patient_message
stringlengths 22
2.5k
| doctor_response
stringlengths 41
2.5k
| dialogue_context
stringclasses 1
value |
|---|---|---|
How can pain on the left side of the chest be treated?
I’m having chest pain on the left side of my chest I’ve been to the doctor and had an x-ray on my chest for Long and heart problems my heart size was normal and my lungs looked fine I was prescribed muscle relaxers which helped but now the pain has returned
|
Hi, The left side chest pain has to be ruled out for cardiovascular disease. If this is not the pulmonary disease then it has to be looked for cardiac disease now, and for that EKG is the test. Besides this, the symptoms of chest pain can be due to acid peptic disease (hyperacidity). On an empirical basis, Omeprazole can be taken in tablet form, but EKG is a must. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Akhtarhusain, General & Family Physician
| |
Is taking broken Besavar tablets worrisome?
I m visiting family in the USA and am taking Besavar (time-released alfuzosin Hydrochloride) and just took a dose and found one layer of the tablet on the floor next to me...the dosage guidelines warn against breaking the tablets...should I be worried?
|
Hi,A single broken tablet will not cause any harm to you so there is nothing to worry, but from next time please do not take such tablets. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia
| |
Can morphine in prescribed doses cause death?
Hi- My mother was on Hospice care for COPD. In the end, I was administering morphine in doses according to doctor s prescription. I sometimes feel like I am responsible for herdeath, as it seems like assisted suicide. What do you have to share on this topic / issue. Thank you.
|
depression.Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You need to deal with the depression as the reason behind the guilt is depression. It can get treated with escitalopram or fluoxetine or venlafaxine etc.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| |
Dry cough is due to stress or infection?
hello, in December 2010 I had a chest infection with a very bad cough. I still have the cough but I've now been diagnosed with depression - I only cough now (dry hacking cough) when I associate it with the stress that has caused my depression - is this a stress cough or would I still have the infection from Dec 2010?
|
HiNo i think this cough is related to the stress not the last infection.You should be treated well for the depression and than to monitor the cough.Dr.Jolanda
| |
What is the permanent remedy for skin allergy ?
I HAVE SOME KIND OF ALLERGY WHICH I AM UNABLE TO UNDERSTAND. MY SKIN GET GETS RED AND ITICHY I HAVE SHOWED TO TO SKIN SPECIALIST HE GAVE ME CETREZOH TABLET IF I TAKE IT THE SKIN DOES NOT ITICH. BUT IF I DONT TAKE IT THE PROBLEM CONTINUES. I AM FACING THE PROBLEM FROM PAST 6 MTS. IS THERE ANY PERMENANT SOLUTION TO THIS PROBLEM
|
Hello Thanks for your query. I will try my best to provide you with best possible professional recommendations to your questions. Allergies are pretty common. Both genes and environmental factors play a role. Common allergens include:Drugs, Dust, Food, Insect bites, Mold, Pet dander, Pollen. Some people have allergy-like reactions to hot or cold temperatures, sunlight, or other environmental triggers. I advice you to find out the cause which is responsible for it and then sensitization should be done. Allergy testing may be needed to find out whether the symptoms are an actual allergy or are caused by other problems. For example, eating contaminated food (food poisoning) may cause symptoms similar to food allergies. The best way to reduce symptoms is to avoid what causes your allergies. This is especially important for food and drug allergies. Allergy shots are sometimes recommended if you cannot avoid the allergen and your symptoms are hard to control. So i advice you to discuss with your dermatologist regarding this and work on it. Yet again, I do hope that you have found something helpful and I will be glad to answer any further query. Regards
| |
Irregular periods after chemotherapy for lymphoma. Taking Duphaston. How can I conceive?
sir , my problem is that i dnt get concive .6years back my marriage.i had chemoherapy for lymphoma right hand axillery.so after ths treatment i didint get regular period. dr gave me dhuphaston10mg for getting period.while taking thi medicine i have period medicine stoped ...it become irregular.my fsh is 22.2ml. i so tention bcese of not cocieving...pls dr can u give me some advice what i will do....
|
Dear Roopa, Sadly, a known long term side effect of chemotherapy is that it can lead to harmful effects on the oocytes and ovaries leading to premature ovarian failure. Going by your FSH report, that seems to be the case. Occasionally, it may be reversible after a few years of finishing chemotherapy, but mostly it may persist. In such a scenario, Donor egg IVF i.e. doing IVF taking eggs from another woman who donates eggs for you is a reasonable solution in your case.
| |
What is the cost for frenuloplasty and circumcision surgery together?
Hello doctor, I am 34 yr old man. May I know the cost of frenuloplasty and circumcision surgery together? Could u also please suggest a good hospital & an experienced doctor for the same in Bangalore? This query is for myself. Due to my busy schedule I have delayed for long time. I need this to be done the first week of january. can you please guide me. Thanks.
|
Hello and .As an Urologist, i can fully understand your concern.You should know that, frenuloplasty, is not done along with circumcision.There're specific indications for a frenuloplasty.Any Urologist can do a circumcision, under local anesthesia, as a day case.Only children are routinely given a short, general anesthesia.The cost varies in each hospital.In Cochin, it costs around Rs. 8000.Wish you well.Dr.Matthew J. Mangat.
| |
Suggest treatment for arm pain
Good evening ! First and foremost I would like to thank you in advance for taking the time to read and hopefully answer my question.I'm 22 years old (female) and had a compound fracture at the age of 13 on my forearm. Therefore, I had metal plates put in. For the past 2 days, my arm has been hurting me a lot. I cannot describe the pain maybe as if the pulse has increased only in this arm and it feels cold inside. If I rotate my palms facing the ceiling/sky the pain increases! I don't know if I should go to the hospital to check this out immediately. (I don't have insurance.) :'( I'm scared. I hope one of you has an answer for me!!
|
Hi, there!You didnt tell about injuries or hard working with Your hand this week!Its unclear about metal constructions - are they still in Your bone?Presence of metal is risk of bone infection!Its better to visit hospital and get to know, whats wrongI hope this helps
| |
Could a sore on tongue, sore throat and earache be suggestive of throat cancer?
I have had a cancer like sore on side of tongue which nobody seems to be able to diagnose. The oral surgeon suggested a biopsy. Now added to this is a terrible sore throat and ear ache. I am travelling and not home for week but all that I read turns to throat cancer. what kind of doctor should I be seeing
|
Thanks for using health care magic.Read your query and would advise u to visit a ENT surgeon and get the needful done.U cannot diagnose any symptoms as cancer till it is confirmed.Relax and visit a ENT surgeon.Thanks and regards.
| |
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 -->
| |
Suggest treatment for frequent seizures leading to bad falls
hi I have a question..i wondering if you can help me ….I have been falling down stairs and upstairs .this has been going on for a year..and I had 3 serizures last night and one cause me to fall in the bathroom now im hurting.and I had 2 today and the second one cause me to fall down the basement stairs.and I have asthma too and other health problems..my name is XXXX
|
Hello, It is important for performing a brain MRI, considering your clinical situation. I would also recommend checking your thyroid hormone levels, blood electrolytes and performing an EEG for seizures. Antiepileptic drugs may need to be started if you are not already taking them. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
| |
Q. Is Aripiprazole safe for my father who is 65 years old?
Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not so active spell. He stopped lithium due to toxicity, as even low dose was toxic. He started 200 mg quetiapine at night. In manic spell, he used to take up to 30 mg aripiprazole for 2-3 months. Considering his age and other medical conditions, what should be the right combination of medicine? Is aripiprazole safe? (it is very effective in mania for him) Now he has stopped aripiprazole, and he is fine. But he is complaining of restlessness sometimes. He feels like not wanting to sit in a place. What should be given to him in this post mania phase? Please ask for any more details if you require.
|
Hi. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have stopped lithium due to toxicity. Quetiapine is an atypical antipsychotic medication and studies have shown that it is a safe and effective medication for the elderly. The side effects are less when the patient takes Quetiapine. Transient hypotension, dizziness, and somnolence are the only side effects in patients and is seen rarely. Long term use of Quetiapine has shown no serious side effects in the elderly. Aripiprazole is good medicine but might cause agitation and activation in about 8 percent of elderly people who take it. Studies show that in most patients Aripiprazole can be continued at a dose of 10 to 15 mg/day. Aripiprazole has less metabolic side effects than other medicines. Side effects of Aripiprazole include dizziness, weakness, lightheadedness, nausea, vomiting, stomach upset, tiredness, excess saliva or drooling, choking or trouble in swallowing, blurred vision, headache, anxiety, weight gain, drowsiness, sleep problems (insomnia) and constipation. There is a little increase in the risk of stroke in the elderly due to the intake of antipsychotic medicines, though this is very less. It is very important to go into details of patient problems when prescribing and changing doses of medicines. I hope your father is managing well with his diabetes and blood pressure. Considering the above, it is best to prescribe medicines based on benefit and risk. Some patients might do well without medicine without much bipolar symptoms and in the absence of frequent attacks, however many require medicines like your father. There is no fixed regimen over one medicine being better than the rest but medicine like Aripiprazole has fewer side effects. Can you please let us know the treatment he has undertaken in the last 2 years, including medicine name and duration for which it was taken, dose, symptoms, and improvements.
| |
What causes sharp chest pain upon breathing?
Jackson, age 65, comes to the doctor’s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause?
|
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * Most common issues can be underlying respiratory infection in form of bronchitis, pneumonia or others. * Method of diagnosis is usually lab tests with complete blood counts, sputum microscopy and x-ray chest. * Specific signs the doctor look for pinpoint cause are - increased respiratory rate, type of breathing on inspection. -tenderness over particular intercostal spaces on palpation. - type of breathing sound abnormalities and air entry on auscultation. Hope I have answered your query. Let me know if I can assist you further.
| |
Can Tradjenta be tried to control blood sugar levels before taking the prescribed Victoza?
Hello. I am 62 years old and slim physic I have been a dietetic since 2007 taking 2 met for in a day. Recently my sugars have creeped up from 6.7 to 7.0 recently. That is my A1C. My current endocrinologist put me on trulicity .75 mg. I am nauseous and he feels it will be ok after I try it for 12 to 6 weeks. My insurance will not pay so he change it to Vitoza which I need to take daily. I really wanted to try tragenta He feels I will not get the coverage Vitoza will give. I just want to see if oral would do the job. Is there harm by trying tragenta first?
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Well, what I understand in the context of your lean body and pretty good Glycemic control. I just wonder, you may better try something else before switching to this injectable drugs. Yes, Victoza may give a bit more coverage than Tradjenta but your sugar is pretty good and you may well try Tradjenta first. We generally advise Victoza to people who have poor control in spite of using 2 or more drugs and who are obese. You don't have any of the two. So if there is no other reason for Victoza you better try Tradjenta for few months. Recheck your A1C and then to see ahead. I hope it will work. You can increase the dose but this also should only be done with the consulting of your primary consultant as he understand things in more details and he may have much better plans for you. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahboob Ur Rahman
| |
Sinus condition, blood and mucus from nose after sneezing. Family history of nasopharyngeal cancer. Treatment?
Hi, I am 29, married guy with two daughter. I am a social smoker. Since kids i always has sinus problem. I will easily sneeze especially in the morning. But for the past half years, i found out my sneeze has strong smell, it like blood smell. After i sneeze, the room full the smell and my family member cant stand on it. Yesterday when i sneeze hardly, i saw some blood clot come together with the mucus . I am worry.. For your info, my dad is a nasopharynl cancer patient and passed away after struggle with cancer for about 2 years.
|
Dear Concerned., Thanks for writing to us. You may be having exacerbations and remissions of Chronic sinusitis due to repeated infections and also aggravated by your smoking habit.Do you also have loss of weight/ loss of weight and evening rise in temperature? Pls investigate with routine Blood counts/blood chemistry/urinalysis/sputum for microscopy and routine/AFB Test for Sputum /PAP Smear test of Sputum sample. In addition Radiologiocal Tests for Paranasal Sinuses such as X-Ray PNS and CT as required. Consult an ENT Surgeon for endoscopic lavage of the sample and analysis for its pathology for a definitive diagnosis and institution of therapy. Taking empirical treatment without proper investigations will only lead to postponement of definitive diagnosis. So please follow the above protocol. Wishing you a quick recovery., Best Regards., Dr Lt Cdr ASN Bhushan, Ex-navy.
| |
Does masturbation cause any health issues?
there are different ideas about masterbation, some says its normal some say that masterbating is very harmful for health, i am 25 yrs old and have it once a week or more than that most of time, is it harmful for my health and future, plz answer this question urgently thanks
|
Hi, Masterbation is a safe way of satisfying your sexual desires and it has no side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN
| |
Suggest treatment for swollen and bruised knee
i fell over a week ago and landed on my right knee a little bit hard. i have a small bruise and i also have a burning feeling. when i try to get up while using it i cant put pressure on it. i can walk good with it. i can put my leg straight when i lay down but not for very long. i have put ice on it though
|
Hi.If u can walk without pain and instability than you probably have no internal ligament and bone injury. Take analgesics and some rest and keep knee elevated on pillow and see if things improve
| |
What causes hunger,dizziness and nausea frequently?
Hello Doctor, I am Sridhar Mani from Qatar.. My age is 34, sex ; M .. Last one week i have been facing a nausea/hunger most of the time with slight giddiness most of the time in a day. Do not see any disturbance or vision effect during day/night during sleep. Last 10 days back had done the ECG/Blood/uric/Sugar test where everything was normal except very miniumul increase in cholestrol level. Just due to this i am unable to concentrate on my work and panic.. I did also taken some paracetamol (panadaol) for two times during a week and stopped taking it further.. Whom should i consult to get this cured and what is the reason for this dizziness and nausea. Please also give your suggestions on the food to be taken during this time to get it cured. Thanks, best regards, Sridhar
|
Hello Sridhar!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms could be related to gastritis or gastro-esophageal reflux. A metabolic disorder can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some further tests: -a fibrogastroscopy to investigate for reflux or gastritis- PCR, ESR for inflammation- thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful!Kind regards, Dr. Iliri
| |
What causes a red pimple on the penis gland?
I recently have noticed a small red pimple -like bump on my penis glans. It is close to the opening of my penis. I tried to ignore it and wondered about maybe an irritation from boxer shorts fabric. A a week or so later, close to the bump area I noticed a small purple-ish colored line ,(1/8 inch or so) that kind of appears just under the skin surface. I am married and have not have sex for awhile now, so am very curious about what this could be. Suggestions?
|
HelloThanks for query.Based on the information that you have provided it seems to be infection of glans Penis (Ballanitis).You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.It should get cured within a week.Dr.Patil.
| |
White patch in corner of mouth inside cheek, tough, biting cheek. Could this be linked to oral cancer?
Hi, I have a white patch inside the corner of my mouth (inside cheek) caused because I bite the insides of my cheek. Ive been doing it for years and typically it heals with no problem. This white patch is tough (like a corn on your toe ) and has now been there for about 2 months. My dentist noticed it a month ago and said stop biting my cheek. I have tried by tend to do it still now and then. I am worried that this particular patch is still there and read that it could be linked to oral cancer . Is this a high probability or am I worried about nothing?
|
Hi, Thank you for the query. Repeated trauma to cheek will lead to formation of traumatic ulcer which on long standing can develop malignancy Yes, the possibility of an area which is repeatedly subjected to trauma turning into cancer is more , soo better try to stop the habit of cheek biting . As well check for any sharp margins present on the teeth which is causing cheek bite and treat it by selective grinding technique. Hope this information helps you.
| |
Does shoulder dystocia in a child at birth cause future complication?
my son was born with 3.800 kg and he had left shoulder dsylocatia in the time of delivery through vaccum and he had jitterness twice but he did not get that jitterness further and now he is good and active and he is normal whether he ll get further complications later
|
Thank you for sharing your query on Healthcaremagic, I have carefully worked through your case, the babies with shoulder dystocia can develop temporary or permanent complications, the most common of these injuries are damage to the brachial plexus nerves, the potential long-term consequences depends on the nature and extent of the injury.Fortunately most brachial plexus birth injuries are transient, the majority of such injuries resolve by 3 months, with a range of 2 weeks-12 months, only a 4 to 15 % result in some degree of permanent injury such as hand muscle imbalance, deformities of the shoulder and elbow and the compromised arm can be 10 cm shorter than the nonaffected arm. Please kindly rate if my advise has been helpful Wishing you a good health Dr Tania Portelles-Driggs
| |
Suggest treatment for high bilirubin count
hi doctor my name is ajay my age 20and height 5,8 and weight 68 & and my billirubin was 8.44 and i take only liver 52 and some natural medicine and my diet is very light and i did not use oily , spices but last 1 week i feel very poor so what can i do right now tell me
|
hi,thanks for posting query at HCM.i read your query and understood your concern.high bilirubin level should be properly investigated if you have associated yellow sclera/skin. are liver enzymes elevated too? are the major causes ruled out, from liver pathology to hemolytic anemias?therefore, your advised to visit a hepatologist to find a cause of bilirubin and further course of action maybe advised accordingly.blood tests, and radiological examination maybe done to find out a cause ( if any).hope to answer your concern.wish you good and sound healthregardsDr Tayyab Malik
| |
Suggest treatment for lump on head and headaches a year after head injury
Hiya,just over a year a go I blacked out on my way down I hit my head and had a seizure I was unconscious for about a minute.I didn t want to go to the hospital at the time.I ve still got a small hard lump on my head and get pain in my spine and back occasionally..should I be worried or will this sort it s self out? Thanks :)
|
Hello !Thank you for your question on HCM!I think that the small hard lump on your head is not a problem. It may be caused by a fibrous tissue after a subcutaneous hemorrhage . The occasional head and back pain may not be related to the trauma. It is more possible to be caused by muscular contractions from degenerative changes of your spinal column, or a possible wrong position during the day. The seizure after a hit is a feature of head concussion , but it happens usually only once. So to conclude I would say that there is nothing to worry about. Hope to have been of help!Best wishes, Dr. Abaz Quka
| |
What does a cyst on face of a child indicate?
I have a six y/o little brother who has gotten a cyst or boil on his face, or something else.I cannot tell. It s red and pus filled, the size of a bb gun pellet, and doesn t seem to cause him any pain, he hardly notices it. He s had it on his face for a week and a half, it just literally popped up. My question is if anyone could help me identify it? Then hopefully proceed with the removal of the unsightly blemish.
|
Hi, any swelling - boil like filled with pus and with redness indicates infection. Usually, if small it decrease by itself. If it is increasing in size and associated with any fever/ pain needs to be treated.Please never an never manipulate the cyst with your hands as it further aggravates infection.Thanks
| |
How can allergic bronchitis be treated?
I am 31 years old Male, i have been suffering from dry cough from last 1.5 Months. I have consulted 2 Doctors 1 have diagnosed me simple infection and other have diagnosed me allergic bronchitis. I have taken cepiflox, duolin (repsules), budecort (repsules), Levofloex-500, omnacortil and one Anti-Paracite. I have taken an X-ray of my chest, it was reported as incresed broncovehsular markings and Prominent Hila. i used to smoke but i have quit since last 1 year.
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since you have history of smoking and showing prominent bronchovascular markings on chest x ray, possibility of chronic bronchitis is more likely. So better to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with long acting inhaled bronchodilators (formoterol or salmeterol and tiotropium). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night is also beneficial. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.
| |
80 yrs. Noticable leaning to right side while sitting. Have arthritis, on medication for high BP. Any ideas?
hi have noticed my 80 year old mother has started leaning to the right when she is sitting down. It has become very noticable recently, other people have mentioned it to me though she herself is unaware of it. any ideas?She suffers from arthritus and has had some falls a year or so ago. She is around 5ft tall and weighs nearly 9 stone. She is on medication for high blood pressure. Joanna .
|
leaning to the one side that is to the right while sitting with out her knowledge indicates cerebellar infarcts/haemorrhage on right side. may be because of high blood pressure and history of falls and old age where we notice brain atrophy causing laxity of brain in the calvarium. there may be chances of collection of old clotted blood also. i advice her to undergo a CT Scan brain with thin posterior fossa cuts(5 mm cuts)
| |
What is the surgery procedure for undergoing hernia veternal ?
hi. i am 25 year old female with a 2 1/2 year old son. from past 3 months i am experiencing pain above my belly button on and off... was just given pain killers by doctors as it was considered muscular spasm due to lifting heavy baggage while travelling to my homeland. but in my last visit to the doctor, which was 2 days back, i was said it seems a case of hernia veternal n i will have to undergo a surgery . i am having another appointment with a surgeon now next week n also an ultrasound session. i am just freaking out about surgery as i am too young and i am also scared that i will have problems in concieving again... it will be very helpful if anyone can guide me about the surgery procedure. also what could be da possible question i should be asking my surgeon next week... any help would be greatly appreciated. thank you.
|
Hi, This type of hernias do require surgery only. After due investigations as suggested by your surgeon, you can plan the surgery. Usually it won't hamper in conceiving again.
| |
Suggest treatment for diarrhea and vomiting of a 5 year old
My 5 years old son had the flu last week but he is over it. Last night he had involuntary diareaha and through today he had diareaha... Tonight in bed he wak up by another involuntary diareaha and a vomit. Other then that he seems normal with no other symptoms...
|
Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.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).,
| |
What could be the reason for abdominal pains ?
im having chronic pain around my belly button aera and very weak there to and i feel like its moving around. i missed a period last month but this month its back to normal. friday g.p arranged an ultra sound after pressing near the pain. What could it be and what can an ultra sound reveal?? Many thanks
|
Hello there You need to get that ultrasound asap.The first thing to rule out is apeendicitis.Other possibilities are ovarian cyst.An examination would be most helpful to narrow that down.
| |
Had prostate cancer. Taken steroid injection. Done surgery. Done blood test, psa dropped. What is the relationship?
My husband had prostate cancer surgery in Dec 2012 and his first check up after the surgery his psa results were a little higher than the doctor wanted and he repeated the psa test a few weeks later. The psa had dropped and has since then until this last week it came back .7 and he will have another blood test tomorrow. Since his surgery he has had a problem with his back and as a result has had three sets of steriod injections and ultimately surgery in late July to remove a small piece of verbrae that was compressing a nerve. Could the steriod injections play a role in the increase of psa.
|
Hi!welcome to HCM!No,steroid injections do not affect PSA levelsPSA or Prostate-specific antigen, is a protein produced by cells of the prostate gland.The higher a man’s PSA level, the more likely it is that he has prostate cancer .In addition to prostate cancer, a number of benign (not cancerous) conditions can cause a man’s PSA level to rise. The most frequent are prostatitis and benign prostatic hyperplasia (BPH) or a urinary tract infection.Your husband had a high PSA level due to prostate cancer and as soon as the surgery was done and cancer was removed level came back to normal.Now the fresh rise can be due to recurrence.If PSA level continues to rise or if a suspicious lump is detected during a DRE, the doctor may recommend imaging such as a transrectal ultrasound, x-rays, cystoscopy OR biopsy.hope your queries are answeredtake care!
| |
What causes recurring hallucinations?
Hi My friend has this recurring nightmare where hes chasing after someone a man he cant remember what he wears but he loses him and goes to this house the house looks rather decrepit and old theirs an old man on a rocking chair and a pit bull this old women comes out and asks if he wants food to which he says yes. He follows her inside to which she shows him the bottom floor she then tells him to stay where he is while she cooks and will tell him when he can come in if he does anything such as move a bit or go up the stairs or open a door she will come running and rip his face off causing him to wake up. he manages to run out one time and stands still and laughs she teleport behind him and rips his face off do you know what it means he has it every night.
|
HaiDo a sleep EEG,POLYSOMNOGRAPHYGet a Neurologist opinionusually Benzodizepine (clonazepam) improves the symptom but a through examination is warrantedthank you
| |
Q. I throw out my upper back and neck and it is causing pain. What to do about it?
Hello doctor,I am 20 and about every two months I throw out my upper back and neck causing pain in my upper back, shoulders, neck, and down my arms. I am a waitress and I am assuming that is what is causing my issues but is there something more I should be doing? Chiropractic work seems to help but I feel like at such a young age I should not be having this happen so often.
|
Hello. Your description is suggestive of a trigger spot in the upper back and neck. Most likely this is postural and result of your professional requirements. You need to see a good physiotherapist who could help rectify your postural issues. You are already on Fluoxetine and need good NSAID tablets, hot packs or ice and deep myofascial release. For more information consult a spine health specialist online -->
| |
Whay causes trigger finger with flushes?
for six months I ve been experiencing moderate flushing feelings only at night they start off small in my chest then spreads. Its s not hot flashes, I ve had them before and stopped having them two years ago. It happens 2 to 3 times at night and theres no sweating. I also have what the orthopedic says is trigger finger in my right thumb and now it seems the same is happening with my left thumb. Oh and also the flushing feeling is only alleviated by getting out of bed and moving around. Please someone help, I m a retired nurse and have never heard of these symptoms could they be related? Cindy
|
Hi, As you are retired and may be after the age of 55, may be you are in menopause, due to that you may encounter flushes. However, more worry, tension and fear also cause flushes. It's okay. You just need to relax and cool down. Your problem is trigger finger see it's totally muscles imbalance in fingers, we can prevent it from spreading with good physiotherapy treatment. You can take ultrasound therapy and IFT therapy also for pain relief and prevention of stiffness. Hope I have answered your query. Let me know if I can assist you further. Regards, Hemang S Jani, Physical Therapist or Physiotherapist
| |
Q. My mother is diabetic as well as hypertensive. Please give an opinion on her retinal detachment.
Hello doctor, I am worried about my mother's retinal detachment. She has diabetes and hypertension. I have an x-ray of her eye. She is currently located abroad and I would love to have a second opinion on what process she should be taking.
|
Hello. Let me first reassure you, your mother case seems to be not urgent. Judging by the information you gave and the attached O.C.T scan (attachment removed to protect patient identity) you have done: -The left eye seems quite normal. -The right eye has some macular edema. Meaning that there is fluid in the retina that is causing retinal stretching. Also, I can see neurosensory detachment in the retina too, this is probably due to long-standing diabetes. Retinal detachment usually manifests with seeing a bright light and floaters in the visual field as well as a drop of vision. (I will need to know if anything new happened to her vision). In this case, my opinion is: Your ophthalmologist will need to 1. Intravitreal injections of Avastin. This will help absorb the fluid leaking in the retina and causing the stretching. 2. If there is detachment he will need to reposition the retina with a vitrectomy procedure and retinal fixation and implanting temporary silicone. Do not worry this procedure can help maintain vision and maybe fix it for the better. It can be a little bit costly and you have to select an experienced vitreoretinal surgeon. 3. Diabetes control, your mom will need to check her diabetes with an internist. I need to know further information as regards to her vision, previous medical history and operation done. When was the last time she has checked with an ophthalmologist so I can help you and tell you more about her management. Retinal degeneration. Macular edema. Neurosensory detachment.
| |
What causes inflammation in cervix and bad odor during discharge?
My daughter has been told that she may have cervical cancer ! the doctor said her cervix was very inflamed ulcerated and bloody !! she has a bad smelling discharge irugular bleeding and pain !! but her cervical smear was normal less that 3 years ago ! im very worried about how bad her case my be !!!
|
Hi, dearI have gone through your question. I can understand your concern. She may have acute or chronic cervicites. She has inflammation and discharge so chances of infection is there. But she should ho for pap smear examination once gor screening of cervical cancer. Consult your gynecologist 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.
| |
What is the treatment for a red spot in the testicles?
hi my son 13 years old son he have use alcohol and put his private part in the cold water bathtub.When he woke up he use bathroom and find out his private area part is red mark and testicles little mark too.Help what should i use for my son private part get rid of red mark it is burning skin.
|
Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein and I will try to help you as much as I can.You should just apply mild steroid ointments and it will be fine. This is probably just scrotal skin irritation.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health.
| |
Can i conceive after taking nerothisterone 5 ?
can i conceive after taking nerothisterone 5. i had no menses , but i have been on medication all in vein. th scan says mi uterus is of samll, overies not seen properly. but wen i was put on nerothisterone 5 i got mi menses for 2 days only. there medication was for two weeks. will i conceive after this its like the problem is with ovaries? advise. Doreen
|
Hello If you are not getting your menses properly then ovulation is probably not happening.You need to be investigated thoroughly and have blood tests and ovulation studies done.If you are not ovulating then you may need drugs to help with that.See a fertility specialist.
| |
Suffering from unexplained infertility. Swelling in the uterus. Taking CCQ, Trypsin and Doxycyclin. Are these right medications?
Hello Doctor, I am suffering from unexplained secondary infertility and taking treatment since Nov 2010 but not successful. I just changed my doctor after examination she told me i have swelling in uterus .So she gave me CCQ 50, Trypsin Chypsin (Chymec Forte) and Doxycilin 100mg for 10 days. I just need to know am i on right track. As i have already taken enough and almost every treatment. Kindly help a stressed patient. Regards, Shelly
|
Hello Thanks for your query.From your statement it looks like that you have unexplained infertility. It seems that you have been taking medicines without getting investigated properly There is nothing like swelling of the uterus that should be the cause of infertility.Please consult some Infertility Specialist who will carry out some blood test to find out cause of infertility and treat you accordingly.Do not worry what you need is to have proper evaluation.
| |
What are the side effects of allergy shots?
Is there a down side to taking allergy shots? I ve heard that it can be terrible for your body. Apparently I am allergic to pet dander. It s not severe, just causes uncomfortable drainage and it does effect my ears from time to time. What is your take on the shots?
|
HiYou can discuss for this better with an alergologist for taking in consideration the vaccinesRegardsDr.Jolanda
| |
Q. Is it unsafe to reduce calories while reducing weight?
Hi doctor, Recently I started losing weight. I cut my calories to 1200, and this worked well for a couple weeks. But now I am stalling and I am afraid to make my calories lower, I have heard this can be unsafe. What should I do? Some people say I should increase my calories again since my body might be in starvation mode, while others say I should further decrease it.
|
Hello. You are in the spiral that many dieters find themselves in after strict low calory diets. I will not recommend that you starve yourself as you are likely to enter starvation mode. This will also mean long-term consequences to your general health. Please exercise and stay healthy and aim for a healthy rather than a weak body. You should aim long-term weight loss rather than the short term as your weight will bounce back if you stick to this regime.
| |
Q. How can hemorrhoids be treated?
Hello doctor, I am a 47-year-old female. I have hemorrhoids that are really causing me pain these days. Can you suggest me any over-the-counter creams or medications? Do I really need to see a doctor?
|
Hello. If it is an external hemorrhoid or if thrombosed or thrombophlebitis, it may cause pain. Eat a high-fiber diet. Avoid spicy food and alcohol. Do regular exercise and drink plenty of water. Use syrup Lactulose 30 ml at night. If symptoms have not improved please consult your physician. He will examine you locally to know whether it is a fissure or internal or external hemorrhoids and treat you accordingly. For more information consult an internal medicine physician online -->
| |
What does the US with 8mm polyps on gall bladder indicate?
I had an ultrasound in Nov that showed that I had several stomes/polyps lagest one 5mm. Repeated ultrasound in March & showed several polyps largest one 8mm. Makes me wonder if that 5mm grew that quick or measurements not correct. Considering removing gallblader but unsure.
|
Hi, dearI have gone through your question. I can understand your concern.You have multiple polyps in gall bladder. Largest was 5 mm in November and now its 8 mm. It may be slightly increased and 1 to 2 mm variation is common so its not a big difference. whether it is 5 mm or 8 mm it doesn't make any difference in treatment. You should go for cholycystectomy.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health.
| |
What causes bump on labia and recurring bump on inner thigh?
Hi, I found a pimple like bump on my inner thigh earlier this month. This has actually happened before and according to my gyne, it is just an enlarged lymph node, which will disappear. It did disappear after a while but now it reappear on the different side of the inner thigh. In addition to that, today i found another bump on the labia... it is not painful, but it has itchy and stinging feeling when touch.. Is this just a common infection? Will the usage of sanitary pads causes it, since I just had my period?
|
Hi,It seems that there might be having chronic infection in your lower genital tract producing recurrent enlarged inguinal lymph nodes.There might be having some infection like ingrown hair follicle infection, razor bump or even yeast infection or allergy to sanitary pads.Keep local hygiene clean, dry and airy particularly during period time.Wear cotton inner wears.Apply triple action cream locally.Ok and take care.
| |
Q. Suffering from autophony. Will tuboplasty provide a permanent relief?
Dear doctor, I am a 19 year old male. From the last three years, I have been facing the symptoms of Patulous Eustachian Tube with the eustachian tubes partially open few times in a day. My own voice becomes distorted and sounds like it is coming from a vacuum. Breath sounds are enhanced and swallowing and chewing becomes disturbingly loud as they vibrate inside my own ears. I had previously consulted a doctor and after following his medication there was a temporary relief but after 3 to 4 months, those symptoms have again started occurring but not severe and, it occurs for a short time and when I suck air by closing my mouth and nose, the heaviness of sound diminishes. The problem with my left ear is more severe than the right one and left ear shows disturbing signs more frequently. Please help.
|
Hi. I feel a naso and otoendoscopy is first necessary to confirm the diagnosis. The condition is not dangerous unless it leads to some middle ear problem. If you can manage by doing a manoeuvre like how you described, it might help in symptom control and you may not need any intervention. Tuboplasty can be done for this condition but the diagnosis has to be established and assessed before attempting anything. Revert back to an ENT otolaryngologist online -->
| |
Is there a way to pregnant if missed a dose of microgestin ?
Okay So I m on microgestin 1.5/30 and I take it around 9 to 11 every night I never miss a pill I had sex for like a minute unprotected and then we stopped because I got scared he didint cum in me but there was probably precum my doctor makes me take the active pills for 4 months straight and skip the inactive ones so I get my period every 4 months should I be worried about becoming pregnant ?
|
Hallow Dear,Before I get to your main query, let me inform you that precum which gets expelled out unknowingly does contain some sperms which can cause pregnancy. So you should never rely on pull out technique. Now, if you are so regular in taking your contraceptive pills Microgestin 1.5/30, you need not be worried about pregnancy due to one drop in the pills. In fact missing up to 3 pills is permissible in one cycle without affecting the contraceptive effect. While taking the active pills only for continuous 4 months, you may get a breakthrough bleeding sometimes. You need not become panicky for that. Doubling the dose would stop such bleeding. I hope this provides you answer to your dilemma. Dr. Nishikant Shrotri
| |
Have swollen, red, bleeding gums. Did floss cause something stuck. Not getting out. What to do?
I believe I got something stuck in my gums. I was flossing last a night and a little piece of something gray appears but I couldn't get it out. Now I can't see it, but my goes are swollen and red and bleeding when I brush. I tried flossing it out and it didn't work. It's really hurting! What can I do to try to get it out?
|
Hi, Thanks for asking the query, Bleeding gums can be due to improper oral hygiene, plague and calculus deposition, vitamin deficiencies, systemic conditions. It can be a food particle stuck in between the teeth, try to remove it with the help of sterile dental floss. If not then visit to the Dentist and get the checkup done, Go for complete mouth scaling and polishing done. In the clinic it can easily come out with the help of instruments like mouth mirror, probe. Maintain a good oral hygiene, use antiseptic mouthwash gargles twice daily. Hope this helps out. Regards...
| |
How to treat pain in calf muscle?
very bad pain in calf muscle was working nights on Tuesday and the pain just started, did not feel as though I pulled or jerked it, still very sore and its now Monday, usually I can walk 3 to 4 miles each day but cannot now had veins on both legs done last year
|
Hello, I have studied your case. Calf Muscle cramps can be reduced byMassaging the cramped muscle with your hands or oilDrinking plenty of fluids to avoid dehydrationStretching your leg muscles or riding a stationary cycle.Taking diet rich in calcium and potassium or oral supplements of the sameCheck your vit B12 and Vit D 3 levels.Till time, avoid lifting weights, You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.If no relief then you can consult your doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| |
Suggest precautions with polycystic kidney disease
My brother(age-21 years) is having a polycystic kidney disease.Now he is not facing any problem.but I want to know about the care that he should take to stay healthy. My father has passed away as he is on dialysis and suffering from polycystic kidney disease. Please guide us about this disease and precautions that we should take.
|
Hello and welcome to HCM.As an Urologist,i can understand your anxiety.Your brother has APKD.This is a genetic disease inherited from parents.All children should get an annual ultrasound scan,even if it's normal.Once diagnosed,check urine routine and culture.Blood routine,creatinine,RBS,LFT,and electrolytes.Normally it manifests in the fourth or fifth decades. It can lead to complications like,stones,infection,hematuria,other organ cysts and failure.If you've any other doubts,send your doubts as a direct question to me.Dr.Matthew J. Mangat.
| |
Which out of methadone or oxycodone is better pain killer?
Hi my name is Kimmkey and I have been diagnosed with many illnesses. I am 43 and have been a bakery manager for 20 years. I was put on 120mg of methadone ( it was way cheaper than oxycotin which they put me on first) and 150 oxycodone 5mg for breakthrough pain. My doctor read in a md journal it s not good to be on those pain meds. he s taking me off of all of them I m so scared I d rather die I am comfortable now and he said he thought I would be ok on them but they are no good. I feel suicidal and want to die. I will not suffer in life. please tell what I should do I am on medicare and medicade. I am also disabled I just received triple the care giving hours because of my pain. I m not lazy my quality of life is good because I m not suffering. Tell me me what to do
|
Long term painkillers might creat another organ like liver disorders. painkillers hide diseases rather than treat it. you are 43 years old, so you must go on for test for endocrine disorders like thyroid and ovary to rule out any any pathology or insufficiency.Bone degeneration is common at this age so test for alkaline phosphatase and vitamin DE level should be checked.Accordingly take medication for that.Till time, avoid painkiller as much as possible
| |
Suggest medication for gout
yes. what type of medicienc do you take for this gount I have dealing with this for some years now and I have been takinking this alliporinol and it its not helping my legs are all ways stiff and I cant hardly walk for along time my feet are alwalys swollen and I cabt were nothing flat shone any more and they are assize alarger is this alife time thing
|
Hello,I have studied your case . Gout is a metabolic disease and you need to control your diet to prevent its progression. It can be done by avoiding seeds, high protein diet and red meat and alcohol. Also do not eat lot of foods in a binge.You said that you are taking allopurinol since long time and it is not showing any good effect, so you can shift to Fabuxostat. this is also a very good medicine and it is given in cases where Fabuxostat is not effective.I hope these steps will be helpful for you.Let me know if there is any other followup questions.thanks
| |
What does cholesterol level:255,LDL:170 and HDL-P-189 suggest?
My Cholesterol just jumped up significantly - I'm 43 and in otherwise great health, on no other meds. For the past 10 years or so, I have had fairly consistent results ranging between 190 and 210 (6 months ago), now it is 255! This comes win NO change in diet, and an increase in exercise. Go figure!? LDL is also high at 170 and non-HDL-P (what is this?) is 189. So I'm very concerned -- the doctor wants to put me on lovastatin (?) but he is out of the office for a few days and I want to discuss with him before taking the prescription. In the meantime, I am very concerned -- are these ridiculously "unsafe" levels? Can i wait? I should also mention that my fasting was about 9 hours (I was told to fast 8 hours by the doc, so I had some wine and pretzels at midnight) -- my test was at 10am. Did this possibly affect the results? I hear 12 hours is the norm.
|
Definitely need to start medication with healthy lifestyle... taking fasting blood sugar after 8 hrs is ok
| |
Can without dialysis cause sudden death with renal problem?
my father was diagnosised with renal problem and his creatitine level and urea level was increasing day by day from 4.5 to 6.1 within three days and he become restless on the fourth day. Doctors did not dialysis him on the three days. On the fourth day they dialysis him and he expired. What will be the cause sir?. We have lost a valuable father for us?
|
Hello and welcome to HCM.As an Urologist,i can understand your anxiety and share your loss.To begin with,certainly your father was not in good health.You haven't written his age,nor his other medical problems with duration.There must be some reason for his kidney failure,needing dialysis.The other medical reasons could contribute to rapid deterioration,once dialysis was stopped. Dialysis may not be indicated to be done daily.The exact cause, as to why dialysis wasn't done for three days, can be asked to the treating doctor. Dr.Matthew J. Mangat.
| |
What causes the outbreak of hives with rashes round the neck?
my 6 year old son gets hives and had a break out 2 weeks ago . for 2 days now has a light rash around his neck . then tonight a hive looking bump showed up on his foreskin just below the head of his penis . what could this be and how soon should I take him to the doctors (he says its a little sore to the touch
|
Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.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).,
| |
Suggest treatment for chest pain in a child
hi, i m a mother of 11 year old son since last couple of months he is complaining of having pain in his heart. For last few days he is continuously complaining about his pain. I have also checked his BP and Pulse both were normal. Please note that he usually have constipation.
|
Probably your son is suffering from costochondritis (inflammation of chest bone), or muscle stretching etc.Give paracetamol and ibuprofen. If not relieved consult doctor.
| |
Suggest remedy for bubbles in mouth due to burn in 1 year old
I accidently spilled some hot water onto my 1 month old daughter today and she has some bubbles in a few areas and they appear to be filled with liquid and the skin around the areas are red what should I do to help treat it and should I take her to the emergency room
|
You should definitely take her to a doctor, as the area around the mouth is very delicate. Do not burst the bubbles open under any circumstances, but if they open by themselves, apply an antibacterial cream on them before you reach the doctor. If possible, cover the raw area with cotton or gauze. Dr. Taher
| |
What are the side effects of using Asthalin inhaler 100 mcg in a child?
my daughter is 2 years 10 months she is suffering of acute cough and cold dr. suggested her athalin 100mcg 2 puffs for 4 times for first 2 days and then gradually 1 puff twice for five days following budecort100mcg 2 puffs twice for two days then 1 puff twice for 1 month then stop. I am worried about the side effects of these doses in future.
|
There are no major side-effects with either inhaler. You can safely use them now, and you can use them again, and again, if these attacks are repeated. However, use them under medical supervision. Budecort inhalers are steroids and you should clean the girl's mouth, tongue and gums with a rinse and wash after she has been given this inhaler, as otherwise, there is a risk of oral thrush, a kind of fungus infection of the mouth.Hope this helps!Dr. Taher
| |
Is pressure in the chest upon lying down a matter of concern?
Slight chest pressure only when laying down....no pain, no breathing difficulty, no fever, no sweating, no funny “gray” color to my skin. But my Dr said he heard a clicking sound in my chest. Should I be concerned? He has requested a chest X-ray and I’m on Humera.
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since your all symptom is chest pain without breathlessness, possibility of musculoskeletal pain is more. But your doctor heard something so better to get done chest X-ray to rule out lung diseases. Chest X-ray is normal then no need to worry much. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or acetaminophen. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar
| |
After taking cetrizine HCL 20 mg and nasal spray feel sleepy
I am 49 years old male with diabetes2 high bp and high cholestrol. I worked very hard, two weeks back , I have dumped clear rocks with dust from my drive way to my back yard, its very hard job. After that I am not feeling well , I had dry cough , no energy in my legs and arms, I went to see my family doctor , he gave me Cetrizine HCL 20 mg and nasal spray, he said I have allergy but after taking pills I get sleep and no energy again, just sleep and sleep and constipation too. I have no energy in my legs. A little yellow stuff comes out only in the morning otherwise whole day no yellow stuff , there is no throat infection, no fever, I am so upset. I am very active and energetic person but not feek=ling well. Please help me. Thanks
|
Hi,thanks for query.Your doctor is right you have allergy.The drug that you are taking sometimes causes sedation in some patients,so you should talk to your doctor about this to change the drug or reduce the dose.Please make sure your diabetes is in control.You can also take vitamin supplements like b complex and vit e for your weakness,please discuss this with your doctor and you will be fine. wishing you good health.
| |
Suggest treatment for neck pain
my back hi, At the end of last summer, my nack started to be a little bit pain ful at soe spots. i first thought that it was in reason of the work i was doing but now it keeps getting worse. plus its now all over my back starting at my head and going all the way down. every where in my back, craks every day. some times i walk diferently. where should i go and what should i do?
|
Hi, I need to know following answers from you to guide you the best as 1. What's your age? 2. What's your occupation? 3. Are you doing a long hour standing job? 4. Do you feel morning stiffness, fever, weakness? 5. Is there any family history of same? what you need to do is, get these investigations done first: 1. Hgm with ESR 2. CRP 3. X-ray dorsal lumbar spine ap and lateral views in flexion and extension 4. MRI dorsolumbar spine with a screening of the whole spine 5. HLA B27 6. ANTICCP. Follow these to relieve your pain 1. Take rest 2. Avoid bending, weight lifting. 3. Use a hard bed to sleep 4. Give hot fomentation 5. Take any good muscle relaxant such as thiocolchicoside 6. Take physiotherapy sessions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon
| |
Diagnosed with reoccurring Carcinoid in stomach. Is is a cancerous tumor? What is the medication?
In 2011, diagnosed with Carcinoid in Stomach. No Symptoms except weight loss of about 7 kgs in 8 months. Underwent partial Gastrectomy in June 2011. Again it has recurred now in March 2013. My present Sr. Gastrin level is 2445 & Sr. Chromogranin-A is 645. No metastasis as per Dotonac PETCT. IHC (Ki-67) is less than 2%. Is is a cancerous tumor. What is the medication for reducing the growth of tumor / Sr. Gastrin & Chromogranin-A levels and also what is the medication for controlling / curing the growth of the tumer. Also suggest the next course of treatment.
|
Hi and welcome to HCM.The next course should be surgical procedure again if tumor is localized. Surgery, if feasible, is the only curative therapy. Symptoms can be treated by octreotide but this is just symptomatic therapy. It is neuroendocrine tumor and are considered as malignant but not as much as adenocarcinomas. Also it can but rarely metastase. Wish you good health.
| |
What could stroke after bile duct analysis for gallbladder infection indicate?
My husband was admitted to the hospital for an infected gallbladder. He was in great pain and they wanted to do further tests. Because he was in such pain they put him on morphine. He is 59 and was in good health except for a low platelet count which was diagnosed two weeks earlier. After a test the second evening during which he was anesthetized and his bile ducts examined and cleaned e was returned to his room pretty quickly. He seemed fine so we left (10:15 pm) When I returned at 7:45 th next morning, he had had a stroke and no one was aware. There was blood coming from one side of his mouth and he was wearing a diaper and was unresponsive. What happened?!?! I have gotten no answers. He is now in rehab trying to learn to walk and move his right hand. He can speak but has some cognitive difficulties. We are not litigious people, but can t get answers regarding what happened the night we left him alone. Please provide insight and advise.
|
HiI have gone through your query & understand your concern.I think he needs to be evaluated clinically for the underlying cause of stroke which can be hypertension, diabetes, any vascular malformation, etc. But as this happened immediately after surgery, his gall bladder disease needs to be evaluated too whether it was just infection or is it something malignant. But stroke does not cause bleeding in vomitus or sputum.In stroke, a patient becomes paralysed or some body parts become weak and patient is unable to move them on his own so rehabilitation is required. Hope my answer helps you.Thank you for contacting healthcare magic.
| |
What could be the small hard movable lump on side of head with regular pain?
Hi I have found a small lump the size of a pea on the top left hand side of my head , it s hard and it s moveable in a 4cm radius . I also have a recent lazy left eye .i get pains in my left side of my head every now and then .is this something to worry about like a tumor ???
|
Hi,Thanks for writing to HCM.That can be a sebaceous cyst or a dermoid cyst. But better to show it to a surgeon for a physical examination and excision.Dr. Ashish Verma
| |
Taking Femedone contraceptive, finished the course and had periods. Am I still protected?
Hi, I have recently started the pill (femedone) which i use as a contraceptive . I finished my last pill on Monday 11th Feb and began the 7 day break on Tuesday 12th in which I should have begun the next pack on Tuesday 19th after my 7 day break. However, I took my pill a day early (Monday 18th). Is this ok? Am I still protected? Many thanks, Emily.
|
Hello. Thanks for writing to us. Taking the first pill of the next pack a day earlier is not worrisome. This does not decrease the efficacy of protection. You are still protected against pregnancy. Please do not worry and continue with the rest of the pills.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,drrakhitayal@gmail.com
| |
What does the following sperm test report indicate?
Dear Sir,My Sperm count is 30%Total Motility is 50%Sperm Motility is Like - Grade I - 30%Grade II - 30%Grade III - 20%Grade IV - 20%Sperm Morphology is - Normal % Abnormal 10% and Dead 60%Pus Cells - 8-10so can you please tell me about my report is it normal or not if no so can u suggest me Which treatment can i do?
|
Hi, I think your sperm motility is on lower side. Get a semen culture and sensitivity test done to see if there is any infection. Take some antioxidants and vitamin supplements for 3 months. You can repeat a semen analysis after one month with 3 to 5 days of abstinence.You can try naturally for a pregnancy if your wife has no fertility issues. Be in contact with your wife every 2 to 3 days after her periods stop. If it doesn't work, you can go for IUI. Talk to your doctor regarding this. Hope it helps.
| |
Q. Can drinking too much soda cause gastritis?
Hi doctor, I have been drinking soda four times a day instead of drinking water. I did not drink water for a month. I eat a lot of junk food and lots of dairy milk. After a couple of weeks, I noticed a mild stomach discomfort accompanied by excessive belching and passing gas, constipation, pain in the left upper quadrant that sometimes radiates to the chest. There is bloating, pain below the center of the diaphragm, dizziness whenever there is a feeling of pressure in the abdomen and there is back pain. Whenever I squeeze the center of my back I feel the pressure in front of my abdomen, my left side of the ribcage and whenever I press on it I can feel the air bubbles moving in my intestines and there is belching.
|
Hello. Your symptoms of pain in the left upper quadrant, pain in the diaphragm are all suggestive of gastritis, which is due to over-consumption of junk foods and soda. Drink as much water as you can but not immediately after meals. Try to eat small frequent meals. Eat a lot of fruits and vegetables, it will relieve the problem of constipation. Avoid or consume minimal oily and spicy foods. Avoid smoking and drinking. Do some physical activity daily for at least 30 minutes. For a few days, you can take capsule Pantoprazole 40 mg half an hour before breakfast once a day to relieve your acute signs of gastritis. For more information consult a general practitioner online -->
| |
What causes discomfort while breathing at night?
Had recent blood clots in the lower lungs and pneumonia from having a knee scope done 5 days earlier. In the hospital 6 days and now on coumadin. My question is I have this rubbing feeling on the inside of my right lung (I did have more clots on the right side) sometimes when I breath. The dull rubbing like pain occurs mostly when I lay down at night. Enough to wake me. When I went to the ER I was in terrible pain mainly in my back and could not lay down because of the pain and couldn t breath. I want to know what the rubbing feeling is from.
|
Hello, The rubbing feeling while lying down at night is due to spasm of bronchi from residual pneumonia effect. In our clinic, we recommend semi-reclining position, bronchodilator medicines, precise antibiotic, and an analgesic which does not aggravate the bronchi spasm. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel
| |
Suggest treatment for lump on the left side of the head
I took my six year old daughter to the doc about a month ago because of a lump on the left side of her head near her ear. The doc prescribed antibiotics--which my daughter completed, and the lump is still there. Because the lump was still present, we did blood work, but nothing was found. Six weeks later, my daughter still has the lump on the left side of her head, and now a smaller lump has appeared on the right side of her head.
|
Hi I am Dr Fahim and I will help you with your problemI have gone through your question. Needs answer to some questions to reach diagnosis- a swelling is single or there is group of swellings?- any history of fever, night sweats or weight loss?- any history of throat infection?- skin changes over the lumo?Anyhow with available information it appears to be lymph node enlargement of post auricular group. It drain lymphatics of the head, neck and throat. If does not respond to antibiotics it might be some other pathology. You need to see a general surgeon, who might carried out biopsy of the lump and send it to histopathology to get a definitive diagnosis.I hope my answer will help you. Do rate it if you like it.Regards
| |
What are chances of successful conception with the given sperm analysis report?
Hi Doc, my hus has below sperm factors.pls advise if we can try naturally. sperm count... 68 million/ml total count per ejaculate... 168 million motility fast proggressive..10% slow progressive.. 30% sluggishly progressive...15% non motile.. 45 % morphologhy normal forms..55% pls advise i have pco and my periods go missing once in 3 months
|
Hello dearI understand your concernIn sperm analysis: count is normal.Total sperm motility should be >=40%.So semen analysis is within normal limit and conception is possible.But PCOS can cause problem in conception.To regularize the period consult the gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.Drugs like krimson 35, metformin, clomiphene citrate, duphaston will help youDo regualr exercise and lose weight (10-12%) if you are obese.Take healthy diet, avoid stress and drink plenty of waterHope this may help youContact HCM for further health queryBest regardsDr.Sagar
| |
Can stress cause elevated Troponin levels, have high Blood Pressure and Triglycerides?
my husband is 28 years old, 5 10, 190lbs. Went to emergency room with chest pain and numbness in his left arm. Blood work indicated Troponin I levels at panic level and he was admitted. The ekg was normal, echo cardiogram was normal, heart CT was normal. They released him from the hospital and said the blood work must be wrong. I assume all five blood tests were wrong (unbelievable). His blood pressure has been high for over one year (minimum level of 130/80 pulse 80) and typically rises at night when at rest. His vision has deteriorated to the point that he cannot wear contacts and according to the eye doctor, is at risk of losing his sight. In addition, his triglycerides are 507 mg/dL. We eat a heart healthy diet - no red meat, no fried foods, limit sugar and salt. His kidney function is fine and he is not diabetic. He has experienced EXTREME stress at work recently which I believe contributed to the chest pain; however, if it is not his heart or kidneys, what else can cause the elevated troponin I ??
|
Hi ThereAfter going through the details provided by you i understand your concern for your husbands health.The scenario of having a positive TROP I along with the symptoms like chest pain and left arm numbness clearly points towards the clinical diagnosis of an heart attack especially when the patient also have increased TRIGLYCERIDE levels.But then a normal EKG, ECHO, and a CT is quite unusual, making the TROP I report questionable.Keeping all the conditions in mind i would like to suggest to go for a CONVENTIONAL CORONARY ANGIOGRAPHY for your husband to be 100% sure that he does not have any amount of blockage in the heart vessels. Rest continue healthy lifestyle habits.I wish him good health
| |
How to confirm Tuberculosis?
I have a lymph node on my right side of the neck. I taught is was cold sore and i was following with the medication of pain killer and antibiotic for 1 week. Since there was no improvement i was advised for FNAC test. FNAC report says SUGGESTIVE TUBERCULOSIS. Then i was advised to have MONTOX TEST and X-RAY, where both montox and xray reports says its NORMAL. AFB is also negative. Now what should i do? 1. Should i have to start ATT based on the FNAC report ? 2. Is there any other confirmative test method which i have to do? please suggest me
|
Yes you can get the lymph nod excised completely by a small surgery and send it for culture. Send a small part also for histopathology.Both the reports can very well confirm tuberculosis. You can also send the tissue sample for a newer diagnostic test like GENEXPERT/RIF test
| |
Can diprofos injection be used for knee pain?
What is Diprofos injection and is it recommended for knee pain I am 54 years 5 6 weighs 165 lbs suffering from severe pain in the right knee for almost 6 months antiflamatory tabs help but on completion of dose pain recurs - xrays show no signs of arthritis etc.
|
Hi, Diprofos is a corticosteroid injection and some surgeons use it for early osteoarthritis to relieve pain. In your situation since you have early knee OA you will benefit from one of the newer Hyaluronic knee injection now available. Corticosteroid injections though can be of limited use are best avoided as better options are available.In addition please decrease your body weight, do knee exercises, take anti inflammatory tablets on and off. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. George Verghese, Orthopedic Surgeon
| |
How to take BP medication to prevent nausea?
hi i have high blood pressure and i am taking three tablets in the morning with a pint of water since march 2010,,now i am starting to feel sick after i drink a pint of water with my tablets,is there any other drink i could have with my tablets insteed of water,,,thank you.
|
Hello,If the water is the main cause of vomiting then reduce the amount of water because it is not necessary to drink a pint of water but you can just have water that helps in swallowing the tablet. Of course, you can have any soft drink, even milk can be tried, soda water can also be tried.In my opinion, the underlying cause of vomiting needs to be found out because it may not be due to water induced but could be due to something else, gastritis, acid peptic disease could be the cause.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akhtarhusain
| |
Q. My son's behavior has become worst due to Strattera. What to do?
Hi doctor, My son is 6 years old and has been diagnosed with ADHD, ODD and sensory integration disorder. He had Adderall XR 5 mg for a while and recently was changed to Strattera 27 mg. My son has been experiencing major insomnia, high aggressive behaviors which involved throwing objects at people, hitting, punching people, kicking and biting especially adults. As his mother I do not believe that he has ADHD. Although he has ODD, it is a normal thing in a 6 year old. However, the behavior is not becoming better and it has actually become worst to the point where he is on the verge of being kicked out of everything. I want to take him away from all medications, because I do not want my 6 year old on them to begin with. However, I am out of ideas and it scares me because my son could be really wonderful, but currently he is not at all. Can you help me with any suggestions?
|
Hello. Revert back with the answers to an internal medicine physician online -->
| |
How to cure symptoms of extreme dizziness,cough,tonsils & shortness of breath?
hi this is anmol. i am 26 years old. symtoms short breathing black and grey stoolconstipationextreme fatigue extreme dizzinesscoughtonsils sliperrinessloss of appetiteloss in sex habitsweight lossback painjoints painunexplained feelingbut never pain in stomachall symtoms for 1.5 year
|
Hello anmol!Welcome to HCM!Your complaints may be related to different disorders affecting the gastro-intestinal tract( black and grey stool, constipation), the musculo-skeletal system (fatigue, back pain, joints pain), the respiratory system (tonsils and cough) and general condition. These may be coincidental complaints or related to each other. The most probable cause in this case would be a metabolic disorder or autoimmune disorder. Anxiety and depression could cause a similar clinical scenario. I recommend consulting with your GP for a careful physical examination, a resting ECG, chest x ray and some blood lab tests as follows: - complete blood count- inflammation tests (fibrinogen, PCR, sedimentation)- fasting glucose- thyroid hormone levels and cortisol plasma levels- kidney and liver function tests - blood electrolytes- a stool analysis- anti streptolysin o titer ( indicative of post streptococcus infection complications). If all the above tests, result normal a psychiatric consult for depression and anxiety would be necessary. Hope to have been of help!Best regards, Dr. Iliri
| |
What causes rise in BP?
I am taking generic for zebeta. dose is 2.5 mg q am. for atrial fib. lately my bld. pressure has been going up in the late afternoon in the range of 140/80 and just now was 150/90. my heart rate is 53. I have been taking the other half of zebeta around 7:00 pm. The bld pressure comes down after about 2 hrs. and in the morning it is up again. Any recommendations?
|
HIWell come to HCMI really appreciate your concern, if you feel that your blood pressure is not controlling well then you need to consult physician for further investigation and it is most advisable to read the blood pressure by physician because if you are reading it on your own then chances of error is very likely, EKG need to be get done on and often if this is atrial fibrillation, you have not given your basic information here and that is your age and gender this was extremely needed here for better advise, cardiac disease always need to be managed by cardiologist, hope this information helps, have a nice day.
| |
Suggest treatment for pain due to hip surgery
Yes I had 2 hip surgerys last year and im still in alot of pain. My family doctor can t percribe me my pain management meds any more. I went to the hosiptal this morning and tjey wont help. Is their a place or doctor. I can see today so I can not be in so much pain
|
Hello, The pain after hip surgery can be due to many causes. There can be a hematoma formation or due to soft tissue injury. This needs direct proper examination preferably by your operating surgeon for proper management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
| |
Q. Do you recommend any specific test to know the reason for headache and tinnitus?
Hi doctor,Before a month, I went for earwax cleaning, and it was unsuccessful. The second attempt after three days was fine. There were some irritation and blood was found on the removed cerumen. According to the ear specialist, there is no ear inflammation. My complaints are top right-sided burning spot in the head, which is triggered with belching and movement and tinnitus. They started after right ear water cleaning. I was prescribed with Sofradex 8 mg ear drops. I had Nurofen 400 mg for two days and stopped due to side effects. General blood tests including HIV and syphilis were conducted eight days after ear cleaning and all tests were normal.
|
Hi. I read your query and gone through the attached blood reports (attachment removed to protect patient identity). For further information consult a neurologist online -->
| |
What causes swollen gland in neck?
For 2 years now a gland on the side of my neck has been swollen, it s firm. I also have a good amount of tiny squisy lumps on the sides of my neck. More swollen lymph nodes consistsnt of my submandibular gland. The one is very swollen but no pain, the other is less swollen but hurts to touch. I also tire very quickly, it s recently gotten bad. I m not too sure what has causes all this, i had mono two years ago & had a very supressed immune system after
|
Hello, Multiple lymph nodes in the neck have to be evaluated because it can be a sign of tuberculosis or hematological diseases. Consult a physician and get evaluated. A fine needle biopsy is required to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| |
How to get off of Vyvanse and Zoloft?
Hello, I've been on Vyvanse for 3 mo.'s total and Zoloft 2 mo total. I started taking the zoloft right I was already on the Vyvanse for 1 mo. I want to get off both of them. I went from Vyvanse 20 to 30 for two months and now my doctor putting me on 20 again. My Zoloft went from 50 to 100 to 100 again. He doesn't know I'm bout to get off of it. how do I got about it the right way?
|
Hello, Welcome to Health Care MagicVyvanse is an amphetamine drug and Zoloft is Sertraline. Abrupt stoppage of the drug cause precipitation of withdrawal symptoms, so it is advised to taper the doses of drug gradually. In normal conditions doses are reduced to about 20-25% every 2 weeks and completely stopped at about 6-10 weeks. In this manner you will not face withdrawal symptoms. You can start decreasing the dose by 5-10 mg each 2 weeks for Vyvanse and by about 25 mg each 2 weeks for Zoloft. Consult your psychiatrist to taper the doses in this manner.Hope this helps you, Thanks
| |
Sore and swollen elbow near area of contraceptive implant. Related conditions?
i had the contracetive implant inserted in May 2012 and then suddenly 2 weeks ago the elbow area is sore and swollen actually very close to the siteof the implant I am wondering that is? went to the family planning clinic where i was told that the implant is in perfect condition and does not appear to be linked to swelling is there any possible link?
|
HI Dear,As per my understanding, the implant is in place for more than a year without any problem. In case it did not suit you, you would have had problem much before. Also, you got it checked and it is in place. So i think there is no connection between your sore elbow and the implant. Please consult an orthopedician
| |
Hemangioblastoma removed. Swelling nerve in brain. Seen ENT, neurologist. Smell smoke. Attacks of dizziness. Is symptoms related to swelling nerve?
I smell smoke constantly and nobody I spend time with smokes. I have also had several attacks dizziness, which I've seen an ENT and a neurologist for. I have swelling of the 7th (?) nerve in my brain. I have had a brain tumor previously and am wondering if my symptoms may be related to the swelling nerve? The tumor I had was a hemangioblastoma and was successfully removed in 1998.
|
Hi,Thank you for posting your query.Your symptom could be an olfactory hallucination or cacosmia, where an offensive/abnormal smell is experienced, when none exist in the vicinity. This could be related to your nerve swelling and tumor, especially if the temporal lobe was affected. You may discuss this with your neurologist.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com
| |
Is nausea at night a symptom of stomach cancer?
I have a history of barretts and need recheck in two yrs but ent doc sending me to gastro doc.. My question is getting up in middle of night about to vomit but cant. I eat late like 7pm and have incline pillow but still have to throw up. Not actually doing it though. I am terrified its cancer of stomach or esaphogus. Am I worried for nothing? 62 yrs female white
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes it might be a symptom of cancer. You need to get an endoscopy done to rule it out. Hope I have answered your query. Let me know if I can assist you further.
| |
What are the symptoms of hyperthyroidism in children?
What would be the symptoms portrayed by a 3 1/2 year old if he has hyperthyroidism? My daughter has been diagnosed with hyperthyroidism. Her son has been having huge mood swings,itching, clearing his throat loudly, is loving, sweet, seems smart and more mature than his age but has continuously been becoming more and more mean, hitting, kicking, pinching, biting, throwing things at family, walls, saying he does not have to listen to us, he does not love us, etc., etc.! He is in constant motion, running around, getting into everything, totally wild. Then, all of a sudden he can become loving , wanting his cuddling, telling us how much he loves his family. Should he be checked to make sure that he has not developed hyperthyroidism? Sincerely, Grandma Kathy ( Retired RN and Concerned Grandma)
|
Hello and welcome to 'Ask a doctor' service . I have reviewed your query and here is my answer . One thing is sure it is not a thyroid problem. Anyway thyroid problem can be diagnosed by a simple blood test .Your grandchild's symptom should be assessed by a child psychiatrist . Hope I have answered your query. Let me know if I can assist you further.
| |
Suggest treatment for dog bite in a child
My 2 1/2 yr old son has been biten. He has red lines coming from the bite which are roughly 3-4 cms long. I took him to the hospital amd was told to go to chemist to get something for it. Just wanting a second opinion. I have a photo if that helps. Thankyu
|
Hi....your kid needs anti rabies vaccination and right now I suggest you clean the affected area with flowing clean water and soap.But... 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).
| |
Mouth issues after quit tobacco chewing
I am 18, and I dipped tobacco on and off for two years. I quit six months ago and now my only tobacco intake is the occasional cigar (once a month-ish). My mouth seems to be sore and I have these things hanging from my tongue that resemble stalagtites. Also, the floor of my mouth has puffed up a little ( symmetrical shapes on each side). I am not sure if it was like that before or if I am just being paranoid. I have my normal (every six months) dentist appointment in about a month. Should I be worried about these symptoms?
|
Hi, It seems you do not have a problem. It is appreciable that you have quit tobacco chewing. Smoking can deteriorate the condition of your gums. So please quit the habit.
| |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
| |
Suggest medicines for high blood pressure
My sister does have High Blood pressure and yes she take med for it....this is not this 1st time this has happen to her.....yesterday she was driving down the road.....someone in the car with her told her to pull over she was all over the road...it was my 85 yr old father...she told him she was dizzling,,,,,her blood pressure was 199/101 ..... they call family member they came and drove her home the went by a prime care place that where they told her it was too high they told her to go home a rest so it would come down. By in March Nancy blood pressure got so high she was put in hospital for 2 days she couldn t remember anything..I mean what day of the week it was, who she was marry to or even that she had more than 1 child each day things began to come back they got it down some they gave her shot....final just sent her home..and said go to dr.....that was the end ..he medical dr said just make sure you take your pills each day....the also said sound like she had enter ear....she really believe that all it is..
|
DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERN.. WHATEVER YOU TOLD FROM THAT IT SEEMS THAT YOUR SISTER HAD AN EPISODE OF HYPERTENSIVE ENCEPHALOPATHY WHICH LEAD TO CLOUDING OF HER MEMORY TEMPORARILYWHICH GOT RELIVED WITH TRAETMENT BYY THE DOCTORREGARDING THE TREATMENT OF HYPERTENSION PROBABLY YOUR SISTER IS EITHER NOT COMPLIANT WITH MEDICINE HENCE SHE HAD THIS SUDDEN RISE IN BPTHERE ARE MANY MEDICINES FOR HTN RANGING FROM ACE INHIBITORS, CALCIUM CHANNEL BLOCKERS ETC WHICH CAN DISCUSSED WITH YOUR CARDIOLOGIST AND THE NECESSARY MEDICINE BE STARTEDHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
| |
Suggest a better medication for hair loss
hi sir, am krishnan and am 22 yrs old.. i have hair loss for the past two three years..i would wear helmet wen i go to college for the past three years..i thought my hair fall is only because of this helmet usage..last year i completed my college course.after tat i am havin my hair loss more than before..i went to a dermatologist nearby and he suggested me Folica hair tincture.i used tat fr two to three weeks.but i felt a light itching sensation in my head and i thought its because of that tincture and i stopped using that. i wanna make clear whether is that tincture a good solution fr hair loss.?? and also is tat itching related with this usage?? and also if i stop using that solution, will i get more hair loss than before.?? pls try to ans my doubts and give some suggestions..
|
Hello Krishnan and welcome to HCMFrom your description your hair fall might have started due to the helmet wearing, oiliness, pollution etc. It is a common complaint. Following that, stress, work, poor diet, hair styling products, dandruff, change in water etc could have aggravated the problem.Also you need to check for other causes like thyroid problems, low iron /hemoglobin, any illness like fever, typhoid, any long term medication. Any genetic hair loss, or balding in the family could make you more prone to hair fall.You can check with a dermatologist regarding any tests required to check for these causes.The tincture might cause tingling sensation because of its contents. I would advise you to start on a hair supplement capsule like Keraglo Men or Follihair daily for 2-3 months to see improvement. Any treatment needs to be taken for a few months regularly to see good results. Consult the doctor regarding other options like minoxidil solution or other effective hair growth serum if tincture is not helpful for you.Be sure to take a nutritious diet and adequate rest, avoid stress.Hope this helps you
| |
What causes pain in right abdomen with pressure in anus?
hi I have severe pain in my right abdomen from the belly button over across my abdomen into my side it doesn't hurt as much when I sit still but it makes it almost impossible to walk as well as some pressure in the anal area I'm also running a fever of 101 it all came on suddenly last night I'm not sure what exactly it is if you could give me any ideas I'd appreciate it thank you
|
Hi.Thanks for your query.The most probable cause of pain in the right side of the abdomen along with pressure in the anus and now fever can be an intestinal infection; Enterocolitis.I would advise you the following:Get a 5-day course of an antibiotic and metronidazole. See the responseGet ultrasonography and tests of the stool , urine and blood done and get the further treatment as per the reports.
| |
Suggest remedy for pain in neck and lower part of head from car accident?
hi ,I was involved in a car accident , was struck from behind by another vehicle.... I started to notice significant pain in my neck, lower part of my head,periodically I also feel pins and needles down my right arm . what advice would you give me? Thanks a lot!
|
Hi and welcome to HCM Thanks for the query. yu need to visit neurologist who can decide about further management. this is common symtpoms of head contusion and neck distension but if symptoms perisst you need medical attentionWish you good health. Regards
| |
Dark red circle on chest. Relief with anti allergic medicines. Stiff muscular strip formed. Cause?
Hi, I had about 6 inches diameter dark red circle that extnded on the front of my chest to back of left hand shoulder calf and covering full armpit. This was about 4-5 weeks ago. I thought it may be due to some insect bite as I work in my yard growing vegetables. It did not itch . I took few anti allergy tablets and today its redness has diminished by about 90%. But today I noticed there is about 4x1 inches long muscular lump in my shoulder calf behind the left arm and close to armpit in an area that was covered by the large red circle described above. It feels like a stiff mucle strip and the skin above this stiff muscle is reddish color 2x2 inches rectangular size. There is little pain when I squeeze this red muscular strip. What could be the reason? Thanaaks in advance for your inputs. Gope.
|
Hello Gopu, It may be a form of urticaria since it has had a good response to antihistamines. Insect bite is a strong possibility but as it is coming up in different areas and different times it may be urticaria that has started after an infectious trigger. You can continue to use the antihistamines but have it checked out if you have symptoms of muscle aches, fevers, night sweats etc.
| |
What does this semen analysis report indicate?
hello doctor well I have been trying to conceive for sometime now but when we visited a doctor my husband was found to have liquefaction time of one hour and 30min could this be normal or the cause of us not conceiving if so what can we do to rectify the problem
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is just a single parameter in whole semen analysis and it is very difficult to decide any thing on this single parameter. I would like to view the complete semen analysis report before making any decision. Hope I have answered your query. Let me know if I can assist you further.
| |
Can eating slate pencil cause stomach ache?
hello doctor i was eating slate pencil before 3yrs. not nw but for the last one year i am geting stomach pain and stomach upset rarely like 3 months once or5 mnths once. is this becasuse of slate pencil intake. or any problem with me. i like to have slate pencil
|
yes , it may cause, slate pencil may cause bezoar formation in stomach. that may be a Cause of pain, but if I were your treating physician - will do investigation first for confirmation of diagnosis I
| |
Q. I was diagnosed with peptic ulcer for blood in stool but medication did not help. Why?
Hello doctor, I was diagnosed with peptic ulcers because I was having blood (fresh) in my stool. I am on medication but the medication is not effective because my blood has not stopped for even one day. It keeps coming every time I go to pass stool and at times my stool has blood in it too. My stomach feels stretchy most of the times and I feel cramps too often. A few days back, I have started facing left side pain as well. I do not really know what is the reason for the blood not stopping and my pains. Just to add, I do not have constipation issues because I am having Ispaghol every night before sleeping. The medication I am taking are Sucralfate enema (once daily), Transamin 500 mg (twice daily), Mebever 200 mg (twice daily), Motilium 10 mg (twice daily), Caflam (twice daily), Ciproxin 500 mg (twice daily), and Ispaghol (before sleeping).
|
Hello. Well, the peptic ulcer disease often presents with upper abdominal pain. It does not present with per rectal bleeding unless some once has a brisk and huge amount of bleeding ulcers with the stomach or small bowel. And the color of stools often appears dark tarry black, if the source of bleeding in within the stomach or small bowel. I understand you have fresh red color bleeding in stools which comes every day you pass stools. Plus cramps and pain over the left lower side of the abdomen suggest few possibilities. 1. Infections with the parasites such as E. Histolytica. 2. Diverticulosis with diverticular bleeding. 3. Ulcerative colitis is an autoimmune inflammatory disease causing ulcers in the rectum and large bowel (colon). I want you to stop Caflam (Diclofenac) since this is a painkiller and can cause ulcers within the stomach, small bowel, and large bowel. It can also precipitate your peptic ulcer disease. I recommend you to use tablet Flagyl 400 mg thrice daily for five days, plus capsule Cefspan (Cefixime) 400 mg once daily for five days. I ask you to get the following tests and get back to me once they are done. I would further guide on you what to do next. You should also stop Mebever, Motilium, and Cirpoxcin, they would not be useful in your case. Rest of your medication can be continued. Plus take capsule Esomeprazole 40 mg half an hour before breakfast daily. This is for your peptic ulcer disease. I hope this helps. Infection colitis. Ulcerative colitis. Diverticulosis and diverticular bleeding. Solitary rectal ulcer syndrome, Anal fissure. Complete blood count, stool for detail report, stool for ova and parasites, stool for C.diffcile antigen, stool for fecal calprotectin, IHA titers for E histolytica, serum CRP (C-reactive protein) level.
| |
What could a mass on upper lung indicate?
Hi, I am 54 yrs old and have cad/w2 stents that are 12 yrs old . I have a lot of chest pain and also hurting in my upper back. When I move around (walking , doing housework,etc) my ribs feel like they are squeezing together. I have high cholesterol, high blood pressure, and was recently diagnosed with diabetes. I am on meds for all problems. I also had a left heart cath done in Dec. and was told everything looked good. Also Drs discovered a mass on my upper right lung in Dec. I saw a pulmonary Dr , and he told me my symptoms were not from my lungs. What should be the next course of action to figure out what is going on?
|
Hello,You should do a chest CT for the mass and for the symptoms better to consult your cardiologist.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Jnikolla
| |
Lump under mongolian blue spot on scalp, pain. Have chronic migraine. What could this be?
hi i have a birthmark (mongolian blue spot) on the left side of my scalp i noticed a small lump underneath it when i was around 15 but thought nothing of it until recently (now im 21) when i noticed it had grown considerably from about 3cm to about 5-6 centimeters and every so often i can feel a dull acheing pain and i now suffer from chronic migraines im worried about what this could be i was just wondering if you may have any idea considering for me to have the mongolian blue spot on my scalp is unusual in itself i greatly appreciate any info you can offer
|
recent increase in the size of the spot on the scalp which you mentioned is something to be worried about. is ther any pain , itching or redness over the spot and how are the borders of the spot is it - regular and well defined or irregular and illdefined? how was it progressing - gradual or sudden? some times a spot like melanotic spot may have serious consequences and your sufferring from chronic migrane that is dull aching pain. so it is always advisable to consult a neurologist and a dermatologist for physical examination. you may require a CT scan brain and a skin biopsy from that spot over the scalp.
| |
Prolonged hiccups. Jaundice suggested in the blood test. Kidney and liver affected. Not able to stop smoking. Any advice?
My dad who is 67 is having prolonged hiccups till now (started 2 weeks ago). The doctors told there is sign of jaundice in his blood test . They said it effected his liver and kidney . He is also a heart patient. He has gone through a bypass surgery 9 years ago but he is unable to give up smoking . He has diabetics and high blood pressure. He has become very thin. He has got no proper sleep due to the hiccups He is also unable to eat well. His skin looks very dry.We are worried about his health condition. Can anyone please advise us how to help him.
|
Hiccups in ur case may be caused by a simple gastritis, or a gastroparesis (delayed emptying of stomach) caused by diabetes. If ur father has liver and kidney problems, I want to know the values of bilirubin and urea, creatinine. Till then he may try metaclopramide tablets thrice daily along with pantoprazole twice daily for a week. Or he may try chlorpromazine tablets under ur doctor's supervision. There r various methods to stimulate vagus nerve and stop hiccups. Encourage him that he can be without smoking and boost up his confidence to stop it. Tell him some success stories. Then u can go for nicotine gums or lozenges to replace cigarettes
| |
How to get rid off the swelling in the belt of motor and not able to keep the fingers straight?
my hand got injured in the belt of motor,due to which 06 tapes were given on the back side,and dressing for two months.After 02 months the tapes were taken out,but swelling is still there ,but i am not able to keep my fingers straight nor can do any work.photographs enclosed,sir please advise.
|
Hello!Welcome on Healthcaremagic!Your symptoms could be related to altered lymphatic drainage (which would explain the persistent swelling) or to a pinched nerve (which would explain the inability to keep your fingers straight) caused by the trauma. For this reason, I recommend consulting with your attending physician. A nerve conduction study is necessary to examine the nerves in this limb and exclude a pinched nerve, which would need surgery. Other tests to study the lymphatic drainage are necessary too. You should discuss with your doctor on the above issues. But my advice is to perform those tests as soon as better, because sometimes recovery is very slow when it is too late. Hope you will find this answer helpful!Best wishes, Dr. Aida
| |
White-head like pimple on tongue, dental work done, blister formation, stings on touching. Suggestions?
Have had a witehead-like pimple on the right side of my tongue for almost 3 weeks ago. Exactly 3 weeks ago, I had some dental work in that place in my mouth. a couple days after that, I noticed a painful blister there, and started doing mouthwashes. It turned into this whitehead structure a week ago. It stings when it is touched, and is rather raised. Male, 59, 5 11 , 190.
|
Hello, Thanks for posting your query. White bumps on your right side of the tongue that hurt are most likely caused due to constant irritation of the fungiform papillae. Allow the soreness to run its course, and wait for natural healing. The only practical solution to quicken healing is avoiding irritation to the affected tongue area, or else pain symptom will worsen. Say no to hot drinks (tea, coffee), acidic food and sweet goodies. All these can aggravate painful tongue sores. If it persists I suggest you to consult your dentist for thorough examination. Hope I have answered your query. Wishing you good health. Regards.
| |
What causes low iron saturation after a total hip replacement?
I have had total hip replacement. I was given an iron supplement because my count was down after surgery. I had it checked again recently and the hemoglobin count is fine but my iron saturation is low. Can this be caused by the blood thinner Eliquis or is it just because of the surgery.
|
Hi,Blood thinners per Se don't cause iron loss. Do check if you are losing blood from anywhere or did you bleed a lot during surgery. Do take a iron rich diet. You have to take iron tablets for 6 months to improve your iron stores. However it is important to look for cause of iron loss and consult a hematologist at the earliest for the same.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.