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What causes a hard knot on the back of a child? | Patient: I was giving my 4 month old a bath and noticed a hard knot in the middle of his back near his spine. I have never noticed this before. It is not painful to touch for him. Also when I stand him up or sit him over it goes away, but I can still feel it when I run my fingers over the area. What could this be? Doctor: This is the tip of 6 th Cervical vertebra that you feel. The 6 th vertebra has the most prominent spine which is generally palpable. You will find in every child particularly in lean children. Its absolutely normal and nothing to worry about. Hope I could relieve your anxiety. | 178,832 |
Suggest treatment for hives | Patient: My 11 year old daughter had welts and hives all over her body 8AM yesterday. Took her to PCP they said allergic reaction gave a steroid injection. RX for Prednisone 20mg 2x day and Benadryl 25mg 2 tabs every 6-8 hrs. She has taken oral RX last night she cleared almost all up. 10:30 AM today it s back and much worse. Covering her neck and ears along with completely covering legs & arms. Patches on abd too. Itchy. Do we wait for RX to work? What can we do? Doctor: Hello. I just read through your question. Hives can take several days up to two weeks before completely raolving, even with the appropriate medicines. It is not unusual to see some resolution then see the hives come back. This is it's typical course. I recommend patience. She is taking the right medications and in a short time it will resolve. | 179,388 |
Why unable to discharge sperm after having roliflo for urine problem? | Patient: Dear Doctor, I am 38 years, 178cm , 74 kgs, I have been having urine problem for past more than a month, i have urge of passing urine but urine is not coming, i have 3 mm kidney stone on right side, but no pain at all, i went to see a doctor for urine problem, he gave roliflo 2 for 15 days to be taken, it is been 3 days i have started this medicine, but past 3 days i can not discharge my sperm, is that the side of medicine? Doctor: because the medicine relaxes the opening for sperm to come out, so your problem is a medicine side effectPlease rate 5 Stars! I strive to provide the best answers to your questions. | 202,251 |
What treatment is suggested for back pain due to gall bladder dis functioning? | Patient: My GI ordered a HIDA scan after several other procedures showed some issues happening. The HIDA showed that my gall bladder is not emptying properly and a surgeon would be contacting me to schedule removal. It is now the weekend and I am having a terrible attack that has lasted 2 days. This morning I woke up to sever back pain now all across my upper back. It is painful to breathe and walking is uncomfortable because I can feel pressure. When is it necessary to go the ER. still have a terrible pain on my right side through to my back. Doctor: Hi. You have to go to the ER NOW. as here can be a spread of infection to nearby areas as suggested by your history. There can be an accompanying inflammation of either the pancreas or the lower lung and pleura. | 57,776 |
What causes visible veins near temples with stuffy nose? | Patient: I just noticed my 5 year old daughter has noticeable veins near her temples. She has a stuffy nose. Could this be why? Or is this something to be worried about? She is 43 inches tall and about 42-43 lbs. She has reflux but is otherwise very healthy. Doctor: Hi.... is it common for fair skinned people for veins to be visible near the temple. This is because of the thin skin. There's nothing to worry about it, except when she has got severe headache similar to migraine. If this is not there please do not worry about the veins.Regards - Dr. Sumanth | 167,624 |
Suggest treatment for forgetfulness | Patient: I am listed as sequela of chronic small vessel ischemic disease Still have forgetfulness, unbalanced sometimes Thinking difficulties and not being able to remember clothes being watched previously I was very good at this Is there another disease or is there any treatment for this Doctor: you have history of forgetfullnes and gait with ischemic brain disese. you have multiinfarct dementia. treatment is donamem (donepezil with memantine) 5/10 mg. preventive treatment is control of risk factor as smoking, diabetic, hypertension,alcohol | 146,165 |
Mom passed away from Pancreatic cancer. Fluid in legs and stomach. Could fluid have hurt her? | Patient: My mom passed away 2 yrs ago from Pancreatic Cancer. Her legs took on alot of fluid as well as her stomach. We had to up the morphine at the end to keep her comfortable. Did she hurt from the fluid as well as the cancer? Could she have been aware in her mind in the end, final moments, that she was leaving us? Or is it medical belief that the brain loses ability for rational thinking at the end? Doctor: Hi and welcome to HCM. Thank you for your query.I am sorry about your mother. I am sure it was hard to be with her in final days.Legs swelling doesnt cause pain, this is more like pressure and many heart and kidney diseases lead to legs swelling. SO this wasnt something she suffered too much. Morphium is a very strong pain killers with strong effect on mental judging etc. Also, nature took care that people with chronic diseases die through few phases and in final days they actually become apathetic and disinterested which decrease suffering and fear. But rational thinking,some emotions and awareness of death arent so affected. | 158,670 |
What causes shortness of breath and irregular heartbeat? | Patient: I have shortness of breath, my heart beats very irregular.i have chestpain and so on. Yesterday I had an Angiogram and the Doctor told me , there is nothing wrong with my heart , also I do not have to talk my Medications prescribed by 2 different Cardioligists while I was at the Emergency. Doctor: Hi,Shortness of breath can have a variety of causes like cardiac causes and respiratory causes. To rule out cardiac cause you have to go for ECG & 2D Echo. As the angiography has already been done, I expect that they have already done ECG and echo which rules out cardiac cause. Other cause include respiratory cause which can be detected by Chest x-ray. So get these tests done to go for further management plan.Hope I have answered your query. Let me know if I can assist you further. Thanks,Dr Sameer Maheshwari | 22,326 |
Is it safe to get pregnant with MRSA infection? | Patient: I have just been told I have MRSA as does my 2 year old son (from nose swabs). Son had boils on his face, clearing slowly. I seem to have had one but have used his antibiotic cream (Bactroban 2%) and this seems to have worked. My son has also been prescribed Erythromycin ethyl succinate 400mg, I have not yet been prescribed this. We are told to put Bactroban inside our nose for 14 days. I have a pimply rash on my stomach under my chest ( has been there for a long while). My feet have felt quite strange (pins and needles in the last couple of days). I am breastfeeding a 4 month old. How concerned should I be. I feel run down but put it down to having a 4 month old. I have started thinking about trying to conceive as I am 40 both children were conceived via IVF and took a long while. How concerned should I be about this with respect to my plans. Doctor: Hello,I have gone through your query and understood the concern. Since you are a feeding mother, you need to be extra careful not to contaminate the baby. Please see a physician and get the rash examined. If needed, go for oral antibiotic therapy. Mupirocin (Bactroban) has very good proved efficacy. The infection as well as the need to feed the baby apart from taking care of a toddler, put together must be causing the weakness. In the current scenario, I would suggest some delay in trying to conceive again. This is needed to recoup and become healthier once again to cope with yet another pregnancy. Hope this helps. | 219,277 |
How to reduce tummy? | Patient: I have a five year old son and he has a protruding belly and not only am I concerned but he is as well. He told me that he didn t want a big belly but he wants a flat one like mommy. This broke my heart. He s a picky eater. We have gotten rid of the junk food in the house and started attending a healthy eating clasd as a family but I m concerned that he may have a medical condition. Please advise. Doctor: Hi Thanks for your query in health Care magic l will like to know his height and weight .For a five year old child slight protruding belly may be normal.Try to give balanced diet, avoid junk food.thanks | 179,467 |
Fatigue, stiff body, dizziness, pins and needles in arms, legs. Diagnosed problems with cervical spine, lower back. Concerning? | Patient: Hi. My name Tanja and I've been heaving different health problems for quite some time. They started in April 2013. I had problems with my spine for several ears, because I'm quite tall and I have a bad posture during sitting and standing. However when I wake up in the morning, I feel very tired and very stiffed. I'm better in the afternoon and in the evening, that is why I was assuming this has something to do with my spine. Because of my problems in June I visited a manual therapist where I had 6 treatments, he said I have problems with my cervical spine and lower back. He also advised me to be very careful after therapy and I was for a while (I didn't do anything). But since I was in the process of relocation, I had to eventually move some boxes, suitcases etc. Now I feel for a month slight dizziness, light headache sometimes when I wake up, pins and needles in my arms and legs, hipersenzibility to noise and light and in general I don't feel fit. I was thinking already about all sort of symptoms, from brain tumour, Multiple Sclerosis, and of course problems with my spine. I would aprreciate your answer, Tanja Doctor: Hi,Thanks for consulting HealthcareMagic!You may be having problems with your spine such as cervical spondylosis based on your clinical presentation but other possibilities are also there. However, physical exam is mandatory to assess this. If this is neglected, it may get complicated and might result in certain neurological complications. I suggest you to undergo MRI of spine to know the extent of problem. You should see a Neurosurgeon for this. Hope I have answered your query. Let me know if you have have any clarifications. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows:http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057Wish you good health! | 149,198 |
Need medication for headache,vomiting,cough ,chest pain & mild fever | Patient: My son is 9 yrs 6 months old. He is suffering from headache, nasal congestion, dry cough , chest painand very mild fever. These symptoms were there for 36 hours.We visited doctor today evening and following medicines were recommended.ascoril (6ml---- 0------6ml)Cosome cough syrup (5ml------------0------------5ml)Advent forte syrup 457mg(8ml---------------0-----------------8ml)After giving medicine today at 9.00 PM....he vomitted at 11.00 PM...I would like to know if vomitting could have been due to any of these medicines given above. He didn't have vomitting symptoms earlier. Doctor: HI your child had an upper respiraory tract infection.and as it looks like viral, antimicribials can be delayed as fever is off low grade.Sometimes,Advent causes vomiting,just watch again if it iso=persisting means stop it .try symptomatic treatment like plenty of fluids, steam inhalation , paracetamol andcough syrup advised | 174,688 |
Had kidney infection, one kidney smaller than the other, have reflux. Remove a kidney? | Patient: Hi, When i was 14 i had my 1st kidney infection , now i am 32 and just founf out that my left kidney is smaller than my right. my lefy kidney is 6cm and is functioning at 11%, whilst my right one is 11.9cm and is functioning at 88%. i had a VCU done and also found that i have grade 2 reflux going into my kidney through my urita. my doctor wants to remove my left kidney. is it the right thing to do? Doctor: Hi Welcome to HCM. He is correct. Best regards DR GS | 50,994 |
What causes cramps and numbness on the inner thighs during nights? | Patient: Age 22 (turning 23). Weight = about 140 . Height 5 6. I noticed that I was getting uti symptoms so I just drank cranberry juice and it would temporarily go away. But this happened about a month ago. I just got on the pill 6 months ago and I stopped this month. I started feeling a slight cramp on my right inner thigh but I ignored it. I slowly started feeling this cramp more and I realized that I felt better as soon as I got under blankets and got warm. But a few days ago I started feeling the cramp spread and my legs go numb (I was on my period). I also felt a slight burn when I peed before my period, but it went away while on my period. This leg pain only happens at night time. I m not sure what is wrong with me. It takes me so long to get warm and my feet are always freezing. I m not on my period now but I did continue to feel the leg pain at night. I also feel some hip pain. I started taking vitamins and ampicilin. I m not sure if it is working ... I m scared. I started taking ampicilin because I finally told my mom about how I had felt a burning sensation when I peed after my period was finally over. I guess I had just been dealing with the burning feeling. It did go away tho in the last month and come back ... I would drink water with baking soda and so maybe it helped. But since it came back, I took ampicilin. I only took the medicine for a day and not for the next day...But then the NEXT day, I woke up and peed only to find LOTS of bubbles in my pee. I m starting to think maybe my leg pain is connected to my uti symptoms. I m not sure what to do...I took the medicine today and I don t have pain at the moment but I do feel my legs cold and my feet freezing. HELP please Doctor: Hello,Your symptoms seem to be related to muscle cramps. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest magnesium supplements. Warm compresses can also be helpful. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 120,584 |
Suggest treatment for asthma attacks while travelling | Patient: I am taking montek lc and singular 250 montec 1 per night 250 2 puffs morning and night I stay controlled for long periods of time but when I travel the asthma flares I am trying doubling the montec one day one night but still as soon as I exert myself I can't breathe well when under control I never have to use puffer it's frustrating to have it under control for so long then get flare ups just when I need to feel good to enjoy my life Doctor: HelloAs you mentioned that your are taking montec lc and singular 250 .Previously asthma was under control but symptoms aggravate during travelling .When such asthmatic patient visit I advise them to take montelukast+bambuterol combination because this time you require some potent bronchodilator .Montelukast will act an an anti allergen , while bambuterol will act as bronchodilator.In the beginning you may feel some fine skeletal tremor but drugs will adjust within 2-3 days .From first dose you will get relief in your asthmatic attack.Hot coffee and steam inhalation also provide relief.Hope this will help you.Good luck. | 100,228 |
What is the treatment of urine infection ? | Patient: hi, I am 23yrs old male. Done blood, urine dipstick and urine cytoscopy and ultra sound tests. Evrything seems to be normal except some of the things in the urine routine test. I have got RBC 10-15hpftrace albuminpuss cells 5-7hpfbacteria +Uric acid crystals present.I had urine infection a 3 months back and had high bacteria and puss cells. I had my antibiotics and the RBC became 35hpf while all the other things came to normal. Now, its more than 2 months and the RBC level has been 15HPF for the last 2 weeks and the puss cells & bacteria are again coming up and there are bubbles formed after urination. What could be my problem? Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.At this age in males, RBC's and Pus in urine can be because of stone in urinary tract.I would advise you following:1.Ultrasound Abdomen with KUB.2. Hemogram3. Urine culture.4. X ray KUB.5. KFTGet your blood pressure checked.This is my personal opinion for you based on available details. If you have any further query please ask me.Stay HealthyDr Anshul Varshney, MD | 39,219 |
Suggest treatment for borderline personality disorder | Patient: he would burn the house down with me in it, he said he would make my life a living hell, and that he d inlfict as much psychological damage as possible on our 4 children. He didn t burn the house down, but he did accomplish his other goals. The children are all adults now, in their 30s, and totally under his control, all thoroughly damaged, and probably sociopathic as well, and they all hate me because he keeps telling them that I have borderline personality disorder. We were in marriage therapy for 5 years (before I finally left him). A condition of therapy was that we had to submit to individual personality inventories. I got a copy of his report, here s what it said about him, in a nutshell: (the full written report is actually even more shocking and twisted): unintegrated ego structure sadistic predatory lack of guilt emotionally unavailable narcissistic compartmentalized fragmented I was divorced 5 years and then remarried the sweetest man in the world 11 years ago. The irony is that my children dearly love their stepdad, but they still hate me and say I m the crazy one. I was a full time stay at home mom for them, baking cookies together, building tent forts in the living room, the whole 9 yards, and this is my reward for dedicating all my healthy years to them. I now have several autoimmune diseases, any small wonder. I recently had pituitary surgery and none of them even called me on the phone they insist I m a hypochondriac. I struggled for decades to protect them from the damages inlficted by their father, but it was all in vain. Doctor: regular sessions of cognitive behaviour therapy is treatment of choice.A mood stabilizer drug may benifit in your case. | 206,008 |
Have follicular thyroid cancer with undifferentiated Hurthe cell features, done surgery. Should I get radiotherapy done? | Patient: Hi, I once first diagnosed with follicular thyroid cancer with undifferiented Hurthe cell features in 2002. I have the left lobe removed (where lump was discovered). Surgeon was confident it was not cancerous, however, upon pathology of tissue discovered follicular cancer. I then underwent removal of right thyroid lobe by Cancercare surgeon and was discovered to have papillary cancer on that side. I have been monitored with yearly thyroglobulin blood test and ultrasound and this past spring, a lymph node appeared positive for cancer along with eleveated thyroglobulin. I had surgery this past February and they removed a the lymph node from left side of neck along with 12 other lymph nodes that were negative. In September, I am to have follow up with radioactive iodine treatment under the care of a Nuclear Medicine physician. He has consulted with two of his colleagues as to best approach and these colleagues had varying opinions. One said I should have a therapeutic dose of radiation to ensure there were no microscopic cells in my body, the other said to take the thyrogin injections and then test Thyroglobulin level and if within normal range, would not go ahead with diagnostic body scan as the blood test has been proven to be more accurated than a scan. If the thyroglobulin is normal range, then, no additional radiation would be necessary. I am wondering what research has been done as to best approach to ensure microscopic thyroid cells are destroyed and the prevalance of disease returning every few years. I note from my research that thyroid cancer is recurrent around the 8 - 10 year mark and I would like to avoid having further surgery as I was told by my surgeon that he wants to avoid recurrent surgeries due to complications of developing scar tissue. Doctor: Hi, As far as my opinion is, you need to undergo follow up with thyroglobulin levels and neck ultrasound to check for any recurrence. Radio iodine scans are used for knowing the amount of thyroid tissue post total thyroidectomy so that the residual disease if any can be ablated with an ablative dose of radio iodine. Other methods to look for neck masses in such patients are CT, MRI or PET.Regards | 157,618 |
Will taking Effexor and Bupropion will inhibit the seratonin? | Patient: I have a constant sound in my head except for when I m using my brain for some current activity. I saw something that said it may be due to inadequate serotonin in my system. I take Effexor and bupropion which are described as seratonin uptake inhibitors. What is medically correct. My Dr. is unaware of my problem. W ould you please advise me or at least tell me if the medication I am taking inhibits Serotonin production in my body .is that what uptake prohibitors do? Doctor: Hello! Effexor and Bupropion are both antidepressants but they use different mechanism of actions. Both inhibit the reuptake of neurotrasmitters. Effexor(velafaxine) inhibits the reuptake of serotonin and norepinephrine, bupropion inhibits the reuptake of dopamine. The production of serotonin is not affected, but the reuptake inhibition increases the level of serotonin to be used by the receptors, so in easy words effexor increases serotonin action. Anyway, i don't think the sound in your head be explained by high levels of serotonin. In my opinion you're on the right drugs, since this complaint can be a sign of anxiety or mood disorder.I hope i have been of help. | 143,492 |
Suggest treatment for stage 4 colon cancer | Patient: hello doctor my FIL has been detected colon cancer stage 4 now they provided stent for smooth motion going he is taking chenotherphy and tablets also if small kids has close contact whether any injection to 2 month baby will get by these medicine they are taking (chemo theraphy tablets ) Doctor: Thanks for your question on HCM. In my opinion no treatment required for kids who are in contact with your FIL. Since colon cancer is not contagious and it is not spreading by skin contact, no treatment required for contact persons including kids.And stage 4 colon cancer is inoperableand palliative treatment is the only thing we can do.Palliative treatment consists of1. Nutritional support in the form of multivitamins, proteins,calorie and carbohydrate supplement. 2. Palliative chemotherapy to reduce pain and tumour size.3. Painkiller etc. | 155,532 |
What do brown specks in phlegm indicate? | Patient: Hello Dr, lately i have been spitting up little brown flakes of mucus it seems i have been having little upper back pain only dull pain but noticable at times, also i have had some blood test done and other things i have high cortisol and high blood pressure we have yet to find the causes, im starting to get worried cancer runs in my family so i dont really know what to think. im only 18 years old and i am a smoker. could it just be a lung infection or something.? Doctor: Hellowelcome to hcmim afraid to inform you that the brown speks are CLOTTED BLOOD PARTICLES and if cancer runs in your family then to be on the safer side you should get yourself screened urgently by getting following investigations(1) XRAY OF CHEST(2) CT SCAN(3) BRONCHOSCOPYonce you get these tests done either send us a scanned copy of your reports or consult your doctor for the evaluation of your reportsregardshcm | 81,675 |
Can i smoke during TB treatment? | Patient: I am 20 years old i have tuberculosis due to Bilateral pleural effusion i used to smoke n drink i have finished 6 months of my medicine but due to effusion my lung still has water left in my left lung can i smoke or smoke weed i am suggested to continue my medicine three more months though Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No, smoking is strictly contraindicated in patients with tuberculosis. Smoking is the risk factor for lung and pleural infection. Smoking causes irritation and inflammation. These weaken lung defense system and make you vulnerable for infection. The cause for your tubercular infection is mostly smoking. So better not to smoke because you are already having an infection. If you continue smoking, healing rate will decrease and you may need longer duration. You may also develop drug resistant tuberculosis. So better to quit smoking as soon as possible. It is not a good habit. It will only damage. So avoid smoking. Hope I have solved your query. Wish you good health. Thanks. | 78,428 |
How can recurrent cough be treated? | Patient: Hi Santosh, My name is Rahul, I am 27 years old. Every year around july august I catch cough cold. Its not much but some how I find cough never goes away. Although it does not irritate me much but still I would like to get rid of this cough. I have shown many doctors till date they say its pretty normal. But I met one very experienced ayurved practitioner and he suggested that you have dry cough accumulated. Can you guide me any particular solution to this prob ? Doctor: HiAccording to the history alergy and reflux problems should be excluded.If they come negative than a chest CT for the lungs.RegardsDr.Jolanda | 98,571 |
What could Ejection Fraction of 38% and burning nipple following stent placement indicate? | Patient: my dad undergone ptca stent two years back on august 15th for single blocage upto 90 % right now his ef is 38% and from past 6 months he is reporting pain in left nipple with burning sensation is there some thing to worry or what is the remedy he is 57 yrs old Doctor: Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. Your dad has a history of coronary artery disease with low Ejection fraction. This means that his heart is weaker than normal and can pump with 38% efficiency. A normal heart can pump with around 55-60% efficiency. This puts him under risk of chronic heart failure in the long run. He would require extra care which includes:1. Keep a strict water intake and output balance to avoid fluid built up in the body.2. Reduce daily salt intake to less than 2300 mg/day.3. Take regular exercise being careful not to overexert. A sing test is very convenient way to test this. He should walk or exercise only till the time he can sing along. If he has any breathlessness doing it he should stop immediately to rest.4. He should take certain medication which reduce long term mortality like beta blockers, aspirin, statins, ace inhibitors and others. Consult your cardiologist regarding this.5. Any chest pain, palpitations or shortness of breath has to be evaluated with a physician.As far as left nipple burning is concerned it could be a local thing and would be advisable to be followed up by a doctor. | 27,002 |
Suggest medications for mental illness | Patient: i want to enhance my mental abilities ,i am fully fit, i am not able to study for past few days, can you suggest some medicines or exercises or study technique ?, right now i am trying to study a complex java module called hibernate and web services Doctor: HiI understand your concern. Unable to concentrate and focus is due to attention deficit.It can be due to psychological stress.Evaluation require to assess proper area of deficit.You have to do lifestyles modification to handle stress.LikeExercise and meditation. Proper sleep.Healthy diet..Avoid smoking and alcohol. Relaxations and deep breathing. Learn how to maintain concentration and attention will increase your mental ability.Medicines only require if there are psychological distress. I hope I have answered your question. Still if you have a query then feel free to ask. Happy to help you further. Thank you. | 207,211 |
Why am I not able to conceive inspite of taking siphine tablet ? | Patient: dr i am 34 year old i have one child 7 y old now i planned to concieve but i am not able i waited till six month then i consulted the doctor she took scan and she said no probelm there is an egg size is small and she gave siphinetablet for 2 month i took for 2 month( 2 to 5 days) but no result i have regular period when i will get pregnant again in my first child i concieved very early without any problem Doctor: Hi there,After going through your question, I am of the opinion that:1) Infertility is not a simple thing. There are several reasons for a person to not conceive. Few reasons for infertility are tubal blockage, hormonal imbalance, PCOS, decreased follicles, cervical factors etc.2) All these things cannot be detected by a pelvic ultrasound. Since you have small eggs, chances are high of you having hormonal imbalance. That has to be evaluated. You need to get your blood tests done like FSH, LH, AMH, testosterone, oestradiol, TSH, insulin etc.3) You might also need to get a tubal patency test like HSG done.4) If everything is normal, you might be asked to increase the dose of siphene or add injections.5) Do not lose hope, you will conceive with proper treatment.I hope this was helpful and I wish you best of luck.Regards,Dr. Shikha Shah | 3,304 |
On allergy shots and Benadryl,indentation in right arm along with swollen triceps. Please advice | Patient: Hello, My son has recently been receiving allergy shots twice a week in both arms for about a month now. I just noticed that in his right arm is an indentation that is darker than his arm, also the tricep area is swollen. He has been taking Benadryl, but no change. Is this normal? It's been this way for almost five days now. Thanks Doctor: HIThank for asking to HCMThe dark area that you are seeing could be the healed area beneath skin, that becomes dark once the lesion gets alright,( Reactive lesion ) this will remained dark still few days then this will be fine, no need to take any medicine for this, have nice day. | 102,752 |
Under infertility treatment, taken HCG shot. Will the egg be released? | Patient: hello, im under infertility treatment. I was given 3 fsh injections and on day 14 my follicle size is @ 35 mm and endometrium thickness is @ 11 mm. Now I had a HCG shot 10,000 units. Could you please tell me whether 35 mm size can release a egg and could it be still a follicle or just a cyst? FYI - I had a laproscopy in order to puncture my cysts 2 months back... Doctor: Hi, 35mm follicle might be just be a cyst. But more importantly, if you didn't have cyst in previous scan of this cycle, it might indicate corpus luteum (formed after follicle is ruptured). Considering the second optimistic property you can go ahead with treatment. | 44,032 |
What causes lump on head at the base of skull? | Patient: Hi there. My 22 month old son has a lump on the left side of his head at the base of the skull. The lump is slightly movable and can only be appreciated when his head is in certain positions. Can t tell if it hurts or not as he can t tell me :-) but he does not seem to be in pain when I touch it. Should I show it to the doctor? Last illness was one month ago when he had bronchitis/pneumonia Doctor: these are lymph nodes which you are able to palpate. lymph nodes are present in whole body. lymhoidb tissue expansion is present in children till 6 years of age. there is a specific cutoff for size of these swellings as per there location in body. if it is more than 1cm size in neck area then it may be secondary to some problem. if it is large in size or rapidly increasing in size or becomes fixed to overlying skin or overlying skin becomes red, then consulta pediatrician | 170,057 |
What does pain in the lower abdomen and hip postpartum indicate? | Patient: I am having pain in my lower abdominal area & in my hip bones since I have had my baby via C-section. It feels like it is in my hip bones on each side & in my lower abdomen & is made worse by too much walking. My baby is 7 weeks old. I don t know what could be wrong. Doctor: Hello,Its normal to have mild pain and slight discomfort after having baby. It will subside soon after 12 weeks. No need to worry.Do kiegel exercises and regular yoga will subside this pain. If you still feel this pain, then do an ultrasound pelvis. | 85,943 |
Suggest treatment for sharp pinching pain all over the body | Patient: For the past couple of months, I have been experiencing feeling of pins and needles on different areas of body. It does not feel like when your hand or leg falls asleep, but instead like someone taking a needle and just pinching you with it. It can be in my arms, legs, stomach, hands, anywhere. When it happens I feel like I need to scratch it or rub it. I m very concerned because I don t know if it is pinched nerves, allergy or something else. It does not happen everyday but happening more and more. Has anyone experienced anything like this? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have sharp pinching pain all over the body. Well there can be many reasons for symptoms you mention in query like radiculopathy, neuralgia , nerve dysfunction , diabetes , herpes simplex virus or insect bites . I would suggest you to take over the counter antihistamine like zyrtec twice a day , bath with hot water having epsom salt in it , drink plenty of water and take ibuprofen or acetaminophen for pain . Consult general practitioner for proper examination . Doctor may order blood test , check vitals , take history . Doctor may also refer you to neurologist for nerve problem , who may order nerve conduction test along with other test to confirm the diagnosis . Doctor may give supplement like vitamin B 12 along with other treatment . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 134,979 |
Suggest treatment for salivary gland malignant tumor | Patient: my name is sumit and my mother is suffering from minor salivary gland maligant tumor..as he was given radiotherapy..doctor didn't gave chemotherapy for that..what was that for ??and now today it is almost two months and two weeks already and ..from around ten days she has again more pain on her inner mouth..m so worried about..plz help me out. could i talk with u or chat with u..thanx u.. Doctor: Hi,Thanks for writing in.The palate is the most common site of minor salivary gland tumors. A minor salivary gland cancer requires treatment as per protocol. The radiation therapy was given to shrink the tumor mass and reduce it in size. Since these cancers might be slow growing as compared to other aggressive cancers, it is treated such that the chances of recurrence is less. The details and staging of minor salivary gland cancer in your mother is not mentioned and therefore it is possible that the treating doctor wants to reduce the tumor with radiotherapy.Since she is having pain in her inner mouth, it will help to get the oral cavity examined in detail to look for any post radiotherapy residual changes which are causing the symptoms. Some patients might develop mild dental infections after radiation therapy and this is treated with antibiotics should there be infection and pain relievers. Please do not worry. | 153,803 |
What causes chest pain along with bad smelly gas from mouth? | Patient: for the last two i am feeling a slight pain in my left side of my chest when i am looking down to take something,I take potatao and dhal on that week continously.gas is coming through the mouth with bad smell,sometimes i feel like breathing problem.I am 24 years old woman. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of GERD (gastroesophageal reflux disease) is more. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain, tightness, gaseous distention, burping (gas from the mouth) and belching. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. Be relax and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole and levosulperide combination on empty stomach. 5. Go for walking after meals. 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. | 76,366 |
What causes red patches with inflammation on the penis? | Patient: hi,myself ashish ranjan and suffering since 5 yrs with internal male organ problems due to red patches present in inner portion of penis along with slightly burning in that particular time due to which i didnt take intrest with my partner for having relation.i have gone through several check ups like-uroflometry,simens test,ultra sound and many others but didnt find any problems in any report.Then afterward i have been prescribed several antibitoics tablets as well as antibiotics injection with follow uo therapy of antifungak,antiinflammatory creams/gels but for some days i get relief from it but red pathes as well as burning problems didnt get relief totally due to which i started keeping creams of antifungal everytime so that whenever needed i apply on it n get relief for some days.so kindly guide me and prescribed me best medicines so that i get relief from this chronic problem soo for which i will be ever thankful to you. Doctor: Hello I appreciate your concernthus could be due to STI, allergic reaction or a manifestation of systemic inflammatory diseasesince your ultrasound and other reports are normal i would advise you for urine culture and sensitivity test as well as biopsy of the rashesYou should be worried but not so muchit may be due to friction or wearing tight undergarments so if you can update me about your weight and working culture I will be able to guide you better meanwhile maintain good hygiene by washing it with antiseptic solutionschange the undergarments and wash and dry it regularly and properly HAVE PLENTY OF FLUIDS hope this helps youregards. | 199,867 |
Can tick bite cause Lyme Disease? | Patient: I was bitten by a tick while in Germany about 2 months ago. Since then, I have been experiencing extreme fatigue and have had many headaches and a lot of stiffness of the muscles and joints, especially in my back. I did not get any kind of rash where the tick was, but do you think it could possible be Lyme Disease? Doctor: Dear I can understand your concern . I would like to inform you that yes Lyme disease can cause all this symptoms such as extreme fatigue, headache , stiffness of neck, joint and muscle pain.So in my opinion you discus about this with your physician as soon as possible because at an early stage it can ne managed very easily with antibiotics . If left untreated this may cause more troubles such as may affect heart and nerves also.Hope this will help you dear . If you have any other concerns please feel free to message me . Thanks for contacting HCM . | 36,029 |
Vertebral artery dissection, pseudo-aneurysm affecting vision, balance and causing pain, taking tramadol ,ibuprofen. Further tests or treatment required? | Patient: I have been diagnosed with a vertebral artery dissection and psuedoaneurysm. First, the left side was affected, and now there is also pain in the right side. My vision has been affected, as well as balance. I am currently taking aspirin and tramadol with ibuprofen for pain. I am waiting for a referral to another hospital. Is there anything else I should be doing. I feel like a walking timebomb! Doctor: DearI am sorry for the symptoms you are suffering.It will be difficult to treat your disease because you have already start the right treatment.It will be wise to control your vertebral artery periodically with brain MRI and MRA and if no changes are seen you will continue the same medication.Wish you all the bestRegardsDr Eris Ranxha Neurologist | 147,487 |
Suggest medications for typhoid fever | Patient: My daughter of 8 years has had typhoid fever for the last 14 days now. While her peak has reduced from 103.5 to 101.5 and the gap between the rise in fever has gone up from 4-6 hours to 6-8 hours, her fever has still not gone, despite giving her 10 ml X twice a day Zifi and once a day 5 ml. of Azithral for the last 5 days. Do advise future course of medical action and how long the fever might last. Also, how long might it take for her for full recovery and for her fever to come down to normal? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. The drugs you are taking is correct. Sometimes typhoid may take 10 days to respond. You can wait if no complications like persistent vomiting, severe pain in abdomen are present. I hope this has helped you. Wishing your child good health. Take care.Regards,Dr. Deepak Patel | 171,353 |
Had an MRI for acute neck and arm pain. Posterior disc osteophyte complex effaces the ventral thecal space, radiculopathy noted, pinched nerve. What are the surgical options? | Patient: Hi- I recently had an MRI for acute neck and left arm pain. The results are as follows: C4-C5: Posterior disk osteophyte complex effaces the ventral thecal space but does not contact the ventral cord. there is a large uncovertebral osteophyte with only minimal/mild right uncovertebral osteophyte. The causes moderate to severe left neural foraminal narrrowing which may be causing radiculopathy . There is only mild right neural formaminal narrowing. This MRI goes from C2 to T1 and the C4-C5 is only an excerpt. My understanding is the foraminal space is narrowing pinching the nerve that runs down my left arm. Unfortunately, no medicine seems to help from Loritab to hydromophon. I m exploring surgical and other options (preferrably), in Utah and Colorado. Any help is greatly appreciated. Doctor: Hi, Thanks for the query, Before I respond to your questions, let me tell you that the management of disc problem whether medical or surgical depends upon the clinical and investigations findings. It should never be based upon the MRI findings. If a patient has pain and neurological deficit (documented by a neurologist) and pain has not responded to medical management and MRI shows problem with clinical correlation, then surgery is the best option. How ever, if a patient has pain alone and there are no other neurological deficits, initial treatment should always be conservative with medicines and physiotherapy. Persistent pain despite treatment is another indications for surgery. I still feel that if you do not have any weakness of hand, you may try medications like gbapentine, pregabaline nd physical therapy. If this fails you may consult a neurosurgeon to discuss about the various surgical options. The options are partial removal of the bones that causes the compression. Hope this clarifies Best wishes Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy) Consultant Neurologist and Epilepsy specialist Narayana Hrudayalaya Hospital, Bangalore My Blog in the Web site: http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344 | 150,634 |
Are increased heartbeat and body pain normal while taking asthaline for asthma? | Patient: i took seroflow250 inhaler yesterday 8 times whereas i m prescribed 2 take asthaline ...i m asthamatic i am 24 years old....2day morning m suffering from increased heartbeat n tremors...with bodypain...is it normal...or shall i consult my doctor immidiately?? Doctor: Hello.Thank you for asking at HCM.Seroflow contains a drug Salmeterol and Asthalin contains drug salbutamol. Both salmeterol and salbutamol can cause increased heart beat and tremors.I would suggest you to consult your doctor if dose reduction or change to another medicines is possible. Also, personally I feel Seroflow 250 inhaler 8 times a day is a higher dose. Hope this will be helpful to you.Wish you the best of the health.Regards. | 101,297 |
How the orally taken streptococcus salivarius can act on respiratory track infection ? | Patient: how the orally taken Streptococcus salivarius can act on the respiratory tract infection against Streptococcus pyogens Doctor: Hello. Thanks for writing to us. S. salivarius is a normal commensal of our body. These helpful bacteria do stimulate the immune system of our body to fight against abnormal pathogens like S. pyogenes. Mild infections can be controlled by these and for severe infections, antibiotics are needed. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 190,904 |
What is the treatment for pain in penis shaft and white bumps? | Patient: I have recently been noticing some small burning pain on my penis shaft. And there have been small white bumps that aren't exactly bumps and pop really easily leaving puss. It doesn't look like any STI it has only been happening in correlation to me and my girlfirend (not having sex) but playing with each other really hard. Can it be caused by to much Doctor: Hello,Thanks for posting on HCM,Infection due to common skin bacteria is the most likely cause of your painful shaft and presence of rashes. Your interaction with your girlfriend simply predisposed to the infection as tiny pores or bridges are being created which allow bacteria to penetrate and hence lead to infection. You will be required to apply some topical antibiotics and also avoid such sexual activities for a while until you are cleared off the infection. Also try to keep a good hygienic environment before you indulge into such activities.Hope this helps | 203,385 |
What is the remedy for abscessed front tooth in children? | Patient: My pediatric dentist said that my 2 yr old has an abscessed front tooth. He fell about 8 months ago in the bathtub and chipped one of his front teeth. Both of his front teeth are loose and the one without the chip is the one with the abscess. He said that that one and possibly the other will have to be removed. I was pretty shocked by that considering that would mean 5 yrs without front teeth and I worry about him getting picked on when he starts school etc. Is there anything else we can do to either put off the removal or not have it removed at all? Doctor: hello...read thru ur query.....in my opinion abscessed tooth can be done pulpectomy and filled with composite..(cant say much without xrays and clinical condition which was seen by the pedodontist)..or if its extracted he can go for a removable partial denture...(how 2yr old child will adjust to it is a big question mark).i just told an option...if u want u can go for a 2nd opinionwith another pedodontist...nothing to worry...i suggest u to go and get another opinion from another pedodontist taking xrays ....hope it will be fixed..be happy..i hope my reply has benefitted something to you..have a healthy day!!! | 183,693 |
Diagnosed with autism. Had hernia repair surgery. Giving enemas. What can resolve this? | Patient: My son is 7 years old and was diagnosed with Autism when he was 4 years old. He had hernia repair surgery as an infant and it seems since then he has never had regular bowel movements. Sometimes he can go as long as a week without a bowel movement. We give him enemas but, sometimes even then nothing happens. I'm extremely frustrated and would really like to resolve his gut issues so he can begin developing at a more rapid pace. Doctor: Hi,Thank you for your query.Constipation has nothing to do with the hernia repair but is a nutritional problem. You need to ensure that your son has increased roughage in his diet along with increased water intake to control the constipation problem. Diet modification needs to be done and I suggest that have a look at the article on constipation and high fibre diet at http://goo.gl/zRm1Q.I hope I have answered your query to your satisfaction.Wishing your son an early recovery.Regards,Rajiv K Khandelwalhttp://goo.gl/SuCjl | 211,867 |
How to stop the habit of masturbation causing memory loss and concentration problem? | Patient: Memory lossand concentration problem. I am a student and exams are at the door. I have a bad habit of masturbatuon and i think so.....it has affected my body and brain leading to weakness...backpain, headache, and most important IMPARED THINKING and MEMORY LOSS. Dont understand things at one time and FORGET SILLY THINGS. PL HELP........DOCTOR Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have varied problem of health which you attribute them to be due to masturbation that you are doing since a long time.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Please get yourself engaged in some activities like reading ,sports, listening to music etc so that you will not get free time to masturbate .This will help to curb your habit.of masturbation.Dr.Patil. | 203,253 |
What effect will Pantocid DSR have on being taken after food? | Patient: Hi....I have to take pantocid DSR 40 mg for 3 weeks before having food in the morning along with other medicines prescribed by the doctor for back pain But by mistake I took pantocid DSR just after having my dinner.please tell me the effect of taking it Doctor: Hi, I had gone through your question and understand your concerns. Pantocid DSR protects your stomach damage from other drugs, so there is no side effect from using it after food. You should continue using it as prescribed by your Doctor. I think there is nothing to worry about. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. | 109,819 |
How to treat lump in the middle of my chest? | Patient: I have a lump in the middle of my chest, i can move this lump around and there is zero pain and it smells like spoiled milk and it grosses me out. I have tryed black saive and hot compress and heating pads. I went to my Doc and he told me to do what i have been doing. Is this someing i am able to pop my self? Doctor: Hello!Thank you for the query.Only if its hair follicle inflammation you are able to pop it by yourself. Otherwise you need to as a surgeon to remove it. It can be a lipoma or sebaceus cyst. Both are rounded, lipoma is softer. Sebacues cyst can get infected and lead to an inflammation. Please consult general surgeon. In case of doubts, ultrasound should be done.Hope this will help.Regards. | 69,558 |
Suggest remedy for pain in spine and body temperature variation | Patient: I woke up sick on Monday with dizziness, excruciating pain in the back of my neck, high fever and nausea. I broke the fever at 11:00 pm on Monday evening and felt fine when I woke up on Tuedsay. I was fine until Wednesday morning and I became chilled, have a low grade temp and now have that same pain throughout my spine. Should I be concerned? Doctor: thank you for sharing your complain,dear friend your fever reccured once again with neck/spine pain so i suggest once you should go for investigation like cbc in blood and urine-routine micro to know the cause of fever. if investigations are normal no need to worry. you can take analgesic like paracetamol or for severe pain paracetamol in combination with ibuprofen for relief of pain.if you feel severe symptoms consult your family doctor first.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear friend | 217,430 |
What causes black color in tongue and saliva? | Patient: I spit in the sink and something black was mized with my saliva. my tongue is also kind of black. i had it black once before but that was after pepto tablets. i haven't had pepto though so I don't know what's wrong. Im freaking out. I did have some soda though, could that be it? Doctor: helloi have gone through your query.A black tongue discoloration is most commonly caused by organisms such as yeast and bacteria growing on the surface of the tongue. These bacteria and yeast produce blood cell pigments called porphyrins which give rise to the black color characteristically seen. The overgrowth of bacteria can also cause cells of the tongue to be shed more slowly, causing the tongue to take on a hairy appearance, known as a black hairy tongue.maintainig a good oral hygiene is the best way to treat black hairy tongue. Gently brush your teeth twice a day with a soft toothbrush. Also, brush your tongue. You can use a tongue scraper to make sure you're thoroughly cleaning the area.If you smoke, quit.having soda wont cause this.antibiotics or an antifungal drug can be used to get rid of the bacteria or yeast. Topical medications, such as tretinoin (Retin-A) may help.hope this ans helpsRegardsDr. shesh | 185,850 |
Does fibroid cause lump in navel and groin ? | Patient: I have a fibroid(s) which do not cause any problems with my menstrual cycle , however I have noticed recently that in the morning when I am laying down, before I empty my bladder , I have a large cone shaped raised lump below my navel. I have also noticed two bruises one near my hip which has a small lump. The other on the other side lower down in the groin. I have been feeling sick recently which comes and goes. Do you think this is caused by the fibroid (s). Jo Doctor: hello welcome to health care magic.. madam you did not mention your age and the size of fibroid at the time of diagnosis..even with out the fibroid in your uterus,,you will feel a lump in the lower abdomen with full bladder...but it does not assumes conical shape.. other common swellings in the lower abdomen are ovarian masses etc.,.. do an ultrasound lower abdomen and pelvis to diagnose what that lump is.. swelling near the groin is most probably hernia.. fibroid is visible as lump when it grows to a very large size.. consult gynecologist for further suggestions and diagnosis... thank you Dr.siddartha | 93,865 |
I hear what sounds like a radio in my brain. How to overcome this? | Patient: I hear what sounds like a radio in my brain all day ... I am very stressed with this ..... I am taken quietaphine xr 600mg at the moment ...for the past 2 years and it never goes away ... it feels like someone is hurting my mind every day .. will I ever get better .... Doctor: HiThanks for using healthcare magicI think, you should move out of home and change your quality of life. That would help you to feel better and gradually such kind of symptoms would decrease. If you have hearing of voice, then consult your psychiatrist and readjust dose of quetiapine. Gradually with drugs and life style modification, you would get better.Thanks | 210,657 |
Can screws put to hold the bones in place in the legs be removed? | Patient: Hi I have miserable misalignment syndrome in my legs and I have a corrective surgery 2 years ago. The plate and 8 screws they put in to hold my bones in place after is causing me a lot of pain. So my question is should I leave the plate and screws in or can I have them removed Doctor: Hi, Usually, it's not required to remove them until unless they are causing a problem. You need to get yourself properly examined if they are the main culprit of your pain. If yes then it's better to get them removed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon | 126,667 |
What could lumps on rib cage indicate? | Patient: Hi, may I answer your health queries right now ? Please type your query here...I had a pea sized lump checked out by a doctor 2 months ago located on the left side of my rib cage. He said it was a fatty buildup and not to worry. However yesterday I noticed another one located on my abdominal area. Could this be the same thing or a sign of something more serious? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have multiple lumps. It could be multiple lipomatosis or neurofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 63,421 |
Does taking Dolo 650 during pregnancy affect the fetus? | Patient: Hi.. I am 7th month pregnant and I am having migrane.From yesterday i am suffering from headache and i took dolo 650 as per my doctor advice but still my headache didnt went out.Can I take another tablet again now..Will this effect my baby? I am very tensed Doctor: Hi, No, not at all. Dolo 650 is very safe. Hope I have answered your query. Let me know if I can assist you further. | 218,303 |
Growth in kidney, not doing biopsy. How to know if it is cancer or not? | Patient: Yes I have a growth on the meaty part of my right kidney they do not want to do a biopsy as they say it could seed out into the kidney. they first said it was two centimeters round now they are saying that it is four centimeters round they just want to take the mass out and wont know if it is cancer or not until a pathologist looks at it is this normal or am I just being used as a giinea pig and I just had a double bypass two weeks ago Every thing has a cost I guess lookig for answers so I guess I will just live with it. this country use to care about one another but now it is all about money thank s any ways Doctor: Hello, Welcome to HCM, I am Dr. Das. Look, nothing is more precious than life. If you are dead, then what will the function of the money you earned. Secondly, your history definitely indicates towards a neoplasm of kidney / adrenal gland. And one more thing, no one except the pathologist can tell you what it is actually. For this, operation has to be done. They are right about seeding. So, operation is must. What will you do by keeping it in your body? Better to go for operation. Do not neglect it. If you are taking it lightly, then you will have very big trouble, in near future. So, go with the doctor for living. Regards. | 159,431 |
What causes an itchy spot on the right cheek? | Patient: My 9 year old son is camping with his dad. Last night my son complained of an itchy spot on his right cheek, but my husband said he didn t see anything. A few minutes ago my husband called and said our son now has four spots on his cheeks, two on each side, that are itchy. The spots are circles, not raised, not scaly, not bumpy, instead they look almost like indentations. Husband says it looks like he pressed his face against something and it left an imprint. Son has food allergies to peanut/tree nut/shellfish and quite an array of environmental allergies so I am leaning towards a contact reaction to something in the woods, but obviously I am not a doctor. Husband is going to give him some Benedryl. I have pictures of the spots. Should this be an immediate concern? Possibly ringworm? Thanks! Doctor: Hello. I just read through your question.I agree. The symptoms you describe are consistent with a contact dermatitis. Benadryl should help. Eventually, the symptoms will resolve on their own, and the lesions will disappear. | 176,784 |
Pain in back between shoulder blades, chest, underarms, high BP, headaches. History of tooth extraction, numbness after taking novacine. Any connection? | Patient: July 2 I had a tooth pulled. Right side bottom. The novacine made both arms go numb. That evening I started having pains across my back between my shoulder blades. The pain moved around to my upper chest and under both arms. My blood pressure went out of control. My legs are wobbly and I have frequent short lived head aches. This has continued and it is now July 20. I have had two EKG's a stress test and numerous blood tests - all normal. Could something have happened during the dental process??? Marge - YYYY@YYYY WWW.WWWW.WW Doctor: Hello,Thanks for writing to us.Headache usually associated with extraction tooth.Take complete course of amoxycillin along with analgesics.Gargle frequently with lukewarm saline.Take rest for 3-4 days.Avoid anxiety and stressful jobs.If symptoms persists,please do visit a GP too.Take care. | 188,816 |
What causes breathing problem while doing sports? | Patient: Hi, My daughter thinks she has sports related asthma. She tried running yesterday. Mind you she hasnt done any exercise for approx a month, she had finished volleyball. She had trouble catching her breath and immediately thought she has sports asthma. Her dad and I felt it is because she is out of shape. She is 5 5 and weighs 180 lbs. She has a large belly even though she is active in basketball and volleyball. Any advice Doctor: Hello.Thank you for asking at HCM.Feeling difficulty in breathing after exercise/sports is not always sports related asthma (what we call "exercise induced bronchospasm").Obesity/overweight & anemia are also other causes. If she does not do regular exercise and suddenly she gets involved in a physical sport, that also make her feel a little breathless & tired.I don't know the age of your daughter but as per height & weight given by you, her body mass index(BMI) is around 29, which is more than desirable. (whether she can be called obese or overweight or normal depends on her age)So I would suggest your daughter to not to think and worry about sports induced asthma at present. I would suggest her to consult a good physical trainer who can advice her regarding diet, exercise & ideal body weight. I would also suggest her to get blood hemoglobin levels done if she looks pale or she has frequent fatigue.Of course, exercise challenge followed by spirometry can be done to diagnose/rule out exercise-induced bronchospasm, but I would advice to go for the test only if she has had recurrent episodes of coughing, breathlessness and wheezing after physical exercise.Hope this will help her.Wish her beast of the health.Regards. | 101,422 |
Semen analysis: volume-1.0>2.0ml,PH-8.5,spermatozoa:immoile- 20-50% | Patient: Dear Sir, Today I got my semen analysis results. Please tell me whether the above result is normal. Thanks a lot. Krish Collection time, semen 1115 Semen volume 1.0 >2.0 - mL SEMEN, TIME READ 1250 pH, semen 8.5 >7.2 - Interpretation SEE NOTE Spermatozoa, rapid % 40 >25 - % Spermatozoa, slow % 20 % Spermatozoa, nonprogressive % 20 0 - 50 % Spermatozoa, immotile % 20 0 - 50 % Liquefaction, semen YES Appearance, semen NORMAL NORMAL - SPERM COUNT, SEMEN 118.0 >=20 - M/mL Spermatozoa, morphology 73 >=30 - %Norml WBC COUNT, SEMEN FEW NoneSeen - HPF RBC Count, Semen, LIGHT MICROSCOPY FEW NoneSeen - HPF Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your semen report seems to be normal. As far as motility is concerned rapid progressive motile sperm should be more than 32% which is within range here. Semen collection done for analysis after three day of sexual abstinence so repeat semen analysis if abstinence not maintained. Morphology, count is also within limit. Kindly mention your clinical history for giving more comment. Attach your reports for giving further comment I hope I have answered your query. Let me know if you have any further questions. Regards, Dr. Parth Goswami | 195,814 |
Should Orotatre dosage be reduced in absence of muscle spasms? | Patient: I have mitochondrial and was advised to take 800mg in the morning and evening this is also taken in the morning with COQ10 600mg. I just had a neck operation and for 3 days I did not have any magnesium and my muscles were twitching a lot have settled down a lot now but was wondering if I should reduce the orotatre as I do not get muscle spasms. Doctor: Dear patient Yes you can reduce the dosage to 400mg a day. However 1) Inform your doctor before doing so.2) If spasms start again resume original dosage3) It always preferable to get your blood magnesium level before doing soLet me inform you that You question says you have mitochondrial. I'm sorry I did not understand. However if you have ALS then you should reduce the dosage only in consultation with your treating physician.I hope that answers your question | 129,634 |
How to treat hand,foot and mouth disease? | Patient: hi my 1.5 yr old kid has been diagonised with hand foot and mouth disease.. she has been prescribed 1. zifi 100 ml 2. atarax 3. calasoft 4. paracetamol drops 5. soapex soap is the prescription correct... i understand the above medicines are for fungal infection.. while HFM disease is a viral disease.. also HFN does not require any medication.. should i continue with the above medicines.?? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that Hand Foot and Mouth disease is viral infection caused by Coxsackie virus. Though it is a self limiting disease above medication is prescribed to prevent secondary bacterial infection which is often observed in this infection. The drug prescribed is antibacterial and not the fungal variety. You should continue with the treatment, the provided treatment is correct. occasionaly it causes severe Viral Encephalitis in such a case you should take him to the ER urgently.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. | 38,026 |
What causes pain in the penis? | Patient: I wore a cock ring for the first time and ejaculated three times successively (ring was on for 10 minutes each time). Now after three months even though I only used the cock ring for one day I still have pain at base of penis (left side) when I get an erection and pain in muscle area around penis. What damage have I done to myself and will it get better Doctor: Hello,This ring might have damaged your muscles around penile tissue. If this is not getting any better with the rest and time I suggest you to consult your doctor for proper checkup and treatment if indicated.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician | 192,462 |
What are the chances to avoid surgery for cyst on esophagus/bronchi? | Patient: I have been diagnosed with a cyst on either my esophages or my Bronchi (they aren t sure yet). I have had an MRI and a CT scan both with contrast. I am now being told that I need another gated MRI. I am being treated now for stomach ulcers. I cough all the time. What are the chances that they will be able to fix this without major surgery? Doctor: Hello dear,thanks for your question on HCM.Esophageal and or bronchial cyst if symptomatic than should be removed surgically. Surgery is the treatment of choice for such cyst.And it is better to remove this cyst as chances of following complications are high if these cysts are left untreated.1. Infection2. Rupture3. Fistula formation.4. Pressure symptoms on surrounding structures.So better to remove this cyst surgically. | 81,280 |
I smoke crystal meth and i have back pain. Is there any danger? | Patient: I ve been using meth for 5 months now and I first started getting back pain 2-3 months into it, now my back pain is getting pretty severe. I m 14, 5 3, 120 pounds. I d take half of a half of a 7.5mg vicodin for my pain and it d help reduce the pain a bit. If it doesn t help I end up taking a half then I d throw up. I believe this is from not having food in my stomach while on meth. But I still will take them when pain occurs because it s the only thing that really helps. My question is what causes this back pain? Is there something I can take to help? I m going to get x-rays this Tuesday but from your own experience with patients can you tell me anything about this severe pain? I know quitting meth would be a solution, but I d also like another solution while I m on it. Appreciate it a lot! Doctor: stop taking meth other wise nobody help u, u must try homoeopathy for this addiction & also physiotherapy it will work | 114,061 |
What are the side effects of inhaling bleach fumes? | Patient: The office was smelling like rotten eggs and I was told to pour bleach down the drain...that combo released strong fumes which had me coughing. I did evacuate the office for about 1/2 hr and the smell was less...can bleach fumes cause me any harm or permanent damage Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Bleach fumes can cause irritation of air passage and coughing. This is normal.So no need to worry for your coughing. Just inhale fresh air and drink lots of water. No need to worry for any serious permanent lung damage by this kind of short term exposure.Usually permanent lung damage occurs after years of exposure with toxic fumes. So in your case no need to worry much. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,012 |
What causes pain in the mid back radiating towards the left side of the abdomen? | Patient: Hi! I m wondering what might cause mid back pain left side that radiates to the front. Pain was quite significant a couple days ago. Dr thought it might be kidney stones (I also had microscopical blood in urine). Test are negative fir kidney stones. CT scan clear. Pain in back much better but still pain in front on left side above the belly button. Any ideas? Just pulled muscle? Doctor: Hello,The causes for mid back pain with radiating to abdomen are:1. Injury2. Blunt trauma3. Sprain or strain4. Renal stone5. Pancreatitis6. Improper postureYou can take tablet Aceclofenac. Apply diclofenac gel or cream. Also, apply ice locally and do x-ray and MRI of back region with ultrasound of abdomen and pelvis.Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale | 127,725 |
Any suggestion for Hematology, RBC L 3.58, Hematocrit L 118, creatinine H 92 ? | Patient: Hi. I received my blood test back and this is what was passed on by my doctor and now I am waiting to see and internal specialist: Hematology, RBC L 3.58 and Hematocrit L 118. And my Creatinine is H 92? I am told I have a kidney problem. Can you tell me what all this may lead to? Doctor: Hi, I had gone through your question and understand your concerns.After seeing your report I can tell you that your creatinine is very high and you need medical attention. There are some things you must know.1.You need to have a ultrasound KUB done to know about the size of your kidneys. If they are small then small then it is said that you are having chronic kidney disease and if your size is normal it suggests acute kidney injury most common cause for that is diarrhea and vomitings recently.2.As you are asking me what this may lead to, I can tell you if proper attention is not given this may lead to dialysis. So, consult your treating doctor and discuss further and take proper treatment.Regards,Dr.Alekhya. | 46,565 |
Will Secnidazole tablets help with recurrent H pylori infection? | Patient: i had h.pylori and was treated with eso kit for 5 days and esocip for 14 days. i have finished all the medicine today but i have started to have symptoms of the same infection like 2 days ago!!!i saw a doctor and he said sometimes the bacteria does not go away and needs subsequent treatment...i am far from home and the medication here is limited, the doctor gave me secnidazole tabs..will this help for now??i am really getting sick of this constant going to the loo!!pls help! Doctor: Hi, H.pylori infection is difficult to treat with only one course of medications. Secnidazole is an antimicrobial agent within the same group of Metronidazole. It can help combating H.pylori infection. I advise to take OTC ranitidine and antacids to relieve the symptoms. Following strict hygienic measures together with diet changes can also help. Wish fast recovery!Dr.Albana | 38,535 |
Stealing, aruguing, no friends, overweight, mood swings, difficulty holding on to a job. Thoughts? | Patient: I have a question about my sisters lifelong behavior. My sister is 28 years old , has never been able to hold down a job without getting fired after a little while, she has never been a responsible adult , steals alot, argues alot even with confronted with the truth. She can never keep friends for very long before she ends in them kicking her out or completely burning her bridges. She has always been overweight and always been sexually promiscuous. She is very moody and doesnt like talking to anyone about " whats been going on with her " . She calls family behind our backs and lies and tell them she is in trouble and needs money . Since she was a little girl she would lie to her friends parents about abuse in the house and there never was. Doctor: Hi, Welcome to Health care magic forum. As you describe it is difficult to classify her into a disease, It may lead to a disease, may be the scizophrenia. otherwise it may lead to the depression, etc. I advise you to consult a psychalogist for diagnosis and treatment. She should receive love and effection, in spite of her behavior. And must have balanced , and nourishing food. wishing her a quick and complete recovery. Thank you. | 211,490 |
Suggest remedy for a lump on the breast | Patient: Hi, may I answer your health queries right now ? Please type your query here... hello, I found a small hard pea-size lump in on the bottom of my right breast. I am post menapausal, 57 years. Also, I have a dull pain in my right breast and underarm area. Your comments please. Doctor: you have to get some investigation done.... most important is FNAC of the lump and sonomammogram of breast and axilla...please do not neglect if fnac turns positive for cancer u hav 2 undergo mastectomy along wid chemo n radiotherapy... | 63,200 |
Is enlarged circumvallate pappilla related to wisdom tooth removal? | Patient: Hello, I believe I have enlarged circumvallate Pappilla. Large bumps in a v shape appear on the very far back of my tounge. I also have a slightly soar throat. I have been taking antibiotics (Amoxiliicin) for almost two weeks due to wisdom teeth removal. Can this be realated to this, or what else can cause this? Doctor: Hello, Welcome Thanks for consulting HCM As you have enlarged circumvallate papillae dont worry this is normal condition seen in most of patients there is nothing to be worried . It is not related to wisdom tooth removal and not even sore throat also in some patients this are found slightly elevated. Maintain proper oral hygiene, Do proper brushing and mouthwash . Hope this will help you. | 186,311 |
Suggest remedy for snoring and brown bloody drowl | Patient: Hello, My son is 8 years old, 35Kg in weight, about 3 6 in height. He snores loud when sleeping and sometimes breathing is heavy. Lately I notice he drools on sleep and a brown , kinda bloody drool will run out corner of his mouth to the pillows.I am beggining to get worried there might be something that I need to attend to. Doctor: Adenoids to be ruled out in such a child by doing X-ray nasopharynx and ENT surgeon consultation is a consider ation. | 169,506 |
What can help deal with extremely dry and scaly skin? | Patient: Hello Doctor, I have dry and scaly skin on my face. Especially cheeks. After I wash my face with mild soap or face wash I feel burning or streched feeling all over my face. I am not able to use any sun screen because of this as I feel irritation on skin after I apply sunscreen. Please help me get rid of this dry skin. I use dove soap and follow up with venusia cream after that. Doctor: Hello,welcome to healthcare magic.I understand from your query that you are having extremely dry skin on your face.I would suggest that you use a soap free cleanser like Cetaphil cleanser for sensitive skin to wash your face. Limit face washing to 2-3 times a day as excessive washing will strip away the oils.Use a cream containing urea and lactic acid along with other moisturizing factors like shea butter, glycerol,etc for better relief from dry skin. Apply the moisturizer immediately after washing on damp skin so that the water soaks well into the skin.Do not scrub/ rub your skin.Avoid cosmetics with fragrances and colour.Drink plenty of water.Hope this helps you.Take care. | 9,369 |
How can a lung be opened up after water removal? | Patient: After water was removed from my right lung the lung it could not open up because a wall had formed in the lung. My doctor says that only surgery can remove the obstruction. He also suggested doing nothing because I am not having problems breathing, I am 81 years old. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of thickened pleura and non expanding lung is more. It is common sequale after pleural effusion. No drugs are available for this thickened pleura. It is mechanical obstruction. And hence surgical removal of pleura is needed. But this surgery is quite risky and life threatening. So it is not recommended in asymptomatic patient like you. So since you are asymptomatic, no treatment is required for this. You can do chest physiotherapy and deep breathing exercises for lung expansion. Hope I have solved your query. Wish you good health. Thanks. | 79,095 |
What are the common blood test markers associated with non-Hodgkin lymphoma? | Patient: What are common blood test markers associated with Non Hodgkins Lymphoma? I have had high neutros monos, low leukocytes fluctuating for 6 years now. i was exposed to hep c and hpv but tests have shown no hepc. i develped uterine fibroids, had a twin pregnancy csection and then polyps and endometriosis which led me to hysterctomy after rapid weight loss, anemia, I have petechaie and spine/joint pain and weekness. I am certain that I have some form of leukemia or cancer and the doctors are missing it, well they haven t bothered to study my bloodwork as a whole like I have. something is very wrong Doctor: There are no specific markers for lymphoma in blood but blood counts can go low in advanced stages of disease after which patients usually die without treatment. Leukemias show blast cells in blood. leukemias are also rapidly progressing and take away life in a few weeks without treatment. | 152,652 |
What does prostate significantly enlarged (60gms) from BPH indicate? | Patient: Hii, I am a 53 Y/O , sufferinh from BPH since 10 years . Recently the prblem increased , so got Sonography done . The report says prostrate significantly enlarged ( 60gms) . Reports were shown to a urologist , he has prescribed Sildura 8mg once a day . I have tried these medicines in the past , they affect my erection. Due to this i have never taken these medicines as such . Do you advise surgery at this stage or any other alternative medicine which can not cause erectile dysfunction . Doctor: Hi,A prostate enlarged to 60 grams is classified as grade 3 enlargement. This should be treated with surgery as it is higher degree of enlargement and can cause abrupt bladder outlet obstruction leading to retention of urine. This is an emergency situation and then you may have to be rushed to hospital to avoid kidney damage.Taking of medicine is recommended till such time that you get operated. Considering your erection problem, it will be wise to go for a planned minimally invasive surgery in the next few days. After surgery you will lead a normal life and there is no worry. | 201,542 |
Is it safe to manage BP with only diet and exercise? | Patient: I am 67, BP 154/84 at rest. I weigh 200 and am 5 2 I work out 4 days a week aerobics and weight machines at the gym in a senior program, 45 min each day and feel no distress or shortness of breath. I take a very low dose water pill, hydrochlorothiazide 12.5 mg. My blood sugar is normal. I want to lower my BP with diet and exercise and don t want to take any more BP medications. Is this a good course of action? I just started this exercise program and a diet that excludes almost all bread and starches. I also meditate at least 30 min a day. Doctor: Hello!Welcome and thank you for asking on HCM!I read carefully your question and would explain that a lot of physical activity would be very helpful in lowering your blood pressure. Besides, it would also help you lose some pounds, which would also contribute in a better management of your blood pressure. So I would encourage you to continue this exercise program. Regarding your diet modifications, I would recommend to maximally reduce salt and caffeine intake. Your blood pressure are just stage I hypertension, and with these lifestyle modifications, there you have still chances to have a normal blood pressure without medication. Hope to have been helpful!Greetings!Dr. Iliri | 25,836 |
Suggest remedy to stop hurting oneself | Patient: This is going to sound really stupid, but I want to know how I can get myself admitted to hospital as I self harm and need help but can t ask for it, but if I get admitted to hospital for something then they will find the scars and I will have to tell them then I can get help. Please, I m not mad or insane, I just need help. Doctor: Hello and thanks for your query.I appreciate the fact that you have been able to realize that you have a problem and that you need professional help.Now, regarding getting admitted and treated as an inpatient, you need to first consult a psychiatrist for a detailed evaluation. If your self harming behaviour is severe or if you are feeling suicidal, then usually inpatient treatment would be advised.It's not appropriate for you to try getting admitted for some other readon and then hope that the doctors will notice your scars and refer you for professional help. Rather, the best option would be to directly seek professional help from the mental health services.You would need psychological therapy such as dialectical behaviour therapy (DBT) and sometimes medication to help you control your self harming behaviour.Best wishes,Dr. Jonas SundarakumarConsultant Psychiatrist | 207,607 |
What causes heart palpitations? | Patient: in 2003 i was diagnised for cellular damage and high levels of protiens. my problem since then is i often get spreading sensation in my body and slightly get panicky.i have heart palpitations.i was on multiple vitamin treatment under a neurologist. my problem still persists. advice please. Doctor: Hi,This is Dr Sameer.Increased heart rate & palpitations can have a lot of causes.It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any.Thanks | 21,423 |
What causes heavy vaginal bleeding while HPT is positive? | Patient: I was on the depo shot for six months. My husband and I has been trying to have a baby for two years now and this month I was a week and five days late for my period so I took a pregnancy test and it said positive, then two days later I started my period and I been bleeding heavy, and having blood clots. Could I still be pregnant? Doctor: Hallow Dear, HPT positive indicates that you are pregnant. However, heavy vaginal bleeding indicates that you are having threatened abortion. 1. Please restrict yourself to bed.2. Save all the pads. If you find any white 'clots' on the pads, it indicates that the baby is being expelled out - incomplete abortion. Then you have to report to the Obstetrician ASAP. If the bleeding is alarming, report to the hospital; you may require blood transfusion. 3. Report to the Obstetrician for further follow up. You may be given Progestational preparations to stabilize the pregnancy if the baby is viable. 4. Repeat HPT after 8 days. If it becomes negative, you will have to undergo termination of pregnancy, since it indicates missed abortion. If HPT is positive after a week, continue on progestational support. 5. Ultrasonography will reveal the condition of the baby and will help to take early decision. 6. Threatened abortion with pain in abdomen usually cannot be salvaged. So if you start having pin in abdomen, please report to the Obstetrician. I hope this helps you. Dr. Nishikant Shrotri | 219,726 |
Suggest remedy for cyst in the groin area | Patient: I have something on my groin. every so often it pops out like a mountain of red tissue. then it goes back in. the skin becomes flat and the whole area around it is purple. I went to a dermatologist 2 weeks ago. he took a culture of it and said its nothing/cyst. gave me some pills to make sure it doesn't get infected. while i was on the pills it seemed to have closed up until about 2 days ago. please help. Doctor: Thanks for asking in healthcaremagic forum Boils/cysts are common in groin area. Boils are infected hair follicles which are painful. Cysts are harmless unless you meddle with it. So, please send me details regarding any pain/itching/discharge from the lesion for further suggestions. All the best & will be waiting for your details. | 34,687 |
Suggest alternative of Ceralac for an infant | Patient: Hi Doctor, my son is 6 month 2 weeks old. he is 8kg now.(birth weight 3.25kg) nowadays he doesn't like Cerlac, even i changed the flavor he is not having it. Instead of that what can i give him? any substitute for wheat?? Apart from cerlac am giving Millet, Rice porridge.. Banana in evening. Doctor: Hello Thank you for asking in HCM. You can give your baby other brands of cereals such as: BabyVita, Nestum, Nutren, Cow & gate. Now you can add some other fruits such as: apple, pear and also start on basic soups for lunch. | 169,564 |
Will ciplox help treat pain in lower abdomen? | Patient: Hi, I have been having on and off side pain on the lower right hand side of my stomach.Showed the doctor - got the ultrasound done -- nothing just(mild fatty liver).Urine test showed 4-6 hpf pus.Took ciplox tz for 5 days but i still have that pain.I have noticed it pains when i bend .What could I be suffering with. Doctor: Hi.Thanks for your query and an elucidate history.Good that you took the right course. But the pain on bending can not be explained by urinary tract infection. It is possible that there is is an internal problem like peritonitis or some problem with the abdominal wall musculature. A clinical examination by a Surgeon can exactly pin -point the problem . | 90,752 |
What causes spit bubbles from mouth during breathing? | Patient: Hello, my 3 year old son sometimes has spit bubbles come out of his mouth while sleeping. i used to think it was foam but i can see the spit bubbles now. he does this usually when hes trying to breathe out of his nose while he has a stuffy nose, but i wanted to know if this was normal. thank you ! Doctor: I feel your concern is due to nose block as you have mentioned and when free air movement is restricted it would cause saliva to form blebs like how children make bubbles by blowing into a round ring with water. In my clinic I would give medicines to relieve cold and ask you to make him sleep on a side and observe.You could discuss with your doctor for personal examination and help | 173,043 |
What medicine or treatment should a high BP and diabetic should take for abdominal and leg pain ? | Patient: age-53,height-5 6, weight-79kgs,medical history-high bp,high sugar.. right now i m having pain from over my hips till my left leg .wat can i do.. Doctor: Hi; welcome to HealthcareMagic You are a diabetic & a BP patient the weight is on higher side.The pain in hip going till left leg if it is from back side it can be sciatica .Presently take pain killer and as you are diabetic please start on with a multivitamin it will help to reduce the pain .Better option is to consult your doctor for physical examination and treatment. Thanks | 95,223 |
What causes pain and swelling near spleen? | Patient: I was diagnosed with an enlarged spleen that had some kind of growth at the top of it in 2006, then following that diagnosis approximately a month later at most I was diagnosed with fibromyalgia with severe swelling of the hands and feet, however I noticed during these times of swelling I had pain on my left side where my spleen is - Could all of these be because of gallstones? Or, what could be the cause of all of this? Seriously Considering Eastern Medical Treatments!!!! Thanks, Cathy Doctor: these problems are unlikely to be due to gallstones. first, it is better if you find what is causing the swelling in the spleen using CT scan and blood tests. a diagnosis of fibromyalgia can be unrelated to splenomegaly or rarely be associated with blood and rheumatic disorders. I would suggest you to contact a hematologist for further evaluation | 86,430 |
Suggest remedy for sore throat and chocking in nose | Patient: Hi, I'm a 13 year old girl and yesterday I began getting really bad sinus pressure around 1pm. This morning, I woke up and my neck felt like it was on fire if I moved it at all. I can barely inhale through my nose, and whenever I swallow something, my tonsils are in pain. Help! Doctor: Hi,It seems that you might be having sever upper respiratory tract infection producing all symptoms.You might require one course of antibiotic medicine like Amoxicilin for 3-5 days.Take Vicks vapor inhalation.Avoid cold drinks and junk food.Ok and take care. | 33,924 |
What should the normal bilirubin count be? | Patient: Hello Doctor, My name is sony 38y old can you suggest any issue on my blood result BILIRUBIN (T) 0.38mg/dl BILIRUBIN DIRECT 0.22 mg/dl AST / SGOT (VITROS) 89 U/L ALT/SGPT (VITROS) 162 U/L ALKALINE PHOSPHATASE 100 U/L PROTEIN - TOTAL 7.7 gm/dl ALBUMIN 4.1 gm/dl GLOBULIN, SERUM 3.70 gm/dl A/G RATIO 1.1 CHOLESTEROL 149 mg/dl TRIGLYCERIDE 161 mg/dl HDL-CHOLESTEROL 32 mg/dl LDL CHOLESTEROL 85 mg/dl VLDL CHOLESTEROL 32 mg/dl Doctor: Hi, dear. I have gone through your question. I can understand your concern. Your bilirubin is normal. No need to worry about that. your other liver enzymes is slightly high. It may be due to alcohol or drugs. Protein is normal. Cholesterol levels are somewhat altered. For that you should take low fat diet with high amount of polyunsaturated fatty acids. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 117,081 |
How to get rid off depression? | Patient: Someone I know has been taken muscle relaxer non prescribe due to loss of job, depression, etc., for a year and a half. He has stopped taking them for 4 months but is having the shaking, nervous, sweating, etc. Unable to sleep. I just found this out. He continues with depression. What can I do? Doctor: Greetings!Well it seems like this person that you are talking about has developed Depression and anxiety as a result of the stress of loosing his job and as it usually happens in these conditions he is not being able to counter these on his own and slipping deeper and deeper in them.So I suggest that he needs to be shown to a psychiatrist and started on an anti depressant drug such as Escitalopram at dose of 10-20 mg / day or sertraline at dose of 25-100 mg / day starting first on a lower dose and then titrating up the dose. Along with the anti depressant drug he also needs to be put on an anti anxiety drug like clonazepam at dose of 0.25 mg twice a day. So to summarize his conditions of anxiety + depression need to be assessed by a psychiatrist and thereafter he needs to be put on a combination of 1 anti depressant and 1 anti anxiety drug for a period of at least 4-6 months for full relapse free recovery although it may so happen that he shall recover within 2-3 months of use of these drugs but still full course as mentioned above needs to be completed to prevent relapse of the symptoms which is quite common an occurrence if the complete treatment is not done.I hope this helps.Regards | 211,214 |
Suggest treatment for yeast infection | Patient: Hello, my daughter is 8yrs old and has a yeast infection. My doctor recommended gyne-lotrimin, however, none of the local pharmacy carried the national brand and only the store brand Clotrimazole3. Is it the same thing and or is it safe to use on my 8yr old daughter? Thanks! Doctor: Hello. I just read through your question.Clotrimazole is the same thing, as you say. It is perfectly safe to use on your daughter. | 166,115 |
Is elevated liver enzymes while having pneumonia serious? | Patient: My father is diabetic,he has been complaining of fever and chest pain,he has been admitted to the hospital and it seems that he has pneumonia his liver enzymes also seem to be elevated I just want to know how serious his situation is. Thank you in advance Doctor: Hi welcome to the health care magic In diabetes chances of infection are more... Opportunistic fungal infection chances also present So detail clinical history taken work up done in following ways.... -Chest x ray -Auscultation -CBC -Sputum examination esp gram and AFB stain If x ray shows consolidation than pneumonia can be there and antibiotic given... You might be kept under observation in hospital for three to five days and if needed intravenous medication can be given For pain paracetamol will be given and if pleurisy leads severe unbearable pain than tramadol sos can be prescribed Take care Pulmonologoist consultation advisable for examination | 53,764 |
Suggest treatment for small bumps on the finger and shoulder pain | Patient: My two index fingers (especially left) have bumps and are turning. They also burn occasionally (middle finger on left hand also). I know It would be called arthritis, however I believe there must be something restricting circulation in some other part of my body Shoulder? hip? causing problem in fingers Anything I can do? Thank you? YYYY@YYYY Doctor: Dear patient You have got arthritis of hand joints and this has no relation to circulation. This happens due to inflammatory reaction to synovium of joints especially small joints which leads to joint destruction and deformities. This needs to be investigated with Xray of both hands anteroposterior and lateral views. Visit radiology center nearby you and get it done. You need to consult expert rheumatologist with Xray report. All the best. | 137,760 |
What causes fever , vomiting and loose motion in a baby? | Patient: My son had past of kawasaki when he was 4 months old nw hes 10 mnths bt he gets infection very easily. nw hes suffering frm vomits n motion.he was hospitalised for 4 days for fever. nw again dr says there r chances to get him hospitalised for controlling vomitt n motions as medcines r nt working.plz help Doctor: HelloFrequent loose stool with vomiting may cause dehydration.If baby is not tolerating medications it would be difficult to control the vomit.If vomiting persists along with loose motion there is high chance on dehydration. Injectable medication and iv fluid supplementation may be needed in case of poor oral acceptance.Watch for frequency of urine and general condition of the baby.If vomiting persists,frequency of urine gets decreased or if vomiting persists please consult your pediatrician for management accordingly.Regards | 168,168 |
Suggest treatment for allergic skin rashes caused after ERCP procedure | Patient: my mother in law has just had ERCP procedure to remove a stent and left ove stones and returned home. She has come out in a pink red rash which she has had before and was treated with iv anti histermine. She doesnt want to eat or drink and has had 2 anti histermine tablets is there anymore we can do. Doctor: Hello,Thank you for asking at HCM.I went through your mother-in-law's history and would like to make suggestions for her as follows:1. As she has already taken 2 antihistamines, please consult a doctor before taking further dose of antihistamine.2. I would suggest her to take tablet montelukast.3. I would also suggest her to apply calamine lotion over the area with rash.4. I would suggest her not to scratch the itchy area as it would aggravate itching.Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish your mother in law the best of the health ahead.Thank you & Regards. | 100,113 |
What is the remedy for loss of feeling in the leg? | Patient: i have a permanent nerves damage in my leg due a stabbing wound from more than 2 years ago, I have been dealing with the pain in my leg for over 2 years I also was stabbed all over my body in my left upper shoulder and the stab wound was deep that it stopped just because the knife got stuck in my shoulder bone.... I need something for the pain and also lost feeling in a part of my right leg Doctor: Hello, I have studied your case.According to your history and complains such kind of pain can due to compression/tear of nerve and muscle .Another differential can be rotator cuff injury which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.For your leg numbness you may need EMG-NCV study.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav | 132,931 |
Severe back ache, difficulty in moving the head sideways. Which specialist should I consult? | Patient: Hi, I woke up today and moved and heard a vein in my back sort of move. Now I have this bad back pain where it s difficult for me to move my head sideways. How do I get this fixed? Which type of doctor should I go to? Can a physiotherapist fix this? Thanks! Doctor: Hi, Welcome to HCM, It seems that you might have stiff neck may be due to some pressure on neck muscles giving rise to this problem. Take analgesic medicine with muscle relaxant medicine. Within a day you will be alright. You can apply some analgesic cream locally. Do hot water fomentation. Ok and bye. | 113,784 |
Suggest treatment for abdominal pain & nausea | Patient: 24 yr old female been having bad lower abdominal pain and lower back pain. Along with diereha, headaches, nausea and vomiting, sides hurting , fatigue, feels like there s a knot above my belly button, having to pee more then usually, stuff that Normally doesn t bug me does now like smells and stuff I see like blood and that short a things, I m wanting food combos I normally don t eat, I have chills and then I have times where I m hot or I m freezing and outside is the opposite of how I feel and my period has changed and I have had 2 periods in the past 2 months and that s abnormal for me. I ve been to my doc for 3 weeks now she s giving me medicine for Wat she thought it was but that hasn t helpd none n she won t give me nothing else and every test she s done has showd up neg and I had an ultrasound done but she doesn t knw wats wrong and makes me feel as if I don t knw my body and that there s something going on cuz i feel different and my main concern was am I pregnant cuz I ve got majority of the signs n the same thing happened before I found out I was with my daughter but I ve been told my hormones are to lower to show up on test till I m bout 3 months but it s either that or the ovarian cyts is back but in pain and can t figure out wats wrong.can u help Doctor: HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.GOING BY YOUR CLINICAL HISTORY CERTAIN DIAGNOSTIC POSSIBILITIES ARISE.THEY INCLUDE-PELVIC INFLAMMATORY DISEASE,RUPTURED ECTOPIC PREGNANCY,URINARY TRACT INFECTION WITH CYSTITIS AND PYELONEPRITIS,RUPTURE OF OVARIAN CYST,POLYCYSTIC OVARIES..I STRONGLY RECOMMEND YOU TO HAVE TRANVAGINAL SONOGRAPHY-TVS WHICH CAN SUGGEST DIAGNOSIS WITH ACCURACY.URINARY PREGNANCY TEST IS ALSO STRONGLY SUGGESTED.TREATMENT PROTOCOL INCLUDES NSAIDS,ANTIBOITICS, PANTOP 40mg,TAB ONDANSETRON.RUPTURED CYST AND ECTOPIC CAN BE LAPROSCOPICALLY MANAGED.MENSTRUAL IRREGULARITIES AN BE MANAGED WITH OCP'S(ORAL CONTRACEPTIVE PIILS)CONSULT AN EXPERT GYNAECOLOGIST FOR YOUR HELP.THANK YOU.TAKE CARE | 90,056 |
Pricking pain in abdomen, severe on bending, getting up, sharp stabbing pain. Treatment? | Patient: Hi Dr, I am a 32 yr old women, and quite recently in started feeling a pricking pain on right side of my abdomen , just besides navel. The pain is more is more severe when I bend my self to pick something or get up from bed even. I feel something sharp is hurting me from inside. I need help for this. What it could be and what shall I do? Doctor: Hi ! The symptoms you have mentioned goes more in favour of appendicitis. Do you get nausea or vomiting ? Any fever ? Any urinary symptoms ? When was your last menstrual period ? You have to go for an ultrasound if you have got any history of a missed period. I would suggest you to get yourself examined by your family physician/surgeon, who may advise you for some routine blood and urine test apart from an ultrasound abdomen.Wishing you an early recovery. | 93,233 |
Can Trazadone be taken while on Oxycodone and Klonopin for PTSD? | Patient: I have been taking oxycodone 5mg TID for 17 years my psych Dr started me on klonopin 1mg bid Prn 4 yrs ago for panic attacks related to PTSD. I was assigned a new PCP just out of med school at the Va.. she now suddenly decided the risk to great and took me off of klonopin and substituted trazadone. I have had no problems with oxy and benzodiazepines for all these years and my life is very good and productive. Why mess up a good thing.? What would you recommend. I am inclined to try and get my very experienced psych Dr to consult with my new new Pcp Doctor: dearIf u r stabilised on one set of medication and dnt hv any undesirable side effects it's advisable to continue on same medication Regards | 204,676 |
Suggest diet plans for a 4 month baby | Patient: My Daughter was completed 4 months. Can i start solid foods like rice, carrots, apples. because i am going to office. from evening6.30pm to till morning 8.am i am feeding breasts milk. afterthat we are giving bottle milk, and biscuits only. can we start solid foods Doctor: Hi,Welcome to healthcaremagic.Your daughter is now enter in 5th month so you can start her with pasteurized milk with water in 1:1 ratio but strictly through small glass or bowl & spoon only. Bottle milk is not advisable.You can also start all fresh fruit juices without mixing milk.After doing these for 10 to 15 days if she is comfortable you can start some solid food like rice-dal by crushing also soft fruits by crushing.I don’t advise to give any type of biscuits to any child.You should give breast milk to her up to 11 months for her good health. | 168,494 |
Suggest treatment for high fever and painful bowel movement | Patient: My 5 month old daughter has a fever of 100 i gave her tyonal and a cold bath they didn't work. Her hands and feet are cold and swetty i gave her a bottle she chokes on it. And when shes got to poop she will scream i gave he kyro syurp in every bottle but its not working. What should i do? Doctor: Hi, If I were your treating Doctor for this case of painful movement, I would come up with three possibilities, these include: 1.The first possibility is Econorm(saccharomyces). You should use 1/2 packet twice a day for 3 days.2. The second possibility is Colicaid (simeticon) 10 drops 4 times daily.3. The last possibility is ORS. Keep your baby hydrated by giving ORS, water. For fever you can give :-tepid sponging;-mefenamic acid( MEFTAL-P should be given in the usual dose of 25 mg / kg of bodyweight daily, in divided doses,approximately 2 ml) I suggest you to consult a paediatrician and get her examined especially blood test,urine and stool analyses. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your daughter good health. | 173,610 |
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