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Description: Q. I get cough almost every month. I cannot breathe properly. How can I overcome these problems? | Patient: Hello doctor, I am an electrical engineering student. My age is 21 years. I have been facing some problems in the last five years. I get cough almost every month. When I get cough, I feel uneasy. If I do not take any medicine, water comes out of my nose and irritates me. I consulted many doctors. They advised cough syrups. One doctor advised to take a syrup which contains Ambroxol. Another doctor advised to take a syrup which contains Guaifenesin + Pseudoephedrine + Triprolidine HCl. Now when I get cold, I take Guaifenesin + Pseudoephedrine + Triprolidine HCl. I want to know why do I have cough periodically. When I take bath in cold water, I cannot breathe properly. So, I always use hot water to bathe. I consulted a local doctor to solve this problem. But, he advised to take bath in cold water and also said that it is not a problem at all. This also worsened my cough. How do I reduce it? I cannot travel by regular bus. When the bus window is opened and when the outside air circulates and if the air flows through my mouth, my mouth becomes dry and I cannot breathe. So, I always travel by air-conditioned buses in which the windows stay closed. How can I overcome these problems? Please help. | Doctor: Hello. It is clear from your case history and symptoms that you are suffering from two disorders namely: Kindly get the following tests done from a good lab so that I can evaluate your reports and prescribe you the appropriate treatment. Do not worry. Your condition is treatable. Hope this helps. Revert back to a pulmonologist online for further follow up --> |
Description: How to get rid of severe pain in my hip? | Patient: I fell on my and jerked my hip very bad. It is very sore while walking or taking steps. I had an xray done that showed normal and I am on anti-flammatory medicine but I am still in alot of pain. Do you have any ideas of what is wrong? My Doctor is not very helpful. | Doctor: Hi!Diagnosing hip pain requires a very carefully done CLINICAL EXAMINATION followed by appropriate procedures/investigations. You HAVE TO get in touch with a good ORTHOPEDICIAN. Since your xrays are normal it is likely you have soft tissue injury to the hip joint. This includes the ligaments, tendons & bursae (small lubricant filled sacs to aid joint motion). MRI in these cases is more of an aid to clinical exam. Please visit an orthopedician as early as possible. All the best! |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: Suggest remedies for a constant fever in a child | Patient: My 5 year old daughter is running a 106.9 temp. We just found out that she has a thyroid problem is waiting to be seen by a specialist next week. I have given her motrin, cool bath, liquids no clothing and can't seem to get her temp below 104. I took her to Urgent Care earlier in the day and they just advised me to keep doing what I'm doing but her fever at that point was only 103.8. Do I need to take her to an ER? | Doctor: Hi.... looks like viral illness. Please do not panic. What you are doing is perfect. To make you more comfortable, I will explain you how a viral illness behaves.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth |
Description: Is early masturbation in children normal? | Patient: This is rather awkward, but I am a 1st grade teacher and I have a female student who masturbates most of the day. The counselor and I decided I should tally each time I see her and need to stop her. Today alone, there were 92 instances that I documented. Is there a psychological problem umbrella that this could fall under? My research seems to point me to sensory disorder but parents don t think so. | Doctor: HelloIt is not very common but infants/toddlers or school going children can mimic masturbation,sometimes called gratification disorder. This is a behavioral disorder when it occurs excessively, it should be evaluated and management may be needed. Here child do not exactly manipulate the genitalia. It is more common in females.Child can tighten the thigh with thrusting of pelvis. There may be sweating and abnormal breathing with flushing of face,just like what happens during orgasm.The frequency may vary from 2-3 per day to multiple episodes.I would suggest you to counsel the parents about the condition and get her to a pediatrician/psychiatrist for evaluation. Regards |
Description: What causes high CRP,leucocyte count and neutrophils in a child? | Patient: I have a typical problem for my child - for almost 3 years she is getting +++ blood with all other parameters in range. She is treated with amicasin and monocyte for 5 days and she then becomes alright. However, it reoccurs once every month with high fever in range of 104 to 103? any observations. she had liver absus about 4 months back and a UTI infection 6 months back. the size of absus is reduced and SGOT (AST) value is 37.0. However, an area of ocncern is high CRP -59.10, Leucocyte count 15,100 and neutrophils 79% | Doctor: Hi,Welcome to HCM,I understand your concern and poor child is suffering a lot. She has gone through so much already, but good thing is she seems to have recovered well from most of it. CRP being high with many neutrophils suggests some infection still going on in your child or may be recovering. If I were your pediatrician, I would get blood cultures done in your child, at least 3 cultures half hour apart from different sites, firstly to look for any infection within the blood that can be cultured and also see if any possibility of infective endocarditis. For a completion of workup, better to consult a cardiologist and get an heart evaluation done as well. Hope that answers your query. Take care. |
Description: Suggest treatment for swollen liver and spleen | Patient: My co workers baby was admitted last night to Texas Childrens Hospital with high fever, extremely elevated white blood count and swollen liver and spleen, she was informed a little while ago they are admitting the baby to the oncology department. I am wondering what all this could mean. She said they are running more test but has no more information. Do you know what this could be? | Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Enlarged spleen is called splenomegaly and there are various causes possibly leading to this. In first case these are infections such as mononucleosis Parasitic infections, such as toxoplasmosis or Bacterial infections. It means that any infection in your body may lead to spleen enlargement. Second most common causes include autoimmune diseases such as hrombocytopenia. If this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as Leukemia Lymphoma, or someInflammatory diseases such as sarcoidosis, lupus, and rheumatoid arthritis. In every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. |
Description: What could cause brief tingling in head and limbs when running? | Patient: my head, back of legs and feet get numb/tingly when i look sideways (left or right) while i run. the sensation lasts only between 3 to 5 seconds but it s been like that for mayber over 6 years. i don t feel faint, but i m curious as to what it could be. | Doctor: Hello, Your symptoms could be related to physical or emotional stress. Anyway, I recommend performing a cervical spine X-ray study in order to exclude a possible bulging disc in the cervical vertebral column. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist |
Description: Are there any side effects for i pill? | Patient: Hi , I have sex with my wife with protection but during sex the condoms got broken . Would it lead to pregnancy . I also want to know she can have I-pill for the same but we are not sure if sperm ejeculates inside her vagina or not.Is having I-pill is dangerous for health or not. Please sir kindly answer these Questions. Thanks | Doctor: Hi dear there are high chances for getting her pregnant as condom has teared..if you don't want child then u can give I pill but under consultation of gynaecologist..if she misses her periods by 10 days do the urinary pregnancy test and ultrasound to confirm the pregnancy then it can be treated through medicine also..common side effects are bleeding, pain in abdomen, headache, nausea etc. it can be treated through painkillers such as acetaminophen..hope this will help youthanks and regardsDr.Sohil Takodara |
Description: Suggest medication for excessive sneezing | Patient: I have been suffering from continuous sneezing issue, I took Cetzine, Mondeslor, Allercet, Avil 25 and so many pills to control the sneezing. Though these medicines gives a timely remedy, sometimes it wont, but the sneezing issue uncontrollable twice in a month. Those days my eyes will go red and my both ears itching a lot. Can you please advice me? Thank you so much for your reply. | Doctor: Hello All the symptoms mentioned by you in the query seems to be due to allergic rhinitis .Usually , dust , mite , molds , smoking ( active & passive ) , fine dusting powder , hay , fodder are certain predisposing factors , so avoidance paly an important role .Whenever you get allergy and start sneezing , take STEAM inhalation . Take hot coffee.Also take doxophyllin +montelukast , once or twice in a day according to intensity of sneezing .Don't get tension as this is common .When above mentioned don't help , take montelukast+bambutertole , once in day . As soon as relief , don't take medicine any more .Further any question regarding such allergy I will reply. |
Description: What is the procedure for 'Adenosquamous Carcinoma' treatment? | Patient: Hi, My father aged 72y has recently diagnosed 'Adenosquamous Carcinoma' on Primary lung origin i need to know the treatment process and more information about the approach we should take (Surgery, Chemo or radiations). What are key parameters we should focus on. Regards Rizwan | Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Adenosquamous carcinoma of lung I'd not that common. Treatment depends on staging of cancer. Staging depends on size of tumour, part of lung involved, distal metastasis present or not, lymphnodes involved or not etc. So better to consult oncologist and get done bone scan, CT brain and abdomen to rule out distal metastasis. According to this stage is decided. Initial stages (stage 1-2) are treated with surgery and chemotherapy. While later stages (stage 3-4) are treated with palliative chemotherapy and radiotherapy. So better to consult oncologist and first determine stage of his cancer. On the basis of staging treatment should be done. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. |
Description: What is causing itchy rashes on the neck and back? | Patient: I was outdoors for a long time yesterday and now have a rash on back of neck and on back that is quite itchy. Not sure what caused it. Could be from some insect? Not sure if could be shingles or maybe allergic to a nicklace I was wearing. How to narrow it down and find out what it is. | Doctor: Hello, Shingles present with severe pain and burning along with fluid-filled blisters in one dermatome of the body. You seem to be having either insect bite hypersensitivity reaction or allergic reaction. I would recommend you to apply cortisone cream on the affected areas twice daily along with antihistaminic like tablet chlorpheniramine maleate once or twice daily depending on the intensity of itching. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist |
Description: Does hormone therapy help prostate cancer? | Patient: My husband was diagnosed with prostate cancer that has metastasized to his liver. I saw the scan and his whole liver is full of tumors. He has been put on hormone therapy. Will, could this really help him at this point? Not getting realistic answers from his doctors. I just lost my sister to liver cancer ( metastasized breast cancer) | Doctor: HiThanks for asking.Looking at the history it appears your husband is in stage 4, palliative treatment is the option for metastasis, as this tumor is hormone sensitive. Hope this helpsRegards |
Description: Suggest treatment for allergic reaction to shingles vaccine | Patient: I had a shingles vaccine shot and a pneumonia vaccine shot 16 days ago. I have a blotchy, red reaction at the shot sights. Three areas of red that are sore and at times itchy. I also have an itchy rash across the wasteland site on my back. I am taking an occasional benedryl to reduce the itchy, and putting otc cortozone cream on the splotches and rash. Any suggestions? | Doctor: take antihistaminic drug like levocetrizine usually at bed time that may feel u sleepy n also reduce itching... hve plenty of fluid. ..usallly it is self limiting condition.....if fever or any other symptoms worsen consult doctor |
Description: What could be the cause of foul smell coming from belly button in spite of using hydrogen peroxide? | Patient: I'm due for my period soon when suddenly my belly button started to smell really bad. I don't really have any discharge, just sweat. This has happened before. I live in a tropical country and it's summer so it's terribly hot. I sweat a lot and am a little overweight, that's why I thought it was just that. However after a few days, it started to hurt though. I have cleaned it with soap, mild water and hydrogen peroxide. Am I doing this correctly? And what could this be? | Doctor: Hi.Yes you are doing correctly. May be clean also with Liquid povidone iodine. Kills all bacteria.Just see a Surgeon to rule out umbilical granuloma. He would be in a position to put instruments and see inside; you may not as you are overweight. May be you need a course of an antibiotic. Let the Surgeon decide. |
Description: Will delay in radiotherapy after taking chemotherapy for breast cancer become a risk or not? | Patient: My sister had breast cancer it was 1 degree so the doctors decided to take her breast they sad that is the safest . They took her breast then she started the chemotherapy after that she did all the tests she has to do and she's taking hormones now but the problem now and because she's overseas it's hard to do the radiotherapy they sd to her you have to do 1 month after the chemotherapy but she couldn't find any nearest appointment the gave her till May which is 6 month is it too late to do or not.R | Doctor: Thanks for query.after mastectomy chemotherapy is to kill small metases which if spread and not detectable by routine scan.radiotherapy is to burn cancer tissue around the resected area where chemotherapy does not reach as vessels are either ligated or cauterized during surgery.basically this is the theme of treatment.so it is better to take radiotherapy .now its all available even in small towns .its never late .regards |
Description: What causes thigh aches while sleeping? | Patient: I am 47 and pretty healthy. For the last 4 years I off and on wake up at night because the top of my thigh aches. i feel it no other time. So strange. Will this worsen as I get older and do I need to see a particular type of doctor? I m thinking there is no magical solution and will have to live with it. But what exactly is happening at night to cause this ache?? | Doctor: Hello,The symptoms are probably related to a pinched nerve. The condition is caused by compression of the lateral femoral cutaneous nerve, which supplies sensation to the upper leg. I suggest using anti inflammatory medications such as Ibuprofen to relieve the symptoms. I also suggest to prevent movement of the leg that can cause further damage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician |
Description: How to do sperm counting and check motility in case of non liquefying semen ? | Patient: hi good morning this is suman, medical lab technologist. i would like to know if semen is not liquifying........then what should be do for motility and counting? | Doctor: Hello. Thanks for writing to us. The semen sometimes is late to liquefy and may take even over an hour to liquefy. You need to wait for adequate time before examining it . If it does not liquefy for long then i am afraid you need to repeat the sampling. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] |
Description: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Doctor: Hi. For further doubts consult a sexologist online --> |
Description: What causes a warm feeling across the chest and back of neck? | Patient: My 15 yr old son woke up with a warm feeling in across his chest and back of neck and his pulse was high - around 150. Warm feeling spread to his thighs. BP was high 165/70 but came down to 140/70 after taking it a few times and his pulse came down to 88. | Doctor: Thanks for your question on Health Care Magic. I can understand your concern. He was having tachycardia (high pulse rate) and hypertension at the time of symptoms. So we should definitely rule out heart diseases first. At the age of 15 years, valvular heart diseases and arrhythmias are common. So better to get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these are normal then no need to worry for heart diseases. Sometimes, stress and anxiety can also cause tachycardia and high blood pressure. So ask him to avoid stress and tension. Consult psychiatrist and get done counselling sessions. Don't worry, he will be alright, but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. |
Description: Suffering from trauma, anxiety, psychosomatic illness. Having rashes, hands red and burning. Treatment? | Patient: I have had a traumatic childhood and recently went through a family break up. My hands fee like they are red and burning, i get covered in a rash , my bowels are not working properly, my feet sometimes feel like im walking on hot needles. I hricave seen my great gp which said i was suffering from acute anxiety phychosomatic illness . Im off to a new Phychologist on Friday, my question is will I have to see a Phychiatrist ? and why are my hands so hot and ichy, will i have this forever? | Doctor: Dear J**** Hello thanks for your question first of all I would like to tell you that I can understand your trauma and its very difficult to cope in such situation but its life and we have to walk continuously. You have started experiencing burning sensation in hands and redness and altered bowels, needle like sensation. It is a part of Anxiety spectrum illness but you need not to worry as treatment is available. there are two modality of treatment for anxiety disorders and if its in beginning state then response is also very good. - first is non medicinal treatment which include Relaxation exercises, deep breathing exercises, meditation, progressive muscle relaxation, biofeed back etc. In these modalities individual is taught to relax himself by own. Individual is made learn to control his involuntary system which is responsible for anxiety. Once individual become receptive he is progressed to other modalities as Behavior Therapy etc. - second is medicinal treatment in which anti anxiety medicines are used to bring individual to level that he can start practicing first modality of treatment. drugs such as SSRIs, SNRIs etc are used which not only cover anxiety part but also improves mood. Mild levels of sedatives are used to relax individual in special circumstances. These are used for short period of time. Dear friend as per my opinion combination of both modalities is best for you, and be assured that you will be all right in very less time. thanks, hope I solved your query. kindly rate. |
Description: Any serious side effects from having an expired copper coil for long? | Patient: I have had the Copper Coil a contraception for 6 years and 2 months. (I initially thought it would last 10 yrs but was recently told it s actually only valid for 5 years). I m due to have it removed within the next 2 weeks but I was wondering whether there are any serious side effects from having the expired coil for so long? I m particularly concerned as my husband & I are planning to try for a baby in the next 6 mths or so. I have also been experiencing sporadic pain in the right side of my abdomin, occasional pain during sex & increased unpleasant vaginal discharge over the past few mths. | Doctor: Hello and welcome to HCM, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. I understand your concern. Most of the time the coil does not cause any harm. In some cases there may be an infection. The infection does not come from the coil itself, but if any organism gains entry inside then it increases the chance of infection.The symptoms of unpleasant discharge indicate an infection. So please see your doctor and get a vaginal swab test done to rule out infection as soon as possible. Antibiotics will help in curing it [ obtained after prescription and hence the need to see your doctor as soon as possible] and then you may conceive. Hope this was helpful. Feel free to ask any further queries and I will be happy to help.Thanks for using HCM.Have a good day.Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology |
Description: Q. What is the treatment for coughing fits and severe tonsillitis? | Patient: Hi doctor, I am a 18 year old female, who is suffering from coughing fits and severe tonsillitis. The coughing fits only come when I am lying down, and I bring up mucus which kills my throat. | Doctor: Hi. Sorry to hear that you are not feeling well. For further queries consult an internal medicine physician online --> |
Description: Suggest treatment for urinary incontinence , diabetes and fever | Patient: My husband, age 65, has diabetes and on the cusp of 4th stage renal disease. He had to get up to urinate more last night than usual. No pain. Woke up, had fever 99.4-100.4 and blood sugar was 179. I sponged him down and gave him lots of fluids and brought his fever down. Now at 6:30 he has chills and fever again. Any ideas? He doesn t seem to have any respiratory problems, outside of the chronic COPD. | Doctor: Hi, Thanks for your question. I feel really sorry after going through your question. Most likely possibility in your husband is urinary infections. You should consult your doctor immediately. There is need for - 1) Detailed clinical Examination. 2) Urine Examination along with urine culture. 3) Blood tests like Complete haemogram, Renal Function Test, Liver Function Test, Serum Calcium, Magnesium, Phosphates. 4) Ultrasonography of abdomen and Pelvis. 5) Cardiac evaluation. 6) Blood sugar monitoring. 7) May require Insulin for better Diabetes control. He may require Intravenous Antibiotics with close monitoring of renal functions. Monitoring of respiratory function is also important as his COPD may complicate his recovery. Hope this helps you, if so do vote. |
Description: Cause for swelling in the neck after a tracheostomy? | Patient: my mom has a swelling in her neck area she had a tracheostomy done 6 months now the swelling has a hard bump and is paining the doctor thought is was an infection but the blood test did not show signs of infection what could it be? what else could cause this problem | Doctor: Hello, I think it is a hypertrophic scar or keloid. You need to visit a plastic surgeon or a skin specialist to confirm this diagnosis. If it is hypertrophied scar then an injection of local steroid can help you. There is nothing to be worried as it will decrease by its own. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naveen Kumar Sharma, Orthopaedic Surgeon, Joint Replacement |
Description: What causes heavy breathing? | Patient: I quit smoking a year ago and gained about 30 lbs. I was wheezing alot so my dr. gave me symbicort - I have no wheezing anymore but sometimes I breathe so heavy - I thought I would feel better after quitting - could it be my weight that is causing this - I just joined weight watchers | Doctor: what is ur actual weight and also your time of wheezing and what is ur age.if ur age is >40 then go fir spiromtery check up and needs to change inhalerand also weight is important factor if it is more tan 100 kg and your neck circumference is >36 cm it will cause sleep apnea.but now you can take tab acebrophyllin sr 200 od , MDI foracort 200 2 puff bd, |
Description: Suggest treatment for peritoneal cancer | Patient: Hi Everyone. My aunty has peritoneal cancer. she s undergone surgery & several months of chemo that finished in february this year (2014). A few weeks ago (september 2014) her CA 124 raised to 700 & her CT showed cancer cells in the lymph nodes near the heart & lungs, however no cancer IN any major organs. SHe s starting on a low dose chemo in a few days that will be administered for an hour, weekly. My family have to plan travel overseas to see her & I d appreciate any advise on life expectancy, both worst case & best case senario. Many thanks. | Doctor: Hi,Thanks for writing in.Sorry to hear about the progress of cancer in your aunty. She might be having stage 3 or 4 cancer. The exact staging will be known after evaluation in complete detail. The survival in this group of patients is from 6 months to 2 years and this depends on the response to chemotherapy and any complications that she has. Few patients can survive for bit longer but peritoneal cancer is a challenging condition in most patients. Regular check up and close observation of her problems might help. As she is on chemotherapy, she should be protected from getting infections due to low immunity as a result of the chemotherapy. You can try to make a family visit and spend some time with her and make her feel comfortable. |
Description: Is there a herbal medicine for pseudomonas bacteria on the big toe nail(big black dot)? | Patient: Hello I have a black mark (big dot ) on both my big toe nails. I went online and it seems that I may be havingPseudomonas bacteria on my big toe nail. I'm concerned . Is there any herbal medicine . It appears I have to wait till next week before my dermatologist can see me . Please advise | Doctor: Hello,Welcome to HCM,Pseudomonas is bacterial infection which should be treated by proper antibiotics, herbal products cannot cure the disease. Herbal products only helps to boost up the immunity but it cannot cure bacterial infection like pseudomonas.You need to test the discharge coming out of the big toe to confirm the causative agent and then you can take proper antibiotics for the treatment. If it is pseudomonas infection your doctor may prescribe antibiotics like beta-lactam antibiotic and aminoglycoside like gentamicin and amikacin.Thank you. |
Description: What causes difficulty in getting pregnant? | Patient: I already have two boys of my own and he doesn t have any kids I been trying to have one for him for the past 9 months I don t know if it could be me or him with both of us have some health problem going on so I don t know if that can be on reason for it so can you please help sincerely Regina | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend that your husband gets a semen analysis to detect any possible male factor of your infertility problem.. If the semen analysis is normal then you need a day 3 estrogen and fsh blood test together with a pelvic ultrasound to asses your fertility status. Hope I have answered your query. Let me know if I can assist you further. |
Description: Ultrasound scan showing mobile calculus in mild calyx and pelvicalyceal prominence. Kidney size reduced. Need further investigation? | Patient: Hi in a recent ultrasound scan in my right kidney there is evidence of mobile calculus in mid calyx, and right mild pelvicalyceal prominence. In addition over last three years the size of kidney has become smaller 11*5.2 in year 2007 to 10.5*3.9 in 2012. Is there anything to worry about or ending further investigation. All kidney functions testes are normal | Doctor: Dear friend, welcome to HCM. USG size is little subjective too, and can vary to some extent on different ocassions. one good thing is that the renal functyions are normal as per your info. mobile stones can also cause obstruction, UTI, (infections ), fullness/ dilatation of calyceal system and slowly with repeated attacks , kidney function may worsen. so, keep close follow up, report any fever, pain, bleeding per urinary tract, pus in urine etc early. do you still get pain, UTIs? lab tests (creatinine) get abnormal after >70% kidney function is lost ! what tests have you undergone? pl. post them or ask your doc to rule out CKD. take care and keep me posted on your progress. |
Description: Is intercourse safe while on Metformin, Duphaston and Fertab? | Patient: Hi am 31 years old and married. We are planning for baby but unable to conceive and doctors put me on metformin 500 mgBD Folicum 5 mg BD both until I get pregnant and duphaston 10 mg BD for 5 days. After I had duphaston, I got period just after 3 days and Doc prescribed fertab 50mg to take from 2nd day till 6th days of my period BD as well. And I have OPD visit on 7th days of my period. During this period is it safe to have intercourse? How possible that I get pregnant or can it be checked during OPD visit ? I am so excited that it will work and same time I am nervous as well. Please suggest! | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is completely safe to take these medications while trying to conceive. It is unlikely that you will conceive during this time. Most women will ovulate 7 to 10 days after taking your last Clomiphene pill (Fertab). It is the time around ovulation that conception is possible. Hope I have answered your query. Let me know if I can assist you further. |
Description: What are the ways to give the medication for 8 months old? | Patient: my baby is 8 months old. he has been passing stools 3-6times a day for more than 2 weeks. she had been treated the first 10 days with metronidazole, and now she's re-infected. there had been blood in the stool with an RBC count of 75-80/hpf. my daughter wouldn't drink the medication. any advise on what i have to do? i cant get her to drink her medications even her vitamins. | Doctor: Hi Dear Welcome to the HCM,Feeding hygiene to be given atmost importance like stool culture ans sensitivity to be done to get the exact bug causing the infection and also the exact drug to be used.Please give the medicine with dropper in drop wise manner along with drops of medicine you can give intermixed with sweetened milk.Hope the query is answered.thanks |
Description: Q. What does abutment of the nerve root mean? | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Description: Suggest treatment for chest and throat infection | Patient: Hi, may I answer your health queries right now ? Please type your query here...my 8 month old baby seems very congested he is waking alot during the night and seems to be in a lot of discomfort. He had a chest and throat infection which the doctor says has now cleared...what do I do he is very unsettled | Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First of all, I want to know if the baby has a temperature? If he doesn't have a fever and seems ok to you, start a quick checkup by yourself. Control for temperature, try to touch the tragus of the ear to see if he has any ear pain. Does he have a regular intestinal transit? Try to massage his intestine because it may help. If you have checked all these, you may give him Paracetamol just to help him in case he has any pain or discomfort. If the situation is prolonging, then consult a doctor. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr Elona Dashi |
Description: What causes pins and needles on head with hissing sound and severe pressure? | Patient: Hello Doctor - I DIDNT KNOW YOU NEEDED A CREDIT CARD TO GET AN ANSWER - - CAN I GET AN ANSWER WITHOUT PAYING ? Yes, thank you for answering my question: I have pins and needles sensation constantly on top of the head from the back of the head base of neck - facial pressure pains - so bad that at night - from a scale of 1 to 10 - I m at 15 ! the pins and needles sometimes stay right on top of the head the hissing gets louder and around the eyes there is a goggle pressure feeling - feels like tiny hammers pricking stabbing sensation - I think it starts from the back of the neck top part where the neck bone meets the head bone - sometimes I hear a breaking (like dry wood or the sound that the shifting of the left /right of a car - what do you think it is Doctor? | Doctor: Hi, I have gone through your question and understand your concerns. In my opinion, most probable cause of your symptoms may be occipital neuralgia, a condition where occipital or upper and back neck nerves are pinched or compressed along their way.Another possibility of your symptoms may be high blood pressure.You need to discuss with your primary care Doctor above mentioned possibilities and tests needed in order to have a correct diagnosis.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
Description: Suggest remedies for swollen and painful frenulum of tongue | Patient: Thank you.I went to the dentist yesterday &need 2of my lower teeth extracted,but need to wait due to infection.Upon exam,they found that my frenulum is turned upward,very swollen,painful,and found a purple/black spot&referred me to a pathologist in2weeks.What do you think this may be? | Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of swollen and painful frenulum of tongue which could be due to injury caused by eating any hard and rough food items. It could be due to canker sores.Need not to worry. I would suggest you to consult oral pathologist once for proper diagnosis and start treatment accordingly. You should go for FNAC i.e fine needle aspiration cytology and biopsy of lesion to find out exact cause and start treatment. Drink plenty of fluids. Avoid taking sharp and oily food substances.Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari |
Description: Baby has breathing problem. Prescribed inhaler, Allefra syrup, Montair granules. Right treatment? | Patient: Dear. Doctor , my 8 month baby have breathing problem, He just recoverd from Bronchilitis one months age when he admitted hospital for seven days. After recover again he have fell in cold ,cough,A local pediatrician give antibiotic (Pcef 100 & amoxociline ) 4 injection ,Then he recover again ,After that case i take him Allergy speclist Dr.. He give him Zyrtec syr, (Levolin Syrp & Deriphyline for cold symptom ). But i m giving my son Levolin & Deriphyline for 20 day s long is it side effect him ? Bcoz every day he have some symptom of cough or chest wheezing , then Yesterday my baby crying long time some sound in chest breathing problem start .Today another local doctor give him Respiro syrup, Budacert & Levolin Inhaler , Allegra syrup & Montair granules is this medicine perfect for him ? I m nurves sir, plz suggest me . | Doctor: ADDING EXTRA MILK TO BABY CAN CAUSE ASTHMA TO CHILD I YOU HAVE ADDED MILK AND DIARY TO CHILD DIET WIYHDRAW THIS FROM THE CHILD FOOD YOUR CHILD WIL HAVE NO PROBLEM YOU DONT HAVE SUCH PROBLEM IN FUTURE ACTUALLY CHILD NEED BREAST MILK FOR 2 YERARS ND AFTER 2 TRS NO MILK IS NECESSARY YOU CAN ADD FRUIT JUICE VEGETABLES CEREALS AND SOUP IN CHILD FOOD |
Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Description: What does my semen analysis report indicate about my fertility rate? | Patient: Today I had my semen analysis report& it shows that my sperm count is 55 million/ Cmm. Viable sperms 50-60 (%of total sperm count). motile sperms 45-55 (% of total sperm count). Is this a normal count , so my wife can get pregnant. My age is 28, height is 5 feet 4 inchs. My weight is 80Kgs. | Doctor: Hi,Thanks for writing to HCM .After going through your semen report I conclude your report is normal study. Just cross verify about ph and abnormal sperms in the report. If they are also normal then everything is well. If your wife don't have any other conditions and ovulating normally then she can conceive without any problems. To increase chances of pregnancy she can take ovulation inducing drugs like clomephine under your doctor guidance .I suggest you to reduce your weight min 5% of your existing weight.Hope I have been helpful . RegardsDr.Deepika Patil |
Description: Could head pain be related to tooth extraction? | Patient: I have recently had a tooth taken out. Two weeks later I had to go back to my dentist as my gums were noticeably swollen. My dentist confirmed this and redressed the area and gave me antibiotics. But I have also been experiencing head pains especially when coughing and sometimes when bending forward. I have seen my doctor who did not seem to worried about this problem but I did not mention about the tooth extraction. I have also recently had a bad cough. I have put the coughing pains in my head down to straining my head muscles. But although I now only cough occasionally, my head still hurts when I cough. I would like to know if my head pains could be linked with the tooth extraction or can I put the pains down to all the coughing. | Doctor: Thanks for your query, I have gone through your query.The head ache what you are describing is a characteristic feature of the maxillary or frontal sinusitis. It is not related to the tooth extraction. The pain while bending forward will occur in sinusitis cases. Nothing to be panic, consult a ENT surgeon and get it evaluated. Meanwhile you can take the antibiotics and complete the course. You can do steam inhalation.I hope my answer will help you, take care. |
Description: Is Cefodem same as Cefpodoxime Proxetil in case of dengue fever? | Patient: Hi Doc, is Cefodem 200mg BD as same as Cefpodoxime Proxetil GUDCEF-200mg ?? Actually the thing is i was admitted int he hospital as my platelet counts went really low and i had Dengue Virus Antigen Rapid Positive but i m okay now.. so they discontinued IV Fluids and prescribed these tabs..but i m not very sure of them as i read about them on line it says ,Cefpodoxime Proxetil is for bacterial infection. please clarify | Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that yes it is antibiotic. But it is given for prevention of secondary bacterial imfection. Yes both the drug you have mentioned is same. I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. |
Description: Pelvic MRI showed penile nodules involving the tunica with some extrinsic, have problem reaching orgasm. Natural options? | Patient: Hi, 43 yr old male on Aug 2012 MRI Pelvis w/focus on the penis was performed with and without IV contrast. Findings: there are 3 soft tissue nodules in the penis. The dominant is located along the left midshaft and is located outside tunica albuginea compressing it, but within Buck s fascia , and measures approximately 2 cm in longest dimension. Tunica albuginea in mildly thinned. There is mild increased enhancement underlying the lesion within the corpus canvernosum. The second nodule is located at the left base of the penis outside the tunica albuginea and within the Buck s fascia. The third is located along the right shaft and is centered on the tunica albuginea, disrupting it, involving the underlying corpus cavernosum and overlying the pericavernosal space. The dominant nodule demonstrates small heterogeneous poorly enhancing foci. The 3 similar nodules corresponds to the hyperechoic nodules on Ultrasound. There is an 8mm nodule located along the dorsal right proximal shaft with different signal characteristics. Ages lobe in signal on T1 and T2, with peripheral enhancement. The nodule appears to be located in the superficial subcutaneous space and indents the corpus cavernosum. The solitary nodule corresponds to the hypoechoic nodule on ultrasound. Glands penis, corpus spongiosum are normal. Urethra is normal. Impression: Three penile nodules some involving the tunica and some extrinsic to it. Differential diagnosis is atypical penile fibromatosis/pyronie s disease, less likely epithelioid hemangioendothelioma, granuloma annulare , foreign body reaction, or focal eosinophilic disease. A seperate pelvic MRI revealed everything normal and no lymphadenopathy. I have since been on a grain-free, dairy-free, gluten-free lifestyle. My morning blender shakes include 1/4 papaya, 1 banana, ice, handful of irish moss, 1 and 1/2 cup almond milk, a handful of raw cashews, 2 teaspoons of raw green pumpkin seeds and 1 tablespoon raw honey. In addition, i am taking pryteolytic enzymes(serapeptase) 12 a day, 4 capsules an hour and a half after my meals. Don t eat any meat unless its Organic and drinking about 1/1 gallon of distilled water a day. As a result, all 3 cysts have shrunk some but not all the way. When being intimate with wife, hardly ever have a problem with erection, she has no problem reaching orgasm but i do. I think I may have lost some of the deep level sensation. I am scheduled for pre-op with the V A Hospital in Miami, Fl and want to avoid surgery but would like to know if there is a laser option or natural option? THANK YOU FOR YOUR TIME!! | Doctor: HI. Maximum chances for such a problem is usually Peyronie's disease. The exact cause is not known to medical fraternity. serapeptase do help. If the sexual activity is normal , nothing to worry about it. Which Surgery are they planning to have? If these nodule are hard to touch without pain , do not worry. |
Description: Will masturbation affect future sexual life? | Patient: Dear doctor i m a boy of 18i m used to masturbate at least twice a day i m doing this since i was 14 years old. wwhile masturbating i just remember the females i meet across the day. will it affect my health or sexual life after marriage. how can i stop this. | Doctor: Hello, Masturbation may not directly affect your future sex life. But masturbation is energy consuming and therefore reduce the frequency to thrice in a week. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist |
Description: What causes swelling below my penis head? | Patient: Hi Doc,I got swelling below my penis head while i was riding bike for almost 45 minutes in heavy traffic, due to rubbing my penis against my tight underwear over it i was wearing tight jeans. after returning home i noticed that i got swelling like erection under my penis.. full penis is normal size but only the ring below my penis is swollen as if it having erection. i am circumcised male., age 32 years.i have applied 'lobate gm neo cream' just now.please advise that i should use other tablets or creams to get relief or continue with lobate gm neo?thanks in advance.regardsJC | Doctor: HiThis should resolve itself soon and it will be fine just to continue the lobate cream for now. Nothing to worry about |
Description: Extreme hardness on back and head, with breathing problem, have heme toma . Solution? | Patient: I fell extremly hard on my back and head 5 days ago went to er and got checked out. No scans cause doc thought i was ok. Baseball size heme toma. Im on disability for mostly low back problems. My bak did nt hurt that bad after fall..worse and worse till today upper right side of back winding and undrex breast . breathing issues | Doctor: Hello. Thanks for writing to us. The symptoms that you are having are likely to be due to soft tissue injuries. Most of the times mild pain killers and regular hot fomentation in the area helps in taking care of the symptoms. If there are any memory lapses or persistent headache then do get a scan done. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal [email protected] |
Description: What causes numbness in face, jaw pain and contractions in hand? | Patient: Yes, I just got a bee sting sensation in chest cavity between breasts. I have been having symptoms of bells palsy on left eye and left side of mouth. I had an MRI and they said there was no signs of a tumor. (I have history of benign brain tumor, very small attached to third ventricle wall). Neurosurgeon said he didn t see any signs of what could be causing my symptoms. I also have numness in face, jaw pain that comes and goes, and my fingers on left hand and right hand from middle to pinky stick together an curle unaturally. I can spread them apart, but they stick together and sometimes overlap when i relax them. There are more things going on, but these are the main ones I am concerned about. Having a stinging sensation in chest just happened a few minutes ago & lasted over one minute, it subsided, then did it again for about 5 seconds. Please let me know what you think. Thanks. Lindsey | Doctor: Thanks for query. Bee sting like sensation may be due to cardiac causes . Kindly consult cardiologist and get the ECG done.Generally acute onset bells palsy recovers very well to steroids and tab pregabalin and facial exercises for bells palsy.Symptoms of numbness in face , jaw pain may be due to trigeminal neuralgia for which MRI brain with CISS sequence is advised to see vascular loop.Contactions in hand can be due to various causes for which I advise following tests- Renal function tests S. D3 level and S. free calcium Thyroid function tests Serum calcium , magnesium and potassium Treatment Tab Pregablin 75 mg 1 HS Tab Oxcarbazepine 300 mg 1 BD Tab Deaxameathasone 4 mg 1 TDS Tab Calcium 1OD Facial exercises as advised by physiotherapist.Best Wishes |
Description: What causes pain under breast spreading to shoulder and spine? | Patient: my daughter went to the dr today for sharp pain in her left side of her stomach and under her breast. It goes to her spine she says and at times into her left shoulder. they took blood and urine samples but didn t offer anything for the pain except tylenol. she has come home and is really tired and as I look back the last couple weeks she has been more tired than normal. She came out and said she has pain that goes through her left chest. I am not sure how long I should wait for her to be seen again. | Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your daughter may be having acidity. She can take omeprazole empty stomach for it. She is also having weakness and easy fatigue. She may be having vitamin D3 deficiency. If found low you can take vitamin D3. You can get her thyroid function test and hemoglobin to look for the cause and treatment accordingly. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. |
Description: Suggest treatment to increase the penis size | Patient: My self Ranveer I m 22 years sold Before some year I have powerful sex energy nd stamina nd length aur width size but in this time I hv nt 100 percentage energy so I want to increase my sex power stamina nd pennis size length nd width plz sir u suggest me wt cn I do | Doctor: Dear Ranveer,The size of penis is genetically determined and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual.So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance. It may be harmful.Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress, practice meditation. Avoid smoking & alcohol.If you still have any difficulty, kindly consult a Urologist and get a proper clinical evaluation done.Wishing you a Healthy Life.Take care. |
Description: Q. We had a TORCH test after miscarriage. Can you explain the reports? | Patient: Hello doctor, My wife was pregnant last year, but a miscarriage occurred. We consulted our gynecologist and he suggested we have a TORCH test. The result of TORCH was rubella IgG 270.30 and IgM 0.42, and CMV IgG 118.60 and IgM 0.26. We are unable to understand the report. Is this hike in the value of Rubella IgG and CMV IgG the cause of miscarriage? Please guide us. | Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> |
Description: What causes backache along with abdominal bloating? | Patient: Lost all of the early pg symptoms(ewcm, back pain, bloating)at 11 dpo but having back pain and cm occasionally. I was in Clomid for last 3 months. last month also at 10 dpo all symptoms gone and got periods. Am ttc for 2 years, had 2 miscarriages at 5 weeks in 2015. So what s wrong here, why I am getting symptoms and not getting bfp for these 2 cycles. These 2 months I felt ewcm after ovaluation till 11 dpo, didn t feel this in ttc since 2 years | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The abdominal bloating can be due to indigestion and pain killers. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal |
Description: What causes painless pitting edema of both legs? | Patient: hi.. I am a girl at the age of 24...I am having painless pitting edema of both legs since the age of 12 years of mine ...all investigations done were normal except lymphangiography was incomplete..4 months back done microfilaria test (microscopic ) which was negative..initially at the start swelling was only on left foot den involves left leg and then right also ..but when I took DEC 300 MG and ALBENDAZOLE 800 OD for 21 days ,right from the first dose swelling decreased,,then after the course I discontinued it..should I go for antigen test for filarial to conform it..i want my both legs look normal at any cost ..I badly need it..please help | Doctor: yes u should go for antigen. sensitivity test . . and microfilm ria test will be postie only if active and live . . but negative if not alive ut their might be antigenic reaction of filariasis inside to cause ur symptoms. . . |
Description: Have dark urine, bile stools, occasional drinking, has bilirubin in urine, done liver, kidney tests. Cirrhosis, organ problems? | Patient: My 25 year old son has been told he has 3+ bilirubin in his urine. He has noticed dark urine, and bile in his stool. He does not show jaundice in his eyes or skin. He is not a drug user and drinks moderate alcohol. The dr is running a liver and kidney blood profile yet did not run the hepatitis due to the lack of jaundice. Could this still be early cirrhosis, kidney problems or liver, pancreatic type problems? | Doctor: Hello! I hope your son will be ok by now.Please get LFT in blood and USG abdomen. Then only something can be advised. Remain in touch. getwell soon |
Description: Can hyperthyroidism cause chest pain and palpitations? | Patient: I am 36 years old I have hyperthyroidism I am on lopresser twice a day and ptu medication 3 times daily. I have been admitted in the hospital twice this month because of chest pain and palputations it can be scarey but so far all heart test ekg and echo cardiogram shows normal my vitals are always normal so far. I still have chest pain and palputations almost all day and I can not walk around for more than 10 mins. Grocery shopping is out of the question. I feel so sick nausea and having pains , fatigue shortness of breath at times I have to just sit or lay in bed for hours I can't even work. Thank god I have my own business and was able to higher someone to work for me. I am suppose to go to New york to visit my sick grandma but I'm seriously scared to fly on the plane fearing I could go into a thyriod storm while traveling. What should I do I feel like I am to young to live like this i can't even cook dinner for my kids thank god my husbands been doing everything.. | Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases as your heart reports are normal. Yes, hyperthyroidism can cause similar symptoms if it is uncontrolled. So first of all get done Thyroid function test. If this is normal then hyperthyroidism is not a cause. Sometimes stress and anxiety can be the cause for your symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Description: Molar extracted, dizziness, pain. Injections, ibuprofen taken, mouthwash used. History of tmj. Suggestions? | Patient: Hi there Two weeks ago had a back molar extracted (not wisdom tooth) It shattered and was an hour of pulling to get it out. Only had injections. Painful after but manageable with ibuprofen. Have been rinsing with natural antiseptic mouthwash after the first 5 days of salt water rinses. It is feeling pretty good. First couple of days had a whistle as I could practically breath through the hole into the area behind my cheekbone area! I still have a rather large hole and occasionally still get a suction feeling going up into the area above the gum if I catch it a certain way when I swallow. Not really painful but still a strange sensation to touch, but I can brush around it ok. But.. what I'm wanting to check on is that I have been dizzy from the first day. I expected that as a result of what was done to the tooth as well as the pressure on my jaw for an hour (I also have history of TMJ but after braces as a young adult no problem until a couple of months prior to this treatment then have had some clicking again and pain on same side as bad tooth, having to eat on opposite side seemed to aggravate it) Should I still be dizzy after 2 weeks? Should the hole still be so prominent (hard around rim like it's healing well but very mushy feeling inside hole when I touch it with my tongue) And how long before the hole should be expected to heal up? Can I have an infection in jaw or cheek without pain that would be causing dizzyness? | Doctor: Hi, Thanks for asking the query, Pain, swelling, dizziness, generalised weakness, are common side effects after tooth extraction. You dont worry about the symptoms as they will subside after somedays. After extraction a course of antibiotics and analgesic is required to prevent infection and promote healing. Delayed wound healing can be due to increased blood sugar levels, increase bp, food lodgement. Follow the post operative instructions given by the DEntist properly. Take lukewarm saline rinses and antiseptic mouthwash gargles. For the TMJ problem i would suggest you to visit the DEntist take an OPG radiograph to detremine the diagnosis and treatment plan. Hope this helps out. Regards..... |
Description: What causes fluctuating BP throughout the day? | Patient: I'm 56 yr old female weighing 240 & have started eating healthly & do light water aerobics & indoor short power walks. My b/p has never been really bad, but doc put me on 10 mg of Lisenipril because it was sometimes elevated. For the last few days, I have woke up a little dizzy when taking b/p it is running 116/77,108/65,115/66, 107/69 this is check all thru the day. Yesterday I just took 1/2 Lis. and it still was lower than normal.? | Doctor: your blood pressure readings are in normal range. so it is unlikely it has caused for diziness. diziness may be due to sudden drop in blood pressure when you stand from from bed in early morning which is called postural hypotension. so dont stand at once from bed. change your posture gradually from supine to standding. check blood presssure regularly from your family physician. get his advice regarding lisprinol dose according to blood presssure monitering results. |
Description: Is traveling by train safe for a person diagnosed with pulmonary arterial hypertension? | Patient: I have PAH which I am under a doctors care for and take medication for.I am in good shape otherwise and exercise regularly with no issues.I have a trip planned that is a train ride up to the summit of mt. Washington in nh.The elevation is 6200ft and I am wondering if that is going to be a problem? | Doctor: Hello, Traveling to a high altitude in the setting of PAH can be risky and is not advisable, even if you want to go then kindly consult your treating physician before that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist |
Description: Suggest treatment for typhoid infection | Patient: My nephew is suffering from Typhoid and it seems there has been an inflammation in the brain also. However he is suffering from high fever and headache continually. He is in ICU and doctors are treating him. I just wanted to know what would be the best approach/medicine as a treatment for this. I would like to know this, since am not sure whether the hospital specializes in it or not. Thanks for your replies in advance. | Doctor: Hello,Welcome to HCM,If your nephew is confirmed to have typhoid fever he can be given Tab Zifi 200 mg bd, tab acitop sos, cap B Lactose OD and tab for vomiting.Typhoid is a disease which is transmitted by drinking contaminated water and eating contaminated food.The main thing is to keep restriction of food in typhoid fever.In active disease, i suggest bed rest and soft diet. please avoid oily and fatty food.you can give glucose powder. Thank you. |
Description: Q. My wife's hemoglobin is low and we could not find the reason for it. Please explain. | Patient: Hello doctor,My wife's hemoglobin is 8. The reports of various tests do not seem to show the reason. What could it be? | Doctor: Hello. Yes, your wife is in severe anemia. Hb (hemoglobin) level is low at 8.1 g/dl. RBC count is low at 2.86 million/cu.mm. The reticulocyte count is 7.0 increased-that means bone marrow production increased to face the demand. LFT is normal. There is no hemolysis. Now we have to see blood peripheral smear study to determined the morphology of the RBC and cells. That will give the cause of anemia. Any history of heavy bleeding periods or any other blood loss conditions? But now she urgently needs (packed cell) blood transfusion to meet out low Hb,and iron supplement. And find out the cause for blood loss and rectify. |
Description: What causes constant sweating in hands? | Patient: My 12 year old son has developed a sensitivity to the palms of his hands after showering or when his hands get wet for very long. We ve changed shampoo soap etc and this has continued for months. His hands are sweaty constantly Can you help. | Doctor: HiYour son seems to be suffering from hyperhydrosis. Do not worry as it can be easily treated. I would recommend you to visit a dermatologist. They will clinically examine him to check for reason and definitive treatment needed. They may also advice for sweat test if required.Modalities such as antiperspirant sprays, iontophoresis and botulinum toxin injections are commonly used for hyperhidrosis.Hopefully this will help you.Take care |
Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Description: What causes a hard lump under the chin ? | Patient: yes, I have a hard lump mass under my chin and it is sore it has been there for about 2 months and has continued to get bigger I look like I have a double chin I have some concerns since I was born with a nuero blastoma of the adrenial gland and was diagnosed as being cancer free at the age of 17. What could it be? | Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. two things to consider primarily based from your description: 1. a possible cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection 2. a possible lesion in your salivary or thyroid gland. clinical examination from your doctor will be of great help. further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps.good day!!~dr.kaye |
Description: Suggest healthy diet | Patient: hi, i am a fifteen year old girl who usually over eats, but over the weekend, i ate an insane amount of junk, and its wednesday, and i havent been hungry like i usually am..and when i am hungry, its like, extremely hungry. is there anything i can do to get my diet and eating patterns back on track? | Doctor: Hi,What is your weight? And since when you eating liking this? Are you getting your menstruations on time?Advice:1. Please do these tests and meet your doctor. CBC. Thyroid profile. These test are recommended to rule out your cause of overeating.2. Please eat every 2 hourly to avoid overeating.3. Drink plenty of liquids.4. Options for your meals are as follows: 2 chapati, i bowel of salad, 1 bowel of daal, 1 bowel of soup for lunch. You can add i small bowel of rice at night. Have more of papaya. have high protein diet and low carb diet. Try taking dry fruits, sprouts, and a glass of butter milk or fruit juice in between.Hope this will help. Let me know if I can assist you further.Thanks,Dr. Shajra Mukadam |
Description: Suggest treatment for loose stool in kid | Patient: Hello Doc, My daughter is 1.5 year old. She is suffering from loose moton since 2 days, 3-4 times she passes stool. We have given her econorm sachet twice , but still it has not stopped. The stool has a bad odour(unlike normal). Can I give her Oflomac syrup to stop loose motion ? or please suggest. | Doctor: Hi, I had gone through your question and understand your concerns.Diarrhea usually takes 3-7 days to resolve . You have to maintain good hydration of your child to prevent and treat dehydration by plenty of fluids, and ORS , frequent feeding .You have to watch for danger signs like poor oral acceptance , decrease urine, dullness, high fever , convulsions, persistent vomiting to urgently consulting your doctor.Regarding giving or adding medicines you need to consult your doctor .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Wishing your baby good health.•DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination |
Description: What causes an elevation in the WBC level in a stroke survivor? | Patient: My wife just found she has a 48000 WBC. She was recovering from a stroke she had during a hip fracture surgery 2 years ago. She had to stop therapy due to a foot wound (non-weight bearing). and therefore without exercise she is getting weaker. What could account for a spike in her WBC? | Doctor: Hi thank you for querry.Septicemia according to the symptoms if she is bed ridden and having bed aores than these wounds are the cause of infection.if such patien came to me than after proper history and physical examination in such cases fever and altered sensorium history is omportant than i will go for FBC after systemic workup to rule out any chest disease or UTI.septicemia is most common in such bed ridden and bwd sores patients.hope the answer will help you for making decision.feel free to contact me for further querries.wish her good health. |
Description: Does leg weakness, short term memory loss aand ataxia indicate ALS? | Patient: hellow dr. iam bob.d. a 67 retired p.t. s/p hi,mva s on c-pap.after retiring,I NOTICED LEG WEAKNESS,ATROPHY,BALANCELOSS AND RATHER SEVERE SHORT-TERM MEMORY LOSS. GAIT = dragging steps,some ataxia. I also have peroneal palsy with decrease ncv secondary to 20 yr hist. year alcoholism. I am 21 year in recovery.Pain is intact,tho. Could this be onset ALS?? thx, bob. | Doctor: yes it could be but need more information about the result of nerve conduction study to confirm and more examinations information |
Description: Does low room temperature cause stroke? | Patient: what are the dangers working long hours in a low humidity room? I had a stroke on sept. 15th. The doctors found nothing wrong with me. I do however work in a controlled humidity room for 12 hours each day. The humidity is below1%. YYYY@YYYY . I am wondering if the low humidity could have been a factor with me having a stroke. | Doctor: Hello!Welcome on HCM!You should know that low humidity is not a risk factor for a possible stroke. Uncontrolled high blood pressure, dyslipidemia, smoking or diabetes are known risk factors for stroke. Do you suffer from any of these disorders?Low humidity can only cause an exacerbation of any lung disorder or chronic cough. Hope to have been helpful!Best wishes, Dr. Aida |
Description: Is fucidin H cream safe to use to cure facial spots in a 17 yr old girl with otherwise clear skin? | Patient: I am a 17 year old, who has always had very clear skin, until recently, the past few months I have broke out in spots at each side of my face. My doctor has prescribed me with fucidin H cream, however I am reluctant to use it yet, as I am seeing mixed reviews online | Doctor: Hello dear,Welcome to healthcaremagic.I have read your query and understood your concern.If your doctor has prescribed you Fucidin H for some spots on your face , you may start using it. It has to be applied in very small quantity over the spot only one to two times a day for 1-2 weeks.Any medication if used in excess or for long time may lead to side effects but if used judiciously is safe to use.If you have further query, you may ask me.Good luck. |
Description: What does soreness in the mouth, gums and lips indicate? | Patient: mouth, gums, lips, tongue sore.....have one very sore blister type bump inside bottom lip........4 days now.....tried salt water........mouth wash.......last week had small bump on tip of tongue but it went away.....the got very bad stomach virus on Friday that lasted until Sunday.....just started feeling better on Tuesday then mouth started this burning, raw hurting | Doctor: Hello,It seems that soreness in mouth, gums, lips and tongue along with ulcer or sore formation seems to be due to Apthous Stomatitis leading to inflammation inside mouth and along with it there seems to be apthous ulcers or canker sores.It can be due to deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux et cetera.I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms.As of now, you can start gargling with a numbing mouthwash containing Lignocaine to relieve the symptoms. You can also take a multivitamin tablet daily.You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses and avoid spicy food.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora |
Description: How early can you see a baby on an ultrasound? | Patient: How early can you see a baby on an ultrasound? i was looking up the dates, and when i had intercourse, it was in july, sometime before the 28th, the 28th is when i went for my ultrasound and said they saw nothing, And the blood test was negative, BUT my urine test was positive, is it because it was too early? thats what im thinking, cause i would only be two or three weeks when i went. | Doctor: Hello dear ,I understand your concern.In my opinion usually the gestational sac is seen on ultrasound first.It is seen at 5 weeks in transvaginal ultrasound and a week later in transabdominal ultrasound.And fetal cardiac activity is seen around 6-8 weeks.As the urine pregnancy test is positive there might be pregnancy.I suggest you to repeat the ultrasound after 2 weeks.Nothing to worry.Avoid stress.Best regards...Dr Srilatha |
Description: Need medication for nerve pain & bruise on the lower back | Patient: 39 year old female, 5 4 . Have fibromyalgia, hypothyroidism, and previously had the shingles. Currently suffering from nerve pain and on meds for all listed. Query: My skin is red, there are little red dots all over my body and I just noticed extreme bruising on my lower back. What could this possibly be? Gretchen | Doctor: Hello, It will be just a soreness where the skin is irritated by the nerve dysfunction. Even the thyroid dysfunction can give contra reaction to the medication for which it's good to have a check on. Doing exercises to control the thyroid levels along with medicines and even doing exercises for that back will help improve the symptoms. In my clinical practice of over 12 years, most cases respond well to combination therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist |
Description: Suggest treatment for chest pain after accident | Patient: My 13 year old daughter was in serious car wreck 6 weeks ago, over the last 2 weeks the pain in her chest has been severe and nothing helps with the pain, we have been to the emergency room and doctor several times and have been told nothing is broken, if this is costochondritis why is it getting worse and could it be something else? | Doctor: Hi...sometimes post trauma the membrane covering the lungs can get thickened due to blood or other injury related fibrosis or thickening. So when this happens there can be sharp pains while breathing deeply or coughing and sneezing. This might not be costochondritis.I suggest you see a pediatrician or pediatric pulmonologist. She might require a Ct scan of the chest/thorax. Regards - Dr. Sumanth |
Description: Pain in the breast, mood swings, cramps in the lower abdomen, back pain. On antibiotics for kidney infection. Symptoms persisting | Patient: I think i may be pregnant but i can t really tell. My breast hurt alil when I grab them, I have really bad mood swings and get upset soo easly, I have had cramps in my lower stomach ,my lower back has been hurting alittle, i have been more tired than normal, and I have been peeing constantly. My doctor said i had a kindney infection and gave me anitbiotics, i took them all and im still peeing alot. Can you help me | Doctor: Hi,Let's go step by step.First thing is to do prega test of urine for confirmation of pregnancy.Also get urine test for infection,Blood for KFTThese simple tests will settle the questions you are having.All the best |
Description: What is the cause for lower back pain, shivering and fever? | Patient: I believe I may have a urinary tract infection. Lower back pain and shivering, temperature is now 101 F. I had some difficulties earlier this week with urinating, but it passed within a day or two and I seemed to be okay. Should I head to urgent care? | Doctor: Hello,Welcome to HCM,The history and symptoms are suggestive of urinary tract infection. High grade fever along with painful micturation are a classical sign of UTI.As the symptoms are coming down with the medications it will improve your condition. I would suggest you to follow1. Drink plenty of fluids2. Citralka will improve the condition.3. Avoid dehydrationThank you. |
Description: Can bacterial infection or worm be the reason for not getting pregnant? | Patient: H Dr Chetna, How are you? I am writing to tell you of an experienced that I have lived with for the past 10 years after a DC . I have not been able to conceive and after an ovulation 7days later I get this crawling creature and bitings like a worm at the uterus. The doctors cannot definr it and traditionalist say it is a kind of worm that sucks up implanted embryo. What should I do ? I have a failed IUI and Ivf cause of this problem. UC I am 34 107kd and 1.8m tall and have been on fertility drugs to achieve preganancy. I stopped since March. I am in pains now. My period is late. The biting continues until the baby is out and I will start bleeding. Could it be bacteria infections or worm? | Doctor: dearthe feeling you r getting is not because of worms.the failure of iui & IVF have many reasons but surely not worms.in my career I am yet to come across uterine worms.you can have bacterial infection for that treatment is there.consult your Gynec .dr. Mira Butani |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: How can a skin cut in the inner cheek be treated? | Patient: Yesterday I put my straw in my mouth and reached down to grab my drink, accidentally hitting and shoving the straw back into my mouth. I think the straw cut my cheek near the back of my mouth and also cut my lingual frenulum. My questions are: how long will this take to heal? And is there a way I can speed up the healing process? I have a dentist appointment next week so it would be really helpful if I knew what to do. Thanks. | Doctor: Hello,It looks like there has been a tear in the mucosa of the cheek as well as lingual frenulum due to hitting with the straw. Do not worry as it will heal gradually on its own as there is profound blood supply inside mouth.For speeding up the recovery or avoiding infection you can apply Chlorohexidine gel over it. If there is pain, you can apply Mucopain gel over it or other compositions containing Xylocaine or Choline Salicylate.Do warm saline gargles. Avoid any spicy and hard or sharp foods as they can cause further injury. Also, suck ice pops.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora |
Description: Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Description: Suffering with allergic rhinitis, no relief with prednisolone. Would taking rhinoclenil with prednisolone help? | Patient: Hi. I am a 40 year old healthy male with no known diseases or allergies. I am currently visiting Langkawi for vacation and am suffering from allergic rhinitis since past couple of days. I have never encountered any allergies previously. The doctor has prescribed oral prednisolone 10 mg daily for 7 days. Its my second day of the dose and I am suffering from running nose , watery eyes and dry cough. Just wanted to make sure if oral prednisolone is the right choice or maybe I can take rhinoclenil nasal spray together with the prednisolone. Just wanted to confirm if I can take oral prednisolone and rhinoclenil together and if that would help. Thanks. Also how long will these medicines take to cure this allergy . | Doctor: Hello, Oral prednisolone is the LAST option for severe allergies, and reserved only when antihistamines and nasal sprays are not working. Steroids can give quick relief although it would take 1-2 days. But you must stop after 7 days; also 10mg dose is very low to have much effect, the usual dose for 3-4 days is 30-40mg depending on body weight. You must take nasal sprays and antihistamines along with the prednisolone as after stopping steroids you will get a rebound of symptoms if antihistamines are not in the background. Thanks. |
Description: Suggest treatment for bumps on scrotum | Patient: I ve noticed this for years, but one the edges and left side of my penis it is mostly gray. the urethra is also kind of red from time it time. It is 100% painless, just a bit embarrassing. I also have 2 smalliah whie bumps on my scrotum. They are also painless and I am still a virgin so i doubt its STD s. No matter how much I clean they wont leave, please help! Thanks! | Doctor: HelloThanks for query .Multiple painless bumps in genital area and scrotum are multile Sebaceous Cysts .Genital skin is rich in sebaceous glands hence more prone to get these cyst due to accumulation of sebum resulting from the blockage of the opening of the ducts on surface of the skin .Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and ind if he thinks to get excised get them excised in Toto .This is a simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure.Dr.Patil. |
Description: Why am I coughing after stopping prednisone? | Patient: I am taking prednisone, I dont like the neverness it makes me feel, can I stop taking this medication earlier than 5 days that I was prescribed to take? and I also was prescribed an inhaler which I stopped taking after this morning, now I am coughing alot, can you tell me why I am coughing? | Doctor: Hello,Welcome to HCM,As you were prescribed steroid medicine for your symptoms it suggests me that you are having the symptoms of obstructive lung disease, which requires medicines to relieve the obstruction.The steroid help to reduce the inflammation of the respiratory bronchioles and reduces the symptoms of obstruction. As you are prescribed both oral and inhalation of the steroids it will helps to reduce your symptoms and mak you comfortable.The steroids should not be stopped abruptly it will have adverse effects and it will make the condition worse, so the steroid should be tapered slowly to avoid adverse effects to the patients.Thank you. |
Description: Q. I have breathing trouble and cough in spite of taking TB medicines. What should I do? | Patient: Hello doctor, I have tuberculosis and have been taking medicines for three and half months. Now, I have a breathing problem and cough. | Doctor: Hello. Follow up after 10 days with the test reports. Revert after 10 days to a pulmonologist online --> |
Description: Is there any medication helpful in quitting tobacco ? | Patient: hi sir i m from jaipur(rajasthan,india. i use gutkha(tobacco) but i want to quit gutkha.plz suggest me any medicine...thanks | Doctor: 1. depression drives smoking,use of gutkha, any physical or emotional stress? 2. don't quit all of a sudden,which might result in withdrawal symptoms. 3. limit caffeine intake (tea,coffee) 4. see a psychiatrist for proper counselling 5. nicotine patch and nicotine gum are sold without prescription whereas nicotine spray and inhaler are given with prescription. 6. try to distract yourself from the urge to smoke, keep away from smoking areas,either leave the friend circle, or go out for a walk,keep yourself busy. 7. drink lots of water and non caffeinated drinks. 8. Practising Anulom Vilom (breathing Exercise) in Ayurveda will surely help you. |
Description: Suggest treatment for swelling and numbness in thumb | Patient: Hi doctor, I am a 16 yr old female with a lot of health issues. I have Hasimotos, chronic migraines, severe chronic sinusitis, sho grins disease, leaky guy syndrome, and plenty of others. And sometimes when I get horrible sinus headaches, my arms will go completly numb. But this time, it was just my right thumb. It is swelling and I can t feel anything but pressure, what do I do? | Doctor: Hi,Thanks for writing in.The thumb is supplied by branches of the median nerve in the palmar area and radial nerve dorsally. The nerves originate in the neck region and then the nerve roots join to form nerves that again branch and supply the smaller areas. Since there is swelling also, an inflammation of the small muscles in the hand might be a cause. This happens more in those doing activities requiring over use of thumb and fingers as in musicians and those working on the computer. If you are among those who use your thumb and fingers frequently at your job then please take rest from work every 30 minutes and do hand relaxation exercises.If there is no overuse of fingers then you should consult a neurologist and get conically examined. Therefore if your numbness in in the thumb and arms then a nerve conduction study on the region might help. If required and MRI of cervical spine might help understand your problem. Use anti inflammatory and muscle relaxants for a sore thumb. Please do not worry. |
Description: Suggest treatment for liver cirrhosis with moderate ascites | Patient: My husband is suffering with liver cirrhosis with moderate ascites.At the same time he has creatinine level at 3.5 and urea at 62.He vomits frequently and has been too weak to walk.Hb level is 6.75 Will you please let me know cure about possibility ?? | Doctor: HIWell come to HCMI really appreciate your concern, looking to the history given here, underlying cause of the cirrhosis is important here, because this could be due to viral infection, or could be due to alcoholic cirrhosis, here serum creatinine is high and this need to be taken in consideration,(Renal function might be affecting) such case of curse need intensive medical care, some time may need some surgical minor procedures, better to have words with medical team, hope this information helps, take care. |
Description: Is there a permanent cure for Hepatitis B? | Patient: Hi, may I answGood Evening Sir. This is Surendra from Chittoor., Andhra pradesh. Sir, I have been suffering from Hepatitis B since March 2009.Sir could you please give me suggestions to cure this disease. Also refer me some good doctors who can provide good treatment near to chittoor district. Thanking you sir, waiting for your kind reply. er your health | Doctor: Hi,The treatment depends on the stage of infection. a. Acute HBV: no treatment.b. Inactive HbsAg carrier: no treatment, monitor ALT every 6-12 months, screen for HCC every 2 yearsc. chronic HBV with normal ALT: no treatment; monitor ALT every 3-6 months, screen for HCC every two years.d. chronic HBV with raised ALT: Treat with peginterferon alpha-2a or lamivudine. Adefovir dipivoxil is recommended in patients who are unable to tolerate peginterferon. There are many other categories also, but as you have not specified which category you belong to, it will be difficult to narrow down your treatment regimen. For definitive consultation and treatment, you should visit 'Global Hospital' in Perumbakkam, Chennai. The hepatologists and gastroenterologists in this hospital are capable of providing world class care when it comes to liver diseases. In fact, it is the referral hospital in India for liver transplants. They should be help you in this regard. Hope this helps! |
Description: Lower abdominal pain,diarrhea and nausea.Reason? | Patient: Lower abdomen painful discomfssssort followed by diharria and nausea . It feels like fire. When I lay down it lessens the pain. No fever. I dont know if its a stomach virus or food poisoning . | Doctor: Its probably food poisoning caused by the toxins of common bacteria such as E.coli, Staphylococci, Bacillus, Vibrios or Salmonella. If its dysentry ie blood n mucous present in loose stools, it may be shigellosis or amoebiasis. Most diarrhoeas will be self limiting conditions and subside in 2-3 days. The best treatment for such cases is Oral rehydration therapy as dehydration is the major threat. ORS salts are available over the counter. Keep drinking ORS at frequent intervals. However if it does not subside within 2-3 days I suggest you visit your physician for medication and have a stool microscopy and culture done to determine the exact cause. |
Description: What causes dark vaginal discharge during pregnancy? | Patient: Hi, I recently found out I’m pregnant I took two pregnancy test both coming up positive and then took a digital one to tel me how far I am gone which said 3+ weeks. Very early days I know. But I’m experiencing a dark colour blood like discharge the past few days? I’m so worried is this normal | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Please go for proper checkup, as this condition is not normal. I hope this information has been helpful for you. Regards. |
Description: Suggest treatment for elevated SGOT and SGPT levels | Patient: Hi,I am a female 31 yrs old. I had slight nausea for last 2-3 days and got my LFT Done. It says normal bilrubin and slightly raised SGOT and SGPT levels. I had severe jaundice abt 10-12 yrs bk and got my gall stones removed 2 yrs bk due to gall stones. Can that be a reason for the elevated levels?Please suggest what I need to do with the elevated SGOT and SGPT. | Doctor: HelloIncreased SGPT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile, medicines,auto immune causes etc.Since you have slightly raised SGPT,you may only need follow up.It is good that bilirubin level is within normal limit.AST in non specific and it increases in many conditions.Get well soon.Take CareDr.Indu Bhushan |
Description: What is the painful lump on my groin? | Patient: So recently, less than a week, i have noticed a small lump on the left side of my penis. Its not on the penis nor is it on the scrotum. Its more in the groin region. Its slightly red and it hurts to the touch and when i bend over or stretch. I m really worried and i don t know what to do. It does not have a head to pop so its not a pimple or anything. Also i don t think it is an ingrown hair. Is this something serious? I m not sexually active and the most i have done with a girl is kiss a girl. I m worried and not sure what to do. Please help. | Doctor: Hi,It seems that there might be having enlarged tender inguinal lymph node giving this problem.It indicates that there might be having some infection in surrounding area.Consult your doctor and get examined.A course of antibiotic medicine will heal the infection and you will be alright.Ok and take care. |
Description: Could the pink spotting in urine be due to penicillin injection taken for Abscess tooth? | Patient: I am on pencillien for an abesess tooth and it is 200 mg 4x daily for ten days and now notice I have pain sitting standing moving in vag. and its itchy but now when I got to the bathroom I am noticeing pink streaks in urine and tolite paper is this just a bad yeats infection I have no temp | Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is not a side effect of penicillin.It is likely to be the other lower urinary tract infection.Penicillin side effects are very serious side effects, it may be life threatening. It won't cause simple bleeding streak in urine.You can do Gram's staining, culture and sensitivity from the urine.Once the report is available you can start the treatment accordingly.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. |
Description: Suffering from nasal congestion and difficulty in breathing | Patient: Hi, my boyfriend is having bad nasal congestion. It's been going on for two weeks already. His mucus is yellowish orange. It's really hard for him to breath at night and during the day he is really stuffed up. He sneezes alot but he said it doesn't feel like allergies. I get scared at night for him because it's super hard for him to breathe. What can we do to help him? | Doctor: Hello.I treat my patients with Budesonide nasal spray twice a day+Ebastine 10 mg twice a day when nasal congestion and sneezes are the symptoms.Using these drugs, your boyfriend will feel better.Please consult your local doctor for a prescription.I wish you good health.(If the answer has helped you, please indicate this) |
Description: Suffering with OCD, habit of washing hands frequently. Am I liable for treatment? | Patient: Hello doctor. I am a girl of 23 years old and live in Mauritius. I have been suffering from OCD since 2-3 years and am not following any treatment. I came to know about my problem through this website itself but i can`t follow any treatment since my parents are not supportive. They know that am doing all those rituals like washing hands etc and taking long hours of bath because i feel that am dirty.They know the reason why i behave like this but they do not accept that am suffering from a problem. They scream everytime and say that one day i`ll definitely kill them with the way i behave. Am really fed up and i feel my life has become like hell. My parents always scold at me and they say all this is in my mind and i must know how to fight with it. I wanted to consult a psychologist without letting my parents know about it but since am not working i depend upon them and i was waiting for the day when i get a job to start a treatment. I always cry when they scream at me and now they have started to keep a watch on me when i have a bath etc but i feel more stressed with their attitude. Yesterday my mum was so angry with me that finally she contacted a psychologist.She did this only to make me fear but actually am happy that finally i`ll be able to go and consult a psychologist. But what is making me worried is whether the psychologist will understand my problem?Will my parents understand me after that and try to atleast support me? | Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be going through a difficult time trying to deal with your obsessive-compilsive symptoms. I'm sorry to hear that your parents are not being understanding and supportive to you regarding this. Unfortunately, many people have a poor understanding of psychiatric disorders and some even have a negative attitude towards them. Anyway, it's good that you have got a appointment with a psychologist. Don't worry, psychologists are well-trained professionals who will be able to explore and ascertain your psychological problem. They will also be supportive to you and advise you and your parents on further management of your problems. Once your parents are able to understand the nature of your problem and that it requires professional help, I'm sure they will be more understanding and supportive. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist |
Description: Does swollen/bruised blood vessels indicate pinched nerve/blood vessel? | Patient: While riding in the passenger seat, I hit my knee and started having excrutiating pain and could not fully extend it. I went on to the beach a few days later and fell on the same knee in the surf hitting it really hard. When I got out of the water I noticed the blood vessels started swelling up and bruising. Could I have a pinched nerve/blood vessel, and when I fell on it, it released it | Doctor: Hi, Thank you for using HCM. As far as I understand, there is nothing to worry about. You seem to have injured your knee accidentally twice at the same spot. If there are no cuts, you could try applying Ice packs 3-4 times a Day. If there is an associated redness, pain and/or swelling, you could take a short course of painkillers plus anti inflammatory médication. Hope this helps. Take care. |
Description: Suggest treatment for calf muscle pain | Patient: I am suffering by calf muscle right leg pain since last two years specially at night sleep. Please be noted that i am habitue of after lunch sleep but at that time no pain but night sleep i suffer by calf muscle only right leg pain while not left leg pain. I consult general physician, orthopedic doctors & more but no result. Please guide me what I have to do & which side specialty I have to consult & if possible suggest me name & address & contact no. If possible inform me which kind of investigation report I have to bare. Thanking you regard | Doctor: Hello, Your symptoms seem to be related to myalgia which is an inflammation of the muscle. I suggest using anti-inflammatory medication such as Ibuprofen. I also suggest using warm compresses in the area of pain. If the symptoms continue I suggest consulting a rheumatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician |
Description: Q. Can masturbation affect the complete blood result? | Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? | Doctor: Hi. For further information consult a family physician online --> |
Description: What does this chest X-Ray test result indicate? | Patient: hi doc, can you explain the chest pa result of my mother having the following remarks:The heart appears to be slightly enlarge with left ventricular prominence.The aorta is calcified.Both lungs are clear with normal bronchovascular pattern. The rest of the visualized chest structures are unremarkable. pls doc, i need to know if it is manageable or need for her to undergo hospital admisison? i will be very happy if you can response to my inquiry..thank you. truly yours, aileen m. | Doctor: This result is not too concerning. They describe a slightly enlarged chamber of the heart, which occurs over many years. She can have her heart evaluated by an echocardiogram (ultrasound). Calcification of the aorta refers to build up of plaque in the big artery that comes out of the heart. This happens with age and is not acutely concerning. |
Description: Suggest treatment for urinary incontinence in a child | Patient: Hi Doctor, I have a question for u that my younger sister she is about in 5 class. she has a problem of doing urine on bed we try to control by making her routine to do urine at night but we are faild to control this now i wanna ask u for a best way how control this problem kindly help me for this kind act. I shall be very thankful to you for this kind act.I wait for your answer plzzzzzzzzzzzzzzz help me. thanks | Doctor: Hi...Thank you for consulting in Health Care magic. I have few questions for you -1. Has your sister stopped bed wetting at certain age and again started having it?2. If so at what age she stopped and when did it start?If she had never stopped bed wetting form birth...you can try some behavioural changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent.If its a recurrence after attaining night time control, I suggest you see your paediatrician to rule out pathological causes like urinary infections or Voiding dysfunction (In which the ultrasound abdomen will pick up thickened bladder wall).Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., |
Description: What causes pain and swelling in the right hand? | Patient: My right hand had become swollen after an injection of herioen last week. There was no pain just after the shot. A little pain have developed on the said hand after a couple of days. Now, after a week it affected all my right hand. I can t tell myy parent s about it. So, please help me. | Doctor: HiThank you for asking HCMI have gone through your query. Your problem can be most likely due to inflammation of vein. Antibiotics and anti inflammatory drugs will be required. Consult your local doctor for this.Thanks. |
Description: Q. Can I use Kojivit gel to get fair skin? | Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. | Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> |
Description: How can cognitive impairment be treated? | Patient: My husband is 74 ! He had his first vp shunt put in on April 7 2017 since then he has had three new shunts put in and and three revisions ! We took the last one out permanently on January 17 2018 ! He now has pneumonia and still in the hospital ! He is not alert and stares sometimes keeps hide yes closed and can t walk and was a livestock dealer and very active ! Wonder if they ruined his brain or too many senseless surgeries ! One time the valve malfunctioned next staph in stomach tube then next clogged in clavicle area in neck ! Had the original on right side then neurosurgeon said bone damage on the right so the last one was on the left ! I m so frustrated getting ready in about a week to bring him home ! I m afraid he has delirium too ! Any thoughts what I can do help him with memory | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you mentioned that you are still in hospital, delirium picture generally will come down gradually in a couple of days. Regarding memory, there are certain drugs which improves memory like Citicoline, Piracetam or combination of both. Reorientation techniques, that is explaining him in detail what all happened since he was joined in hospital at times improve his memory by decreasing the anxiety but this should be done carefully observing is response to your saying. If doctor permits him to ambulate, regular walking and minimal exercise also helps in improving his memory. Hope I have answered your query. Let me know if I can assist you further. |
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