patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1 value |
|---|---|---|
Suggest treatment for high blood pressure
Hi Doctor My brother (21) got high BP 220/120 was his BP and admitted in hospital.. CT scan and Blood test reports show normal,he weighs normal -- 50Kg (slim) he had brain hammeroage 1.5 yrs back and then High BP was discovered...How to get rid of this..Pls advise | Hi, Your brother must monitor his blood pressure daily for a week, and if it remains high as you say, he must take medication. The most suitable one is ACEI or ARBS like valsartan tab. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | |
No sexual desire, deperession. On S citadep10. Solution?
Hi, i am working as lawyer i have married 4years back.2years back my grand mother expired.that time i lot of depressed . i had consult with one psycratist .till i use some tablets .s-citadep10.i have one son .from two years i have low sexul feelings and no intrest sex with my wife.my wife suffering lot. please cure my problem. | Hi, Thanks for using healthcare magic. I have gone through your available history. Sexual dysfunction in depression can be due to - As a part of symptom of anhedonia. - As a side effect of anti depressant drug. You should consult your psychiatrist for detailed evaluation of sexual dysfunction and treatment as per cause. Thanks | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
Pain below the belly button while having bowel movements. Have bloating and gas problem. History of cervical cancer. Advice?
I have pain just below my belly button when passing a stool. I also have burning pains in my lower right abdomen, parallel with my hip bone. Sometimes when I stretch I also get pain in the same place below my belly button. I also get severe pain when my stomach is empty. I also have bloating and gas. A few weeks ago when I was at the gym I had to stop because I had severe pain, similar to menstrual cramps, but this appeared to be the wrong time of the month to be related to menstruation. I had first stage cervical cancer last year so I am concerned, although I have an appointment for a follow up smear test in less than 2 weeks. Any help would be appreciated. | your symptoms are suggestive of more of acidity. trial of antacid is required. As you have history of cervical cancer, it is better to get ultrasound of abdomen and per vaginal examination by the doctor, before neglecting the symptoms | |
Q. I have a lump on my right labia. Could it be herpes?
Hello doctor, It started with a burning pain during urination, which lasted two days with no other symptoms. The doctor said I have a UTI and advised me to drink plenty of fluids, which I did. Then two days after, there was a lump on my right labia. The painful urination has gone, but this lump on my right labia is still there and it is very painful, more when I touch it. A nurse said that I have genital herpes. Could it be something else? I have taken pictures. | Hello. This is a painful blister, and a possible cause is genital herpes, with a previous history of urine infection for which you are taking treatment. For more information consult an obstetrician and gynaecologist online --> | |
Done semen analysis. Is report normal? Treatment?
hi...sir i wana know is my report normal or not?if it is not normal what would be the procedure to cure it....i ll b thankful total quantity: 3.5 ml color: greyish white viscosity: semi viscous PH: 8.00 total count: 20,000,000 per ml * MOTILILY * actively motile: 20% sluggishly motile: 30% dead: 50% * SMEAR * Inflammatory cells: no inflammatory cells found abnormal spermatozoae: 55%abnormal spermatozoae | HI BULLY there are slight abnormalities in your sperm study report. which can only be confirmed after a repeat sperm analysis. Prior to the test you should take 1 week course of antibiotics and avoid masturbation and sex for atleast for 3 weeks and then repeat the tests. Till then your current reports are inconclusive of your sexual status (meant infertility). So dont worry do as i said and re report. also do the following tests along with Sperm analysis 1. TSH 2. Prolactin 3.FSH 4.Testosterone assays which will defenitely help in diagnosis thank you | |
What relieves the pain in jaw and gums?
I have had jaw ache for the past week or so, it isn't affecting my teeth but its quite painful when i bite. My wife has woken this morning with the same aching but only on the left side of her jaw. Could it be something that can be contagious as I am a teacher? I am 35, 5' 11", and in reasonable health. I am on no medication | Thanks for your query, I have gone through your query.The pain in the tooth is not contagious. The pain can be secondary to tooth infection. Consult a oral physician and get a radiograph done to rule out infection. I hope my answer will help you, take care.You can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days(if you are not allergic). After completing the course of antibiotics treat the cause of infection, that is treat the infected tooth with root canal treatment or by extracting the tooth.I hope my answer will help you, take care. | |
Pcos, taking metformin, irregular periods, infertility and reversed LH: FSH ratio, trying to conceive
Hi, I was diagnosed with PCOS 3 weeks ago and have started taking metformin . I am trying to conceive, but my cycles are very irregular. Usually they are long and can get heavy at times, but are usually 30 to 40 days apart. Is there anything I can do to get my periods to be a normal length without going on birth control? The only symptoms from PCOS I have are irregular periods, infertility and reversed LH: FSH ratio. Everything I am reading says that I need to lose weight, but my BMI is 21.9. Is there anything you would recommend? | hello Welcome to HCM your history suggest that you are the category of the lean PCO you can try single hormone tablets instead of the combined birth control pills for a short period this is the only possible way we can get your periods coming regularly you can meet your consultant and discuss about the same and they can help you hope to have answered your query Dr Nandita Thakkar | |
What is the cause for the bloody discharge from the penis?
my 3 year old son has had bloody discharge coming from his penis since yesterday. he is complaining that it hurts when he pees. We went to emerg yesterday and he was given antibiotics. He has taken them now for almost day and a half but we have not seen any real improvement. suggestions? | 1.Bleeding disorder2 Renal calculi3.Injury4 Leukemia5.Aplastic anaemiaIf it is due to injury, pl. give iv traneximic acid, Proper Antibiotic, more fluid intake,and rest. | |
What is the sign and symptoms of Streptococcus bovis?
How do humans contract Streptococcus bovis? I am asking this question solely for educational purposes. I am interested in all routes of exposure, how the virulent form gains entry, how it is treated, antibiotic resistant strains, and how can it be prevented. I haven't found this information on other sights. Please help me learn about this organism. | Hi,Thanks for writing in.There is sufficient medical literature on streptococcus bovis explaining the common features on human infection with this bacteria. This organism is found in the intestinal flora of 10% of the healthy population and in 29%–55% of patients with inflammatory bowel diseases or colon cancer.Studies show that S. bovis is increasingly recognized as a cause of infective endocarditis in southern Europe but not in the United States. It is also associated with chronic liver disease.Route of infection is by spontaneous bacteremia, via tumoral neoangiogenesis and vessel wall necrosis, may lead to valve colonization and endocarditis. All strains are susceptible to penicillin, ampicillin, vancomycin, and teicoplanin. Prevention of complications is by early detection and treatment. | |
Broken teeth, tooth decay spreading, facial swelling, jaw pains, squeezed polyps. Treatment?
yes pleaseiv had broken / abcess teeth since fourteen early fifteen now im twenty three and tooth decay has spread progressively facial swelling and jaw pains have have also been an issue and I always dealt with it my self impoverished family nother story nother time as I say but all ways self medicated scalpels or suringes grew up on farm animal supplies and had a small knowledge of veterinarian procedures dealing with abcess and lesions and felt I could deal with it but in the last few years most molars or wisdom teeth have gone aswell even with more than average brushing the entire time have about three exposed pulp cores and the lumps below ear have always rehealed once opened and or squeezed out by hand some times with great strain on my hands "poped like pimple" but scar tissue gets ever harder and larger about the size of half dollar easily noticed just below ear right next to upper jaw bone could these things berelatedif so should an er dr be able to see this? | Hi,After going through the entire description, I am of the opinion that the cause for your pain is infection.A tooth abscess won't resolve without treatment. Even if the abscess disperses, bursts or drains and the pain stops, you still need professional dental treatment. Antibiotics kill the germs responsible for tooth abscesses, helping the body to repair the tooth and bone. If an abscess erupts by itself, warm salt-water rinses will soothe, help clean the mouth and encourage drainage until you are able to see your dentist. I do hope that you have found something helpful and Informative. | |
Nodules reappeared after lupus vulgaris treatment, had taken daily doses of anti-TB medicines, advised restarting medicines. Suggestion?
4 year back, i develop cutaneous maculopapular lesion 5 cm below the back of knee. size was 7cm long and 1 cm width. for 2 years i was treated for dermatitis , psoriasis and fungal infection . then i develop pleural effusion . aspirate was negative pcr for m. tuberculosis. i received fixed dose daily regime of anti tuberculosis for 2 + 6and half month. lesion improves. biopsy done . histopathology shows healed scar of lupus vulgaris. but after that some nodule appears. my doc. says restart antitubercular drug. what to do please help me???? | it may be the same thing. a rebiopsy may be indicated | |
How can a muscle pull in the lower back be treated?
almost 3 weeks ago, I was working out with my trainer and pulled out my lower back. Tried acupuncture, muscle relaxers, ibibrufon, cold back and nothing works. I can barely sit down and get back up without excruating pain. The pain has moved from lower left to lower right and around my waist on the right side. I am trying to set up an appt with an Orthodepic. What do you think is wrong? Pulled Muscle, Nerve? Please help. Thanks. | Hello,Based on the symptoms that you described it looks more like an acute muscle spasm. I would get an x-ray to rule out any other injuries and treat it conservatively. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Fahim Sheik | |
Suggest treatment for fibromyalgia
Hello two years ago my wife was a hard working woman and had very active life. But now my wife as fibromyalga is there any thing besides drugs that can help her, she can t walk very far and when she does she says its like walking marbles, also her tailbone is also very painfull which means she can t sit,,, lay down,,, can t stand up very long, her neck is painful everywhere is,, the doctors seem to know about it in America so why not in United Kingdom. It is no life fo her and she is very sad now I myself worry about her, she said many times she wants to take her own life. I need to know as much as possible, unfortunately we don t have the money to travel to America to get help,, so we need all the help we can get. Thanks steve and my jayne, 55 | Hello, Consult a neurologist and get evaluated. Drugs like oxycodone is very useful. It has got a psychological aspect and anxiety and depression worsen the symptoms. Avoid unwanted stress and anxiety. Relaxation techniques like yoga and meditation can help a bit. In severe cases, antidepressants like amitriptyline may be added. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | |
Is stiff neck headache with fever common during lupus infection?
I have lupus and have had a sore throat for about three months. My rheumatologist didn t seem to be worried about it but it has been 6 weeks since I have seen her. I woke up this day with a headache.and very stiff neck and a low fever and I am so very tired. What could it be? | Hi this is very serious, first we have to rule out infection by all investigations and by CSF exam.If infection rule out than steroid can e given | |
Will continuous usage of norethisterone cause infertility?
I was prescribed northisterone to take on a cyclical basis. When it still didn t effect my irregular & heavy periods I was told to take it consistently. I did this for 2 yrs and stopped in 2009. I have only had 2 periods since then - can this drug cause infertility if taken without breaks? | Hi,There is no documented evidence that continuous usage of norethisterone cause infertility. As per the studies done there is no impairment woman’s ability to get pregnant after taking norethisterone continuously without breaks.Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali, General & Family Physician | |
What causes abdominal pain and spotting?
Hi I am 30 yrs old. I felt a very small abdominal pain in the morning. Later that day I felt I had to go. Only a small amount of mucus and brownish red blood came out. Have gone to the bathroom a couple more times and the same thing is happening. Any ideas? I am 5' 4" 122 lbs. In good health have had 2 C-sec. Oldest child 8 months. | Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you for a serum HCG test rule out an unsuspected pregnancy if you are sexually active all these days, an ultrasound of abdomen to rule out any pelvic pathology, and a gm staining and culture sensitivity of the vaginal discharge to rule out a PID(Pelvic inflammatory disease). Till then, I would advise you for an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.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. | |
White sticky mucus drain from lungs worse at the age of 80 years
80 years old white stickey mucus drain from lungs worse when lying down. have it all time i have constant drain and occasional coughing. white mucus. lying down mucus is worse. becomes sticky and thick during night sleeping. | Hi Jack, , This is condition of yours is called laryngopharyngeal reflux which is secondary to the acid reflux from the stomach. It worsens in the lying down position and causes increased secretion in the oral cavity. Please contact your physician/ ENT specialist for a thorough examination. Take care Regards Dr. Naveen Kumar | |
Should i take some other medicine along with DIane-35 in hormonal imbalance?
I have been suffering from hormonal imbalanced problem since 10-15 yrs. I get pimples after period becoz i have high progesterone . I have been on Diane-35 for the past 10 months but still im not cured completely. Should i take some other medicine along with DIane-35 or just continue with the same. if i need to continue with same medicine then for how long?? | Hi! Welcome to healthcareMagic forum, If you have a hormonal imbalance then diane 35 usually works if you have taken it for more than 6 months or so.If diane alone doesn't work then you need to get all your hormonal profile done along with serum insulin level.Drugs like spironolactone or metformin can be added to your prescription if needed.If your acne is sever then even retinoids can be added.All these needs a consultation with both an endocrinologist and dermatologist together.Along with this topical medicines too should be added.Drink plenty of water and have a good 7 hr sleep at night. take care, Dr.Chawda | |
Q. What is causing swollen and painful gums after wisdom tooth extraction?
Hi doctor, I am a 19-year-old female. I had my wisdom teeth taken out about four days ago, and now the gum behind where the wisdom tooth used to be is very swollen and causing pain. | Hello. I have been through your query and I can understand your concern. Pain after the extraction is normal and that too for the wisdom tooth which often requires surgical intervention. However, if the pain is still present after four days (provided the extraction did not require any major surgery), it might be due to the infection of the extraction site which is often called as dry socket. Dry socket is associated with the severe pain in the extraction site and also a fetid odor of the mouth. It is also characterised by the inability to wide open the mouth properly. If you have these symptoms, then it is the case of dry socket. In that case, I would suggest you to have a visit to your dentist who extracted your wisdom tooth and get the wound cleaned up properly along with the medications. Meanwhile continue the post-extraction instructions that your dentist must have given to you like do not suck on the liquids or using a pipe to drink liquid or beverages, slight talking, etc. In case of the pain (if you have severe pain) I would advise you to disperse two tablets of Ketorol DT in the glass of water and then drink it (after visiting your drug history and only if you do not have any drug allergy). Just take Ketorol DT only once as they are very potent and repeated use of them might cause some side effects. However, if you have bearable pain and not the above symptoms then it is the case of regular post extraction pain and swelling. You continue the medication that your dentist has given to you for three more days. For swelling, you can use normal saline mouth rinses but rinse the mouth very gently as rigorous swish might dislocate the clot over the wound and may cause pain. Also, avoid touching the surface with your finger and tongue. Maintain good oral hygiene, brush twice daily and floss regularly with regular mouth rinses. | |
What causes eye pain, blurred vision and eye twitches post head trauma?
yes i had a severe head trauma 3 days ago that required 3 staples on the top left side. yesterday i started expirencing severe pain behind my left eye accompanied by blurred vision and eye twitching, and followed by a severe headache above the eye. i am wondering if this is normal and can be adressed with my dr in 3 days at the follow up or if i should seek imediate medical attention. thanks sam plumley | Hi,Thanks for writing in.Sorry to hear about the severe head injury you have had and hope you are recovering fast.The headache can be due to the injury but your blurred vision requires an immediate consultation with the ophthalmologist. The eyes are vital organs and have many connections in the brain. Eyes are made up of sensitive layers of tissues which help in image formation. An injury to the layers in the eye can cause blurred vision. It can also be caused by injury to nerves and muscles related to the eyes. I suggest you please take an opinion from an ophthalmologist immediately, if not taken earlier. Please explain your symptoms in detail and get your eyes examined and visual filed tests done. | |
Suggest remedy for small bump on head
I had a small bump on the too of my head & I started to try to pop it & it scabbed up and I pulled the scab of and I felt something else and I scratched it and tried to pull this and a small hard ball came out of my head... What does this sound like it could be? | Not to worry much about this this is nothing but a SEBACEOUS CYST or a dermoid cyst! The peculiar thing is nothing but the dried up contents of the cyst.take care not to injure it and turn it into a boil!Please go for an FNAC test to relieve your tension.All the best and regards, | |
Can co-cyprindol cause bloating and gas formation?
I have been taking co-cyprindol for my acne and for use as a contraceptive. However I appear to have constant bloating and a lot of gas, could this be the cause or a side effect of taking these? If so I have a nightmare with contraceptives and can t seem to find one that will agree. | Hi,Nausea,abdominal pain or bloating can occur with hormonal contraceptives. Avoid foods that cause bloating like lentils, peas and beans. Eating smaller portions of meals, and regular exercise can help. Drugs that reduce bloating like simethicone can also be used thrice a day after meals.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician | |
Blood in stool. Was that why my stomach pained? Emergency?
I was having pain in my stomach that wouldn t let me sleep so I went to the bathroom and sat on the toilet. When I looked inside the toilet there was feces as well as blood . I wiped and there was more blood, but no pain so I eliminated the thought of a torn anus . I went to use the restroom again about 5 minutes later to see if there was still bleeding but everything was back to normal: no blood and no pain in my stomach. Should I go to the emergency room or see a doctor? | not emergency you can get examined after there must be some piles which bleed and no pain and symptomps like ypu wrote get examined by surgeon | |
How to control severe hair loss?
i em experiencin heavy hairfall durin n after head bath.....and my hair is very thin due to this reason...one day i started countin ma rapidly fallin hair and found 96 strands has fallen....i em really terrified and not in a mood to experience early baldin.... | Hi...It seems that you may be having a condition known as telogen effluvium. I would like to say few things about telogen effluvium. It is a condition in which the hairs fall in telogen stage of hair cycle. The causes may be many like. ...tension,anxiety, thyroid diseases, endocrinal diseases, hormonal diseases, diseases like typhoid, malaria,viral diseases,surgery,trauma,drugs like anticancer ..methotraxate ,internal diseases,anaemia,nutritional deficiencies..... etc might precipitate the disease. Excessive sun exposure may be resposible for the disease. Dandruff may be responsible..it should be ruled out. If it is there, ketoconazole shampoo may be done. You consult dermatologist. Investigations may be done to rule out thyroid disease and other internal diseases. If they are there,proper treatment may be taken.-Nutritional deficiencies may be treated.-Tab Biotin 10 mg daily may be taken for long time. -Vitamin E cap 400 mg daily may be taken.-Minerals like iron, calcium, zinc..etc may be taken in proper dose.-Mild steroid lotion may be applied on the scalp daily at night.-Mild herbal shampoo may be done twice a week.-Oil like almond may be applied on hairs to improve hair shaft quality.Be confident for the good result.. Have patience..as the good result takes time. Avoid tesion and worries. Be positive. You may feel better after few months treatment. I hope you got my answer.Thanks.Dr. Ilyas Patel MD | |
Suggest treatment for depression and panic attack
I m consulting a neuro pshycologist for last nine months.doc said it is depression.I also had panic attack several times. When attack canes my BP gets higher.I m taking Dean it and benfomet MD with pexedep cr.Ihav'not got any result.I m elergic to pexedep.now suggest me some medicine. | hithanks for using healthcare magicSuch kind of panic attack can occur in depression. If u r not getting any response with pexidep, u can take another antidepressant like venlafaxine. If u have allergy to paroxetine, then better to shift on another antidepressant of different group to avoid cross sensitivity. rest u can discuss with u psychiatrist. If u r facing problem, u can take low dose benzodiazepine also.Thanks | |
Is right lobe pain normal to growing children?
Hello, My daughter who is six was chewing and started crying as her right lobe was hurting. This is the first time it has happened and concerned it is the holiday and we are getting ready to travel. Is this a sign of a tumor or is this normal in growing children? | Hi....by what you quote as lobe, I assume that it is right ear lobe which is hurting. I feel this could be start of ear infection or otitis media. I suggest that before you start on your journey, get her ears examined by an otoscopy and rule out otitis media by a pediatrician.Regards - Dr. Sumanth | |
Q. How to improve my kidney problem associated with diabetes, BP, and pedal edema?
Hello doctor, I have kidney related problem associated with diabetes, hypertension, and pedal edema. | Hello. Blood pressure need to be controlled more than this level to avoid deterioration of kidney functions. Need to share more details about history and level of creatinine. Measures that possibly slow the kidney damage are as follows: 1. Control of blood pressure and diabetes. 2. Low salt low fat diet. 3. Regular exercise. 4. Regular checkups. 5. Stop smoking and alcohol. Talk to the nephrologist about any new symptoms. | |
Liver Function Test done. Is the report normal?
My Liver Function Test results :- Bilirubin - total, serum by Diazo Method---------- Observed 0.40 Bilirubin - Conjugated, serum by Diazo Method--------- Observed 0.10 Bilirubin - UnConjugated, serum by Calculation------- Observed 0.30 SGOT (AST), serum by Enzymatic method --------Observed 19 SGPT (ALT), serum by Enzymatic method --------Observed 28 Alkaline Phosphatase , serum by pNPP-kinetic --------Observed 83 Protein (total), serum by Biuret method --------Observed 6.67 Albumin, serum by Bromocresol green method --------Observed 4.07 Globulin, serum by calculation --------Observed 2.60 So, are my test results ok? | Hello, Your results are absolutely normal and hence there is nothing to comment upon it. Thanks | |
How to treat a receding gum?
I've receding gum problem now. Initially my gums got swollen and bled badly. Though I visited a dentist who used painful method of scaling and recommended a mouthwash and homeopathy toothpaste. That helped for sometime, but again the process of deterioration has started. Should I go for Natural Herbal Remedies or consult a dentist once more for the same painful and non-reliable treatment??Thanks for helping me out. | HiWith your query, receeding gums can be treated by using palatal connective tissue grafts or by using allografts. For the treatment plan and opinion visit your periodontist. Maintain good oral health brush twice daily. Use proper brushing technique. | |
What is the symptoms for blackout?
Hello, my name is Devonne. I have had blackout experiences. Examples: My sister left for Arizona. I remember dialing her but remember nothing after that...nothing. Much later my son set me down to tell me what he thought was some psychological disorder I had. I remember saying Whoa wait a minute, this is way over my head. Then I remember nothing. He called his wife in to ask why I didn t like her, as far as I understand because I cannot remember her exact moment of arrival. Later after saying things I don t remember she began to cry. I left to have a cigarette and my son went with me. He was yelling at me, telling me I was embarrassing him but all I could reply was what did I say? Went back to the table and the rest is blank until my daughter in law told me to get out of her house. So I did...came back to some distant reality and found a hotel I could stay at. I drove right to it with no problem finding it. A few years later I went to live in KC with them. Apparently I called my daughter in law said some things I guess were bad. I remember nothing about it...dialing the phone or anything. Another blackout occurred at my sisters house when I was helping her put up the siding. I was on a six foot ladder, my knees began to tremble. I blackout and fell on the cement. I remember nothing about the fall. My sister said I just fell flat on my back with no attempt to protect my self. I suffered broken ribs and mild head condition that was addressed for dizziness. It worked well. During the head and rib exam (gp) I began to get so dizzy the nurse was having a hard time keeping me on the exam table. I m 59. I ve been diagnosed with epilepsy. I just don t think I have it. | HiI am Dr Mittal.I have read your message.I think I can help you.The episodes that you have mentioned are definite episodes of seizures the way you have described them.There is no other possible cause.A seizure comes suddenly- so a person cannot protect self- hence the fall from the ladder. There is no way one can protect oneself.The patient has no consciousness of self and that explains why you don't remember the episodes, despite even speaking in the episodes. Most convincing of all, people think there is a psychological effect. This is because they do not know that seizures are not just the shaking of limbs - a version of seizures which is widely known.So, I am quite convinced that you had seizures- most likely focal seizures with generalization (that is to say that you develop just a part of the seizure first and this becomes more extensive as the episode progresses- hence you could remember your daughter in law walk in, but not the rest of the episode).From your last line, I surmise that your neurologist has told you the same thing. From the same line, I feel that you have been initiated on medicines that you are not taking.I should tell you that you need to take the medicines, to avoid further episodes.In case there are episodes despite the medicines, you need to meet your neurologist to get the dose modified and to change the medicine if needed.If it persists, a scan, preferably MRI Brain will be needed.I have tried to make it as simple as possible. Please feel free to contact me for clarification on any particular point if needed. Please do start your medications. Best of luck, Dr Mittal | |
What could be the painful lump on the ear with headache and dizziness?
I started getting a really bad head ache yesterday I couldn't even see right I was really in pain then I was just going to scratch the back of my right ear and I felt a really big bump it hurts a lil and also with that I've been feeling dizzy what could it be ..?? | Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode orsofe Iinflamed cyst. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | |
Suggest treatment for chest pain,arm pain and rapid heart rate in a child
My 14 yr. old is having extreme burping, we have been to the ER and got no results. She was previously diagnosed with a Lyles Heart murmur or musical murmur. She is 5 9 , 138 pounds, active with basketball and dance. She complains of lightheadedness, chest pain in upper left quadrant, left arm pain and she says she feels like her heart is racing at random times. She can t inhale or exhale deeply without burps, and they are constant and persistant. She has had a normal sonogram of the liver, kidneys, gall bladder. Do you have any suggestions? We are frustrated. In the ER she had low potassium and low BUN, she has also been diagnosed with chillblains on the fingers and toes, negative antigen test for Lupus and Rheumatoid arthritis. | Hi, By what you say I feel that the possibilities are: 1. Gastroesophageal reflux. 2. Mitral valve prolapse. 3. Habit disorder. I suggest you discuss this possibility with her pediatrician and get her evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology | |
Suggest remedy for severe lower back pain
i have a lower back pain that gose down to my right leg the pain on my leg hurts really bad most of the time the i cant walk,sit,lay down and i cant even stay standing up for 2 minits cuz the pain kicks and i have to lay down.my leg feels like it in really cold water so i cover it up and sometimes the pain gose away but thin i come back ive had this pain for almost 3 month now. | Hi,Going through your query it seems that you may be suffering from disc prolapse.treatment of it is bed rest in the position of comfort and analgesics (ultracet three times a day after meals)and methylcobalmine one tablet daily for 2-3 weeks.MRI lumbar spine is required for further decision making. I think this will be of use for you. | |
Is early masturbation in children normal?
This is rather awkward, but I am a 1st grade teacher and I have a female student who masturbates most of the day. The counselor and I decided I should tally each time I see her and need to stop her. Today alone, there were 92 instances that I documented. Is there a psychological problem umbrella that this could fall under? My research seems to point me to sensory disorder but parents don t think so. | HelloIt is not very common but infants/toddlers or school going children can mimic masturbation,sometimes called gratification disorder. This is a behavioral disorder when it occurs excessively, it should be evaluated and management may be needed. Here child do not exactly manipulate the genitalia. It is more common in females.Child can tighten the thigh with thrusting of pelvis. There may be sweating and abnormal breathing with flushing of face,just like what happens during orgasm.The frequency may vary from 2-3 per day to multiple episodes.I would suggest you to counsel the parents about the condition and get her to a pediatrician/psychiatrist for evaluation. Regards | |
What causes cough and abdominal pain in a child?
hello sir.. my son is 3 years old . since last two months he is developing cough. he is coughing a lot with pain in abdomen. n sore throat. he has been medicated with budocart nebulisation. but again once it stopped again he develpos cough. then my paedatrician started inhaler therapy levolin inhaler n budeocart inhaler and asked to give them twice daily upto 3-4 years.. is it safe doctor? | hello,thanks for your query, in my opinion, due to prolonged cough, abdominal muscles will strain , which leads to abdominal pain. anyway, do continue levolin +budecort nebulizations, it works best for allergic cough with wheeze as per your treating pediatrician, which prevents him from becoming future asthmatic. hope i have answered your query. all the best. take care. | |
Suggest consequences with severe oligohydramnios
Hi, may I answer your health queries right now ? Please type your query here...Hi, recently I took my wife to the hospital where she was diagnosed to be having severe oligohydramnious. Presently 22 weeks +. Doctors advised she stays at home full time with little or no work. I find it difficult having sexual intercourse with her as she cries as if in pains. What is your advice on the situation? Sagir | severe oligohydroamnios at 22 week is poor prognosis for baby. Avoid sex completely. Moreover consult your doctor as this is serious problem for your baby. need immediate treatment. | |
Q. My fiance has gained 40 kg in less than a year. What could be the reason?
Hello doctor, I am concerned about excessive weight gain by my fiance. He is a 29 year old male, whose height is approximately 6 feet, and he weighs 150 kg. Over the last two years, my fiance had lost around 40 kg using the Banting diet, common in our country. It is based on the principles of no carbohydrates, starches or sugars and higher protein, but does allow the odd cheat meal. Since then, in the last eight months, he has had two attempts at quitting smoking and was put on Pendine 5 and Zartan CO for high blood pressure. He has a family history of hypertension. As a result, he has gained weight at quite a quick pace despite sticking to his Banting diet. The meal sizes have not changed, and he has an active lifestyle. We hike or do vigorous walks of 5 to 8 km on most days. At this stage, he has almost gained the full 40 kg back in less than a year, which seems very excessive and way above normal for quitting smoking. I was wondering if perhaps he has some thyroid issues, as his mother has hypothyroidism. Or could it be a side effect of the medication? We need some advice. We are at a loss at what to do. I would like to add that he struggled with weight issues since childhood. Also, we are currently not in his country, so visiting a doctor may be difficult. | Hello. Keep up the diet and exercise. Do not get disheartened. The tests should shed some light on the cause of the excessive weight gain. For more information consult an internal medicine physician online --> | |
Suggest treatment for infection in the gums
I recently got all four wisdom teeth pulled back in December. Yesterday I decided to eat popcorn and thought that a kernel may have gotten stuck so i tried flossing, brushing, using a oral pick, etc to try and get the "kernel" out, but nothing ever came out. I noticed that I still had some swelling and that my mouth was very tender. The swelling kept getting worse so i decided to rinse my mouth out again and noticed a black spot where my stitches were so I poked at it with a oral pick. Once i did this pus started to gush out from the spot. What does this mean, and why did this happen? | Thanks for your query, I have gone through your query.The swelling and pus discharge can be because of the gum infection leading to periodontal abscess formation. This can occur secondary to deposits or prick with tooth pick. Nothing to be panic, consult a oral physician and get your teeth cleaned. Mean while, you can take a course of antibiotics like doxycycline. Do saline gargling.I hope my answer will help you, take care. | |
Is Loestrin birth control causing chest/collar bone pain?
MY daughter has been placed on Loestrin birth control...could this be causing chest/collar bone pain? She also has been sick for over one month with a cold and was diagnosed last night with bronchitis (x-ray confirmed) but only an inhaler for medicine...............is this normal | HIThank for asking to HCMI really appreciate your concern looking to the history given here as you said that your daughter is given birth control pill and since then she has complain of chest and clavicle pain but this is nothing to take with contraceptive pill even such pain is nonspecific type of pain and no need to worry about this, have a nice day, | |
Reddish skin rash on the leg spreading. What is it? Taking Plavix and Lipitor
I have a rash that is not raised on the leg just above the ankle. It showed up 3 weeks ago and was very small area and light in color. Yesterday, it turned dark red and has spread. I noticed yesterday it is on my right ankle now? What could this be? I take plavix and lipitor and started these medications in May of this year. | Hello,Thanks for the query.You might have developed erysipella.These are deep bacterial infections.It spreads under the skin as redness and warmth.Treatment is with oral antibiotics.Another possibility is drug rash.A photograph would have helped me in differentiating the two.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you | |
Suggest treatment for fungal infection in genital area
Sir I am facing fungalI infection in my genital area for last 2 years. Firs I start using BETAMIL GM . Through this I got relief but in next 15 20 days it appears again.Likewise the cycle is going.But after using betamilgm my skin is becoming thinner and thinner in that infected area.I have visited doctor he prescribed me Tablet FULCA and cloritima zole kito b ointment. Through this i got relief but again it appears. Sir please suggest me a permanentsolution for this. I am 22 year male college sstudent. | Hi, I understand your concern. Once it is confirmed that you have a fungal infection since long time- Management would consist of medical treatment & personal care. - A through examination by your doctor to decide type of infection & culture of the swab/scraping from affected area should be done. some times same complaints with itching & rash is seen in eximatus skin disease- where treatment differs.( avoiding allergens personal care & betamethasone cream. Mostly anti fungal medicines like metronidazole orally & fluconazole ointment locally( with Vitamin B complex / vitamin A/ Vitamin C supplements is given For keeping the skin healthy.) for a period depending on extent of infection. Treatment of both sex partners is advised , With a tip to avoid sex till the problem is cured. Cleanliness of genital area/ keeping it dry & smooth( mixing the ointment with moisturizer./ using loose fitting cotton undergarments & using ointment advised locally is vital for cure. Genital area being covered,moist -repeated infection is common. The medicines need to be taken repeatedly with doctor's advise. The complete cure should be followed by careful self preventive efforts as per advise of doctor. Thanks. | |
Can viral infection be treated with pills?
hello i was diagnosed in 1997. i was stuck by a dirty needle in surgery . i am a surgical tecnician. my viral load as of last week is 16,000. my dr was telling me about nw treatment with pills . two in the morning and 3 at night. is that true and what is it called ? thank you | Hello and welcome to HCM,You have not mentioned what kind of infection did you acquire through needle stick injury.The most dreaded viral infections acquired during needle stick injury are hepatitis B infection and HIV infection.Out of these two infections, hepatitis B infection leads to a heavier viral load.The management of both these conditions is treatment with anti-viral drugs.You need to consult your physician for management since, the type of infection is not known.Thanks and take careDr Shailja P Wahal | |
Does MS cause pain?
my doctor says that my ms does not cause pain and that I would only have stroke like symptoms with it. I am in a lot of pain and I itch so much I feel like I will go crazy with it , but he doesn't have me on anything for ms . can you tell me if this is true and if itching can be a symptom. thank you | Dear Friend..I am Dr Anshul varshney. I understand your concern.Yes MS can cause sensory symptoms. Even it can cause sensory symptoms all over the body when neck is flexed down.i would advice you to take regular treatment for this.Stay Healthy.Dr Anshul Varshney | |
What causes coughing up of flesh?
I have had the flu recently, and it started with a fever. I got over the fever (it was as high as 101), and then the mucus started. I've been coughing and sneezing like crazy, but it got worse yesterday and today. I just coughed up a little piece of flesh with a tiny bit of red on it, which I assume is blood. My cough isn't as bad now afterwards. Should I be worried that I might have some sort of damage to my lungs or bronchial tubes? | You are suffering from bronchitis and the blood in sputum was due to repeated coughing leading to erosion of the layer covering the bronchus ..I would opine you to take a five dy course of Tab. AUGMENTIN..If the coughing persists or worsens get an Xray chest done to rule out presence of pneumonia.. | |
What causes fluttering of heart and headache?
I'm 34. Last night I had vision problems in my left eye had a flutter in my heart and then broke out into a sweat all while sitting down. Afterwards I had a throbbing headache....today no fluttering or eye problems but I have a slight heavy feeling in my chest...just wondering if it could just be stress | Thanks for your question on Healthcare Magic. I can understand your concern. Yes, possibility of stress related symptoms is more in your case. But better to first rule out arrhythmia (rhythm disturbances in heart) because it can cause Fluttering sensations in chest, headache, vision problem etc. So better to get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
What could heaviness and shortness of breath post open heart surgery?
My father has a pacemaker/difibrillator. He had open heart surgery when he was 59/ double pypass and a valve transplant. He is 78 now. Shortly after he eats or drinks anything, he feels a heaviness in his stomach (no pain) and shortness of breath. | HelloWelcome to HCM . He has got a history of heart disease with bypass surgery and valve replacement with a defibrillator. The symptoms he is getting may be due to acidity. But a cardiac cause should be ruled out. Please do a ECG and 2d echo. ECG will show the electrical activity of the heart indicating he functioning of he pacemaker /defibrillator.2 d echo will show the structure of he heart, its valves, the functioning of the valves, the leak between the valves and the pumping function of the heart. Please do the above and revert back with the findings. Wishing him good healh Regards | |
Suggest treatment for fever and pain in leg.
My daughter aged 5.6 yrs has got fever from last sunday(16-sept)& had high temperature till Tuesday (18-Sept). She was fine & active on Wednesday(19-sept). On 20th morning, she had sever pain on leg muscles. We consulted a doctor & as he advised, we took Blood & Urine test. Report on 20-Sept-2012 ALKALINE PHOSPHATASE. 147 U/L; SGPT 12 U/L; UREA, SERUM 23.5 mg/dL; CALCIUM 9.5 mg/dl; CPK,SERUM 353 U/L; BLOOD ROUTINE EXAMINATION: HB 14 gm% ; TC 2,800 Cells/cumm , DC P-44-58, L-37-47, M-3-7, E-1-5; Neutrophils 50%; Lymphocytes 44%; Eosinophils 2 %; Monocytes 4 %. ESR 3 mm/hr; PCV 41.8 %; PLATELET COUNT 1.5 Lakhs/Cumm URINE ROUTINE EXAMINATION PROTEIN NIL;SUGAR NIL;BILE SALT NEGATIVE;BILE PIGMENT NEGATIVE;BLOOD NEGATIVE;KETONE NEGATIVE;UROBILINOGEN NORMAL;PH 5.5;SPECIFIC GRAVITY 1.030; DEPOSIT ..... PUS CELLS OCCASIONAL; ..... RBCS NIL; ..... EPITHELIAL CELLS OCCASIONAL; ..... CRYSTALS NIL; ..... CASTS NIL; BACTERIA NIL; Report on 22-Sept-2012 CPK,SERUM 1412 U/L ; SGOT 87 U/L; SGPT 29 U/L HB, TC, DC HB 13.9 gm % ;TC 2,300 cells/ cumm ; DC P44-58,L-37-47, M-3-7,E-1-5; Neutrophils 30%; Lymphocytes 66%; Eosinophils 2%; Monocytes 2%; PCV 41.4 % ;PLATELET COUNT 1.3 Lakhs/Cumm Will you please guide us on wat to do next? Note- We live in India | Hello dear,it seems she has streptococcal infection. For differentiation you should also give antistreptolisin -O, IgM,G to Chlamidia trachomatis,uric acid,reumatoid factor,throat culture and sensitivity to antibitics. Amoksiclav ,ubuprofen should be given for 10 days. 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 your baby good health. | |
Could blood clots in lungs be related to enlarged heart and high BP?
I was just told by my cardiologist that the right side of my heart is enlarged and the pressure is too high. How serious is this? I come from a family with terrible heart history. My father died at 40, my mother at 56, and my brother at 36 and our son has had two heart attacks, one at 26 and the other at 42. He has had stents in between the two heart attacks. I am 69. Not overweight at all, exercise at our wellness center we try for five times a week but at least 3. I have been getting short of breath on steps. We also walk a lot. I had quadruple bypass 13 years ago. I am just wondering how serious this is. I guess it kind of surprised me and I didn't ask any questions. They did a test this week to see if I have any blood clots in my lungs, but don't have results of that yet. | Hi,welcome to Healthcare magic.Thanks for posting your question on this forum.I understand your query and concern.Yes probably enlarged heart in the setting of past history of heart disease with a quadruple bypass heart surgery and intuit stent is likely to cause lung dysfunction in the form of elevated blood pressure .This can predispose to blood clot or thrombus formation in the lung.This will further worsen the heart enlargement.Such events are more likely to occur considering your age and family history.I advise you to have a baseline ECG and 2 dimensional echo on the follow up to have a recent quick review of your cardiac functional reserve.I strongly recommend the use of drugs like ace inhibitors like cardiopril,bosetans and calcium channel blockers like nifidepine.These drugs are known to reverse ventricular hypertrophy and reduce pressure in the lung.Maintain your blood pressure under 130/80 mm of hg.Consult an expert cardiologist for further expert management.Post your further queries if any.Thank you. | |
What are the sensitive lumps on the inner thigh?
Hi, I am a 25 year old female. I have 3 lumps in a line under the skin along my femoral vein (artery?) in the upper part of the crease of my left inner thigh. The first is about the size of a walnut, 2nd a marble, 3rd dime sized. They are getting bigger by the day and just overnight a 4th has come up under the skin on my thigh above the other 3. They are very tender and sensitive to touch. They can become very painful after sitting at my desk at work for more than an hour or when i wake up the mornings from sleepng sometimes it hurts to walk on my left leg. Any ideas what this ould be and what i should do? | Hello! Welcome to HCM.These seems to be enlarged inguinal lymph nodes.The site you mentioned is classical for these.Do you have fever?As nodes are usually enlarged & tender when there is infection, which also causes fever.Source of infection needs to be addressed.In my clinic, after clinical examination I advise CBC, urine routine, blood sugar level to such patients.FNAC - fine needle aspiration cytology is advised to confirm the diagnosis.Treatment is done accordingly.Hope this information is useful to you.Wish you healthy life.Thanks.Regards. | |
Suggest a remedy for rash on the back of knee
I am a 56 year old female and have had a rash that started on the back of my knees one morning and with in a few day it spread all over my legs with a severe itching. This was in April a few days before easter. I have never in my life had a rash like this | Hi,It may be contact allergic dermatitis. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.I would suggest...- apply mild steroid cream like mometasone - take antihistaminics like levocetirizine 5 mg daily till the itching is relieved - if needed, steroid tablets may be taken in tapering doseI hope this might help...Thanks.Dr.Ilyas Patel MD | |
Suggest treatment for fever and dry cough in baby
My son will be 3 in a month. I just took his temp underarm. It registered 102.8. He is flushed and has not been able to sleep the past 2 nights. He has a very dry sounding cough which is worse at night. He also has little appetite. Should I take him to the dr. or wait it out? | dear parent , I understand your concerns . for fever you should give ibuprofen syrup or acetaminophen syrup every 6-8 hours.for dry cough you should give a cough suppressant as dextromethorphan . you should only offer soft and easily swollen food as soup , yoghurt and jelly | |
What causes pain in hip, bicep of arms and shoulder blade?
Yes I have radiating-pain in bicep of both arms . I had laparoscopic surgery on the right shoulder but it was unsuccessful . Also I ve had a left hip replacement which also still gives a lot of discomfort . Now it s my right hip . My arms have a very limited range of motion . Could it be my neck or spine . Shoulder blade pain and numbness of my fingers also happens more and more often . This has been getting worse for close to 4 yrs which. Started with a slight snapping in my bicep of the right arm . | This is very complicated case and unless clinical examination is done, it is difficult to conclude.What was surgery done on shoulder. What was problem before performing surgery. Where do you live? | |
Suspected as SLE patient. Having low Hb levels, fatigue, cough, cold, hyperacidity, sleeplessness, low apetite. Suggestions?
My wife suspected as SLE patient by Dr, Sukumar Mukherjee in the year 2003, Since then she was treated by Oysolone & HCQS.Now she is in HCQS only. There is no previous symptom eecept low Hymoglobin , Fatigue , low Vitamin D ,sussecptible to cough & cold.Doctrs never allow to withdraw HCQS where ANA & Ds dna factors are negative. she does not understand her present status,she is suffering from hyperacdity, sleeplessness ,low appetiete etc. where we may go at kolkata to treat her? Actually Dr. Sukumarjee, Dr. Shyamashys Bannerjee are raely avaiable- both are indifferent to her various other complication as i told before what shall we do? | hi if her ana and dsdna are negative then the chances that she has sle are low. why dont you consult some other rheumatologist, it may be wiser to discontinue hydroxychloroquine. | |
Suggest treatment for low potassium level
my mom had a potassium level of 2.4, she was hospitalized and given potassium intravenously. She still has a low level, please provide me some reasons for the low level and decrease in her levels & what can be done to help her maintain a healthly level? | Hello,it depends on the cause. Potassium replacement that fails to raise potassium levels is a finding commonly encountered when low magnesium levels coexist. She needs a magnesium measurement and potential replacement. The intravenous is the most efficient way to rapidly replenish potassium losses. If she's capable of taking drugs by mouth then she could also take potassium orally.The most important thing though is to treat the initial problem that caused the low potassium levels.I hope I've helped!If you'd like more information, please let me know. I'll be glad to answer.Kind Regards! | |
How to treat little bald spots and blister bumps on scalp?
Hi I have a 2year old daughter and she have shiny little bald spots in her scalp and reocurring blister bumps on scalp and have been treated for bacteria infections over 10 times through out her life what do think I should do,also the bacteria medications will clear the infection up for only a couple weeks and then the blisters reocurr in scalp again | Hi,There may be some underlying skin condition, predisposing for recurrent infections. Common causes are seborrheic dermatitis, atopic dermatitis and pediculosis. Kindly take her to a dermatologist for evaluation. Treating the underlying condition will prevent, or at least reduce the frequency of infections.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician | |
How treatment for severe tailbone pain?
Hi, I am a non vegetarian male and working with a bank. Since last 2 years I have been suffering from severe tail bone pain. My uric acid is also 6.5. I have to travel in uncomfortable positions at least thrice in a week and I also have to sit on chair for prolonged hours.Please advice. | Hi, thanks for posting your concern in the HCM. Coccydynia may occur due to abrupt ( fall on coccyx) or nonabrupt (prologed sitting) trauma. Degenerative changes in the sacrococcygeal or intracoccygeal junction may also cause coccyx pain. Rarely hyperuricemia may present with this. A lateral view Xray of the coccyx both sitting and standing position should be done. Haemorrhoids, lumbar degenerative disc disease, lumbar facet arthropathy, piriformis syndrome should be ruled out.Physiotherapy, surgery or sympathetic nerve block may be needed in case of coccyx pathology. My recommendation is to visit your local doctor for further evaluation and treatment. For any further questions please write back to us. Regards. Dr. Kaushik | |
How to prevent the injury on my top vertebrae?
Hi, I am a 41 year old woman, regularly work out in the gym with weights and have always stayed active. I work in an office for 32 hours a week. At present I have a very sore and stiff neck. I am very tender up around my top vertebrae and slightly to the left side. I also find it painful to turn to the left and look over my shoulder. I have been seeing an osteopath every six to ten weeks for about 10 months and after a visit when she realigns things I am much better. This injury does tend to happen to me 3-4times a year. Is there something I can do to prevent this happening. Or is it something that may need further investigation. I thing I may have originally hurt it 3 years ago waterskiing. | Hello and thanks for using HCM.I have read your question and understand your concerns.In my opinion, first there is need to diagnose correctly the kind and the degree of the damaged area of your neck and imaging studies are necessary to evaluate conditions such fracture, slipped vertebrae ( spondylolysthesis ), herniated disc disease, since there is trauma history.Cervical spine x-rays in neutral, flexed and extended position, MRI also are needed for this purpose.In mean time, use of a soft neck brace when you work out, travel or stand up for too long can help prevent further deterioration and can improve your symptoms.Discuss with your primary care Doctor about having done these examinations.Definite treatment ways should be clear after imaging studies.Hope you found the answer helpful.Take care. | |
What causes blackening of teeth after swimming?
My son goes for swimming and he swims for atleast 1 1/2hrs. Recently we have have observed that his teeth gets blackened out. Could the chlorine in the pool water be the reason or he is also taking FULL-365 suspension vitamin tonic daily ,could it be its side effects? | Thanks for posting your query to HCM.After going through your history, I want to tell you that chlorine in water is most probable cause for blackening of teeth.I would suggest you to do proper rinses after swimming and visit a dentist who will clean your teeth. Hope my answer will help you. | |
Trying to concieve. Prescribed B-Long F and MCBM-69. Sure of pregnancy after taking tablets?
Hello doctor,iam 27yrs old lady. I am married before 1n1/2yr i got aborted 5mnths back of 6weeks pregneccy with tablet suggested by doctor only becoz spem stoped its growth. Now we are again trying for baby. I am advised to take B-longF and MCBM_69 for 30 days.Is there any chances for me to get pregnant this month. My periods are normal for 30days,this month only i started those tablets..will i sure be pregnant after taking these tablets this month? Is it safe to take these 2tablets at the same time? | Hello Thank you for your query. There are no tablets in this world which can guarantee a pregnancy. B long F and MCBM 69 are supplements that will help you in conceiving, not ensure a pregnancy. You have to evaluate cause of your previous abortion. Genetic causes, uterine abnormalities, infections, autoimmune causes, hormone imbalance - all should be ruled out. Also, for fertility, it is essential to confirm your hormonal status, fallopian tube patency, ovulation status and semen analysis of your partner. Please take these supplements, there is no harm in taking them. Take care. | |
What could be the reason for feeling shaking in my right leg?
hi doctor, i feel my right leg is shaking for seconds. it is very uncomfortable. mostly when i'm sleeping. i don't know how to explain. then feel all body uncomfortable. then i get up and do some movements. still not helping. some times left leg as well. | If the symptoms are bilateral as u have stated in you case, they may be related to some motor nerve compression in the lower back regionHowever these mostly accompany with lower back ache, difficulty to walk long distances in a single sprint.If all these symptoms, are present you should investigate them with lumbar and sacral spine x rays. If not, simple physiotherapy of knee, hip and lower back shall help if continued for atleast 3 weeks. Take care | |
Suffering with psoriasis, have lesions without itching that are spreading. Taking homeo medicines. Is it effective?
hi, i am suffering from psoriasis . my age is 42 years, female divorcee, with 4 children aged 19-12year. from past 2 years i have notices lesions without any itching. But after a few suggestions from friends i have started homeopathy treatment from past 6 months. But i have noticed that i have started itching and new lesions noticed all over my body. these have been spreading and i feel really depressed noticing that my condition is not improving. Please suggest if homeo is really effective medicine and why i m not able to improve ....... | welcome to Health care Magic, Naturopathy & Yoga Treatments for Psoriasis Fasting: It is the best way to detoxify the body. Skin being an eliminative organ reflects the status of health of the individual. Long fast on liquids induces all the eliminatory channels of the body to throw off the accumulated wastes. Hydrotherapy: Enema is mandatory to enhance the elimination process. It should be adopted in accordance to the duration of the fasting. Diet therapy: Fresh fruits and vegetables, sprouts, fiber rich foods are recommended .Avoid the meat, dairy, processed foods, salt, sugar and refined carbohydrates, Use alkaline Foods like sprouts and juices, adequate water and lemon juice help in the improvement of the condition. Mud therapy: Mud in the form of wraps and baths is a treatment providing cure for sure in psoriasis. Before use the mud application use some Aloe Vera or Oil as natural moisturizers like Neem oil, Coconut oil, tea tree oil. Yoga: Yoga practice such as Asana, Pranayama and Yogic kriyas (Yogic Cleansing Process) eliminate the toxins from the body and reduces the stress level naturally and supports the body in the cure.. Note: Please follow all these treatment Under the Qualified Naturopath and Yoga Practitioner. | |
What causes a white painful lump under the teeth?
Hi i am 11, 3 days ago i acidelnty drank out of someone elses water bottle. Now a white bubble right under my teeth, in my gums were my teeth are hold has this 3 inch bubble. It is in pain and i cant help but poke it. I tried salt and water, orel gel, pain medichane, and pepermint. Anything else that can help? | Thanks for your query, I have gone through your query.The white bubble or lump on the gums could be secondary to the tooth or gum infection. Consult a oral physician and get it diagnosed. If it is a tooth infection then get endodontically treated. If it is gum infection get the teeth cleaned along with a course of antibiotics like amoxicillin 250mg tid for three days.The other possible cause could be a herpetic virus infection. Nothing to worry the viral infection is self limiting.I hope my answer will help you, take care. | |
What causes interstitial markings in the upper lungs?
I had chest x-rays done back in February , at my local er , and was diagnosed with a viral infection, however I was told to have a followup cat scan done because of intrestial markings in the upper lobes of lungs, I just had the cat done this past week, what are they looking for? | Thanks for your question on HCM. In my opinion they want to rule out any infection present or not in your upper lobes.Usually bilateral upper lobe lesions are seen in infection either present or past infection. And CT SCAN gives much better evaluation of lung infiltration thsn chest x ray. Besides infection other causes for bilateral upper lobe reticular pattern are1. Sarcoidosis2. Sillicosis3. ILD (interstitial lung disease) rarely.So CT THORAX is must to rule out all these. | |
Suggest medication for cold and vomiting
my 3yr9months old daughter (15kg) has cold - started with running nose and sneezing; now coughing and occasional vomiting while eating/drinking. I have given her ambrodyl s (4.5ml x 3 times a day) and levolin inhaler (two puffs thrice a day) [she was prescribed levolin on earlier occasions and doctor has advised future use on SOS basis]. She doesn t take steam inhalation/gurgling. Now she has a little phlegm also. Is my step OK? Pl suggest medicines | hi...the history suggestive of common cold, that is simple viral illness. if she doesn't have wheeze or noisy breathing, ambrodil S or levolin neb does not help the child. use levocetrizine 5mg half tablet twice a day. it takes 5 - 6 days to subside. if cough persists, then child may have wheezing problem and then consult your doctor.steam inhalation and gurgling doesn't help much.if you are happy with my answer kindly rate me.regards-Dr.Surendra.H.s | |
What is the relation between frequent urination and depression?
Hi, may I answer your health queries right now ? Please type your query here...i am in trouble for last two months and having a problem of frequent urination some in a gap of 5 minutes.I have problem of depression for last 10 years and was on medication but I left all the mediciens one year ago.Is there any relation between frequent urination and depression.all my test are normal ie urine test,sugar test,prostate test and kidney etc.Pl help | HIThanks for using healthcare magicExcessive urination could be due to polydipsia. That could be psychological or due to underline hormonal dysfunction. If all investigations are normal. then chances of psychological issue is more. In depression, such symptoms are not uncommon. Better to take some antidepressant like TCAs, that would help to control such symptoms.Thanks | |
Is flying safe while having pneumothorax?
hi my son is 16 years old he had pnumothorax last year and he had pnuemomedistrain past month,he admited to hospital,there was no treatment done.Now iam freaking out all the time if that happen to him again.Also i dont know if he allow to fly?we were plan to ply to florida(from boston),i am a little bit aware. what should i do | Thanks for your question on HCM.Recurrent pneumothorax is not a good disease to fly with. Since during flight pressure changes varies greatly and these can cause new onset pneumothorax. Better to get done pleurodesis first. Pleurodesis is adhesion of both pleurae by thoracoscopic intervention. Once pleurodesis is achieved there are very less chances of future episode of pneumothorax. So consult pulmonologist and discuss about pleurodesis. You should get done CT Thorax first. | |
Q. Why is my facial skin darker than the rest of the body?
Hello doctor, The color of the skin on my face is too dark when compared to the skin on my nose, cheeks, and rest of my body. How can I restore the original color on my face? | Hi. The skin often darkens due to tanning under the effect of UV (ultraviolet) rays. I would strongly recommend using a sunscreen with a minimum SPF of 30. The sunscreen has to be applied at least half an hour before you go out and has to be reapplied every four hours till evening. I suggest trying skin lightening cream like Biluma (Kojic acid) at night. Alternatively, you could visit your dermatologist for chemical peels like Lactic acid or Glycolic acid peels. Whatever be the treatment, sun protection is a must. Hope this helped. Take care. For more information consult a dermatologist online --> | |
Suggest remedy for pain in ribs
I have pain over my right side of ribs. I thought maybe I pulled my side several weeks ago. Tonight, I got up from couch and feel a pain worse than before. It feels like veins bulging out of side over right side of ribs. This has been bothering me for some time. It is hard to sleep on right side. Pain comes and go but now constant. When I raise my right arm over my head you can see several indents between ribs and feel the veins(I think) across the ribs with touch. Not sure what this could be, but very tender to touch. | Hello,The symptoms seem to be related to costochondritis. Costochondritis is an inflammation of the cartilage in the rib cage. I suggest using an anti inflammatory medications such as Acetaminophen to relieve the pain. If the symptoms continue, you should consult your doctor for further evaluation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
What does the blood test with SGOT 70 indicate?
Dear Dr, I am 42 years old, and last week beacuse of liver pain i went for sonography and bood test asnd result of sonography is : Hepatomegaly with fatty infiltration & Blood report : SGOT is 70 & SGPT is 90, I want to know what is this & it will cure in how many days? | Welcome to H.C.M. I am Dr Krishna Dubey.My pleasure to help you.Hepatomegaly with fatty infiltration & slightly increased SGOT & SGPT is going in favor of fatty liver.It can be reverse and you can be fine as earlier if you stop (Alcohol if you drink) .Avoid fatty food and eat healthy food.Control your weight.Daily exercise for 30 minutes is very help full.Repeat sonography , SGPT and SGOT as advised by your treating doctor. Hope you will satisfy with my answer.Keep in touch.Always welcome for further query.Thanx. | |
Suggest treatment for swelling and pain in the right arm upon movement
I have swelling and pain on my right arm about 2 inches above my wrist. Grasping, moving my fingers and turning my wrist is painful. This condition started after several days of shoveling and raking loam. I have tried Motrin and icing, but there has been no noticeable improvement. | Hello, I think this should be related to the cervical spine disc injury and the nerve is getting trapped leading to disturbance in the motor functions. Using the soft cervical collar and using icing at the cervical region/neck region should help reduce the symptoms. Once the pain level falls below 4-5 in visual analog pain scale of 0-10 then strengthening exercises will be advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | |
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 --> | |
Does high protein diet cause elevated enzyme levels?
HI, WILL START WITH MY COUSIN'S QUERY..HE IS 48 YRS OLD,SLIGHTLY OVERWEIGHT,ALWAYS DIETIN....HIS LIVER ENZYMES ARE SLIGHTLY ELEVATED..SGOT AND SGPT..IN 40'S AND T.BIL..1.4..CLINICALLY NORMAL..WAS ON FLUCONAZOLE FOR A W=FEW WEEKS..ALSO ON A HIGH PROTEIN DIET.APART FROM THE DRUGS..CAN HIGH PROTEIN DIETS CAUSE ELEVATED ENZYMES?? | Hi welcome to the health care magic Normally protein consumption doesn't lead elevated liver enzymes... But if high protein diet consumed regularly along with supplement product for few months than can lead elevated liver enzymes.. He is overweight, hence fatty liver or NASH condition might responsible here.. Slight elevation like around 40 as per history not significant More than two fold increase need investigation work up... Temporary viral infections, few drugs, skeletal muscle injury, muscule inflammation, Celiac disease etc are another cause Work up advisable with... -Serum cholesterol estimation -USG abdomen Take care Consult physician for examination with keeping all this in mind | |
I am a thyroid patient and wants to conceive
Dera doctor , i am 32 n last year was pregnant after 2nd iui but after 10 weeks baby lost heart beats n DNc done. I have thyroid and on medication. in Feb2009 dignosed TB in utrus n taken medication till 9 month. now again trying to conceive last month tried iui but failed. Again doctor suggested iui this is 4th iui and i m on thyronorm 75mcg, progestrone 150, loprin 75 and hmg 150iu from day three. this is my forth day. please suggest what should i do to conceive and prcautions after conceiving. thank u | Dear,first of all wishing you all the best for your pregnancy.Just keep follow up with your doctor regularly,do not miss the doses,keep thyroid under control with help of an endocrinologist.Avoid heavy work and weight lifting.Avoid relations with your husband for initial days.Any minor aliment you have please bring it to the notice of your doctor.Do not take any medicines without consulting your doctor.bye and take care. | |
Suggest treatment for sore knees
Hi doc, young son 4 years old is chesty, running nose, treating with ventolin and benelyn. However he is lathargic understandable if you are under the weather but my concern is that he wont stand up because he complains that his knees are sore? Thank you | this is not so common at this ageur child might have got hurt at school or some inflammation in knee which could be acquired just get his knee x ray done, if its normal get his ANA profile donethis is common after sore throat also Aso titre should be considered | |
Suggest treatment for fungal infection
hi,i am 26 years old male, i weigh about 75 kgs. I had a fungal infection in my groin. After taking some medicines the doctor prescribed, the infection seems to have healed, but the dark scars remain, how do i get rid of these scars? Also how do i avoid recurring infection? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The scar of fungal infections are temporary. It will go on after some times. Recurring fungal infection has two important underlying cause one is HIV second is diabetes. As per your age I think you must test your self for the HIV is the most common cause of fungal infections.But it can also occur in other condition like frequent sweating. So by avoiding this we can also avoid fungal infections.Take the complete treatment for the fungal infections. With proper precautions once cured this infections will never reappear with proper precaution.Please maintian good hygiene as this is the key in treating all the infections. Please wear cotton undergarments as this can help cure the infections.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
What causes aching joints, low sex drive, hot flashes and night sweats?
Hi. I am a 50 year old woman who had a bi-lateral salpingo (sp?) oophorectomy and hysterectomy in 2008 due to ovarian cysts and severe endometriosis (I hadn t experienced pain from the endo). I immediately started estrogen therapy (gel form). I still get hot flashes and night sweats (moderate). I have aching joints in my hips and legs and no energy. I try to walk about 2 miles a day, 3-4X a week. I have zero sex drive, and fell very aged. I have been on meds for depression for several years now (clinical depression runs on both my mom s and father s side). Prior to my hysterectomy, I felt better than I had in years - sex drive, energy, etc. Is this just normal aging? | Hello, The symptoms seem to be related to menopause symptoms. They are completely normal, so you should not be worried. I suggest to do a vitamins D level to check for osteoporosis and take proper treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Suggest treatment for gallbladder stones
i have gallstones and medicine for it. yesterday i took it and it did not stop the pain. i then drank some milk and emptied my stomach of all its contents then the pain went a away and i went to bed. now today after eating three spoon fills of my lunch and taking my medicine the pain came back and i threw up again. | 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.The only permanent solution is surgical procedure., in acute phasse for symptos relieve you need to take spasmolytics, avoid fatty food and rest. In case of progressive pain, go to ER. But generally there is no need for urgent surgery. You should do it electively and till that need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. 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. | |
Right lower abdomen pain with small painful lump and loss of appetite
Hello, I am 23 years old female and I ve been having dull pain in my lower right side of stomache and back. I have a small lump diagnal from belly button and it hurts when pressed on. my youngest son stepped on me the other day and I just wanted to go through the roof. I have loss of appetite and also lost some weight. I had a low grade fever the other night I wasn t doing anything active I was sitting on chair and just felt like I was getting really hot all sudden. AC and fan was even on and usually I am always cold. I took temp and it was 100.0 Used cold rag and it went back down to normal. I am scheduled for ultrasound to be done tomorrow. also had went to ER they thought it is just a strain on right groind. I had urine test done twice and came back no infections. Also just had bloodwork done today. I just found out today from my doctors office that in my ultra sound that I have a large amount of fluid on my I think she said Pelvix area and Shows I have a Ovarian Cyst that ruptured. I ask her what I should do about it they said take warm soaks and take over counter meds for pain. Is that really it? | Welcome to Healthcare Magic You have not mentioned you bowel habits. You could be suffering from TB of the intestine or a possible malignancy, but nothing can be said unless you get a full workup. TB is known to cause weight loss, night sweats. Do get worked up for this. You need to eat a diet rich in proteins like pulses, cereals, eggs, chicken, lean meat, soyabean. Eat plenty of fresh fruits and vegetables. Drink plenty of water as well for proper bowel motion. | |
Is it normal to have pain in my penis with a torn foreskin bleeding after foreplay?
hi i was with my girlfriend and she was on top of me grinding on me and then i felt a sharp shooting pain from the back of my penis, i realised there was blood everywhere i pulled my foreskin back and it looked like it had torn at the back :/ im to scared to pull if all the way back as it stings a bit :/ is this normal and will it get better by itself and how long or should i see a doctor which i'm not too keen on. | Hello and ,the fore skin and the surrounding structures can get injured during aggressive violent sexual activity.As you have mentioned that your penis got injured and bled during sexual activity, you will have to wait till it completely heals.Refrain from sexual activity or any other activity which will put direct strain on the penis.Allow sufficient time for the injury to heal.Look for any evidence of hematoma formation on the external genitalia.If the problem is very troublesome, consult your doctor preferably a surgeon.Thanks and take careDr Shailja P Wahal | |
Could the extra systole in the heart beat and shortness of breath due to Anxiety?
Hi There,I have a question and I hope that somebody has an answer/suggestion.During my study years (5 years ago) the consumption of a lot of energy drinks combined with sleep derrivation triggered an extra systole in my heartbeat. I had some research done by a cardiologist and he concluded that the circumstances created an inflammation to my heart thus creating the extra systole. He gave me tambocor 50 to releive the problemens and it worked within hours. After one week I didn't have the extra systoles anymore, but the medication made me feel uncomfortable so I stopt taking them. Ofcourse...after a short time...the extra systoles came back so I was forced to take the tambocor tablets once again. I still didn't want to be dependent of this drug my whole life so I started to work out again in the gym and started taking creatine as a supplementation. Within weeks I got off the tambocor and all symptoms were gone. That was then....now...5 years later...starting one week ago...the extra systole came back and are increasing in frequency. They are accompanied with a little shortness of breath, but I don't know if this is anxiety related. During the last 3 years I've had Testosteron injections (not constant, but from time to time) with the last admission beeing 5 weeks ago. I don't know if the sudden withdrawl could be the cause of this relapse or that it should have nothing to do with it. If anybody has any tip on what I can do (other then maybe start with creatine again)....I'd very much welcome the suggestions | Doing your college days as your cardiologist have suggested surely the extrasystole were due to your life style. However flecanamide for extra systole is rather a strong drug. Coming to the present time, recurrence of similar episode noted. Now testosterone itself and shoot some extra systole as well as sudden withdrawal. So restarting testosterone is out of questions. Now if you have access and the symptoms are everyday, get a 24 holter, to make sure that it's nothing more than an extra systole. If the diagnosis is confirmed a small does of cardiac specific beta blocker like metoprolol will do the trick. I still don't think tambacor for just extra systole is justified. Regards Dr priyank mody | |
Why do I feel heavy in and around my heart area?
I am a cardian patient, with minor heart attack in 2004, and since then on Metpure XL 25, Clopitab 75, Esoz D40, Tonact 10. On many occassion I have heaviness feeling above navel and goes up to heart and spreads alll over the heart. Normaxin RT has helped but , then again after several weeks it come back again. I can walk 45 minutes every day - brisk walk, and have no probllem. NO stent has been put, but only on medicines. Can you advise why this heaviness in and around ther heart area.. | hi dear have noted all your details as normaxin rt relieves your pain most likely it because of gastritis acid peptic disorder or heartburn heaviness starts from around navel and move up most likely its heart burn please do avoid taking spicy and oily foodtake tab pantroprazole 40mg once daily before breakfast (over counter medication )it is a proton pump inhibitor much superior to normaxin you are takingtake an antacid tablet also in combination with proton pump inhibitor for 14 daysinclude fibres in your dietyou will be fineas you have a minor heart attack earlier and no stents are there i would like to suggest you atleast a ECG to rule out any latest cardiac eventthiugh a tread mill test will be more informative about ischemic conditions of heart thank you get the tests done and follow the meds and instruction | |
Increased appetite, headaches and dizziness. Pregnant?
Would early pregnancy make me get drunk quicker? I m not sure if I am pregnant. I have a doctor appointment tomorrow, but would like to know if its a possibility. I have also been feeling really sick and completely tired all the time. Along with constant headaches and dizziness . I have also had a small increase in my appetite . | Hi, It is always advisable to avoid the alcohol , coffee and related drinks. If you are not sure about your pregnancy, you can make it sure by urine test through the kits available over the counter at medical shop. It has very simple method. The kit can only be done after 6-7 days of unsafe sex. The feeling off tiredness and sick may be due to another causes for which you need to visit your physician. For constant headache and dizziness, you can take the pills available over the counter and increase in apetite can be due to winter season or pregnancy. Pregnancy can be roll out by pregnancy testing kit. take care and all the best for the test. | |
Is yellow fluid discharge from swollen gum post taking Penicillin injection normal?
I went to the er 2 days ago for a swollen jaw due to a tooth that needs to be pulled they gave me pain killers and penicillin I'm on day two of the penicillin and the pain is near none the swelling gone down some but I did notice when I went into the bathroom pushing on my gum some yellow fluid and blood come out it did not hurt but is it something that I need to rush into a dentist right away or can I finish up my penicillin before getting it pulled? | Hello,I can understand your concern. As you are having an infected tooth, you are having pus accumulation known as abscess in the gum related to that particular tooth. If you will press that swelling, only blood and pus is going to come out as swelling is made up of that only (blood and pus) because of the infection draining from the tooth. You can finish the antibiotic course and do not need to rush to the dentist right away. However, as the source of infection is tooth, the swelling and pain will not completely and permanently resolve until the tooth that is the source of infection is removed. Thus, you do need to visit the dentist for the treatment of tooth either by root canal treatment or by extraction of that tooth depending on the spread of infection.I hope this information helps you. Thank you for choosing HCM. I wish you feel better soon.Best,Dr. Viraj Shah | |
Non stop palpitations, SMJ monitor, insomnia, weight loss, headaches, stomach upset, Idioventicular?
I have been fighting with nonstop palpitations no matter what I am doing and my cardiologist put in a smj monitor. These are going on everyday and night. I haven t been getting any sleep. I am losing wieght because of loss of appetite . They are giving me servere headaches and an upset stomach. I have Hyphothyroidism, Asthma , Hypertension . I have enough it is taking a big toll on me. I can t function this way. I have been told I go into v tach and they said I have idioventicular. | Dear Sir/ MadamThanks for your queryAsthma and some of its medication, both are known to cause palpitations. It is important to ascertain what rhythm disturbance is causing palpitation and what is the plausible cause. You have not mentioned the details of your monitor recording. Please see an electrophysiologist at earliest.Would be pleased to answer further queries.SincerelySukhvinder | |
Need medicine for heart burn after taking mdma mixed with weed
Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly. | Hello!Thank you for asking on HCM!Coming to this point (facing your actual complains and overall clinical scanario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, t oserious arrhythmias, sudden heart attack, and even cardiac arrest and death.So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc), and rule out serious health conditions, as well as start an appropriate therapy for your health status.I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life.Hope to have been helpful! Greetings! Dr. Iliri | |
How long does the inhaler foracort 400-200-100 last for?
What is the difrent foracort 400-200-100 and how long take this inhaler and I am taking this medicine past 6 years and what I am feel now my body shivering and tense and every were in my body pulse symptoms feel how to reduce and how am recovery from this problems can pls let me know...... | Hello dear,Foracort consists of 2 medications:1. Budesonide- a glucocorticoid which controls the inflammatory process in the airways.2. Formoterol- a long acting bronchodilator.400-200-100 indicates the dosage of Budesonide in micro grams.Since the medications are administered through inhalation, there is minimal risk of systemic side effects.Long term side effects may include symptoms like Palpitations, fluctuations in blood sugar or lipid profile, hoarseness of voice, oral thrush, etc.The symptoms like shivering & tense as mentioned in your post are due to the Formoterol component.These effects are usually mild & well tolerated.However, if it is affecting your quality of life, then kindly seek medical attention.Alternately you can also use:1. MDI Seroflo 2 puffs twice a day.2. MDI Asthalin 2 puffs during acute episodes.Wishing you a good health.Take care. | |
Have SGPT level 111. Prescribed Hepamerz and Tefrolive forte. Urine still yellow. What to do?
hi i am suffering from SGPT level 111 from 22nd of march and i have consulted with a doctor who wrote two medicin one is HEPAMERZ Tab and second is TEFROLIVE FORTE and told me that u have to take it for the two months continue but still my urine is yellow and m kept taking that medicine till now.. so what should i do and how do i knw my sgpt has decreased now? | Hello, Thanks for the query to H.C.M. Forum. Raised level of S G O T, S G P T , usually found in liver disorders cases. Since you mentioned that there is yellow color of urine from last 3 months and after taking these two medicines , no improvement. Conjugated & unconjugated two forms of bilirubin present ( increased in liver disease) ,so please mention about these in next query, you can upload. Once again consult one more physician and get his opinion (2nd) and deal accordingly. Hope I have answered your question. If further any question I will help. Get well soon. Dr. HET | |
What causes tightness in chest and dizziness?
hi my husband is 30 yrs old slightly overweight, he has recently started to feel like his chest is goin tight, his heart feels like its beatin really strongly, he starts to feel dizzy like he's gonna pass out, what could this be, he is normally fit and healthy. thanks | Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that it is necessary performing some tests to differentiate between different possible causes that may mimic this clinical scenario: cardiac arrhythmia, a lung disorder, thyroid dysfunction, electrolyte imbalance or anxiety. For this reason, I recommend consulting with his doctor and performing the tests below: - a cardiac ultrasound and a resting ECG- an ambulatory 24-48 hours ECG monitoring in order to examine his heart rhythm trends for a prolonged time and exclude possible cardiac arrhyhtmia- a chest X ray study and pulmonary function tests- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolytes for electrolyte imbalance. If all the above mentioned tests result normal, you should consider anxiety as the main cause of his complaints. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | |
What causes pain in the lower abdomen and back?
Hi Doctor, I had miscariiage few months before, doctor advised me to take dophaston before 10 days of your menses date, i m having lower abdominal pain and lower back pain? now i have taken dophaston from last thrre days? is pain caused by dophaston side effects?? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pain can be due to uterine cramps. Not related to Duphaston. I hope this information has been helpful for you. | |
Suggest remedy for pain in toes
At night when I lie down my toes on both feet feel as though I have rubber bands tied around them and they hurt. Morton s Neuroma was ruled out. I was told it may be coming from my back and take 900 mg of Gabapentin at night. If I don t take it a few hours before I go to bet I am in a lot of pain. | As per your explanation if there is nothing related to neuroma then you need to check the vascular it of you lower limb. I suggest to do dappled test for both entire lower limb and check the blood circulation in legs. And based on that take few medication as per the suggestion of vascular surgeon. Along with this keep your feet warm by using socks in night as well do toe stretch exercise frequently before you go to sleep. Hope this was useful for you. Take care. | |
Suggest treatment for severe lower rib cage pain
Hi, over the last few month I can feel there is something below my left lower(last) rib cage. Its not really a pain but is irritating me of the reason. It comes and goes.earlier i used to have bad stomoach quite often. I consulted a gastro recently and he suggested me IBS and prescribed med(riximin, ibset, anleo, inlosa). I have taken these med for over 20 days now; though the pain has releived a but but still i can feel there is something. My stomoach has relaxed now and my stool has stabled, about 3 times a day. I am stressed if there is anything serious. Please advise | Hi,Thanks for your query.Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastroscopy will help in the diagnosis.Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis.Thirdly kidney stones. X ray of the KUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical.I do hope that you have found something helpful and I will be glad to answer any further query.Take care | |
Q. I noticed blood in stool. Is this due to piles or cancer?
Hi doctor, While passing motion just some time back, I noticed blood in the stool and immediately I wiped my anus area with a tissue. There was a good quantity of blood (bright red color) and few stools also were red in color. I wiped off the anus and completed my bowel movement. The rest of the motion went smoothly and there was no more blood (the motion color was dark brown). I have external piles for a few years now. There is mild swelling around the anus. There is no pain in the stomach or lower abdomen or near the anus. My concerns: Did this blood come due to piles? Should I get worried about colon or stomach cancer? Will this blood in the stool keep occurring? How to treat this issue? | Hi. The clinical picture looks typical of bleeding from piles. This is unlikely due to cancer. Do not worry. However, to make to be sure, you need to consider a colonoscopy or sigmoidoscopy. This blood comes whenever pressure happens on the pile mass, usually when you have hard stools or when you strain at stools. So, your primary aim should be to avoid these two. You need to avoid constipation at any cost. Dietary measures persistently and medicines as and when necessary will definitely help you. For more information consult a medical gastroenterologist online --> | |
Q. I have a recurring rash, but on different places every time. What could this be?
Hi doctor,I have a skin rash on my legs or arms all the time. There is only one rash at a time and at different places every time. What could this be? I have had this issue for at least 10 years and maybe more. | Hello. I have seen the image (attachment removed to protect patient identity). But, please let me know the following: Please send few clear images of the lesion, one in the close-up view and the other involving the body part affected. Revert with more information to a dermatologist online --> | |
What causes milky fluid oozing from side of my neck?
Milky (pure White) fluid oozing from the side of the neck,on the shoulder,where drainage tube was placed after Tongue SCC surgery.Tube came out 10 days ago,with no oozing since.Then in the past three days,a boill-like oedema appeared,developping a White head.Now it oozes quite constantly,big drop after big drop forming.Should I be worried? | Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.The white fluid coming out is the lymphangiocele.You should do a laboratory tests to diagnose the condition. Laboratory can confirm the diagnosis by microscopic and chemical examination.Only proper surgery can cure this condition. Medical management can only give temporary benefit. I suspect that your first surgery is not proper so that it recurred.You can maintian good hygiene by frequent cleaning and dressing. This will prevent the infections.Your current goal is to avoid the infection. Once you received proper surgery all your problem will be cured.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | |
Have tremors, memory problems and need walker. Had been diagnosed with MSA. Recommendations?
I am not sure if I have MSA or parkinsons as I have systems of incontense,,tremors sometimes, memory problems,keeping our chek register accuate,balance issues where i have fallen and even hurt my head ,it is difficult for me to walk without a walker or I need to use a scooter outdoors.My neuroligest diagnosed with MSA about two and a half years ago.So I guess my actual question is what do I have? | Hello sir,Thanks for the query,With due respect to your neurologist, the conditions that have similar presention are1. Atypical parkinsonian syndromes like MSA, lewy body disease, progressive supranuclear palsy2. A treatable cause called as normal pressure hydrocephalus can have similar pictureI think a detailed evaluation by a movement disorder specialist will be required. The clinical interview, physical and neurological assessment and if required MRI scan of the Brain will clarify this issue better.I urge you to get the opinion of a movement disorder specialistHope this clarfies | |
What are the withdrawal effects of Losartan and Amlodipine?
i am on losartin and amlodipine for control of high blood pressure. I have been on this medication for approximately 8 years now. i would like to free myself of this medication and see if i can live without it. what would happen if i suddenly stop using this medication.? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Its not at all advisable to stop these suddenly. Most importantly, you bp will shoot up in rebound manner which can be deleterious for you. If at all you want stop at any cost then it's better to gradually reduce the dose on weekly basis for body to adapt. Hope this helps you and get back if you have any doubts. | |
What are after effects of circumcision surgery?
Hello Doctor i need to do a circumcision surgery, please do let me know about the after effects and treatment days requered for this, as i am a 27yr old professional with busy work schedules,, how many days i need to spend on curing this properly...Regards,Vijeesh | HelloThanks for query .You are planning to undergo circumcision .This is a simple surgery done under local anaesthesia as a out patient procedure ,Yo will need to take rest on the day of surgery and can resume your work next day .Dressing needs to be changed on third day and then after one week of surgery . It takes 3 weeks for complete recovery till then sexual activities should be avoided however you can carry on your routine work .It has no side effects but helps to have enjoyable sex for rest of your life .Dr.Patil. | |
What causes high TSH value in new borns?
Hello. My new born s original TSH test came back elevated at 32.29. The normal max is 30. We are in close contact with our pediatrician and are awaiting the second test. My question is whether it matters how close the results are to the normal range? Or is the fact that it is elevated the only factor? | Hi.... I understand your concern.You are very much right. As the text value is just above the upper limit of normal you need not panic. I do not think your pediatrician would have started thyroid supplements.Probably this is the reason why he is also waiting for the second test because the range is just above the upper limit of normal. If I were your pediatrician I would repeat the test in another 7 days and if the trend of the TSH is rising then I would prefer to start the child on thyroid supplements.Regards - Dr. Sumanth | |
What causes stiffness in neck along with dizziness?
I went to see my chiropractor today for some stiffness in my neck. After a few exercises of moving my neck side to side and up and downiI got very dizzy and nauseated. He has referred me to my cardiologist to have the arteries checked in my neck. He said my eyes were not acting right when he moved my head. He did not adjust me in any way. | Thanks for your question on Healthcare Magic. I can understand your concern. Sudden neck movements can cause vestibular reflex and this causes giddiness, dizziness, nausea etc. So possibility of over neck movements by chiropractor is more for your symptoms. But better to rule out carotid artery thrombosis. Some neck movements can dislodge thrombosis from coronary arteries into the brain and this can cause dizziness and nausea.. So better to rule out this possibility first. So get done bilateral carotid artery doppler. If this is normal then no need to worry much. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.