Day 1 of cycleNow if your cycle is irregular , calculation is Longest cycle minus 8 , Longest cycle minus 11 is duration of ovulationFor example, your longest cycle is 34 days & shortest cycle is 27 days34-8= 26 , 27-11 = 16 , So between 16-26 will be your ovulation.So you can calculate the days using this calculation. Don't have sex during this ovulation period, these are unsafe days.Hope I have clarified your queries All the bestDr.Balakrishnan | |
What are the side effects of Blood Pressure?
My brother is taking blood pressure medication and had been for several years. There is no family history of hypertension and he is in very good physical shape, does not smoke or drink, works out at the gym. With the medis, does he have a normal life expectancy? | Hi,If he keep his blood pressure within normal ranges with medications, then he has good life expectancy.Take careCome back if you have any further questions | |
Can having IUD placed result on abdominal pain?
I had my son 6 months ago and a month later had the IUD placed. For the past month I had been having pain in my abdomin and gained weight. So at my doctors appointment on 7/20/10 I had my doctor switch me to the shot. Now I started my period a week early and it is very heavy and there are a lot of clots and I'm having very bad pains now (not like menstrual cramps but worse). I know it is almost impossible to get pregnant on merena but I also got pregnant with my son while I was on birth control. Should I take a pregnancy test or what? If you have any advice I would appreciate it. Thank you. | Hi.Thanks for your query.Yes the IUD can cause pain in the abdomen.There is no need to go for a pregnancy tests as you already have the heavy bleeding, clots and pain, I would advise you to undergo an ultrasonography to see the position of the interior of the uterus.If the products are seen , you have to undergo curating. IF no such things medicines under the guidance of a Gynecologist will help you to get a control. Continue with the treatment as already must have been advised. | |
What are the symptoms of muscle atrophy?
I spranded my ankle before Thanksgiving last year I ve had x-rays and an MRI. I had a boot for about 4-5 months and continued to work a very high volume waitress job, working 8 hrs with lots of twisting! I ve been to physical theraphy twice a week for about 3 months. I work two days one week and three the next but also work a real estate job and busy life schedule. I fell hard onto a plywood floor missing a step my foot isn t getting better and all the tiny bones in my foot have become a problem. I think I need a cast of some sort but would be concerned about atrophy. Just want to get better probably need a cast?? | hiAfter a fall, an x ray should have been done to see any hairline fracture, you may get it done now.Take advil tabs after meals,do contrast bath of foot in hot water and cold water alternately, consult an orthopedic doctor for evaluation.Do take rest till things clearbest wishes | |
What does this CBC report indicate?
Cbp shows haemoglobin 16.8 rbc count 5.76 pcv 50.9 mcv 88.4 mch 29.2 mchc 33.0 rdw 13.1 wbc count 5.77 platelets 2.01 neutrophils 40.5 lymphocytes 50.1 monocytes 7.8 eosinophils 1.4 basophils 0.2 Peripheral smear Rbc normocytic and normo chromic Wbc relative lymphocytisis Absolute lymphocyte count 2890 cells/cumm No abnormal cells seen Platelets adequate Plz suggest | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your CBP is normal except for increased lymphocytes. Usually, this happens in case of viral infections like flu.And most of viral infections are self limited, so no need to worry, just repeat the CBP after one week. For more information, please contact your physician. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha | |
Can Addison's disease cause a spot on the lung?
My husband is 73 years old and has addison disease. He was just told he has prostate cancer. The doctor took a two chest xrays and sees a spot on his lung. Tomorrow he is having a cat scan. Can this spot on his lung b e caused by his addison disease? | Hi thanks for posting in HCM I have understood your concern 1.addisons disease is adrenal cortex disease with low levels of steroids and needs steroid supplement. it is not concerned to the chest x ray patches.2.chest x ray showing patches mostly because of metastasis of prostate cancer.I can suggest you to get done 1.LFT to check for liver involvement 2.serum creatinine3. serum electrolytes 4.CT scan of abdomen to look for metastasis 5.PET CT is better one to check for metastasis.depending upon the stage of the cancer he. can be subjected to surgery in initial stage , chemo and radiotherapy in advanced stages.hope this helps you any further questions please let me know thanks | |
Upset stomach, numbness in toes, migraines. Consumed MDMA crystal. Suggestion
Hi, I recently consumed MDMA crystals and by the way me and my friends felt can assume that it must have been cut with another chemical. I am fairly experienced with the usage of MDMA and infer this as the drug experience lasted in total about 14 hours, had terrible migraines and as bad an upset stomach. However after 1 or 2 days I started developing numb big toes but only the tops of them. It has been a week or so and am wondering what to do and if I should be worried. This is the first time this is happening and where I stay, India, it is not so easy to talk to a doctor about such matters. Any help is appreciated.Top | Hi and welcome to HCM.This can definitely be effect of MDMA and this is the first thing to think of. Your body tells you that you must stop using it immidiately or ti may have very serious consequances. Various other symptoms can be caused by these drugs and this is just the beginnng of it. Numbness may indicate neural disorder but also itcan be blood clotting in your peripheral vessels. You need to see doctor if your symptoms persist.Wish you good health.Regards | |
What does these semen analysis indicate?
semen analysis showscolour : opalescentconsistency: Thinquantity: 0.5mplreaction: Alkineliquification time : 15minactively motile: 50%sluggishly motile: 10%non motile: 40%pus cells 1 to 2/ hpfRBC nilsperm count 70 million/ mlMorphologynormal: 60%Abnormal 40%what it means? | HelloIt is important to rule out semen infection due to presence of few pus cells in semen,otherwise findings are normal.Normally semen shouldn't contain any pus cells.You may need investigations like routine hemogram,random blood sugar,semen culture and sensitivity,ultrasound of scrotum.You may need to take antibiotics based on culture and sensitivity report.Motility is normal.Normally it should be at least 55 %.Your findings suggests over all 60% motility.Morphology of sperms are normal.Normally 16 % sperms should have normal morphology.Sperm count is also normal. Get well soon.Take CareDr.Indu Bhushan | |
What causes bump on head of a child?
My 2 year old son hit his head on on the corner of our dining room table 3 months ago. We iced it for as long as he could tolerate it. He had a little bump and was bruised for a few days. But now 3 months later he still has a small bump or more like a ridge. Is this something that I should be concerned about? | HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seems to be having Resolved Hematoma,caused by hit to head by corner of Dining room 3 mths ago.This bump ridge is due to the fibrous healing of the hematoma after the trauma and would resolve in next 3-5 mths time completely.Nothing to worry other wise as its not a Cancer for sure.USG study of the lump if need be or FNAC biopsy would rule out the fear from lump being Cancer.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | |
Is a lump on the upper thigh indicative of lymphoma?
I have a large lump on my upper thigh. It seems larger when off my feet. Example: in bed. It is about three inches long and under the skin. It is located on the front of the thigh. Is this something that should be checked out? It is not in the groin area. My father and brother have both had lymphoma. | Hello, A most possible reason for this issue seems to be soft tissue lesion as lipoma or others. Needs confirmation with clinical examination and ultrasound evaluation of the same.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | |
Will Ecosprin and Elpamide help to recover from kidney problems?
Hi, may I answer your health queries right now ? Please type your query here... hello sir ,my mom suffering from kidney problem hawing swooling in kidney doctor recommended her to take following tablet is these tablet benificial for her- 1. ecosprin 75 2.elpamide sr 3selomax 25/2.5 | Hello,You can continue your current line of management and take the medicines as prescribed by your doctor. It will be better if you attach the reports along with the followup query.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shinas Hussain | |
Suggest treatment for dependent personality disorder
So if a guy says I need to have more self confidence a guy I like and I try to be less shy around him and have more confidence around him and try to talk to him with out being shy and when I totally make an effort to do so and he doesn't even notice or pay attention what do I do? Is he testing me? He says he really likes me thinks I'm nice and pretty. How can I have confidence and not be shy around him if he won't notice. Help me please | DearWe understand your concernsI went through your details. I can understand your feelings. I am certain you are simply thinking too much and being obsessive. The situation given by you is normal for any person feeling attracted towards opposite sex during adolescence. Both wants to show their love and affection positively, and ultimately it becomes possessive. Your friend is a little bit mature and has serious things to do than flirting, he opts for that. Understand the facts and you too be attentive on your education or career related activities. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | |
Suggest treatment for sarcodosis
My son 5 yrs. old sufferring from Sarcodosis for the last 3 months. He is using 40 mg steriods after breakfast with Calcimax & blood pressure medicines. Now his body is very heat but temperature is 98.5 & 98.7. What is the actual treatment of Sarcordosis. | Hi, in treatment of sarcoidosis usually steroids are given for long periods. Temperature below 100 degree fahrenheit is not considered fever. I think you should not worry about temperature since it's below 100. Take care. | |
Suggest medication for bald patches on head
I am 35 year old. i have 3-4 small patches of hair removal on head.they are like smooth sikn having no hair earlier. these are appearing just 6 month before. i consult to doctor. he gave me some multivitamin of vitamin A, Momate liquid apply on patches once in a day and Tacroz ointment apply on patches in night. for a month. but i am not satisfied. | Hello. Thanks for writing to us at healthcaremagicI will keep a possibility of Alopecia Areata(AA).Alopecia Areata(AA) is an autoimmune condition. It usually present as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes.The patches of Alopecia Areata are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching.People often seek treatment because the bald patches are unsightly and are easily noticeable to others.Various treatment options in alopecia areata in order of the choice of treatment are:-Intra-lesional Triamcinolone acetonide: This is first line treatment in adults followed by other modalities like:-Topical Potent steroids (Mometasone Furoate, Clobetasol propionate)-Topical Minoxidil solution-Topical Anthranalin-Topical PUVA(psoralens +UVA therapy).All of them are effective but intra-lesional streoids are the most accepted line of treatment and is a reproducible effective therapy for focal type of alopecia areata.I also prefer intralesional steroids in my patients of alopecia areata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart.A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss.I would suggest that you visit a dermatologist in your region for the needful.Regards | |
Is Pedicloryl syrup safe for fever in an infant?
Hi doctor, My son is 8 months old. Today he is suffering with feverso i had consulted pediatric dr. And given medicines to my kid as prescribed. But in the night he cried alot and didnt sleep and didnt drink milk. So I have given him pedicloryl.this is the 1st time I have given this medicine to him. Please suggest is there any problem by giving this medicine. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pedicloryl is a sedative drug. Fever is not indication to give Pedycloryl. Fever is treated by paracetamol in proper dosage. Please change your doctor. Hope I have answered your query. Let me know if I can assist you further. | |
Suggest treatment for high BP in between dialysis treatments
I am a dialysis patient and I am recently having trouble with HTN in between dialysis treatments. I currently take Metoprolol 100 mg BID along with Hydralizine 100 mg BID and it is not controlling my BP between treatments. I was on 50 mg. each BID but was recently increased to 100 each BID but they are still not controlling my BP in between treatments. This has only been very recent. perhaps the last two weeks. I have informed my nephrologist but no changes in medications have been made. Any recommendations?fr | Hi,Calcium channel blocker (Amlodipine/Cilnidipine) is a safe & effective drug to control bp in CKD patients. You can discuss it with your doctor for the addition of the medication.Thanks | |
How to heal an aching tooth?
Hi doctor, i m Faisal, back in Feb 2011 i had angioplasty procedure. Now i am having a tooth ache and its really bad. Please advice is it safe to get it extracted? if not can someone give me a reason for this. I m having really bad pain and these antibiotics aren't really helping me out. | Hello,Your history of an angioplasty should not exclude you from having an extraction. Your medical history needs to be reviewed with your dentist. Out of control high blood pressure would be a reason not to extract until your blood pressure is under control. Taking a blood thinner would require a period of stopping the medication prior to an extraction. Your dentist will consult with your physician.You should consult with a dentist and have an x-ray taken. Antibiotics only control the spread of an infection. You must follow through with treatment. Usual options would include an extraction or root canal followed with a restoration. Anti-inflammatory medications such as Tylenol or Motrin may offer some relief until you visit the dentist.Thank you for your inquiry. I am available for any additional questions and hope you are able to feel better soon. | |
Suggest treatment for high level of ESR
daughters 18, has e.s.r of 28, doctors do not know what to advise/do. some websites indicate 14 is normal, local doctors want 9!! but how do you address it? she is being offered a course of B12 injections over 3 months. should it benifit. she initially contacted the doctors because she thought she was anemic, but ashe is not. HELP | Hi, dearI have gone through your question. I can understand your concern.She has definitely high esr. However her esr is only slightly high. There are many causes of high esr. Tuberculosis, infection, anemia, autoimmune disease, are common causes of high esr. If she don't have any symptoms then no need to worry. Just repeat the esr after 15 days. If she have any symptoms then investigate 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. | |
What could cause stabbing pain in abdomen after sneezing?
Hi my partner sneezed last night causing a popping noise in his left side of stomach he has been in awfull pain through the night, says its like someone sticking a knife in him, also hurts when breathing in, can pass urine okay and has no blood in it | Hi. A forceful sneeze can cause the precious small, un-noticed hernia to cause pain , as well as there can be fracture of the lower ribs, or a muscle spasm or rarely the disc in the thoracic region. Well, it is advisable to see a Doctor immediately to ascertain the cause and go for the investigations and management. | |
Lower back pain, horseshoe kidneys. Should i consult a doctor?
I ve been having lower back pain recently, right above my hip on my right side. This is also the side where I have horseshoe kidneys. I was wondering if I should go see my doctor, or if it could be something serious. | Hello, Thanks for your query I would like to know whether your back pain is dull or severe, constant or intermittent. If you had such pain before i would advise you to get an ultrasound scan done and meet your local urologist. Horseshoe kidneys may occasionally have some obstruction or stones and these are usually detected on ultrasound. I hope i have answered your query. I will be happy to answer any follow-up queries that you may have. Thanks Dr Vineet Malhotra | |
What causes bleeding from nipple?
I had my annual mammogram in which they noticed something a little different behind my left nipple. I then had an ultrasound and then a MRI in which they determined to be nothing. I was then having a slight clear sticky discharge but now it is bleeding spontaneously. They want to perform a galactogram(?). Can this mean cancer? | Hi, dearI have gone through your question. I can understand your concern.You may have some breast disease or nipple pathology. You should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis whether it is cancer or other pathology. Then you should 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. | |
How to treat my father's left side jaw pain?
hello sir i am rupesh from patma ,bihar(INDIA)my father is suffering from nerves jaw pain in left side of his face he consulted many neurologist but he is not feel better till now please help me. i want to treat him local in patna because i am a bank employee so i have not much time. | Hello Rupesh!Welcome on Healthcaremagic!Your father symptoms could be caused by trigeminal neuralgia. For this reason, I would recommend consulting with a neurologist. Treatment with an anti-epileptic drug (phenytoine, carbamazepine, gabapentine, etc.) may be needed. Other treatment options would be local infiltration of the trigeminal nerve with alcohol. Anyway, a brain MRI is necessary to exclude other possible causes of trigeminal neuralgia. Hope you will find this answer helpful!Wishing all the best, Dr. Aida | |
How can burning sensation in the feet be treated?
I have peripheral neuropathy. The skin on my feet is 80% numb and it feels like I am walking on raw muscle and bone. They burn constantly so I can t wear socks or have them covered at night. I am dizzy all the time. I have been told the only hope is a masking drug, which I took for a couple of years but don t really want to spend the rest of my life sleepy. Any suggestions | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Take foods rich in vitamins and minerals,take vitamin B12 shots and pills, control your blood pressure and blood sugars, exercise regularly. These will definitely help. Hope I have answered your query. Let me know if I can assist you further. | |
What causes sudden feeling of everything moving faster than normal?
Hi. From time to time, I have this strange feeling. Everything seems to be passing by very quickly. Even people talking. When I try moving slowly, it still feels fast. It's very hard to explain. Only from time to time though, but I get very scared when it happens. Do you think you can help me? | DearWe understand your concernsI went through your details. I suggest you not to worry much. There are certain things in life which cannot be explained properly. One among them is our mind. Brain uses sensory organs to perceive what ever happening around us. Such perception is based on so many things including past experience, anxiety and stress. Your perception could be due to these factors. Ignore the symptoms and you are clear.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | |
Can Lexapro be taken safely by someone with severe anxiety?
HelloI suffer from severe anxiety. Tried cognitive therapy and hasn't worked. My Dr prescribed me Lexapro but I'm too afraid to take it. I've read horror stories about side effects. But I need help as I am almost becoming home bound. Please help me!!! | Hi sir/madam,welcome to health care magic ,I can certainly understand your concern about your anxiety, you have mentioned that your doctor has prescribed Lexapro Medication for your anxiety, being a psychiatrist I can definitely say that there are side effects for this drug ,as it is an SSRI ie (serum serotonin reuptake inhibitor), as in anxiety and depression serotonin levels get imbalanced in brain so by the use of these drugs its levels could certainly gets balanced The most common side effect is burning sensation in the stomach ie gastritis, Headache, nausea ,vomiting ,erection problems etc but all these are not very common with each and every person and there are a list of Side Effects in the internet,and all but those are very rare and can be seen in less percentages.It works very effectively when you outweigh its side effects.So I can assure you to start on this drug without any suspicion as it works effectively with in 1-2 weeks.you have mentioned that you are almost becoming home bound so regarding that I need some information as you could be suffering with the symptoms of phobia which maybe almost and always associated with anxiety so please get back to me whether you are avoiding to go out of the house because of some fear? , so that I will be able to help you .Hope this information is useful to youplease post your further questions if any,I will always be available to answer. Thank you | |
What are the uses and side effects of clome 100mg and duphaston 10 mg?
I got married last November and i had PCOD from last 5yrs but now my sonography report is ok and i am free from cyst.But i want to conceive now so my doctor gave ma clome 100mg and duphaston 10 mg.i want to know what are the uses and side effect of these two medicine? | Hi, They reset the cycles. It is especially useful if someone were given another drug to block cycles such as in PCOS previously. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | |
What causes streptococcus and is it contagious?
Hello! A patient that had heart surgery a year ago now has a high white blood cell count. Very week and tired. Checked to find fluid around the heart and in lungs. Now in hospital. Told has streptococcal and on antibiotics. Would like to know what would cause this and would this person be contagious? | hello,thanks for your query on HCM,streptococcus infection starts with a upper respiratory tract infection..there is nothing to be contagious...do take adequate antibiotics as prescribed by the doctor depending on pencillin sensitivity,,things will improvewish you good health ahead... |
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