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Answer the following question | they are likely to be your menses and not a miscarriage as you had a normal menstrual bleed for six days each month. miscarriage would have been confirmed if serum beta hcg test had been positive. for further queries consult an obstetrician and gynaecologist online --> <link> | i had vaginal bleeding after unprotected sex. is this menstrual or miscarriage bleeding? |
Answer the following question | i totally understand your situation. if the bleeding has not responded to deviry (medroxy progesterone) then i would suggest you take her to the hospital and get her admitted. she would need some blood work done to see her blood parameter also would require injectable progesterones in addition to tranexamic acid (blood clotting medicines). if that also does not help then she would require injectable estrogen. meanwhile the ultrasonography and blood work should give an indication as to why this sudden non-stop bleeding occurred. do not leave it undiagnosed as bleeding so heavily in that age group is not a good sign and might be due to an underlying serious issue. for further information consult an obstetrician and gynaecologist online --> <link> | how to control continuous abnormal vaginal bleeding? |
Answer the following question | rheumatoid arthritis is one of the causes for high monocyte count and multisystemic involvement. hence treatment for that is nonsteroidal anti-inflammatory drugs and disease modifying drugs like leflunomide etc. the high eosinophil count causes include allergy parasitic infection skin conditions and pulmonary eosinophilia etc. according to the cause the specific treatment can be given. for allergy antiallergic medication like fexofenadine is useful. you have not mentioned total count value peripheral smear examination and value of differential count. so peripheral smear examination and clinical correlation needed in such case. please consult your physician for examination and get further work up according to the need. take care. for further information consult a hematologist online --> <link> | what is the reason for high monocyte and eosinophil? |
Answer the following question | it looks like your doctor is treating you for rheumatoid arthritis. however what is not clear is the fact that how this conclusion was arrived at. have they done these tests - esr crp rheumatoid factor blood test anti-ccp antibodies test? how long does the morning stiffness last? how many joints in the finger/hands do you experience pain and actual tenderness? i am asking these questions inorder to match your signs and symptoms with eular or the new american college of rheumatology guidelines. also i wonder why methotrexate was not started as a primary drug. please clarify the above with your doctor. now coming to living with symptoms you should respond in a reasonable period of time say 6 weeks at maximum both clinically and with regards to the inflammatory markers crp esr etc. if this is not happening a review of diagnosis and medicines must be done. finally the scoliosis per se does not cause pain and neither does hypermobility unless they are long standing and gross. perhaps seeing a good manual therapist is a way forward to control your spinal symptoms. hope this helps and revert back to a rheumatologist online for further follow up --> <link> | is there nothing that can be done about the pain from scoliosis and hypermobility? |
Answer the following question | i understand that you have acne problem. you can continue with cetaphil-os cleanser. also i suggest epiduo gel (adapalene and benzoyl peroxide) at night. i would like to know if your periods are regular and any recent stress. also it would help if you can lose some weight. please get back with the answers as we can treat the underlying issue. thank you. revert back with the answer to the above question to a dermatologist online --> <link> | kindly suggest a medicine for acne. |
Answer the following question | there is a strong possibility that this is gout. considering that it occurred relatively acute it is possible that it is gout. the diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints. of course osteoarthritis is one of the leading causes of arthritis after 40 and the big toe is a common joint. however since the treatment is very different for both it is worthwhile visiting a rheumatologist. x-rays can show that you have oa but then there may be concomitant gout as well. rheumatoid arthritis generally does not present like this. for further information consult a rheumatologist online --> <link> | can x-ray differentiate rheumatoid arthritis and osteoarthritis? |
Answer the following question | you can use benzoyl peroxide continuously until you have any side effects like itching rash and dryness of skin. also you should stop immediately once you know that you are pregnant or you can stop once you are planning to get pregnant. iit does not have any effect on fertility but it can affect the baby. you can also use clinmiskin gel (adapalene and clindamycin) once at night on the face for acne. consult your specialist doctor discuss with him or her and take treatment with consent. omega 3 have only supportive role. you can take supplements but do not search for fish because fish oil may increase your acne. for further information consult an internal medicine physician online --> <link> | can i use benzoyl peroxide throughout my life for acne? |
Answer the following question | leaky gut syndrome (leakage of undigested food or other substance due to damaged intestinal wall) is more of a hypothetical thing. a lot of researches are still going on and it is believed to trigger the autoimmune reactions in the body. but yes it is safe to take the l-glutamine with rituximab. no contraindications to it as such. make sure she avoids outside food as you do not want to catch an infection which can trigger the rheumatoid arthritis. for further information consult a rheumatologist online --> <link> | is l-glutamine safe for a rheumatoid arthritis patient? |
Answer the following question | i have gone through your query and can understand your concern. i suggest tablet allegra 180 mg (fexofenadine) twice daily for five days. one tablet is to be taken in the morning and one at night after meals. consult her doctor discuss with him or her and take the medicine with consent. try to maintain a gap of at least three hours between diabetic medicines and allegra. as such reactions are rare but still maintain the gap. give her steam inhalation four times a day. there is no need to give her cetirizine if you are giving allegra. for further information consult an internal medicine physician online --> <link> | how to get quick relief from cold and nasal congestion? |
Answer the following question | i understand your symptoms and your question. it may be peripheral neuropathy. i would like to know your age and whether you have diabetes. if you have any back pain radiating to the legs then it can be a spinal problem. i suppose you do not have back pain. the second possibility is hypothyroidism in which there can be such symptoms. if not checked then you need to check thyroid profile. you should get ssep (somatosensory evoked potential) and ncv (nerve conduction velocity) studies of both lower limbs. we will know the function of the nerves in the lower limb. you can get it done at any electrophysiology laboratory. you should get free t4 and tsh done (thyroid-stimulating hormone) to rule out thyroid problem. i suppose you would have done b12 levels before starting the injections. regarding medicines the dose that you are taking now is not adequate. i would suggest you tablet trigabantin 300 mg (gabapentin) twice a day after food and tablet pregabalin 75 mg at bedtime. consult your specialist doctor discuss with him or her and take the medicine with consent. you may feel little giddiness after these medicines but that will settle in three to four days time. for further information consult a neurologist online --> <link> | what test should i do to know the reason for tingling sensation? |
Answer the following question | both rheumatoid arthritis and pulmonary hypertension are chronic diseases. as there is no permanent cure for it the aim of treatment in such case is control of symptoms only. medicines help only to control the symptoms. you are a known rheumatoid arthritis patient and now have developed pulmonary hypertension which is idiopathic. now to manage breathlessness you are using long-term oxygen support. this is just the progression of both diseases which makes it difficult to manage. at present you are taking tablet sildenafil 20 mg twice daily. i would like to recommend tablet ambrisentan (pulmonext) 5 mg once daily with tablet tadalafil 20 mg daily if liver function test is normal. i strongly suggest you to discuss these drugs with your pulmonologist and make sure you are taking the tablet under his guidance only. continuous oxygen supplementation should be given to keep oxygen saturation above 95%. close monitoring of all vital parameters is very important. regular checkup with cardiologist for monitoring pulmonary artery pressure recommended. these medications will help to reduce the need of oxygen to some extent and help to improve exercise intolerance. as i told treatment of pah (pulmonary arterial hypertension) is very complex and runs long. so close supervision with pulmonologist is very important. monitoring liver and renal function along with the use of these drugs is necessary to avoid side effects. for further information consult a pulmonologist online --> <link> | is there a permanent cure for pulmonary hypertension? |
Answer the following question | vitamin d deficiency will not cause pain in closing hands and neither tingling sensation. motor weakness like dropping of light objects is also not caused by vitamin d deficiency. all these are usually caused by nerve compression or has origin in brain. the next step would be to do a detailed neurological examination by a neurologist to find out the structures affected such as brain spinal cord nerves etc. only then we can think of the possible etiology or cause. after clinical examination you would require mri of brain and spine along with nerve conduction studies to reach a diagnosis. revert back after the investigations to an internal medicine physician online --> <link> | can vitamin d deficiency cause pain while closing hands? |
Answer the following question | i want to assure you that everything is going to be fine soon. i have thoroughly gone through your case and can well understand your genuine concerns. | will any of my regular medications cause tingling sensation of scalp? |
Answer the following question | i have studied your case. due to compression of nerve root there can be tingling sensation numbness and pain in your arm. also there is large disc bulge which is compressing over spinal cord. for these symptoms analgesic and neurotropic medication can be started. avoid lifting weights. you can consult a physiotherapist for help. physiotherapy like ultrasound and interferential therapy will give quick relief. i will advise to check your vitamin b12 and vitamin d3 levels. if nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. consult an orthopaedician online for further follow up --> <link> take care. | i have a congenital malformation of the l5 lamina retrolisthesis and spondylitis. please advice. |
Answer the following question | based on your complaints it looks like it could be a case of kidney stones. please go to your nearest hospital and get an x-ray kub (kidney and urinary bladder) done. sometimes kidney stones are not visible on an x-ray. in that case further tests might be needed. usually small kidney stones are eliminated by the body on their own while passing urine. in case it is big in size treatment is necessary. however as a first step please get an x-ray done. for further information consult a general practitioner online --> <link> | what might be the possible cause of pain in the lower left side of back and stomach? |
Answer the following question | here are a few suggestions. i suggest anti-inflammatory tablet like voveran 75 mg (diclofenac) twice a day after meals. consult your doctor discuss with him or her and take the medicine with consent. for swelling use a compression bandage and ice the area for 20 minutes at a time. avoid squatting lunges and stairs till the pain subsides. also you need a good manual therapist to assess you for hamstring tightness quad weakness including vmo (vastus medialis oblique - thigh muscle) and gluteal weakness. try the above out for at least 10 days followed by three to four weeks of physiotherapy to get complete relief. for further information consult an orthopaedician and traumatologist online --> <link> | what is your opinion about my knee pain after 12 years of surgery? |
Answer the following question | this tingling sensation can be due to a transient nerve compression. this nerve compression can be due to a muscle spasm or due to abnormalities in the thoracic spine. you should improve your posture and avoid sitting for long hours. avoid bending your back to lift heavy weights. apply voltaren gel (diclofenac) over the area twice daily. keep hot fomentation twice daily. do mckenzie back extension exercises twice daily. it will surely help you. if back pain still persists then get back to me as you will require prescription for medication. for further information consult an orthopaedician and traumatologist online --> <link> | what can cause tingling sensation in muscles? |
Answer the following question | the post-operative swelling and numbness after mandible fracture surgery are common. the swelling is mild as you have mentioned. then it should resolve in another one to two weeks as the tissues heal. the numbness is because the mental nerve which runs through the mandible is hurt at some point during surgery. it can last from a few days to even three months. in most of the cases the numbness will fade away automatically when the nerve regeneration takes place. you will feel pricking kind of electric shock at times during the day as a sign of nerve healing. but if the numbness lasts for more than three months then it should be given attention. meanwhile i suggest tablet nurokind 500 (mecobalamin) once daily after meals for 30 days which helps in nerve repair. consult your doctor discuss with him or her and take medicine with consent. for further information consult a dentist online --><link> | i have swelling and numbness after mandible surgery. how long will it take to subside? |
Answer the following question | it seems that you are suffering from a bipolar affective disorder and currently in the depression phase. according to me your thyroid disturbances should have been treated while taking lithium rather than discontinuing it as lithium is the best medicine for your condition. loss of appetite is due to magnesium valproate tablets as it causes liver dysfunction. i suggest you get a liver function test done. i would advise you try increasing magnesium valproate to minimum 500 mg twice daily and also increase amisulpride in low dose. consult your specialist doctor discuss with him or her and increase the dosage with their consent. before starting bupropion you should have tried minimum effective doses of current medication. i would like to see your recent thyroid profile for better understanding. revert with more information to a psychiatrist online --> <link> | why is the medication for schizophrenic disorder causing weight loss and lethargy? |
Answer the following question | acid reflux also known as gerd (gastroesophageal reflux disease) is a condition related mostly to the esophageal sphincter incompetence. low to moderate grades of gerd are treated first with antacid drugs which is the best and the first non-invasive solution. severe cases require surgery to reinforce the sphincter. as for the pineapple there are controversial opinions among doctors. some of them do not recommend it because it is a highly acidic fruit and can worsen the symptoms. while others recommend it as it may have good effects due to bromelain. you can try it for a week and see how your heartburn goes through. if you decide to avoid drugs and use foods then i would recommend you high calcium foods and basic ones such as milk which buffer the acids. also you have to eat in small portions several times avoid spicy fatty and acidic foods and also avoid late evening meals. use antacids if these measures fail. for further information consult a general medicine physician online --> <link> | can i have pineapple to cure acid reflux? |
Answer the following question | i have read your question with care and understand that you have numbness of your hands when you sleep. first and foremost masturbation is physiological and it is a normal phenomenon. it does not cause any problem or any side effects. it does not interfere with your general health and with your sex life. it dose not cause hand numbness or elbow pain. so there is no need to stop it and worry about this. please do not believe non-medical articles or rumors. coming to your job with computers this is repetitive strain and it can be a reason for the hand numbness. you need to consult a neurosurgeon in person to undergo clinical examination measurement of muscle reflexes and sensory system examination to know if there is a nerve compression which causes the numbness. also to know whether the numbness is just postural due to reduced blood flow. we cannot determine the cause of numbness without clinical examination. about hypothyroidism i suggest you to get your thyroid profile done before taking any drugs. for further information consult a neurologist online --> <link> | does masturbation cause arm numbness and pain? |
Answer the following question | thanks for writing to this platform. you have written sudden onset pain in the knee region since morning with no history of any injury to the knee. also i want to actually know whether there are any associated signs or symptoms of any inflammation like skin redness swelling local warmth etc? if it is just a localized knee pain with no associated symptoms my advise to you will be: gentle anti-inflammatory medications like tablets etoshine (etoricoxib) or paracetamol can be taken in small doses for five to seven days. adequate calcium and vitamin d supplementation as per requirement. intensive ice packs at home for three to four times in a day. activity modification as in to give adequate rest and avoid heavy physical activity till your pain subsides. see how it goes for around two weeks of time. normally the pain should settle within a week. if your condition does not improve then we need to get certain investigations done. do not hesitate to contact me should you need any further information/sos (as necessary). for further information consult an orthopaedician and traumatologist online --> <link> | kindly suggest some solution for sudden knee pain. |
Answer the following question | your bmi - body mass index is 30. 4 kg/m2. generally we perform bariatric surgery to achieve permanent weight loss for any patient whose bmi is 30 kg/m2 or above. liposuction is not a treatment option for weight loss. it is a cosmetic procedure for body shaping. there is a set point for fat storage for everyone. this is not altered by liposuction. weight loss by liposuction diet control exercise naturopathy amway herbalife etc. is temporary as all these methods do not have any effect on set point for fat storage. so any fat that is removed in liposuction will reaccumulate over a period of 6 months to two years. those who can reduce weight by diet control and exercise does not need liposuction and those who cannot reduce weight by above methods will not reduce even after liposuction. bariatric surgery provides permanent weight loss as it lowers set point for fat storage. if you are looking for permanent weight loss then bariatric surgery is the only scientifically proven method for that. for further information consult a general surgeon online --> <link> | i am planing to go for liposuction for weight loss. my weight is 78kgs |
Answer the following question | thanks for your query. let go of your anxiety. gastroesophageal reflux disease is 80 % corrected by simple diet and lifestyle modifications. so i would suggest you try the following. lose your weight. if your bmi (body mass index) is 25 or above you need to lose weight. coffee chocolates citrus juices tomato-based products peppermints onion family beans etc. are some of the food that you need to avoid to relieve the symptoms. if you are fond of eating it is time to stop it. reduce your food intake. instead of increasing the quantity increase the frequency. eat five short meals instead of three bigger ones. if you sleep just after or within three hours of meal intake this habit needs to be stopped. increase the interval. when you sleep elevating the head at least 8 inches would be a good addition to the plan to combat gerd. bending stooping and upside down hangings with all other unnatural postures need to be avoided. your symptoms could also be due to multivitamin deficiency especially vitamin b12 deficiency. hope this helps. for more information consult a general medicine physician online --> <link> | i have chest congestion acid reflux and heartburn. is it gerd or a heart attack? |
Answer the following question | the two most common causes of perineal or genital numbness is compression of the nerves in your spine (called as cauda equina) or compression of the nerves in the perineum itself. only sensory loss is uncommon but still possible in cauda equina syndrome (ces) since it is more commonly associated with other symptoms. compression of nerve in the perineum typically occurs in cyclists. i will suggest you to go to the closest er (emergency room) urgently. you need to be evaluated to reach the correct diagnosis. they may also order an mri for you to identify the exact site of nerve compression since the treatment varies as per the site of compression. delay in treatment may make the symptoms irreversible. for further information consult a neurologist online --> <link> | what can cause genital numbness? |
Answer the following question | please tell me about her age of menarche her menstrual cycle and the number of days she bleeds. is she on any medication? is this the first episode of heavy bleeding? my advice to your wife is to go in for a pelvic ultrasonography (ugs). she can continue using evecare. along with that ask her to take the following medicine. to relieve the pain she can start taking rajah pravartini vati or rajocaps - two capsules twice a day. take the capsule 10 days prior to expected menstruation date with warm water. ask her to take 1 tablespoon of phala kalyanaka ghrita with milk twice daily. revert back with the answers for the above questions to an ayurveda specialist online --> <link> | kindly help us with an ayurveda remedy for severe menstrual pain. |
Answer the following question | if you had an ectopic pregnancy then it would show on the sonogram. pregnancy test could be positive due to leftover tissue. as it was removed it should be examined by histopathology test. sometimes hcg (human chorionic gonadotropin) producing trophoblastic tissue (it is similar to a healthy pregnancy tissue) persists inside uterus giving positive pregnancy tests. if your test comes positive then you should do titer of serum beta-hcg every third day to see if it is rising or falling. for further information consult an obstetrician and gynaecologist online --> <link> | my pregnancy test remains positive after abortion. why? |
Answer the following question | you are missing the most important thing that is the pregnancy test is an error which means it is not positive. of course if iud (intrauterine device) is displaced from the normal position there is a chance of pregnancy and also of tubal ectopic pregnancy. but it is not that all cases have a tubal pregnancy. only after around 14 to 20 days of missed periods you can see the baby's heartbeat on the scan. there is no matter how good the scan is. the thing which you saw could be your heartbeat and it can be mistaken. the red and blue color is doppler scan which just shows the flow of blood to and fro. the most confirmatory test would be serum beta hcg (human chorionic gonadotropin) and this can diagnose a pregnancy no matter how small it is. only when the value goes above 1500 iu/ml the baby's sac can be seen on the scan not before. so you can decide when to scan. the discharge can be the fluid from uterus cavity or cervical canal when the iud came out. fallopian tube swelling on the scan is not very conclusive. for further information consult an obstetrician and obstetrician online --> <link> | my iud got displaced and i am late for my periods. does it mean ectopic pregnancy? |
Answer the following question | from going through the information you have provided it is clear that currently you are on treatment for suspected gerd - gastroesophageal reflux disease (acid reflux disease). you have been having intermittent problems over five years. acid reflux can cause breathlessness and waking up from sleep at night. some might feel and describe heartburns but others may not actually feel the burning sensation. the symptoms can be worsened by stress anxiety and panic attacks. my recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. following the above test you may require a 24 hour ph monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. i agree with you that i would not continue on perinorm cd (metoclopramide). i tend to give it only for nausea or vomiting. nexpro (esomeprazole) 40 mg is best taken once daily in empty stomach in the morning. if despite this symptoms persist it can be taken twice daily before food that is before breakfast and the other before dinner at night. you can take topcid (famotidine) 40 mg at bedtime to prevent symptoms at night. some people with gerd may find that eliminating certain food helps to improve their symptoms. for example avoiding spicy foods raw onion garlic black pepper citrus products and juices of orange grapefruit or cranberry tomato products chocolate or brownies caffeine sodas coffee tea etc. peppermint fatty or greasy foods. eat smaller and frequent meals. try to eat more slowly try to spend at least 30 minutes per meal and avoid eating on the run. avoid large high fat meals. avoid late evening snacks or eating before bed. avoid lying flat after eating; try sitting up for at least two hours after finishing a meal and sleep on your left side. try light walking for 15 to 30 minutes following a meal. try chewing non-mint type chewing gum for 30 minutes following a meal. raise the head of the bed 6 to 8 inches to prevent reflux when sleeping. extra pillows may only elevate your head. try putting pillows under the mattress near the head of the bed or use a special wedge. avoid tight fitting clothes around the abdomen. i wish you a speedy recovery. investigations to be done:1. gastroscopy. 2. 24 hour esophageal ph monitoring and esophageal manometry. probable diagnosis:1. gerd. 2. functional dyspepsia. regarding follow up:for further information consult a medical gastroenterologist online. ---> <link> | am i under correct medication for my symptoms? is it gerd? |
Answer the following question | gerd (gastroesophageal reflux disease) does cause this something stuck in throat feeling but more importantly you have stress. stress does cause gerd and such change in voice which you have. the inability to speak as before is due to stress and this in turn is increasing your stress. it is a kind of chain reaction. first of all relax. you are fine. take a deep breath. get away from all your worries. work out the issues and get rid of them. for further doubts consult an ent otolaryngologist online --> <link> | i feel like something stuck in throat. how to get rid of this? |
Answer the following question | your primary diagnosis is esophageal candidiasis and antral gastritis. these are medical conditions and managed with medical treatment only. although treatment for esophageal candidiasis lasts little long duration. the esophageal manometry test is not required for these conditions and neither for gerd. the esophageal manometry test is to confirm esophageal motility disorder in which esophageal dilatation is common. also these disorders have a common presentation like you difficulty in swallowing. in contrast to the above mentioned conditions achalasia is a surgical condition and requires surgery. yes you require manometry test in suspicion of dilated esophagus. but do this test after completion of treatment for esophageal candidiasis for at least after 15 to 20 days. investigations to be done:upper gi endoscopy and esophageal manometry. probable diagnosis:1. achalasia cardia. 2. esophageal dysmotility syndrome. regarding follow up:for further information consult a medical gastroenterologist online. ---> <link> | am i suffering from achalasia or gerd? |
Answer the following question | thalamus is the part of the brain through which all sensory information is relayed. after a stroke involving the thalamus many times the patient develops thalamic pain syndrome which is very poorly responsive to medications. but as you told that it was relieved to some extent by gabapentin and the patient has already tried pregabalin and carbamazepine with no improvement. so in such case trial of a new medicine can be given in a hope to get some betterment. for the spasticity the patient is already on lioresal. if that is not showing any improvement then injection botox (botulinium toxin) in the stiff muscles of the left hand can be tried. but it is a costly injection and is needed to be repeated every 4 to 6 months. i suggest trying tablet duloxetine 30 mg twice daily. it is effective for pain and also for depression. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. for more information consult a neurologist online --> <link> | my friend is suffering from neuropathic pain after a thalamic stroke. please help. |
Answer the following question | you should try a combination of lansoprazole and domperidone for one month. avoid fasting and having spicy food. take small and frequent meals. investigations to be done:1. cbc (complete blood count). 2. lft (liver function tests). 3. upper gastrointestinal endoscopy. differential diagnosis:dyspepsia (indigestion). probable diagnosis:gerd (gastroesophageal reflux disease). regarding follow up:revert back after 15 days to a medical gastroenterologist online. ---> <link> | should i take prevacid in the night for gerd? |
Answer the following question | gerd (gastroesophageal reflux disease) can be treated effectively with medications like omeprazole pantoprazole and with combination of prokinetic drugs like domperidone. in addition to drugs the modification of life style is important such as: eating small quantity of food at frequent intervals. sitting upright after eating. avoiding spicy fried and sour foods. quit smoking and alcohol habit if it is present. avoid caffeinated drinks such as tea and coffee. and also go for investigations such as upper gi endoscopy with the doctor's advise and if any underlying surgical conditions they should be corrected accordingly. so i advise you to consult a gastroenterologist for examination and investigations. hope i have answered your query. revert back to a surgical gastroenterologist online --> <link> | is gerd(gastroesophageal reflux disease) curable permanently through medicines? |
Answer the following question | i understand your concern. actually there is no treatment or medicine to prevent ectopic pregnancy. only thing to look for is to avoid using copper-t for contraception as this may increase the chance of ectopic pregnancy in case you conceive. take care to get an early ultrasound as soon as you discover pregnancy next time. also there is high chance of around 10%-15% to get your next pregnancy too as ectopic. no process or medicine is available presently to prevent this condition. for further information consult an obstetrician and gynaecologist online --> <link> | how to avoid recurrence of ectopic pregnancy? |
Answer the following question | here are some tips to prevent stroke. regular exercises like brisk walking and jogging according to your capacity for at least 30 minutes a day and five to seven days a week in nearly all peoples. regular exercises help in reducing weight decrease lipid level and blood pressure and also assist in controlling blood sugars. healthy diet like avoiding fat oil and a high-calorie diet. individuals should consume five or more servings of fruits and vegetables daily. individuals should replace refined grains like white bread rice with whole grains whole bread and brown rice. should avoid red meat and instead have sea foods eggs beans nuts and seeds as a source of protein. it is very important to prevent and treat hypertension. because high bp is an important cause of hemorrhagic stroke. blood pressure should be regularly monitored and medicine should not default. the recommended dietary sodium intake for the general population is less than 2. 3 g of sodium or 6 g of sodium chloride. low sodium intake is associated with decreased risk of hypertension and stroke. avoid smoking and excessive alcohol. smoking puts one at a high risk of stroke and heart diseases. one should not get abdominal fat deposition or obesity. yoga should be included in daily routine and has multiple health benefits. prevent diabetes with a healthy lifestyle early diagnosis and regular treatment. the american diabetes association (ada) recommends testing at three-year intervals for diabetes in all adults with bmi more than or equal to 25 kg/m2 and one or more additional risk factors for diabetes family history sedentary lifestyle smoking etc. and in individuals without risk factors testing begin at age 45 years. the individual with risk for stroke like family history and obesity should be screened for lipid abnormalities and started on lifestyle modification and drugs. aspirin especially in those with moderate to high risk of stroke which will be assessed by the doctor and prior history of stroke. patients with irregular heartbeats should be evaluated with ecg and other investigation urgently and started on blood thinners to prevent clot formation and stroke. so if someone has it then they should get themselves evaluated. polypills consisting of combinations of drugs like aspirin statins and blood pressure medication as advised by the doctor should be consumed on a regular basis. for further information consult a cardiologist online --> <link> | how to prevent stroke? |
Answer the following question | if tuberculosis have not done irreversible damage to the tube and endometrium (inner lining of the uterus) then pregnancy can happen either naturally or with treatment. a simplest way to check these two things is one mid-cycle ultrasound (around day 13 or 14 of menses) to see the uterine lining (anything more than 8 mm to 9 mm should be reassuring) and one tubal patency test like hsg (hysterosalpingogram). in case of damaged or blocked tubes ivf would be a better option (in vitro fertilization) as it will also reduce the chance of ectopic pregnancy. for further information consult an infertility specialist online --> <link> | how to avoid ectopic pregnancy? |
Answer the following question | the neurological deficit in a patient who suffered from hemorrhagic stroke depends on the areas of the brain affected and the pressure from the edema. the tube in the brain (external ventricular drain or ventriculoperitoneal shunt) are management for that edema pressure. with time that blood starts to reabsorb. some part of the brain might get permanently damaged and the remaining part may begin to take up the functions of damaged part (plasticity of the brain). but this process is very slow and may take few months too. until that time the supportive care has to be continued like medical management physiotherapy nursing care bladder bowel and back care. i would like to see the ct or mri images eeg along with hospital case summary for better judgment. revert with more information to a neurologist online --> <link> | my mother suffered a hemorrhagic stroke and she is in a coma. can she recover? |
Answer the following question | you have mentioned numbness in your hand finger tips and the area mentioned appears to be that of median nerve region. now if this pain and numbness are severe and persistent then the advice to you is to get nerve conduction study done and look for severity of compression. if compression is severe then the initial trial of the brace can be given. but if there is no improvement then a small surgery in the form of carpal tunnel decompression should be done. also medication for neuropathic symptoms like pregabalin or gabapentin should be initiated along with vitamin b12 supplementation as it acts as a neuro regenerator. also can you also tell me whether you have any neck pain with pain radiating in upper limbs or any other vascular issue as clinical presentation can also be same in the condition? revert with the details to an orthopaedician and traumatologist online --> <link> | why is there numbness along my fingertips? |
Answer the following question | there are chances of cardioembolic stroke (some clot or infected vegetation) particle that your ophthalmologist is suspecting. cardiologist will do echocardio and see if any source of that in your heart. for prevention of stroke you take one high dose of aspirin 325 mg and atorvastatin 80 mg and then aspirin 150 mg with atorvastatin 40 mg every day. if it is not infected vegetation (as in infective endocarditis) then you can prevent stroke and any other infarction. for further information consult a cardiologist online --> <link> | am i a possible candidate for stroke? |
Answer the following question | firstly as you had bleeding after eight days post unwanted 72 intake it ensures that you are not pregnant. your fresh menstrual date would now be the date of the bleeding started after the ecp (emergency contraceptive pill). there is a likelihood that next menses may be delayed by a week to 10 days which is a known side effect of unwanted 72. neatly it is not an ectopic pregnancy. but the chance of endometriosis rises if intercourse is undertaken during menstrual bleed which can later lead to ectopic if endometriosis gets severe. if still you wish to conclusively rule out pregnancy then you may get a serum beta hcg (human chorionic gonadotropin) test done. if the hcg levels are less than 3 miu/ml then you are surely not pregnant. for further information consult an obstetrician and gynaecologist online --> <link> | will i get an ectopic pregnancy if i had sex on the date of period? |
Answer the following question | this is a localized numbness that we are bothered with. disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. have you tried nerve tonics? i suggest back strengthening exercises and pregabalin 75 mg once a day for two weeks. vitamin b12 levels and hba1c should be helpful. consult a specialist doctor discuss with him or her and take the medicine with consent. lack of erections may suggest a more systemic disease but we need to have more a detailed talk before we can attribute symptoms. for further information consult a urologist online --> <link> | i feel numbness in penis. is it due to nerve impingement? |
Answer the following question | the heavy bleeding may be due to the fibroid and menopausal symptoms. hence we need to treat fibroid and hormonal imbalance. for your condition i suggest you try taking the following medicines. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. tablet aloes compound two tablets thrice a day. capsule rasagandhi mezhugu one tablet twice a day. tablet chitramoola kuligai one tablet twice a day. you need to continue these drugs for three months. within one week the bleeding will stop. then gradually the uterine fibroid will be reduced in size. after few more months your uterus will become normal. if you can collect or buy the bark of jambul tree crush 50 gm of the bark with 300 ml of water. boil in mild flame and reduce it to 50 ml. then drink it. this should be consumed in the morning and evening on an empty stomach. this has the potential to stop the excess bleeding. use banana flower in cooking. it is also good to control uterine bleeding. another option is using hormones given by a gynecologist but that should be your last option. this drug gives only symptomatic relief it does not reduce the fibroid uterus size. for more information consult an ayurveda specialist online --> <link> | can uterine fibroid be cured without surgery? |
Answer the following question | at the age of 24 year it is unlikely that you have ulcer in the stomach. it could be gerd (gastroesophageal reflux disease) that is causing all these symptoms but after long time it may cause ulcer. if you are not responding to ppis (proton-pump inhibitors) then it could be h. pylori infection that is causing the problem. the investigations you have mentioned are not having much abnormalities except mild anaemia. the management of gerd symptoms include medicines as well as dietary modifications and exercise with position maneuvers. usually we do not do investigations but if it is not responding to medicines then it is needed. advice:tablet omeprazole 20mg twice a day half an hour before food intake. syrup gelusil 5ml along with food (you can take every time) continue it till you have pain and heartburn. tablet amoxicillin 1000mg twice a day for 15 days. tablet clarithromycin 500mg twice a day for 15 days. avoid oily and spicy meal coffee and tea. do exercise daily (walking or jogging). take small and frequent meals. avoid liqiuds prefer solid and semisolid food especially before sleep. sleep in left lateral position with elevation of head end. you have anaemia so please take iron and folic acid (100mg iron combination) once daily. these disorders have great relation to behaviour and mood changes so please alleviate any tension. get thyroid function test (tft) and fasting glucose level done. do not quit your job instead work with more energy and enthusiasm. i have provided the treatment plan with medicines and other measures for 15 days. revert back to a medical gastroenterologist online --> <link> | i have gerd. please help. |
Answer the following question | the bleeding could be due to withdrawal effect caused by i-pill. but it should not be heavy and continuous. if there is heavy bleeding and if it continues for more than 2-3 days/more than your normal menstrual bleeding please visit a gynaecologist for examination to rule out some other cause. if bleeding decreases you can safely wait for two more days and it should subside by then. consult an obstetrician and gynaecologist online for further follow up --> <link> | should i take some medicine to stop heavy bleeding after an i-pill? |
Answer the following question | you have mentioned numbness in the inner part of the left foot as your main symptom. most commonly numbness is a manifestation of a nerve involvement it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it may be a manifestation of a systemic disease like diabetes or any condition that leads to what we call as neuropathy. now your trigger has been the yoga courses which you do on a regular basis every year but you have done may be for a prolonged period this year. being an orthopaedic surgeon i may not be able to guide you anything regarding yoga and its usefulness but it is logical to stop all these postures till your condition settles and improves. my guess is that there has been some prolonged compression during your classes or there could be an entrapment somewhere along the course of your nerve. i need to know from you: whether you have any back pain? is there any radiating pain from the spine region all along the course of your limb? apart from numbness are there any other symptoms of neurological involvement like weakness paresthesias burning sensations etc. also present? if the answers to above questions are no my suggestion to you will be to wait for a few days and start with medications for neuropathic symptoms like pregabalin or gabapentin along with vitamin b 12 supplementation and it is a good possibility that your symptoms may subside over next 4-6 weeks because there might be nerve neuropraxia (mid nerve injury). in case your symptoms do not improve or if they increase then i suggest you to get few blood tests done and nerve conduction studies to look for any compressive pathology. get back to an orthopaedician and traumatologist online for further queries --> <link> | i have numbness in my left foot. what could have caused this? |
Answer the following question | i think you should first get investigated for the cause of heavy bleeding. get your routine blood tests like cbc (complete blood count) blood sugar thyroid profile coagulation profile and liver function tests along with a scan of abdominal organs and pelvis. if you have problem with estrogen and progesterone combination which is present in tablet ortho-cyclen then you can start with progesterone tablets containing norethisterone from day 5 to 25 continuously for control of bleeding. another best way for this treatment as well as birth control is the use of mirena (levonorgestrel intrauterine contraceptive device). you can discuss this with your doctor. for further information consult an obstetrician and gynaecologist online --> <link> | which is a better birth control pill than ortho-cyclen? |
Answer the following question | the intermenstrual bleeding that you are experiencing this cycle is likely to be due to progesterone deficiency during the luteal phase which can be due to stress induced hormonal imbalance and leading to breakthrough bleeding. it is imperative for you to get a serum progesterone level done by day 21 of your cycle where the progesterone levels less than 21 ng/dl shall indicate progesterone deficiency. you shall require cyclical progesterone therapy for controlling such bleeds. for further information consult an obstetrician and gynaecologist online --> <link> | having on and off heavy bleeding other than normal menstruation. why? |
Answer the following question | sysron ncr (norethisterone) is basically a hormone which is used to control heavy bleeding during periods. i am afraid that sysron ncr does not have any contraceptive action in it. you must take precautions to not get pregnant during its use. your partner can use barrier methods like condoms. you can also try oral contraceptive pills which will also bring down the flow during your period. it will act in two ways. contraception regularizing your cycle and bringing down flow. you must take doctor's advise before starting any new drug. for further information consult an obstetrician and gynaecologist online --> <link> | will taking sysron ncr prevent pregnancy? |
Answer the following question | the fact that the menses have started after 10 days of i-pill intake ensures that there is no pregnancy. the pain and heavy bleeding are secondary to the progesterone effect of the high dose progesterone pill like i-pill. it is suggested that you should take tablet trapic-mf (tranexamic acid) twice a day for next three days. this should take care of pain and bleeding. consult your doctor discuss with him or her and take the medicine with consent. you may increase your water intake and use hot fomentation locally to reduce pain as well. for further information consult an obstetrician and gynaecologist online --> <link> | what should i do for heavy bleeding following i-pill? |
Answer the following question | considering your symptoms i will also go with the diagnosis of ibs. but my line of treatment will be based on ayurveda diagnosis. in your case it is vata koshta - your digestive system afflicted by vata (increase in the gas in the intestines). treatment for ibs will be a three pronged approach. follow all three religiously for best results. the probable causes:1. outside food causing infection in intestines. 2. anxiety and nervousness. treatment plan:medication: i can see that you have started some medications already. better you go for the following medicines. 1. bilwadi lehyam - a semisolid preparation. take 5 g of this 10 minutes before food twice daily. 2. lavana-bhaskar churnam - a powder. take 2 teaspoon and mix it with a glass of warm water or preferably with a glass of buttermilk and have it 10 minutes after dinner. this powder will be salty to taste. 3. jeerakadyarishtam - a liquid preparation. 3 teaspoon of this liquid diluted with 10 teaspoon of water and take after food twice daily. you can take this after breakfast and lunch. 4. dhanwantaram gulika - a tablet. this medicine need not be taken regularly. you complained of nervousness causing stomach upset. in case you develop such a feeling then pop two tablets. this will manage the problem. before food or after food does not matter. take these medications for 45 days and revert back. then i will add medication for weight gain. exercise: 30 minutes of regular exercise is mandatory. you can pick whichever you like such as walking yoga playing cycling and gym. apart from this do 10 rounds of deep breathing exercises twice daily. diet: 1. have curry leaves fresh fruits especially citrus fruits and pomegranates are very good for you. 2. have nutritious food and fibrous veggies like beans carrots and all gourds are recommended. 3. soak about 8 to 10 dry grapes or raisins overnight in water and have it the next day. 4. try having at least 1 bowl each of fruits and vegetables daily. preventive measures:1. avoid overtly spicy food deep fried food and stale food. 2. stay calm. this condition is easily curable. regarding follow up:revert back after 45 days to an ayurveda specialist online. ---> <link> | i have lower abdomen pain and alarming weight loss. will it be due to ibs? |
Answer the following question | well weight loss is a very gradual process and the treatment includes management of diet a regular exercise regime and in the end medicine. many of the patients achieve desired results with strict diet and lifestyle modifications. homoeopathic treatment for weight loss or for any disease depends upon what kind of personality and constitution the patient has. calcarea carb is although a very good medicine for weight loss but does not work in every case. so instead of this you may start up with phytolacca berry tablets of reckeweg which is specifically known for weight loss. you can consult me for weight loss diet plan also. for your back pain i feel it might be due to extra weight and weakness of back muscles. both these factors contributing to back pain will be taken care once you start with regular exercise. no medicine can help you no matter how much you take if your back pain is because of these two reasons. if problem still persist then you can consult me. but my sincere suggestion try the above things and then switch to medicines. the probable causes:lack of exercise and diet imbalance. differential diagnosis:metabolic disorders. probable diagnosis:obesity. treatment plan:start with diet modifications and regular exercise. preventive measures:avoid junk food. regarding follow up:follow up after 15 days to a homeopathic physician online. ---> <link> | shall i take calcarea carbonica to achieve weight loss? |
Answer the following question | vitamin d3 levels should be between 20 to 50 ng/ml. a level of 34 ng/ml vitamin d is normal and is ruling out vitamin d deficiency. if the weight loss is of short duration it may be due to thyroiditis or some acute infection. if the weight loss is of longer duration it may be due to no appetite malabsorption or some chronic disease like tuberculosis and diabetes. i advise you to consult your physician. you may need to have blood and urine tests for confirmation along with thyroid profile blood sugar and chest x-ray. regarding memory loss there can be a variety of causes for memory problems like dementia other amnestic syndromes depression anxiety and brain lesions. it is important that you have a proper assessment to determine the cause. vitamin b12 and omega-3 fatty acid supplements may be helpful. try to avoid stress. for further information consult an internal medicine physician online --> <link> | please help with my issues of weight loss memory loss and body pain. |
Answer the following question | nephrolithiasis means kidney stones and soft tissue calcification means any part of renal parenchyma gets high deposits of calcium and show up in x-ray. i want to know the reason for x-ray done. is she having pain in the flank or burning sensation in urine or fever or vomiting or any other urinary complaints? if yes then we should straight away do an ultrasound to confirm these findings. for further information consult a nephrologist online --> <link> | what is the difference between nephrolithiasis and soft tissue calcification? |
Answer the following question | atorvastatin itself does not cause any weight loss. it is an anti lipid drug which lowers your lipids in blood that means it will decrease chances of heart blockage. and you will not loose any weight because of atorvastatin itself. there can be minor side effects with atorvastatin such as constipation fatigue etc. consult a cardiologist online for further queries regarding atorvastatin --> <link> | does atorvastatin cause weight loss? |
Answer the following question | renal calculus can be removed easily by ayurvedic medicines. as you mentioned 3 mm sized two stones is present in your left kidney the size of the stone is small and easy to remove. i suggest you try taking the following. gokshuradi guggulu one tablet twice daily. patharina one tablet twice daily. neeri syrup 15 ml twice daily. trinapanchamula kwatha 15 ml twice daily. the probable causes of renal stones are drinking less than sufficient amount of water having a sedentary lifestyle eating fried and spicy junk foods. try the following preventive measures. drink plenty of water. do yoga and meditation along with light exercises. avoid tomato apple cabbage spinach cucumber etc. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. follow-up after 15 days. revert after 15 days to an ayurveda specialist online --> <link> | is there any ayurvedic treatment for kidney stones? |
Answer the following question | high fever and chill are indicative of infection indeed and as we have a cause rightly evident there are chances that you may be developing hydronephrosis (accumulation of urine in swollen kidney) in the right kidney and a secondary infection following stasis of urine (stoppage or reduced flow of urine) in the kidney leading to nephritis. though urine culture generally picks up infection in the bladder nephritis is more of a clinical diagnosis with pain and tenderness in the renal angle and high grade fever accompanying it. ideally you should be started on prophylactic antibiotics to control the infection sooner before septic features or septicemia may occur. i think you should take a second opinion from another urologist too. for further information consult a urologist online --> <link> | can high fever and chill occur due to kidney stone? |
Answer the following question | you might have developed knee osteoarthritis which is a wear and tear of the joints because of excessive weight on the weight bearing joints. this mostly occurs with advancing age but these days it is not uncommon to find it in young obese individuals. i would advise you to get hemogram x-ray knee joint serum calcium vitamin d levels esr (erythrocyte sedimentation rate) and crp (c-reactive protein). for osteoarthritis i would suggest you do the following. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. practice knee and quadriceps strengthening exercises. give hot fomentation to the knee. you can try applying diclofenac ointment locally. if the pain is severe then try taking diclofenac tablet. if you are overweight you should lose weight. start exercising but avoid using the treadmill. cycling and swimming are wonderful options for you. for vitamin b12 deficiency you can try taking capsule nurokind gold (multivitamin) once daily for three months. and for gerd (gastroesophageal reflux disease) a combination of pantoprazole and domperidone helps greatly. i hope it helps you. if you have any further query please ask me. for more information consult a medical gastroenterologist online --> <link> | i am suffering from knee pain loss of appetite and vitamin b12 deficiency. please help me. |
Answer the following question | if pregnancy is the concern then the best way to find out is to get a blood serum beta hcg test done. this is a confirmatory test for pregnancy as the urine pregnancy kits may show false positive results. if the levels of hcg are more than 1 or raised then pregnancy is confirmed. if the level is less than 1 then pregnancy is completely ruled out. if the test is positive then you should undergo an ultrasound pelvis to locate the pregnancy for its site which could be intrauterine or possibly in the tubes (ectopic). if the usg shows extrauterine pregnancy then you would require a laparoscopic salpingectomy to remove the damaged tube along with the ectopic. if the pregnancy is intrauterine then you may decide upon continuing the pregnancy. if the test is negative then the possible cause remains uti (urinary tract infection) or a possible pid (pelvic inflammatory disease) or endometriosis. also stress per se can cause derangement of hormonal balance and can cause heavy bleeding inspite of being on continuous progesterone pills. this can be controlled with antifibrinolytics in the absence of pregnancy. for further follow up consult an obstetrician and gynaecologist online --> <link> | i have heavy bleeding and spotting at times. is there a possibility that i might have ectopic pregnancy? |
Answer the following question | it can be a hormonal headache. but hormonal headache comes every time you have hormonal changes in your body. this episode of headache is first time for you i suppose. to make a diagnosis of hormonal headache we need to wait and see if it happens every time before your period. i would suggest you tablet topiramate 50 mg twice a day and tablet flunarin 10 mg (flunarizine) at bedtime. consult your doctor discuss with him or her and take the medicine with consent. if your headache persists for long especially when you stop the above medicines then please get an mri brain done to rule out the other possible causes of headache. for further information consult a neurologist online --> <link> | i am having headache and my period is late. could it be a hormonal headache? |
Answer the following question | myopia is the most common refractive error at your age. at 17 years progression of refractive error or your glass numbers is expected. so do not worry. as your height grows so does the length of eye ball in some cases. please get your glasses remade with comfortable design and redo an eye test with your local ophthalmologist. sometimes a change in the number will cause you a headache. please continue reading. take precautions to read under good illumination to avoid headache. for further information consult an eye care ophthalmologist online --> <link> | how to prevent headache in myopia? |
Answer the following question | since you have got stone problem so early and since you are a recurrent kidney stone former you need thorough evaluation to prevent further stone episodes. you should collect the stone you pass in urine and do ftir (fourier transform infrared) spectroscopy analysis to know the composition. you also need a 24 hours urinary metabolic evaluation to know the exact problem leading to stone formation. the stone size as per ultrasound may not be accurate so please get a ct kub (computed tomography of kidneys ureters and bladder) to know the exact number and size of the stone. pain is due to blockage of the ureter when the stone comes down from the kidney. eswl (extracorporeal shockwave lithotripsy) is definitely a good option for stones up to 15 mm size. i hope you become stone free soon. for further information consult an urologist online --> <link> | how do we detect kidney stones? |
Answer the following question | if even after three weeks of root canal treatment and the pain is not relieved then you should show to the dentist as there may be some infection is remaining. your dentist should take an x-ray again to check for infection and either repeat the procedure or give you medicine and reduce the height of the tooth. if the root canal treatment fails then he will advice to extract that tooth. take care. for further doubts consult a dentist online --> <link> | my tooth pain continues even after three weeks of rct. kindly help. |
Answer the following question | we are here to help you. your symptoms are suggestive of a migraine only. the new symptom that you have noticed also is in favor of a migraine headache. in such case i would recommend you not to worry as all your investigations are within normal limits. migraine headaches are precipitated by light sounds sleep deprivation illness and medicines. once we are sure that the person has a migraine we start our patient on migraine prophylaxis. if you are on migraine prophylaxis slowly your severity and frequency of attacks would reduce and time will come when you will have almost no attacks. drugs are decided based on the frequency and the severity of the headache. sleep disturbances are also kept in consideration. for migraine prophylaxis the most commonly used drugs like flunarizine propranolol and amitriptyline. in the case of acute pain triptans like sumatriptan and rizatriptan are used. in the case of acute pain not responding to triptans we use painkiller nsaids (nonsteroidal anti-inflammatory drugs) like diclofenac. you also need to modify your lifestyle. you should sleep at least 8 hours at night that too daily in a fixed time slot. avoid sleeping in the day time. if you sleep in the day you will have difficulty in falling asleep on time in the night and the whole cycle of peaceful sleep would get disturbed. avoid alcohol beer caffeine lemon and cheese in the diet. you need to follow these lifestyle modifications for the purpose of getting rid of medications after a few months course. people who modify their lifestyles usually get rid of medications after six months course. for further information consult a neurologist online --> <link> | i am experiencing headaches due to light sensitivity. why? |
Answer the following question | routinely the root canal treatment has three steps in total. pulp extirpation. root canal preparation. root canal filling. since you have mentioned that pulp removal was done under emergency there are more chances of remnants of pulp along with bugs to be left behind in the roots inside. in your first visit most of the pulp and pus should have been removed and that is why you got no pain until now. the maximum time usually allowed to start up root canal preparation is four weeks but it does not mean that you will lose the tooth waiting long. however it is best when the treatment is finished in short time frame unless it is medicated in the case of severe infections. there are high chances of root canal treatment attempted tooth when left untreated to get broken down because of no strength and no proper protection such as a cap. hence i advise you to get your next appointment as soon as possible and go ahead with the treatment plan. for further information consult a dentist online --> <link> | how long can i wait for my second step of root canal treatment? |
Answer the following question | no this is not a calcium deficiency. probably it is prepatellar bursitis. the symptoms of calcium deficiency will not be confined to one knee and it is unusual in young persons. for further information consult an orthopaedician and traumatologist online --> <link> | i suspect my knee pain as calcium deficiency. please advise. |
Answer the following question | your concern is right. the drug serax-d a combination of serratiopeptidase and diclofenac potassium should not be advised in case of pregnancy or with lactation. although it does cause problems like diarrhea bleeding and rash data is lacking regarding safety in such kids. this may be the personal experience of your gynecologist as they may not have seen any bad effects and so they are using it. but according to literature we should not use it. there is no clear indication of this medicine in your case. use of antibiotics and analgesics can heal the wound. so my conclusive advice is to stop serratiopeptidase and continue the rest of the medicine. please discuss my opinion with the treating doctor and stop the medicine with consent. a little advice for the baby's weight; breastfeed her until six months of age. do not use formula feed. after six months start a cereal-based diet to ensure adequate weight gain. for further information consult an obstetrician and gynaecologist online --> <link> | can my wife use serrax-d while breastfeeding? |
Answer the following question | this seems to be a viral infection and will most probably be self-limiting in 5 to 10 days. she needs to do gargles with lukewarm saline water (water with salt in it). i advise her to brush the teeth as usual twice a day especially before going to bed. ask her to take plenty of fluids and proper rest for better results. for fever i suggest acetaminophen every 4 hourly until there is no more fever. she can consult her doctor discuss with him or her and take the medicine with consent. for further doubts consult an internal medicine physician online --> <link> | kindly give your advise for my breastfeeding wife's cold and fever. |
Answer the following question | yes if you want to use it as an emergency contraceptive then it is safe during breastfeeding. you can take but the best contraceptive during breastfeeding is copper-t insertion (intrauterine contraceptive device). for further information consult an obstetrician and gynaecologist online --> <link> | is i-pill safe while breastfeeding? |
Answer the following question | you need to get root canal treatment for the upper and lower central teeth then placement of a fixed partial denture (fpd ceramic crowns) on them to close the space. this will give a permanent solution to your problem. it will give you a much better esthetic solution. kindly show it to your dentist and ask for fixed partial denture. it will take about two weeks to finish the treatment. for further information consult a periodontist online --> <link> | would braces close wide gap between front teeth? |
Answer the following question | your doctor is right. carbamazepine can get secreted in breast milk and it is the safest antiepileptic during lactation. 1 month old baby sleeps a lot. they can sleep for about 18 to 20 hours a day. they will wake up only for feeds. as long as the baby is gaining weight it is fine. also note that keeping your baby on breast milk has many advantages over formula. breast milk has enzymes which help in better digestion. breast milk also contains various antibodies produced in your body which provides immunity to the newborn. it is recommended that you breastfeed your baby for at least up to 6 months of age. for further information consult a lactation counselor online --> <link> | is it safe to take carbamazepine while breastfeeding? |
Answer the following question | we are here to help you. i understand such radicular pain is very troublesome. for pain i advise the following. kindly consult your specialist doctor discuss with him or her and take treatment with consent. a combination of pregabalin and methylcobalamin. to do hot fomentation of the affected area and apply diclofenac ointment locally. to get physiotherapy done particularly ultrasonic heat massage. ssri (selective serotonin reuptake inhibitors) like duloxetine helps in long term. tramadol can be taken for pain relief. but if the nerve compression is very severe causing motor weakness and tingling on any side of the body then surgical intervention would be required. for further information consult an internal medicine physician online --> <link> | what treatment should i get for nerve root compression? |
Answer the following question | you have not mentioned the specific site where you get the pain. is it in and around the nipple or is it deep inside? if the pain is in and around the nipple then it is most likely due to faulty technique while feeding. these are the instructions for proper breastfeeding technique: make sure that you insert not only the nipple but the whole areola (the dark colored area around the nipple) into baby's mouth. by this way the nipple lies touching the baby's hard palate while sucking. also do not forget to rest the baby's head in the corner of your elbow. while feeding your baby's tummy should touch your tummy. now considering that you are not doing any faulty technique or posture and still getting the pain deep inside: it could be due to opening of milk ducts each time the baby sucks. also check out if there is any congestion i. e milk clogging in your breast. also see for any crack in your nipple which is very common in the initial days of lactation. examine your breast with the palm of your hand and if you could notice any lump in your breast it could be milk trapped inside. in any of the above reasons you have to visit a gynaecologist as soon as possible. consult a lactation counselor online for further follow up --> <link> | i am having severe pain in breast while breastfeeding. please advice. |
Answer the following question | from your description it looks like you are suffering from dizziness. this could be due to two reasons. one is your blood pressure and the other is your body's balance mechanism. so i would recommend that you get your blood pressure checked and also a physician in person will be able to check if it is a balance problem by performing a physical exam. you should meanwhile take rest and drink lots of water. also it would be ideal if you mentioned your age since many problems are age-related and a more accurate diagnosis can be then made. as far as medicines help you will need a cinnarizine tablet to control this temporarily. consult your doctor discuss with him or her and take the medicine with consent. for further information consult an internal medicine physician online --> <link> | what should i do for my dizzy feeling? |
Answer the following question | if you are feeling too dizzy then please visit the nearest emergency hospital as soon as possible. for back ache if it is acute that is started or increased in the last 24 hours then you can apply ice pack or otherwise apply hot fomentation. your back soreness needs to be assessed. please visit a physiotherapist or a physician for a physical evaluation. for further information consult a chiropractor online --><link> | what to do for back soreness? |
Answer the following question | first of all temperature above 100 degrees fahrenheit is regarded as fever and not below that. baby is supposed to be breastfed at all times. however if the mother is suffering from a disease it is advised for her to wear a mask and feed. because that is the route by which infection from the mother can be passed on to the baby and not through milk. paracetamol taken by the mother in the prescribed doses will not harm the baby. for further information consult a paediatrician online --> <link> | my wife is a breastfeeding mother. can she take paracetamol for fever? |
Answer the following question | the only safe drug that you can take while breastfeeding is tablet paracetamol 500 mg thrice daily for three days after food. you can do hot water vaporization for nasal congestion. you should avoid taking any other medications till you are breastfeeding. yes you can take flight. but if you get chest pain again then i advise you to get an ecg done. you seem to have a viral infection which can be contagious. but you can use a handkerchief every time. you should also have plenty of water in a day. all the above should be sufficient. probable diagnosis:upper respiratory tract infection. regarding follow up:revert after five days to a general practitioner online. ---> <link> | while breastfeeding which medicine can i take for cold? |
Answer the following question | how much coversyl (perindopril) and starpress (metoprolol) you are taking? have you confirmed the readings twice? if your bp is low then you certainly need to reduce the dosage of either coversyl or starpress. let me know the dosage so that we can modify it. also monitor your blood pressure thrice a day for one week and once or twice. if such low bp occurs then you can have salt and sugar water to raise it. i guess you did not have any chest pain or heaviness. in short there is no need to worry. we will just reduce the dosage and also space out the drugs like one in the morning and other in the evening. you discuss these issues with your doctor. for further information consult a cardiologist online --> <link> | i am feeling uneasy and my bp reading is lower than usual. why? |
Answer the following question | i have gone through your query and i can understand your concerns. all the symptoms you have mentioned are suggestive of dehydration and hypotension caused by physical exhaustion. you do not need to worry regarding this as it will subside by itself with conservative management. i suggest you the following as a first line management. take plenty of oral fluids and take adequate bed rest. check your blood pressure level. if you are hypotension you may require iv fluids to rehydrate yourself. if symptoms persist despite all these then consult a general physician and get evaluated. the probable causes:physical exhaustion. probable diagnosis:dehydration. regarding follow up:for further information consult a general practitioner online. ---> <link> | i over-exerted myself in the gym. how to quicken the recovery? |
Answer the following question | this sound can be normal. when we close our ears we do not hear outside sound so we feel that there is some sound coming from our body. if you have a cough or cold it can also lead to similar symptoms due to eustachian tube block. to rule out any pressure changes in your ear you can get a test called tympanometry. and get you blood pressure checked. for further queries consult an ent otolaryngologist online --> <link> | what is the sound that i hear when i close my ears with my fingers? |
Answer the following question | you have been diagnosed with bacterial vaginosis (bacterial vaginal infection). metronidazole cream has to be applied vaginally for cure of the infection. vaginal application leads to absorption of metronidazole but it is only 2% of the oral dose. only a small amount out of this gets into breast milk. your question about the breastfeeding is pertinent but you are going to use the cream only for 5 days. perhaps you can avoid breastfeeding your child during this period. no major study has given a clear answer regarding the safety and ill effects of the drug in such a situation. consult a paediatrician online for further follow up regarding an alternative diet for your child during this period --> <link> | i am breastfeeding my child. is it safe for me to use metronidazole cream? |
Answer the following question | there is a possibility that there may have been multiple attempts at the same site before taking the blood sample. this causes extravasation of blood in the surrounding tissues as well leading to hematoma formation often accompanied with discoloration of skin. this may also cause increase in compartment pressure (caused when pressure builds up within the muscle) cause pain especially while stretching. you may use hot fomentation locally over the site for 15 minutes each thrice a day. definitely you will be benefitted from this. for further doubts consult a family physician online --> <link> | what is the reason for my arm pain? |
Answer the following question | i would like to ask a few questions. do you ever complain of chest pain associated with palpitation? is there any family history of heart disease? since how long you are taking atenolol? do have complained of shortness of breath or edema over legs and feet? i would like you to get the following tests done. echo to check the pumping action of the heart and ecg. your triglycerides are on the higher side. my advise is atorvas 20 mg (atorvastatin) once daily after meals for a month. consult your specialist doctor discuss with him or her and alter the dosage of atenolol and get your bp monitored regularly. investigations to be done:ecg and echo. regarding follow up:revert back with the answers to the above questions to a cardiologist online. ---> <link> | i am suffering from dizziness and low bp. shall i continue atenolol 50 mg? |
Answer the following question | your present problem of dryness and foreign body sensation is not related to dilatation done by your doctor. for dryness the doctor has prescribed you systane eye drop which is a very good lubricating eye drop. the cause of foreign body sensation could be meibomitis (inflammation of meibomian glands). for that you can do hot fomentation and lid massage with index finger from up to down. you can also apply antibiotic steroid combination eye ointment over the lid margins. also keep using systane eye drop. for further information consult an eye care ophthalmologist online --> <link> | what could cause foreign body sensation in the eye? |
Answer the following question | your doubt is partially right. the root canal treated tooth might get some entrapped bacteria which causes you pain. it cannot be straight away told that the nerve was not completely removed. there are some reasons for postoperative pain. improper shaping of the canal which clogs debris and bugs. improper disinfection of the root canals. high occlusion. you have to get your next dental appointment as soon as possible where your high occlusion will be corrected or the root filling is removed and medication (dressing) is placed inside the canals for two to three weeks to ensure the infection is gone down. after that proceeding with a permanent root filling and crowning the tooth with a ceramic cap would be better. for immediate pain relief please take the painkiller as already prescribed by your doctor. for further information consult a dentist online --> <link> | i am feeling pain after root canal treatment. why? |
Answer the following question | i have read through your complaint and the relevant details. a cracked tooth can be root canal treated depending on the direction of the crack within the tooth especially if it involves the vital part of the tooth called the pulp. the pulp is the vital part. when it is inflamed or infected you get pain. so in this case root canal treatment will help you get rid of the pain. it is in this sequence that the treatment should have gone. first root canal treatment then crown lengthening and then temporary crown followed by a permanent crown. but the pain you experience at the moment seems to occur because of increased height in the temporary crown. it can be corrected by shaping the portion of the crown which gets hit first when you bite. the reason for the general pain is again the same one. the decision of whether root canal treatment has to be done or not can be confirmed only with an x-ray. hence i am unable to say you without witnessing the x-ray of the tooth. i request you to send me the x-rays if you have any. it will help me give you a better answer. revert with x-rays to a dentist online --> <link> | can i have root canal treatment for cracked molar? |
Answer the following question | a blood pressure of 145/85 mmhg comes under grade 1 (mild) systolic and prehypertensive diastolic blood pressure. nifedipine use should be stopped as soon as possible. nifedipine can cause hypotension and results in severe tachycardia. basically you do not need any medication for blood pressure right now. your problems are because of your higher anxiety levels. i suggest you do 45 minutes of strenuous exercise daily. avoid oily and fast food. take a low salt diet and eat lots of fibers and fruits. drink plenty of water. stop all the antihypertensive medications. for your raised anxiety level i suggest you take tablet clonazepam 0. 25 mg once before sleep for 14 days. please consult your specialist doctor discuss with him or her and take the medication with consent. do not overthink about the blood pressure. food cannot cause this problem especially if you do not have an acid peptic problem or heartburn or peptic ulcers. revert back after 10 days to a cardiologist online --> <link> | what could be the cause for rise in bp? |
Answer the following question | the symptoms you have mentioned here are indicating towards a migraine headache. however no diagnostic test can surely rule out a migraine. its diagnosis is mainly based on the symptoms. in a migraine there is no definite pain and pain occurs at any time. some people say that a migraine usually occurs on one side of the head and is accompanied by nausea and vomiting but this is not true in all cases. the pain can be all over the head and other symptoms might be present or absent. i suggest you try doing the following. wear sunglasses cover your head with a scarf and use an umbrella whenever you go out in the sun. before going outside always drink one glass of water it will keep you hydrated and will help you. you can take sandalwood oil and massage your scalp a night before washing your hair. avoid excessive intake of tea coffee and caffeinated drinks. some foods also increase the problem of headaches so avoid those. avoid using perfumes deodorant sprays etc. as strong smell may exaggerate the problem. avoid stress anxiety and loud noises. follow a particular sleep pattern i mean try to sleep daily around the same time. if possible try to avoid mobile television laptop etc. an hour before sleep as these emit blue light which hinders normal sleep pattern and also promotes headaches. pranayam is helpful in headaches. so if you can spare 5 to 10 minutes then practice it daily. in medications i suggest you try taking the following. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. pathyadi kwath 15 to 20 ml with an equal amount of water twice a day for six weeks. godanti bhasma 250 mg with water twice a day for four to six weeks. it is an ayurvedic painkiller. shir shuladi vajra ras two tablets twice a day with water for four to six weeks. this ayurvedic medicine is also a painkiller and is used in headaches of various etiology. if you find it tedious to take multiple medicines then you can take only one of these two painkillers or can take two of them for one month. kamdudha ras 250 mg twice a day with water for four to six weeks. it will help in cooling you down internally. take anu taila and put one drop of this oil in each nostril once a day for one month. take powder of sandalwood camphor and jatamansi and. mix all in equal amount and add water or rose water and apply this paste on the forehead while you have a headache. take one teaspoon of coriander powder and add it in one cup of water and keep it for a night. drink it early in the morning on an empty stomach. if you are taking allopathic medicine then take above medicine along with that after consulting your physician. however for a migraine there is no curative treatment. it can only be avoided with the help of medicines and lifestyle changes and sometimes the headache may not disturb you for so long and sometimes may trouble you often so follow a healthy way of life. also stop these medicines during your periods. you can start them after the period gets over. i hope you are satisfied with my answer. for further queries consult an ayurveda specialist online --> <link> | i get headaches when i go out in the sun. please suggest some ayurvedic cure. |
Answer the following question | the whole procedure you described is pretty standard and usually expected. during root canal treatment till it is completed a temporary filling is placed in the hole. this hole on the back of the tooth is where the root canal treatment is done from. however normally before the crown cutting for a permanent cap it is filled with permanent cement. the hole does not heal by itself. a filling is placed in it. if your root canal is completed then there is nothing to worry about infection. if your root canal is not completed then the infection of any will get cleared out of it. the food particles getting stuck do not cause infection per se. for further information consult a dentist online --> <link> | i feel a hole in the tooth after root canal treatment. should i worry about infection? |
Answer the following question | i read your query and understand your concerns. although headaches are common after pituitary gland tumor the presence of on and off headaches after one month of surgery indicates more possibility of continuing migraine rather than surgery. this is evidenced by triggering of headaches following sun exposure and delay in meals. above all the positive history migraine for years indicates that a migraine is continuing and pituitary adenoma was just a coincidental finding which was revealed on mri scan. regarding management of a migraine i feel the same treatment which was effective in the past for migraines should be continued. in case no such progress achieved till date then we need to look for alternative options to control migraine headaches. for further information consult a neurologist online --> <link> | my headache persists even after pituitary tumor surgery. what to do? |
Answer the following question | i can understand your anxiety which is quite obvious in this situation. however transfer of the hiv virus through oral sex is low. but it depends on any cuts abrasion on your penis and any ulcer in her mouth. if this is possible then get a blood sample of her because that can be tested for hiv (human immunodeficiency virus). 14 days is a short period for acute hiv infection manifestation but still it is not a guarantee. if cost is not an issue then you can do hiv viral load which can detect viral rna within 10 days of infection. on personal ground i do not think that your symptoms are hiv related. these look more stress related. i will add that hiv is not the only infection you should be worried as you can get other std (sexually transmitted diseases) like hpv (human papilloma virus) syphilis and gonorrhea. as i said above you can do a hiv viral load test which can detect viral rna within 10 days of infection. also next time in addition to being careful i will say that you should present early because the drug useful for prevention is most active in the first 72 hours of exposure. for further information consult a general medicine physician online --> <link> | is headache a symptom of hiv? |
Answer the following question | vitamin b12 deficiency can cause subacute combined degeneration of the cord. so the treatment is daily vitamin b12 or vitamin b complex supplementation for 12 weeks. your vitamin d levels are also low. the treatment is vitamin d capsules 60000 iu every sunday for 12 weeks. in your present scenario for twitching the first line of management is vitamin b12 supplementation and vitamin d supplementation. consult your specialist doctor discuss with him or her and take the medicines with consent for 12 weeks and you will have a dramatic improvement in the next three months. revert back after three months to a neurologist online --> <link> | does vitamin deficiency cause twitching and tingling? |
Answer the following question | first tell me in detail about your headache to help you in better way. what is the quality of your headache? is it either pulsatile which means tis-tis or squeezing or aching? do you have any associated symptoms like nausea vomiting facial swelling difficulty in vision vertigo difficulty with noise etc? for how long have you been suffering with this headache? is your blood pressure in normal limit or still raised? do you have asthma? do you have any depressive symptoms like low mood loss of interest weakness disturbed sleep and appetite feeling of hopelessness guilt suicide etc? revert back with the answers for the above questions to an internal medicine physician online --> <link> | can headache occur as a side effect of bp medicine? |
Answer the following question | i am afraid to say that the clinical history of your daughter appears to be more than just a viral sinusitis. viral sinusitis is probably an incidental finding. abrupt onset of headache blurring of vision difficulty in speaking numbness in face and arm is very characteristic of an intracranial pathology likely a vascular etiology. she must be examined by a neurologist and must undergo a brain imaging like mri of brain at the earliest. please take her to a neurologist immediately for physical examination. this appears to be a neurological emergency. i can confidently say that viral sinusitis is not the cause of the symptoms here. please be in follow up and keep me updated about the clinical developments. please write a review as it would be of help to me. revert back to a neurologist online for further follow up --> <link> | my daughter has headache blurred vision numbness of arm and face. is it an emergency? |
Answer the following question | nightmare in adults can be due to various reasons. the most common of them being not having a good sleep. practice sleep hygiene such as sleeping and waking up at the regular time avoiding caffeinated drinks for at least 8 hours before sleep avoid using television mobile laptop etc. half an hour before sleep. daily exercise and breathing relaxation exercise like yoga can help. take a light diet in the night and avoid taking refined carbohydrates or sugars and heavy protein diet for dinner. for further information consult a psychiatrist online --> <link> | i am getting nightmares. how can you help me? |
Answer the following question | we are here to help you. it seems that you have been suffering from diabetic neuropathy. however i would like to exclude vitamin b12 deficiency as well as high uric acid before stating this. so i would like you to get the following investigations. serum vitamin b12 assay serum uric acid hba1c and nerve conduction study of both legs. once the tests are done then we can discuss the treatment part of diabetic neuropathy. for further information consult a diabetologist online --> <link> | i am a diabetic and have severe burning pain in feet. why? |
Answer the following question | for severe dandruff you should take oral medicines apart from topical treatment. consider taking tablet ketoconazole 200 mg once daily for two weeks and apply candid b lotion (clotrimazole) on the affected scalp twice daily. as far as shampoo is concerned use shampoo containing ketoconazole every alternate day to start with and then taper slowly as you feel improvement. shampoo has to be used for a long time as dandruff and hairfall is a chronic disease. avoid oiling your scalp. for further information consult a dermatologist online --> <link> | how do i control dandruff and hair fall? |
Answer the following question | based on your description it looks like gerd (gastroesophageal reflux disease). yes sometimes it becomes chronic and it is a very unpleasant feeling. in chronic cases esophageal sphincter may be incompetent too which leads to acid reflux. conservative therapy with antacids and diet is the first way of treatment. i suggest you use pantoprazole at morning and maalox syrup after meals. consult a specialist doctor discuss with him or her and take medicines with consent. avoid food at bedtime and also foods like caffeine chocolate spices gas drinks. use a pillow to raise your head more while sleeping. i advise you to get an upper digestive tract endoscopy. it determines the cause of gerd stomach and esophagus lesions. if the traditional method fails surgery is the final treatment with sphincter reinforcing. for further information consult an internal medicine physician online --><link> | i feel pain in the epigastrium part of my stomach. is it an acid reflux? |
Answer the following question | the white sticky bowel movements have many reasons but on considering the medical history of your mother it is most probably due to severe inflammation of the intestine. the antibiotics taken for the urinary tract infection could have caused an attack of her previously diagnosed ulcerative colitis. she should stop that antibiotic. go back to the doctor to switch to another antibiotic based on the results of urine analysis. she may also need a probiotic to reduce antibiotic-related diarrhea. she should avoid large meals and stick to a healthy diet. ask her to avoid coffee and carbonated beverages. she should continue her colon ulcer medications. for further information consult an internal medicine physician online --> <link> | how to treat my mother's sigmoid colon ulcer? |
Answer the following question | i am sorry that you have severe discomfort. you know that acid reflux and nausea are common in pregnancy. sometimes small and frequent meals can be tolerated. i suggest you try taking a ginger-based candy 15 minutes before you get out of bed. it is better not to drink a lot of liquid with the meal or lie down right after a meal. tea greasy food spicy food food with strong smell and soft drinks can increase the problem. as you have severe discomfort i would recommend you see a gastroenterologist as soon as possible. sometimes a short admission of serum therapy can help the stomach to calm down. i wish you get better soon. for more information consult a medical gastroenterologist online --> <link> | i am 14 weeks pregnant and i suffer from severe acid reflux. should i consult a gastroenterologist? |