patient_message
stringlengths 22
2.5k
| doctor_response
stringlengths 41
2.5k
| dialogue_context
stringclasses 1
value |
|---|---|---|
What causes coughing and breathing problems?
hello my name is javier i am 24 about 170 give or take. as far as i know im healthy except for this cold .when i was younger my mom said that the doctors told her i was supposed to have asthma but it never developed but i disagree, to this day i still have breathing problems. anyway my question was is it possible to cough so hard that you have aneurysm, or damage a blood vessel?
|
Hi welcome to HCM...You are having chronic cough and cold problem...For rule out asthma or COPD like case investigate with Spirometry that is pulmonary function test ....If asthma present in spirometry than treatment for that started ....If on auscultation bronchoconstriction present than salmetrol like bronchodilator given....Excess cough can lead damage to blood vessel and hemoptysis can occur ...But it usually not leads aneurysm...If troublesome dry cough there than dextromethorphan or codein syrup can be given....Take care So investigate with spirometry and chest x ray after consulting pulmonologist ...
| |
20 year old with constant mood swings, getting angry, crying spells. Need help
i am a 20 year old gal..i have constant mood swings. one minute i'll be happy and the next minute i'm sad.....i get irritated very soon,and tend to yell at people for no fault of theirs.i hate to see people who are happy,and i hate people who achieve things..i constantly get the feeling that i'm not loved,no one cares for me.i feel like i'm a failure.i don't have many friends,just two of them.people dont like me..i cry very often,and for silly reasons,sometimes i don't seem to know the reason i cry...i cant think about my future..i wanna change.i'm really worried about how to get out of all this, what will happen to me if i dont start planning for my future
|
Hello You are 20 years old and you have constant mood swings with happiness and sadness of mood. You have problem of easy irritability, anger outbursts, you have feeling of not being loved, no one care for you or helplessness, feeling of worthlessness, you have few friends and crying spells are also present in you. You seems to be hopeless about future. From your symptomatology I can easily tell you that you are having some Depressive disorder in moderate to severe category. I would advise you to visit a Psychiatrist for exert evaluation. It can be treated easily with medicines like SSRI or SNRI such as Fluoxetine, Paroxetine, Sertaline or Venlafexine, Desvenlafexine etc. Cognitive therapy is also equally effective in depression. So please consult a Psychiatrist. Thanks
| |
Weight gain after taking steroid treatment for allergy. Suggestive treatment?
hello sir, im miss kalaiarasi ..right now im working in saudi as a staff nurse.. past three months im suffering from some kind of allergy .. and i took treatment from here but after steroid treatment im putting on weight.. and i cant come india for this reason right now.. i need some good consultation.. i was working before in mangalore ks.hegde hospital so know about you..one of my freind has taken treatment from you and cured.. can you please do me the needful..if you ready i wil give the history about my allergy and i vil send my allergy photos to u.. thank u.. jope about this sir..and my friend still working in city hospital ... if you need she will come to u for getting the consultation sir..
|
the alergies can be treated if we find the cause if you are not getting results i suggest you to stop all milk and diary products no mustard coconut walnut groundnut almonmds soya oils only olive for applying olive for cooking warm water morning and evening no oitments creams shampoo soap containing milk and nuts steroisa are not good you shift to tab methotrextate 2.5 mgm weekly dose tab singular 10 mgm bd tab allegra 120 mgm od if you can send me more detailds i can guide more
| |
Q. I would like to know and understand the hair transplant procedures.
Hello doctor, I am considering hair transplant. I would like to know and understand the procedure. Please advise.
|
Hi. The following are my observations, Some people may experience further hair loss and after a few months the hair regrows. For further questions consult a hair transplant surgeon online -->
| |
Is shortness of breath and tight chest in the place of inserted chest tubes normal?
Dear Dr , almost 5 months ago I was in a horrible motor vehicle accident. I had one broken rib and one fractured rib both on the right side. In which punctured my lung and had to have chest tubes inserted. I still am experiencing some shortness of breath and chest tightness where I had my injury. Especially today when I over exert myself. Is this normal? How long does it take too heal? I also had 2 displaced fractures of my femur and another broken bone in my leg and fractured my ankle. All on my right side, had a rod and screws in my leg. Doing well with my leg. Seeing my orthopedic specia list on Monday for my leg. But wondering if I need to see someone for my ribs or lungs. Thank you. Judy Lewandowski
|
thanks for asking your queryI completely understand your problem5 months back u had a pneumothorax which would have been resolved by now.feeling of tightness is normal at the part where tube was inserted.and about ur breathlessness ,it may be due to some pleural thickening or reduced vital capacity.best u can do is get a spirometry done ,it will explain about ur lungs in detail and a pulmonologist can guide you best after seeing your spirometry report. some obstruction can be there after resolved pneumothorax and there is some amount of restriction too that can bea cause off ur breathlessness
| |
Q. I am at the risk of HIV AIDS. Please help.
Hi, I am a 31 year old male. About 38 days before I had sex with a CSW (Commercial Social Worker). It was protected vaginal sex and protected oral sex. Also there were deep throat kisses which lasted almost a minute. I am not sure if the condom was torn during the intercourse. Since last 3 weeks I have sore throat and mild joint pain. No real fever. Sometimes during afternoon time, my body temperature raises up to 37.2 degrees centigrade. The sore throat was mild but was a one pin point like feeling. The phlegm had blood stains. Phlegm was green or yellow in color. I went to the doctor and he checked chest x-ray and found no problem. I tested HIV 3rd Generation antibody test after 19 days of exposure, which was negative. My questions: Are my symptoms related to Acute Retroviral Syndrome (ARS)? Is there any possibility for transmission of HIV through deep kissing? What can be the cause for blood stained phlegm? An ENT specialist had told me that the partition of my nose is a little bent. Is there any relation of this and my symptoms? I am feeling a little weak but I think this is mostly because of anxiety. How accurate is my 19 days HIV test result? Can sore throat without fever can be a symptom of ARS? I have only sore throat and very mild joint and muscle pain and that too not constant.
|
Hi, Welcome to icliniq.com. Based upon your history, my answer to your questions: 1. Are My Symptoms Related to ARS? Acute Retroviral Syndrome (ARS) typically begins 7-14 days after the exposure to a HIV positive patient, and may last for up to 3-4 months. The symptoms are typically "flu-like" with fever (may be high grade or low grade), fatigue, headache, aching muscles or joints, sore throat, swollen lymph glands and sometimes a maculopapular rash. Now, this is simply a description of ARS, this does not prove that you have it!!!!! Let me dissect this issue a little closely for you:a) The failure rate of condoms may be up to 5%, and since you are not sure of it being torn, there is a definite likelihood that it may have ruptured. However that still does not ensure you acquiring the infection. Because HIV acquisition has so many issues - the CSW in question should be positive and more likely to spread it if she had symptomatic AIDS with high viral titres. Thus, there is no way of accurately assessing your risk of acquisition of the infection. I would recommend that instead of teasing your mind about "YES" or "NO", get the tests done (mentioned below) to get over your anxiety.b) Though your symptoms are similar to ARS, by all means these are also the symptoms of the following diseases. So, unless we get the tests done, we may not be sure. There are other STDs (Sexually Transmitted Diseases) related, that have a similar clinical picture . "Herpetic gingivostomatitis and pharyngitis" (caused by Herpes Simplex Virus, a sexually transmittable disease), and rarely "gonococcal pharyngitis" (another STD, in which urethral pus filled discharge is additionally, but not always seen along with sore throat). The third possiblity is of course a "normal viral fever" caused by simple viruses like adenovirus, coronaviruses etc., which may transmit from anyone to anyone, simply due to kissing. Let us hope you have the last type of fever that subsides without any complications.Your picture is non-specific and does not suggest any infection related condition. 2. Is There Any Possibility for Transmission of HIV Through Deep Kissing? Kissing per se is not known to transmit HIV, except for few doubtful cases reported in medical literature. Of course "deep throat kissing" may have a little higher risk. The possibility will depend on the HIV status of the CSW. 3. What Can be the Cause For Blood Stained Phlegm? If you have been trying to clear your throat vigorously to get rid of
| |
Suggest treatment for scar inspite of a dog scratch
My dog gave birth just 2 days ago to 12 puppies. She died yesterday so I had to take care of the puppies. I discovered a red spot. I assumed I got scratched. The next day the red spot became dry and it looks like a scar now. Is it possible for me to get rabies?
|
Hello,Welcome to HCM,Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite.As you got scratched by the dog while taking care of the puppies which were born two days ago. The mother dog died after 2 days. The incubation period of rabies is very variable ranging from three weeks to three years. So don't take any risk with this disease.I would suggest you to follow.1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.As you are a pet owner you need to take this.2.Inj TT, 0.5 ml, IM.4.Topical Metrogyl ointment.Thank you.
| |
Suggest cure for eif found in the left ventricle
EIF was seen in left ventricle, no other major or minor market of aneuploidy were seen in scan , there is marginal increase in risk for down syndorme related risk on 1 in 813. She is 27 years of age and 20 months pregnant, above was found in ultrasound report. Can you suggest what we should do to confirm the above 100%, how much risk we have. what test can we perform to confirm down syndorme
|
Hello, Consult a cardiologist and get evaluated. A detailed evaluation is required to find out the exact cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| |
Renal poly cystic kidney disease, high bp, muscle spasms, coldness, aching bones, sweating, ear, teeth, back pain. Suggestions?
id like another openion on my symptons, i have renal pollyestic kidney desease and high blood pressure, ive been recently having muscle spasms, uncontrolable coldness and shivvering, severly aching bones, severe headache, hurts to focus, light headed, excessive sweating, chest pains, ear pains, teeth pains, and back pains
|
Hello,Thanks for writing in.Among patients suffering from polycystic kidney disease, many also devlop hypertension (high blood pressure).This is because of the hyperactivity of renin angiotensis system which is found in kidneys.I suggest you be under close supervision of nephrologist and cardiologist and strictly follow treatment offered by them.Hope this helps.
| |
Will i be able to conceive according to the scan report?
hi good evening i am 29 years old, 59.5 kgs and 5'6 in ht and undergo major operation last dec 2009 due to endometriosis ,and they removed the left ovary and a fallopian tube. after a mos i undergo again utz , the result turned out as followsnormal size anteverted uterus with secretoty endometrium, normal size ovary with cystic focus, considerations include hemarrhagic cyst and endometrioma.will it still be possible for me to bear a child? thank you so much
|
Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First of all do not panic. 2. Please consult IVF specialist. As your only one ovary is present, you need to get its potential used and get pregnant as early as possible. With history of major surgery of endometriosis, there are chances of adhesions s and disturbed relationship between fallopian tubes and ovaries. So do not waste time in trying for any other ways to get pregnant. 3. If you have undergone hysteroscopy and uterine cavity is normal then you can very well get pregnant. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar .
| |
What causes pain in shoulder blades shifting to the left arm?
I have had a pain in my back left side near shoulder blades. Thought I slept wrong because pain was in my neck on left side also.. Now after about 1 1/2 weeks pain has moved to muscles in my left arm and at times arm goes numb down to fingers.. Feel ok in chest area but concerned.
|
Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the stomach. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest to maintain the shoulder immobilized. If the symptoms continue, you should consult your neurologist. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| |
Suggest tests to confirm pregnancy
I am currently on yaz birth control pills and I have never missed a pill or taken one late. However I was one apo-clindamycin (3oomg) for my throat. I heard that some antiobiotics can effect birth control pills however, I couldnt find ne thing about this specific one. My last period started jan 4 and ended jan 8th. I stopped taking the antiobiotics on the following tuesday, jan 11. On saturday the 15th I had "sex" wihtout a condom but he did not ejuculate at all. Also he urinated prior before entering me and did not previous ejaculate that day. Is it likely that I could be pregnant?
|
Hi dear, I have gone through your question and understand your concerns.Clindamycin do not alters the contraceptive efficacy of the birth control pills.You need not worry as there was no ejaculation inside the vagina and your contraceptive pills will also work properly.There are nochances of pregnancy.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma
| |
Sharp shooting pain from lower left chest area down to stomach for the past 3 years
sharp shooting pain from lower left chest area down to stomach sometimes, (usually a few times a day) i get this sharp shooting pain that lasts 1-2 seconds in my chest, the pain is in a line from my chest to my stomach area, also sometime from left mid stomach to right mid stomach, im only a teenager so what could happen to young people, this has been happening for about 3 years i think. i seen stuff about left chest area but i never get this in left chest area, so what could this possibly be?
|
hi welcome to HCM.this type of shooting pain can be due to cardiac problems,costochondritis or gastritis.so better get 1 ecg done,if this is due to gastritis then avoid spicy food,junk food,coffee,tea,take food on proper timings,dont miss the food,try to avoid taking much tension and have a good night sleep in the night.consult a physician for ECG. thanks bye
| |
Suggest treatment for giddiness with COPD
In 1986, I was a pluricy patient and after treatment I recovered, But, after recovery, i fill giddyness at bed time, left side head acheing, left side body hand and leg nurve wickness. My pluricy was right lower lung, and till now I feel a burning sense also feel uneasy at right lower lung. In tne mean time my doctor findout COPD and treatment is going on. Drug history: For pluricy: 1. Refampicine, 2. Isoniazide. 3. Prednisolone etc. For Giddyness: Initialy used Flupentixol BP but now use Clonazepam 0.5mg. For COPD: 1.Seretide Accuhaler 50/250 2. Inhaler Tiotropium (9 µg / puff) 3.Fluticasone Propionate BP Nasal Spray 4.Montelukast INN 10mg 5.Trevox (Antibiotic) 500mg – 7 Days 6.Desloratadine 5mg. presently giddyness , right lung burning sense, COPD increasing grdually, which type of specialist doctor and in which hospital I consult?
|
Hi. I can understand your concern. Get a chest x ray done to look for any other cause.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. Your may need inhaled bronchodilators and inhaled corticosteroid (ICS) titration based on PFT .Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
| |
Can I use norethindrone tablets as emergency contraceptive pill? Had unprotected sex. Alternate medication?
How many .35 norethindrone tablets can be taken for use as an emergency contraceptive pill I am thirty five years of age and just finishing my masters degree. I want a child but not for another year or so. I know that at thirty five my chances of becoming pregnant reduce so what would you recommend? How many tablets could I take to at least try to prevent pregnancy. I was not being irresponsible, a condom leaked. I appreciate any help...
|
Hello and welcome, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. I understand the concern. The regimen is use of combined pills containing one estrogen and one progesterone drug [ 2 drugs in one pill] and not norethidrone only pills. Also the estrogen content in the tablet must be known. It must provide at least 100 mcg of ethinyl estradiol and 2mg norgestrel. Usually 3-4 tablets are needed and must be taken as 2 doses, first dose as soon as possible within 72 hours of incident and second dose 12 hours after the first dose. Other methods are levonorgestrel only pills commonly sold as plan B one step or unwanted 72. It has only one pill and must be taken as soon as possible within 72 hours of unprotected sex. Remember that is is not advisable to use emergency contraception more than once in one month and it must be used as an occasional method and not a routine one. So continue to use the condoms. Thanks for using HCM.Have a good day.Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology
| |
Can I take norco to get relief from abdominal pain?
Hello, I was admitted to the hospital on Tuesday after testing positive for c diff. I was discharged yesterday evening (Saturday). I am still having abdominal cramping and it is actually a little more severe than it was while in the hospital. They were giving me Norco for the pain while I was there, but I m not taking it now that I am at home. Could this be why the cramping seems more intensified and is it to be expected? If so, how long should I expect to experience pain before I decide to go to the ER?
|
No you should not continue Norco untill your doctorTels you,as it causes dependence when used for long time.continue your own medicine along with those takeTab drotaverine 40mg thrice for cramps.
| |
Suggest plans to reducing albumin levels causing stressed kidneys and having diabetes
I know I am headed for failing kidneys. My dr. said my blood tests looked good but my kidneys appear stress. I am diabetic. She said my albumin was 10 pts. above the max. I got a juicer and have been drinking vegetable & fruit juices. I am serious about lowering my test score. 8o
|
Hi welcome to HCM. I have read your question and I have understood your concerns. Loss of protein in urine is a sign of kidneys damage in any disease, also in a diabetes. But the most important parameter is S. Creatinine and GFR(glomerular filtration rate). Please just see your reports and discuss with your doc about that parameters.My advice to you - 1.Avoid excessive fluid and salt at it will raise your blood pressure in kidney DISEASE . DON'T TAKE EXCESSIVE FRUIT JUICES - THEY SHOULD BE AVOIDED BOTH IN KIDNEY DISEASES AND DIABETES.. SO restrict fruit intake. Upto early stages of kidney damage normal protein intake in diet is allowed. 2.Tight control of blood sugar is of utmost importance. Target will be FBS 3 . Don't get panic, in early stages kidney diseases are preventable. Take regular follow up with your kidney specialist and do every 2 monthly blood reports for kidney and diabetes. Thank you.
| |
What causes infection in molar during pregnancy?
Hello, I suffered from costochondritis (prob mis spelled) for almost two years until one day it was just gone! Two and a half years later I am 19 weeks pregnant and have had a awful infection in my 19th molar for almost a week. I am on my 2nd round of antibiotics and am just today on the upswing, but...out of no where my chest is sore with the same costochondritis symptoms as before. Is there any correlation between the two? Is there any reason to believe that it may be back??? As If I need chronic pain back in my life with another 20 weeks to go of pregnancy. Who would be the best specialist to see about the chest pain?
|
hello ,thank you for your question at healthcare magic.There is less chances of corelation between your taking antibiotics and recurrence of costochondritis .But the reason for infection in your tooth need to be diagnosed and treated properly.Because there are many chances that recurrence of costochondritis is due to heavy tooth infection.Because there are microoragnisms present in infection which in turn are affecting intercostal cartilage and causing inflamation of it.Which present to you as symptoms of costochondritis.So you need to get reason of that infection diagnosed and treated by nearby dentist.And please go as soon as possible.Beacuse if any dental treatment is necessary then that can be performed between 12th to 24th week of pregnancy only as it is the safe period for mother and baby.For treatment of costochondritis you need to consult Tuberculosis and chest specialist doctor.You can reconsult for any further queries.wish you and baby happy health.
| |
Suggest treatment for cold fingers and pain in elbows
30year old female with no major medical history. 2 c-sections 6 and 4 years ago. i smashed pinky with hammer. tip busted and looked like it was almost going to fall off. just from the end of nail to end of finger. i have short nails so there is a little skin exposed at tip to where if i had longer nails you would not be able to see the tip. anyway, of course there is extreme pain, i almost fainted. it has been a couple hours and my 3 middle fingers are cold and white along with pinky finger. i also have pain going to the bend of my arm. to the inside of my elbow. is this normal? i didnt hit any other finger but my whole arm just about is sore. what should i do?
|
As you have smashed your finger you need to know that you need opinion of hand surgeon on your condition, the x rays will give more details of the case in question.
| |
What is the treatment for back pain and disc bulge?
Sir, my age is 53 Years/Female. I am suffering from back pain since last two years. MRI scan report is as under: 1. Hypertrophied Ligamentum Flavum At Multiple Lumbar Level Compressing The Posterior Thecal Sac 2. Disc desiccation at L2-L3, L3-L4, L4-L5 & L5-S1 3. Posterior annular bulge of disc at L4-L5 & L5-S1 level compressing the ventral thecal sac and along with hypertrophied ligamentum flavum are narrowing bilateral neural foramina compressing the L4 & L5 exiting nerve roots significantly Please suggest me appropriate medicine for proper treatment. I have been consulted doctor but did not get relief.
|
Hi, Welcome to healthcare magic.After going through your query I think you may be suffering from degenerative spine with multiple level disc prolapse in lumbar spine. Many of my such patient got relief by analgesics such as diclofenac slow release tablets(if pain is more than strong analgesic such as tramadol is useful), Diacerine, Glucosamine and neurotropic agents such as mecobalamine. You can discuss with your treating Doctor.Hope I have answered your query. If you have any further questions I will be happy to help.Wishing you good health.Take care
| |
Partial plate on top needs replacement and bottom teeth are loose. Need dentures?
Thank you! I am 66 years old and retired. Although I have medicare, it doesn't cover dental. I live on a very limited income, (below poverty level) and I need some major dental work done. Can you guide me inthe right direction? I have a partial plate on top that's old and needs replacing and my bottom teeth are very loose. I'm thinking Imneed dentures.
|
Hello and welcome to hcm, If your dentures are ill-fitting,please get it replaced as soon as possible. The ill-fitting dentures can interfere with your speech,occlusion,chewing food etc. Removable dentures are not costly,please go for it. Always keep your denture clean . Fungus can grow,if denture is not cleaned properly. Always maintain good oral hygiene too. Chew the food equally with both the sides. hope this helps.
| |
Suggest treatment for pain and swelling in the thumb
Hi. I must ve jammed my right thumb at some point - but within the last week it has gotten increasingly swollen and I can t press down on it without pain. I feel like it needs to be lanced, yet I have no idea what that is. I just moved to Austin, TX and started a new job this past week and won t have health care for another few months. Any thoughts?
|
Hi, I too think you might've hit your thumb to some object. Apply alternating cold and warm compresses. Raise you hand when sit or laid down. Look for possible ingrown nail or for any pus. If no improvement and still swelling, go to ER as you do not have insurance yet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician
| |
Have incision, stabbing pain. Had perforated ulcer. Gallbladder removed. Help?
My name is Amanda and I had my Gallbladder out in May of 09 just 2 weeks after giving birth to my daughter. I had to be cut open because I had a perforated(sp) ulcer. I did pretty good for about 6 months and then started having stabbing pain on my right side at the end of my incision. Any idea what this could be? Or what type or Doctor I should go to?
|
Hi, Based from the information is seem that pain is mostly due to the stretching of the fibrous tissue around the area. The healing occurs with fibrous tissues which are tough then normal cell, so that the joint / healed portion can stay connected to the main part. But in some cases the over formation of such fibrous tissues may lead to sensation of pain as they are bit rough, or may have some other connection and leading to stretch causing feeling of pain.ADVICE: 1) Consult your surgeon and explain what is going on. 2) Ultrasound of abdomen may help to find out any abnormal connection formation after the operation was done. Hope i have addressed you concern satisfactorily. Dr. JAY PATEL.
| |
How can a rash on the face be treated?
Hello Doctor, I have a hysterectomy surgery a month ago, then I have a face rash on and off. I went to see the GP twice he just prescribe me a antihistamine tablet but nothing change still the same, and I need your advice about this matter. Many Thanks
|
Hi, I feel the rash is not related to hysterctomy. If it does not respond to an antihistamine, it could be a allergic contact dermatitis which occurs most commonly due to hair dye or other chemicals. You can avoid these chemicals for a week and can observe. If your rash still persists for more than a week or the rash extends more rapidly, I request you to consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist
| |
What causes longstanding increase in inflamatory markers and erratic bloodwork?
9 year old had missed DX of appendicitis, resulted in rupture with 3 abcsesses slight pleural effusion and partial collapsed lung. Treated with iv antibiotics and appendectomy 2 months later. Then after 3 weeks hospitalized with severe stomach pain, ct revealed moderate acsites and thickening of jejunal wall. Multiple tests found nothing but bloodwork showed very elevated sed rate with elevated crp, platelets and neutrophils. Month later could barely stand and 2nd ultrasound still says fluid in abdomen. Latest us showed no fluid but throughout bloodwork has showed noted increase in inflamatory markers and erratic bloodwork all around. No one has a clue and I m sure her Dr will monitor labs until normal but anyone have any ideas? She has Down syndrome so getting reliable info from her isn t working.
|
Greetings,there is probably some baseline inflammation still going on and thats the reason for the inflammatory markers to rise.wait for sometime, it should come down.hope this has helped.thanks and regards.
| |
What causes severe chest and back pain?
Hi I m having real severe chest and back pains went to several docs they can t find the reason I m in an old house could it be black mold my aunt died over it my 11 year old grandson has the same symptoms and this house leaks bad what are the symptoms of mold please tell me no one else can sincerely Barbara I m 59 yrs old
|
Thanks for your question on Health Care Magic. I can understand your concern. Molds can cause variety of Pulmonary symptoms when exposed for many years. Upon inhalation, these molds can cause constant irritation, inflammatory reaction in airways. So bronchitis and asthma like diseases are common. Molds can also weakens lung defense. So chronic fungal infection can also be seen. So chronic cough, chest pain, breathlessness, wheezing etc are the common symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test) to rule out mold related Pulmonary diseases. Hope I have solved your query. Wish you good health. Thanks.
| |
Suggest home remedy for abdominal pain
hi, im having pain on my left lower abdomen, its from last 2-3 days. Cause of it im not able to walk and not able to sit longer, even when im sneezing that time also i feel pain im rest less please suggest me some home remedies aswell.whem im passing urin it's not continue flow its with break.
|
As per your complaint with breaking urine stream it might go in favour of ureteric / renal stone.You Should do some lab investigations for urine routine/micro, X ray abdomen, ultrasound.To rule out urinary tract inf, or stone.Then consult your family physician/ urologist.Meanwile take plenty of water orally..Get well soon...
| |
What causes pain in kidney, abdomen and blood in urine?
I am having blood passing through urine , interminently . I feel pain in the back around kidney area, and also in the lower abdomen . This situation happened 15 days back and also few times earlier also . What's the issue and possible treatment ? Aditi
|
You are having Haematuria along with pain, which goes in favour of renal calculus. I would advise you to drink plenty of fluids. Get an ultrasound abdomen done.Get a urologist opinion.
| |
What is the dosage of Misoclear tablets for abortion?
Am Carol 8weeks and 4days pregnant it is unwanted and i bought misoclear 4 tablets i was directed to take one with water the other 2 to put in the vagina and the last under the tongue my question is will be succefully when i use as directed or what is ua advice please.?
|
Hello,In my opinion, for a successful abortion, you should take Mifepristone drug first and then, Misoprostol drug 48 hours after Mifepristone intake.Again, 12 hours later, take 2 misoprostol tablets. This will lead to successful abortion.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mandavi Rai
| |
What does vomiting blood in hepatitis C patient indicate?
hi ! my mother is a patient of HEPATITUS "c" from last 6 years. she also had heart surgry last year. she had taken PEGASYS injections 2 times. and an injection course of 1 year in which she had to take some injections thrice a weak. now her platlet count is 80,000. and HB is 14.8. please assist me if this alarming situation?? she is also having problem that there is blood coming in her vomting. please assit me.
|
HiShe needs to get to an ER right awayThis could be from a bleeding gastritis or esophageal vein bleeding and it may be life threatening
| |
Is it safe to consume formula milk prepared 9 hours ago?
My one month old baby drank formula milk that is over 9hrs ago in cold room (air condition) is that spoiled? I smell the milk before giving it to her and she accepted it Is it spoiled? If so, what do I need to do? I am worried because my baby drank 4 oz of milk
|
Formula feed should not be stored more than one hour Mostly there is no problem occcure but may be baby do vomiting If vomiting start then u have consult ur doctor
| |
Suggest treatment for hand injury
Hey around 3 years ago i cut the top of my hand and the doctor stiched me up missed all the main nerves and what not. But there is no feeling round the area and off late when running fingers over it feels like the flesh under the scar is disolving and feels like a hole. (if that makes sense.) there is a little pain when touched in diffrent spots of the hand. Should i see a doctor.
|
well there was obviously injury of nerves in this area and it may cause permanent symptoms such as tingling and loss of sensation. sometime splastic surgeon can repair bigger nerves but small one may be imporovede only with physical therapy and certain medicines. wish you good health. Regards
| |
What causes pain in lower back with numbness in toes?
Hi doctor, I have being suffering from lowback pain, and some numbness of toes for quite some time. There is an area just above the knees (both), parallel to the hands when when stand with arms hanging down. It is fairly a small area where the feeling is different. i have consulted many neuro and orthopaedic surgeons and taken two to three MRI images along with number of x-rays. But none of those MRI s show a severe damage to the joints L4 L5 or any other area examined. But highlighted there is a slight bulging in L4 & L5, I m a regular Badminton player for the last one & half years. When playing i don t have much of difficulties, but after sitting and doing some work, it is difficult to strighten my back with one go, it takes a while for me to settle down. In addition to that if i put my right arm back of my head or extend above the head and keep resting for a while, i find it very difficult to bring it back without the healp of the other arm. But after few movements it becomes close to normal, but have very pale pain in the shoulder joint area. Would appreciate if you could advice me on the type of problem i have and how to overcome or treat to my problem. Thank you Hussain
|
Hello Hussain! I just read your concerns. The pain on your lower bacj and numbness in your toes is caused by the bulge in your L4-L5 (lumbar area). With the description you gave me, it seems you have a nerve root compression in your back. Nerve compressions are treated initially with physical therapy, analgesics, and warm compress. For more severe cases, surgical intervention is suggested. I suggest you go to the nearest rehabilitation for you to start your physical therapy-- it will greatly reduce your pain and discomfort.
| |
Have rash on leg which is spreading now. No medication till now. What to do?
Hey I have this circle rash on my leg kinda looks like ring worm but it's a faded circle with a while bunch of little dots had it about a month now spreading my upper thighs r now covered with huge red dots that look like bites n just noticed more now on my lower back that weren't there earlier went to doctors today they have no idea thought it could have been fungal but it is now spreading within a couple hours it is not itchy at all
|
Hello,Welcome and thanks for posting your query to HCM.It appears from your query that you are having fungal infection added with bacterial infection over the affected areas. This is a simple process where firstly fungus makes its entry form map like or ring like areas. If it is not treated in time or due to heat and humidity and over proliferation of the fungus there is growth of bacteria which leads to small red bumps. At his time it is best to consult a skin specialist who can check for the best possible cause and also give the treatment accordingly.For the time being period stay away from hot and humid environment, wear cotton clothes and do not scratch or pinch the affected areas.Hope it helps.with good health wishes,Dr Sanjay K KanodiaMD (Dermatology)
| |
Is Next Choice pill safe to take?
I am 16 years old and I had protected sex, however I am not on birth control. I wanted to take the extra precaution and my boyfriend who is of age bought me the Next Choice pill. I am concerned about the side effects and long term problems. There are two pills, and I am not sure if I should take one or both or neither.
|
Hi, You can use both if you are concerned about unprotected sex as otherwise if unwanted pregnancy can have more implications than the pill. This much dose doesn't cause any long term side effects if not used log term or repeatedly. it's better to use protection than to worry about side effects in future. Also helpful in hygiene aspects and STD protection. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery. Regards, Dr. Saddiq Ulabidin, General & Family Physician
| |
What causes 6 weeks baby to be fussy about having formula milk?
i have a 6 week old daughter...no one in my house smokes. when we go to my in laws house (my mother in law smokes outside of the house only) my daughter gets fussy and doesnt like to drink her formula. She is normally a good baby and doenst fuss all that much and drinks her bottles like she should. everytime we go over there and she gets like that my mother in law insists i spoil her by holding her all day or that the formula is making her gassy or her tummy is bothering her. but when we are at home she is fine. my mother in law was watching her for a few hours the other day and when we went to pick the baby up she hadnt slept for more then 10 minutes and had only had about 5 oz of her formula. my husband and i are convinced it is the smoke that lingers on my mother in laws clothing and in the house that is affecting her and causing the fussiness...my mother in law thinks we are crazy is the lingered smoke be the cause of this?
|
I have carefully gone through the details. Although smoke could indeed be a cause of the fussiness of the child, it probably plays an independent role. It could be that formula milk itself is the cause of the fussiness. Let me emphasize on the fact that breast milk is the best possible feed for a baby and there are can be no alternatives for the same. Most formula milks are cow milk based and contain more proteins than the tender intestines can tolerate. Hence the formula milk itself could be the cause of the fussiness. I would strongly insist that you try to switch back to breast milk either in the form of breast feeding or as expressed breast milk. The production of breast milk is based on the child's demand and more the baby sucks on your breast, more would be the amount of breast milk produced.
| |
I am feeling stress, Kindly help me
I am 26 year old person, feeling stress and not feeling fresh after getting up from sleep. Kindly help me.
|
Pls try to get in 20-30 mins of regular exercise and/or meditation into your schedule
| |
What causes recurring chest pain, arm pain and erection problems?
I have a sharp pain on the left side of my chest that comes and last for seconds, when it strikes it affects my left arm. Once it happens it affects my errection functionality. the left arm will feel power less and it feels comfortable when i put a rubber bend arround it.
|
Thanks for your question on Health Care Magic. I can understand your concern. Chest pain with numbness as described by you are commonly seen either related your heart or it is related to nerves.Possibility of cardiac cause is more in your case. So better to consult cardiologist and get done a detailed clinical examination and ECG. Hope I have solved your query.
| |
Taken siphene, progynova, hugog, duphaston. PCOS problem. Why did conception not occur?
My lmp was on June 26th. I took Siphene 150mg for 5 days from D2. From D7 to D12 I took Progynova 1mg for 3 times and on July 9th my ovary size was 34x31mm and 24x21mm. I took Hugog 5000 IU IM and met on next day..)n 16th day I started Duphaston 10mg for 10days and got my periods on July 24th. Why could not i concieve. I have PCO problem since 9 years and a very small fibroid of size 3mm. I am working as a teacher and travel by auto. What could be the reason for missing pregancy.
|
Hello. Thanks for writing to us. The findings of ultrasound are suggestive of ovulation but with PCOD, repeated trials are needed for a successful conception. You have to be patient and try again. After rupture of follicle, have intercourse at least twice in next 24 hours. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com
| |
Lump on the left side of her chest
My child has a lump on the left side of her chest .
|
Hi... Any lump that has developed later in life needs to be evaluated... So see a doctor for the needful..
| |
Suggest treatment for severe tailbone pain
Hi i had a baby 10 months ago and have suffered tail bone pain since I went to the gp a few weeks following delivery and iwas told It was totally normal and it would resolve in a few months since then It has got a lot worse, it s bruised and tthere Iis a deep red purple line starting in the middle of my buttocks nd ending at my tail bone wen I went back to the doctor afew days ago I was told to take pain killers and eventually it would resolve Is this normal? Should I get a second opinion please help :/
|
Hi, Tail bone pain is common after child birth as during normal delivery, the bone gets stretched too far, I would recommend you to1 Use a ring pillow while sitting, so that you do not irritate your bone each time you sit2 While lying down do not lye straight, lye either on sides or prone,3 far a period of 14 days take antiinflammatory medication like ibuprofen 400 mg three times a day.4 Hot Sitz bath will help relieve pain.I hope that helps, If you have any more doubts, please feel free to contact.
| |
Prescribe medicines for pain after knee replacement
I recently had a total knee replacement. Developed cellulitis, took antibiotic. Cellulitis improved. I am experiencing significant pain. Norco makes me sleepy, little pain relief. Took Tylenol 4 with codeine. No better. What do you suggest I take? I also have Ultram prescription.
|
Thanks for your question on Healthcare Magic. I can understand your concern. Ultram is having tramadol. It is centrally acting painkiller. It is good for pain management after total knee replacement. You were also having cellulitis. So you should also take pregabalin for nerve related pain relief. Also do physiotherapy, ultrasound application and warm water pad /ice pack application for better symptomatic relief. Painkiller creams containing diclofenac is also useful in such cases. So follow above mentioned things and you will improve in pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| |
Suggest specialist for hand trembling and depression
I have been suffering from anxiety and Irritable Bowel Syndrome (IBS) since childhood. I was diagnosed with depression a year back when I was having mood swings, feelings of low self-esteem, sleep and eating issues and most alarming thing for me was bloody stools which became unusually regular initially after regular bouts of constipation and then even without constipation. I didn t take any medication for the depression. A few months back I was prescribed Inderal for anxiety and breathlessness especially related to work. I noticed that my usual blood pressure (65-75) dropped further to around 60-65 after Inderal. I took the drastic decision of quitting my job and Inderal. While the bloody stools and anxiety have reduced due to the absence of work related issues, I think the depression is still there. I went to my former workplace the other day and had an argument. An hour or two later while trying to fill a form I noticed that the fingers in my right hand was trembling and I couldn t hold the pen. Do I need to go to a neurologist for the trembling thing or do I need to go to a psychiatrist?
|
Brief Answer: Go to a psychiatrist.Detailed Answer: I understand your concern and asking on HCM. As you have history of anxiety and depression and the i understand that the trembling was for sometime after the argument, it appears to be due to anxiety. If it is persistent with some other symptoms, any weakness or numbness then you can consider going to a neurologist. I hope you find this helpful.
| |
Does Attentrol improves concentration in studies?
my son is 12 years he is not able to concentrate on his studies he is not showing any intrest on his studies actually he was very clever very active however now it is different , he take hours time to lear one anwer if i check if he has leart he his not ready. doctor have given him attentrol 10. he have completed 2 weeks course and again 5 weeks course is given, i would like to know when the improvement will show
|
Hello.Attentrol usually shows effect in 3 to 6 weeks. Attentrol only work in concentration if poor attention is due to adhd. As his symptoms recent in origin then there is need to rule out:nutritional problemthyroid problempoor interest in subjectChild may also need assessment for IQ and SLD.Take care99doctor.com
| |
How long it takes to heal nasty black ulcer on calf of leg?
my 8year old grandson fractured his tibia 10 weeks ago-his leg was put in plaster and when plaster removed last week a nasty black ulcer was discovered on the calf of his leg-advised this will take up to 6 months to heal. Why such a long time for a young boy to heal
|
The time of ulcer to heal is differret between people. It depend on many factors like age, general status of patient, presence of chronic diseases, diabetes mellitus, size and type of ulcer. You should follow the instructions well and the ulcer will heal before this.
| |
Suggest treatment for headache fatigue and lower back pain
I am suffering with a mod frontal headache x3 days. W/intermittent periods od poor concentration to the point last nite I was unable to hold a thought long enough to input a question online,I have a dx of CKD, a GFR of 37. The headache s not relieved with oxycodone x10mg. Are my symptoms r/t CKD? Fatigue, itching also, some lower back pain, frequent intermittent urination
|
Hello,I had gone through the case and found that these sypmtoms are related with ckd.But frontal headach might be due to weak eyesight or sinusitis or generalized weakness.So go for vision test and x-ray of sinus.After getting the proper diagnosis take treatment.Hope my answer will be effective for you.Thanks
| |
Will intake of protein supplements during workouts cause problem during conception?
Hey,M 24 Yrs Male. I have average body, I started workout in Gym somewhere around 8 months ago. I hear from a doctor taking Proteins from supplements will cause problem in marriage life. M not married yet. But is it so Will it give any kind of problems in Child productivity? What is the different between Steroieds and other medicine which helps you to gain Size and body weight? Does those medicine contain Steroids?Thanks
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You can check content on protein supplement. Only protein containing supplements are useful because to workout we need protein to replenish lost protein. But steroid containing supplements should not be taken which has hazardous effect on health. So don't worry in taking supplements which only contain protein. I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Parth Goswami
| |
Suggest medicine to cure fever and rashes on hands
72 hours back my child who is 7 years old and weighs 29 kgs developed fever. Since then he is continuously having fever in the range of 99-101. After 24 hours he developed rashes on hands, soles and legs. We gave him Crocin for the first 24 hours and then took him to the doctor who advised to continue the same and added Allegra syrup. The rashes were gone after 24 hours of appearance, but the fever seems to be continuing
|
Thanks for posting you query to health care magic. this is a viral fever caused by haemorrhagic goup of viruses. Viral feer usually went off spontaneously after 5-7 days but you should maintain good hygein ,hydration and nutrition as immunity goes down in viral fever and it predisposes for secondary bacterial infection .Further take him to investigation Complete blood count it will indicate platelet level as its low level responsible for rashes and bleeding. COntinue with Allegra and Crocin but if condition goes worse immediately consult medicine specialist. hope you are satisfied with my answer . feel free to communicate if any query . regards, Dr.Manish Purohit Infectious disease specialist
| |
What could be the reason to have suddenly bloated stomach with dizziness ?
Hi am am usually quite healthy nearly 37 yr old female. last Sunday after Sunday dinner my stomach felt bloated and monday morning i had the runs. i ran into the chemist and got some Diareeze and it stopped. i still felt strange and dizzy all day and went to bed early that night. i didnt have another bowl movement till wednesday. i have felt strange and sensative to food and tea all week so thought i d have potatoes and mange tou with salmon from the freezer for tea tonight. but again since eating my tummy has been really gurgling and bloated. ive been belching fizzy burps which i never usually burp.and again the runs have come back. should i take another two diareeze tablets or should i take something else?? what do you think it is??
|
you are having the problem of indigestion.due to the heavy food your above said problem have arrived.soinstead of taking heavy food you take light food for some days.you can take kutajvati 2tab 2time if you are having stool pass for more then 4to 5times.
| |
What causes vomiting, fever, and sleepiness in infants?
My 15 month old woke up yesterday morning vomiting. She threw up about 4 times yesterday and no more. Later in the afternoon she began to run a temp. which got up to 103. She is sleeping more than usual and just sitting in my lap when awake. She still has been running a fever today but not throwing up. What could it be? And should i take her to the doctor?
|
hi! it could be a simple viral infection. but you should b careful about the red flag signs like seizures,excessive lethargy, bleeding from any site. since a lot of dengue cases are being reported these days give plenty of fluids and get a platelets count done.
| |
What causes pressure while passing urine during pregnancy?
I am 7 weeks pregnant and today is my first appt. last night i got up to use the bathroom and during and right after urinating there was heavy strong pressure...no burning, no spotting or bleeding. It only lasted a few seconds but it felt like my cervix or uterus was coming out. What is this?
|
there can be a urinary tract infection in early stages needs active management, also there can be a prolapse
| |
Why don t i remember anything after recovered from pneumonia?
I had pneumonia I don t remember going to the doctors or being admitted to the hospital, I got transferred to another hospital but don t remember anything. I had chest tubes and thorasic surgery, don t remember any of it. Could you please tell me why I don t remember anything. I didn t have a fever. I was in the hospital for 21 days.
|
u seems to have amnesia for events happened during ur hospitalizations. we call it encephalopathy..cause in ur case may be infection itself or electrolyte disturbances.....whatever may be the cause....but as u r normal now......indicates total recovery.....so don't worry.....regards..
| |
What can cause palpitations?
How fast can heart disease develop? I had a stress test and ultra sound about 5 years ago and was told my heart was very healthy at that time. I had an oblation about 11 years ago, and just recently I've had a lot of heart palpations and fluttering heart again, along with a feeling of butterflies in my stomach and some heart burn. I've been suffering from dizziness and headaches and fatigue for the last year and that was diagnosed as a type of migraine. Should I be concerned about heart problems? I'm a 46 year old female, the only heart disease in my family was my grandmother. I'm not overweight and typically have low blood pressure 90/56, with a pulse of 90-110.
|
Thanks for your question on Healthcare Magic. I can understand your concern. Women are at increased risk of heart diseases during and after menopause. Since you are approaching menopause, you are at risk for heart diseases. There is no definitive period for development of heart disease. So at your age, it is always recommended too rule out heart diseases first for palpitations. So 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 heart diseases. Hormonal imbalance during menopause can also cause palpitations. So consult gynecologist for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| |
Can steroid shot be taken while on Codeine for severe cough?
I have a terrible cough and am on codene cough medicine, but does not seem to working very well to suppress the tickle that makes me cough. I at the end of a bad cold. It has been recommended by a urgent facility to get a steroid injection. Good idea?
|
Thanks for your question on Healthcare Magic.I can understand your concern. No, steroid injection is not a good thing. In my opinion, you are mostly having post infectious bronchitis.Bronchitis (inflammation of airways) is common after viral upper respiratory tract infection (URTI) like cold.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).ICS are safer than injectable steroid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| |
What can post menapausal brown spotting be if not cancer?
What can post menapausal brown spottin be if not cancer? is it conclusive of, or likely, cancer? Noflow. Just very light brown spotting . can a woman be menapausal and then spottinng or bleeding resumes w/in a year as part of menstrual or irregularity recurrence? Can the brown spotting be due to fibroids if fibroids or thickening of the lining has been diagnosed by ultrasound?
|
Hi and thanks for the query,Dysfunctional uterine bleeding is a common abnormality observed which is associated to hormone dysfunction. It has nothing to do with cancer. Also, there is excessive growth of the cells of the uterine lining called hyperplasia. This however needs to be checked since at some point it could transform into a cancer. Uterine fibroids or myomas can also cause uterine bleeding. A physical examination from a doctor, abdominal ultrasound and uterine biopsy are very important. Thanks and kind regards.Dr Bain
| |
What causes rapid heart rate with tightness in chest of a 14 year old?
I have a 14 year old girl that has a occasional fast heart beat. It suddenly starts and stops. Took her to ER, they ran EKG, xray and blood work said everything is normal. Now she has chest pains in the middle of her chest with some tightness. What is going on?
|
Hi,Increased heart rate and palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation and tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo and thyroid function test to see for any associated abnormality if any.Hope I have answered your query. Let me know if I can assist you further. Thanks,Dr. Sameer Maheshwari
| |
What causes lump with white heads and pus formation?
hello iam 50 years old female i take allot of medication and pain killers do to my conditions wich is lupus,high blood pressure,and a bad case of ra. my problem is that i have some ugly lumps all over back,under arms ,stomach,thighs arms breast . they look like pimples with white tip then they pop and get green look infected pus comes out and is verry painfull its been like a month some clear no pain but others are verry painfull that not even my pain medications help i take metadone and tramadol please help me id had them about four years ago verry lightly. please help me
|
Hi,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns.Cause and treatment of -lumps all over arms,stomach,thighs,breast-These lumps are due to the Staph infection of the lupus folliculitis.Treatment-your painkillers won't help these lumps,as the pain is due to the infective cause of the lumps.I would advise you to consult ER dermatologist under whose guidance you need to take following drugs-Antibiotic creams withAnti-biotic medicines (like Ofloxacin) with Anti-inflammatory medicine ( Like Voltaren)Moisturisers to reduce the frequency of the infection of skin.Supplements of Vit E and Zincovit would help you out.Still I would suggest you to take Second opinion from ER Dermatologist as I don't have any first hand clinical information or a photograph of this extensive health problem.You have to take this treatment under cover from ER Dermatologist.So to rule out other causes I would suggest you to consult ER Dermatoglogist, who would treat according to the cause found.And act fast on the above suggestions,which helps you to plan treatment with your ER Dermatologist. Hope this would resolve your query with full satisfaction.Welcome for any further query in this regard to ME by direct question at HCM.Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM.Wishing you fast recovery.Have a good day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS
| |
What causes white stringy mucous in the gum after brushing the teeth?
I complained to a dentist about some white stringy mucous dat develops in ma gum after brushing my teeth in the morning, she prescribed Stolin for me and I don't know whether to rinse it out after applying it for sometime. secondly, will it help my predicament?
|
Hello!Thank you for posting here.Stolin gum paint helps improve your gum health.You did not mention if you got scaling done.I suggest you to get it done.You can apply stolin gum paint twice daily on the gums on the outer side and inner side.Leave it for 5 minutes.Rinse it off.Also use Doxy-1 in the night for 3 days.Do not take milk after the tablet.Take it on plain stomach.Also, rinse warm saline gargle thrice daily.Hope this helps.
| |
How and when to use I-pill?
Yesterday I had sexual intercourse....i took ipill witin 4-5 hours.. Do i need to take it again (pill). I am really worried I am 20 years old my period came on 15 August and ended on 19 August .i did sex on 26 August.. do i need to take one more i- pill.please suggest fast . I really tensioned as it was my first intercourse.Though we used condom but i dought on it??? Please help.
|
Hello,I have gone through your query and understood the concern. If you have regular 28-30 day cycles, you had the intercourse just around the fertile period, though with lesser chances of conception. This is because ovulation occurs two weeks prior to the onset of the next menstrual period and the sperms can remain active up to 72 hours after ejaculation. As you have taken the emergency contraception, you are adequately protected and need not worry. Please wait for your next natural period and if you become overdue by ten days, get help from an expert. Take care.
| |
What is the prognosis of fits in a child?
Sir good moring. i m kavita and my son is 2.9 yrs old he has suffering fits since last 4 month. his all EGG, Citi Scan all reports are normal. he is taking tegretol syrup 7.5 ml in 2 times. i have complete this course for 1 yrs. is his future will normal i m very worried about it. plz help me
|
Hi Ms Kavita,Thank you for posting your query.I have noted your son's medical details.There is no need to worry about his future as fits (epilepsy) is a fully treatable condition, and most children can lead a normal life.Tegretol (carbamazepine) syrup is a good anti-epileptic medication and it is very safe also. The fact that your son is seizure-free for one year on anti-epileptic medications is a good news.You should continue the medications for at least three seizure-free years.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
| |
What causes foamy urine and pain in kidney area?
Hi doctor, I have flour taste in the mouth..(tougue is white color) and some times urine is foamy....have slight pain in the left kidney area....was heavy alcohol drinker , but now reduced. Earlier (within 30 mins)i used to urinate immediately after drinking some amount of alcohol....but now days ..even i drink more alcohol.... time taken to urinate is more (like after 1 or 2 hrs)....earlier i was diagnoized with slight fatty liver. some times skin is itching.. not getting sleep quicky...but once slept..i am sleeping for long hrs.... Other than this i dont have any other symptoms Please let me know whether do i have any serious kidney or liver problem...
|
Hi thanks for contacting HCM...You have pain in kidney area and frequent urination...Rule out infective etiology by your urine routine microscopic examination for pus cells and cast ...USG abdomen also done to look for kidney inflammation and swelling....It will also rule out cystitis if present ...Per rectal prostate palpation also done.If prostate enlargement present then also more urination can occur....Your fatty liver is because of alcohol drinking ....For that take low fat diet...Fruits more .Consult physician for proper examination...Take care
| |
Had short of breath. Had bronchoscopy, on prednisolone. Nasal wahes done. Swelling in legs, ankles. Cure for symptoms?
Hi!Last year, my family went on a holiday to America and Ensenada, Mexico. When my Mum came home, she walked up the stairs and found she was short of breath. 12 months later and she has been in hospital twice, had a bronchoscopy, been placed on prednisolone and many other antibiotics, she has had nasal washes and been to an ENT and we still don't know what is wrong. Mum used to smoke, but quite shortly before we left for America, but she is still undergoing surgeries and doctors and specialists. She has had swelling in her ankles, legs and glans when she was taken off her antibiotics. We are in desperate need of help at the moment, if you could please try and find an answer for us, it would be much appreciated.Thank you,Emily, an 11 year old girl concerned about her Mum's health and well being.
|
Hi,From history it seems that she might have Allergic bronchitis giving rise to this problem.For your this problem and having swollen ankle and legs requires evaluation.Go for investigations like,1, chest x-ray,2, complete blood checking for allergy, infection or Eosinophilia,3, cardiac check up.Consult physician and get examined.Ask her to do deep breathing exercise, breathing exercise with Spirometer.Avoid cold drinks, fried and junk food.Ok and take care.
| |
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 -->
| |
Why does one have blood clots on the arm & under the eye?
Hello how are you doing? About 5 days ago I begin to have blood clots on my left arm right below my elbow (inside). It started with 2 small ones and now as of today I have another one on the same arm but it is a little bigger than the other two. This one is below the 2 going in the direction towards my risk. This one came on Sunday and now as of today I just noticed a blood clot under my right eye. The ones on my arm does not hurt however the one under my eye does not hurt but it is uncomfortable. Should I take some Ibufr?
|
Hello and welcome to HCM,A clinical photograph of the lesions is required to know the character of these lesions.I understand from your description that the clots that you have mentioned are actually bruises.Bruises usually occur after trauma.If there is no history of trauma, then these bruises could be due to disorders of platelets or disorders of coagulation factors.Thus, I suggest you to get platelet counts, coagulation tests- PT, aPTT along with peripheral blood smear examination.These investigations will determine the possible cause of bruising.Thanks and take careDr Shailja P Wahal
| |
How to remove white scar in lungs?
hi doctor samuelmyself aaiman,i have a small white scar on my lungs when i did my medical test.i dont have any past tb problem.nor i am ill.i want to remove this scar.as this is not allowing me to travel for work in gulf country.please i need your help an plz reply
|
Thanks for your question on Health Care Magic. I can understand your situation and problem. Scar tissue in lungs is permanent. It will remain same and will be seen as it is life long. Since it is not a disease or infection, no treatment is available or required for it. For your visa problem, we need to prove that this lesion is inactive and non infectious. And for this you need to consult pulmonologist and get done 1. CT thorax with Contrast 2. Bronchoscopy with BAL (bronchoalveolar lavage) analysis. If both these are negative for infectious disease than you can definitely argue with visa authority about not having active, infections disease and your lesion on x ray is old, healed, inactive scar lesions. Hope I have solved your query. Wish you good health. Thanks.
| |
Could i be pregnant without direct intercourse?
I gave my boyfriend a blow job and he came in my mouth and I swallowed and then drank some tea. About maybe an hour later I had to change my tampon and so I put the new tampon applicator in my mouth to hold while I was pulling the old one out, and then put the new tampon inside me. Could I be pregnant?
|
Hello, I really appreciate your concern. You can not be pregnant due to three reasons: 1) There was no vaginal intercourse. 2) You swallowed semen and drank tea. So there is less chances of presence of live sperms in your mouth. They get killed or inactivated by heat. 3) If you were menstruating then there is nil chances of pregnancy.So don't be panic. You are not going to get pregnant. Hope my answer has solved your query. Take Care.Thank you.
| |
Suggest treatment for black canker sores in lips
i accidentally bit my lip a few days ago then it turned into a canker sore on my left lower lip. i put alum on it, and did salt water rinse and i put baking soda on it and it suddenly got swollen and turned the canker sore black. before i went to sleep i gargled with mouthwash then i put alum again. when i woke up my left lower lip is so swollen, what do i do? what caused the swell and the black canker? how do i treat it?
|
HiWith your query, as you mentioned you have bitten your lip there might be a heammorage or clogged blood which goes away by itself. Baking soda is a caustic soda which burns the mucosa with burning sensation so only it appears as blackish in colour and swelling too. I would suggest you to visit your oral physician or nearby dentist for exact evaluation and treatment. Hope this helps you.
| |
Suggest treatment for a painful lump on the throat
i have had a sore throat for a week, after looking at my tonsils i noticed a round flesh colored lump on my right tonsil. I am curious to know what it is and if it is the reason for why my throat is hurting and why it hurts t swallow and eat. I have googled symptoms and it kept coming up with tonsil stones however the lump does not look like this, it is like a flesh oval on my tonsil.
|
Hi,Welcome with your query to HCM Virtual Clinic.Reviewed your query details.You seems to Hypertrophic Tonsil,with fleshy tonsillar swelling in throat.It doesnt seem to be tonsillar stone.Treatment-Antibiotics and Anti-inflammatory with gargles of warm saline,would resolve your issue.This reply would help you to plan treatment with your doctor.Contact after 1 weeks time with a Followup Premium question to ME.Will appreciate your Hitting thanks . Will appreciate review with your excellent review write up comments. Welcome with any other further query in this regard,if need be.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
| |
Recurring bumps on arms and neck like mosquito bites, bleed on scratching and swell, no relief with anti-allergic medicines. Any ideas?
i am a 42 yr old female... never had skin problems but the last 2 weeks i have been getting bumps on my arms and neck that look like mosquito bites.. very itchy,,, i scratch so bad that they bleed .. my hands are very itchy.. swelled up.. feel like they are on fire and there is no relief.. ive tried benadryl .. allergy meds... all types og anti itch creams and nothing is helping me... and now ive been running a fever.. any ideas??
|
Hello, The bumps on your neck and arms being very itchy suggests it may be cholinergic urticaria and high dose long acting antihistamines will help. Fever, joint pains, rash that does not disappears but looks like a bruise or leaves a scar needs further investigating to ensure that it is not a form of vasculitis (inflammation of blod vessels). However, just a fever is not suggestive of this condition, and a viral infection triggering the ithcy rash is usually the most likely explanation. If the fever continues, do ensure an infection screen is done and you are on the right antimicrobials but continue on the antihistamines until the rash is well gone for 2 weeks and then stop the antihistamine tablets. Thanks.
| |
Suggest treatment for small bump at inner base of finger
A few months ago, I noticed the middle finger on my left hand started getting stuck in the closed position when I would wake up in the morning. I also noticed there is a small bump at the inner base of that finger. After doing some research online, I found that this might be pointing toward arthritis (specifically trigger finger ). I am 33 years old, so this seemed odd to me, but I made a mental note and went about my business. Plus, it started getting a little better as time went on. Recently, I ve found that anytime I sleep on my left arm it starts to go numb and tingle (it falls asleep ). This has been going on for about a week, or so. And, for a couple of days within that timeframe, my left pinkie finger would tingle throughout the day. That sensation has gone away, but my arm still falls asleep when I lay on it. I am young (33), athletic (slender/muscular 230lbs, 6 5 ) and have always thought of myself as a generally healthy person, but this is starting to worry me a bit. I have thought this might be stress related, as I ve been working long hours at work, or that maybe I just need to get more sleep, as I am lacking in that area, as well. Any thoughts or recommendations would be appreciated. Thank you!
|
HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seem to have a complex problem from the disturbed forearm compartments,mostly due to the-overwieght issues with cervicle spondylitis/ and due to the hypothyroid entrapment of the forearm nerves / or could be due to the? rheumatic nodule with synovitis,on the base of the left hand middle finger / or could be due to the accompanied dupeutran's contracture,which may start like this/ or due to the psoriatic teno-synovitis of the left hand.All these possibilities would need to be ruled out by check up with and Second Opinion from your Physician or with your Orthopedic doctor/ or Sports doctor,as you are an athlete.Remedy-1-Check out with Ortho-Surgeon and Physician team if need be, would be needed to find out the cause of the stuck middle finger with nodule at the base of the left middle finger.Only after proper X-ray and CT study of the indicated parts as advised from OrthoSurgeon, you could get the correct treatment either with the medicines and or with the surgical correction if need be.2-At 33 with 6ft 5 inches,you are still overweight,though muscular, and need to reduce on at least 20 kgs to reduce the load on the hormonal system,which appears to be stressed with the stressed immune system, which seems to be causing this teno-synovitis or rheumatic problem in your upper arm and hand.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
| |
What causes incomplete ejaculation?
after i ejaculate it feels like theres semen still in the vas deferens i still ejaculate and thats normal but it seems like some semen stays in the vas deferens it feels like small lumps but if i ejaculate again the lumps are gone could some semen not be ejaculated
|
DearWe understand your concernsI went through your details. I suggest you not to worry much. I suggest that it is just a feelings. don't mind that. Semen is a body fluid and is a waste product for body. body need to expel it and it will do so whatever may happen. Therefore, don't worry about that and let the body do its job .Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| |
What is the reason for red spots on chest, back and legs while on Levothyroxin?
I have small red spots about the size of a pen tip on my chest and I assume on my back, but I can t see back there, and I m getting pimples all over my leg s. I m 52 and the only med that I m on is 75mcg of Levothyroxin. My bloodwork comes back perfect every year. Any idea what may be the promlem?
|
Hello dear and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms seem to be related to an allergic reaction to Levothyroxine. I suggest using antihistamines such as Cetirizine 10 mg daily. I also suggest using Hydrocortisone cream for local application at the rash area.I recommend to consult your doctor about this side effect of Levothyroxine. Hope I have answered your query. Let me know if I can assist you further.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| |
Suggest medicine for ankylosing spondylitis
I have Ankyolosing Spondilities since 1999,pesently I am 38 yrs old,my height is 5.6 & weight is 76 kgs.I am facing severe pain in S.I joints(Back),Knees,Neck,Ribs,Spine,Ankels and muscle stiffness.I am treated by Dr. S. Umachandran / Apollo Hospitals,Chennai in 1999.My name is Samit Ghosh (Mobile:0000).Please advice what medicine should i take to relief from pain & stiffness, some time i am taking tablet Etoshine-90,but presently it is ineffected.
|
Hi, Treatment of ankylosing spondylitis is based on patients condition and the level of involvement. Nsaids are given in the beginning which are followed in due course with biological dmards and steroids. Before starting any of those medicines a thorough medical workup is necessary. Since your condition is not improving with etoshine only you need to be shifted on to higher drugs for which you need to get a CBC, LFT and KFT tests done beforehand. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
| |
Could the pain and irritation on the neck be due to swollen lymph nodes?
My neck had been bothering me off and on for about a month or so. I find it gets irratated when I wear these heavy push up bras or from my purse. I just hope it's not something more serious. Could it be swollen lymph nodes. I don't feel any bumps tho.
|
Hi, dear. I have gone through your question. I can understand your concern. It may be some swollen lymphnode due to some acute infection. Or some other inflammatory lesion. Don't worry about that. Its not any serious lesion. Consult your doctor once and go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| |
What causes low BP while on Lisinopril?
I have heart failure and B/P. I am taking Lisinopril 40mg once a day. Carvedilol 25mg one twice a day, spironolactone25mg once a day and torsemide 20mg once a day. My B/P is in the low high80 s over 70 s could too much of this medication cause pressue to drop. Has not gotting no higher than 101/56 in 6weeks. Should I be concerned?
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You have low blood pressure (hypotention) highly likely from blood pressure (BP) medications and diuretics. All of your medications decrease BP with different mechanism of actions. Lisinopril belongs to angiotensin converting enzyme (ACE) inhibitor group which relaxes blood vessels, carvedilol belongs to beta-adrenoreceptor blocking group which mainly affects the heart to beat slowly and with less force. Diuretics (torcemide and spironolactone) decrease blood volume and relax arterioles to further decrease blood pressure. You should consult with your doctor to review your medications. The dose and number of medicines should be adjusted according to your blood pressure and chronic heart failure symptoms. Initially, after the start of BP medicines you should follow home blood pressure monitoring and record every day BP in your Blood Pressure Record Book. Your doctor will adjust the dose, administration time according your every day blood pressure readings. Periodically, you may need blood tests and echocardiogram to evaluate and monitor your heart function.Please, contact your healthcare provider regarding review of your BP medications.Hope I have answered your query. Let me know if I can assist you further.Thank you,Malik Amonov MD
| |
Suggest treatment for elephant leg disease
Hi Doc.My servant is suffering from Elephant Leg disease in one of his leg. The leg is already swollen quite a bit. I dont think he would be able to spend good money on the treatment, if you can let me know the cost of the surgery? and also the cheapest mode in India(Govt hosp, location, any concession) to get it done, so that if possible I can help him out a bit.Thanks in Advance
|
hi sir, welcome to HCG, i understand ur problem, elephatiasis is caused due to infection with filarial worm, it transmit with mosquito to man, surgery is only the treatment for that, u have to consult once to nearest ur primary health center, they can helps u about the surgery and cost. hope u satisfy with my answer. thank u
| |
Suggest treatment for abdominal pain
I am 18 weeks thur,and last night I tripped over my husbands shoes,and fell right on top of him on the bed,but with no time to put my hands out to stop my fall.. I still today feel like i have just been hit in the gut. Should I be worried? I have a doc apt on wed.
|
There is no need to be worried after such incident since no serious injuries can happen.Wish you good health.regards
| |
What causes pain in left arm and left side of body?
my daughter who is eight is complaining of pains in her left arm and leg all the time and is very tired all the time and has now developed a swelling on her earlobe and the skins looked purple when it swells. she eats a good healthy diet and takes vitamins everyday and get plenty of fresh air.
|
hi,sorry to hear about your daughter,pain on one side of body over long time needs neurological evaluation.regarding swelling,is it painful or not.if it is a painless swelling,it needs biopsy to rule out any tumour.hope you got your answer.good day
| |
Miserable feeling that eases with smoking and drinking, pretend to be happy inspite of mental distress. Any help?
I am very miserable although i never show it. I was raped at 16,aborted a baby at 18weeks, was bullied everyday at school 4 years straight. My mum was so poor when we were kids we had to have ice cream for breakfast. Ive never had a friend that hadnt stabbed me in the back and i cry everyday of my life. I feel better when i drink and smoke , i struggle with going to work cause if something bad is said about me i will take it to heart and just cry, reaslising another person i cant trust. I have thoughts of killing myself and the only reason i havent is because of my partner. We have been together 4years and helped me through everything. I also struggle to start convos with people my mind is just blank. I pretend to be happy tto not look like a freak but i am damaged beyond words mentally. I finally cracked today and need help. This isnt me. I was made homeless at 18 cause my parents couldnt afford to keep me and im the olddest of 4 kids. I have been struggling trying to live with this and work to pay my rent despite wanting to die. I am only 20 and this is not me mentally somethings wrong but i dont know where to start to look for help so i came here.
|
Hi, From description it appear that you have depression and substance use problem. Excess substance use also increases depression in long term, although it give relief for short duration. Considering complexity and severity of your problem, I would advise you to visit nearby psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com
| |
I have a sudden change in my behavior and tendencies. Do i need psychiatrist attention ?
I m 24, Female. My periods are regular and normal. However, for the past two years I ve been facing a problem in Urinating and I ve just realized that it is Urinary Tract infection. I m 85 kg and 5 4 in height, I m working in a BPO, ie., in Night shifts for the past 2 years and for the past few months, I ve noticed a major change in my behavior and tendencies. I ve become very short-tempered, I get irritated very quickly, I ve also become too lethargic than ever, I ve lost interest in almost everything, except food. I feel I m indulging too much into food than ever. I was never lethargic and over-indulgent to this extent. I m not able to focus on anything and I feel very frustrated. My career seems to be going nowhere and my parents want to get me married soon. My overall personality is turning negative. I wish to know what might be the possible cause for this change of behavior and if there is any solution for this. I want to get my life back on track. Do I need to consult a Psychiatrist?
|
Irritability, loss of interest, loss of focus/attention, negative thinking, emotions & behaviour (which is what personality is) and comfort eating (which is what I presume you are doing by over eating....are you eating a lot only when you are stressed/anticipating stress?-if yes, that is comfort eating) all point to depression which needs to be diagnosed only after a full history taking and detailed examination of your problems. But, if you are not getting enough sleep because of working night shifts and doing household work during the days, then it could be simply because of this....it could be the way your body reminding you that it is chronically not getting enough recharge. If this is the case a simple shift in your priorities during day time or a shift in the working times if this is possible, can help you. Please do consult a psychiatrist.
| |
Is nerve conduction study suggested during hypoxic brain injury?
I had a leathal dose of CO poisoning resulting in 3 hyperbaric chamber treaments. I had a 3 day hospital stay followed with 8 days in patient at a rehab hospital. The injury was diagnosed hypoxic brain injury. I have numbness in arms, hands, legs and feet. Doctors now would like to to conductive nerve survey. Is it needed.My email is YYYY@YYYY Thank you
|
Hello. Thanks for asking from HCM.I can understand your concern. It is good that after CO poisoning, your consciousness is intact. It means that your brain is almost spared. Your numbness can be due to nerve or spinal cord damage. To find out the cause, the doctor is advising you some investigations like nerve conduction study. Nerve conduction study helps in evaluating nerve damage. In case of nerve damage, conduction velocity decreases. Spinal cord damage can be found out by MRI of spine.At home, you can follow few tips like: Avoid touching excessive hot or cold objects if your extremities are numb, as they can cause damage to your skin.: Wear soft shoes and gloves to protect your skin. : You should eat food which are reach in vitamins and minerals like green vegetables, fruits, curd. It will help in healing of nerves.Thanks. Hope it will help you. Take care.
| |
What causes sharp pain and numbness in leg?
My leg always feels numb and now it is starting to give me a really bad sharp pain running up my hip, I had an ultra sound because my doctor wanted to see if i had maybe a blood clot, but nothing...this pain is really interferring with me walking...and sometimes i have to stop because the pain in so sharp
|
hi,thank you for providing the brief history of you.A thorough clinical neuromuscular assessment is advised.As you have a sharp shooting pain and numbrness you need to undergo a Neuromuscular assessment along with MRI of lumbar spine as this may be due to pinched nerve.post which taking a physical therapy like therapeutic ultrasound therapy and TENS therapy will help reduce the pain. Later stages exercises will be implemented to improve the stability of the spine and strengthening of the muscle to improve the quality of life.As your symptoms are classical for suspecting the pinched nerve I will recommend to undergo physical therapyin my clinical experience patients with similar complaints are majorly having pinched nerve and respond well to physical therapy.RegardsJay Indravadan Patel
| |
Suggest treatment for excessive heart rate
Is a heart rate of 102 over 58 after two hour monitoring averaging in at 96 over 65 cause for concern my partner has been taken into hospital after 4 fits with no idea why fits are happening and past history of undiagnosed fits today's was extremely bad he stopes breathing my partner is nineteen Indian male I'd this helps to make any difference
|
Hello and thank you for using HCM.I carefully read your question and I understand your concern.You shoud not worry .I'll try to explain you something and give you my opinion. Normal heart beats range between 50-100 beat for minute in normal conditions. During a physical or emotional stress heart beats can rise over 100 and this is quite normal.When the heart beats in a regular rhythm over 100 beat for minute we call this sinus tachycardia.It gives strong heart beats,palpitations, difficulty in breathing deeply, anxiety sensation. There are different reasons that might lead to this excessive heart rate.The first thinks to mention for young person are emotional stress, excessive coffee consumption, energy drinks.There are also different pathologys like anamia, hyperthyroidism or other cardiac anomalies that might be responsible for this heart rate.So, as this has been a problem for your partner, if I was the treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and structure, a full blood analyze to exclude anemia and thyroid gland problems. And the most important one holter rhythm monitoring for 48 h.This means monitoring heart rhythm for two days to evaluate the heart frequency during day and nighy.Only after this we can better judge what we are dealling whith and how to manage it.It might just be a streesed period and it will soon pass.Hope I was helpful.Wish your partner good health. Best regards.
| |
Do Productiv F and Duphaston help in conceiving?
Hie sir!!!! I am taking productive f since 20 days or more and taking duphaston 10mg from 7 days!! And have asked to continue till 6 april !! Last period started on 8 march!!! I have ovulated on day 13 what are chances of getting pregnant doc have asked me to take test on 6 th april
|
hello user,the key is to keep relationship around ovulation...if you kept the relationship well,around ovulation there are good chances of concieving..do serum tsh and serum prolactin..do follicular study to know ovulation time,if you dont concieve this month.
| |
Suggest alternate remedy for carotid artery blockage
My mother had a triple by-pass 5 years ago and today she had an ultrasound and the Vascular Surgeon said that her carotid artery is 95% blocked? If she does not have the procedure and get stents put in what are her chances of having a stroke ? She is 70 and stopped smoking 5 years ago and is about 40 pounds over weight. She has hypertension and high cholesterol..
|
Hi,Going by the past history its pretty evident that your mother has a higher risk of stroke or other cardiovascular events.Kindly understand the seriousness of the situation.It is important to get stents put before she experiences such episodes.Regards
| |
Does libotryp help to reduce pain in lower back/shoulder/arms?
Hello doctor, i am suffering from low back pain shoulder pain and have have numbness in the arms during nights.today i visited orthopaedic, he prescribed me a pain killer and libotryp tablets. i wanted to know whether tablet libotryp is usefull in releiving pain and numbness?
|
Hello, Libotryp does not affect the pain and numbness but it plays a role in making you feel better. You can take methylcobalamin supplements to decrease numbness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
| |
Suggest treatment for excessive breasts in a child
My 12 year old granddaughter has developed excessive breasts. Ultrasound showing multiple large solid tumors. She has biopsies scheduled for next week in Michigan. Can you tell me what the incidence of this being carcinoma. Adult females have fibrocystic disease and fibroadenomas, but I ve never hear of a twelve year old. We are very worried.
|
Hi...even adolescent girls can have fibrocystic disease and fibroadenomas. this is occurring due to hormonal changes due to epidemiological shifts. The biopsy results will be conclusive. Do not worry. Nothing will be untreatable in todays science.Regards - Dr. Sumanth
| |
Diagnosed as Bipolar type 1, GAD, not taking caps, feeling good except minor bouts of depression. Concerned?
I have been diagnosed as Bipolar type 1, and GAD , ADD/ADHD(since childhood on the ADD). I have been off my abilify and buspar and ritalin for up to three months now. I feel better and more stable WITHOUT the drugs, the only issue I seem to be having is some anxiety . ON the meds I was moody and occasionally unemotional, cutting and suicidal. My question is, is it possible to learn simple (or complex for that matter) coping skills that could help me IF I ever do have another episode? I have minor bouts of depression , but nothing I can t cope with now. I have more self control off the medication seems like I don t WANT to hurt myself anymore. What do I need to do?
|
Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through. It would not be wise to wait for poblems to occur. Long standing depression can damage the brain as well. Medicines are protective in this context. Ones you are diagnosed bipolar mood disorder and still have persistent depression then you certainly should take medicine.You can always try cognitive behavioral therapy along with the meds. These are weekly session focussing on the thought process.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| |
Suggest treatment for vaginal discharge during pregnancy
i am 22 female and 8months pregnant. For the past three days ive been experiencing a leak of fluid it dont smell like urine its mostly clear with a little i guess slimey booger like a membrane discharge i cannot stand or walk for long time because it leaks i can fill a super max pad within an hour what should i do.
|
Hello dear,I understand your concern.In my opinion the discharge can be due to:-1)Exaggerated physiological secretions.or2)Any vaginal infection causing the discharge.But as there is excess amount it needs physical examination of the discharge and if necessary it can be sent for culture and sensitivity to rule out the cause of infection.Also any leak of amniotic fluid should be ruled out.As such from your history it doesn't look like amniotic fluid leak but it should be ruled out which is possible by physical examination.Once there is infection it should be treated.As such nothing to worry.I would like you to see your doctor for further management.Hope this helps.Best regards...
| |
What is the treatment for stress and anxiety?
Hi there, as we are building a house, my body is very stressed, I normally have been on 5mg of hydrocortisone, and have tried another five, but i am not finding that enough, is it ok to take another 5mg mid afternoon, a total of 15mg, not sleeping well. My period didn t arrive either, that tells me, even though I am on natural thyroid, that is suffering with my anxiety also. Many thanks, Eva
|
DearWe understand your concernsI went through your details. I suggest you not to worry much in this regard. Self diagnosis and self treatment can be harmful. The best judge is your psychiatrist. Online advises are always limited in scope because, no physical examination or one o one meeting is involved. Anxiety it is, all right. But you may need a change in medicine and some supplements. Please consult your psychiatrist.Hope this answers your query. In case you require more of my assistance in this regard, please post a direct query for me in this website. I am happy to help you.Good luck.
| |
Suggest remedies chronic stomach pain
m 14 years old and i have a big problem my stomach hurts every day i take 2 ,6 ,4 ,5 vitemens a day wat do i do i have no car im in house by my self and we all use cell phone but my mom has my phone and there is no house phone and we live 4o miles f...
|
Hi,Firstly why are you taking so much vitamins medicine at this age, is this prescribed by some doctor or taking by himself ?If this medicine contain iron supplements then you might get stomach painor upset.If it is a must then take after meal and keep some gap between two medicines.Take Omeprazole medicne for few days.Avoid fried, chillies and junk food.Ok and take care.
| |
What does this ECG report indicate?
ecg report vent rate63 bpmPR interval 152 msQRS duration 148 msQT/QTC454/464 msP-R-T axes 26/26/244RR/PP956/PP interval 956/950 msSystem Evaluationnormal sinus rhythm left bundle blockHDL Colestral 35swear pain during fast walking & Eye sight intruption/looses for fifteen mts once
|
Thanks for your question on Health Care Magic. I can understand your concern. Your ecg (electro cardio gram) is suggestive of left bundle branch block. There are two conduction systems in heart by which pulse is generated and heart beats. One is right bundle branch and other is left bundle branch. Left one supplies left side of heart which is main part of heart which supplies blood to whole body. So any conduction defect in this part will cause reduced blood supply to body organs like brain, eyes, lungs, liver, kidneys etc. So your symptom of sight inturption is due to reduced blood supply to eyes. So you should immediately consult cardiologist and start treatment. You may need pacemaker insertion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| |
Suggest remedy for severe depression with slurred speech
My wife has a severe depression. Her doctor put her on Latuda and she experienced slurred speech and mouth/teeth chattering. The Latuda was discontinued but she is also on Wellbutrin which will be discontinued tomorrow. The mouth/teeth chattering is wearing her down. This has been going on for the past three days. Going to emergency is not in the cards as it is holiday time and all that will happen is being put in an emergency room with an iv doped up until Tuesday. By chattering; the mouth is opening and closing as if she is shivering. Eating is almost impossible. She is able to drink. It appears that rivitol helps but only short time.
|
Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Latuda is lurasione and it is definately not an anti-depressant. probably your wives diagnosis is either psychosis or bipolar depression. The side-effect that you have reported is an extra pyramidal side-effect and this will require either phenargan or pacitane to improve. This is reversible and will take some 1-2 days to recover. There is no emergency, if she is troubled take her to ER and one shot of Phenargan 25 mg IM will settle her down. Or else visit your psychiatrist at the earlist possible time. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| |
How long my husband will survive with stage 4 Esophageal cancer?
recently my husband has been diagnosed with stage 4 esophageal cancer it has spread to his lungs and his liver and also his lymph nodes, i can get no answer will he survive this and if not how long does he have and what else can we do that we are not already
|
Stage 4 esophageal cancer with liver and lung metastasis is incurable. Treatment goal is palliative (symptomatic relief) to improve quality of life, progression free survival and overall survival.Treatment options include:1. Palliative chemotherapy 2. Palliative radiation therapy (if required)3. Endoscopic stenting to relieve esophageal obstruction (if necessary)4. PEG (percutaneous endoscopically gastrostomy) or image guided percutaneous gastrostomy for enteral feeding if need arises.Please discuss it with your treating doctor.
| |
Cause of swollen gland under chin causing tightness in swallowing?
Noticed in bed last night that the left gland under my chin was swollen - only the left. It doesn t hurt except a slight tightness in swallowing. I do not have any other symptoms. It seems to have gone down a little by the time I woke up - but now it seems quite enlarged again - like a very soft egg. I think it responds to cold a little - when I put my cold hand that had just held a cold water bottle to the site it seemed to retract slightly.
|
HI.Thanks for a good history.This is swollen submandibular salivary gland. IT will be interesting to know whether there is a stone in the duct ( to be examined by an ENT Surgeon). If there is a some - a simple surgery will solve your problem. Get an opinion before complication of an infection.
| |
Suggest treatment for double vessel coronary artery disease
I AM SUFFERING FROM DOUBLE VESSEL CORONARY ARTERY DISEASE WITH LV SYSTOLIC DYSFUNCTION AND TYPE 2 DIABETES MELLITUS WITH HIGH BLOOD PRESSURE.PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY WITH STENTING(ALIS)TO LCX DONE ON 22/10/05....RCA WAS DOMINANT VESSEL AND OCCLUDED AND AN ATTEMPTED RECANALISATION FAILED ON 22/10/05.RECANALISATION WITH STENTING IF THE RCA DONE ON 13/05/2010 WITH THE HELP OF THREE STENTS.NOW,IT SHOWS SLOW FLOW IN DISTAL BED.HEPARIN 8000U,TIROFIBAN INFUSION.THE SAID ANGIOPLASTY WAS DONE BY THE DOCTORS OF CMCH,VELLORE,INDIA.IT HAS BEEN MORE THAN 15 DAYS SINCE THE DATE ON WHICH PTCA WAS DONE BUT STILL I M FEELING EXTREMELY WEAK AND ALSO FEELING SUFFOCATION AT TIMES....PLEASE TELL US ABOUT THE STATUS OF MY CONDITION!!!
|
Hello, The good flow wasn’t achieved after your angioplasty which is probably causing you breathing difficulties and weakness. It’s recommended for you to consult your treating cardiologist for further details and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist
| |
Suggest remedy for bad cough
Please help think I have the flu fever, chill, sweats(really bad thru tank tshirt sweatshirt),head is killing me, really bad bodyaches mostly in my spine/hips, and a cough that will not stop! I am take med that calm everything but this cough now its so bad my throat, ears, ribs, tummy, and chest hurt. And I can't sleep..just cough:(
|
Hi,From history it seems that you might be having viral infection giving this problem.But many a time this can be bacterial infection as well so you might require one course of antibiotic like amoxicilin or levo-floxacilin for 5 days.Continue with cough suppressant syrup.Avoid cold drinks and junk food.Ok and take care.
| |
Running nose, wheezing, breathlessness during winter. Problem persists even after putting nasal drops. Solution?
i have allergy problem..during winter season i get severe running nose ..some times wheezing and breathlessness.. i used seroflo inhaler during night but for the past few days my nose is blocked in the upper portion and i cannot take air through the nose..i used nasal drops i get relief and again aftr 6 hrs the problem repeats again.. what should i do?
|
Hello, It is very likely you suffer from house dust mite allergy and will need either blood tests or specific IgE tests to confirm this. Other aeroallergens such as moulds, animal dander (if you have pets) should also be checked. You need a combination of long-acting antihistamines such as Fexofenadine 180mg in the morning, mometasone furoate nasal spray 1 spray per nostril once daily, Montelukast 10mg at night for the winter months (3 months) to see the benefit. Obviously the best decision on duration & time of treatment will be decided as per the results. Best Wishes.
| |
Is it possible to get cancer even if the ovaries were removed earlier?
I have been diagnosed with Stage III breast cancer. No treatment has started yet, as they have found a mass in the left ovary area, even though my ovaries were removed at the age of 27. I am now 67. I will have MRI and & pelvic ultrasound next week. My oncologist said she has not seen this before. I am asking if it is possible to have cancer where there is no ovary? I have never had any problems or symptoms since my hysterectomy 40 years ago. Could it be linked to the breast cancer, both on the right side? Thank you. I am currently in a library with a dead cell phone battery trying to calm my fears, but, cannot contact my doctor until I get a working phone.
|
yes it is still possible to have mass in adnexa after removing the ovaries. It can arise from the tubes or from the uterus. sometimes and most commkonly after removing both ovaries, tubes and uterus, cancer can arise from the peritoneum, that is cells lining the abdomen. Since you have breast cancer, spread from breast cancer also needs to be ruled out since that is also possible.
| |
How can hyperactivity in a child be controlled?
Dear Sir, I have a 5 years old kid ,he is very hyper in his activites but he is very intelligent.parents and teacher could not control him.when he alone in your home with your mother that s time he little quitebut what s the time any one entry in your house at the moment his activitiesis hyper. what s the procedure control him?
|
Hello, It needs a certain amount of sophistication with a pediatrician. this is a very common concern and therefore pretty much any pediatrician deals with it on a daily basis and a specialist generally is not needed. There are both drug and non-drug treatments. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.