patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1 value |
|---|---|---|
What causes pain in the left chest?
My three year old just started saying his side hurt really bad. He indicates that the pain is on his left side just below his ribs. He is unable to lie on his left side. He is lying in the floor now on his right side and occasionally cries out "OW!" | If the pain is significant go for chest x Ray. It may associated with early pleuritis. If any pathology will be there then treat accordingly. For pain u can give combiflam. | |
Suggest remedy for pain in shoulders upto wrists
Hi I have had a really phlegmy cough over the past 4 days and today I have developed a really dull ache in my left shoulder which extends all the way Down to my wrists!! I m just wondering if this is normal. I saw a doctor today an he said I had a viral infect ok but this pain is very uncomfortable | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It might be generalized pain associated with viral illness. You can take analgesics like Ibuprofen or Diclofenac for pain. Drink plenty of water and take adequate bed rest, most often the symptoms will subside in couple of days. Wishing you good health. Thanks. | |
How can kidney stones in both kidneys be treated?
Hello doctor. I have a 20 mm stones in my right kidney and around 5 small stones in left kidney. 2 years ago i had undergone pcnl for my left kidney .. also i have 10 mm stone in my left ureter ... can i get myself treated with RISIS or PCNL is the only option | Thank you for being with Healthcare Magic!Generally speaking RIRS can be done for stones less than 2.0 cm in size. The stone in the left ureter is treated ureteroscopically. PCNL is used for large stone burden on the kidney. I believe RIRS will be a suitable option for you. | |
56 years. Extreme mood swings, unusual behaviour, routine oriented, short temper, dominating, abusive. Advice
hi, i just had a very unusual bizzare weird 6 month live in relationship with a 56 yoear old male. He has a brother diagnozed with sczitophrenia, a nephew with aspergers. on the first meet he wanted coffee at my place, i reluctantly said yes. whilst making coffee he slyly quietly came behind me unanounced and engaged in physical sex. that made me feel overwhelmed in shock in the safety of my own home. being adult to adult i didnot feel threatend, he acted ina quiet way. Whilst living in my home i slowly noticed unusual signs and symptoms that i havent seen before in any other relationships. He was very routine oriented with waking at 5 am, shower 5.30 breakefast 5 45gym 6 am, ironing 7 am , bus to work 730, home 5 30 pm, cooking together at 6pm eating 7pm whilst he slowly introduced alchol into the equation with 4 beers and i bottle wine and with me sharing a glassor two or three. He was asleep onbthe the couch by 730 awake 830 the to bed by 9pm withonly cuddles from behind, he would cover my face withthe sheets. cuddles early morning before getting outof bed. sex only from behind very rarely in middle of night. e constANTLY spoke of previous relationships in a critisising way except with bragging about fantastic sex with previous partner, he stated that didnt work out as it was about sex and not real communicaiton or interpersonal relations. stated this time bonding without sex may be longer lasting first, then the physical component next. he was reluctanct to engage in going out to dinner, other social activities. over time, there was a bike ride once a fortnight only with his daughter , he was reluctant to do anything together just with the two of us except get a haircut or quickly in and out of the market for groceries for that nights meal. His left hand flapped about without me drawing attnetion to it as to reduce his possible embarassment. He stated he has a high IQ, but reluctantly showed evidence of that. He stated he could easy mess with my mind and that i could easily be brainwashed. He was a gunna person.he didnt contribute to utiltiy costs and avoid transport costs.He prefered me to pick him up from worki in my car using my petrol with a direct bus at the front of his work to drop off at home. i thought it was a romantic thing to do but got annoyed he took advantage of my mother type picking him up.He always go t me to pay for a | Hi there ~After reading your entire story, it seems to me like you are both in a relationship that feeds off of each other emotionally, psychologically, mentally and physically. It might not be the best relationship for your or for him, but there might be no alternatives, since you do not seem to be leaving him nor is he in the decisive phase of leaving you. The family histories do not matter here, since you only describe hi family history and not yours. A good psychologist would be able to work out your relationships and guide you through the inconsistencies that you have had to face since meeting this person. However, setting boundaries and having rules might work in you and your other half's case. Substance use should be discouraged as it just complicates matters of the mind. I hope this helps and you also seek the expert help of a psychiatrist for medications.Take care and have a lovely day! | |
Is a dent on the shin from an injury a cause for concern?
My daughter who is 12 hit her shin pretty good 2 days ago on the stairs. There a big bruise and a little swelling but a huge dent in her shin. Any worries? Do I take her to dr to get checked out? She's complaining of soreness but is able to walk on it. | Hi, Thanks for posting in HCM. I understand your concern.injury near shin usually have sharp pain with bruises left.. if she has a serious injury she might not walk.sweling is probably due to soft tissue injury. go for ibuprofen to relive pain.it will minimum 7 days to resolve the soreness.take cromifin citrate to reduce swelling and yes its always better to have a consultation from a physician and also an x ray to relieve yours and daughter anxietyHope the information provided would be helpful. All the best. Regards,Dr.sameena | |
What is the hard painful object on my left middle finger knuckle?
My Left middle finger knuckle is swollen and there is a hard object that moves around from the top of the knuckle to the right inside. Depending on where this object is the pain worsens. When I flex my knuckle or extend my finger this object moves and sometimes there is a sudden pain and snapping nosie . The swelling subsides and then returns - some times there is very little pain and other times the pain radiates up and down the whole finger. This has been going on for about 3 weeks. Any ideas. I do not remember hitting my finger. I do spend a large portion of my job on my computer key board. | Hello, Consult an orthopaedician and plan for an MRI scan to get a clinically picture. We have to rule out possible causes like ganglion cyst. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
What causes hepatitis C infection?
I have AntiHCV positive. In my first report it was 1.33 and just after 4 days i tested again it was 1.13. And my AntiHCV is positive with 1.13 and HCV Qualitative PCR said it is "Not Detected" I am confused. Why is this contradiction? How I should interpret these results where my LFT attached with this message also showing abnormal results but no HCV PCR detected. Am I infected with Hepatitis C??? What should I do? | Hello and thank you for your question. The screening test for Hepatitis C is an antibody test (Anti-HCV). Anyone who has been exposed to Hepatitis C will then form antibody to it and be antibody positive the rest of their life. Many people that get exposed to hepatitis C through a blood or other body fluid exposure clear the virus. If your Quantitative test was negative then you have been exposed to hepatitis C in the past but you do not have a current hepatitis C infection. If your LFTs are elevated then it is not from the hepatitis C exposure, it must be from another cause. You need work with your doctor to figure out the cause of you abnormal LFTs.Thanks for using HCM | |
Suggest treatment for depression and anxiety
Hi. For the past week now I have been experiencing a lot of anxiety attacks...or what I thought were anxiety attacks, and now I feel weird like I'm not even here and I looked up symtoms for depression and I had everyone of them. I don't know if its anxiety or depression? | hii understand your concern.sometimes depression and anxiety may have combine etiology and combine features.Anxiety features are sweating, shaking, increase heart rate, palpitations etc.Depression features are like low mood and lost of interest in activity.Sleep problem etc.This kind of condition can be treated with SSRI means escitalopram/sertraline/peroxetines etc.Drug selection can depend on symptoms that you have.anxiolytic like etizolam can help to reduce anxiety attack.So do consult psychiatrist and get help.I hope i have answered your query.Still have a query then feel free to ask.Thank you.Get well soon | |
What causes upper abdominal pain radiating to lower back?
I am having severe upper right abdominal pain that radiates to my lower back constantly for 17 hours now. The pain woke me up @ 3am went to ER @ 9am they gave me pain meds, demoral & morpheme, that only helped for about 30 minutes. They said my white blood cell count is high & they took an ultrasound of my gallbladder & kidney on the right side & said everything looked fine. They then gave me a drink that said it would help me poop bc they thought the pain was due to being full of poop. That was at 3:00pm & said to come back in 12-24 hours if still not feeling well. I have not pooped almost 6 hours later & the pain is still excruciating. Even though my gallbladder looked fine on an ultrasound could that still be what is causing this severe pain? Oh yea I am also 13 weeks pregnant & I am 31 years old. Please help I don t know what to do & the pain is excruciating. | Hi.Thanks for your query.Read and understood that you are 13 weeks pregnant and 31 years old, that you have severe upper abdominal pains radiating to the lower back, ultrasonography is normal, laxatives given in a hope that passing stools may help.I would suggest you to visit the ER again, explain them that you have severe pain and that you are pregnant also. The causes of placental separation or such a severe cause like some vascular accidents has also to be borne in mind. Insist on admission and further investigations is a must as such a pain can induce abortion and its complications. | |
Are excessive number of spider veins indicative of liver cirrhosis?
Hi, I have always had some spider veins / spider angiomas on my face (cheeks) but recently they have increased and there are lots of them. I am a heavy drinker, does this mean I have chirosis of the liver? I also have middle back pain. | Hi there,Spider angiomas can definitely be one of the signs of cirrhosis, particularly if they have increased. When the liver starts to detoriate, it has difficulty breaking down certain substances and you can get these spider veins and angiomas. If you're a heavy drinker, you are very much at risk for cirrhosis. I'd recommend seeking treatment to stop drinking, as stopping cold turkey will be dangerous. IF you're serious about quitting, seeking professional help to do so is vital. I really recommend you check into a detox center. I hope this answers your questions. Please feel free to contact me should you have any further questions. | |
What causes chest congestion with breathing difficulties and black phlegm?
My father is suffering from chest congestion for the last 1 week or so, and is having difficulty in breathing as he is an asthamatic. Initially the phlegm spit out was blackish in colour but now, it is of the normal colour. He is unable to sleep in the night properly | go to investigation of sputum - gram staining bacterial culture sensitivity , and fungal staining and total serum IgE , you will get your answer. other thing take proper inhaler for asthma if it is not controlled then it may turn into ABPA. take tab Abflo sr 200 od tab medrol 16 mg for 5 days after sample taken | |
What causes grey hair to a 5 year old?
my kid is getting white hair since last one month she is 5 and half year old she has a allergy problem and is been treated with medicine like defza 6 mg half tab mrng and eveng and then montek lc kid and other medicines like zedex syrup and cysteine as antioxidant ...is this white coloratin temepory or can be because of some reason? | Hi....sometimes iron and selenium deficiency can cause this. But most of the times the kids grow out of it and the white coloration is temporary. But for whatever it is worth I suggest you consult a pediatric dermatologist. Iron is a prescription drug and even fir iron supplements prescription you need to see the doctor.Regards - Dr. Sumanth | |
Ovulation induction done, shows follicle size. Taking ovidac injections for follicle rupture. Will intercourse during this time be enough to conceive?
Hai ... I Had ovulation induction , my follical size was 2cms, My Doctor given me injection ovidac for follical rupture & told me to have Intercourse for two days, we had intercourse on 10th hour, 15 th hour & 35th hour, after the injection. Doctor asked me to Come back to know whether ovulation had occured. so wanted to know what exactly she wants to Check....? we had intercourse total 3 times for two days after injection, is it Sufficient to Conceive. | hi ajay during your follow up ultrasound will be done and if the follicle has ruptured then it should not be seen continue to have intercourse for another 3 days daily it is better bye all the best | |
What causes pain in mouth and swollen face?
My five year old has been complaining of pain on the left side of his mouth. It started in his tooth, later into his gums, and now his entire left side of his face is swollen. He is also very splotchy on his face. We have been to the dentist (yesterday) and they took an x-ray showing nothing abnormal in his teeth or gums. He has been on Amoxicillin for 24 hours and taking Tylenol with codeine every 6 hours. It is not knocking the pain. Help....I'm really starting to become worried about him. | Hello, Thanks for consulting HCMRead your query as your child had pain in left side of mouth dont be worried ao much this swelling and pain can be due to trauma , due to eruption of permanent tooth first molar , or infection in periodontal ligament . I will suggest you to give him medication prescribed by your dentist amoxicillin and for pain you can medicine like paracetamol , advised him to do luke warm saline gargle two - three times a day. Hope this will help you. Wishing your child good health.Regards, Dr. Priyanka tiwari | |
What do you suggest for improper alignment of teeth?
i think my teeth dont align correctly. its not comfortable to keep my moth closed, i have to let my bottom jaw hang in order to keep my mouth closed. i think its also causing breathing problems. what do i do. my dr didnt take me seriously and my dentist didnt care. i cant afford braces either | Hi, Welcome Thanks for consulting HCM, Here is Dr. Priyanka tiwari answering your query, As per your query , I will suggest you that as you have difficulty in closing mouth you should consult dentist and go for Temporomandibular joint examination , and if needed go for for Orthodontic treatment . If you cant afford braces then go for retainer , consult your dentist if retainer can work in making your tooth in alignment , or an appliance . Hope l answered your query, Wishing you good health. | |
What is the dosage of zoldonat inj to treat the gaps in the bones?
Difference between zoldonat inj & shelcol-os 500 tab How much does is required for breast cancer piatents. We have done pet scan which says a doubt & then after MRI dorocell which again reveals nothing in the bones. My mother had fallen from tearus past 15-20 years before due to which a gap between d bones is seen Area is somewhere in D3, backbone. Normal x-ray does not reveal anytng. We have given 15 dose zoldonat inj till date on regular basis month on month. Plz adice how much does is actual required. | hihope this msg finds u in good health. i have gone through your complaints and under stand your concern. actually d dose of zoldonat should be titrated against the blood calcium levels and the actual calcium in bones. Bone calcium should be evaluated by dexa scan or bone mineral denditometry. These test will indicate hiw much calcium is deficient.hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless | |
Would taking SECEF be safe for dysentry?
my seven years old daughter is having dysentery for the last 20 hrs ,she pass stool more than 15 times i give her ,ORS and flagyl...now i gave her O2...she is having high fever also..kindly help me..should i start giving her SECEF..the antibiotics or??? | Hi read ur question Ur girl had dysenteryU gave her right medicine ORS give more to her Also u have give her O2 which is antibiotic which treatment of choice in dysentery And no need to add other Antibiotic It will take some time to improve If not improve and any of following is present then show ur paediatrician asap1)More watery stool with vomiting 2)Not playful or irritable3)Not passing urine more then 8 hour4)Most of time sleeping | |
Suggest treatment for low blood pressure and nausea
I have felt very extreme nausea for a week. Having reflux no matter what I eat. Pulse is below normal range (always had low blood pressure) , headaches a lot, dry tongue, feeling full and liquids up to the esophagus so I can t drink more than I want, sometimes kidneys hurt and can t sleep... Plus, my stomach aches a lot | Hi welcome to HCM.I understand your query and concern.Low blood pressure can be due to relative loss of fluid from the body.Hence fluid supplementation is needed in the form of 3-4 liters of water a day.Drugs like Fludrocortisone will help to increase the blood pressure.Avoid standing for long duration.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Consult a Cardiologist for further expert management.Post your further queries if any.Thank you. | |
Why is my infant s skin tone becoming dull?
my baby 18 months old. at birth. he has fair skin.after 1 yr he s skin colour was dull.but face is still fair .he has dry skin.my doctor said me use the emoderm cream daily. i would like to know if i apply sweet amond massage oil or jojoba oil all over the babies body he s complexion will be fair like his face? | Hi Thanks a lot for writing to Healthcare magic.I understand that your baby has dry skin and the differential skin time on body parts is your concern.Dry skin per say predisposes to dull and dark skin tone. While using the cream you need to take care that soon after a brief bath with not very hot water, and towel drying baby soon apply the cream and apply liberal amount as many times may be 3 times a day can be applied. This licks the moisture in skin. Over time skin time might become lighter. Hope I answered your query.In case you have more query I am happy to answer else rate this answer and close the discussion. | |
Q. Can I use Kojivit gel to get fair skin?
Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> | |
Have some ache scar marks, blackheads ,dark pigmentation on my face. Using lumnaskin cream. Safe remedy?
i am 26yrs old grl and i hve some ache scar marks ,blackheads ,dark pigmentation on my face.my face skin looks vry dull n loose.plz tell me lumnaskin creame is effective for my skin problem?can i use this creame without any specialist precription.?its sideeffects or not. Is lumnaskin is better to improve skin complexion ? | Hi, welcome to HCM.You are having acne scars and hypermelanosis on face.Do have active acne lesions?If yes, apply clindamycine or adapalene gel at night on lesions.If no active acne lesions, you can uselumnaskin cream. It is herbal product containing hyaluronic acid , grape seed extract, swiss plants extracts and biowhite serum. It is not irritant as it does not contain hydroquinone. However , one can not say that you will get perfect result.To get perfect result, you apply kojic acid and vitamin C containing cream.Take vitamin C, glutathion and nicotinic acid in proper dose.Have patience, avoid tension.I hope you will be improved.Regards,Dr. Ilyas Patel MD,DVD | |
Why do I feel exhausted after the tooth extraction?
I'm 38, normal weight, above average height, no significant medical history. I had two wisdom teeth extracted 8 days ago. I developed a dry socket which was treated on day 3. 8 days post-extraction the pain is reduced - slightly but noticeably - but I'm finding it hard to cope with how exhausted I feel. How long can I expect this tiredness to go on? I don't believe I have an infection, if I had any doubt about that I'd get it seen to. I just need my energy levels back urgently. | Hello!Thank you for posting here.Dry socket often occurs in lower wisdom teeth,poor oral health and lower molar extractions.Get the dressing redone every 3 days for a better healing hereafter.As the dry socket started healing,it will take nearly ten days to get better.A change in dressing may be necessary till a month.Maintain good oral hygiene routine.Gargle thrice daily with warm saline.Take multivitamin supplements with bcomplex (becosules) once daily for a month time.Attend your daily routine normally.Do not panic as it started healing and its a matter of time.Give your body some time to heal and recover.Strictly 'No smoking' till it completely heals.Avoid carbonated drinks.Hope this helps. | |
What causes pea sized lump on lower left rib cage?
Hello, I have a lump about the size of a pea on my lower left rib cage. It has been there for about a year and hasn t changed in size but I have noticed that it is a bit tender. I have seen my doctor and he sent me to a surgeon/specialist about a year ago. He said to watch it and make sure it hasn t changed in size. I m just a bit concerned it is tender. I should note that my son was diagnosed with Hodgkin Lymphoma two years ago and went through chemo/radiation. | Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of lower left rib cage nodule, I would come up with three possibilities, these include: 1. a lipoma or benign fatty tumor or neurofibroma2. The second possibility is of a benign cyst like sebaceous cyst 3. The last possibility is of a lymph node possibly due to non-specific inflammation Overall, it is benign and nothing to do with Hodgkin's lymphoma and not to worry about this but you could go for FNAC test for confirmation and relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
I am having stomach ache when going to toilet and i got blood also
hi when i poo i get a really sore stomach then when i wipe my bum there is blood what is wrong with me | Hello, 1. Your problem due to various causes like fissure in ano or piles. You should avoid oily & spicy food, drink a lot of water. Apply ointment proctosedyl locally after defeacation. 2. Consult to doctor if problems persist 3. You can tab deflan 500 mg twise a day for 5 days along with ointment | |
Suggest treatment for lymphodema
I have lymphodema and recently started leaking everwhere with a discharge odor. I just finished a Z pac but I have had a fever for over two weeks. I am very lethargic and when i am out of bed to go to the bathroom, I am dizzy. I have just strated having the dry heaves. Any help you can offer? | Hello and welcome to HCM,Lymphedema occurs due to blockage of lymph channels and thus accumulation of lymph.Thus for management of lymphedema, the underlying cause has to be found out.Obstruction in lymph channels can occur due to pressure from outside or within the lymph vessels.Thus, a Doppler study of the lymph channels is required to know the cause of lymph accumulation and thus management can be planned.Thanks and take careDr Shailja Puri | |
What percent of people who get mono have elevated liver levels?
My daughter just got diagnosed with mono. Her liver count is elevated and this really worries me. What percent of people who get mono also have elevated liver levels? I m just really worried. I know we follow up in three to five days with our PCP to check her level. Just wondered I d you see this happen much. | Hello and welcome to HCM,I can understand from your history that your daughter is suffering from infectious mononucleosis and the liver enzymes are elevated.Infectious mononucleosis is a viral infection characterized by fever, enlarged lymph nodes in the neck, rash and organomegaly.The liver and/ or the spleen can enlarge and cause discomfort.The liver enlargement can lead to elevated liver enzymes.The treatment of infectious mononucleosis will clear away the symptoms of the disease.You need to consult your doctor for prescription of medication for the condition.You can regularly check the levels of liver enzymes.Thanks and take careDr Shailja P Wahal | |
Terminal Cancer, diagnosed with blockage in kidney. Advised tube in the kidney to pass into a bag. Is this the only solution?
I have been diagnosed with a blockage in my kidney and advised to have a tube put in the kidney to pass into a bag, is this the only solution and how long would I have to live. I have terminal cancer which started in my prostate and has now spread. i would be pleased with your opinion. \\\\\\\\gordon Bates | Hi, Sorry to hear about your condition. I can not understand the exact site of blockage. Anyway, stenting to relieve the blockage is another possibility. This can better be suggested by your urologist. Metastatic prostate cancer can be treated by androgen deprivation therapy by hormone . Consult your oncologist for better guidance. | |
Suggest treatment for hemangiomas in liver
i have 2 small haemangiomas in the liver found on ultrasound around 11=14mm in size. have had raised ggt and alt recently and presented because of abdominal pain and a feeling of fullness and changed bowel habits receently over last 2 months. 2 yrs ago had similar sysmptoms that went away upon removal of a 2.5 cm bowel polyp. this time no polyps found in bowel. i am 44 female otherwise feel well. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.This hemangioma is very small and this cant be related to your symptoms and generally hemangiomas should not be treated if smaller than 10cm. Other findings and symptoms are concerning and there is obviously liver damage which should be evaluated. it may be viral hepatitis or fatty liver disease, you need to do ultrasound and check viral markers for a start. then further therapy can be planned. Polyps in bowel may have caused abdominal discomfort and digestion issue, you should repeat colonoscopy to evaluate if this has grown in meantime.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | |
Is it a gallbladder problem if there is a sharp pain under the right rib cage and the person is on transition on medifast program?
I have a SHARP pain under my Right rib cage. I am concerned .... I have recently lost 25 lbs ? i am in " transition " on the Medifast program, i am eating healthy foods, but want to be sure it's not my gallbladder, etc. I don't want to go to the DR for no reason. | Hi and welcome to HCm. you need to do more detailed gastroenterolgoic work up since such weight loss is significant and it can be related to many causes. Wish you good health. Regards | |
Suggest treatment for itching and stiffness in foreskin
iam effected pain in penis part that one year back i was went to urine for open bathroom i was effected itching forming immediately i was goto doctor , doctor told to me i wand to do circum operation so i fed up with operations any remedy the front part of penis skin is tight so the cleaningwise problem heavy itching so pl send remedy to my mail YYYY@YYYY , mobile; 98422 516312 doctor pl send remedy to me pl help me sir. | Hi, Any h/o diabetes mellitus ?From your complaints it seems to be a case of phimosis. Treatment of phimosis is circumcision. You may go for stapler circumcision (ZSR technique)It is a minor surgery and recovery is faster. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ashish Kumar Khandelwal | |
Is telmade with solman omega3 good combination for high BP?
I have a bloodpressure reading of 130/110. at present i have been adviced tab telmade a h with solman omega3. Can u suggest is this a good combination or do i have to find another combinations and also i want to know when is the best time to consume omega3 | Hello and thank you for using HCM.I carefully read your question and I understand your concern . You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. Telmesta is a very good blood pressure antihypertensive. Omega 3 its not a treatment for blood pressure, it helps to lower your cholesterol and triglyceride levels.If you have mean values below 140 / 90 mmHg than you are ok..the schema is ok.If you catch any hight value than I would recommend a chek up whith a cardiac echo ,a full blood analyze to chek your renal function and a holter pressure monitoring to evaluate your values during day and night. After this we can decide if it is necesary to change anythingHope I was helpfull. Best regards, Dr.Ervina | |
What is the cause of tingling and numbness?
my left hand tingles when i cough. There is always a some level of numbness but gets worse when I cough. Also, I took 1 trazadone pill to help me sleep when I fell and cracked some ribs on my left side, could this be a related symtom? I took the pill about 2 weeks ago, and noticed the numbness the next day. | The act of coughing is somehow activating your brachial plexus and specifically the C8/T1 sensory nerve roots exiting the spinal cord therefore, some degree of compression of the ribs or shoulder girdle are mechanically pressing on those ribs when you forcefully cough. If there's ALWAYS some numbness then, there is baseline compression and this should be checked out by going to a neurologist, getting an examination, and then, proper testing. There may be a solution of physical therapy that can help reduce the compression...or if necessary, surgical decompression. Please rate this a 5 STAR ENCOUNTER and write me at: www.bit.ly/drdariushsaghafi with more questions. | |
What is the huge bulge on the stomach?
My daughter is 8 months old and has a hudge buldge above her stomch on the same side her stomch is she has a G tube and may have a back issuse not for sure yet but ive asked her ot and they said she seems fine but "seems" isnt a good enough answer. I need to understand why my baby girl looks body is like this | It could be a local hematoma during surgery or because of some suture over there. If she is not having any fever and pain that side, no need to worry. | |
No periods after laproscopy. Want to start IUI treatment. Reason?
Hye , Dr. Aniruddha i want to ask something about my periods...in oct my ivf doc did my laproscopy ...after that in the month of november my periods on same date...and this month means december my doc want to start the treatment for IUI ...but this time my periods didnt come....its 5 days late....and doc can take the patients before 9 dec (bcz of christmas).....i didnt get it why my periods didnt come yet....i ll be really appriciated to you.....thnx | Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Some women conceive after laparoscopy. Hence it is advisable to wait for few more days to get periods. IUI you can even consider in next cycle and not to be hurried. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. | |
Does small bump at the base of penis need medical attention?
I have a small, pinkish bump at the base of the penile shaft following an ingrown hair. It has gotten smaller since I resolved the ingrown hair, and is now a little smaller than a pencil eraser, however, it has not seemed to change over the past week, and it looks/feels almost like a ball of scar tissue. After resolving the ingrwon hair myself, I have been applying Mederma scar gel once daily. Is this something that will resolve itself, or is it a cyst that needs medical attention to be removed? | HIWell come to HCMThis could be nonspecific type of lesion and may not be due to any disease this would come around on its own without any medicines no need to worry about this if this goes on increasing in size and shape, increases swelling then this need to be examined clinically, take care, have a nice day. | |
Q. Is it safe to do strength training for osteoporosis?
Hi doctor, Is it safe to do strength training for osteoporosis? Does strength training improve the bone mineral density? What type of exercise or movement are good for osteoporosis? Which one has to be avoided, and why? What are the signs and symptoms seen in osteoporosis? When it has to be diagnosed in everyone? | Hi. Strength training is not safe, and it is highly recommended in osteoporosis. It helps to increase the bone mineral density. Do workouts that keep the spine straight such as squatting. Try to strengthen your back muscles. Have workouts on your hip and spine. Do cardio exercise along with these workouts. Have a regular walking. You have to avoid activity that involves the bending of the spine. Avoid doing the heavy lifting. Osteoporosis has to be screened in persons who reach menopause, persons having a history of fracture frequently after 40 years of age and persons with family history. Individuals having back pain, pain in the knee joint, and having fractures frequently has to be screened for osteoporosis. It has to be tested for men above 60 years of age and women above 45 years of age. | |
What are the symptoms of lipoma?
I have a soft lump right below the inner crease of my elbow. It feels like a sting if I press on it. On the outer side of the same arm, but on the other side I have a lipoma. Could they be related? If not what would case this soft lump in the crease? | Hi and welcome to hcmlipomas are soft well circumscribed and usually not painful subctaneous lesions.WIsh you good health. Regards | |
Q. Suffering from balanitis. Using an anti-fungal cream candid-B. The symptoms start again after I stop using the cream.
Hi, I am suffering from balanitis since last month. I am using an antifungal cream (candid B) to avoid it. Till the time I use antifungal cream all rashes/infection disapper, but once I stop applying the cream all symptoms start again. Sympoms are: Red skin around head of penis and itchiness after 1-2 days of red skin. | Hi. Have you ever been diagnosed by a doctor because balanitis has several other causes as well and fungal infection is one of them. Get a fasting and post prandial blood sugar done and please send me a few details: These answers will help me come to a diagnosis and treat you properly. | |
How can vomiting while undergoing chemotherapy be managed?
Hi I am an EMT and have a question about trachea. Pt. has cancer and just got a trach b/c of difficulty breathing. He is starting chemo soon. Chemo will make him vomit. Vomit in trach. Suction..but what if he vomits at home and there is not suction what do you do? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. He has to take ondansetron group of drugs twice daily before food. Also apprepitant group of drugs before chemotherapy reduces vomiting effect of chemotherapy Hope I have answered your query. Let me know if I can assist you further. | |
What causes fluid filled bumps on the nipples of a male?
Hi. I was plucking nipple hairs when I noticed a white gel (it's solid but it's soft) coming out from one of the bumps on my nipples. I tried squeezing the other nipple just to check but nothing comes out. It just comes out when I squeeze it. What could be that white thing?P.S. I'm a male. | Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. You seems to suffer from -Sebaceous Cyst in the nipple hairs.As other nipple even on squeezing nothing came out-the white gel is sebaceous material in the nipple hairfollicles.Check up with Surgeon and rule out if Gynecomastia is caused by accompanied causes.Hope this would help you to plan further care of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | |
What causes pelvic pain in women?
Hi,I am worried about my health,over one year I have paine in the right hand side pelvic,appendix is operated out. I try get pregnant,but no luck,blood results are normal.all hormones are normal,. I Would like to get pregnant. if there is womb infection? What u think doctor. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pelvic pain could be due to ovarian cyst or torsion.You need to rule out with abdominal ultrasound. Hope I have answered your query. Let me know if I can assist you further. | |
Q. What should be the target heart rate during physical activity?
Hi doctor, I am a 49 year old female. My resting heart rate is 69 bpm. What should be my target heart rate during physical activity? | Hi. The resting heart rate can vary among the population, and it is usually 72 +/- 6. With exercise, it may go to 180 or more depending on the nature of the training, exercise tolerance, fitness, the age of the patient, etc. The fitter you are, lower your resting heart rate. Also, the ability of the heart to tolerate stress will be better. We aim to keep the heart rate during exercise within 80 percent of your maximal heart rate, which is calculated by the formula (220 minus age ). In your case, 80% of 170 is 36. For further information consult a fitness expert online --> | |
Tingling of the mouth and tongue
Hi, I m a teenage girl with Diagnosis SLE, Sjogren, Polyneuropathy in my feet and hands recently which they think is caused by a drug used in Lupus treatment and lots of other issues, bladder , chronical pains all over etc But now recently I ve been getting tingling sensation in my mouth and since today my tongue. I was thinking it could be neuropathy but I m not sure.My Neuro mentinoed hyperventilation but my mom said I don t have it currently as an answer. I haven t hyperventilated in ages+never experiencied these tingling.Only shortness of breath , heart pounded that d be really worse and never got tingling.Aswell the sensations are constantly.My Neuro has schedules a Mri of my brains in March+The day after I ll go see her.I just find this bit concerning and am wondering what could be going on?I also have very weak muscles etc.Just read it can be signs of Ms but I d rather not have that.My last Mri scan was a year ago and it was normal tho. Thank you in advance. | Dear Madam, your symptoms could well be related to neuropathy,but tingling sensation only on the tongue seems unlikely to be a result of it. You would generally have associated facial weakness or difiiculty in swallowing along with it.As your neurologist had adviced ,its better to get an MRI of the brain done to be sure that there is no ischemic focus in the brain. Hope you find my answer useful.Take care. | |
Suggest treatment for chest pain and fainting
My daughter of 17 yrs has been suffering from chest pains and fainting for a while she was admitted to a&e yesterday as she had a bad attack and collapsed she was monitored for a few hours and they said they would do a heart scan as they were concerned as her resting heart rate fluctuated between 120-137 and her resp went over 30 if she just sat up, after speaking to her paediatrician they said she had said no to the scan and to send her home......... which they did, | Thanks for your question on Health Care Magic. I can understand your concern. Chest pain with fainting episodes needs evaluation to rule out cardiac and brain related causes. So better to consult doctor and get done 1. Ecg and 2d echo to rule out cardiac cause especially valvular heart diseases. 2. MRI brain to rule out central nervous system (CNS) pathology. If both are normal then she might be having stress, tension and anxiety related symptoms. But first rule out cardiac and brain related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What causes lower back pain radiating to left kidney with nausea?
Yesterday woke with lower back pain. As the morning progressed, the pain moved over to the left kidney and it feels like I have been kicked in the area. Deep seated bruised type of pain. Yesterday afternoon, took 2 nurofen and again last night. Also having bouts of nausea (no vomiting) and sweating | Hi,From history it seems that you might be having renal colic giving this problem.You have not mentioned about burning urination or frequency of urine.Go for routine urine check up.After report go for treatment accordingly.Meanwhile take Meftal spas as needed.Take plenty of water.Ok and take care. | |
How to treat fever and cough in a 7 1/2 months old child?
My 71/2 month old son ran a low grade fever on Saturday, then started a "dry cough". The cough has pried sucky got worse over the last few days and seems worse when he is eating or swallowing. It's starting to sound a little mucusy. Should I call dr or wait a few more days? The fever went away within 12-18 hrs. | Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.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)., | |
43 year old Man is having blood along with stool. What are the possible causes and remedies for it ?
Why is there blood along with stool next day morning whenever I take milk earlier night ? Why is there blood along with stool next day morning whenever I take milk or milk products (excluding curd ) earlier night ? What are the possible causes and remedies ? I am a 43 year old Man.. | Hello; welcome to HeathcareMagic If it is a streak of blood mixed with stools or you pass few drops then the bleeding is probably from piles.Normally milk or milk products do not cause any problem but if you are feeling constipated then if you strain for stools then you may bleed during passing stools.As for the remedy please get examined by a doctor and he will treat you. Thanks | |
Suggest treatment for testicle pain despite taking Ciprofloxacin
I have an organic query in relaxation that is very cramped and in the erection within 10 years and weight 122 and longitudinal 178 I have a large belly and a month ago I had a lot of feeling with the need to urinate and when the excitement and pain after the bow and pain when bending and sitting on a chair At the pubic or below the pain is severe when sitting only at the head of organic and after the existence of such a thing that hinders urination at the pubic and some pain and the mother and the mother is intermittent in the testis right and sometimes a few together and note in the relaxation of the penis and diplane and there was no blood I started taking antibiotic cipro floxacin once a day and peppon perdue once a day for a week to feel With a very simple improvement I practice the habit and try to reduce every three days or more unmarried | Hi, Consult a urologist and get an ultrasound scrotum done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | |
Does Doxycycline affect fetus?
hi drmy name is farjana.im from bangladesh.im pegnant.my last period time is 29th aprill.i had taken doxycycline usp at 16 june. i had taken 9 tablet.dr said tht pls do the aboration cause its harmfull for ur baby.im soo upset.dr pls tell me wht can i do? | Hi I have gone through your complaints.Sorry to say that doxcycline is the drug that affects bones and teeth formation of fetusit is the drug not advised in children less than 8 yrs.so better option is termination of pregnancy.having healthy baby is important.Thank youRegardsVasundhara | |
What causes pins and needles in my hands and feet and lower back pain?
I had a fall about 4years ago and injured my left buttock which left a long big lump since that I have been suffering with severe buttock pain hip groin and lower back pain recently having pins needles in hands and feet feet feeling sore hurt to walk on X-ray's blood tests normal can you help to diagnose what it could be | Hi, welcome to Health care magic forum. It appears that you have a injury to the pelvic bones, and there might have been a hair line crack of the neck bones, and now showing up the symptoms. I advise you to consult an orthopedic surgeon for diagnosis and treatment. You may need to have M.R.I. for diagnosis. I usually prescribe to my patient with such symptoms neurotropic injections for 10 consecutive days,and then periodically till the pain is under the control. Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods till the pains are completely controlled. Wishing for a quick and complete recovery. Thank you. | |
Suggest remedy for black marked wound from cold sore
Hi! I had a cold sore blisters about a month ago on my chin and now it left me with a wound, it s also look like a cut it s not healing till now and black mark around the wound.I was using zovirax with panderm ointment and it didn t healed my wound completely..I am currently using bactroban cream..please help me !I don t know what to do anymore. | Hi Dear, Welcome to HCM.Understanding your concern. As per your query you have discoloration after healing of cold sore . Well the probable reason for discoloration is post inflammatory hyper pigmentation. I would suggest you to stop using all the creams you are using at present . Wash your face with mild soap and cold water twice daily , apply kojic acid containing cream ( kojivit ) , exfoliate your skin twice a week and apply vitamin E oil at night for proper healing of skin . If condition doesn't get improve then consult dermatologist for proper examination . Doctor may recommend chemical peeling or dermabrasion . Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What causes multiple stress fractures in a 14 year old?
My child has just been diagnosed with multiple stress fractures for the second time. She had multiple stress fractures last spring, followed the doctors orders for rest and then a slow return to exercise. She has absolutely kept her exercise to the level the doctor told her but she has multiple stress fractures again. Her doctors are investigated possible underlying causes. What are those things that could be causing multiple stress fractures for a 14 year old. | HiThere may be calcium, vitaminD3 , magnesium deficiency...water supply deficient in fluorides also lead to bone weakening..Excessive load over natural load bearing capacity could cause it,lastly, estrogen and testosterone hormone imbalance should be ruled out..rarely congenital bone conditions may be responsible | |
Failure in conception, diagnosed to be unexplained infertility. Should I take the injection for follicle rupture?
hi.. I m trying to conceive from past three years but no progress. i have a retroverted utereus but my doc s tell me thats not an issue. i have a regular periods my husband too is fine ( sperm counts are good) everything seems normal with me. but i have nt conceived at all. My doc is telling me to go for an IUI as she says its an unexplained infertility , but me and my husband are not ok with IUI. now recently i met my doc she is planning to give me an injection on the 7th & 10th day of my periods. i suppose that injection are for follicle rupture of my both ovaries. should i proceed with that?? pls help as i m too confused.. | Hi, you have not mentioned whether tubes are open or not. If tubes are open, best option is to take injections to make many follicles (but not just on day 7 & 10). Injections need to be taken for 7-10days depending on progress. If IUI is added to treatment, it will double chance of pregnancy. So its better to go for treatment advised by your doctor for early conception. Wish you good luck. | |
What causes gum infection?
My gums and top teeth have been feeling slimy, like they are covered with some layer of thick but extremely slick goop. Has been going on for a few months, out of nowhere. I have tried absolutely everything, baking soda, high quality mouthwashes, electric toothbrush, tongue brush, cleaners, scalers, drinking tons of water, NOTHING works. The only changes I made in a relevant timeframe prior to this occuring were quitting smoking, and I also significantly lowered my milk consumption. But the slime feeling didn't start until some time after both of those. I have been exercising a ton since about the time this began if that matters. It's driving me crazy, I brush and brush and brush, scale, floss etc and every day like clockwork the slimy feeling perists. | HelloI could not figure out what could be the cause as according to you, you have tried many things still its persisting.You should show it to a periodontist for further Examination.For the time being use a betadine gargle for two weeks twice a day.Thank you. | |
How to get pregnant while suffering from white vaginal discharge?
sir , i had mischairage at six month durning my last pragency in 2009... now i m tring to concieve, but i have a white discharge problem.... it comes daily.... yesterday at intercourse time there is water discharge.. i m worried ........ i want to concieve | Hi,I understand your concerns.Following is my reply:1) You seem to be suffering from Fungal infection.2) Please see your doctor.You can contact me anytime directly to ask question by pasting following link in your browser:XXXX | |
Need medication for headache,vomiting,cough ,chest pain & mild fever
My son is 9 yrs 6 months old. He is suffering from headache, nasal congestion, dry cough , chest painand very mild fever. These symptoms were there for 36 hours.We visited doctor today evening and following medicines were recommended.ascoril (6ml---- 0------6ml)Cosome cough syrup (5ml------------0------------5ml)Advent forte syrup 457mg(8ml---------------0-----------------8ml)After giving medicine today at 9.00 PM....he vomitted at 11.00 PM...I would like to know if vomitting could have been due to any of these medicines given above. He didn't have vomitting symptoms earlier. | HI your child had an upper respiraory tract infection.and as it looks like viral, antimicribials can be delayed as fever is off low grade.Sometimes,Advent causes vomiting,just watch again if it iso=persisting means stop it .try symptomatic treatment like plenty of fluids, steam inhalation , paracetamol andcough syrup advised | |
Suggest management of cervical cancer with legs metastasis
hi,my mother has cervical cancer, that has spread through to her legs which has it swollen very large, her faeces had gotten into her stomach which they had to drain through her nose and she is now constantly in pain what does this mean?....can she beat this? | Hi,Thanks for writing in.Cancer is a challenging condition to treat. Curability of cancer depends on the stage at which the cancer was first detected and the treatment response. From your query, it is not entirely clear about the stage at detection of the disease but it appears to be in the later stages.Regarding the metastasis to legs, I am not sure if there is deep vein thrombosis in the legs causing swollen limbs or there is any other condition directly arising from the cancer. ANother fact is the feces in her stomach, it appears that she might be having bowel related conditions due to cancer spread. Considering the above complications, it is difficult to control the disease and effects due to the cancer and she should be given pain relief and her general health should be maintained. Please do not worry. | |
What causes left side abdominal pain with a history of PCOS?
26 year old, white female, 200lbs, 5'6", +hx for PCOS. Currently having mild-moderate left side abd pain x2days. Laxative produces bowel movement w/o strain or discomfort. Pain increased with pressure to area and sudden movement. I'm not sure if it is muscular, ovarian (although it doesn't feel like usual ovarian pain) bowel obstruction, divirticulits? | most likely it sounds like diverticultiis and i suggest antibiotic treatment with cipro and metronidazolum. if you are not sure you need to do ct scan. wish you good health. Regards | |
How to treat skin blemishes?
M about to be 27 this december.but I have my skin that looks tired..looks patchy..I have fines lines under my eyes which are visible..that does look good on my face..dark lips and lip cornerss..pls help..also have acne scars on cheecks...I had been to a doctor she gave me cetaphil cleanse..hydarting lotion and glyco 6 and dirovate RD...I want something toh whiten my skin..and want to get rid of fine lines . | Hello, Thank you for posting on HCM.Complexion of any person is has two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc and is amenable to treatment.You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycolic peel, retinol peel, cocktail peel etc)Also, chemical peeling can be preceded by a simple procedure called microderamabrasion or commonly known as skin polishing to augment the results.Also, at home you can try using cream containing kojic acid, tetrahydrocurcumin, arbutin etc for several months (Melaglow cream) for additional benefit and maintenance.Always use broad spectrum sunscreen before going out in sun.Use a plain moisturiser like cetaphil DAM on daily basis for healthy and hydrated skin.Take plenty of fresh fruits and vegetables in your daily diet.Hope this will take care of your issue.Thank youDr Hardik Pitroda | |
What causes constant coughing while having multiple blood clots in lungs?
My husband resently, last Saturday,multiple blood clots-both lungs, in hospital 5/17 - 5/19, has been on oxygen at home,injections-now done with those, and is on warfarin. (INR)-was at 2.1 fri.5/23.originaly was 1.3,but now doesn t go back for another blood draw until tues.5/27.but has been coughing and coughing,and now says he hears gurgling in chest,and only feels better if he stands and leans on something. (coughs up and spits out clear fluid). can t get any sleep,even has some kind of sleeping pill from dr.too,but really coughs more at night. what can he do? | Hello dear, thanks for your question on HCM. I can understand your husband's situation and problem. He is having multiple pulmonary embolism (PE ). In PE chances of pulmonary infarction and pneumonia are high.So his constant coughing can be due to infarction or pneumonia. So better to get done chest x ray to rule out these complications. If infarction is the cause then he may need heparin injection. If pneumonia is the cause then he may need antibiotic drugs. So first diagnose him and then start appropriate treatment. | |
What causes severe stomach pain?
This evening as I was walking downstairs I suddenly got bad stomach pains and had to vomit. I produced a lot of it over a couple of hours. All of my vomit was bright yellow (so it's bile, maybe). I am concerned because all I have eaten today were a few glases each of apple and orange juice so I don't know why I am feeling so sick. Also typically if I have a stomach ache I feel better after I vomit, but this time the pain remains. What should I do? | Hi.Thanks for your query and an elucidate history. The pain in abdomen all of a sudden which is relieved by vomiting can be due to the following reasons:-Gastritis with outlet obstruction at the opening into the small intestine due to ulcer at the pylorus -Small intestinal obstruction when the vomit is all yellow and bile. I would advise you the following:Get an examination done by a Surgeon as physical examination reveals may diseases better than any tests known.Upper Gi Endoscopybarium studies if the obstruction is expected to be in the small intestine as the endoscope reaches only the first part of the duodenum. Get started on Domperidone and Ranitidine. Take antacid get.Soft bland dietIF no relief , further investigations as already advised. | |
How to treat ankle injury?
I slammed my ankle against my coffee table a week ago and went to the ER... the ER doc never came and looked at it she only asked where it hurt so she knew where to get x-rays... the girl who took the x-rays just told me to lay my foot down and she took a couple of pictures and left... the doc stuck her head in to telle it wasnt broke. and left the murse came and wrapped it with an ACE bandage and gave me crutches and sent me on my way... now it still hurts i cant put any weight on it and i have to take care of my 10 month old who walks faster than me... the pain has gone from a throbbing pain to i feel like im being stabbed... and i now have a hard knot just under my right ankle bone and the inside of my ankle hurt as well know and it received no trama... my entire foot is stil black and blue | Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. You can also apply icepacks for faster recovery. If symptoms persists better to consult an orthopaedician and plan for an MRI. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
Does masturbation lead to weight gain?
Hello my name is Ismail i am from Pakistan.My age is almost 22.I want to ask that does maturbation leads to weight gain?i have heard many people saying that and they also say that it targets hips and belly kindly elaborate.My weight is around 80kg and height 5feet7inchesThanking in anticipation :) | Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.This is altogether a myth and nothing else. Weight is simply the deposition of excess fat in the body and that occurs when calorie intake of food is higher compared to its loss due to physical activity. I will advise you to decrease the fat intake by reducing oil and ghee intake. Increase the amount of fruits and vegetables in your diet. Also eat only 75% of your total appetite and avoid extra calories in the form of biscuits, namkeens, tea, etcetera.If you can start exercising at least for 30 to 45 minutes then you can reduce your weight faster. Don't try to loose your weight too fast as it is dangerous for the body in the long term.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gaurav Jain T | |
What causes pain in calf,hip and lower front ribs?
Hey. For the last few days I have had pain in my calf, hip and lower front ribs and getting sorer each day. It started with pain in my calf and I just thought it was a cramp as I hadn t hurt it but then my hip started to get sore and hard to walk on then the bottom of my ribs at the front. What would this be? | Hello,It looks from your details that you are most probably suffering from transient migratory myalgias. Such type of myalgia may occur due to:- Smoking- High blood pressure- Diabetes- Excessive fatigue or exercise- Decreased level of vitamin D- Some medicines like cholesterol lowering medicines (Statins)- Pre-viral /viral illnesses.In my routine OPD, I prescribe some analgesics like aceclofenac 100 mg twice a day which is very helpful. If your problem continue to persist then you may have routine blood examination to rule out the pathology.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
Diagnosed with supraumbilical hernia with diversification. Is it safe to have a normal pregnancy. Suffer from severe pain
Hi Doctor I have been diagnosed with a supraubbilical hernia together with diverification.I am currently 14 weeks pregnant and i sought the opinion of a surgeon who explained that it is safe to go full term with the preganacy and have a normal delivery and afterwards I should have surgery to repair the problem. I am always in excruciating pain if I dont wear a belly-band, the hernia looks like the size of an orange. My obstetritian advised that i should have a caesarian and sugery to repair the hernia at the same time. I am opting to take the advise of my OB. How safe is this and is this advisable? Also, how common is it for a women to reach full term with this medical condition? I am sorry, i didnot realise that there was a payment involved (so so sorry). I do not own any credit cards or master cards | Hi Supraumbilical hernia will have fat as its content.If it is blocked in the hernial sac,you will have pain. You can continue the pregnancy.You can reach full term without any complications. Your obstetritian advised for caesarean and hernia repair at single setting.Routuinely for caesarean section,transverse incision is given in the lower abdomen.To cover hernia in a single incision,they should give a long vertical incision from the lower abdomen to the upper abdomen to cover the hernia. My advise is to get hernia repaired initially with cosmetically good transverse incision.Try for normal delivery.Even if caesarean is planned,it can be done by transverse incison on lower abdomen. Wish you good health Regards | |
How to treat a sore rib causing difficulty in breathing?
hello, i fell ice skating really hard on my sons skate onto my right rib on sunday.I had been very sore, and when i fell it almost knocked my breath out. as of yesterday the pain traveled around to the back/side of my rib cage area. It is very painful when I move or even breath. what could be going on | Hello dear, thanks for your question on HCM. I can understand your situation and problem. You are having blunt chest trauma due to fall on sketing shoes.Chest pain and breathing difficulty after blunt chest trauma can be due to any of the following possible complications. 1. Rib fracture2. Pulmonary contusions 3. Pneumothorax4. Muscular injurySo get done chest x ray first. If chest x ray is normal then no need to worry for above complications. Muscular injury is likely cause. So follow these instructions for better symptomatic relief. 1. Avoid heavyweight lifting.2. Avoid strenuous exercise. 3. Avoid bad posture and movements in sleep. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. Don't worry, you will be alright. | |
Suggest treatment for varicocele
I am 34 years and married for last 7 years. We had a child with anamoly after 3 years of marriage and had to abort at 5 months. The karyotyping of the child was normal. My wife is 29 years and has been diagnosed of PCOD and sacculation in the left tube. I have been diagnosed with a left varicocele. My sperm count is 25 -30 million range with active motility being 20% .Should I go in for varicocelectomy or are there other options? | HelloThanks for query .You have been diagnosed to have Varicocele on left side and facing problem of infertility.At the outset I would like to state that your sperm count and sperm motility is well within normal range to impregnate your wife and having Varicocele can not be cause for your infertility ..The surgery for Varicocele does not give 100% guarentee of resolving the issue of infertility .I would suggest you to consult qualified Infertility specialist for detail evaluation and explore possibility of pregnancy by natural means or need for help of newly assisted reproductive techniques like IVF or ICSI.Dr.Patil. | |
What causes emotionless, immobilized feeling after started celexa for depression?
my boyfriend recently started on celexa about 6 weeks ago for depression. He seems to be acting strangely, like he has immobilized himself and he does not feel like he can do anything, he also seems emotionless. Is this a common side effect and should he try another drug? He is 58 years old and is having trouble finding a job in his usual profession, that started the depression | Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are worried your boyfriend's recent change in behaviour. Now, the symptoms that you have mentioned such as being emotionless, "immobilizing" himself and other strange bahviours are not common side effects of Celexa. Celexa (Citalopram) is an SSRI anti-depressant medication and is not known to cause such a type of side effect. Since these symptoms seem to be distressing, I would advise you to report them to his doctor, so that he can have a detailed evaluation and further management. Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist | |
Is high albumin related to kidney failure?
albumin test from strip shows 4+ today .no diabetes,no high blood pressure one month ago creatinine, urea,potassium and sodium show normal result. kidney appeared normal in echography. have been diagnosed for dysuria for 2 years. please advise on the result of albumin being 4+ and its relation to kidney failure | Hi, welcome to healthcare magic.Kindly mention ur age and is there any swelling?4+ albumin in urine is suggestive of protein leakage in the urine from kidney.U should quantitate the amount of protein leakage in 24 hour urine sample.Do repeat S. Creatinine and take advise of Nephrologist.U may need kidney biopsy for identification of glomerular disorder and its treatment.I think this would be helpful to u.If any doubt, feel free to ask further.Thanking u. | |
Suggest treatment for hepatitis C
my fiance has recently been testing for hep c and it was confirmed he does have it. his level was 244/85 what does that mean and what do i need to do he is currently incarcerated and will not be home until the end of april. should he be on a certain type of diet? What should he avoid? i have so many questions and i dont know what i should do next. | Greetings.Welcome to healthcaremagic.Hepatitis C in the past used to be a very lethal disease effecting a large population of the world and this inturn would put others around the person also at risk. But nowadays fortunatly we do have medications that are really effective in hep C. Detailed investigation needs to be done in order to see what type of medications are needed and to check the effect of the medication once they have been started. For that you will have to get PCR quantitative for Hep C virus in order to find out the quantity of the virus present in the body. At the same time you also have to do Hep C virus genotyping so that the type of virus is identified and specific drugs are started .i have seen many people see the benefits of these medications . Sofosbuvir and Ribavirin are one of the combination that can be used , but there are many others which have to be given according to genotyping.As far as the value 244/85 is concerned i think it stands for 85 as AST and 244 as Alk Phosphate . Which shows the level of effect the virus has had on the liver. Therefore to avoid permanent damage or other complications , time is very important . An ultrasound must also be done to find out the status of liver before starting medications .I hope the answer was helpful . In case you need any further assistance feel free to contact us in writing. Regards .Dr Talal Hussain. | |
Diagnosed with Hashimoto s disease, feel like fainting often. Why does it happen ?
Hi, I am 53, diagnosed with Hashimoto's disease. I feel as if I will faint often, but I do not faint. When I catch it i begin to breath deeply and it goes away. Any Ideas why I feel faint so foten. It is mostly when I am exhaused which is often. Thanks (height 5'2", weight 162) i am on no medeication at this time. But I do take vitamins and herbs and I have gone on a special diet that eliminates gluten, dairy, soy, peanuts and beef. | Hi, Hashimotos disease is autoimmune thyroiditis where initially hyperthyroidim and then hypothyroidism occursFatigue, generalized weakness , feeling faint are the symptoms of the diseaseYou should consult general physician /Neurologist for clinical examination You require thyroid profile test ,and blood antibody test for confirming the disease and thyroid replacement drugs .Please consult your local doctor/specialist for a prescriptionRegardsDr Sandhya ManorenjNeurologistHi Tech city hyderabad | |
What causes painful sores in the nostrils?
I had what I thought were allergies, but after weeks of allergy pills and flonase I m still having problems. In the morning I have bright green boogers (sorry best word to describe them) and then a clear runny nose the rest of the day. I also have sores in both nostrils that are painful | Will you believe in Ayurveda's naturals if we say that boogers can be be prevented by some procedures.Or , then, you have get these extracted by surgical forceps by ENT doctor.So, to my own patients, I would suggest to put ANU TEL or Mustard oil drops to be put in nostrils to keep this lubricated. It may be pungent but good for him.Pl write again. | |
My brother has a dark red rash across his lower back. He's had it for months and has been to the doctor. No one seems to know what it is. I am concerned that it might be liver disease as he is a heavy daily drinker and is not honest with his physicians about it. Can liver disease cause a rash? | Hi, as you have written about history of taking heavy alcohol drinker for prolong period by your brother, may cause skin rashes due to defective immune response of body. so, tell your brother not to hide any history to his treating physician because it will help him in taking further steps. the doctor will tell you about some investigations like serum bilirubin, SGPT,SGOT, alkaline phosphatase, liver biopsy and CT scan to know condition of liver like cirrhosis or liver failure sets in or not. say to your brother for minimizing intake of alcohol as soon as possible.thank you for writing to HCM. | |
Is 50mg of Diphenhydramine the right medicine for snake bite?
Hi, I was just bitten by what looked like a darker version of a common garter snake. It drew blood, and I washed the bites, but now my hand is sort of swollen and a little painful. Am I having an allergic reaction? I just took 50mg of diphenhydramine HCL Thank you, Julia | Hi & Welcome to HCM.I appreciate your concern for the painful swollen hand following a snakebite.This is due to an inflammatory response to snake bite.Given alone Diphenhydramine may not be effective in reducing the swelling, you may have to take Inj Hydrocortisone which not only reduces the swelling but also the pain.You should also take Inj Tetanus toxoid.Besides, you are advised to visit ER as the snake bite can be life threatening and you may be given polyvalent antivenom. The sooner the antivenom is used, the more effective it will be.Hope to have answered your query. | |
How much milk can a child consume per day?
I have a 13 month of granddaughter - her mother thinks too much milk is bad for her and limits her intake to 16 oz a day. She thinks calicum is dangerous for her....I have never heard this, should they be worried about how much milk she gets a day? | Hello madam.. I understand your concern for your granddaughter and it's really appreciable. But you need not worry regarding her milk intake as the quantity you specified is enough for a child of her age (300 to 500 ml in a day).Excessive milk intake will suppress her appetite and make her not eat all the other nutritious food she should eat at this age.Too much of milk intake might also cause constipation problem. So you can be rest assured about the way your daughter is taking care of her.I would be glad to answer any further questions. Dr.V.S.Sri Vidhya Chennai | |
Scan shows hepatomegaly with fatty infiltration. Life span? Have gonorrhea
Hope someone can help me with this results" Hepatomegaly with moderate difuse fatty infiltration with focal areas of decreased echogenicity likely focal areas of fat sparing"Am so scared about this i have a question how long would be the life span for this disease am scared because i had an std gonorrhea with the past 4 mons now. I still need to be tested for hepatitis lipid nextweek am so scared cuz am thinking it will be a hep B and i know there's no cure for that ....the size of my liver is 16.1cm maybe i only have few years left with this disease? Am really scared what to do if am positive with hep B. my symtoms is i just only feel discomfort in my abdomen and weakness, and joint pain. am very scared if is this an hiv or a hepa B. Am not on my mindset now i always think is always i my mind what if am positive with the two i dont know what to do if i will still live with a normal life. | Hi,Thanks for using Healthcaremagic,I have gone through all the detail provide by you. You have two medical issues right now one is Gonorrhea which can be treated by appropriate antibiotics.Other issue is fatty infiltration of liver that can be due to various cause like alcohol,diabetes,Obesity etc.Viral hepatitis or HIV still not tested hence you should wait till result are available.There is good treatment available for hepatitis and even HIV and both are very slow and chronic disease so there is no question of end of life.You should have positive attitude about your problems and face them.Please do not feel depressed and wait till your result of test come.If you are not detected to have any of such diseases.In both the cases you will be able to have normal life.Hope this helps you.Good Luck.Dr.Akhilesh Dubey M.D. | |
How to improve sperm ejactulation in males?
Hi Dr,Self Yogi 30 years old married for 3 monthts & planing for baby but not sucessful, i got low volume of sperm ejaculation, we have daily intercource some time its very hard to sperm ejaculaction but the erection is fine. is the amount to sperm ejaculation is problem? can u sugesst any pill to improve. | DearWe understand your concernsI went through your details. Low semen volume is a relatively common issue for men of any age, although this problem does appear to become more prevalent as a man ages. Hormone problems such as low testosterone levels account for the majority of cases. Additional causes may include frequent sexual activity, nutritional deficiencies, or injury to the testicles. Tight clothing, heat, or infection may also affect the normal production of semen. Any questions or concerns about low semen volume on an individual basis should be discussed with a doctor or other medical professional. Please consult a infertility specialist face to face.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | |
How to reduce the side-effects of the steroid, Wysolone, for Toxoplasmosis?
hi,i am a 19 year old girl.i am suffering from toxoplasmosis.i see black spots in my right eye.i have been advised to take wyselon by the doctor 4 six weeks.60mg for 1st week,then tappering it to 50mg,40mg,30mg n so.... for the next 5 weeks respectively.i wanted to know 2 reduce the side effects what should i do? what kind of diet should be taken and kindly tell me whatever precautions are required to be taken. i have already used this steroid before in july,2010 due to toxoplasmmosis for 20days and suffered a lot! i gained weight,my cheeks got swelled,calcium deficiency,acne,pimples,hair loss.i solicitly request you to suggest me some measures as soon as possible!! | HI,Acene, osteoporosis, high blood sugar are the adverse effects of steroids.. one cant avoid them. However, tapering of steroid dose should be very slowly , take medication after food, avoid spicy food. | |
Can the joint pain medicines, Aleve and MegaRed, lead to nose bleeds?
Yes I have been taking Aleve for joint pain and it was very effective but recently I have been getting nose bleeds. I am thinking this has to do with the Aleve so I have stopped taking it. Does MegaRed joint care have anything in it that will also cause my nose to bleed? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, it can be related to NSAIDs which you are taking . Aleve is NSAID and these medications prevent platelets (which are required to stop bleed ) to work at their full capacity . So ,it must be related. Hope I have answered your query. Let me know if I can assist you further. | |
Had a clicking in my head. MRI done, no tumor. Have slight pain. Can this be a tumor?
I had a clicking in my left part of my head while walking sometimes, about 3 years ago. I had a MRI and itwas not a tumor. It might of been just something with my jaw or tmj because when I held my jaw shut together, the clicking sounds would stop. I recently just realized that when I cough I feel a slight pain for about a second in my left side of my head or near forehead. I've read some stuff online saying that it can be a tumor is this true. It only hurts for a second that I cough and I'm not sure how long it's been going on. I just noticed it today. I have no other symptoms. | Hi there ~I understand your concerns. Having something unusual happen to you can be quite discomforting. I am glad you got an MRI brain done and no tumor was detected. The clicking in the left part of your head might be due to a temporomandibular joint (TMJ) misalignment. A lot of people have this kind of issue. If you have not other symptoms other than this clicking and some pain which may be related to the TMJ issue, I advise you to not be too concerned about it. However, if the pain gets worse, please consult a doctor.I hope this helps. Take care and have a lovely day! | |
What are the causes for red rahses on all parts of the body?
hi ive started to get a rash it started nr waist but now spead to buttocks armpit side body legs it get very itchy when touched and bright red after bath i had it a week now parts look better other parts spread ive stayed in house with 3 dogs wot all over me any idear? | hi there. your concern may be either acute urticaria or pseudo scabies.1. you can try teczine 10 mg tab daily one after dinner for 10 days.2. apply linical lotion to relieve the itch.3. meanwhile get examined by a dermatologist for physical examination and also have your pets examined by a veterinarian to treat the pets if they are infected.hope this may help you. | |
I am suffering from asthma, kindly help me
Hi Sir i am suffering from asthma since childhood just want to know is inhalers for asthma addictive that is that in near future i had to depend on it There is a treatment in which the desensitize the allergent please tell me abt it | HI! There is nothing like addiction to inhalers.if u need it u should take inhaler. About desensitization: First of all you need to which allergens r offending you. This is known by allergy testing.After that a very small dose of allergens is given.This is usually accepted by the body. Gradually dose is increased and the body learns that this perticular allergen is not harmfuf.If successful there is very good chance of being cured from allergy | |
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 --> | |
Suggest a diet chart and exercises to keep diabetes under control
I have been receiving treatment for an elevated A1c 2 years ago I was at 7.9. In the past 2 years I am still at a 7.7, it has been as low as 7.1. I am currently taking 1000mg of Metformin twice a day and 30 mg of Actose once a day and have been recently prescribed 100mg of Invokana. I am tired of all this and want to stop all medications and try my own exercise and diet program. Any Advice? | hi bro according to your medication and blood test it is very much diabetes is controlled. I think if you are doing work out heavily under some good trainer then you can reduce your medicine after doctor consultation.good luck. | |
Suggest remedy for cold and fever with high heartbeats rate
My daughter is 28 and has no appetite a fever for her of 99.9, states she is cold, the temperature is 70 degrees outside. Her blood pressure was 123/78 with a heart rate of 96. She is 5 9 and weighs 250. She has no other complaints, just cold and fast heart rate. Her gall bladder was removed 6 yr ago. She is not on any medication, does not smoke and only drinks occasionally. I gave her Vernor s and a multi-symptom cold pill. Is there anything else I can do? | HelloWelcome to HCMI understand your concern but you haven't mentioned age of your daughter 28 weeks,28 month or 28 years???You mean to say her body temperature is 99.9 F means mild fever but again you mentioned she is cold and outside temperature is 70 degrees ( Sorry to say but it is difficult for human being to survive at temperature of 70 degrees)Again your daughters weight is 250 lb or 250 kg?Sorry to say overall confusing question.You must go to near by physician for appropriate examination with treatment.All the best.RegardsDR. OM L.BODKEo_bodke@yahoo.co.in | |
Had a laparoscopic appendectomy. Tightness in the navel with a hard spot. History of ovarian cyst. Pain persisting. What to do?
I had an emergency laparoscopic appendectomy 5 weeks ago. A few weeks later I felt a tightness on the left side of my navel and also felt a small hard spot there. I assumed it was scar tissue. I had a prior laparoscopic surgery in 1993 for an ovarian cyst . The last week the pain has increased and is always present. Now it s around the entire navel. It s not excruciating pain as was the appendicitis , but it s very tender and similar to pain right after surgery. I have no fever or chills and no redness or leakage at incision site. The pain worsens if I m more active - bending, walking, urinating, or if anything presses against it. Thank you for your time. | Hi Thanks for writing in I would suggest you go for an ultrasound as there are chances that either omentum or intestine is herniating through the port incision Hope this helps Do write back in case of concern Wishing you a speedy recovery | |
Can a kidney failure lead to less urination inspite of drinking more fluids?
ive been drinking alot of fluid for the past month,the same amount as i always do,actually even more than useual ,and i feel the urge to pee but when i go to pee i only pee a little bit,im taking medicene nitrofurintion for a bladder infection but it aint working,i still aint peeing a normal amount like i always used too,this is the first time this has happened to me,i have had urinary tract infections before and when u pee it burns,this dont burn,it just come out a little bit when more should be coming out ,could i have kidney failure ? | Hi,I have gone through your query.From the symptoms you have mentioned, most probably you have enlarged prostate. This condition is called Benign Prostatic Hyperplasia (BPH). It is most common in older age group and cause urinary stream hesitancy, intermittency or Dribbling. Pain is usually not present.Don't worry, you do not have Kidney Failure.I advise you to have investigation like PSA level and Ultrasound of lower abdomen. You consult a local surgeon for clinical examination.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions. | |
Is severe headache after a concussion normal?
does a severe headache after being diagnosed with a concussion require a visit to the ER. Football injury last night, was told to go to ER if severe nausea and vomiting but nothing said re: headache!! By the way a little free advice plz, I cannot afford.... | Well come to HCM Thank for asking Your query being appreciated, any kind of head injury that need to be kept under observatio for some time, if it is the headache after the injury then it has to be seen by the CT brain and CNS opinion is must it can not be taken as granted, I would advise to see the ER hope this information helps. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suggest treatment to repair posterior annular tear, grade 3
What is the best option to repair a posterior annular tear, grade 3. I have had this for 31/2 years. I have gone through extensive PT, injections, electrical stimulation, manual therapy, and drugs. I don t want to live the rest of my life not being able to stand sit or walk for any length of time. I m 58 and can no longer work. | Hello,I have studied your case and I think that this can be cured with surgery if all other measures are not successful till now. I would recommend you to get a MRI and see what is the extent of this lesion. if this is very severe then you need to discuss with spine surgeon or neurosurgeon and get it removed.After this surgery you will feel complete pain relief and able to do all work very easily. I hope this answer will be usefull for you.Let me know if there is any other followup questions.thanks | |
While suffering from heart murmur is it safe to drink alcohol?
Hi I have a Heart Murmur not sure what type and I m windering if drinking alcohol is okay when I have a Heart Murmur? Reason I ask if cause I m turning 21 tomorrow and my friends have had this party planned out with alcohol food ect. Though personally I feel like I don t wanna drink more than one beer they expect me to get drunk since I onlt turn 21 once but my mother on the other hand heard that people who ve drank alcohol had their hearts stop so I m wondering if it s okay to drink and if what my mother said is true? | hello,I have gone through your query .Thanks for using HCM. As such single sitting of alcoholic drink in permissibledose for normal person is acceptable for you.This will not cause any problem to your heart.however I need to know exact cause of murmur and detailed report of Echocardiogram.But I can say you may enjoy the party.happy birthday in advance Dr.Rajesh Teli,MD. | |
How to treat knee injury?
Hello Dr. I m a 26 year old male and I injured my left knee last night, I believe I hyperextended it or something because I know exactly when it occurred. It now has swollen up and I notice a small red circle where the most pain occurs. I cant fully extend my knee and any movement to left or right is extreme pain. I looked online for what it could be and I notice the lateral meniscus? Was wondering what steps should I take or will it eventually heal back on its own. | Hello,I have studied your case. You need to get MRI of the knee joint to confirm the diagnosis. If their is any ligament or meniscus tear then you will need rest. And physiotherapy. If their is severe grade 3 tear then you will need surgery. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks | |
What causes leg swelling and high blood pressure?
Hi, my mother-in-law leg has been swollen for about 4 months, she wont go see her doctor now it black. She have high blood pressue and problems with her heart. What could be going on with her? She is 84 years old and overweight. My husband and I are very concern. | heyIf she has some heart issues along with High BP,then its a kind of worrying situation for her.Do her renal function tests and check her creatinine level and urea levels.her legs are swollen as she has pedal edema.this is due to excess water in her body.Use diuretics(pottasium sparing in case of hypokalaemia)and do her chest xray whether she has cardiomegaly or not.thanks. | |
What causes death in my baby after a cold and fits attack?
Its been 7 days that my son passes away. My son had running nose for 10 days. His doc gave him wykoril and then bromolin. my baby stopped feeding was only on my milk. Inspite of my complaints doc did not respond to change his treatment or investigate. later doc gave maxtra which did not help. Last sat he had 103 fever and had fits that lasted for 5 to 7 sec only his eyes and hands were affected during fits we took him to hospital immediately, their nurse gave him gardinal. my baby was very drowsy, other medicines like monocef, amikasin were also given. my baby stopped breast feeding and slowly losing life. 4 dosages each of gardinal and so many other medicines were given what went wrong just for common cold and once fits how can the child die? Pls ans | Hi,A simple cold can not end up like this. For correct diagnosis, I need to get investigation reports including blood count, brain imaging and CSF (fluid inside brain). Acute encephalitis is a very dangerous conditions that can rapidly progress to seizure, comma and death. This may behave initially similar to simple cold. Even is diagnosed early, this condition has a very grave prognosis because of infection and swelling of brain. Antibiotics have very limited role here. Your doctor might have discussed the probable diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
Suggest treatment for hair growing patch in hand
Hi..I just noticed today that my 14 month old little girl has a patch of long/dark hair (the size of a half-dollar coin) growing on her arm. The skin under the hair is raised a little. I never noticed this before; its like it showed up over night! | Hi, It seems like hairy nevus which usually doesn't require any treatment. If there is a significant increase in the size or rapidly growing, then I would suggest you get a dermatologist opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirubhan Bharathy, Pediatrician | |
What causes fatty tissue in wrist?
I had a biopsy on my wrist which turned out to be fatty tissue---is the swelling going to go down or will it get bigger & should I have it removed. I have been eating almost 10 clementimes a day could this have done this to my wrist from eating to many? Thank you | Hi, dearI have gone through your question. I can understand your concern.You have biopsy of wrist swelling and it suggest fatty tissue only so most probably it should be lipoma. No need to worry much about that. If it increase in size or if it becomes painful then It can be excised. Otherwise no treatment is required. Just be relaxed. And it has nothing to do with your diet. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. | |
What causes dark circles on penis?
Hi, the past three days I noticed that their are dry circles on my penis. They don't hurt, don't itch,their just their. I went to the doctor today he says it kind of looks like herpes.so I have to come back Monday for a blood test, I took those test be4 nd everythng was negative.nd since then I been messin with the same girl since then.she took it to and she had nothin. Either...what mite you think this is | Hello, If you have shared a picture of your lesion, it would be of great help to diagnose the problem. Yes it could be herpes but other things also need to be addressed like penile melanosis, eczema and fungal infections as well. Tou doctor advised you the right thing to test you for STI and these conditions as well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. SAMEEN BIN NAEEM | |
What is the treatment for nausea , abdominal pain and chest pain?
Hi, may I answer your health queries right now ? Please type your query here...I had a cholecystectomy 2 months ago, and am now suffering from nausea after eating, passing out oily stools 5-6 a day. I even have a lot of abdominal pain, and chest pains. Not sure what's going on, please assist.Sam | Hi! Good evening. I am Dr Shareef answering your query now.If I were your doctor, I would advise you not to have any food from outside if you do which might bring in intestinal infections giving rise to your symptoms. I would go for a routine stool test for ova and cyst, and treat them if positive. On the dietary part, I would advise you to add enough roughage in your diet along with sufficient liquids. On the medicine side, I would advise you to go for a proton pump inhibitor, and some liquid antacid. In case of no relief, I would advise you to get yourself assessed by a gastro enterologist for a possible endoscopic evaluation of your gastro intestinal tract to rule out a GERD, and also I would consider some investigations to rule out a cardiological prblem for your chest pain.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | |
Pus cells in semen, reduced sperm count, motility, erectile dysfunction. On antibiotics. Infertility treatment?
Dear doctor, I am 33 years old married man I have two baby girls but unfortunately due to numerous puss cells in my semen my sperm count reduced to 35 million/cmm and motility reduced to 20%.thats why i am unable to fertile my wife and also facing problem in erection of penis. I have already completed a full course of antibiotic but still not shown any improvement. Plz guide me for further treatment as i am residing in xxxxx | Hi, Welcome to HCM, I am Dr. Das First of all, you are not primariliy infertile, because you have two baby girl. So, there is secondary infertility. Secondly, you did not give the full report. It is important. 35 million / cumm is not reduced sperm count(normal >20 million/cumm as per WHO.) After completing the antibiotic, did you repeat the test? If not, then do it. If then also pus cell persist then antibiotic should be changed. | |
Is cramping and lower back pain common after embryo transfer?
Had a 3 day fresh embryo transfer on 1st of March this Monday went for blood test pregnancy test my hcg was 100 up until 2 days ago I was having mild cramping and lower back pain now it's stopped I've had no bleeding/ spotting is this normal I'm worried I've miscarried , thanks | Hi, Welcome to Health care magic forum. As you describe, the progress was good,but there are so many factors responsible for success of the pregnancy like the anemia, infection, anxiety etc. Take more of green leafy vegetables,pulses,sprouts, and protein rich foods to have good health and resistance. It is important to take bed rest, avoid the irritant foods avoid sex etc are important. Wishing for a quick and complete recovery. Thank you. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.