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What could cause a rise in B12 levels on blood test?
Hi, I have been taking sublingual b12 for about a year now. (My lab work showed a b12 serum level of 299 and I was showing several symptoms of deficiency.) While this has helped I still do not feel great. I went back and my doctor had me get a b12 injection. About 10 minutes later I had blood drawn for blood work. My blood work showed a b12 serum level of >1500 so she said I do not need to receive the next scheduled b12 injections. Could having the injection before the blood work have given this high result? | Taking a blood sample after administration of intravenous vit b12 will show falsely elevated b12 levels. hence the decision in your case is flawed due to the sample timing error. | |
How to cure the bad smell occurring in the vaccum teeth?
Hi,.. Good day,. in my molar part,. theres a broken teeth after this I have a big hole, after theres two teeth which was never grow, so what i mean is the big hole i have is in the middle of those teeth ive mentioned, i am in a foreign country so its hard for me to see a dentist, Do you have natural remedy for this big hole because it has smell. Thank you for your kindness.Godbless. | HIThank for asking to HCMI can understand your problem, you need to clean it after every meal and use any good mouth wash or gargle this you can do otherwise for permanent solution it requires complete dental procedure, and for that you have to see the dentist, take care and have nice day. | |
Pain in the ovary. Have cyst, tubes tied. Worried about cancer
Hi I have had pain in my right side where my right ovary is I have had some problem cyst, but just recently had my tubes tide n they had to do the procedure as they would do a c section, today I went n had ultrasound n they found either fluid sak or air around my ovary she really couldn't tell me but I'm scared, what could it be is cancer a possibility | Dear Ma'am,Sorry to hear about your problem. Ovarian cysts are a common problem and not all of them are cancerous. Fluid collection around the ovaries can also be due to many causes and from the description of your symptoms, it does not look malignant. You should get a repeat USG after 2 months to assess the size of the lesion. If it is increasing in size, it would be advisable to get it removed.Hoping for the best. | |
What causes high fever, elevated WBC and blood in urine?
Yes i have question regarding a 7 yr old girl. She has had fever above 103.7 was taken to doctor tested for strep, it was negative no coughing or sore throat. fever persist. Has elevated white blood count and blood in urine but not urine infection, and a rash all over body. | Hi dear welcome to the HCM,This is a changing season good for the flaring of viral infection.Now days we have to think of dengue fever in every febrile child.Baby further needs to be investigated for diseases like dengue,UPPER UTI, TYPHOID etc.elevated Counts are also possible in some acute phase because of the body reaction.HOp the query is answered.Thanks | |
What causes hotness in abdominal area?
My 11 year old son has abdominal heat so bad he has to take off all his clothes it is painful and is getting worse. It started about 4 months ago. I thought he had to go to the bathroom. But it has gotten more and more frequent over time the heat on his abdomin is very hot | Hi.... by what you Quote I feel that your kid might be having vasculitic phenomenon. I suggest that you consult your pediatrician regarding this as it requires further evaluation. If there had been any Rash or joint pains and severe abdominal pain then it will be a medical emergency.Regards - Dr. Sumanth | |
What causes pain around kidney area?
Pain around kidney area my kidney area and my shoulder have been sore for 4-5 days. It has been Sharp pain; taking deep breaths make the Sharp pain also. It started with a stomach pain, after eating a gas station sandwich; then the next day I swung some golf clubs, which I haven't done in years which resulted with my pain the following next day. | Hi,Thanks for writing in.It is most likely associated with muscle spasms due to golf clubbing after a long time. You may allow yourself enough rest if it is an acute pain and apply ointments containing pain killers and muscle relaxants. There might also be herniated discs causing your pain due to pressure on nerve roots. You may try light stretching exercises once your pain decreases and always warm up before going on long golf sessions. | |
What causes thick white discharge with abdominal pain ? How is it prevented ?
I have been having a white lumpy discharge in Abdominal pain what can that mean | Welcome to Healthcare Magic You could be having pelvic inflammatory disease. What is your age. Are you sexually active. You need to get examined by your doctor to confirm and be on required antibiotics. | |
What causes lower abdominal pain after urinating?
Hi, may I answer your health queries right now ? Please type your query here... Sir last night i feel to go to move out bowel and after toilet when i go to bed i have harsh pain lower belly. This pain is unbearable after abour 1 hour i fall asleep and in the morning there is no pain | Hi.Thanks for your query and short specific history. The pain in the lower abdomen after passing motion or urination can be due to the following reasons:After Urination: the pain in the lower abdomen comes due to : Stone in the urinary bladder.severe cystitisUrinary tract infection.Prostatitis in male patients.After stool:Intestinal infection, particularly enteritis,I would advise you the following:Ultrasonography of the abdomen. Urine - routine, microscopy, culture and sensitivity.Treatment will be according to the findings and may contain an antibiotic and supportive treatment | |
What causes pain in legs/arms/head and fever in a child?
My 9 year old has a fever of 102, is complaining of extremely achy legs, arms, head, and says the skin on her back is tender and hurts. She says her tummy is upset, but does not want to eat crackers or anything. She says she is very cold, but her skin is quite hot. | Hi dear welcome to the HCM.Viral fever is the common cause for such high grade fever and symptoms especially in this rainy season.Tap water sponging repeatedly SOS.Plenty of water. Take care of the nutrition.Paracetamol @ 15 mg per kg 4 to 6 hourly should help in relieving the body ache and fever.If fever do not respond in 3 to 4 days then one investigatethe child for any other infection,.Hope the query is answered.thanks | |
Q. Kindly explain my dual test taken for pregnancy.
Hi doctor, I just did a dual test. I am worried right now, please help. Gestational age is 12 weeks and 6 days, crown-rump length 64.8 mm, nuchal translucency MoM 1.7 mm, nasal bone is seen, hCG, free beta 60.47, PAPP-A 6020. Method: ECLIA (fully automated electrochemiluminescence system). I have attached the report. Disorder screen positive cut off: trisomy 21 (Down) 1:250, trisomy 18/23 1:250. | Hi. I can understand your concern. According to your test results (attachment removed to protect patient identity), negative factors are: PAPP-A levels are elevated. Beta hCG levels are low. Positive factors are your age is below 30 years and nuchal translucency is normal. Now the possible steps can be followed are as a dual test can be performed till 14 weeks, better to repeat the test after 48 hours preferably in a standard laboratory. If the results fall in a normal range, repeat the ultrasound after one week. If everything is normal, you can continue the pregnancy. If on repetition also test gives screen positive, the possibility of the chromosomal disorder is more and you may need to terminate the pregnancy after confirming with your doctor. Take care. | |
How to cure a cut on the bile duct after laser surgery?
These started about two years after my last pregnancy and she is now 6yrs old. I had a gall bladder surgery 2 years ago that went bad. in the process of the laser surgery my bileduct was cut. A week later I went into the er with liver infection and full of bile. I was hospitalized for a month and had a reconstruction surgery. I have been fine every since. No problems. BUT THESE SPOTS | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Nothing much to do now. The injured bile duct repaired with a repeat surgery and nothing more to be done now unless you are symptomatic. If you develop symptoms like fever, jaundice consult a surgical gastroenterologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Rash over chest, stomach, back, itching skin after having cold. Reason?
Hi, I currently have a cold. Every time I develop a cold or stomach flu I break out in a rash all over my chest, stomach, back, neck and scalp. The rash does not bother me until it disappears. Then for 3-5 days after my skin is extremely itching and feels dryer than normal. Just wondering what could be causing this reaction with my skin from run of the mill cold. | Hi,It seems that you may be having viral exanthem.The erythematous rash may follow viral infection of throat.Symptomatic treatment may be taken.If there is itching,take antihistaminics like levocetirizine.Antibiotics may be taken to prevent secondary bacterial infection.Apply calamine lotion to soothe the skin.Avoid soap bath ,which may irritate skin.Improve immunity to prevent relapse of flu.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
What causes legs ache with thumb twitching and body flutters?
Both of my legs ache only when i am sitting down. Not as bad now but a few days ago it was really bad. Also, my thumb on my right hands moves sometimes when relaxed. I get these flutters through out my body occacciasly. This just started happening all of a sudden. | Hi,Thanks for your query.It seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. a few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerveconduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
What is the cause for swelling near scrotum?
I just had a vasectomy 1 week ago. I had two incisions and one had been healing nicely. The second is located on the side of my scrotum so the stitch location is up against my thighs. Of course wearing tighter underwear, jockstraps keep things in place but it is still on that side. I find that as my scrotum relaxes and contracts as it always does through the course of the day, it moves a little and the stitch area on that side is sore. It seems to almost swell in the shape of a small round bump about a centimeter in diameter at its max. After a while it will go back down again. I was worried at one point as I have always been very sexually active and have had an erection in the last week as well and worried even that may be aggravating it. I'm very attracted to my wife and find myself getting excited with her by my side as I usually do but nervous to proceed with this soreness. Honestly though I feel more relaxed when I'm turned on and the swelling seems to be nonexistent during erection. what is the cause of this swelling? is it just irritation and should I wait longer to have intercourse? | HelloThanks for your query.Swelling at the site of incision of vasectomy is common and is due to local inflammation due to injury and handling of the tissue during surgery .This normally gets resolved within two weeks with antibiotics and anti inflammatory medicine like Diclofenac twice daily.Refrain from having intercourse at least for three weeks as there is possibility of flaring up of inflammation .Dr.Patil. | |
What causes pain in the fingers?
in my both hand after wrist whole palm and fingers with thumb getting trinking with pain with decreasing sensation especially more at late night. in a day time it also feels but some what less than it was at night. in night due pain I have to wake up and do some exercise & rub hand wih somebalm tube to relax temperrarily. give some idea for its treatment. my e-mail YYYY@YYYY J H Patel | Hi your symptoms are suggestive of Carpal tunnel syndrome.. You will need clinical examination and an ncv test to confirm your diagnosis. The treatment depends and varies from local steroid and surgery. One important thing, do not waste time, as if the compression continues the nerve may enter to a non recovery phase. | |
What causes stomach cramps and vomiting with headaches?
my 7 yr old daughter is having stomach cramps, vomited a few times yesterday/ last night and is feeling sick today. She also has a headache and had this yesterday too. Temperature is fine, but I mostly concerned about the headache and vomiting as she doesn t usually have a headache with vomiting. She is taking sips of water. | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Has your daughter been in contact with anyone else who is ill? In an otherwise healthy child, what you describe headache, vomiting and abdominal pain is most likely due to a viral infection. There are many viruses circulating in the community now and it is probable that she caught one of them. If this is correct, she ought to be better in a few days.As for treatment, it is important that she is not given Aspirin. She may have acetaminophen or ibuprofen for headache. At this point, don't worry about her intake of solids, but concentrate on liquids. Offer her something to drink every 2-3 hours. When she is better and gets hungry, she will request something to eat.I hope she recovers soon. Please return if we can be of further help.RegardsDr. Arnold Zedd, MD, FAAP | |
What might cause snapping of thumb?
Hello, my right thumb snaps when I open and close it. Sometimes it feels like it is dislocated then snaps back. Last night in the middle of the night I woke up and could not close my thumb. I had to massage it for a few minutes before it would close again? | Hello I have studied your case,There is possibility of injury to ligament of metacarpal or phalangeal joint of thumb.If you are having swelling and pain you can strap your finger to get proper rest to joint. Use ice packs to reduce swelling, inflammation and pain.For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].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 | |
Q. My left upper eyelid is bigger than the right. How to rectify this?
Hello doctor,My left upper eyelid is bigger than the right. | Hello. I have seen the image uploaded by you (attachment removed to protect patient identity). Kindly give me a detailed history. Revert with more information to an eye care ophthalmologist online --> | |
Suffering from Trichotillomania. Name few good supplements for regrowth of hair?
Hi Doctor, i have been suferring from Trichotillomania for more than 9-10 yrs. now it has been reduced 80%. I would like to regrow my hair by using Zevit Tablets. btw i have come acroos many products in internet n got confued to choose right one. please doctor suggest me good supplements.by Shal Age-29. from Bangalore. India. my hairs becoming very thin , dry and Split ends. Its very tough to grow back my hairs. Request you to suggest good supplements to regrow my hairs. | Save your money! The primary problem is the physical pulling of the hair. The hair will regrow on its own and no supplements will speed that process up considerably. | |
What is the reason for continuous fever?
hi, i am suffering from fever since last 40 days... initially i thoght it was viral...but then i had gone for typhoid test(typhi-dot) this was negetive on the 12th day of my fever. then again20th day i went for a Widal test . the report was as H as 1/160 and O as 1/160. doctor confirmed it as typhoid. Since that very day i was given 2g intravenous mocef twice a day for 8 days. now i am taking oral medicine as ceftum 500mg. and i have taken it for 7 days. my doctos has asked me to continue it for three days. I am feeling weak. and the fever persists if i get up from bed an do a little work. The fever is between 99 and 100 now on the 40th day. I am on soft diet and consuming a lot of juices n fruits.I also had widal test on 27th day the result was as O and H both 1/60. please tell me when will i get well and weather i am going through right treatment. | Thanks for posting you query to health care magic.first you should be investigated for1. blood culture and sensitivity test 2.urine routien and microscopic examination 3.complete blood count 4 Liver function test .also give me if there is cough associated with fever if it is there sputum examination for Acid fast bacilli to rule out tuberculosis should be done .As your widal test do not go in favor of typhoid as titre goes down so there may be some other ineffective cause . antibiotic you are taking is not effective so take treatment after sensitivity report . review me after investigation report.hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist | |
Need medication for a pimple on the shaft of the penis
I have had a problem with masterbation for a while now aproximently 2-3 years. I have discovered one pimple(I cut the top off with tweezers) on the shaft of my penis and on the other some flat bump.Is this seroious?Do I need to see a doctor?Thankyou | HelloThanks for query .You have developed staphylococcal infection of hair follicle (Boil) on shaft of the penis .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.Ensure to avoid sexual encounters till it heals up completely.This should get cured within a week .Dr.Patil. | |
Recovering from human parovirus infection. Elevated ALT, gamma gt levels. Can diclofenac cause this? Had taken alcohol
I am recovering from human parvovirus & have just had my bloods rechecked. My alt is still raised & also my gamma gt, can diclofenac cause this? I stopped taking them 5 days prior to the blood test . I did have a glass of whisky the night before, not a regular occurrence. I will usually have a couple of glasses of wine at the weekend but no alcohol in the week? | Hello Your raisd ALT and GGTP are due to alcohol and not due to DICLOFENAC. Just be off the alcohol for at least 3 months. Your levels shall become all right. There is no medicine in particular which can reduce the levels of ALT and GGTP. Take plenty of water and fresh fruits and green vegetables. There is nothing to worry. Thanks | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
What is long rock hard thing hanging from scrotum after hernia surgery?
I had lower inguinal hernia surgery ten days ago. It was very large and was hanging down in my scrotum. Now that i had the surgery the doc told me i would be swollen and sore for a good while. I can handle that much. But now ive noticed an obvious long rock hard and round "thing" running down my left side of scrotum. What is this thing? It doesnt hurt, just very uncomfortable! Seems to be right where the hernia once was. Will it go away along with all the other swelling? He did use a mesh plug and mesh to repair with. Could that be the plug hanging down there? Need some answers please | HelloThanks for query .You have undergone surgery for large inguinal hernia repair 10 back and have noticed hard swelling running across the scrotum This is due to a inflamed spermatic cord resulting from the handling of spermatic cord during surgery while dissecting hernial sac from the cord.This is known and normal complication of hernia surgery which gradually gets resolved over a period of one month .Take antibiotics like Augmentin and anti inflammatory medication like Diclofenac twice daily . Dr.Patil. | |
What could be the cause of an itchy rash on stomach?
Hello, I have a rash on my stomachs, it started out as a pimple or a flat spot that itched , I scratched and it bleed but I starched more like a dog with the mange I could not help it. for the pass two weeks I have had this itch and it has spread all around the naval their like sores | Hi, The rash could be a papular urticaria or could be scabies. These conditions could be distinguished only after proper clinical examination and treatment differs for both the conditions. You could take an antihistamine tablet for relief from your symptoms. But, I request you to consult your dermatologist for proper diagnosis and management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Siva Subramanian, Dermatologist | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Is adenoid removal necessary of 2 year old having continuous cold?
Sir, My son is two and hal year old, having coutinuous colds ( running nose) problem. Recently a doctor identified it as adenoids and suggested me to go for surgical removal of the same. I s t must at his age. any alternative is available. How serious it is . pl. answer | hellothe usual age of adenoid removal is 3 years plus.till then you have to avoid the things that can trigger allergy like dust,cold weather,cold and sour drinks or foods,also avoid ketchup and candies etc.use a good antiallergic medicine like cetrizine about 5 ml at night(dnt know the trade name of this drug in your country) till he is around 3 years of age and also use monteleukast sachet 4 mg one at night for 3 months during spring and winters when there are more chances of allergy.use home remedies like hiney 1 tablespoon in 1 glass of luke warm water early in the morning.hope it will help | |
Is there any correlation between bilirubin,SGPT and SGOT level?
SIR, I WANT TO KNOW IS THERE ANY CO-RELATION OF BILIRUBIN ,SGPT & SGOT LEVELS WITH PATIENT HAVING DIABETICS. IF IT IS HIGH THAN WHAT ARE THE CONTRA INDICATIONS. WHAT IS THE REASON OF DECREASING SUGAR LEVEL IN PATIENT WITH DIABETICS INSPITE OF TAKING MEDICINE | Hellosgot/sgpt/bilirubin are all indicative of LIVER FUNCTIONS...if blood glucose is decreasing too low then u need to decrease dose of medicines | |
Had 2 seizures, sore rib cage, bite tongue. Taking ibuprofen. Difficulty in sitting, standing, eating. Recommendations?
I had 2 grandmal seizures sunday night. i bite my tounge really bad and my rib cage is very very sore so is my lower back. i went to the hospital and they told me to take ibuprofen. that helps for a headache. should i call my doctor? Everyone in my town including my doctor hates our hospital its full jerks and morons. i can barely sit or stand and its just frustrating. i can barely eat anything because i took gouges out of my tounge when i bite it and i can barely eat. im very uncomfortable | Hi friend, Welcome to Health Care Magic One of the major problems in seizure is injury and/or aspiration. Don't worry - the pain and inflammation take time to settle down...if it does not settle down in a couple of days, you will need X-rays to exclude underlying bone injury... Ibuprofen is reasonable. If very severe, anodyne analgesic like codeine may help... Tongue may benefit from local anaesthetic spray... You should see a Neurologist / for prevention of future attacks of these Tonic Clonic Seizures (Grand Mal). There are several classes of drugs and they can help.. Take care Wishing speedy recovery God bless Good luck | |
Is blood pressure of 119/69 too high?
Is my blood pressure too high if it's 119/69?I'm 30 years old, I'm 5"6 and I weigh 115. I used to have seizures and hadn't for 3 years until 3 weeks ago when I had 2 in a row in my sleep. I had them at 5:30a.m and wasn't coherent till after 11:00 a.m. | no,119/69 is not considered as high blood pressure .high blood pressure is considered when-1->130/80 blood pressure along with following condition- diabetes melitus renal disease stroke myocardial infarction2->140/110 with no history of any significan health disorder.you do not come under any of the above condition ,thus your blood pressure would be considered normal.i would suggest following for you-avoid sedentary lifestylego for daily exercise .avoid eating oily and junk foodstake food full of fibres like vegetables ,salad and fruits. seizure may occur due to a number of causes like vascular malformation in brain brain tumor epilepsy. for seizure ,you should consult a neurologist and get your following test done to find out cause of seizure . EEG ct scan of brain MRI of brain if suggested by your neurologist. thankyou and take care. | |
Lump under armpit. Are they lymph nodes? Have asthma. Breast cancer?
i have a small lump under the skin of my armpit. it hurts to lift my arm and move it around. but its always uncomfortable even when i m still. i don t know how long its been there but i have just started to notice it. some people tell me its just lymphnodes but i am worried that it is something more. im pretty sure it isnt lymphnodes because i am not sick and do not have any infection plus this is the only place that i have a lump. i am 14 year old female. no other medical history except asthma . family history of breast cancer . if that matters | From you description, the lump inyour armpit appears to be an inflammed lymph node and should go away with a course of antibiotics. But since no lump in the armpit should be ignored, it`s better you consult a doctor who will be in a better position to advise you. If required a FNAC of the lump can be done to know it`s nature. | |
What is this osteophyte complex and how is it treated?
hi i m bakht i m doing DPT the problem is that my father is sufering from posterior osteophyte complex at c6 /c7 can you tel what is this osteophyte complex n what its treatment? in his MRI report degentrative changes in vertebrae and disc is also found n at the levet of c5/c6 there is board base posterior disc protrusion n spondylitic ridging can u guide about this all that basicaly what is that n what i do ? i have no money ri8 now | Helko. I have been through your question and understand your concern.The osteophytes are quite common findings in the MRI and generally cause pain in the neck and treated with common NSAIDs. They become problematic if they compress the spinal cord, which can be clearly seen in the MRI. In that case they need surgery to prevent worsening of the situation.Otherwise, they are not problematicHope this helps.Please feel free using MHC again | |
Will any kind of massage strokes would help him with his recovery after the surgery?
My father is having open heart surgery Feb. 7th. I'm a massage therapist. I have been working for 2 years and studying for my national boards. my question is post surgery for my dad what, if any, kind of massage strokes would help him with his recovery? | HIWell come to HCMI really appreciate your concern, if this is the history of cardiac surgery (Open heart) then there is special program available called cardiac rehabilitation program and this can be tried only when it is being advised by cardiologist else no is there for any massage therapy, hope this information helps, take care. | |
How to treat a cut in my right side of the meatus?
Hi I am std free nit sexually active 24 year old male. I have had a cut like a paper cut in my right side of the meatus and have had minor discomfort peeing at times and am too nervous to masterbate as I believe it makes it worse how do I fix cut on meatus? | Hi,It seems that there might be having some infection on opening of urethra at meatus giving rise cut and soreness on the part.Apply antibiotic cream locally for 2-3 days.Avoid masturbation for few days as it might disturb healing of cut.Ok and take care. | |
Elevated ALT. Took advil for for injured knee. Is that the reason? On vegan diet
My ALT (SGPT) was elevated to 42 while my AST SGOT was normal. Could the Advil I have to take several times per day for an injured knee cause that? And does that mean I should stop taking Advil then? If it isn't Advil, what else could cause one number to be normal and the other not? I am on a green juice fast and vegan diet. | Hi and welcome to HCM. Why are you worried about ALT 42? This is considered as normal finding in most laboratories. This means nothing and if you repeat the test today it might show -5+ parameter. So this isnt abnormal finding. Advil can affect liver ,but side effects are very rare. So just dont worry,you have normal liver enzymes. WIsh you good health. | |
What does mild generalised cerebral and cerebellar volume loss with sulcal prominence at vertex of both hemispheres mean?
My brain scan says this: There is patchy abnormal signal within the deep and subcortical white matter of both cerebral hemispheres especially within both frontal lobes in the anterior watershed distribution. The appearances are in keeping with chronic small vessel disease. the abnormal white matter lesions do not have the morphology of inflammatory lesions. Mild generalised cerebral and cerebellar volume loss with sulcal prominence at the vertex of both cerebral hemispheres. What does this mean please. | Hi,Thank you for posting your query.I have noted your MRI brain findings. First of all, I would like to reassure you that these findings do not represent any serious brain disease.I need to know your age and clinical symptoms to explain you the significance of your MRI findings.Chronic small vessel disease suggests lack of blood supply to certain parts of brain. The underlying risk factors could be high blood pressure, sugar or cholesterol.Volume loss refers decrease in size of brain. Both these findings are common in older people and tend to worsen with age.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
Is it safe to give mefanamic acid to a 4 years old for fever?
Dear Doctor, My son (4yrs)had high fever with temperature above 102, doctor advised us to give paracetamol, however when the fever not subsided even after sponging and paracetamol, we had to give mefanamic acid 100 mg suspension (5ml) with about 8 hours interval 4 doses (with doctors advice). Now when I saw some literature available in the net, is mefanamic acid advisable in fever. | Hi...Thank you for consulting in Health Care magic.DO NOT USE MEFENAMIC ACID FOR FEVERFever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Mefenamic acid is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Mefenamic acid for fever. 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)., | |
How long does the lump take to go from lips?
Hi I got assaulted and punched in the lip 12 days ago I got 3 dissolvable stitches put in .. the swelling went down after a week but now there s a strange lump that hard on my lip irritating me how long till it goes down ? Also there s a slight mark on my lip is that because fresh skin hasn t come up? Will my lip heal back to normal ? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have lump formation on lips which is due to punched injury. Need not to panic about it. This is normal mechanism of healing as collagen tissue is getting formed and it will take around 3-4 weeks for granulation tissue to form incompletely. Maintain proper oral hygiene. Apply Dologel on finger and massage on lip surface. Apply desi ghee as well. Visit oral pathologist once and go for complete examination if symptoms keeps on persisting. Take painkiller and antihistamine drug combination. Drink plenty of water. Yes it will heal back to normal. You can go for facial aesthetic reconstruction if required.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
Q. What can cause irregular periods and feeling of incomplete bowel emptying?
Hi doctor, Over the past 3 months, my periods have become irregular. It was regular throughout my life. I faced spotting between periods and had been detected with a submucosal fibroid of 2 cm. For the past 3 months, I feel in the morning after passing bowels, that my bowel has not cleared. This feeling of incomplete evacuation of bowel remains till noon. I drink nearly 2 liters of water in the morning to noon. With more water, I feel bowel pressure, but do not need to pass it always. My usual bowel movement is one time a day and on some days it is twice. | Hi. I understand that your periods are irregular and you have a feeling of incomplete evacuation of bowel. This type of combination is seen in hypothyroidism. So you need to check your thyroid function after consulting a physician. These two problems can also be totally unrelated in that case you need to consult a gynecologist for periods problem. For bowel, you can take high-fiber diets, specifically diet rich in fruits and green leafy vegetables. Regular timing of food and a good healthy breakfast are also very important. If the problem persistents, you may need medication. Initially, medicated fibers like Isabgol also known as Ispaghula and others after consulting physician or gastroenterologist. | |
What causes dizziness while suffering from depression?
Hello, I am unsure what is causing me to feel distant and somewhat dizzy. I thought I had depression, but the pills make me worse and I don t struggle with constant sadness, my issue is constantly feeling distant as if I am in a dream. My dad had diabetes, but I have normal sugar levels when I get blood work done. I seem to be constantly thirsty, needing to drink more than 32oz. of water alone, but feeling thirstier if drinking it all in a short succession of time. My bowl movements become atery when I drink more than 32oz. a day, but is hard when I dip under 32oz. of water. I do not smoke, drink alcohol often, or drink coffee. Please help. ~S.Parker | Dear patientI need to know the medications u r taking as some medicines hv hypertensive effect and may lead to dizzinessOther possibility may be psychological if all medical parameters ate normal We need to asses u properly if dizziness is disablingRegards | |
What can be the large lump on the upper side of my inner thigh?
i have a large lump under my skin on my left lip of my vigin right at the top of my inner thy its not red or itchy but when i press on it it can be sore i got it after having my daughter who is 11 monthes old she was a c section delivery,at that time it was the size of a pea but now its like a wallnut can u help | Hi,This is likely to be a Bartholin's cyst. This is a common type of cyst and is not a serious problem. It does not need any treatment at present. Sometimes these cysts become infected and become inflamed and painful. In these cases antibiotics and occasionally surgery are needed. Regarrds,Dr K A Pottinger,MBChB. FRCA | |
Suggest tests to confirm pregnancy
i m 22. had unprotected sex several times on last friday night nd took unwanred 72 after 12 at noon on saturday.plz help..... plz tel me whether i ll be pregnant or not.plz reply as soon as possible. me waitng for a possible suggestion to overcome it if there are any chances of getting pregnant... if possible plz mail me ur number. really nervous nd tensed | Hello dear,I understand your concern.In my opinion the chances of pregnancy are less as you have taken unwanted pill.The unwanted pill is effective in 95% of cases if it is taken within 72 hours of unprotected intercourse.As you have taken within stipulated time you need not worry.Avoid stress.Kindly wait and check for the period.The unwanted 72 might also delay the period.Best regards... | |
How to treat severe pain in elbow,groin?
My husband, came to me about 3 hours ago and said he was in horrible pain. He described pain in his elbow, and extremely painful groin area on the same side of body. He has Rheumatoid Arthritis and is on quite a few medications. He does have a radiculopathy in his cervical spine and has the elbow and shoulder pain before. This week, he had a bout with severe shoulder pain on the opposite side, radiating around his entire left shoulder area, almost causing the shoulder to feel locked. We saw our rheumatologist s partner this week who upped his prednisone to 20mg per day for 10 days. She suggested that perhaps we will want to get xrays if he has more symptoms. I know about his elbow pain caused from the ridiculopathy,as it has before. I just am very concerned about this unbearable pain in the groin. | Hello, As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist better to consult a physician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes shortness of breath and fatigue?
I have progressive shortness of breath, exertional and resting. Tachycardia, arrythemia, fatigue, high potassium for several months but normal now. Dehydration even though I drink 60 to 80 oz per day. A chest X-ray was normal as was a chemical stress test and cardiac angiography. I am scheduled for a ct scan of my lungs next week. I have HTN and DM type two. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, you should also consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). Bronchitis can also cause similar symptoms. 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 may improve with inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (Budesonide or Fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | |
Reason for sore on roof of mouth that is painful?
For about a week I've had a sore on the roof of my mouth, but I've looked at the area with a flashlight and seen nothing. There's no redness, whiteness, swelling or anything else I can see. It doesn't hurt as long as my tongue doesn't move or put pressure on it. Its on the roof of my mouth, near the gums of my very back molars. It's a sharp pain. It feels kind of like like how you'd imagine rubbing sand on a rug-burn would hurt. It gets worse throughout the day, probably because of the friction of my tongue on it. Any ideas? | Hello, Thanks for your query.The roof of the mouth is divided into two major parts. The hard palate is a bony area in the anterior region of the mouth. Behind it, towards the back of the mouth, is the fleshy soft palate, which lacks a bony plate. Pain in this area may be due to a number of issues. A burning sensation on the palate along with the tongue and cheeks may be burning mouth syndrome, a chronic condition that does not have a clear cause.Discomfort accompanied by open sores may be canker sores or herpes.Effective treatment depends on the cause of palatal pain. Non-viral infections can be treated with antibiotics or, in the case of thrush, antifungal medication. The cause of burning mouth syndrome is unknown, so the best course of action is determined on a case by case basis. Canker sores, herpes and mild inflammation due to irritation usually resolve themselves on their own, but antiseptic mouth rinses can help with symptoms. Whatever the issue may be, it is best assessed by a doctor who can give a diagnosis and a plan of action for treatment.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Feeling sick due to the history of anemia
i am 32 years old and 10 weeks pregnant due to me being temporarily displaced from the state which i have medicaid from till mid feb. no one in georgia will see me, however i am epileptic have had 6 pregnancies with only 3 births i am concerned about my tegretol not being increased and i have been extremely sick with this pregnancy and hae never had any sickness before, also i have a history of anemia with ppregnancies, do you know who would take florida medicaid in georgia on an emergency basis for me to get my tegretol | HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.Please do not worry.Sorry to hear about your pregnancy losses.I will suggest to start with a healthy diet and regular exercise like walking.Start in Antiemetics like Doxylamine. Supplements of B12 and folic acid and Omega3 need to be started.This will help in supporting baby's organ formation.Also, yo need them as your anti epileptic medicines have effect on liver metabolism, B complex group of vitamins will be of great help.starting these supplements will also help to overcome anaemia.After 14 weeks you can add Iron supplements.Till then Dark green leafy vegetables, citrus foods , dates, jaggery, black currents with seeds should be included in diet. This will help you to raise hemoglobin now.I will suggest to follow your medicine doctor regarding dose of antiepileptic drugs. Do not alter doses on your own.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar | |
What causes stiffness in the elbow?
I have a stiffness feeling in my elbow sometimes and it also travels to my wrist at times it has been doing this on and off for a few months now.....Im not in any sports however I do retail work and it involves heavy lifting at times. What could this be | hi you have stiffness in your elbow and sometimes it travels to wrist. Your job involves heavy weight lifting. With stiffness in your elbow , esp with pain and nature of your job , I am inclined to think in terms of Tennis Elbow - take pain killers for few days and avoid heavy weight lifting for the time being. Sometimes the problem is self limiting and may not need anything further. | |
Suggest treatment for hair loss without any side effects
Hello Doctoe, Guru,25,176 Cm,Hair Loss. I have consulted on of my local doctor for hair loss treatment. I am very satisfied wt the way they treat me. Doctor prescribed me with Mx5% & Finepecia 1Mg & Anaphase for 6 months. I am little worried about finestraide as I heard very bad review like it have impact on sexual organs! Now, I am not bald at all, Using these medicines for 6 months and then stopping them will show any adverse affects on me? | Thank you for your question!The two medications that you are taking are the only drugs that actually work, however they need to be taken continuously. If the medications are stopped, it is a little bit hard to say that, within 6-12 months your scalp will appear the same as it was before treatment.Regarding one of the disadvatages of Finasteride is that it can cause sexual side effects such as decreased sexual desire and difficulty in acheiving an erection.I hope my answer helps you.Feel free to ask me again if anything is left unclear. | |
Severe back pain, C-section, injection in spine,
Hello Doctor, I have severe back pain since last more than 6 months. I had 2 ceasereans. I have two kids. One 8 yrs old and one 1 yr old. My last C-Section was done on 5th feb, 2011. The place where they give the injection in the spine, that full area (horizontal) has severe pain. I cannot change my side while I sleep by early morning or sometimes cannot stand immediately after I wake up. Please recommend remedy. I am 37yrs old. thanks and regards, Lina | Hi Lina, Thanks for writing in. It is unlikely that the pain you are experiencing is due to the epidural anesthesia that you would have received during caesarean section. I would suggest the following: a. Start exercising. You need to be walking for 50 minutes daily for 5 days a week b. Lose excessive weight through a combination of diet and exercise c. Avoid forward bending and picking up heavy weights d. A MRI of the back ( particularly the lumbosacral region) would be needed to rule out a process which is impinging on a nerve. I would suggest you see an orthopaedic surgeon at the earliest. This would be needed for a detailed examination and proper treatment. Hope this helps. | |
How can sadistic personality disorder be treated?
My parents have said many times that i m cold blooded because i don t feel sad or pity when people die in terrorist attack like they do , i really don t understand why i should, it s not me. I tried to drown my sister out of jealousy but i played the victim so I didn t get punished. I like to break friendships up and make my friends hate each other. I like to wreck other people s groups. I like to twist people s words to make them feel bad and apologize/ comfort me. I only want to become a surgeon when i graduate because i want to operate on people not because i want to help them and my mother always say that of me, but even though that is not my goal, they are still helped in the end, so what s the problem? I once ran away from home for a while so that my parents can get worried and be punished. I pretend to be the innocent and lovely person around other people . I once accidentally poisoned a cat but i dont feel regret. I was happy when my baby cousin had a hole in his heart because he was born near my birthday and he took the spotlight away from me. I was mad my granddad died a week before my birthday so my family wont celebrate my birthday cause they are greiving. I fantasize about murdering or torturing people that has wronged me , but i wont do it cuz i will get a criminal record . I wasnt brought up in a abusive family and i have never had a traumatised childhood. I dont know what s wrong with me. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This occur generally in Bipolar personality disorder. It is treated by Oxcarbamazepine, Aripiprazole and Clonazepam. Hope I have answered your query. Let me know if I can assist you further. | |
What should be the normal value for semen analysis?
Hi, My name is Batool. I got married in january 2014. I had been trying to concieve since six months. Then we went for fertility tests of my husband and mine too. My FSH, TH and Serum insulin reports were normal. In my husband s first semen report (gap of sexual intercourse was 5 days) the total sperm count was 8 million and the normal forms were 25% After two months we again went for my husband s semen analysis. this time the gap of sexual intercourse was 2-3 days, total sperm count was 1.9 million and normal forms were just 1%. I was very upset at that. before the second semen analysis my husban was taking Gonadil-F, but now he has stopped it. We thought that his sperm count was lower down due to the use of Gonadil-F. Please tell me why is there a huge difference between two semen analysis? | Hi,Thanks for writing in.Semen analysis results can vary with the amount of semen ejaculated and the time between masturbation and analysis. This can cause a lot of difference as mentioned by you.The normal values for semen analysis areAppearance: normal Volume: > or =1.5 mL pH: > or =7.2 Motile/mL: > or =6.0 x million Sperm/mL: > or =15.0 x million Motility: > or =40% Grade: > or =2.5 Motile/ejaculate: > or =9.0 millionViscosity: > or =3.0Agglutination: > or =3.0Supravital: > or =58% liveFructose: positive | |
Suggest treatment for back pain
Hi I have been on birth control constantly for about 7 months now. I had a UTI almost a week ago and that has cleared up. My period is due in about 10 days and I am having pretty bad back aches. I had a BM today (first time in about 3 days) but I feel constipated. My stomach feels slightly hard all over. I also took a home pregnancy test last night and it was a very clear negative. Could i have an ectopic pregnancy? What could be the cause of my lower back pain? | Hi-If i would be your treating doctor I would advise you to take triphala churna 1-2 tsp at bed time for constipation.-your urine pregnency test is negative so there is no chance for ectopic pregnency.- for delayed periods i would advise you to take tablet for withdrawl.This medicines are not given without prescribtion.so consult to local doctor or gynecologist. | |
What causes low pulse rate during a cataract surgery?
I had been for a cataract surgery and my pulse rate was 50-55, and my blood pressure was 160. The Anesthist told me that we normally do not do the surgery in this situation. However the doctor did my cataract operation and it went smoothly. All I want to know why my pulse rate goes low. My age is 61 years. | Hello,As long as you don't feel problems, it's okay. I don't think that has to do with surgery. People who train or work hard have a lower pulse. You do not take any medications.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anila Skenderi | |
What is the best treatment to get pregnant?
I m trying to conceive for the last two weeks. My last period occurred on 28th jan. But the problem is that I have an irregular menstrual cycle. Also, as my husband and I only meet at weekends. Today I saw some spotting. This is an irregular time for the menstrual cycle. Can you give an opinion on this matter. | HI.You should consult a gynaecologist who will first work towards establishing a diagnosis and working with you on regularising your menstrual cycle. Once this is done, fertility will be checked by checking on your ovulation, and when this is calculated, if all is well you will be given your fertile days during which you will have to make it possible for you and your husband to engage in sexual activity whether or not you guys were otherwise planning on meeting.Best wishes. | |
Took emergency contraceptive pill after unprotected sex. No periods. Pregnant?
Hi I have a 31 day cycle first day of last period 1st june I had unprotected sex but didn t get the morning after pill until 62 hours later which was the 18th june....I aslo started taking levest contraseptive pill on that day....I have no had a period yet I am late do you think I could be pregnant or will I not have a period until I have the 7 day break on the pill....I m confused because if I don t have a period until the break I will not of had a period for 5 weeks | Hello. Thanks for writing to us. The delay in periods could be due to a hormonal imbalance caused by the high dose hormonal pill that you have taken. This can also be due to pregnancy which needs to be ruled out after a urine test.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,drrakhitayal@gmail.com | |
What causes rashes and increased temperature in children after chickenpox?
My 2 yr old grandson had chickenpox about 3 weeks ago not very badly, and his 3 yr old sister had it worse about 2 weeks ago and they both recovered well, but the 2 yr old has just come out in another chickenpox like rash, has a temperature, and seems to have another dose of it. Is this normal, and should he just have paracetamol and fluids etc as before? | Hi,Thank you for asking question on health care magic.Continue paracetamol and fluids as before.You may give Zovirox for control of chickenpox.You need not worry as chickenpox will not have serious complication in younger children.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | |
I have High Liver Enzymes, please suggest me
Just got a letter in the mail from my Dr. that my Liver Enzymes are high and to start taking milk thistle. (The reason its so high is because I m on a great deal of antibiotics). I see my Dr. in 2 weeks to see if he has anything else to say about it, but does anyone know if doing a liver cleanse would be helpful ? | Liver cleanse - don't waste your money. Milk thistle - no solid proof it is effective but shouldn't be harmful. Ideally, milk thistle is taken to prevent, not treat, liver issues. But as there are no good pharmaceutical trials showing its efficacy, who knows? | |
Suggest remedy for problem in breasts
I was recently in a rear end collision while sitting at a red light. I received neck and back injuries along with pain in my left shoulder where the seatbelt was. Since then I have noticed my breast looks allot different. Is it possible my implant has ruptured? | Although..i am not a surgeon. But what you say looks yes its possible and that for confirmation you should get 1 mri done. | |
Q. What could be the reason for spotting in a postmenopausal woman?
Hello doctor, I am a 55-year-old woman. I stopped having periods three years ago. I visit my doctor every year for a gynecological physical and regular physical. My regular physical last year was great and my gynecological physicals have always been good as well except for uterine fibroids. My last GYN visit was four months ago and everything was fine. I have never had an abnormal pap smear. I have had the fibroids for almost 20 years. During my last GYN visit, all my tests were normal and my doctor said my fibroids were shrinking. A week ago today I saw what I thought was a very small amount of blood on my poise pad. It has not happened since. This has never happened in the last three years since my last normal period. I also suffer from OCD and anxiety and I am always to myself. I am not even sure it was blood to be honest and of course, I will call my doctor and make an appointment for next week. It was not brown spotting and it was not bright red either. I do not have a UTI or pain in my abdomen or anything. Again, it was very, very small and light. I am thinking perhaps I had something on my hand and it touched my pad and I did not notice it. A little insight would be helpful. I am currently on Valsartan and Prozac. | Hello. It is blood spotting and it may be due to the presence of fibroids in the uterus or due to non-infective endometritis or due to some hormonal change. All these may occur after a gap of few years post-menopause, rarely Prozac may also cause bleeding. It may not occur again, anyways you have to see the gynecologist. For more information consult an obstetrician and gynaecologist online --> | |
Lost power in arm, leg, severe headache, chest tightness after drinking vodka. Allergic?
Hi, I was just wondering if I could be allergic to vodka...in October last year I was at a friends christening party and drank vodka next day I wasn t feeling great I lost the power in my arm and my leg went from under me and I had a severe headache 2days later I was admitted to hospital with expected stroke I spent a week in hospital turned out that I had bad migraine . I recently drank vodka and next day woke up with same symptoms, which rectified itself within 2days. Last night I drank vodka again bare in mind I only do have 4 or 5 vodkas with diet 7up today I have tight chest and headache. Could I be allergic??. I would appreciate your advice thanks. | YES MANY PAIENTS PRESENT LIKE THIS YOU CAN HAVE ALLERGIC REACTION TO ANY SUSTANCE AT ANY TIME AT ANY AGE IF YOU HAVE COME TOO KNOW PLEASE ELIMINATE IT FROM YOUR LIFE | |
What causes abnormal growth on gum?
I had a crown prep about 3 weeks ago , three days after I developed pain on the same area where they worked on the gum and there is hanging skin of my gum and it is red , I went to the Dentis and he put me on antibiotics. And it is still red looks like a growth or cyst hanging off my gum wall | Thanks for your query, I have gone through your query.The abnormal growth over the gums can be a inflammatory gingival enlagement secondary to the irritation or trauma caused during crown preparation or it can be a periodontal abscess secondary to gum infection. Nothing to be panic consult a good oral physician and get it evaluated. If it is gingival enlargement you can get it removed surgically. If it is an abscess you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic).I hope my answer will help you, take care. | |
Q. What is the reason for burning discomfort in my legs, buttocks, arms, hands, and lower back?
Hello doctor, I am a 46-year-old female. I have burning discomfort in my legs, buttocks, arms, hands, and lower back for six days. There is no weakness, no tingling, no numbness, no confusion, and no stroke symptoms. My friend told me that I might have multiple sclerosis. What could it be? | Hello. I would like to know some more details about your symptoms, 1. Did you have burning sensations over the whole body below the neck at one time? Or had uneven patchy distribution? Or the location of burning sensation was varying with time like, sometimes at legs, sometimes at arm and sometimes back? 2. Do you have any neck pain or lower back pain? 3. Did this burning sensation start suddenly? Or it gradually progressed and is it persistent? 4. Is there any particular position of body or activity in which this burning increases, during walking, neck flexion, and forward bending? Or any specific situation like stress or anxious state? 5. Have you any urinary symptoms like urgency, frequent urination or urine incontinence? 6. Do you have a history of a burning sensation or other neurological problem? 7. If burning is episodic, how long does it last? And is it also associated with palpitations and breathlessness? 8. How is your sleep? And how is your mood these days? 9. Have you any other medical problem too, like diabetes mellitus or a heart problem? | |
What causes itching in top of scrotum?
Hi, My name is vij and need help. I have a constant itchy feel at the top portion of the scrotum (the part of the skin that connects the male genital and the scrotum. There are no visible patterns there. Just the itch and it gets me uncomfortable at times. Any help? | Hi,It could be a subclinical fungal rash.I usually advice my patients creams or ointments like Itchguard or Clotrimazole.Take care,Dr Rishi, New Delhi, India. | |
Q. How can I manage loose-motions and bad appetite due to curd intake?
Hello doctor, For the past few months, I have been having acidity issues and I have been taking Sompraz 40 mg for the last 1.5 months. Last week I had some sweet curd which did not suit me well and the next day I started having semi-solid loose motions 4 to 5 times a day but had no fever. The next day I started having Oflox OZ but after two days taking the medicine my condition worsened and I had watery stools every one hour. Hence, I stopped the medication and since then I have been better. So, I stopped taking Oflox OZ after two days as the medicine did not suit me. I have been taking regular pro-biotics. However, yesterday, I got my blood tests done and the ESR and HsCRP were elevated. The report has been attached for your reference. My question is my appetite is not great and is it possible that I have to take a softer antibiotic to address the remaining infection if any present in the body. Currently, I have no fever and motions are fine. | Hi. It is possible that you had some infection after ingestion of curd. And subsequently, you got better. As you are not much symptomatic I would not advise any further empirical antibiotics. You can try tablet Rifaximine 400 mg twice a day after meals for 10 days along with Sompraz that you are taking. Elevated ESR and CRP can have many causes and difficult to ascertain to one cause with limited investigations. After 10 days see your symptoms and repeat tests, in case they are still elevated, I would suggest you visit a doctor locally to get yourself examined and get tested thoroughly. | |
What causes chest pain and weakness?
Hi, My mum started getting chest pain that radiates to her back about a month ago. Since a few days ago, these episodes have increased in frequency and at the same time she felt very lethagic, weak and she became pale. We took her to the ER at the hospital immediately and all the blood tests, cardiographs and x-rays came back normal. She is about to have a stress test (on the treadmill). What can this possibly reveal if all the other tests were normal? Does it sound like she has a heart problem? | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, her symptoms can be seen in heart diseases. Sometimes resting ecg is normal despite of having heart diseases like coronary artery disease (CAD). So stress test (trade mill test) is indicated. Stress test is non invasive test used for the screening of CAD. It shows how our heart functions under stress (trade mill running). This will also tell about fluctuations in heart rate and blood pressure. So get done stress test. If this is normal then no need to worry for heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | |
Elevated enzyme levels, high AST, ALT, diagnosed with fatty liver. Treatment options?
Hi, My name is XXXXX and my husband has some lab work done yesterday and his alt and ast is elevated to 618 for the ast and alt is 287 and since I am a nurse I am racking my brain out. He has been diagnosed with fatty liver and we have kept a eye on his enzymes and they have never been over 90. I have researched and he has DM,HTN.please help.email YYYY@YYYY | Hi, Welcome to HCM Firstly Fatty liver i not a dangerous condition. It is the most common incidental finding found during Ultrasound scan of whole abdomen. But the elevated GOT and SGPT indicates presence of some hepatocellular injury. But in these conditions Billirubin levels are also becomes elevated. So, for total impression you have to give the other reports . If all other are normal, then 1. Avoid rich diets, 2. Avoid alcohol. 3. take nutritional and balanced diet. 4. Consult with treating doctor for taking liver protective drugs. 5. Follow up the enzyme levels after 2 months. Regards. | |
Suggest treatment for pain in ring finger after an injury
I jammed my pinky finger in a door on april 7th and its swollen, and hurts to bend very bad. Ive made a splint out of sticks and wrapped it to my ring finger. when I take splint off it hurts to bend so then I just wrap it back up. do u think its fractured | . I'm sorry for your situation. If I understood it well, you injured your finger more than two months ago. Usually, this type of injury are very painful, but tend to heal fully within a couple of weeks. Since you are still experiencing pain and lack of functionality it means that there is still some damaged inflamed tissue. I suspect that the injury was more severe then you thought. In order to prevent chronic issues with your finger, I recommend to not ignore anymore this problem. First of all you should do an x-ray to rule out any possible fracture or healing in the wrong position. One other possibility is ligament injury. You could take NSAID to reduce inflammation and for pain, but this is just symptomatic relief. I recommend to schedule an appointment with a hand specialist in order to examine you more objectively. I hope my answer helped you and I wish you a fast recovery. | |
Had a lumpectomy of the breast. Now having back, joint pain. Am forgetful, confused. Is it spreading?
i have had a lumpectomy of the breast as I had been diagnosed with a fibroid and this grew considerably. Phyllodes tumor has been mentioned but not confirmed. I am 50. I have developed recently back pain, there contunuously and have started to get pains in my joints and have developed forgetfulness and can get confused. I am really worried that the phyllodes I may have is malignant and already spread. I have 2 young children and am petrified. I have to wait until next Weds for the results of the operation is there any information or assurances you can give me. | Hi and thanks for the query,I ma afraid you might a proper reevaluation. It is vital to redo and reconfirm the histologic aspect of the breast lump. This is so because, in case its a cancer, it could be signs of spread to other structures. It is very vital to make this possibility excluded.Secondly, the joint pain needs to be properly evaluated. Presence of absence of general symptoms like fever, swelling, general malaise need to be considered. Blood tests to exclude any rheumatologic disease are needed and x rays of affected joints if need. Confusion and forgetfulness might deserve a neurologists opinion. The psychological component in your case is an important consideration that could explain the forgetfulness and confusion aspects of the clinical scenario.I suggest you consult the surgeon who got the mass removed for a proper evaluation and planning of further management depending on the findings.thanks and best regards,Luchuo, MD. | |
Suggest treatment for swelling in arm after a fall
I am 60 years old. i feel on rock. I bruised my arm. There is no discoloration due to me appying arnica gel periodically, but it has been a week and the inflicted area is still swollen. My blood pressure is now very high. Are these two related. What should I do. | Hello, As you had a fall there will be a bony hurt. But better to take an X-ray for safety side as your age is 60 and bone weakness is assumed. Also the gel you applying and blood pressure has no connection. May be not using the hand may lead to high blood pressure and also the injury. I will advise to do hot water fermentation and slowly use the hand for simple exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
Chronic pain under the rib, back pain. History of hypothyroidism and lupus. What is your opinion?
Hi,dear dr. I m ruijina.I got chronic pain under and around my left side rib.It cause back pain too. the pain felt like three degree out of ten. In the night deep sleep,sudden needle pain(only seconds ) could wake me up.This pain started in may 2010,almost three years. I have hypothyroid and lupus problem.My dr. said I got muscle inflamation.How is you opinion?Thanks | Hello. Thanks for writing to us. The constant pain under the rib cage on the left side could be due to a musculoskeletal inflammation, gastritis, hiatus hernia, or a cardiac cause. Inflammation of the lungs also needs to be ruled out after a proper examination. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal drtayal72@gmail.com | |
Suggest alternative to Prednisone for severe cough caused due to asthma
Hello. My 5 year old grandson has asthma and it flares up often he has a cough that nothing seems to help. I gave him Cheratussin .1 mg because he cough so much he throws up and couldn’t sleep. It helped him. Why won’t His Dr. order something stronger than predisolone sod. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Best treatment of asthma is inhaled treatment. Prednisone is an oral corticosteroid. Prednisone tablet is not advisable for children. So in my opinion, you should take him to pulmonologist. He will mostly improve with inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroids (ICS) (Budesonide or Fluticasone). ICS are much safer and more effective than Prednisone. Don't worry, he will be alright with inhaled treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandson. Thanks. | |
Diagnosed of Hepatitis C, losing balance bleeding easy, red bumps, memory issues. How quick should treatment start ?
Hello. About 3 to 4 months ago my fiancé was told he has Hepatitis C. His primary Doctor said it was active and sent him to this charity hospital in LA. I am extremely worried and concerned, as the process of even finding out the severity or start of treatment has not even begun. How quickly should treatment begin? They saw him in April and because he drank beer occasionally, they said he would have to wait 6 months. In May, he had an ultrasound done, but since its a charity hospital, he does not have any specific doctor assigned. The Radiology Dept said they were not allowed to give out results but seemed surprised that we were not yet contacted to start treatment. I can not get any answers, no one calls back to find out results or severity. I have only been told the following additional information: that treatment would not start until he has a psychiatrist due to side effects from treatment. I guess my question is how fast should treatment begin with Hep C? I feel this is going to slow and that the disease could be progressing inside his body . . . am I overreacting or on target? Also symptoms: is balance, bleeding easier, bruising easier, and unknown red bumps symptoms with this disease and its worsening; also memory issues. I am really trying to get a hold on what is happening with him and how fast and how hard I need to push to get this treatment going. Thank you in advance for your help and listening. All info and help so appreciated. AAAAA | hi, thanks for posing your worryi think he should do everything as fast as possible to start treatment since it is active.complications of hepatitis include liver failure, cirrhosis and hepatocellular carcinoma, but early management prevents this. he should get some hepatoprotectors, avoid alcohol and drugs like paracetamol.he should also try to consult a hepato-gastro-enterologist for further help.take care | |
Reddish flaky ring in the pubic area. What is it?
Good Evening, I have recently discovered a red ring with a white and or clear center In my pubic are region where I just itched it and for some reason wanted to see what was bothering it. That is when I discovered this red ring with a white/ clear center. It was kind of flaky. It is not really a big bump considered to be a pimple and it does not look normal. What could be the cause of this? What is it? & What can treat it? Thanks :) | Hi, Welcome to HCM, From your history it seems that you are having fungal infection in groin. Apply anti-fungal cream or talc like multifungin, micoderm. Take oral anti-fungal tablet like Flucanozole 150 mg once in a week for 4 weeks. Keep local part dry,airy and hygienic. wear loos cotton clothes at night. Ok and bye. | |
What causes fainting spells and nausea in a child?
My 9 1/2 yr. old daughter has had several instances in which she has felt very faint, or even nearly passed out. Each time has been when I am messing with her in some way...like cleaning her earrings and taking them in and out, looking at a pimple and cleaning it, even gently working tangles from her hair with a comb. She gets really pale and says she thinks she is going to throw up. She has never vomited, but has started to pass out. I make her sit and put her head between her and she feels better in a few minutes. Is this normal? | Hi... this is not normal. I feel that all these actions are stimulating vagal attack in your kid. I suggest that you get her evaluated with her pediatrician.Regards - Dr. Sumanth | |
Is it needed to take Duphaston for low placenta?
hi Doc! i am 12w5d pregnant now, after my ultrasound my OB gyne told me my placenta is low & she prescribed duphaston 10mg to be taken 4x a day for 1 month. I am hesitate to take the medicines since i dont have any bleeding. May you give me an advice if the prescription of my doctor is correct. | Hi,12.5 weeks is too early to comment on position of placenta. And if you do not have cramps,spotting or bleeding, so do not bother with the Duphaston.Duphaston dosage is only 10 mg twice a day not four times,but not advisable in your case.I would advise you to ask the doctor doing your anomaly scan at 20 weeks, to comment on placenta. Till then do not worry.Hope this helps.Regards. | |
What causes pain in upper chest under the collar bone?
I have pain in my upper chest under my collar bone and when I walk it gets worse. I belch a lot and I have had the symtoms now for over a week but obviously they are not constant. I have always suffered with indigestion and have had helicobacter pylori twice but still get worried when I have pains in my chest. | Hello,I would suggest you to get yourself checked by a physician. Based on your symptoms it can be related to gastro-esophageal reflux disease. However, I would also suggest you to get a cardiac work up done. It is best is to consult your physician and let him take his decision based on his physical work up.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Santosh S. Jeevannavar, Orthopedic Surgeon | |
Bleeding after wisdom teeth extraction. How long before pain due to dry socket begins?
Hello! My name is Melinda. Last Monday I had both of my bottom wisdom teeth extracted. Yesterday as I was brushing my teeth my hand slipped and poked the hole of the extraction sight and started bleeding. I'm afraid I may have dislodged the blood clot. That was around 10 PM (Monday) and it is now 2:56 Am (Tuesday). If I am developing dry socket how long does it take before the pain begins? If it wasn't the blood clot being dislodged then what was it? Also how does a blood clot develop? And last but not least, I have been eating. If food gets stuck in the holes does my body naturally push it out or will the gum heal over it? I have been doing the salt water rinses but I don't feel like it's enough. Thank you for your time! Have a great day! | Hi, Thanks for asking the query,A wound healing occurs after 2-3 weeks, dry socket is an extremely painful condition that occurs due to dislodgement of the blood clot for the extraction site, usually occurs after 4-5 days and is associated with bad breath and fever.According to your symptoms i suspect that bleeding seen can be due to irritation caused to the granulation tissue of the healing socket.I would suggest you to follow the post extraction instruction given to you carefully. Take complete course of antibiotics and analgesics.Take lukewarm slaine and antiseptic mouthwash rinses.Hope this helps out.Regards... | |
Swollen gum, headache, sore throat, swelling in gum. Treatment?
Hi, the back of my gum is swollen I taught maybe its my wisdom grewing but puss n alittle blood started coming out I have a bad headache n sore throat n my gum is very painful it started swelling yday n I can only go to da dentist in the next 2days due to financial trouble will I be ok 4the next 2days I am 19yrs old n desperate 4help at this point can u please advice me | Hi,From history it appears that you might be having infected molar and now apical abscess is forming.There is a possibility of having gingivitis as well.These can be very well judged by clinical examination only.Consult your dentist and get examined.One course of antibiotic and anti-inflammatory medicines will give you relief.Do antiseptic gargles.Ok and take care. | |
What causes low wbc count?
I have recently had a general blood test, as I was suffering from Hair loss, night swats and sore glands. The blood test came back Norman however my white blood cell count was low. Considering this was the only abnormality, should I have further investigations? My doctor suggested another CBC in 1 month. I am a 20 year only female, generally otherwise healthy, had glandular fever earlier this year. | Hi, dear. I have gone through your question. I can understand your concern. You have mild decreased wbc count. It is not a big worry. Simple viral infection can leads to this. So don't worry about ypur wbc count. Just repeat it once after a month. Not a cause of big worry. 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. | |
Suggest medication for chest pain,dry cough and fever
I am 36 years old I have chest pain with dry cough and fever. In E.S.R test it was increased in1st houris 65 and in 2nd hour it was 76. Doctor prescribed me to take Penidure 12 LA .I have taken three Penidure injection in six days. Would this will regularize for life time or it will stop after some curtain dosage ? | Hello As you explain the history rit should be taken for at least 10 days and thqn to repeat the ESR.Regards Dr.Jolanda | |
Multiple stones in gallbladder, suggested laproscopic removal. Heartburn. No pain or vomiting. Any risk from surgery?
Hi,My wife is diagnosed with 3 gallstones in her gallbladder. 2 gallstones are of 4mm(millimeter) size and the 3rd one is of 8mm size. The doctor who diagnosed the scan report, says that the stones are at the neck of the gall bladder.If the stone moves out of the gallbladder and blocks the bile duct, it will lead to severe pain and jaundice.The doctor suggested removing the gallbladder laproscopically...While I understand what the doctor said is right, I am still confused whether to go ahead with the surgery or not. My wife does not have any pain right now nor have felt any pain in the past in the abdomen or stomach or right side of the chest (below the ribcage) and no vomiting feeling. She does have heartburn (acidity) problems often which get well when takes antacid or pantaprazole... My wife also had a c-section surgery before 7 months during her pregnancy. Is it really good to remove the gallbladder with the current situation.. I am confused... please guide me... and let me know the post surgical risks if any....Thanks,Kasi | HelloThanks for writing to HCMYes,your doctor has given the right advice.you should follow your doctor's advice.Treatment Option is surgical removal.By laproscopic method,recovery period is less and now a days it is widely practiced.If you don't remove it ,it may get suddenly obstructed and may lead to emergency and immediate hospitalization.So,better get rid of it.Gall bladder calculus can be cancerous if it is kept for long time.Get well soon.Take CareDr.Indu Bhushan | |
What causes pain in hands after getting wet?
My hands are pruning excessively when they get wet- even for a short a period a time as washing them. They often become painful(particularly after prolonged exposure to water) and don t return to normal unless they are kept dry for hours. Any ideas what may be going on? I ve never had this problem before, but i have recently moved to china. Could that be a factor as well? Thank you! | Hello!Thank you for asking us. Your history is not proper like your age? sex? as this condition is more common in young females. It might be some hormonal condition or some connective tissue disorder. Visit your doctor for treatment.Regards! | |
Are severe cramps and prolonged menstrual bleeding due to Norethindrone intake?
Good afternoon. Due to a hormonal unbalance my gynecologyst prescribed me Norethindrone 5mg. Since I started drinking these pills, once a day like she said, Ive had very strong cramps everyday, abundant blood flow and today is my 13th day on my period. Are these normal symptoms or should I stop consuming them. | Hello, Norethindrone has side effects like all medications. Cramps,Vaginal bleeding between periods (spotting) or missed/irregular periods may occur. If these effects persist consult with your gynecologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician | |
Having allergy of sneezing. Taking two Avil 50. Side effects of heavy dosage of tablet ?
helo doctor my name is AAAA age is 24 male i m having allergy of sneezing i have gone to many doctors from my child hood But none of them had cure my allergy Now i m taking Avil 50 but head its quite danger & havey dose tablet wat to do? Also I m taking 2tablets at once....then i get relief. before it was like I have to take this tablet 3-4times in a month... but now i have to take this tablet every alternate day..bcz every alternate day my snizzing starts.. Befor when i was taking 2tablets I feel sleepy...but after taking 2 tablets i dont feel sleepy..but i feel hungry & my left leg is stars paning (vibrating). also i feel restlessness please help me | good morning, by these symptoms u have suggested u r suffering from allergic rhinitis, for this problem u should take flixonase nasal spray daily in the night for atleast 3 months, ur problem will be controlled. by taking too many avil tablets , u may get addicted to it, in a heavy dose its life threatnening and may cause seizures, it should not be sold over the counter by the chemist without the doctors prescription, what u r doing is self medication which is absolutely wrong and putting urselves in danger. kindly consult an ENT specialist for a detailed checkup and need ful. u should avoid dust , smoke , smoking , cold air and cold water, strong fumes and scents, u r problem will be in control. | |
On treatment for cystic acne, only getting worse. Dr advises Iret, tronin, saslic facewash. Right medicines ?
I have cystic acne n undergoin treatment for more than 2 months but conditions jst getting worse i hav acne all ovr my face in form of pus ..dctr has prescribed me iret capsules n tronin cream .015,saslic ds facewash, faceclin gel,zincolak capsules,minoz od..are they right medicines Bcoz i dnt see any positive result..pls hlp..feelin low all d AAAAA... | hello Chhaya welcome to HCM forum, thank you for posting your query, whatever information you have provided here is not complete, as you have not mentioned the doses nor the duration of your treatment. i would like to inform you that iret capsules are the best for treating acne , your doctor has prescribed you all the medicines which are required for treating acne, i hope you had your hormonal tests done before starting with the treatment. i would recommend you to apply aclind BP gel, in morning all over your face, and faceclin A gel at night only. avoid sun exposure, or use sunscreen before moving out in sun. do not worry, continue taking the medicines as prescribed by your concerned doctor, but do not overdose as all these medicines have serious side effects, i hope i answered you question, i wish you good health. | |
Done sperm analysis. Prescribed Cipro. Has cipro affected sperm quality?
hello there! My husband and I are trying to conceive and we had his sperm tested to see if he was dealing with infertility issues. Everything tested out fine except for the morphology of his sperm. His first test was only 12 percent normal forms, then he took another test 2 months later with 17 percent normal. (The normal reference ranges we got back from the lab were 70 - 100 percent) We got his most recent test back with 30 percent normal. My husband had prostatitus about 6 months before we started testing his sperm quality, and his doctor put him on a month s supply of cipro, which I have heard is a very potent antibiotic . Do you think it is possible that the reason his count is suddenly going up from the first test is b/c the cipro affected his sperm quality? He has had no other change in his life, no diet or lifestyle changes. We are trying to figure this out. Is there any way to increase normal sperm morphology? Thank you so much for your help! Laura | Hello, Welcome to HCM, Look, previously, 70-100% sperm morphology was counted as normal as per WHO 1999. But now, it has been changed. As per WHO 2009 normal sperm morphology is >04%. So, according to this criteria, your husband has absolutely normal sperm morphology required for pregnancy. Cheer up. | |
Q. Daughter has got red itchy bumps due to mosquito bite. What can I do to help her?
Hello doctor, My 2-year-old daughter had been eaten up by mosquitoes, and those areas are red, bumpy, and some have red rings around them. These bumps are itchy to her, and they look infected. Does that mean she is allergic and what can I do to help her? | Hello. This is the normal reaction to mosquito bites. Please wash with soap and water and apply Cortisone cream (Hydrocortisone) two times a day for three to five days. You can also give about 2 ml of Benadryl (Diphenhydramine HCl) once a day as needed for itching. Please use full sleeve shirt and pants when moving outside. You can also use insect repellant lotion to prevent mosquito bites next time. If the rash does not get better in five days or gets worse, please see a primary doctor for evaluation. Mosquito bite. | |
What causes shortness of breath, fatigue and decreased muscle strength?
Hello. I am just checking to see if I can get some ideas of why I have been feeling different over the last 15 months. I noticed that at times I have shortness in breath, fatigue (tired), decreased muscle strength. I am 45 years old and though maybe I was out of shape and a bad diet and maybe over weight (245). Over the last 2.5 months I have been working out everyday at least 60 minutes a day and eating better. I still feel the same and haven t seen any results. The reason I am asking is because I have always been in shape - Boxer and worked out. I have seen a few doctors but they haven t been very good at trying to find anything. I know something is wrong. I know my body but no one is listen. Blood work has been done and everything seems to be okay. I also had a Testostrone test done recently. I will be following up with a doctor on 10/14/14. What else could be going wrong? | Thanks for your question on Health Care Magic. I can understand your situation and problem. At your age of 45, menopause generally started. So possibility of cardiac disease is high during this age due to loss of cardioprotective effect of estrogen. So first get done ecg and 2d echo to rule out cardiac cause first your symptoms. If both are normal then no need to worry for heart disease. Bronchitis is another possibility in your case as you are having breathlessness and fatigue. So get done PFT (Pulmonary Function Test) to rule out bronchitis. Consult doctor and discuss about these investigations to rule out cardiac and Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks. | |
What causes popping in rib cage during deep breathing?
Hi there, I fell on a friends knee last friday and have damaged my ribs. I think they are just badly bruised. It is tender around the area that i hit but no bruising at all. Last night the front right of my stomach just down and to the right of my sternum got very hard and painful and swollen. This swelling is gone down somewhat now but if i take a deep breath, there seems to be some sort of popping or movement in there. Just hoping it is the swelling and not anything worse Thanks in advance for your help Dave | Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal injury is more likely for your symptoms. So better to follow these steps for faster healing and recovery. 1. Wear rib belt to prevent mobilization of ribs.2. Avoid movements causing pain. Avoid sudden jerky movements of chest.3. Apply warm water pad on affected areas of chest.4. Avoid heavyweight lifting and strenuous exercise.5. Take simple painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside.Don't worry, you will be alright with all these in 1 week.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Fatigue, difficulty concentrating, burning soles and palms, night sweats. Diagnosed as CFS. Correct cause?
Hi i have The following are my symptoms..masses of fatigue lack of concentration Cant slpAnd the soles of my feet and palms are burning most of the timeBody temprature is hot to touchAnd occaisional night sweats which come and go?? Doctor has diagnosed cfs? But i feel it may have something to do with my hormones or thyroid but test docs done have come back clear? I was also on a course for about a yr on hcg im wondering if thats caused it? Although i loved how hcg made me feel..pls help im so confused | Hi, Thank you for posting your query. It is possible that your symptoms are related to chronic fatigue syndrome. Moreover, thyroid tests have come as normal. In addition, please exclude a deficiency of vitamin B12 and vitamin D, as some of these symptoms can occur with deficiency of these vitamins. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Can I pill cause any problem in future?
Top of the noon to you Sir, I am 22 years old. I had intercourse with my girlfriend and i din used protection and i am very much sure that sperms does not came out during intercourse, but still is there any chances that she might get pregnant? And if she take Ipill, is is safe for future for her? Your kind reply will be highly Appreciated. Thanks And Regards | hello dear.understand your concern.look every contraceptive methods has side effects,some has more some has less.i pill have also some side effect,but you can take it once ,not do such harm.but frequently & more numbers of use can do infertility & pregnancy failure.so i advised to use condoms,diaphragm ,patches,BC pills....or do sex in safe period of cycle like 10 days after cycle & 10 days before next cycle.hope this will help you.best regards.Dr.sagar | |
Trying to conceive. Came off the pill. Had miscarriage. Hormone tested normal. On norethisterone. Will this helps in conceiving?
Hi my husband and i are trying to concieve and since i came off the pill in aug i got pregnant in oct 2011 and had a delayed miscarriage in december. In jan 2012 i had an AF although it seemed unusually light. Since then i have missed 2 AF and on CD 61. My doctor done hormone test and results came back showing normal levels. My doctor has precribed me 5 days of norethisterone however i am told this will induce an unovulatory cycle and wanted to know if it will affect me trying to concieve. I am trying not to stress as i am told this is why my AF is delayed and thus this pill is to help me try to relax by seeing an AF. Please advise. | Hello. Thanks for writing to us. Taking norethisterone will only help in regularizing your periods. After you stop taking the hormonal tablets, the chances of conception will be much better. You can try for conception from the next cycle.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,drrakhitayal@gmail.com | |
Suggest treatment for heart stroke
Good to hear that i have got atleast some body to answer my query. my uncle has got HIV. W came to know only when he got the heart stroke and sent the sample for testing.he has left anterior fascicular block and also anterior injury. his HIV values didnt cross the normal limitis value. they r at the border line of normal limits. where can i get the treatment for his heart stroke. its been 10days he got the heart stroke. please reply me as soon as possible. | Hello, After going through your medical query I understand your concern and I would like to tell that the best option for him will be thrombolysis therapy in which he has the possibility to recover from that heart injury. Kindly consult with your treating Cardiologist for a safest and beneficial way out for his cardiac health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | |
Q. Why do I get anxiety and hot flushes at 4 PM everyday?
Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my sodium level came up to the normal range. During the two-month time frame, I felt that Losartan made me very anxious, and I noticed hot flushes, which I never experienced before. My blood pressure was fluctuating, but he refused to put me back on Lisinopril, which I had taken for nine years. At this week's follow-up visit, I told him about the flushes and my blood pressure. I also have a white coat syndrome and get very nervous when I go there, causing my face to go red. He then said I might have carcinoid syndrome and wants me to take a 24-hour urine test. I researched this for days, on the internet, and I have no other symptoms of this syndrome, except for the flushing and uncontrolled blood pressure, which I never had until he changed my medications. I want your opinion as I am very upset and scared that I may have this syndrome. I hear that those 24-hour tests are highly inaccurate and I do not want to go for a list of unnecessary tests based on this renal specialist's opinion. I would appreciate your thoughts on this, as I heard this is a very rare disease. I am now back on my old Lisinopril medications with 12.5 mg of Hydrochlorothiazide. I am feeling better in just four days. My 4 PM flush is disappearing slowly. | Hello. Revert with more information to an internal medicine physician online --> | |
What could cause pink colored vomit?
Hi. My 4 yr old daughter has been sick 3 times this week. When she is sick her vomit is pink in colour and smells quite sweet. She does not drink anything bar water and milk and has not eaten anything that I think would turn it that colour. She shows no signs of being ill what s so ever bar being sick.many thanks | Hi....this could be due to a mild capillary leak in the gastric mucosa or the esophagus due to the retching she might have had while vomiting. If she's active and her usual self, you need not worry.Regards - Dr. Sumanth | |
What is the reason for stiffening fingers and pulsating eyelid?
hi, i am experiencing stiffening of my fingers, at first i ignored it but i noticed it happens more often now. Most of it at night. And the lid of my right eye is often pulsating, it has been more than a week now. What could be the cause of my concerns? | Hi,Thank you for posting your query.First of all, I would like to reassure you that there is no need to worry about your current symptoms.They are most likely due to over-strain of muscles and fatigue. It would improve with rest.However, if you do not get better in a few more days, then, a brain scan should be done to exclude any ischemia (lack of blood flow to the brain). Also, thyroid profile and vitamin B12 level should be checked.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: | |
What causes pain in leg after a varicocele surgery?
Hi, i had vericocele surgery just couple of weeks ago. I feel like i have relived from the surgery pain and 70% from the original pain. But Still i feel i have the pain and discomfort and sometimes I feel my left leg and left hand sensing very mild. I am just confused whether am i really healing from the vericocele or not? | hi.welcome to healthcare magic.i have analysed your query.My opinion is that,the leg pain is not related to varicocele.you should take analgesics to control the pain.if the pain doesnt improve,kindly consult your treating doctor.thank you.i wish you for your good health. | |
What relieves the discomfort in the knee due to a hard lump?
My husband has been c/o pain and discomfort on his right knee, he has a hard ball or lump on the side of it, it s very sensitive. He dislocated that knee 3 years ago in a football incident, he didn t see a doctor to put it back in place and never has. Now the pain is frequent and getting worse. I would like to give him ibuprofen but because he has ulcerative colitis I can t just give him anything with aspirin, please help. | HiHe should consult an Orthopaedic surgeon for proper management. X ray of that area has to be taken.If it is inconclusive, MRI has to be taken.Please do not give Ibuprofen for prolonged period. Hope I answered your query. If you come back with investigation reports, I will clarify further.Wish you good health. Regards | |
Suggest vitamin d supplements during pregnancy
I am 7 and half weeks pregnant, I want to know which kind of vitamins d supplement I am taking? course I have folic acid already and i don t want to use viavitotics which it mix with folic acid and vitamins d, I rather to get individual vitamins d supplement | Hi,In case of vitamin D deficiency, vitamin D supplements may be required. Increase dietary intake of food rich in vitamin D and calcium. Take a glass of milk everyday.Caldikind, Shelcal or D shine are some of the vitamin D and calcium supplements that can be used. Dose may depend on whether it is taken prophylactically or for proven deficiency.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician |
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