tgt
stringlengths 0
320
| src
stringlengths 72
18.8k
| id
int64 1
226k
|
|---|---|---|
What causes feet to swell up?
|
Patient: I've been experiencing some changes in my body for the past year and one of my problems are with my legs. My feet and legs would swell up from time to while i'm just sitting down, my legs would be very sensitive and week, and my veins have been a lot more visible for about three months now. What could this mean? Doctor: Dear friend, I have gone through your question..Sitting causes blood to pool up in our legs. When we walk the calf muscles act as pumps which helps the blood in our leg veins to go back to heart.As you have said the veins in your legs are becoming prominent, which point towards venous insufficiency(veins are less effective in pumping blood back to heart). If there is venous insufficiency the legs swell up more on sitting and swelling increases towards the end of the day.As the venous insufficiency increases there can be color changes in ankle skin,itching,prominent small reticular veins visible, eczematous changes.You have to undergo a venous Doppler to assess your leg veins.Rest by keeping your leg in elevated position is important. Compression stockings can also be used. Consult your surgeon with venous Doppler reports and always try to use compression stockings.Thank you
| 129,258 |
Can you prescribe any medicine other than Zanocin Oz for stomach problem ?
|
Patient: I have macular hole problem which is getting reduced. However in last 3 days I took Zanocin Oz tablets with doctor s advise and it again recurred the retina separation in left eye. Can you prescribe any other medicine for stomach problem like colitis which I suffer time and again? my age 54 years,male, weight 51 kgs. Doctor: hi Kaushik Gandhi, welcome, colitis can be treated by ayurveda physicians. before any time you took medicines for colitis? or now also continuing? for the permanent relief you approach ayurveda doctor if not write in detailed [email protected] we can discuss fully and prescribe medicines 09895313720
| 95,917 |
Suggest treatment for borderline personality disorder
|
Patient: I have a male friend who is 30 and has borderline personality disorder and borderline intellectual functioning who swallows spoons and pens when he is depressed, I m afriad that when he notices that I m concerned that I am reinforcing his self-multilating behavior can this be true? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Border line personality disorder guys do not trust others. In this case, please stop watching him directly. He need medical treatment immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
| 208,751 |
Suggest treatment for fever in a child
|
Patient: hi my 2 yr old has a fever we have been to hospital 2 days ago and it still hasnot lifted in fact her temp has risen to 39.2 and her heart is racing she sound in pain to but all they did was give us some calpol and child ibuprofen which she has had the daily max ammount and not helped what shall we do Doctor: hi, since fever is already for 2 days and you are giving Paracetamol and Ibuprofen it means that the child has fever which is infective in nature. Kindly do some blood investigations like complete blood count, CRP levels. An examination by doctor should be done so that we may not miss any important finding. if fever persists then antibiotic needs to be started. Take care.
| 166,225 |
Suggest treatment for a cyst in the posterior right hepatic lobe of the liver
|
Patient: I have a 8mm cyst in the posterior right hepatic lobe of my liver and a 14-15mm oval lesion along the medial aspect of the anterior spleen. This lesion measures about 63 hounsfield units and is probably some type of benign complex cyst. What does this mean in my English? Doctor: Hi,Thanks for writing in.The 8 mm cyst in posterior right hepatic lobe is a benign condition and not a serious concern. It is a peas sized fluid filled area that is probably harmless and will not cause any problem to you.There is another 15 mm area in front of the spleen which is having soft tissue density and is classified as a benign complex cyst. In most people such a cyst is not a problem but the exact location has to be visualized on the image to draw a conclusion on its origin. You can discuss with your doctor and if required then do an ultrasound scan in 3 to 6 months and this will confirm if the cyst is benign. Please do not worry.
| 56,069 |
Suggest treatment for a lump on the leg
|
Patient: Hi I ve had this for a few years now and it has left a grey scar and it keeps coming back in the same place it swells up into a lump and it either bursts on its own or when I squeeze it a thin browns yellow puss come out of it I m worried as it is on my groin on the crease of my leg and the scar just keeps getting darker and deeper but I don t know what it is. Doctor: Hi,greetings from HCM.from your description i think you may be suffering from inguinal lymphadenitis with abscess which if untreated it spontaneously bursts on its own and leave an ugly scar.you have to consult a surgeon and do a proper drainage of abscess with culture sensitivity of the pus and biopsy of the lymph node to check for a tuberculosis .
| 65,530 |
Suggest treatment for chest pain
|
Patient: Hi there, i have recently been diagnosed with chlamydia in the downstairs reigon... when i was being consulted the specialist asked me if i had any chest pain, in which case at the time i didnt, however, i have now taken the medication but a slight pain has arrived to the top/center of the reigon around my heart?Is there any link between this or is it just diet/excersise choice etc?I am a 22yo male, active but smoke around a pack of 20 ciggarettes every two days. 6"5 and around 100kgs?? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Chlamydia infection can cause pneumonia (lung infection). And this pneumonia can cause pleuritic chest pain. This is the reason why doctor asked you about chest pain. Since you are active smoker, you are at risk of lung infection (pneumonia). So in my opinion, you should definitely get done chest x ray to rule out pneumonia as a cause for your chest pain. If chest x ray is normal then no need to worry for pneumonia. This chest pain can be due to simple musculoskeletal pain. In any case, it is better to quit smoking as soon as possible. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 75,734 |
Have stomach pain and eye pain. Had sinus which had spread to ears also. On medication. Whats going on?
|
Patient: I just got over a really bad sinus infection which spread to a middle ear infection ending with a ruptured eardrum. I saw my family doctor yesterday she said I have a lot od build up still left in my ear and to give it 2 more weeks if its not out she will send me to a ENT doc. As of now I am finished antibiotics but still taking the dro. For my ear called ciprodex. My question to you is now my stomach has been hurting really bad with sharp pains, my eyes hurt when I move them. What is going on? Doctor: Hi welcome to Health care magic forum. Thanks for asking a question to H.C.M.F. You got sinus infection, spread to middle ear infection, and rupture of ear drum. Your family doctor told still there is infection, if not cleared in 15 days you have to see the ENT specialist. You have finished 15 days . Now your stomach is paining, eye paining when move them. It appears that your sinusitis didn't clear , so causing the eye pain,stomach pain may be due to the irritation of the anti biotics used so far, or may be due to some infection in the intestines. I advise you to consult a physician for diagnosis and treatment. You may need to have M.R.I.of head for paranasal sinuses, besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
| 93,607 |
What causes pain, bruising and swelling under the feet in a child?
|
Patient: my 6 year old daughter has pain, brusing,redness, and swelling on the bottom of her feet... she can t even walk. she didn t fall. she just woke up with the pain yesterday morning and then today it was bruised and swollen. what could this be? should i take her to the er? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.By what you say I feel that it could be 1. Henoch Schonlein Purpura2. Spontaneous bruising due to a bleeding disorder.I suggest you take her to the nearest emergency room.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani
| 163,064 |
What causes a chest lump with pain and breathing difficulties?
|
Patient: for two and a half days, when i breath in i felt an uncomfortable, slightly painful feeling in the upper chest, that ultimately made it a little complicated to completely breath. When i went for a second deep breath the slight pain/ache would go away. Then i would breathe softly, then proceed to breathing deeply agin, an the ache would return. Not it has slightly resided and there is a small bony lump in the middle of my chest below my collar bone, no pain felt. Doctor: thanks for asking your questionI completely understand your problemcatchy breath or pain during inspiration or deep inspiration causing a pin point sharp pain can be due to pleural effusion or sometimes pleuritis but this is not necessary . this can also be due to a simple muscle pull.but if u are feeling a lump below collar bone u should get a chest xray done and take advise from a pulmonologist to rule out any abcess,or other causethanksif you have more questions feel free to askmay god bless you with good health
| 79,790 |
What cause blood not to come on pricking?
|
Patient: Today, i had a blood test taken but i did not have enough blood coming out. The nurse had to squeeze my finger and she did tell me i might be dehyrdated. I am just curious if there might be any other reasons to it too. Age 21 height 5ft 1inch weight 115lbs Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Not enough deep prick is most common cause.2. Vasoconstriction secondary to cold environment or low volume leading on to dehydration could cause this.3. Take plenty of fluids to maintain adequate hydration. No other evaluation necessary. Deeper prick needed next time, in colder environment. Hope it helps.Any further queries, happy to help again.
| 115,752 |
What causes itching & red patches in knee?
|
Patient: doctor plz help me out about 3 yrs ago my legs below knee started itching and red patches i consulted the doctor he gave me cosvateg cream i applied n they went back in normal position but after 3 yrs i came back wid same problem in major condition swollen red patches n cracks n alot of pain also i applied cosvateg cream again with calak lotion but this still a major problem for me so plz doctor help me out Doctor: Hello,The symptoms seem to be related to dermatitis or eczema. Cosvateg cream is used to relieve the inflammation. I suggest to use this cream or another steroid cream such as Betametasone cream.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 119,739 |
Is inflammation under the right breast after a rib fracture a matter of concern?
|
Patient: the xray showed that I have a fractured rib but had been told about 6 weeks ago that it was a pulled muscle,,,it seems to be getting better but the area in my chest under my right breast is red,,hot and part of it is very hard,,,the only thing they have give me is 500 hydrocordone,,,,should I be concerned? Doctor: Hello, As a first line management, you can take analgesics/anti-inflammatory combination like Aceclofenac/Serratiopeptidase for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 125,828 |
Suggest treatment for chronic epididymal cyst which causes swelling in both testcles
|
Patient: i AM 36 AND i have had a tah almost a year ago, but my husband of 19 years also has, chronic epididmal cyst where now both of his testicle has a swelling to them (waiting on the ultrasound report). I have no desire to have sex. I still love my husband, more thani havem ever loved him, to tell you the truth, but i know he has a problem with the sex part of the relationship. please tell me, do i need to tell my dr or wait for his dr to tell him what to do. we have been togrther for 22 years. Doctor: Hi, There is lot of age mismatch. There are surgical option available for complete cure of your issue - we can wait for ultrasound repot. Yes you need to inform your doctor regarding your issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 193,677 |
What causes swollen rashes all over the body?
|
Patient: Hello I m Michael, my question is I work at a powder coating plant, here in the past few weeks I have broken out really bad all over my face and body.and with that I also swell on my face, arms and legs.and my throat. And itch really bad all over what can this be. Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.Home Remedies for Rashes:-1. Apple Cider Vinegar:-Raw and organic apple cider vinegar is another excellent home remedy to treat skin rashes and calm the itching. Moreover, its acetic acid content helps fight skin infections that could be causing or aggravating the problem.Dip a cotton ball in apple cider vinegar and place it on the affected area.Leave it on for a few minutes, and then remove the cotton ball.Do this several times a day for a few days or until your rash clears.Note: If apple cider vinegar causes irritation, try diluting it with water before applying it. If the irritation persists, then try another remedy.2. Cold Compress:-A cold compress can be beneficial in reducing rashes, especially those caused by heat, insect bites, poison ivy and shingles. It helps ease itching, swelling and inflammation, and can be particularly useful if a rash begins to develop into blisters.Put ice cubes in a sealed plastic bag and place it on the affected area for a few minutes. Repeat a few times daily for a few days.Alternatively, you can simply soak a clean washcloth in ice-cold water and place it on the rash for about 10 minutes.(Do not put ice cubes directly on the skin)3. Aloe Vera:-Due to its anti-inflammatory, emollient, antibacterial and antifungal properties, aloe vera is excellent for treating a number of skin ailments including rashes. Apart from healing, it also soothes the skin, relieves itching and reduces redness.Extract fresh aloe vera gel from an aloe leaf.Apply it on the affected area.Leave it on for at least 20 minutes, and then rinse it off.Do this at least three times a day until the rash clears.4. Oatmeal:-Oatmeal is great for alleviating skin irritation and inflammation due to its soothing and anti-inflammatory properties. It is excellent for rashes caused by poison ivy, eczema, sunburn, chicken pox and allergies.Grind oatmeal in a blender, food processor or coffee grinder. Mix one cup of finely ground oatmeal in warm bath water. Soak in it for at least 15 or 20 minutes. Do this daily until the rash is gone.Alternatively, combine one-half cup of oatmeal, one-quarter cup of milk powder and two teaspoons of honey. Put this mixture in a muslin cloth, tie it strongly with a string, ribbon or rubber band, and place it in a bath tub filled with warm water. Soak in the milky bath water for at least 15 minutes. Finally pat dry and moisturize your skin. Repeat daily for a few days.For rashes on your face, apply a thick paste of equal amounts of oatmeal and plain yogurt mixed with a little honey. Leave it on for about half an hour before washing it off. Do this daily until you see improvement.5. Baking Soda:-Baking soda helps dry out skin rashes. Plus, it relieves the itching and inflammation associated with rashes.Add one part baking soda to three parts water. Apply the mixture on the affected area. Leave it on for a few minutes before rinsing it off. Do this once daily for a few days.You can also mix baking soda with some coconut oil to make a paste and apply it on your rash. Leave it on for about five minutes and then rinse it off. Repeat this once or twice daily until you see improvement.6. Olive Oil:-Extra-virgin olive oil works as a great skin moisturizer, facilitates healing and promotes skin renewal as it is rich in vitamin E and antioxidants. It will also soothe your skin and reduce itching.Simply rub extra-virgin olive oil or a combination of equal parts of olive oil and honey on your rash a few times daily until it heals completely.Alternatively, you can add a little turmeric powder to some olive oil and apply it two or three times a day for a few days. Packed with antibacterial and anti-inflammatory properties, turmeric soothes rashes and relieves itching.In addition to olive oil, castor oil and coconut oil help heal rashes naturally. A combination of vitamin E oil and cod liver oil is another popular remedy.Hope i was helpful.Stay healthy,Stay safe.
| 98,480 |
What is the growth rate of tumors?
|
Patient: It has been requested that I go in for a vision field test after my eye exam this morning. Several things were listed for diagnosis. One of them being the optic neuritis. I'm really scared at the moment and don't know how to react or what to do. I have that test in 3 days. However, I was wondering, if a brain tumor, how fast do tumors typically grow? If malignant, is it months, years, weeks or what that is considered rapid growing? What time frame is considered slow-growing? Doctor: Hi,Thanks for writing in to us.Optic neuritis is an inflammation of the optic nerve which carries impulses from the eye to the brain through the optic tract. This is usually a limited condition and is treated with steroids.Brain tumors are of many different types and categories. Most benign tumors grow very slowly and stay stable for years before they cause symptoms. In contrast malignant or cancerous tumors grow violently and it might take 3 to 6 months for them to grow into a mass of cancer cells.In conclusion, a tumor is slow growing if it takes more than a year or two to double its size and is a fast growing it there is double in tumor volume over 3 to 6 months. You likely do not have a brain tumor.
| 153,231 |
Are contractions, diarrhea and headache normal during pregnancy?
|
Patient: I m 35 and 2 days pregnant . I am having irregular contractions they are coming a good bit and our painful even when I switch positions or drink water they are not letting up... I also have diarrhea, and headache. I have been diagnosed with Hydronephrosis 4 weeks ago and was put on an antibiotic, which I have to take up to delivery, my question is are these contractions and symptoms normal ? Doctor: No- the contractions and other symptoms are not normal. You are still considered pre-term and I think you should go to your delivery hospital to be checked out. The fact that they are irregular is reassuring, but they shouldn't be happening at all. They are especially concerning with your history of hydronephrosis and antibiotics. Kidney problems, specifically pyelonephritis, is linked to preterm labor. Your headache could be nothing serious, but it could also be preeclampsia. I definitely think it prudent you go to your hospital to be evaluated. Good luck!
| 219,719 |
What causes abdominal pain with a history of UTI?
|
Patient: i'm 29 years old, 5'5", 107lbs. in the past 4 years i've had 3 staff infections and about 6 uti infections. i started having immediate and intense abdominal and lower back pains/cramps, it's extremely painful to sit directly on my bottom, stand up, walk, use the bathroom and even laying down. it's gotten gradually worse throughout the day and it's becoming unbearable Doctor: HIWell come to HCMYou have not mentioned your gender because UTI is more common in female than in the male, if your are female then this is very important to get done the urine culture sensitivity test this would confirm the UTI else this could be something another, if you are male then UTI is very less likely and here also you need to get done the urine test, till the this can be treated with "Sodium Hydrochloride citrate liquid" 20 mg three times in day, take care.
| 89,028 |
Skin color turning in black. Suffering from epilepsy. Cure?
|
Patient: I am TZ. When i was a little boy my skin colour was white but from last 5-6 years ago I m suffering from Epilepsy and from that time my skin colour started to become darker as the time pass. And from last 2 Years there is a black spots means blemishNess around my mouth and also on sides of nose . Please tell me what am i do? Cost also! Doctor: Hi ,Based on details there are 2 reasons to explain it. First whether epilepsy is associated with cutaneous disorder we call it neurocutaneous syndrome.Other cause is certain antiepileptic drugs like phenytoin, carbamazepine, gabapentin produce cutaneous reaction on long term useHence I suggest you to show to dermatologist to know the exact cause of itHope this would help you
| 149,513 |
Can a lump on the breast be potentially cancerous?
|
Patient: i have been referred to a breast clinic i have a small lump in my breast doctor has said it's sinister there is a thickening and a lump that shouldn't be there can you have a rough ideal whether a lump could potentionally be cancerous just by the feel of it Doctor: lump in the breast is more suggestive of cancer if tumor is large, very hard when examined, family history of breast cancer or ovarian cancer in the family, more than 50years, mammogram with reported as BIRADS 4 or 5 and biopsy if it is more suspicious clinially
| 156,750 |
39 yrs, trying to conceive, very less bleeding during periods. Possible reason?
|
Patient: hi there i have been trying to get pregnant now for 7 months but have failed each time i am 39 years old , my last period was due on the 23rd dec but no bleeding until 26th dec which was a little bit and was the same on the 27th but today i have a bit more bleeding but not as heavy as i would normally be i am confused please help many thanks .. Doctor: there does not seem to be any reason to get worried about. the amount of bleeding that one goes through during a menstrual cycle is a very subjective thing and the important criterion is to have regular menstruation as far as the issue of concieving is concerned that the bleeding is less than what you generally encounter is no reason to worry about the potential to concieve. at the end i would also like to add that there are certain medications that can be offered to you after priminary examination which may help increase the menstrual flow.
| 5,836 |
Reason for severe dizziness and headache?
|
Patient: Hi, My question is my husband has had a deep brain scan yesterday and they found a 5mm (something) in the basal ganglia area of his brain. We went to the drs after a week of severe dizzyness, then headaches arrived 5 days later, naseau, tinnitus and ear pressure, pressure behind the eyes and fingers that tingle and or go numb. He has been on medication for the headaches but nothing touches him and he is not very steady on his feet. He describes his spinning episodes as a really drunk moment and you can see in his eyes something isn't right. So just looking for a maybe possiblity of what a diagnosis is going to be. Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Please do a Contract Enhanced MRI with MRS to Clinch the diagnosis Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
| 142,614 |
How is meprate used to induce pregnancy ?
|
Patient: hi Dr i am married and im 24 years old we are planning for children from past 1 year bcos of my irregular periods im not getting periods and by the drs advice i am using meprate tablets from the 18th day of my menstrual cycle do it helps me o get pregnant Doctor: Hi,Meprate is used to regularize your cycles, it doesn't help in getting pregnant as such. It is a progesterone hormone like drug and used commonly to regularize the period.If you have been trying for a year and not successful, you should get thoroughly evaluated, which would include, Sperm count, hormonal levels, ultrasound pelvis, and an HSG of the tubes.Since you have irregular cycles it indicates anovulation (difficulty in egg formation).You and your partner need to discuss all this with your gynecologist and decide further treatment.Hope this helps.Regards.
| 222,069 |
Is flublock prescribed for asthma ?
|
Patient: my doctor has prescribed me flublock, a nasal spray for allergy and mondeslar along with it for its activation. he says he has not detected any asthmatic condition. but this medication is prescribed for asthma as per my knowledge. am i right in taking it? Doctor: This medication given to you is primarily for the allergic symptoms you have.Certain asthama medications are also used to treat different systemic condition.If you still have any doubts get them clear from your treating physician.
| 102,766 |
Should I avoid radiation to the vaginal area
|
Patient: Hello, I just had a total Da Vinci hysterectomy on 4/10/14 because of endometrial cancer, stage 1b, grade 2. They took 59 lymph nodes and they were negative. The Doctor is recommending radiation to the upper area of the vagina only as a precaution to lower the risk from 15% to 1% of the cancer coming back in the vagina. My cervix wasn t affected. I would prefer not to get radiation unless a pap smear shows there are cell changes or cancer in that area. Would you suggest that it would be a good idea to avoid radiation for right now. I would like to avoid radation side effects and the radiation effects on lymphedema. Doctor: Thanks for your question on HCM. In my opinion you should take radiotherapy (radiation) in upper part of vagina.The reason is to decrease the local site recurrence. In hysterectomy surgery, due to tumour handling chances of tumour spillage are high in lower part of peritoneal cavity. So due to this chances of local recurrence are high. So to prevent this radiation is needed. Now a days brachytherapy is newer option of radiation. In this small pallets of radioactive matrial are locally inserted at desired site. It will release radiation to the specific site. So by this technique side effects are reduced. So discuss this with your oncologist.
| 155,572 |
Does high cholesterol and swollen ankle indicate congestive heart failure?
|
Patient: I am a 27 year old female that has high cholesterol ankle swelling frequent urination and numbness in my hands. I also have a dry cough that has lasted over a year. When i lay down at night i have a hard time breathing. Could this be congestive heart failure Doctor: hi, I require to know if echo of heart is done for you ? other than that I require to see your ecg, TSH report to comment on your problem
| 23,189 |
Liver cancer, swollen feet and ankles, frequent urination. What can I expect?
|
Patient: My 85 year old mother has inoperable liver cancer . She has had a stint procedure to help eliminate toxins and bile to lesson the jaundice and itching. The entire liver is involved and the doc that did that procedure said that it was probably there a year and was in the tissue (whatever that means). Her feet and ankles swell , although they are not so bad when she first gets up in the morning they do swell before she has been up long. She is up sometimes 5 times in the night to pee. Can you tell me, from your experience, what is in store. She won t let me talk to the doctor with her and I have to respect that but on the other hand, I need to know what to expect, when to expect it and what to watch for. Doctor: Hi, this swelling in the feet is due to low albumin in her body. With extensive liver disease, the albumin production decreases and they loose fluid from blood to area below the skin. Overnight that fluid is partially thrown. She might sustain it for next 9 to 15 months approximately before she develops altered sensorium and bleeding tendencies. Take care.
| 159,463 |
Positive HPV, Displasia seen in Total hysterectomy. Family history of cancer. What does report mean?
|
Patient: hello I'm new to this site..I had a TOTAL hysterectomy in 1999. I just recently had a pap smear done, (did not know I STILL needed to have them), got a call today from the dr. telling me came back "abnormal"..said showed "Low Grade Squamous"..."positive HPV"..and "Displasia"..I am SOOO VERY CONFUSED right now! How can I have cervical dysplasia and NOT have a cervix??? I had "pre cancer cells" before I had my hyst...abnormal paps...HUGE family history of female cancer, including my mother at age 23., (among other types of cancer. my dad passed away at age 53 with cancer.) Can you help me understand these results??? PLEASE??? Doctor: 1st of all how your PAP smear is possible ??? :) if you had a TOTAL Hysterectomy what you mean to say is that complete removal of your uterus was done... But if you are getting done it on regular basis that means the cervix is their and the rest of the part was removed... :OSecondly as you have mentioned that you were having precancer cells earlier the same are they now what is called as dysplasia.HPV i.e. Human Papilloma Virus infection is their which is responsible for this condition. I alters your genes and stimulate cancer producing genes to start for a malignancy formation.. In short yes, viruses can cause cancer especially when it comes to HPV but you can still protect yourself with good and proper food habbits which can increase your immunity to fight with this virus..You are also having a 1st degree generation history cancer from both of your parents.. so beware for the future .. but for now these are only pre-cancer cells which may lead to the formation of cancer.. Your answer could not be elaborated as each type of cancer have its own mechanism which you have not stated properly in any of the case amongst your family.. Hope this much is sufficient for now ...:)
| 158,257 |
What should i do as i am having a burning sensation after applying polysporine?
|
Patient: Hey, I had applied polysporine to my penis because of a minor injury ( I overreacted and decided to use polysporine ) polysporine gave a light burning sensation ( I applied it to my penis 5 times in total ) I no longer use it but it seems as if the part where I applied it on my penis is a bit rough and dry now. What should I do ? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Polysporin ointment is antibiotic ointment. Its direction of use is only over the skin and not over the mucosa.You have applied over the penile mucosa so you have rough skin. Other reason for rough skin might be your allergic reaction to the polysporin ointment.I suggest you to now not to apply over the penile mucosa now.In either case you can apply steroid cream under your doctors guidance. This will clear up the roughness of the skin.Please maintain good hygiene over the rough skin and also maintain the moisture over the mucosa.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM
| 200,428 |
Pain in left lower abdomen, ultrasound, CT scan normal. Reason?
|
Patient: hello , i have pain on my left lower abdomen exactly almost where the left kidney is located , i made a ct scan and everything is well , i made also ultrasound and bone scan and everything is normal , but still i am with this pain all day , at night i have nothing but during the day all day with this pain , could you tell me something about this ? what i can say also is that i make about 3 hours sitting on bed with the laptop , is this a bad position ? Doctor: your food proteins can start reacting with body proteins as one of food protein start reacting suddenly with body proteins get allergy specialist advise to get blood serum tests for specidfic antibodies for food proteins like wheat milk potato and common food you take withdraw for getting bernefit
| 92,619 |
Can injury in forehead cause tripping and running into stuff in kids?
|
Patient: my grandson was dropped off by his paternal grandmother with a knot and scab on front forehead she said three days ago he fell on pavement but the child says mama dropped him ,but my concerns now is he is tripping over everything and running into stuff i have medical consent should i be worried he is also more frustrated than usual. Doctor: Hi,Welcome to Hcm,Your concern is understandable. Few more details like his age, how was he developmentally before the incident, how significant fall was it meaning from how high and what was the immediate situation after fall- did he loose his consciousness and have vomiting etc would actually help in arriving at a better conclusion. Having said that, we cannot neglect the possibility of internal brain injury with these symptoms which can present like abnormal symptoms in children. If I were your pediatrician , I would suggest you to get a Ct scan brain to be sure if there is any internal brain injury. Hope this helps your query. Take care.
| 171,610 |
What causes bloating, tingle in calf muscles, lower legs when on Effexor?
|
Patient: Hi I am not a big eater but feel bloated after a meal and suffer from tied arms and tingle in my calf mussels and lower legs I thought it may be RLS. The only medication I am on is Effexor, these legs are driving me mad and not getting enough sleep can you help. Doctor: You should go rheumatologist if the leg pain more than 5 days. You should do C- reactive protein, CBC , nerve conduction gram and fasting and randum blood sugar. If leg pain less than 5 days, it mostly muscle spasm or mild neuritis, so analgesics and antiinflammatory 3 times daily oral tablets will be sufficient.
| 131,268 |
What causes rash on the calf and flu?
|
Patient: II have a rash that has developed on my right calf thought it was from wearing long johns but it is now almost 2 weeks old . just got back from germany caught what I think is a light cold but it's still lingering it seems like it might be getting worse . taking cold and flu pills right now feel like I'm running a low grade fever and some chills. also feeling sick to my stomach all day. I have had the flu shot. what do you think. Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a viral rash.I recommend using a mild steroid cream for local application such as Calamine lotion. I also suggest using treatment for the flu symptoms. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| 12,811 |
What causes redness and burning sensation on legs after drinking wine?
|
Patient: hi. after drinking about 2 glasses of cocktails.. vodka mix. and 3 glasses of red wine.. my skin turn red with burning feel on my legs near my groins and on my breasts.. the red and burning feel lasts till the next day.. please explain this kind of reaction? thanks Doctor: Hi,This reaction is known as alcohol flush reaction.When we consume alcohol, it gets metabolized in body by liver enzymes into acetaldehyde and then into acetate.Some people( commonly chinese,japanese)have inability to convert this excess acetaldehtde into acetate leading to accumulation of this acetaldehyde into blood causing blood vessels to dilate more.And because of this,our skin turns red and slightly burning to touch till this substance clears from the blood by kidney.Best treatment is to curtail this alcohol consumptions.So,this is the brief explanation.Thanks
| 99,471 |
How to treat bruise like lumps on arm?
|
Patient: hi, myself, my friend and her daughter have all had bruised lumps appear on our arm in the same place. My friend went to the doctor who said it was probably a fatty lump where fat escapes your lymphnodes but it seems strange we all have the same thing. My bruise is getting bigger. Its not painful but aches. Doctor: HiI appreciate your concernLooking at your history it seems to be a Lipomayou need not to worry its not causes any problem except pressure symptomsit can be removed by a simple surgical procedureHope I have answered your questionGood luck
| 66,033 |
What does the following blood test report suggest?
|
Patient: my daughter blood test report give below indications. may know it gives any problem. please clarifyReports details in below :-RBC's are mild anisopoikilocytosis. predominantly normocyctic with ovalocytes. hyphochromic seen. WBC's are count normal in numbr. and distrubutions normal, normal morphology. platelets area adequate in number with normal morphology. platelet's are adequate in number with normal morpholgoy. No haemoparasites seen - Malarial paracyte & Micro filaria (MP & MF) Doctor: HiThanks for your query.Based on your query and reports1. Your daughter has mild degree of anemia2. Probably iron deficiency anemia as most common cause of microcytic hypochromic anemia is iron deficiency.3. You can get a iron study done to confirm iron deficiency and treated accordingly.4. Improve her nutrition and also discuss with your doctor regarding deworming as parasites can cause iron deficiency.There is no need to worry.Hope this helpsRegards
| 115,513 |
Suggest treatment for granulated wound after drainage of an abscess
|
Patient: I had an abcess drained and they made an incision. It has been over 4 weeks since then and I have been going for dressing of the wound to heal. Only afew days back when the packing of the wound seized the nurse noticed that it had over healed. The over granulated wound tends to hurt me when i walk and i dont know what to do. It is red at times then looks white please advise Doctor: Hi thanks for asking question.You have done correct treatment regarding abscess.Your wound is in healing stage, because granulation tissue is red.Don't worry about granulation tissue, it suggest your wound is about to heal.Some itching and pain will be there until wound healed.Just now dressing can be done with normal saline.If wound healthy suture can also be taken for faster healing.I hope you will understand my concern.Dont worry.within few days your wound will be alright.thanks
| 31,464 |
How to rule out autoimmune diseases?
|
Patient: My husband s physician said his symptoms could be the sign of an auto immune disease - fingernails splitting, thin, thickening in areas, deep ridges - also on toenails and bald spots in his facial hair. I cannot even find those symptoms listed anywhere. Doctor: You have to provide entire histort for the same , autoimmune diseases have varied symptoms . There is no single test to rule out these disorders .
| 82,614 |
What should be done if 2 days BP medicine missed?
|
Patient: I am suppose to be taking my blood pressure medicine,but I forgot 2 days in a row now.I just remembered and was like Oh my god! That's probably why I feel sick.I usually take it at 9:30PM but is 12:32am now.Should I take one now? What should I do.My age is 23. Doctor: You may take the drug now and continue to take the rest of the course as advised by your doctor.It's better to follow the dosage and timing of drugs as prescribed.You may like to keep some reminder to aid you not to forget medications. One of the most common causes of treatment failure in high blood pressure is non compliance with medication and it has caused many complications on heart, kidneys etc Hope you comply with the treatment plan and get reviewed by your doctor regularly till warranted.If you have any further doubts feel free to ask.
| 23,076 |
Suggest treatment for visual disturbances,tingling in arms and hot flashes
|
Patient: I m 14 and have been having visual disturbances and hot flashes along with some tingling in arms/legs. I also have swollen have 2 or 3 small pea-sized bumps under my skin on my neck. I also fart a lot I don t believe that s relative but thought I d mention it just in case. I m extremely worried I have something wrong with me. I have been to my doctor twice and I have been to the ER twice I had a CT scan on head and neck came up negative I don t know what to think plz help... I hope its just anxiety Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to an inflammatory disorder, including a viral infection. The bumps in your neck could be inflammatory lymph nodes. Anyway, as your brain CT scan has resulted normal, there is nothing to worry about your visual disturbances. I would just recommend performing complete blood count and inflammation tests to exclude inflammation. Thyroid hormone levels should also be done to exclude possible thyroid dysfunction that may trigger these symptoms. Hope you will find this answer helpful!Kind regards, Dr. Aida
| 143,394 |
Suggest treatment for strengthen the neck muscles
|
Patient: my head shaking is getting much worse. I went to see a nerologist and had an MRI done, he said some people just get this with age, and there was nothing that could be done. I was wondering if weight neck exercises might be helpful to strengthen the neck muscles. Doctor: *1. Since examination [neurologist] and investigation [MRI] is done, and there is nothing to be evaluated as told by your doctor, thus AGE [which is not mentioned] could be a contributory/provoking factor. [some people get this with age] probably senile/essential tremor [ET]2. since MRI revealed nothing conclusive thus, shaking due to parkinsonism, multiple sclerosis or cerebellar disease can be excluded.3. make sure to check with values of blood urea and liver function tests for any hepatic disorder or other metabolic abnormalities.4. make sure it is not due to alcohol/drug withdrawal?5. Drugs used to treat ET, also increases the risk of depression, and since ET is not a life threatening disorder, unless ADL [activities of daily living] like writing/ eating/dancing becomes difficult or it causes disability, so one should check periodically with Neurologist for progression of disease or contact Physiotherapist/ Occupational Trainer.6. since shaking [tremors] are due to problem in the brain, thus strengthening of neck muscles is of very less advantage. [strengthening is advisable to prevent reoccurence of injury] which is not there.
| 97,607 |
Suffering from stomach pain. Endoscopy showing erosion in the antrum. On nexium, carmax and normax. Permanent cure?
|
Patient: hello doctor, I am having a stomach pain for the last two yrs. I went to the doctor last week and he advised me an endoscopy to be done. in my endoscopy a single erosion in antrum is diagnosed. doctor has advised me neksium tab, normax tab. two times a day and carmax a day for ten days. I want to know whether my problem is curable permanently and what precautions should be taken so that it does not occur again. Doctor: Hi, you have Erosive gastritis which should heal with the acid suppressing drugs which you are taking.Duration of stomach pain is 2 years? is there any other problem if no erosion may develop after use of analgesic like aspirin or ibuprofen or use of alcohol or irritant and spicy food ? but usually transient we should also look for H.Pylori infection if positive a Triple therapy may help. Acid peptic disorder is there relapse may occur but Taking regular diet,taking lot of water and keeping analgesic to minimum and avoiding alcohol and smoking one can be symptom free or cured ?
| 94,867 |
After going through these reports, what can I do to keep my dad out of danger?
|
Patient: Hi, My father is 63 years old, suffered Massive Heart Attack in 2012 August, his current condition is as below CAD: RWMA +, AWMI, LV dysfunction NO VEG / PAH / CLOT /PE Normal Valves EF: 30 I want my father to be out of danger and be in good health always. I need help to improve his heart condition. Please help. Regards Mallikarjuna Doctor: Brief:Detailed:Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Muhammad Ahmad. I have read you question completely, i understand your concern and will try to help you in best way possible.First I will explain about the report.It says that you father had heart attack which effected anterior wall of his heart.Heart has many walls and anterior wall is very important in determining the heart function.Report also says that there is left ventricular dysfunction..Left ventricle is also most important part of heart and now as it's damaged it is working at half the efficiency of a normal person.Normal ejection fraction is 60% and he is on 30 so after this heart attack his hearr us working at 50% of normal.Now how to keep him out of danger?These are simple yet important points.1) Save heart from a new attack, this will need him following the diet modifications and regularly taking meds ans doctor followup.2) Don't over load the heart :this will be done by:a) controlling salt intake.b) Taking medsc) Controlling BPd) Avoiding over exertion.3) Stay active but always remember he doesn't have to cross his allowed limits.. he is on 50% of heart activity so his physical activity should also be 50% Here your main goal is to keep it at 30% and dont ket it deteriorate.. Leaving meds even for a day can be catastrophic so take care of every thing religiously and everything should be fine.I hope this answered your question.If you have more queries I am happy to answer.Regrads.Dr.Muhammad Ahmad.
| 28,088 |
Suggest medications for fungus like skin infections
|
Patient: My wife has got white marks on the back. On seeing doctor, doctor diagonised as skin fungus. He advised to apply Ketovate Solution ( Ketoconazole solution) one hour before taking bath. In night , Kansel - ds lotion to be applied. This treatment is going on for last 2 months but there is no improvement. We have observed that it starts in summer and continues for 2 months. This gets cured within 2 months. But, this time it is not getting cured. Please suggest what to do as my wife is very much worried. Doctor: From the description it more likely seems to be Pityrasis versicolor infection causing hypopigmented lesion without itching. It usally increased in the sweat causing months ( summer ). the local applicatiopns given by doctor are gud but considering the resitance this tyme you need to change the medication. And she should also have one oral antifungal shot such as Fluconazole 400 mg single dose, which is more ideal treatment of the condition.So my opinion is that give her single tablet of fluconazole 400 mg single dose and ask her to apply oxyconazole or itraconazole cream twice a day & see the results. It may take 20 -30 days to resolve thsi type of infection.Once cured precautions should be taken so that they wont recure. For that it is advisable to have proper dermatological consultation.
| 39,463 |
How to avoid to have panparag ?
|
Patient: how can i come out from my badhabits like using panparag etc. Doctor: Hi.. Learn about the side effects of chewing tobacco.. http://familydoctor.org/online/famdocen/home/common/addictions/tobacco/177.html Go through this link. It provides you with a few tips on how to stop tobacco usage... If you can't do it yourself, take professional help from the doctors at rehabilitation and deaddiction centre... All the best...
| 214,116 |
Can antivenom dose on snake bite heal completely?
|
Patient: Hi My Name is Stephanie. I was biten by a copperhead snake on 7-6-14 around 10pm. I was taken to the ER and givin 4 viles of antivenom. I stayed in the hospital until 7-10-14. So I ve been home 5 days and the swelling has not gone done, it itches and sore to the touch. Should i go have it looked at now or wait. Doctor: Hello,Thanks for your query.I am happy to help you here.Today is 22nd of july.If you have swelling till today, then its better to have a follow up. Usually snakes are non poisnous. But if snakes are poisnous usually its either cardiotoxic or neurotoxic & sometimes both. Swelling doesnot confirms that the snake was toxic, but it needs attention further. Although its rare that toxin will show its action after 15 days but untill the swelling subsides u need to be kept on watch. 4 vails of antivenom may not be sufficient if aknowledgeble symptoms appear, & if no symptoms appear, you may not need anti venom at all, but for that you should be kept in watch for atleast three days. Even if just swelling appears its considered safe to administer antivenom, some patient body react to antivenom and cant be continued further.I dont think you are in trouble of having activation of toxin but still you should keep watch on yourself for following things untill the swelling subsides.1) If either or both eyelids starts drooping or you develop difficulty in opening eyes.2) or if you develop numbness (decrease/loss of sensation on touch.) 3)Any kind of unnatural bleeding from nose or in stool etc.if any of above complaints develop then its must to revisit ER. At the time being I recomend you to take antibiotics and antiinflamatory medication to prevent infection , decrease itching and to decrease the swelling.For now I suggest you to either have a follow up or you can take some medications as bellow.Chymoral forte once dail before food for 1 wk ( it will help to decrease swelling )Tab levocet 5mg 1 at night before sleep for 3 days ( to decrease itching )Tab metronidazole 400mg thrice daily for 5 days.Tab cefixime 200mg twice daily for 3 days.I hope my talk would be helpful. Will be happy to help you futher.Thank you.Dr.Gaurav Baidya
| 96,924 |
How to get rid of anemia?
|
Patient: Im 13 and i have animia.. and how do i grow faster like my boobs, butt and other things like my friends? Doctor: -I eat right and healthy so what do i do?
| 106,380 |
Suggest medication for fever followed by sickness in the stomach
|
Patient: I have not been feeling well for a few weeks now, have had a couple of colds and sore throats then over a week ago I had a fever overnight and felt like I had the flu the next day. This cleared up but left me with a sore throat and also had nausea on and off since then, last week went to docs who gave me antibiotics amoxycillin for throat and then 4 days ago I got terrible diarrhea and feeling sick I could not get out of bed for 2 days. thought maybe the antibiotic so stopped taking them on friday was ill all weekend with bad diarrhea till nothing was left could not eat anything and any water was going straight through me. Yesterday I started to feel a bit better could get out of bed but still felt sick, managed to eat a little but tummy felt very sore, my legs also ached like from the bottom of my back all the way down both legs. today I have had more diarrhea and still have waves of feeling sick and feels like my stomach is flipping, legs still ache a little but just feel unwell and lightheaded? Doctor: hi sir, welcome to HCG, i understand ur problem, maybe u have viral fever, pantakind tab twice before breakfast, before dinner... dolo650 tab for fever and aches thrice a day after breakfast, after lunch, after dinner, extracef plus 200 twice a day, after breakfast, after dinner... drink hot water, dont eat junk food or outside food, hope u satisfy with my answer, thank u
| 30,525 |
Suggest treatment for swelling and pain in toe while wearing boots
|
Patient: A friend injured his small toe about four weeks ago but it is still swollen. He is able to stand but the biggest problem is wearing steel toe boots for twelve hours a day. What should he do to alleviate the swelling and pain while he wears his boots? How long does it take for it to heal? Doctor: Hello, As the symptoms are of pain and swelling I will advise modifying the shoes if needed because most times it can happen even with the shoe over compression and venous return is disturbed. Regularly removing the shoes every 2-3 hours will be a good choice for now. Hot water fermentation and elevation is choice after the removal of shoes in the evening or morning time. Also, don't apply too much weight on the injured part. Have a check of your heart once if you are above 40+. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,838 |
Suggest treatment for stomach pain in a child who is on Amoxicillin
|
Patient: my child has an abscess in her gum, dentist suggested to meet w/oral surgeon for extraction. at the moment, she is taking amoxicillin but it gives her a little tummy ache - any advise? should i ask to change anti-biotic? how soon should i have tooth extracted? i imagine, as long as she is taking anti-biotic, she should be safe. any advice would be appreciated. Doctor: Hello. Children often experience mild stomach ache and diarrhea when taking antibiotics. I recommend giving your child some yogurt with activated bacterial cultures and/or supplementing their diet with some over-the-counter probiotics. Antibiotics can cause an in balance in the good bacteria that aid in digestion. Replenishing these good bacteria with yogurt or probiotics can help reduce stomach discomfort and restore normal bowel movements.
| 164,429 |
What causes sharp pain in and around abdominal mesh implant surgery scar?
|
Patient: Hello, 2 years ago I had a a bladder sling and abdominal mesh implant. My mesh tore they replaced then I had three more surgeries for infections, then a pump to heal from the outside in, infection again blew my scar open, reversal surgery to remove mesh. 5 surgeries total. Infections repeated. Problem today pain lower left side to my scar, up my scar, curving around my belly button..sharp pains, sweats pain in my under arms.. Complicated. They diagnosis me with fiber myalgia Doctor: Hi.Thanks for your query and an elucidate history.The repeated surgeries, infections, septicemia and such changes giving you stress and anxiety would cause fibromyalgia.I would advise you to get a thorough medical check up including all relevant blood and urine tests, MRI of the operated area to see for any residual infection or complication, cystoscopy and treat them accordingly.I am sure this will help you to overcome the problems.
| 86,372 |
Suggest medication for a viral infection
|
Patient: dear sir, i have been hbs ag positive ,hbe negative and normal ALT for last 13 years.but recently only i tested viral load and it is 20560 iu/ml .i am 32 now. i got occasional drinking habit(say 10-12 times in an year).otherwise no major health issues for me. seeking your advice regards vishnu kerala india Doctor: Hello, thank you for your contact to healthcaremagic. If I am your treating doctor. You are now chronic hepatitis B patient. Kindly do not drink more alcohol it will cause you more liver injury. Make you vulnerable to chronic liver disease. If you want to aske anything you can ask me. Thank you. Dr Arun Tank. Infectious Disease specialist.
| 38,302 |
What causes water filled blisters around scar after bunion surgery?
|
Patient: i recently had bunion surgery, 11 weeks ago, and now have water filled blisters around the scar and sole of my foot. i also have them appear on my palms and side of fingers, yet they do not appear on the opposite foot or anywhere else. Is this likely to be an infection, or allergic reaction to stitches Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is looks like infection to the surgical site.I advice you should do culture and sensitivity from the stitch site. Once the antibiotics is taken this infection is going to be controlled. If you do not want to take the oral drugs you can apply it locally.I suggest you should do good dressing and cleaning. Please keep the wound dry. Dressing with dettol , betadine and application of the polysporin at the end should be done.If you are wearing shocks than cotton shocks should be worn. Avoid injury to the site.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 34,961 |
Feels that someone is controlling him, no medicines have helped. How can we remove this thought out of him ?
|
Patient: Hi Sir , My brother has a special symptoms, He is always saying one of the bollywood actor is controling him using some device like remote and what ever the actor is saying my brother can able to listen .We are not able to follow whats going with him.I have taken him to many Psychiatrist .All are giving medicine mostly like sleeping pills but am not sure what to do .its been more than 10 years please advice.How we can bring that thaught from his mind that no one is controlling him. Doctor: The problem you mention is a really important issue. It could be dangerous for him or other people if he thinks that anybody is ordering him something because he may act on those commands. This problem is defined probably as psychosis and first episode of psychosis should be investigated for many things like hormonal problems, like hypothyroidism or adrenal gland dysfunction and also some blood work to see if there is some medical problem (like hypercalcemia) which is showing itself in this shape. If all the possible medical problems are ruled out, he should take an antipsychotic mediction, not just merely sleeping pills and the symptoms will subside.
| 212,678 |
What causes tightness in chest and numbness in arm?
|
Patient: Hi, I am currently feeling tightness, discomfort on my lower left chest.and sometimes my left arm feels numb. I had my ECG yesterday and it's normal as per my doctor. I've been feeling this since last week. I am 23 male, asthmatic and using ventolin rotacap if my asthma is about to attack.. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases as a cause for your symptoms because you are young (23) and having normal ecg .In my opinion, your symptoms are mostly due to uncontrolled asthma. Ventorlin is having salbutamol. It is rescue drug. It is not drug of choice for long term control in asthma. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,132 |
Done semen analysis test. Want medicine to increase active sperms
|
Patient: Hi ! i m saleem from islamabad (pakistan) Dear doctor....please note.... i have got marriage 11 years back i m 40 years old and my wife is 34 years old but we dont have a baby till now my report is ....active 30 % motile 40 % dead 30 % please adv me any medicine for increase active sperms kindly requested you ...please Doctor: Hi Mr Saleem, Welcome to HealthcareMagic Please post complete report of semen analysis for proper advice. As per your report motility is low. You need to consult an urologist for complete evaluation. You ll be benefitted with multivitamins and antioxidants. At the same time your wife need to be evaluated by a gynecologist. Take care
| 44,291 |
What causes dizziness and blurred vision?
|
Patient: I m a dancer and I am 15. I consider myself very healthy, I do have allergies and I take some medications for that, but usually no other medications are taken besides Ibuprofen (sometimes). My problem is that whenever I am at dance and we have to do backbends (which is where you bend your back as far as you can go while standing), I get a terrible headrush and an awful headache. I often get really dizzy and have pretty bad vision, basically everything in my eyesight just goes away/becomes a red mass. This has been happening almost as long as I can remember, it has just come to a point where I can t do certain dance moves anymore because even though I haven t fallen, I feel like I am going to. This problem also happens when I stand up, not all the time, but when it does happen, it tends to be much worse then just bending my back. I do drink a lot of water and my sleep habits are as normal as they can be (I m a teenager). Is there anything I can do about this? Medication? Exercises? Changes? Doctor: Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What causes dizziness and blurred vision?Answer : You have a problem with blood circulation. Please consult a Neurosurgeon for Evaluation. After finding the extend and nature of problem, we can cure it with relevant Medications, Exercises, Life Style ModificationsHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
| 144,151 |
Suggest remedies for inflammation in lungs and iron deficiency
|
Patient: Hi My 15 year old daughter is taking seretide twice a day to clear inflammation in lungs etc. She has not had asthma, to my knowledge, previously. She is an elite athlete and is also iron deficient. My question is could she have exercise induced asthma and is it safe to give her fefol as an iron supplement? Thank you Doctor: If she is taking seretide regularly that maens she has asthma which is well controlled with seretide. Yes there is a term called exercise induced asthma. If she she still has symtoms during asthma despite taking seretide, she may take 2 puffs of levolin 10 min prior to starting exercise.
| 75,516 |
Abdominal pain, have chronic pancreatitis, cysts in stomach, stent in pancreas. Take pain relief?
|
Patient: I have chronic pancreatitis and I have 3 cysts in my stomach, I have recently had a stent put in my pancreas for a few weeks, then removed. I have been getting severe abdominal pain since, and at the moment I have severe lower left side abdominal pain. I can do very little, and will be going to see the surgeon in out patients this week. I would like to know what to ask him, considering he thinks that there is not much more he can do for me. I need some kind of pain relief. Doctor: Hi.It is true, pancreatic conditions are quite complicating to begin with and treatment is slow and not always successful. The pancreas is an important organ and removal is not contemplated unless conditions become extreme.In the given circumstances pain killers would be advised, but from personal experience with a few patients, they only provide temporary relief and patients come back in no time asking for stronger ones.My advise would be techniques to take your mind off the pain, mild forms of exercise and a strict diet regimen which would prevent from stimulation of the pancreas, that could hopefully result in reduced levels of pain.I am sorry the options are limited, but given the condition, it all depends on how you respond and decide to tackle the problem.Wishing you lots of luck and more.Best wishes.
| 93,110 |
What causes tingling feet and legs and painful joints?
|
Patient: Hello. I had glandular fever last Nov/Dec time and I have been left with tingling feet legs hands arms finger tips. Mainly my left side. I had blood tests in February and September this year to rule out diabetes anemia, full blood count and liver kidney function and thyroid. Both sets came back normal. I slipped a disk in lower back in June and I am still having some physio as it is still not 100%. My doctors and physio have said that the tingling and aching sometimes painful joints are a result of the above. I still worry. Thank you. Sarah Doctor: Yes,The tingling, aching and painful joints are due to slipped disc in low back. It will take some time to recede as a slipped disc can't be brought back to its normal position conservatively. However medication and Physiotherapy will help in relief of symptoms but you need to have patience.Hope this helps. Let me know if I can assist you further. Regards,Dr. Jenis Bhalavat
| 130,549 |
What causes cough in a child?
|
Patient: my son is 2 yrs and 8months.he is suffering from severe coughHis doctor gave many medicines.tried out well.but it dint cure out.finally. doctor has now prescribed with Akurit Kid tablets and told to continue for 6 months which he gave a 10 tablets before for testing.it worked out well.is this good..what disease my son actually has.? Doctor: Most of the cases of recurrent cough in children are due to viral cause. Your doctor has given Akurit Kid which is an antitubercular medication and therefore he suspects the child to be suffering from tuberculosis. I would strongly suggest that you first get the disease confirmed by tests like sputum analysis or even TB quantiferon gold test before administering such medicines. Since you have already started the medication, I would insist that you continue the medicines for the time being while you get the diagnosis confirmed.
| 177,475 |
What is the medication for nonstop sneezing and running nose?
|
Patient: I have been suffering from sneezing problem for the past seven years. The symptoms are non-stop sneezing, running nose. It triggers due to sudden change of weather or whenever i come form jim and suddenly take bath sneezing start regularly . please give me some suggestion... thanking you vikas yadav Doctor: HI, thanks for using healthcare magicYour symptoms are in keeping with allergic rhinosinusitis. This is inflammation of the nasal passages and sinuses due to allergies.When it is not possible to avoid the cause of the reaction as in the case of weather changes, the main aspect of treatment would be medications.The medications used are topical steroid nasal sprays such as nasonex, flonase, avamys, nasocort. These are used with oral antihistamines.I hope this helps
| 101,533 |
What causes recurrent rashes on the cheeks?
|
Patient: HI, my boyfriend s daughter is 6 years old and she continues to get a reoccurring rash in the same spot on only one of her cheeks. We have tried Lorraine and ba atria but it continues to come back. She has no irritation, pain or itchiness but we have no clue what it is or what else to try to get rid of it. The rash isn t really raised but it is a red circle (probably a little smaller than a dime) and occasionally she will get a couple smaller ones around the same area. If you have any suggestions or know what this could be, please respond. I appreciate your time, thank you! Doctor: It is probably due to atopic dermatitis, If such patient comes to my clinic, I would prescribed him atolls gel locally application and demonise gel
| 164,489 |
Is my baby on right treatment?
|
Patient: hi,my baby is 4month old and he is suffering from cold and cough.doctor prescribed him vizylac dry syrup,allegra and clavam forte dry syrup.after 2 doses he is paasing loose motions.please tell me is it the right treatment. YYYY@YYYY Doctor: in my view if baby is not sick much like not having fever , accepting orally well just cold and cough antibiotic is not needed.it may be due to viral infection which should subside by own . and cough is may be due to post nasal drip due to cold and allegra is for allergic cold.and loose motion may be due to clavam forte or may be due to viral infection. so for your baby frequent feeding to maintain hydration , continue vizylac till loose motion subsides and for disturbing cold and cough can give wickoryl drops 5 to 8 drops thrice a day for 3 to 5 days as per relief of symptoms.
| 174,184 |
Suggest treatment for wheezing and cough in a child
|
Patient: Hello Dr, My 2.5 yr old daughter has wheezing and is coughing. while sleeping her breath is fast and uneven. Dr suggested Budesal 0.5 mg and Livolin 0.31 at a gap of 4-6 hours. In the sequence of Budesal, Livoline, Livoline, Budesal. in last 4 hours I have given one Budesal and liovline, but her breath is still uneven. Should I give Budesal. Its 1 am in night so cant reach a doctor Doctor: Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,You should give her 3 inhalations of Livolin at interval of 20 minutes for rapid relief of symptoms , if there is no relief after 3 inhalations you should contact in emergency . Frequency of levolin can be increased if symptoms are more . If symptoms are not improving a short course of oral steroids can be given after consulting your doctor .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 questionsTake care.
| 177,986 |
Have tonic clonic seizures. MRI shows maxillary sinus polyp. What does this mean?
|
Patient: Hi, am priya, age 26, diagnosed with tonic clonic seizures 8 years back. I was seizure free for the past 4 years but again had an attack last week. My regular neurologist suggested that i sleep well and resume my sodium valproate for another 2 months. I took another opinion from a differnt neurologist who asked for a plain MRI of the brain. The report says the MRI study of the brain is normal, small right maxillary sinus polyp . What does this mean.? Please give ur opinion Doctor: Hi Priya, Thank you for posting your query. Your problem is epilepsy, and it requires medications for a long time, as it is a chronic problem. Sodium valproate is a good drug, however, it should not be used in pregnancy, as it can cause malformations in the baby. Regarding the MRI finding, it is normal brain. Maxillary polyp refers to a minor problem in the sinus (located on the side of nose). An ENT doctor would help in treatment of the same, if it is causing symptoms, such as nasal obstruction, cold, etc. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Apollo Hospitals, Jubilee Hills, Hyderabad [email protected]
| 151,175 |
Having intermittent abdominal discomfort. Had urinalysis. Findings?
|
Patient: My husband just had a urinalysis. It was cloudy, gravity was 1.007, trace of occult blood, epithelial cells 0-5, bacteria UA slight, amorphous UA present, sperm cells present... all other components were normal or negative. He has been having intermitent mild abdominal discomfort, but no other symptoms, with no pain on exam. Blood work shows high cholesterol, but no other problems. His doctor ordered an ultra sound & xray, to rule out kidney stones... which we think sounds rather expensive. There was no prostate exam, but after reading posdible causes for bloid & bacteria in urine, could it be prostatitis? Is this a normal course of action, or would a round of antibiotics be tried first? Doctor: Hi, If there is no burning or frequency of urination- I don't think you should think of prostate involvement or antibiotic course. Urine analysis shows uric acid &occcult blood that's why he was advised for exclusion of kidney stones. At the most an ayurvedic medicine like Cystone can be tried foe the relief, Please exclude digestive problems . I would suggest,if there is no relief ,it's better to investigate & exclude stones . A early diagnosis ,early management & early cure are best . Kidney problems are notorious & troublesome .So must be treated the earliest. Thanks.
| 92,778 |
Suggest treatment for pimple like bumps on legs
|
Patient: My 22 month old I noticed recently developed pimple like bumps on areas of his body, including on his legs, on the area in which he has eczema. I noticed today that there are a few of the same pimple like bumps around his buttocks, close to the rectal area and I just discovered 2 small bumps on the underside of his bottom lip. They don t seem to be be bothersome as he is not complaining nor is he scratching, except the area in which his eczema is located. Any suggestions as to possible cause Doctor: Hi please describe the the bumps a little more whether any redness is there sorounding them/ whether they are increasing in size/coming and going off,associated with itching or not; which will help us in differentiating between a allergic tendency or infection. If not associated with pain/fever, simply USE a local application of emolient/moisturiser over the area and if persists need to add a antiallergic drops/syrup .Thanks
| 174,666 |
What does recurring fever in an infant mean?
|
Patient: my so is 8months old and has been running a fever of over 101 for four days now.Despite my efforts to alternate tylenol and motrin,the fever will go away for a few hours with the motrin and come right back.This happened a couple of weeks ago i took him to the doctor and they gave him antibiotics and it went away,i don t understand why he keeps getting these fevers that won t go away. Doctor: Hi...by what you say I feel that your son is having recurrent viral illness. I will explain you how a viral illness behaves so that you can be more confident.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.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth
| 163,972 |
Suggest treatment for swollen and painful legs
|
Patient: Having a lot of problems with my legs. constant cramping very swollen by the end of the day. Tender to touch almost as if they are bruised but there is no bruising showing. Currently started exercising and do not notice and difference. my legs feel to heavy for my body. Doctor: Hi,Thanks for your query.Pain and swelling over your legs can be due to injury, infection, inflammation, dvt. etc.Since it is very painful,I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 136,639 |
Should I take rubella vaccine and placentrex after having lost pregnancy due to rubella infection?
|
Patient: hello doctor ,i am last 3year of marriage and we have no baby now. my case is that i m 1st pregnent last 2012 then we lost after 7 month pregnancy reason is RUBELLA infection.after that doctor suggest RUBELLA VACCINE .i do it but last 2 month i am very suffer for another pregnancy then my doctor consult 10 placentrex inj alternate,fertibex tab and fertisure f . so please tell me it can help me for pregnancy or because i am doing 2 home test and stil not pregnent please help Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should take the drugs.Provided treatment was right and should be continued.As you described that on previous pregnancy you have rubella and so you have miscarriage. After that you have received rubella vaccine. Rubella vaccine has cured your rubella infection. So on this time it is not possible that you have rubella.Provided drug regimen will support your pregnancy. So allay fear of miscarriage this time. Such things never happens every time. I advice you to take positive thinking. Indulge your mind in positive thinking..Please start doing yoga, it helps you much during your pregnancy.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
| 36,308 |
What causes chest discomfort and change in vision with heart beat?
|
Patient: I've have been having chest discomfort today, and have had my vision changing in my left eye at times when my heart beats. Is this bad? I was taking baby aspirn to deal with the chest pain. I try to stay away from my nitro, as it makes my headache for up to 8hrs. Any feedback would be appreciated. Thank You. Doctor: You seem to be cardiac patient... From history... Need to know if ecg echo medication and detail history to guide u... If this problem is frequent also need eye check uo
| 24,569 |
Is severe pain in left side knee joint a cause for concern?
|
Patient: Hello Doctor, Im 27 yrs old. software professional.. im not able to walk normally my left leg knee joint got little pain while walking. Please provide the suggestion what i would be? shall i visit ortho doctor? is it an serious issue. Thanks for yr reply. Doctor: Hello, As per the history I will advice you to meet up the orthopedist. Since with the history I do not find much serious but a physical examination and assessment might provide some insights to your complain. Since you are a software professional I do not expect any major iniruy with your knee. But on a safer side it's always good to get it examined under a orthopedist or a physical therapist. Because both can assist in examination of the knee and diagnosis. For the complain you mentioned I feel there is weakness of the quadriceps muscles due to your profession. Doing reverse walking 15-20 minutes a day and some simple exercises for Quadriceps strengthening should help. In my clinical practice of over 12 years, this kind of cases who visited me have weakness of muscle and nothing more. Most recover well with simple exercises. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,048 |
Suggest treatment for soreness in the chest
|
Patient: My 12 year old son is complaining of chest soreness when he takes a deep breath. It seems to come and go for the last few weeks. There are no other symptoms. Should I be concerned? He does have exercise induced asthma and it's not an asthma attack, it almost seems to be heartburn. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Chest soreness in child is mostly due to musculoskeletal cause. So better to follow these steps for better symptomatic relief. 1. Tell him to avoid movements causing pain, avoid sudden jerky movements of chest. 2. Give him simple painkiller like paracetamol or ibuprofen.3. You can also cause apply warm water pad on affected areas of chest.Don't worry, he will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
| 72,317 |
What causes lethargy and shortness of breath during pregnancy?
|
Patient: Hi im 18 weeks pregnant, im not overweight, but recently im out of breath just walking up the stairs, I have to sit down when i get to the top, Also when i pick my kids up from school and take them my arms and legs feel so heavy and finding it really hard to get back and forth Doctor: Go for blood test cbc for anemia. anemia can cause shortness of breath and lethargy. Take good diet and iron and calcium supplements.
| 222,205 |
What causes sore lumps on the roof of the mouth?
|
Patient: Hi keep getting sore lumps on the roof of my mouth at t back each side that keep coming up & wont go unless i have strong tablets from the doctor, they go down but then the next months they are back up sore again, i find it really sore to swollow, talk when i have theses lumps, what do you think is causing them to come up each month please. Doctor: Hello, Thank you for consulting with HCM.There can be two reasons for these sore lumps on the roof of the mouth every month,1. First it can be possible that there is some infection in the upper back teeth and now it is spreading to the gums and cause soreness.2. Second it can be possible that the bone in the roof in infected and causing this soreness.To get it confirmed you have to visit a dentist and get a full mouth x-ray done which will show the area of infection.Hope it will help you.
| 185,532 |
What causes elevated levels of AST and ALT?
|
Patient: AST level is 205 and ALT level is 401. They are scheduling an ultrasound. I m not a heavy drinker just an occasional glass of wine - maybe one every couple of weeks. In the past I ve had liver function tests that were only slightly elevated but then the dr. stopped testing when one came back normal. These levels have me concerned though. I m 43, not obese. Doctor: HelloHigh ALT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.AST in non specific and it increases in many conditions.You may need few more investigations like viral markers and ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan
| 56,530 |
What is the treatment for umbilical hernia?
|
Patient: I have been dianosed with an umbilical hernia, and two days ago i've felt a faint, intermittent, dull pulse or "tingle" in what feels like the end of my penis. It's not painful- no itch or burn-just a very mild tingle. Could this be related? If not what might be causing this? Doctor: Hello and WelcomeI appreciate your concern.Don't worry if its a single episode as nerve supply in this area sensory wise is quite extensive and conduction can fire extensive neuronal discharge resulting in such sensations.If the problem persist, get a Urine R/E done to see for other causes in consult with your doctorwishing you best of healthThanks
| 89,467 |
Is donor egg IVF procedure safe for infertility treatment?
|
Patient: Is it safe to use donor egg to get pregnant if someone has herpes? What is average success rate for woman has two months no period and wants to try to use donor egg to get pregnant? Any side effect to add extra hormones to the body to get ready for pregnancy? The main question is if it is save for baby if the mother has herpes and use donor egg to get pregnant. Any possible problem to the baby or mother because of herpes? Thanks. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The only precaution to be taken to avoid transmission of herpes to the baby is to avoid normal delivery and go for a c section. As for using a donor egg then this depends on your uterine capacity and endometrial thickness, if normal then success rates are encouraging. No serious side effects of hormonal treatment is expected. Hope I have answered your query. Let me know if I can assist you further.
| 40,474 |
What causes fever along with sore throat and blisters on the feet?
|
Patient: About 2 1/2 months ago I went to a strip club and got a lap dance from a dancer. During the dance she put her lips to my crotch. I had on jeans and was fully clothed during the dance. I can t be sure if my penis came out of my underwear but had jeans on and zipped the whole time. She blew into my jeans and I could feel her breath on my penis. Her lips or mouth did not make skin contact with my penis or testicles. I did not touch her genitals or my mouth or penis at the club. I could have touched my face when I got home but can t remember. About two and a half weeks ago I got a fever and sore throat and about a day after that my hands and soules of my feet broke out in painful sores which some of which blistered. I am still in the process of the blisters going away. They don t hurt but I can still see where they were. I am worried this is a rash from syphillis. I don t remember seeing a chancre but can t be sure. What are the risks that I contracted an std from this woman I am scared to death about it. Is it possible to get syphillis even if you are clothed like if her saliva soaked through the cloth? I can t be sure if I precummed but I know I didn t cum in my underwear. I also am pretty sure the outside of my jeans were not significantly wet. Doctor: Hello,As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor [Dermatologist] and to confirm do [CBC with differential].2) Discuss with your Doctor Prescription medication [Acyclovir tablet and cream] and paracetamol for fever.Do follow lifestyle modifications like this:1) Try to avoid skin-to-skin contact with others while blisters are present.2) Try to avoid sharing items like Utensils, towels, lip balm and other items.3) Keep your hands clean.4) When you have a blister.5) Wash your hands carefully before touching yourself and other people.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo
| 29,070 |
Any suggestion for having sgpt level of 78?
|
Patient: Hello sirI am having normal bilurubin 0.6 sgot 31 but sgpt is 78 . I do weightlifting also n dont take that much of protein. Normally two omelettes n occasionaly some mutton piece. I want to know is it alarming. Is it a problem of liver. What shd i do. Thanku Doctor: Hi thanks for asking question.You are taking non veg food .Do your serum cholesterol estimation.If it is high USG also done for detection of fatty liver.Let me know you are you drinker?If excess alcohol taken then also liver can be affected by alcohol.So reduce alcohol intake if habit.Have you ever been operated?? Having unprotected sex with suspicious worker?Need blood transfusion ever??If yes rule out HBSag or HCV infection by viral marker.If you have celiac disease like malabsorption syndrome then also liver enzymes can be elevated.So try to rule out above problems ...Repeat test after one month...Wish you good health.
| 54,996 |
Suggest treatment for a scaly red rash on the face
|
Patient: I have had a sore on my face next to my mouth for 7 months. It started out like a pimple, then it grew out wards to where I could look down and see it... No mirror...! I messed with it and squeezed it and got a lot of blood and pus out. Now it is more flush with face, but it still fills up with blood and ous every day... Like 5 or more times a day. It is a scaly red rash and an open appearance in the middle... Ulcerated I d say. I went to hospital. They said it is fungas and there was nothing they could do for me! In the beginning, I had these things all overy face and head. This one that remains, is the first one I got. Help!!! Doctor: Hi, The rash could be most probably an acne vulgaris or seborrheic dermatitis. Treatment differs greatly for both the conditions. But other probable diagnoses are there too. The other diagnoses include folliculitis, topical steroid dependent face etc. I request you to visit your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist
| 13,564 |
What is the treatment for elevated Low-Density Lipoprotein?
|
Patient: I just had a CMP - all results were normal, except that I have elevated LDL. I do drink alcohol and I have read that too high of an HDL level can be a sign of alcohol related problems. Also, my AST/ALT ratio is 1.6. However that being said, those numbers are very low at 24 and 15. Does my liver seem to you to be healthy? My bilirubin, etc. were all normal. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. ALT, AST levels are within the normal range. Its good.2. If the ratio is more than 2, then liver problems can be thought of. At present, your liver is healthy.3. Take low fat diet. Along with it moderate exercises will help in improvement. Elevated LDL will reduce.Hope it helps.Any further queries, happy to help again.
| 116,597 |
What causes yeast infection on anus?
|
Patient: I have been using nystatin and triamcinolone acetonide ointment USP for the past week on my rectum cause of a yeast infection and now my skin is all purple. ever since i started using it is was burning the parts of my skin that was not infected. now for the first time in a week i developed a bad rash and skin is all purple now. should i stop using? Doctor: yes i will highly recommend to stop using triamcinolon steroid any more however nystatin is fine to use. because over use of triamcinolon causing skin thinning and rash. you can avoid fungal infection by keeping your groins and anus dry, clean, and hygienic. if nystatin donot work than switch to other antifungal ointment. but changing the rash dressing daily and keep the rash , groins, and anus dry and clean will help you. thank you
| 30,397 |
What causes swelling in ankle?
|
Patient: Hi, a few days ago, i found out that i have shin splints again. So this morning i taped me lower leg with athletic tape. (Chiropractor suggested it) And when i got home, i took off my shoes, and my ankle was/is swollen. I dont know why! Is it because of shin splints? Or because I taped my lower leg? Doctor: Hello, It could be a sprain. Consult an orthopedician and get evaluated. You can go for an MRI scan to get a better clinical picture. As of now, you can apply ice packs for faster recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 124,797 |
Are lower back pain and lymph nodes interrelated?
|
Patient: hi ,almost one year I do have lower back pain that I can not seat more than half an hour and when I want to stand up to stay tall it takes some time and there is another thing may be its related is about 3month ago all of my neck lymph nodes came out and I felt lumpy things along with pain after 2 weeks they gone and transferred to my breast close to my under arm I think it was my under arm lymph nodes I did blood test and ultrasound for my neck and my breast and every thing is ok but still I have a weak pain at the same time when I went to specialist for my lower back pain he said you have mild sacroiliac artritis and today he got my blood test and my bone scan result he reffered me to romatologist when I explained all of these to him he said you have autoimune desease.now my question is do you think all of things(my lower back pain and my lymph nodes)are related together which one is trigger for the other since I have lots of weakness as well.Thank you Doctor: here for normal individuals who does not have auto immune disease, back pain and lymph node problem at neck level cannot be related to each other but since you are already diagnosed with autoimmune disease it can be related in your case. As per my suggestion you should visit rhematoid specialist and take specific guidelines from him for your back pain. You can also visit physiotherapist who will guide you with spinal exercise program which will help you to improve strength, stamina as well as flexibility for your spine. Another problem what you explain hear about your lymph node swelling i suggest if its increasing in size then you should take a note on that and visit doctor and take his opinion. You may go for lymph node biopsy to rule out there is no other abnormality other then inflammation.here you also need to understand what happens with the people who have autoimmune disease. There are various type of autoimmune disease but the common problem with all these patients are the body's immune system gets activated against the body's normal cell so that there used to be a inflammation in the body which will create pain and disturbance in normal functioning of body's system. usually we have found people who are on anti inflammatory diet ( omega 3) or anti inflammatory drugs used to help against rhematoid conditions. Also doing regular exercise helps to generate certain hormones in body which have healing as well anti inflammatory effect on body cells. So that also helps with this kind of patients.Take care.
| 108,378 |
Are rashes a side effects of Amoxicillin?
|
Patient: A dentist decided that I need a root canal, and asked me to take Amoxicillin before the procedure. On the 4th day (last night) after I started medicine, about 10 minutes after I took the required does, I developed a rash and itchy feet. I put cortisone on the affected area and felt better and went to bed. After one night sleep I still feel that the rash area are itchy. Should I stop taking the medicine or should I continue? Thank you for your expertise! Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems to be delayed allergic reaction to the antibiotic and rashes and urticaria is a common side effect of antibiotics like Amoxicillin..You should stop taking it and take anti-allergic medication like Levocetrizine or diphenhydramine [benadryl] for relief from allergy symptoms.You can continue to apply steroid ointment as well as calamine lotion can be soothing..Consult your treating dentist and explain your immediate symptoms and he can advise you to take other antibiotics like Clindamycin, Cephelexine etc..As you are indicated for root canal treatment and you have already taken 4 days of antibiotic now you can get root canal treatment initiated as 4 days are enough for reducing the infection considerably..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 181,540 |
What are the symptoms of dementia?
|
Patient: my 60 year old husband had a colonoscopy 3 years ago and immediatly after awakening showed deminished cognitive abilities and memory. This conditioned has worsened over the last 3 years and he is showing symptoms similar to alzheimers. He has never had a taste of alcohol yet showed a high level in his blood work during a physical before this colonoscopy. His doctor was sure he was lying about alcohol consumption but he truly did not have any. Could this elevated level have anything to do with the dementia? Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.1. When there is increased alcohol level in blood, we have to assume this to be the cause of diminished cognitive abilities. 2.Alcohol Levels can be high even if he is not "consuming alcohol" directly, but takes some substances (eg Cough Syrup, Pain Killers) which have high alcohol content So He need not be lying 3Coming to your question "Could this elevated level have anything to do with the dementia?", the answer is YESHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
| 142,968 |
What possibilities are there to have normal delivery after 2 c sections ?
|
Patient: I have a history or MRSA and I have had two c-sections. I also have mitral valve prolapse and experience irregular heart beats every day. I hope to have a third child but I am worried about risks since I would probaly have to had a 3rd c-section since I have had two. What can I do to reduce risks and increase likelyhood of a healthy delivery? Doctor: Hi,With two previous caesareans and a heart condition, it is very unlikely that you will be delivering normally. Women with previous two caesarean are offered a elective repeat Caesarean section at 38-39 weeks. There is a slightly increased risk of scar rupture with previous 2 caesarean. And most obstetrician would advise you to avoid vaginal delivery.The exact risk would depend on a lot of factors like, the indication for previous Caesarean section, gestational age at which they were done and post operative recovery.Also do discuss your heart condition with a cardiologist before planning for another pregnancy.MRSA should be kept in mind while taking antibiotics prior to caesarean.Hope this helps.Regards.
| 222,742 |
What causes pain and swelling inside ankle?
|
Patient: I slightly hurt my ankle 6 days ago, but it seems to be getting progressively worse. The last 2 days I can barely walk on it, it s swollen and painful, mainly on the inside of my ankle. I am a bit concerned since it s almost a week later and didn t seem bad at all when I did it initially. Doctor: Hii , Welcome To HCM & Thanks For Asking Your Query Here From Your medical history it seems that you have severely sprained your ankle Pain along the inner side of the ankle may represent a more serious injury to the tendons or to the ligaments and should always be evaluated by a Orthopedic surgeonalthough You can take over the counter anti inflammatory drug like ibuprofen and muscle relaxant like thiocholchicosode after consulting your doctor to subside swelling and pain along with this you should Rest your ankle by not walking on it. Limit weight bearingapply Ice packs to keep down the swelling, Compression can help control swelling , also Elevate the foot by reclining and propping it up above the waist I would strongly suggest you to visit an Orthopedic Surgeon to get it examine ,he may go for an X ray To rule out any possible fracture because A severe Sprain can be Difficult to Differentiate from a fracture (broken bone) without an x-ray , also severely sprained ankle may require immobilization or splinting to allow healingI hope it help Thanks & Get well Soon
| 133,119 |
Is it due to the intake of Pravastine there is difficulty in breathing?
|
Patient: I have been using Pravastatin for 6 weeks. Previously I tried three other statins and 2 fibrates - nothing suited, several side effects. Pravastatin appeared ok at first but I now have difficulty breathing sometimes, stomach upsets with soreness ,loss of appetite etc. Should I continue suing - I do need to control trycelytes in my blood. Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern but you should not worry.I must explain you that most of people using this medication do not have serious side effects. The main side effects of pravastatin are :muscle problems like pain, weakness, confusion or memory problems in a very small number of people. In this cases you have to talk with your doctor.Difficulties in breathing its not known as a side effect, eccept the cases when we have a serious allergic reaction to this drug that manifests with itching, swelling of face, tongue, throat and difficulties in breathing. But this is not your case. In a very small number pravastatin might give gastrointestinal problems like stomach/abdominal pain, nausea but we have to judge between good effects and side effects.If take minimum 4 weeks for pravastatin to give its full effect. Know, after 6 weeks you can check your cholesterol and triglyceride level but you should not stop taking this medicine.When you have the results you can consult the doctor for the dose of pravastatin, but not stop it.Hope I was helpful. Wish you good health.Best regards.
| 25,430 |
What causes nasal itchiness and drainage while treating acid reflux?
|
Patient: Hi This past weekend I rode with a friend for 5 hours to go to a Casino. When almost there I started smelling smoke. Then it was gone but I started selling it again when we were driving back those 5 hours. It was gone this morning, now for the last 3 hrs I smell it again. I do have acid reflex and pro to sinus infections, as well as seasonal allergies. My nose has been itchy, tonight I have a little drainage and it taste yucky. Could it be a sinus infection? Or mold spore from my friends car causing this. I had this happen a year ago and after a few days it went away. I started taking Zyrtec today. I also take a prescription for gerd/acid reflex for a couple of years now. I am puzzled, any insight? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of nasal allergy is more likely. No need to worry for Sinus infection. Smoke inhalation can cause allergic reactions in susceptible individuals and your symptoms like itching, nasal discharge etc are more suggestive of nasal allergy.Zyrtec is good drug for this. So continue with Zyrtec. Also drink plenty of water and do steam inhalation 4-5 times a day. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,640 |
Could pain in rib cage area be treated by taking levothyroxine?
|
Patient: Hi I have had a pain just under my left ribcage for over a month , it hurts when I breathe in deeply but really hurts when I cough or sneeze. Sometimes the pain stops me sneezing. I am a nurse and tested my urine when I first got the pain and again today. It showed 3+ leucocytes. I am on levothyroxine 100mcg and paroxetine 20mg a day...any clues? Doctor: Hello, The pain in ribcage can be due to low levels of calcium or D3. It is not likely to be related to thyroxine deficiency. You should not start with any such supplements without consulting your physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
| 123,848 |
How to treat the whiteness on the head of the penis due to the spray of Lindocaine spray?
|
Patient: dear sir! i am 42 years old and recently ( rarely ) used lindocaine spray before sexual intercourse.what i see that,my head of penis and nearby area started becoming white and it is totally white on the upper part of penis.plz suggest me how to treat? Doctor: HiGREETINGS Make sure that you used plain lignocaine spray.Because it rarely cause this whitening.If so it is better to get a check up with a skin specialist. Is there any loss of sensation. Feel free to ask your doubts with more details. Regards
| 196,256 |
Does movement disorder caused by brain dysfunction get cured in time?
|
Patient: hello doctor for my brother dr. told him his small brain in his head stopped working and its nerves got dried out that s why his physical movements are affected. he cannot move himself properly. his hands got stucked if he claps. lots of body movements he can not able to do that. my question is in future will he will get better or be normal or not ?? Doctor: Hi, Complete cure is very difficult. You can consult a neurologist and he will direct you accordingly. Long-term physiotherapy is also required. Hope I have answered your query. Let me know if I can assist you further.
| 141,096 |
What causes leg pain and dizziness after physical activity in case of hypertension?
|
Patient: i m a middle-aged man,i use to play badminton 2-3 times per wk(2 hrs game,active,stretching,fast,sweating,stagmina,tiring) after the 3rd sets game over,i can feel my whole body,both legs very pain n dizzy and i hv been taking hypertension tablet abt 7yrs! vin,tks Doctor: Hello , Single s badminton is a high energy requiring sports . Some reasons why the tiredness 1) Certain medications for hypertension can cause the symotoms. If you are on Diuretic , The exertion related water and electrolyte depletion cam cause muscle cramp's . .Beta blocker is another group which creates a supply demand mismatch to exercising muscle 2) Of your blood pressure is not well.under control 3) the most common being . If you have stopes sports for more than 3 months and again restarted , the body is deconditioned for the activity . Regards Dr. Mody
| 23,668 |
How can vomiting in an infant be treated?
|
Patient: Hi.my son is 1month 10 days old..+e is doing motions during every feed sometimes very watery n sometimes semi solid...I was giving is milkmixed with water with breast feed from day 10 of birth. Now i havv started with lactogen but he throws milk out after feed.. Doctor has prescribed no medicine..Plz suggest Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. Best regards Dr Sumanth Amperayani
| 162,609 |
What is the cause of an abdominal pain and bloating?
|
Patient: Hi , I 've had mirena for about four years now . Recently I've been experiencing lots of pressure, and adominal pain. It feels like I'm really bloated , it's also pain in my back. I was wondering is it a cyst or something else. Should I be worried , or call a Doctor. Doctor: Hi, I think you should go for evaluation. Consult a gynecologist. Get your pelvic examination done. Also ultrasound of abdomen and pelvis can be done. It can be due to infections also. You may need some antibiotics. Hope it helps. Regards Dr khushboo
| 223,544 |
Is there any surgery to treat sciatica and stenosis?
|
Patient: I want to know what type of surgery is available for sciatica and stenosis. Drs. Today have a problem prescribing pain medication without sending you to a pain clinic. I have had the same drs. for years. To get to a pain dr. requires a long bus ride and a two mile walk walk to get to the bus not to mention doing the same to get back. This has been going on for over 7 years. I would rather have surgery than continue this way. Thanks. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Surgical procedures are usually only contemplated for issues of sciatica or canal stenosis after a good course of physical therapy or exercise therapy have been tried along with conservative medical treatments with medication. I would caution you against the surgical solutions since they can lead to more pain and more problems than what you currently have. Be very careful with those who say they can "cure" sciatica surgically. Once things are cut and sewn, they really can't be taken back, and the consequences of developing scarring in the area of the surgery itself may cause more pain and discomfort than what you already have. I had in patient in my practice who finally stopped getting a surgery for his sciatica after operation. Simply because his entire lumbar spine had essentially been fused and manipulated so that there was nothing left to cut and remove. His pain was decidedly more intense and difficult to control than it ever was in the beginning and he actually said that the 1st procedure was a mistake. I always tell my patients to think long and hard before wishing they could get a quick outpatient "laser" treatment for their backs and get out in 1 day (as many clinics will advertise). If you are able to ride the bus and do the long walk, then in my opinion, no matter how much the pain may be at this point, the surgery is not necessary at this time though it may seem appealing. But again, that's every patient's prerogative. Hope I have answered your query. Let me know if I can assist you further.
| 141,556 |
Suggest treatment for pain post pericardial surgery
|
Patient: Howdy Doc, I had surgery back in 2007,(pericardial stripping) my chest pain, here of late has gotten stronger, I only take 2 81mg aspirins a day. Is it time to head back to my Dr. , or can anything be done for this angina I seem to be stuck with. Mike Doctor: Hello There After going through your medical query I understand your concern and I would like to tell you that it’s recommended for you to get an Echocardiography done and consult with reports.Hopefully this information will guide you properly.Kind Regards Dr Bhanu Partap
| 16,558 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.