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Suggest remedy for kidney stones and lesion on liver | Patient: I am 46,male.As I had stomach discomfort 3 years before consulted with urologist.He advised me for ct & ultrasound, Result cameout with some kidney stones and a lesion on my lever 1.3 by 1.7 size.For last 25 years I had alcohol in regular way ,about 150 ml ,now I aimost stoped consuming.Pl.advise me the next steps. Doctor: Hi and welcome to HCM.Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease.In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney,.Kindly regards. Wish you a good health. | 53,552 |
What does the CT scan show? | Patient: Recently completed a CT due to severe abdominal pain - the test results provided There is some soft tissue density in the left adnexa, which could be multiple adjacent loops of bowel - Very small ventral hernia just to the right of midline, approximately 12.5 cm above the umbilicus. The fascial defect measures 1.9 cm in maximum diameter - rather large mass appearing to arise from the anterior fundal portion of the uterus, measuring approximately 6 cm in size, likely uterine fibroid. Uterine contour otherwise somewhat lobulated, likely fibroids - Enlarged, measuring 19.3 cm in AP dimension and 14.2 cm in superior to inferior length Doctor: The report of the CT scan is simple and straight forward.It shows ::It looks you have problem with the left ovary and / or Tube- inflammatory reaction leading to intestinal adhesion.Secondly you have- Hernia in the central part of upper abdomen- needs surgical correction.Thirdly you have big masses coming from the uterus called Fibroids , which too need removal of the uterus - Hysterectomy. All this can be done now-a-days with Laparoscopy. | 90,172 |
How to cure the lump on the wrist caused by a fall? | Patient: Hi I fell on my wrist a while back at the time it was sore, when I fell on it a lump came up on the top of my wrist, since then I fell on it again and there is only a slight bump but a dip next to it as well. It s still a bit sore and I don t know what I did. Doctor: Hello, It could be a simple contusion. You can apply ice packs for faster recovery. Generally, it will settle by itself. If lesion persists you can consult an orthopedician and get evaluated. In that case, you might require an MRI scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 125,226 |
What to do for the pain and lump in the elbow due to a fall? | Patient: I fell today hitting my elbow on the ground (i was wearing a jacket). I remember lightly pinching the area but when i came home about 15 mins later i looked at the area and i found a lump. There is some amount of pain too. Please tell me what should i do? Doctor: Hello,It may be due to fracture. For further assessment you may require X Ray elbow joint after orthopedician consultation. For pain you can take tablet acetaminophen. Further treatment mainly depends upon the underlying condition. Restrict your movements Hope I have answered your query.. Let me know if I can assist you further. Regards, Dr Shyam Kale Family and general physician | 121,624 |
Suggest treatment for pain in right arm, hip and leg | Patient: Good Day Doc, i have problems on my right arm, right hip and right leg.. Its painful especially on my back on the upper right side. I keep on pressing it. What should i do to relieve this kind of pain? I have also problems on my nose, its hard to breath i keep on throwing my saliva. It will trigger when the temperature is hot and cold. Please do help me...Thanks Doctor: Hello, As you have pain in right hand shoulder and leg. Mainly in hot and cold climate. I will suggest you to do some exercise. As pain in leg. You need to do strengthening exercises for your lower limb. As static quads. Static hams and some exercise which increases your lower limb strength. Same for upper limb too. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rohan Sham Deo | 120,532 |
Does immobilization of the knee cause severe diffuse cartilage loss in the patellofemoral compartment? | Patient: 20+ years ago, I broke my left leg and was in a full leg cast then a half leg cast which basically immobilized my knee for 12 weeks. I had an MRI for a torn meniscus 2 years ago which also showed severe diffuse cartilage loss in the patellofemoral compartment. Could this be attributed in some part to the immobilization of the knee all those years ago? Doctor: Hello, Immobilisation of knee in long leg cast leads to knee stiffness and not cartilage damage to pattellofemoral joint. Damage may be due to initial trauma or may be due to age related degenerative changes in pattellofemoral joint. If there is pain anteriorly on knee you should avoid squatting and crossed leg sitting. Hope I have answered your query. Let me know if I can assist you further. | 127,136 |
What causes breathing difficulty while trying to lay down? | Patient: Hello, my husband had a mitral valve repair Jan. 30th of this year. He seemed to be doing well, when he all of a sudden, had trouble breathing, especially when tries to lie down. Have you heard of this, and what is the proper procedure for fixing it? He did not have any lung problems before. Thanks, Pat Doctor: Hello, The symptoms You describe occur due to fluid in the lungs, the reason may be varied And speculation based on this small history is not justified. I would strongly request you to get a 2 d echo and visit your cardiologist with the same. Regards Dr Priyank Mody | 26,874 |
Suggest treatment for alzheimer's disease | Patient: I am 63 years old. I have been taking .5mg of klonopin each night to help me sleep since an accident 4 years ago. Now I have read that long-term usage like mine increases the incidence of alzheimers by 80%. I took an online test asking me to draw a clock face....as part of an alzheimers diagnosis self-test. I blew it, forgetting the 12 all together. Yikes! Should I seek a consult? Is .5mg daily dose sufficient to impact the potential for developing alzheimers? Doctor: Hello thanks for asking from HCM for your health related queriesI can understand your concern. Klonopin is Clonazepam and the drug belongs to Benzodiazepines group. The drug when taken for long time results in worsening of cognitive impairment. So it is not usually advised for elderly to take the drug on regular basis. If Draw a Clock test failed then I would advise you to visit a psychiatrist for gradual tapering of doses of drug and then go for evaluation for dementia. MMSE or mini mental status examination is a test that can help to find out any cognitive decline and would confirm the diagnosis of dementia. So please quit using the drug as soon as you can and take proper treatment of dementia.Thanks, hope this helps you. Take care | 145,399 |
Born with dandy walker syndrome, have large scull, head, neck hurts. Effects whole skull or one side? | Patient: hi I was born with dandy walker syndrome and the doctor told my mum that it wasn't a bad case but now i am older I start to realise the affects of it such as having a large skull I have started to notice recently though that my let side of the bottom of my head is starting to hurt and it hurts my neck it the bones also are a little bigger on the left side that the right would you have any idea what it could be or could it be something to do wit my dandy walker syndrome. also does dandy walker syndrome affect your whole skull or just on side. Doctor: Hi,Thank you for posting your query.First of all, I would like to reassure you that your current symptoms are most likely not related to Dandy Walker syndrome.Dandy walker syndrome typically affects children, and causes imbalance while walking, weakness of arms and legs, etc.It usually affects the back of head on both sides.If your symptoms persist, please get a brain MRI scan done and upload the report.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist | 149,602 |
Are red eyes, heavy cold, sneezing and watery eyes symptoms of swine flu? | Patient: Red colour in eyes , heavy cold,sneeze ,sleepless,coming slightly water fromeyes, slight headache. is this a symptoms of swine flu?i am 60 years old.I had done bypass surgeory 1&half year ago. i am afraid. Doctor: thanks for your question...i appreciate your concern about our health....these all symptoms can occur in common cold aswell... for proper diagnosis you can have viral serolog done for swine flu....regards.... | 31,247 |
Abdominal pain, pain on coughing. Lifted heavy pale of paint. Muscle sprain or hernia? | Patient: good morning .my son of 22 yrs is having abdominal pain in his left side.it is painful when he cough . he has no fever nor vomitting nor dhiarrea.he says it get better after he has eaten. just last week he said he lifted a heavy pale of paint.. what should i do..is it hernia or appendix or just a muscle spain. thank you Doctor: Hello Is is simply a muscle spasm in the abdominal and has been caused by lifting the heavy weight. There is nothing o worry and do the following Ask him not to lift any weight Do local hot fomentation twice a day Ask him to refrain from doing any exercise Give him a anti inflammatory medicine like ibuprofen in combination with a muscle relaxant,like FLEXON MR,three times a day for 5 days. If he has some cough,give some anti tussive syrup. Thanks | 94,580 |
What causes pain under the breastbone long after gallbladder removal? | Patient: I had my gallbladder removed 3 years ago but I am getting a pain underneath my breastbone that I can only describe as similar to the gallstones pain. I also feel like my back constantly needs cracking. I can t lay straight on my back or it hurts and I can t hunch up on my side or it hurts under breastbone. Also I had a baby 3 months ago and that is when it started Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have abdominal pain after cholecystectomy. It is called post cholecystectomy syndrome. Enterohepatic circulation after gall bladder removal is affected and so abdominal pain present. To rule out underlying specific cause if present USG abdomen scan and (Magnetic resonance cholangiopancreatography) MRCP like investigation can be planned. Hope I have answered your query. Let me know if I can assist you further. | 52,606 |
Suggest remedy for getting pregnant | Patient: I am 22 years old. I have been diagnose with distal blockage in my right fallopian tube. I had the HSG procedure done 3 months ago. My doctor sent me home, only saying keep trying because I am able to conceive. I have been trying for 3 years in all and still never been pregnant. What should I do? Doctor: Get done routine investigations.. For example cbc, blood sugar, ultrasound the and husband semen analysis. | 2,399 |
Lump on areola, puss discharge, breast size decreased. Antibiotics taken. Biopsy advised. Breast cancer? | Patient: Hello SamuelMy girlfriend has a peanut sized lump on her areola which was very painful and could be moved around. Doctors gave her antibotics and the pain went away. 2 weeks later there started a discharge of puss from the lump and it became a painless lump. She also noticed the size of her breast had decreased in size. She has now been refered for a biopsy. Initially it was thought to be an abscess, but now since the pain has gone away and the lump is still there I've become very concerned. Is this breast cancer? Doctor: Hello friend,Your girl friend's problem is related to some mental conflict she suffered just prior to the date of noticing the lump on the breast. This mental conflict brings about some changes in the organs through the mediation of the brain. Since the affection is on the breast, this can be related to partner , sex, family, etc. The swelling is not cancer. But the fear in her mind makes the problem. Once you go to doctors and surgeons, for FNAC, Mammography and such investigations, her fear is going to worsen . The problem is created by the fear the society has attached to the icon of cancer. My advise as a Homoeopath is to stop going for further investigations, stop taking any medications and to approach an expert Homoeopath at the earliest. He will take her case in detail, understand her mental make up, physical make up and will prescribe a genetic constitutional remedy which will remove the lump in her breast. With best wishes for a speedy recovery through Homoeopathy .Dr. C. J. [email protected] | 158,648 |
How can systemic lupus with joint pains be treated? | Patient: Is Systemic Lupus treated in Malar, if so who is the doctor to be consulted. The joint pains associated with lupus will be continuous and in a particular portion of a body or the pain come and goes every few days and move around all joints. Is there a permanent cure for this and will RA factor reflect high on this. Doctor: Good evening.. Joint pains are a part of lupus but they normally do not cause deformity.ra factor can also be falsely positive in lupus. But you need to consult a rheumatologist in your place for proper management of the disease. Don't ignore. | 82,681 |
What causes blackouts with chest tightness and palpitations? | Patient: Hi, I have been having episodes of blacking out very briefly followed by swallowing difficulty, squeezing in the chest and racing heart. i am a 40 yr old female and i do have heart arrythmias such as PVCs,PACs and Inappropriate Sinus Tach. I also have a B12 deficiency but get monthly injections for those. What could be causing my symptoms? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you are known case of various heart arrhythmias, possibility of worsening these arrhythmia is more because your all symptoms like chest tightness, squeezing in chest, rapid pulse rate etc are common symptoms of uncontrolled arrhythmia. So immediately consult cardiologist and get done 1. Ecg 2. 2d echo 3. Holter monitoring (24 hours continuous recording of ecg). You may need radio frequency ablation (RFA) surgery for permanent treatment of arrhythmia. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,180 |
Why does she have back pain at the beginning of her periods ? | Patient: befor the bigging her minstral cicle she feel back pain why befor the bigging her minstral cicle she feel back pain why Doctor: Hi! Slight pain to uneasiness at the starting of the cycle is a known fact.it is called premenstrual tension.it presents as bloating,breast tenderness,irritability.Take lots of water, fresh veggies and fruits.Avoid cafffeine,white starches,processed sugars.See a doctor if pain is unbearable. | 113,884 |
Why am I skipping social gathering all the time? | Patient: I love making plans i am very social yet every time i always cancel like an hour or so before i go out. then i get upset i didn't go out. I dont know why i dont go out i just cant get myself to do it and its just hard that everyone just thinks i cancel for the hell of it but i cant explain it to anyone Doctor: Hi, thanks for the query. This tendency of skipping things at the last moment due to some ''second thought/second guess/self doubts'' etc. is termed as ambivalence. I am sure apart from social gatherings, there might be other things also in your life when you get these doubts or second thoughts. Generally speaking, taking a second guess or ambivalence is NOT harmful per se until it causes significant distress or dysfunction. Hence a simple advice is whenever you do get such second thoughts about cancelling pre-planned events, make a 2 column chart & write down points in favor & points against abrupt cancellation to help you make a clear decision. You can get back to me if needed. Good Luck | 208,598 |
What causes kid to vomit in mornings when having high wbc 13000? | Patient: My 4 yrs old grandson has been having vomiting but only in the morning. Has a high wbc. 13000. Has had u/s that was normal and has seen doctor 3 times. Waiting for other bloodwork that will be back tomorrow. He c/o stomach pain around midabdomen. He does not vomit after 10am only in the mornings. Doctor: Hi,Thanks for asking.Based on lab reports and clinical findings, my opinion is as follows:1. Vomiting early in the mornings could be due to gastritis. 2. Stomach pain around mid abdomen also confirms a possibility of gastritis due to improper food habits.3. WBC of 13000 for 4 years age is normal. You are looking at it in comparison with adult values of 4-11 thousand.Its only gastritis, try to improve the diet.Any further queries, happy to help again. | 117,739 |
Suggest treatment for shortness of breath, pain in jaw, neck and shoulder | Patient: I get short of breath with some activity but goes away after a few minutes or when resting. I have slight pain off and on in jaw on left and in neck. Normally not at same time. Doesn t last for real long periods but happens about daily. Also have pain in left shoulder that gets worse with a lot of activity. This pain goes down into hand and fingers. None of this pain is severe but is uncomfortable. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to consult a cardiologist, and get your tread meal test done to see the reserve status, I hope that answers your query. If you want any more clarification, contact me back. | 138,272 |
What causes jaundice lasting for long time? | Patient: hi,i am suffering from jaundice since 3 years and till now i am suffering .even i went to appolo hospitals in chennai for treatment.they told me that i had hapatitis A which has cured but due to haemoglobin problem my jaundice has not fully cured.again i have contacted a doctor in siliguri,and he told me that i have gilbert syndrome.i need your advice. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I canWell, jaundice is just a sign and not diseases, and treatment depends on exact cause.Jaundice is usually sign of certain liver disease and high bilirubin value. Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2-3 mg/dL (34-51 µmol/L) typically results in jaundice. High bilirubin may be due to liver diseases such as cirrhosis or hepatitis, infections, medications, orblockage of the bile duct In the developed world the cause is more often blockage of the bile duct or medications. Blockage of the bile duct may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.Medical management may involve treating infectious causes and stopping medication that could be contributing. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | 52,844 |
Suggest treatment for sore palate after tooth extraction | Patient: i have an extremely sore palate at the roof of my mouth. IT IS AGGREVATED BY HOT & salty food. I've had two teeth extracted this week and also have a cold sore. I'm finding it difficult to eat as contact with the palate is painful. I've been told to use hot salty water to aid the healing process of my teeth but can't as this feels like rubbing salt into a wound. Can you help or advise please? Doctor: HiThanks for writing in.It could be due to reaction to antibiotics post extraction.You may apply mucogel to that region 3-4 times a day.Also take multivitamin for faster healing.Visit your dentist if problem persists.RegardsDr. Neha Sumra | 182,595 |
What causes sharp chest pain in child? | Patient: my 10 year old son will once a week experience a sharp pain in the center of his chest. He can experience this while just sitting and or running. He describes it as a zap. He likes spicy foods so the first thing I did was take him off the spice however he is still experiencing these however not as much? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Central chest pain is mostly due to hyperacidity and gastritis.Since your child 's chest pain is reducing after stopping spicy food, possibility of gastritis is more likely in your child.At present, no treatment (drugs) is required. Just give him bland diet, fruit, avoid hot and spicy food. Don't worry he will be alright with diet modifications. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. | 73,019 |
What is the survival rate with jaundice and Klatskin tumor? | Patient: My mother-in-law has Klatskin tumor. She has had 3 stents and now her count is just elevated without blockage. She started turning jaundice last week. How long can she survive? There seems to be no option available to her at this point. Can she live months or are we talking days and weeks being jaundice? Doctor: Hi, I had gone through your question and understand your concerns.Klatskin tumor is cholangiocarcinoma at the confluence of the hepatic ducts and common hepatic duct above the level of cystic duct.It causes obstructive jaundice.Stenting / bypass are palliative options.Actually surgical resection is possible only in 5% cases.Condition has got 90% mortality in one year.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. Regards. | 56,293 |
Suggest treatment for infertility | Patient: I am 37 years old and I had 1 miscarriage and 1 abortion when I was 20 years old. Me and my husband just started to trying to get pregnant like 15 days ago but I did not get pregnant. My husband is so upset and since he is perfectly healthy he thinks this is the outcome of my abortions while I was 20. I am a smoker since I was 19 and I am also taking CIPRALEX 10mg for the last 15 months. I would be appreciated if you could advise me what could be the reason or reasons for me not being pregnant? Doctor: Hi welcome to healthcaremagic.I have gone through your question.You just tried for 15 days and not getting pregnancy is not a matter to worry. Although I would advise to go for 1. histosalpingography HSG to rule out tubal blockage as you had two abortions in past.2. Ovulation profile to see follicles are developing3. Semen analysis of your husband.With these reports consult your gynecologist, he/she will advise you further.Hope i answered your question.Would be happy to help you further.Take care. | 41,681 |
Suggest treatment for swollen and painful knee | Patient: I fell on my knee 10 days ago and it swelled up quite a bit. I can walk fine, but cant put any pressure on it. The whole lower half of my leg turned black. I went to the doctor and he took xrays and said it was fine. He said that I had a contusion in the knee that was seeping down the leg. I don t know if I landed on my ankle or not but it is swollen and bruised to the point that my whole foot doesn t have any definition anymore.... it is very very painful. Is this normal? Doctor: Hello,I have studied your case and I think that you have developed ecchymosis in the leg with swelling and due to this you are having pain and discoloration. I would recommend you to follow these steps.1.Hot water fomentation2.Compression bandage and tablet Voveron if pain is there .3.Rest4.If ecchymosis increases then you need to check your blood coagulation profile as some time this can also cause increase bleeding tendency and such symptoms.I hope this answer will be helpful for you. Let me know if there is any other followup questions.thanks | 137,569 |
What causes fever with pharyngeal irritation and redness? | Patient: hello. my daughter 7yrs has 103 F fever, continous, since yesterday, with slight cough, pharyngeal irritation and redness, pain in abdomen, thirst for water and fever is with chilliness. pulse is around 130-140/ min and respiratory rate is about 30/ min. Appetite is poor. stool passed, clear and urine is also clear. what should i do....? please suggest. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have fever with pharyngeal irritation and redness which is probably due to viral infection which is lowering down your immunity and making you prone for infection. It could be due to granular pharyngitis due to upper respiratory tract infection. I would suggest you to take combination of antiviral drug along with anti-inflammatory drug. Take nimuslide along with paracetamol as well. Your symptoms will resolve in 4-5 days. If symptoms keeps on persisting visit ENT specialist once and get some routine blood investigation done. Take diet rich in multivitamins. Drink plenty of water. Take hot milk rich in turmeric as it will booster immunity. Apply wet cold sheets on your head to lower down body temperature. Avoid hot, spicy and sharp food substances. Take diet rich in multivitamins and vitamin C. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 32,299 |
What is the treatment for partially collapsed lung? | Patient: Hi, i recently suffered a partially collapsed lung. I spent a couple days in the hospital with a chest tube and now im out and feeling fine. The doctor told me to quit smoking and its been tough. I was wondering if those electronic cigarettes are safe and if theyd have any affect on my lung? Doctor: Hello and welcome in HCM I can understand your concern No there is no benefits in quitting smoking with electronic cigarettes tthe studies emphasize recently unfortunately. Take care Dr.Jolanda | 74,781 |
What causes foot pain and muscle spasms on arch? | Patient: I have been having foot pain for about a month. Started on the ball of my foot. Within the last couple of days, my little toe is sore, and now I also have what feels like a muscle spasm on the inside of my arch that has lasted more than 24 hours. What could this be? Doctor: Hello Welcome to Health Care magic I would suggest you to visit an orthopedics for his opinion. You may be required for X-ray foot lateral view. You may also share the report with us so that on the basis of finding we can start the treatment. Homeopathy medicine has a great role in treatment in such case but before it is necessary to make final diagnosis. Thanks Dr Ratnesh | 136,558 |
Suggest treatment for pain on back part of the leg | Patient: I have pain on the back part of my right leg it feels like someone is stretching my vein like a rubber band, I have been putting ice and taking advil and rubbing ben gay on it works for a little while then the pain starts all over again. do you know what else I can do? Doctor: Hello Leg pain can be due to electrolyte imbalance.Take plenty of water, fluid intake will dilute toxins.Physiotherapy with ultrasound and Tens will help you,Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself.Take potassium rich diet.Hot and cold fomentation to leg. Add tab methylcobal 1500 once day.You may need MRI if not relieved.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 care | 133,094 |
Suggest treatment for anxiety, depression, dizziness, partial blindness and deafness | Patient: I have been diagnosed with food sensitivities, anxiety, depression, and a general chronic illness. I have pseudo seizures, but in August I had a seizure that stopped my breathing. It was not like a non-epileptic event that I had previously had. My parents refused to allow me to get a CT scan. Recently I have had dizziness, partial blindness and deafness. My parents won t believe that my symptoms are not that of anxiety or lactose/wheat/corn intolerance, even though I know my body well and know that something is wrong. I ve lost 8 pounds in a month from feeling generally sick, and currently weigh 108 pounds. I ve had multiple syncopal episodes that are unlike the fainting spells I ve had before. There is pressure in my temples and behind my eyes when I go blind. What should I do? Doctor: u start taking paxidep cr 25mgs in the morning along with it take Rexipra 10mgs at bedtime ...this will help you...regarding seizures and blindness u should not take stress for everything....change ur thinkinh | 205,163 |
Could leaky aorta and anemia episodes effect health? | Patient: yes..thank you... I am taking 325mg bayer asprin since 1991.. I have been in a fib for 3 yrs now..and have a leaky aorta not severe yet...Dr. says stay on the asprin and sees me every 6 months with blood work and yrly echo..i do have some enemia problems so my mother and grandmother..yrs ago it ws called mediterrain enemia..but it comes and goes..is there anything to worry about..oh..my blood levels are more than excellent..and my HDL is off the chart.. Doctor: I feel your leaky aorta is mild.medically we call it Aortic regurgitation,and usually it does not need any major intervention.as you have been rightly advised for yearly echo.i often give Tab.ramipril in dose suitable to level of blood pressure to my patients of aortic regurgitation,which u may discuss with your doctor .Regarding anemia i need more information from your side. I many a time give emperical Iron and multivitamin for a period of 4 weeks and repeat Hemoglobin level.if you are tolerating iron well you may discuss with your doctor for starting it.othewise your anemia should be evaluated with basic haemogram,peripheral smear and further work up depending upon basic report.i wish u good health. | 27,978 |
What precautions to be taken for herpes? | Patient: hello doctor, i have pimpules on right side of my forehead,i went to doctor he told me it is herpes and it is caused by air ,but when i through the net i got to know it is caused by orel sex.i it dangerous,what precaution should be taken,i am taking tablet HERPERAX-800,TECZINE,NUCOXIA60 AND OINTMENT HERPERAX Doctor: Hi,Welcome to HCM!Well, it seems what you are suffering from is Herpes Zoster infection and it is not caused from sex. What you read over the net is Herpes Simplex infection, which is spread from sex and is entirely different from Herpes Zoster.Herpes Zoster occurs due to the same virus which causes Chicken pox. The Chicken pox virus resides in your body forever and may get activated again to cause Herpes Zoster. There are several causes for reactivation and its not clear yet what causes it.It is a painful condition in which vesicles develop over any part of the body. Ensure you take the complete treatment.One of the most dreaded complication of this is Post-Herpetic Neuralgia. It consists of severe pain over the site which lasts lifetime.Ensure you are given adequate painkillers.Hope this information helps. Feel free to ask if you have any doubt.Wishing you a speedy recovery.With warm regards,Dr. Sridhar Reddy | 39,284 |
What causes tightness in chest? | Patient: Hi, I'm a 46 year old male at 195 lbs and 5'-10". Yesterday while eating, a piece of chicken got lodged in my throat, so I began to cough to try to dislodge the meat. Simultaneously, my chest muscles began to severely tighten up, to where I began to wonder if I was having a heart attack. So I continued to cough to massage my heart. After spasming for a minute or two and progressively worsening, I bent over and vomited the chicken and rice. No stomach acid taste to the food at all was noticed. After half an hour, chest and throat calmed down enough to resume eating. My question is, could I have had a heart attack, or does the chest naturally tense up while choking? Thank you for your time. Doctor: Hey there,Looking at your case it looks like it might be any food allergy which produced you choking sensation or if its really choking, tightening of chest muscles were might be due to excessive coughing and nothing else for now.don't overthink about heart attack and allRelax and take rest | 74,987 |
How to treat lumps in the abdomen? | Patient: I have a cyst like lump outside of the skin right where my panty line is. Recently this has popped and this greenish color of puss comes out. It hurts bad when this happenes, then itches for a long period of time. I have cut out most sodas and caffene drinks yet this continues. I have an appointment w/ my obgyn however that is a month away and this is getting worse. Please help. I have had these lumps before and was told that they were caffeen cysts, im highly concerened due to the puss and its color. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of pus-filled cystic lump, I would come up with one possibility that is some infection!However, the mode of infection could be some infected inclusion / sebaceous cyst, mild penetrating injury, forgotten insect bites, folliculitis, lymph node or small boil! You need to first see your local doctor for microbiological test of the discharge and then go for its treatment...Your doctor might advise to apply ice/cold compress and some gentamycin-like antibiotic cream and if not relieving, swift on to oral erythromycin 500 mg four times for 5 days! 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 good health. | 65,855 |
Can Clarithromycin and Mycobutin be used for a long duration? | Patient: Yes, thank you. My husband has taken a 30 month course of Clarithromycin followed by 6 months of Microbutin- (for a lyme diagnosis) How will this affect him in the long run? History wise- has has seen almost all the specialists and most of the doctors who have written books on the subject and ultimately ended up with a sort of specialist if you will- Doctor: both are antibiotics and should not be taken for long term. the course advised by your docotor is right. | 29,668 |
Suggest remedy for painful spots in vagina due to bed bugs bite | Patient: Ok for a long time, we lived in a hotel that was majorly infested by bed bugs they came out to treat it and even switched the beds out. The bed bugs never left but the next time I was bitten a lot on my vagina, in about four different spots very close to each other. It makes everything very painful sex, walking, using the restroom, washing, etc. should I do about it? Doctor: Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.Bed bug bite can be dangerous when bugs are infected with some micro organisms. Otherwise only treatment for bite is sufficient.For bug bite I advice you to take cetrizine tablet, paracetamol tablet, calamine lotion, apply moisturizing cream. Maintain the local cleanliness also do regular dressing to prevent secondary infection on the wound bite.Always prevention is better than cure. I advice you to clear the bug from the bed. You can call the professional insecticide sprayer they spray your whole room and cleans it guaranteed. Glad to answer your further concern. You can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank | 37,243 |
How can a large lump in the right breast be treated? | Patient: A few weeks ago, I noticed a very large lump in my right breast. I have always had pretty fibrous breasts so I do regular exams and never noticed anything prior. The lump is approximately three inches. Now my breasts are swollen and painful and there is redness on the skin. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This indicates possible inflammatory lump , needs ultrasound examination and further management in accordance to that .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care . | 61,121 |
What causes big toes turning black after chemo? | Patient: I'm a nail tech and a new client came in. She said she had been going through chemo I noticed her big toes are black and I'm concerned if it's a fungal infection and I don't want to chance spreading anything to my other clients. Is that a normal side effect? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Chemotherapy can cause immunosuppression.Immunosuppression is the major cause of the fungal infection in the cancer patient.Fungal infection can cause blackening of the infected part. So if the toe is infected than you should avoid the procedure.Fungus is usually present in all of our surrounding. But we are not infecting with it because we have good immunity.In the same way if you client is neat and clean with good immunity they will not have any fungal infection. It occurs only in immunocomprmise patients.So you can do procedure in them, with good hygieneic condition. With good aseptic procedure it will not spread to others.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 34,351 |
LFT test done, shows elevated liver enzymes, ALT, ALT high, not alcoholic. Causes and treatment? | Patient: HELLO DR.SAMUEL , I WAS SHOCKED TO SEE MY LFT RESULTS . BECAUSE THE AST IS 67 U/L AND MY AST IS 43 U/L. I M NOT A ALCOHOLIC. BUT I DON T NOW WHY THE I HAVE A ELEVATED LIVER ENZYMSES.THE DR. ASK ME TO DO THE ULTASOUND.I M REALLY SCARED NOW. VERY DIPRESSED NOW.DON T NOW WHAT TO DO.PLEASE SUGGES ME WHAT I SHOULD DO TO DECRESS THE ELEVATED LIVER ENZYMES .THANK YOU . Doctor: Hello. Welcome to hcm Just elevated liver enzymes can never say you have some grave disease. If bilirubin levels are normal,then you need not worry much. Ultrasound scan can see if your liver is really damaged or is it false positive results. Alcoholism only need not cause elevated liver enzymes. It can be hepatitis caused from either drug intake to hepatitis virus,which can be managed. Your doctor will evaluate and some times repeat the test and find out the cause. Stay positive and get yourself treated. All the best | 60,070 |
What causes slight irritation and itching after urination? | Patient: Hi Dr.Grief, I recently underwent testing for the whole panel of STI s and everything came back negative. Unfortunately, right after the testing, in a drunken night out with friends, there was inadvertant frottage activity that was encountered at a strip club. Absolutely no insertion took place. This is really unfortunate and I feel all the testing could be a waste. 2 weeks after the frottage incident, I am having a slight irritation after urination not really burning but only itching. It is freaked me out and I redid the test for gonorrhea and chlamydia and it was negative. I was worried about Trich (trichomoniasis) as that was the only test that has not been done. Could you please advise ? Thanks RD Doctor: Hello, As you said you have all tests done and one is remaining go for that too so that you will be mentally satisfied.Than going for self investigations it is always better to go for a clinical check up first.so please do consult your family physician for proper clinical evaluation than going for any other investigations. Thanks,hope this may help you.have a nice day. | 200,878 |
Why should Warfarin be discontinued before a cardiac procedure? | Patient: I have been on Warfarin and I am going to have cardiac procedure. I took lovenox when and after I left hospital in July from pulomonary embolism...They told me not to take the Warrfarin for 5 days but I need to do the Lovenox. Why and how is this necessary? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Warfarine is a blood thinner and need to be discontinue if any invasive procedure is needed because it risks for haemorragia by its long time activity in human body. Before any invasive procedure warfarine need to be stopped and the patient take another medication like levenox which is a blood thinner who have no long time activity and act direct After Applications and can be discontinued 1 day before procedure and restart again post procedure.This lows the haemorragia risk. Hope I have answered your query. Let me know if I can assist you further. | 18,524 |
What are the symptoms of potential hepatitis? | Patient: My son age 10 year, having total bilirubin 7.1 and direct bilirubin 6.4, SGOT153 SGPT 28, having lot of itching all over the body and yellow eyes. his ultra sound report is normal about lever, kidney, pancreas, spleen etc. i want to know which type of hepatitus he is effect with. what treatment i should follow. at present he is given medicine Rantec, B complex. Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your child is having conjugated hyperbilirubenima. Following can be the causes:- Viral hepatitis- Drug induced - Dubin Johnson and rotor syndrome like congenital syndrome- Biliary atresia- Stone in bile canaliculi- Parasitic bile canaliculi infection etcAbdominal USG scan is done first for that. If needed CT scan or MRCP like higher investigation is done (if needed). If needed udiliv can be prescribed. According to cause, specific treatment can be planned. Consult a gastroenterologist for examination and accordingly do the work up.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami | 53,451 |
How can severe pain in the hips be treated? | Patient: I am seeing a pain management Dr . Have been for 15 years . I am taking celebrex and gabepentin and Norco . My hips ache quite bad . I walk as much as possible . Would a biologic or some other med specifically for arthritis be more beneficial. I am on Disability for several reasons in my back and arthritis is a big contributer in this . Doctor: Hello, Consult an orthopaedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 215,684 |
Maniac depression after taking zypera, later pancreatitis, numbness in foot, liver failure, taking vitamin B. How can I regain normalcy? | Patient: I have been a victim of the bad side affects of the drug zyprexa ,I was presribed it for mild depression which I totally trusted my Dr. and was truthful in answering his questions no matter how embarrassing or lack of good judgement it may have made me look to someone else.After 6 months of taking this zyprexa and finding out it was for severely or manic depression , and suffering from anti- psychosis , I quit taking the drug.In the years to come I suffered pancreatitus(the first time mild). The 2nd I spent 2 months in the hospital.Also my douediem got infected and kept regurgitating a green bile .Throughout the next 4 years had intestinal blockages, liver failure ,lost 6 pints of blood due to varisie veins in my esophagus, and have lost the feeling in my toes,walking barefoot is extremely painful(virtually impossible),and cannot get rid of ingrown toe-nails?How do I get body back to normal I m now 42 yrs. of age.Already injecting vitamin b sub-cutaneously, is there anything else I can do? Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. Zyprexa (Olanzapine) is commonly used anti-psychotic medication which is used in the treatment of a psychotic disorders, severe depression, etc. You seem to be suffering from multiple medical problems which are unrelated to the side effects of Zyprexa. Pancreatitis, oesophagial varices, liver failure, intestinal blocks, etc. are major medical problems which are indicative of a serious systemic illness in your body. So, your problems are very likely to be due to an independent systemic disease and not due to the side effects of Zyprexa. You will need a thorough medical evaluation to find out the possible causes of your serious medical problems and further treatment needs to be given appropriately. Please discuss with your doctors treating you about your problems and they will be able to give you a better picture about the cause of your problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist | 212,724 |
What is the cause of chest pain and troubled breathing? | Patient: A month ago I was having trouble breathing with pains in my chest. I had a series of test done and all came back normal. I also have a instal hernia and had the endoscopy done. Well, about a week ago, I was still having chest discomfort and my doctor prescribed medium twice a day. Now, I have noticed these small, sore bumps inside my right chest muscle. I'm feeling better except now I'm concerned about these 'bumps' that hurt to the touch. What could they be? Doctor: thanks for your questionI completely understand your question chest pain can be due to a variety of reasons whether it be cardiac , lung related or just gastritis , peptic ulcer.in your case as small swellings are present an fnac of the swelling should be done and accordingly it can lead to a diagnosis histologically .it seems like these swellongs and chest discomfort over ribs is due to costochondritis and you can have some analgesics like paracetamol after consulting a pulmonologist thanks feel free to ask more questions may god bless you with good health | 79,514 |
Rapid mood swings, depression, stress. What can help? | Patient: Hello! My name is Kate. I'm 25 years old. I'm suffering from very rapid mood changes, stresses and depression that can be just for a few days or sometimes for long time. I don't know what to do as I told my problem to my GP and didn't get anything that could help me. I do suffer so much from bad mood and it is affects my family life. I'm married for 5 years and during this period of time I periodically getting very stressed that I feel very depressed sometimes that I can not stop crying hiding somewhere. I love my husband, but I feel like I'm driving him crazy. I don't want to go to see my GP as I know by definite that it won't help. If I say something about my stress or depression they just laugh... Please, help me! I feel that my family is breaking up... Doctor: Hello Rapid change in mood, stress, crying spells, depression etc should not be ignored. They are definitely the symptoms of mild to moderate depression. Your GP didn't pay attention to your problem. I would advise you to please visit a good psychiatrist for detailed evaluation. Medicines like SSRIs, SNRIs etc are used in depression. Apart from medicinal treatment other methods like Cognitive Therapy are very useful and have promising results in depressive disorder. Thanks Dr. Seikhoo Bishnoi, MD | 212,356 |
5 weeks pregnant, constant pain in lower left abdominal area. History of miscarriages, endometriosis. Causes? | Patient: i just found out im nearly 5weeks pregnant and have constant sore lower left abdominal area not painful just annoying and there i have had 2 miscarriages and 3 kids before this and a history of endometrosis a few years bk and on my last period even before i got it i was having sore moments in lower left abdominal area and during my period had it Doctor: thank you. the problem should be taken seriously. the pain may be due to threatened abortion or ectopic pregnancy. other causes(GIT problem,urinary problem) may be responsible but pregnancy related complication should be excluded first. take complete bed rest & go for a USG of lower abdomen. | 94,470 |
Taking Depo Provera, constant and light bleeding. Cause? | Patient: Hi, I started taking the Depo Provera birth control injection in November of 2011. The first month went fine but since December of 2011 I ve had constant light bleeding . I took my last shot in June of 2012 which was supposed to wear off by the beggining of September 2012. However the bleeding has continued. i ve only had a few days (15 at the most) where no bleeding has occured. What could be causing this? Doctor: Hi thanks for your question. It takes about 3 month for your body to adjust to Depo provera.Your body needs to get used to hormone progestrone which is content of Depo provera,similair to other hormonal birth control pill.As your body is adjusting to Depo provera .It is likely that you will experience spotting (irregularbleeding) or prolonged heavy bleeding like periods .This is considered normal However if bleeding is very heavy consult your gynaecologist. Hope this answers your question. | 226,255 |
What causes appetite loss and fatigue? | Patient: Hello sir, my name is angusamy and i am 36 yrs old. My height approximately is 5-1/4 and weight is 52 kgs. I came to know that i have thyromegaly for the past 2 months. For the past 1 yr I have been having loss of appetite, and tiredness all over the body. My impression about my scan report is : Diffuse thyromegaly with coarse echotexture. Doctor: Hi welcome to the health care magic You are having thyromegaly means enlarged thyroid gland... Your work up first done to rule out hyperthyroidism or hypothyroidism.... Serum TSH and free T4 estimation FNAC will also be beneficial for further work up According to report than treatment plan decided If Graves disease like hyperthyroidism presentation than propylthiouracil might started Avoid stress So consult physician or endocrinologist for examination Take care | 131,977 |
What causes hard mass eating through the jaw and spreading? | Patient: my husband has a hard mass in the jaw he is going for a biopsy this monday took a cat scan today showed the mass and no jaw bone of were it is as it has attached itself to the bone and ate its way through and is now spreading what could it be we are very scared Doctor: Hello,The biopsy will disclose the pathology and give you a diagnosis. You will have to meet with your surgeon to discuss options. Evidence of bone loss indicates a lesion such as a tumor or cyst. Usually a surgical removal will be required with additional treatment dependent on the pathology. It can be benign or malignant. You have taken the correct steps. Try to relax and wait for the reports. I do not have enough information to make a reasonable diagnosis. Thank you for your inquiry. I am sorry that you have to wait for more information on this condition and know it is difficult to know of a problem and not have an immediate dianosis with a plan for treatment. | 183,571 |
Pain on lower back and buttock with shooting pain down the leg, difficult in bending. Tumors removed from ovaries. Sciatic nerve damage? | Patient: I have pain on the left side of my lower back and buttock area with shooting pain down the leg which causes weakness and sometimes a short loss of being able to walk or put any pressure on my leg, but lately the pain occurs more frequently, more painful and the loss and weakness in the leg lasts for what seems like forever. And now I have severe radiating pain in my hip/lower back and buttock area accompanied with a slight tingling sensation that runs down my leg. About 5 yrs ago I was in a car accident and the metal seat belt guard injured my lower back and 2 yrs ago I had surgery to remove about 12-14 golf ball sized Tumors from my ovaries. My Gynocologist said that they were pressing against my spine and that's why I was having back and hip pain. My pain and loss of limb function is causing me to lose sleep and some difficulty with lifting and bending. Do you think that I may possibly have Sciatic Nerve Damage. Doctor: u need to go for massage therapy for legs ,,,,for 3-4 months plus u can have some multivitamins to get strength | 112,561 |
Suggest treatment for lump in breast | Patient: My 16 year old daughter has a lump and when squeezed discharge coming not from her nipple but from the aerole portion and it looks like a yellowish white discharge that is not sticky. Should I take her to instacare or will waiting until Monday to get her into our family doctor be okay. Doctor: Hi, dearI have gone through your question. I can understand your concern. Your daughter mwy have some abscess formation or other infection with cyst in her breast. She should go for fine needle aspiration cytology. It will give you exact diagnosis. Then she should take treatment accordingly. Don't worry about breast cancer. It is very rare at age of sixteen. It should be some infection. Consult your doctor and take treatment accordingly. No any emergency is there. 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. | 63,439 |
Lump in the scrotum, dull pain, movable, not attached to testicle. What could this be? | Patient: I feel some kind of dull pain in my scrotum or groin (left). it does not really hurts and it goes away sometimes but it does comes back. I ve also found a lump in my scrotum. it s a size of a pea. The lump is movable. it is not attached to the testicle . i can move it around but when i leave it alone, it goes back to its place. What can cause the feeling in my groin or scrotum and what is the lump? Thanks. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.It could be possible that you are having a infection of the epididymis or the sperm pathway. This can lead to induration and pain.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you. You just need to contact me on this below mentioned link:bit.ly/dr-srikanth-reddy | 203,968 |
What causes recurring lump above belly button? | Patient: My 2 year old daughter has a lump above her belly button that seems to come and go and is only visable when she is standing. I dont think it hurts her but sometimes she does say it hurts. She is about 28 lbs. I am a nervous wreck! Could this be a hernia? Doctor: Hi,From history it seems that she might be having umbilical hernia producing bulging from umbilicus particularly while standing or doing cough reflex.You can big coin over that part covering with adhesive tap and keep for some days.If hernia is small it be alright.If problem persisted, consult pediatric surgeon and take his opinion about surgery.Ok and take care. | 168,734 |
Unprotected sex, ejaculated inside vagina. Taken plan b, spotting, blood clots in urine. Normal side effect of plan b? | Patient: Hello, a friend of mine is having a freak out because yesterday, her boyfriend ejaculated inside her, and they were not using proper protection. She took Plan B and is experiencing spotting and clotting in her urine . Is this a normal side effect of Plan B? Also, how long does it take for Plan B to work, what are signs that it is working? Doctor: Hi, Thanks for the query. The spotting she is having could be due to post-coital tear or could be a side effect of the emergency pill, as that can cause menstrual irregularities. The plan B to be taken within 72 hours of the act. Earlier you took the pill, the possibility of protection will be more. Experiencing symptoms like bloating sensation of the abdomen, breast tenderness etc can indicate the effectiveness. But exact evidence is absence of pregnancy and resuming normal menstrual flow. For more details:http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.html Take care. | 226,240 |
Is it normal to have cramping, continuous spotting after Mirena is inserted? | Patient: Hi so I got the mirena iud now for 3 weeks I bled for 3 days after insertion than got what I'm assuming to be my period for 5 days and I'm still spotting I been spotting for 2 weeks now I am also having a brusing like pain at the top of my vagina in the pubic hair area. Also I experienced so much pain and really heavy bleeding the first days following the insertion I felt cramping and I had never had cramping before NEVER except for my contraction when I was giving birth. Please help I just want to know of this is normal??????? Doctor: HIThank for asking to HCMNo this is not normal at all this may be something else and better to get it examine whether the UID placed properly or not, because the improper insertion of device may cause such symptoms so it is better to confirm it have nice day. | 225,271 |
What natural remedy is there for headache and vomiting caused by stress ? | Patient: Doctor , My wife is suffering more of a stress related problem, generally Doctors diagnose this problem as Migraine . She is 30 Years old and we have two children aged 4 years and 8 months. She is working as an Asst. Professor in an engineering college. To my feeling she is subjected to more stress in the work place aswellas in the house also, as she is taking care of two kids. I am doing a roaming job. To the possible extent I extend my support and we hired the people for domestic help also. Frequently she will get headache . Many times along with the headache vomiting will start, may be due to acidity. Because of headache and vomiting, she will become very weak. Due to repeated headache and vomiting problems, it is becoming difficult for her to get enough physical strength to cope up for the regular work. Please let me know what kind of treatment is available in the Nature Cure. Regards Satyanarayana Doctor: Stress is a part and parcel of life. Every body has some share of stress. If stress is coming in the way of daily activity, it needs to be treated. Geriforte is a herbal formulation used to manage stress. It can be used as one tablet twice daily for a month. Migraine will respond to any of the pain killers like Paracetamol. | 214,967 |
What should be the size of the ovary for ovulation and will it fertilize ? | Patient: Hello Sir, Since long we are try to conceive baby. I had one miscarriage . since 2 year my doctor giving me different treatment and last month i have done follicular study but no positive result. And again she suggest me to do follicular study and the result found on 13th day that is left ovary is 27*27mm and 14*14. Right ovary is 9*9 and endometrium is 7mm. so i want to know that which is the best size for ovulation and if there is more than enough it will be fertilize or not. My doctor suggest to me from the 1st day of my cycle ova shield daily night 1. EVATONE-2 daily morning and night 1. and from the period day 1 she suggest to take clomiphene citare (siphene tab.) tab 1 upto 7 days. Please help me. Waiting for prompt reply. Doctor: Hi, Thanks for query, it seems that you might have PCOD and possibility of thyroid. Consult your gynaec and discuss about this. Go for all necessary tests and go for treatment accordingly. You have not mentioned any thing about this problem. Ok and bye. | 44,906 |
How can severe stomach cramps while having hernias be treated? | Patient: Jam in terrible pain from stomach cramps.It has been 3 days of this nightmare.My gastroenterologist sad to go to the emergency,but I cannot Waite for hours in there to be seen. I already have had a CT scan that shows hernias. Can you tell what should I do or help me? Thank you Doctor: Hello and welcome to Ask A Doctor Service. I reviewed your query and here is my answer.Your ct scan showed hernias, is it intra-abdominal and what sort of hernia is it? Does it contain mesentry or bowels? If you had pain, then it means that your hernia may have strangulated which cause severe pain. Besides gastroenterologist, you need to consult with a surgeon as well. Because if it is strangulated, then you need to be operated as soon as possible. Hope i answered your query, ask more if u need further assistance. Thanks.Regards.Dr imran zeb.G.P | 85,979 |
What causes sore under armpit and pain in ribs after falling down? | Patient: I am 55, today while running on a dirt path I stumbled on a stone. couldn t catch my balance and fell to the ground. My left arm was tucked underneith me and landed on my left side. I still felt pain in my ribs. They are sore just under the armpit. I weigh 240 LBS. Should I be alarmed Doctor: Hi, An injury like this can lead to Fracture in the ribs. I suggest you get X rays of the ribs ASAP. Take painkillers and muscle relaxants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon | 125,552 |
Suggest treatment for a bone in the centre of tooth extraction site | Patient: Hi,I had my back upper tooth extracted and I believe it could be the wall collapsed that's causing a hardish wiggly heard bit in the centre of the extracted tooth hole but I'm worried it's bone, should I pull it out or will the gum heal round it naturally? Thanks Doctor: Thanks for using Health Care Magic.Read your query.The hole which You are mentioning is created by the tooth removal,will fill naturally on its own course.If it is rough bone growth you can just visit a dentist and he will do the needful if required(rest assured it will grow back naturally).Keep the area clean and do saline gargling.Thanks and regards. | 186,160 |
What causes anal cyst with a root that extends out to the colon? | Patient: My sister - in - law has previously had brain cancer. She beat the cancer and has been cancer free for 10 years.She has since developed an anal cyste with a root that extends out to the colon.My question is what caused this and could it be the cancer may have returnred? Doctor: I don't think any primary brain cancer will spread to other parts of the body like this. it is better to get consultation with surgeon to solve this local problem and is not related to brain cancer | 156,761 |
How to remove lump on areola and behind ear? | Patient: I have a grape-sized lump behind my ear. It feels like it s on the gland. It s immobile, and I wouldn t call it painful, but I definitely feel a tightness and pressure. I don t have insurance or the money to see a doctor. Also three weeks before I noticed this lump, a small lump came up on my areola, right next to my nipple. This one is smaller and rubbery, but also immobile. What should I do? I am 26, I weigh 127 lbs. Doctor: hi.based from your description, it could possibly be a breast cyst, a fibroma (fibrous tissue formation) or fibrocystic breast changes. it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. diagnostics such as breast ultrasound may also be needed for further evaluation of the mass. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 62,620 |
Is surgery required for a cyst on the left femur bone? | Patient: I am 31 year old since January I went to hospital for a complain of lower back pain and a swelling on my left hip,the doctor said I hav a cyst on my left femur shown on xray.but I stil didn t done the surgery as they advised,i might not in danger if it is delayed? Doctor: Hi, As by the history I understand you have a cyst on the femur and you are advised for the surgery. For which you need an opinion. So, the cyst on the femur is to be determined on which location exactly it is. Most the the time they are benign cysts. So they are harmless. Based on the location what it is revealed in the X-ray and how prone it is to lead to fracture of bone has to be examined by the orthopedist. Based on this he may or may not recommend the surgery. If it is prone to lead to fracture the orthopedist may advice for surgery and the orthopedist call should be the final decision. Delay is not a worry but in case if you develop any fracture then other complication may arise. Take the decision wisely. I recommend to go with the choice of orthopedist. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 124,106 |
What causes frequent heart palpitations? | Patient: hey my name is aya, i live in the states, i have more than a question, my mother had been having frequent heart pulpitations from time to time and she started to high blood sugar since my grandfather died, she had been under medication for 9 months now for her blood sugar but she stopped it because it became normal and 2 days ago she started to have high blood sugar like its level is 210 which is high for her, so what can she do ? and what does it mean to have frequent pulpitations? Doctor: Hello, I understand your concern and would explain that the palpitations could be related to possible cardiac arrhythmia. For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). Regarding her glucose levels, she may have diabetes. For this reason, I would recommend performing HbA1C levels to check for diabetes. In case it is elevated, consulting with an endocrinologist is necessary. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 17,651 |
Suggest treatment to reduce penis and testicle size | Patient: i am a sports player and my penis and testicles are very big and hanging , i think it is due to excess of masturbation so i find it difficult for running so what should i do to decrease its size & make it normal please suggest a treatment Doctor: DearWe understand your concernsI went through your details. There are no treatment available to reduce the size of penis and testicles. There are many quacks out there who eyes your money and could give you false promises. Do not fall prey to them.Penis size is purely genetic. The length could vary according to masturbation but not more than plus or minus 5 millimeters. Shrinkage is also natural but not due to masturbation. Slackness and hanging could also natural but not due to masturbation. Therefore, I suggest you to ignore these genetic aspects and concentrate on your sports. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. | 198,332 |
Could i be pregnant even if the test is negative? | Patient: I have been feling very, very dizzy for 3days now and a little nausea. I don´t expect my next period until April 24th, but I feel very different. My breasts aren´t that tender but feel heavier than usual. Could I be pregnant even though I tested negative? Doctor: Hi, I think you can't be pregnant if the test is negative and you got your periods normally. The dizziness can be due to low hemoglobin level. Get your hemoglobin level checked. | 700 |
Could high blood pressure be a matter of concern? | Patient: Hi, may I answer your health queries right now ? Please type your query here...my girlfriend has type 1 diabetes she just took her blood pressure and it was 192 over 160 she has been type 1 for 20 years and is 38 years old under alot of stress how severe is this reading and how concerned should i be? Doctor: Hello,Regarding your concern, I would explain that a single high blood pressure value does not indicate uncontrolled high blood pressure. It could be related to anxiety or physical activity. Coming to this point, I would recommend you to closely monitor her blood pressure values, frequently during the day, in sitting position after 10 minutes of total relax and write those values down. If her blood pressure values are persistently high, I would recommend consulting with her doctor for a physical exam and some blood lab tests to investigate for secondary causes of high blood pressure. In such case antihypertensive therapy may be needed. You should know that uncontrolled long-term (chronic) hypertension is an independent cardiovascular risk factor, which means that it leads to an increased risk for stroke or heart attack.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka | 20,463 |
What treatment to take for lump in knee? | Patient: I have developed pain and a lump just below the knee area on my left leg. The pain is on the outer side back side. I am a 50 year old female. Of note: I have a large non-ossifying fibroma just above the knee on the outer side of the same leg. This new lump is painful all the time. When you touch it the actual lump is numb. I feel nothing when it is touched. What do you think this might be? Doctor: Hello, Consult an orthopaedician and get evaluated. Most probably it will be a harmless lump. If possible get a biopsy done to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 125,603 |
What causes a pulsating vibration in the calf? | Patient: I have a pulsating vibration on my right calf. it almost seems as if a cat it meaning against me and purring. i just found out today i have a reoccurance of step. i also have a couple strained neck muscles. just wondering about this and if i need to be concerned. Doctor: Hello, Your symptoms seem to be related to a strained muscle. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Voltaren gel and cold compresses for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr.Dorina Gurabardhi, General &Family Physician | 122,430 |
How to treat VDRL+TPHA being positive? | Patient: My son was diagnosed as VDRL+TPHA psitive in April this year.He was treated with penicillin.In the month of july his VDRL became negative.But after two months in the same Laboratory it again became positive.What is this ,please let me know the permanent treatment for this. Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. VDRL is a screening test. Its based on presence of antibodies.2. VDRL and TPHA positive means definitely syphilis and he is treated for that.3. However, his antibodies would be persistent and hence he will remain VDRL positive for life. He is negative for current infection. Not to worry.Hope it helps.Any further queries, happy to help again. | 117,267 |
What does radiating pain across the hips to the lower back indicate? | Patient: I have left side pain radiating across my hip and to my mid to lower back and lower abdomen. I had a partial hysterectomy three months ago and was diagnosed with thre bulging discs in my lower back six months ago. I am wondering what the issue may be. Doctor: Hi, There are many medical conditions that cause radiating hip pain. I suggest you to do an X-ray of the hip for further evaluation. Meanwhile, I suggest you to take Ibuprofen and use anti inflammatory creams for local relief. Hope I have answered your query. Let me know if I can assist you further. | 127,063 |
Can blood cancer be spread by sex ? | Patient: having sex with a blood cancer patient will it spread Doctor: hi well come to Hcm. Blood cancer is non contagious disease nither blood born so no chances of gettin it by sex with blood cancer pt. Thanks | 160,089 |
What is the suggested medication for cold and vomiting in child? | Patient: Dear Dr. For my son last 3 weeks effect with cold, because of this he vomiting after he eat food.Consult Dr. and he have first - Digiflex redmix - 5ml 3 timesThen - Septran - 5ml 3 timesNow - Limarin - 5ml 3 timesstill he continue the same problemWhat i need to do?Anto YYYY@YYYY Doctor: Most often cough and cough in children is caused due to certain viral infections and such infections do not generally need treatment with antibiotics. But since the antibiotic septran has been started, the course should be completed in order to avoid development of antibiotic resistance. Generally such episodes do not last for 3 weeks and you need to get the child evaluated by a pediatrician and he would also be able to look into the cause of the vomiting as well. I would insist you to take the child to a pediatrician for the same. Apart from clinical examination, he might need to run a few tests to be sure. Treatment would depend on his findings. Meanwhile you may give the other medicines but giving some antiallergic like cetirizine. Some steam inhalation should be helpful. Some anti-emetic might need to be given. | 174,851 |
Can staph infection cause hepatitis B? | Patient: Twenty four years ago I had Hepatitis B & Staph in my blood. I currently keep getting sinus infections with neck stiffness & was just diagnosed with Staph (cellulitis & folliculitis) again. No blood work was done. Will my Hepatitis B awaken due to this? What do you recommend I do? Doctor: Hi!I appreciate your concern about the Hepatitis B virus infection.Your present problem is due to cellulitis and folliculitis which is normally caused by staph aureus infection which will resolve if you take proper antibiotics like Cloxacillin for a period of 7 days along with pain killers.Hepatitis B virus will not cause the sinus infection or cellulitis or folliculitis.Take care! | 35,333 |
Suggest remedy for getting pregnant | Patient: hi i am manasa ,i am not conceveing for the past 1 year ,last year i got miscarriage in the month of july,last month i came to know that i am having pcod problem ,but my periods are regular,my doctor suggested me to take siphene 100mg on the second of my period ,today is my second day, is that any ovulation tablet Doctor: Hi yes it is a ovulation tablet. You can take it. What you can do is to track your follicles growth by repeated ultrasound. It will help you in finding the exact time of ovulation and will tell you when to be in contact with your husband. Hope I have answered your question. | 2,073 |
Tiredness, loss of appetite, difficulty in recollecting thoughts. Measures to improve? | Patient: For the past two week. I have been feeling very tired and drained. Dont have much of an appetite as well as my head feeling foggy. I tend to be slurring words a little. Sometimes i feel like i cant collect my thoughts. They come and go all the time. Its getting aggravating and also starting to worry me. Im usually very energetic and clear headed Doctor: Hello You have been feeling tired and drained for last 2 weeks. You have also lost your appetite and also having headache. You are not able to concentrate on thoughts and you are remaining worried due to these symptoms. There may be different causes of these symptoms but frequently they may occur due to some nutritional deficiencies like Vitamin B12 deficiency. Low vitamin levels may be a reason behind tiredness and weakness. I would advise you to get your Vit B12 level checked. Other possibility that may occur is hypothyroid states. Low thyroid level may be a reason behind such symptoms. Thyroid function tests are advised in such cases. Other possibility that may be aggravated by low Vit B12 and thyroid levels is Depression. In milder forms of depression such symptoms may be seen. I would advise you to please visit a Psychiatrist for detailed evaluation of symptoms. Thanks Dr. Seikhoo Bishnoi, MD | 212,278 |
Discolored wisdom tooth, inflamed gum. Cure? | Patient: Hi I have a wisdom tooth that has a grayish color to it, I also see some cracks as well. On the outer gum line it was extremely inflamed and it was sore. But after a few days the pain went away and I noticed some white fluid coming out of the swollen gum area. I tried to gargle salt water, and also 50/50 peroxide and water. Today I looked again and I saw a black hole with a white lining on top of the gums where it was really swollen. Then this afternoon I looked again and the black hole came out! It looked like a small seed. Well all I have now is this hole in my gums and the redness is still present. What could it be? Doctor: its a clear case of decayed wisdom tooth ..gray color indiacted the tooth is dead and whitish fluid thing can be pus.. get urself n appointment with dentist n get that tooth extracted asap.. | 188,879 |
What is the treatment for cold and fever in a child? | Patient: My 15 months old baby had cold and fever last week, and he had been admitted in hospital as he had fit with fever (only once). He had been under antibiotics till friday (04-02-2011). He has become too fussy about food. From yesterday we have noticed he is passing very little urine, and today early morning he had passed white stool. Please advice what needs to be done. Doctor: dear parent your concern is appropriate.once the child has febrile convulsions then he needs constant monitoring for any small thing. one needs to avoid development of feverinnsuch children.so, for current problems better be in touch with his doctor. | 163,671 |
What is the cause and treatment for UTI? | Patient: Hi my 13 year old daughter in the past has had multiple UTI s and today woke up with a high fever and said that when she urinates there is a very strong smell and it is starting to hurt. She also said the colour looks like weak tea. Should I be worried? Doctor: hello. I have understood your query. she is having tea colored urine which might be blood in urine. please consult a doctor and get urine tested. | 169,465 |
Can continued pain in chest, arms and neck be heart attack pain? | Patient: hello i am 32 yrs old and starting this morning i had a slight pain in the right side of chest,, pain has increased and spread to,right arm,right back,and right neck,my mother had a heart attack at 38 and had similiar symptoms,is it possibe that heart attck pain can last all day and increase over 12 hour period Doctor: Hello, I would explain that your symptoms do not seem to be related to the heart. Is the chest pain triggered by deep breathing or body movements? This would indicate a musculoskeletal pain. In such a case, ibuprofen would help. Anyway, if the pain persists, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist | 16,904 |
What does a low absolute eosinophils count from blood test suggest? | Patient: Good morning! I am a 37 year-old female in excellent overall health. I am 5' 4", 121 pounds, and I am an avid exerciser (cardio and weight training 6 days per week). My recent laboratory results (Blueprint for Wellness via Quest Diagnostics) show a low absolute eosinophils count. My count last year was 40 cells and as of last week, it is 8 cells. My red blood cell/white blood cell levels are all within range. Everything else on my test came back normal and within range. I feel absolutely fine. Should I be concerned by this low eosinophils count? Should I visit my GP? Thank you so much for your help! Doctor: Hi, just relaxed. no need to worry. your eosinophil count low does not need to concern. many person has very low count as normal variation. if you are healthy otherwise and dont have other problem then no need to worry or no need to consult any doctor. you are absolutely fine.thanks for using health care magic. | 117,720 |
What does an enlarged prostate suggest? | Patient: I did MRI last year spt. 28, 2016 for prostate cancer, here are the results: Could explain theme to me. 1. there is thickening of the bladder wall- what doesit mean? 2. there re no enlarged regional lymph nodes. - what does it mean? 3. the visualized bony pelvis is unremarkable. - what does it mean? Impession: Enlarged prostate. the neoplasm of the prostate could not be identified, (PI RADS 21) There are no enlarged regional nodes. Could please thoroghly explain this to me. thanks Doctor: Hello,It means all alright, prostate is enlarged, bladder wall is thickened due to effect that bladder has to work hard to move urine through prostate.No lymph nodes means no growth in draining from prostate, it means no cancer in prostate. In cancer, prostate lymph nodes must be been enlarged, bony pelvis is alright means no tumor extension.All reports suggest no cancer in prostate and so no metastatic deposits in surrounding areas. Take treatment for prostate bladder wall will recover by itself.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | 194,809 |
Should a doctor be consulted for numbness and weakness in the legs? | Patient: I am experiencing lower leg, right and left numbness. My legs feel very weak when walking. I have had treatment for venous insufficiency, ablation. prior to these symptoms have had pain when walking or standing in both legs. Is it time to see a doctor about this? Doctor: Hi, The numbness can be due to many causes like nerve weakness and neurological reason. Better to consult a neurologist and get evaluated, you have to go for nerve conduction study for further evaluation. Wishing you good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain | 127,055 |
Are cystic structures in the left ovary an indication of ovarian cancer? | Patient: I have a 2mm echogenic focus on left ovary, suggestive of dystrophic calcification, trace of fluid found adjacent to left ovary measure 7x 5 mm The opinion section reads 1.9mm left ovarian cystic structure Progress scan can be performed within first half of menstrual cycle for further assessment There was also a left ovary volume of 6.7 with a 17x19x13 mm mixed solid cystic region noted. Is this indicative of ovarian cancer ? I am worried waiting for next cycle to then have 2nd US Doctor: Hi,Thanks for writing in.The findings mentioned in your report are most likely benign findings. A 17 x 19 x 13 mm structure is too small to be a cancer of the ovary and is more likely to be a follicular cyst with probable hemorrhage. This needs to be followed upon your coming scan. | 152,454 |
What causes the death of sperms before ejaculation? | Patient: hi i m 30 years old lady married last 8 years i have no kids i have problem of irregular periods and my husband is fertality patient he has sperm but bfore realeze they r dead drs recommend us I V F he was treared in BDF hospital by surgery and medicins dueto over heat in testicl v r faceing this problem pls tell me the best DR to IVF in BAHRAIN and cost of IVF IT VLL B successfull to us in this condition DR JAIN pls help me to make my periods reggular and growing eggs in overies i m waiting ue reply thanx how i can get ny ans and live chat with a dr tell me Doctor: Hi, It can be due to diabetes, hypertension, thyroid imbalance and stress induced. Check your blood glucose level and blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist | 193,097 |
Penis head colour changed to black. Is precum and semen leakage same? Is there any problem? | Patient: 1.whether precum and semen leakage are same? whether precum coming during penis arousal causes any problems to the sexual heath? 2.whether too much arousal of penis will cause any problem to it? 3.My penis head was in red colour. Now it is changed to black. Whether it is normal or it is a problem? please reply to all my questions. I am very much afraid of these problems. Doctor: HelloThanks for your query,The precum is a watery secretion that one gets during fore play It is secretion of mucus by Bulbauretrhal glands due to sexual stimulation It is not contain semen at all.To much arousal during foreplay is a normal phenomenon and will not cause any damage to penis .The colour of the glans penis changes during erection due to increased blood flow and nothing to be worried about .It is normal.Dr.patil. | 202,850 |
What causes soreness on my gums after fixing partial denture? | Patient: I am 55 year old female who goes to the dentist regularly and I have a partial denture on the top. For the past few months I have experienced skin shedding inside my mouth on my gums (upper and lower) and cheeks and bleeding when I brush and floss. I am also having discomfort when I eat, it feels as though the food is getting stuck at the top of my stomach. Could these symptoms be caused by the same medical problem? Doctor: Hi..The most probable reason is ill fitting partial denture. ...If it's not fitted properly then it would create food lodgement as well as other problems mentioned by you...Get new partial denture by an expert.. | 181,694 |
Suffering from anxiety and depression. Feeling fatigue all the time, body ache. Had a major trauma in life. Taking lexapro. Need a cure | Patient: Hi, I am 39 year old female. I suffer from anxiety , depression , can never wake up one morning and say I feel good today no matter how many hours I sleep, I feel fatigue . I either have gastro issues, or zaps in my body, and the most recent one is a few days before my mentrual cycle, My whole body aches...including my shoulders, arms, back and neck. have no energy and want my life back...I lost my 7 year old daugter in a car accident 5 years ago, so have had a major trauma in my life. I am taking 10mg of lexapro . any ideas on what this could be? Doctor: Hello...... Thanks for your query. The symptoms you report of anxiety, depression, bodily symptoms lack of energy and fatigue in the aftermath of a stressful life event point towards an underlying chronic depressive disorder or somatoform disorder with an overlay of depression. I would suggest you undergo a thorough psychiatric evaluation for the above disorders. Lexapro is escitalopram, an effective anti-depressant that should work in any of the above disorders. There is always scope for increasing the dosage substitution with other anti-depressants as well as psychotherapy (eg cognitive behavioural therapy). Hence there is no reason to lose hope. Wish you early recovery. Regards Dr Sundar Gnanavel Psychiatrist | 212,817 |
What causes dizziness and light-headedness? | Patient: I ve been getting very lightheaded, my head starts spinning and it feels like I m going to pass out. My head also starts hurting way on the inside. It lasts about 20 seconds. I almost passed out this time. What do you think is going on? My BP is fine and my blood sugar is fine after these episodes Doctor: Please provide me following answers in follow up so I can guide you properly.... is it episodic ? iz it worsening on position change ? how long you are suffering from? any history of double vision? any history of tinnitus or hearing problem ? so many causes of dizziness and light headedness are there..benign paroxismal positional vertigo vestibular neuritislabyrinthitis strokebrainstem lesionmany more | 142,185 |
Suggest treatment for cold and chest congestion | Patient: my son in 16 months old. he has been getting cold quite often and 24 x 7 his chest is always congested. recently i started giving him honey with few drops of lemon 2/3 times in a day. due to which he vomits after having his food and the vomit is very thick. is the mucus coming out? can u advise me on this pl ??? Doctor: HiWelcome to the HCMI have gone through your question and understand your concerns. Your child seems to be suffering from the allergic tendency leading to recurrent cough and chest congestion. If not timely managed, such cases may progress to childhood asthma. Inducing vomiting with lemon and honey is not a solution at all. I would recommend you to take him to a pediatrician for proper clinical examination especially of chest to rule out pulmonary wheeze or any congenital heart disease leading to recurrent cough.They may advice you for chest X Ray. In case of pulmonary wheeze, treatment with inhaled steroids and Beta2 agonist drugs will be helpful.Hopefully this will help you. I would be glad to help you in any further questions.Take care | 172,557 |
What does micro albumin in urine mean? | Patient: Dear Sir, I am having Hypertension for the past 15 years and now 64 years old.The B.P measurements on18-12-2010 are 140/90.The first Micro Albuminurea test on the same day was 98mgs/l.I am taking the following medicines for the B.P. 1.Monosorbitrate 20mg Tab 1-1-0 2.Betacard H Tab 1-0-0 3.Nicardia Rd 10mg Tab 1-0-0 4.Nicardia Rd 20mg Tab 0-0-1 5.Ecosprin 75mg Tab 0-1-0 Due to presence of Micro Albumin in the Urine,Whether it is the case of Kidney Failure? What is the Precautions to be taken?Food and medicines to be taken?Kindly advise me in this regard. A.Srinivasan. Doctor: Dear Patient,albumin in urines is indirectly a sign of vascular disease that, in general, follows diabetic and hypertensive nephropathy. Fortunately, with a good pressioni control, low salt diet, healthy lifestyle, correction of dyslipidemia it can be reverted. Keep this factors under control an it can even disappear. Microangiopatia is associated with cardiovascular diseases and kidney failure, but in the long term. It is a sign that should be taken cautiously. Take care, | 46,080 |
Suggest treatment for back pain which radiates to chest | Patient: I was at the gym the other day and developed pain in my back very near my left shoulder blade the pain radiates to my chest just left of my sternum. There seems to be a knot in the area of my shoulder blade that my wife could feel when trying to rub the knot out. I have tried heat which helps, and Advil but I cant get rid of it. What can I do? Doctor: Hi,Welcome to healthcare magic.After going through your query in my opinion it is muscular pain as pain occurred after gym. Rest and analgesics(diclofenac/ ibuprofen) is its treatment. Sometimes vitamin D deficiency can cause this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily.You need to done MRI TO RULE OUT other causes.I give local triamcilone injection to my such patients. Consulting with your treating doctor is advised. I think your query answered. | 110,098 |
Could intake of cholecalciferol cause small round bruise type mark on inner forearm? | Patient: Hello, I have recently noticed a small round bruise-type mark on my right inner forearm, it s not painful, but it I do not understand why I have it as I haven t banged my arm against anything recently. I am taking cholecalciferol (30,000 units) at the moment due to a vitamin d deficiency, could this be the cause? Doctor: Hello, Let me tell you that the bruise type mark may be a skin rash and skin rash is one of cholecalciferol's side effects. But at is usually harmless and you should not worry too much. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician | 85,051 |
Smoker, lymph-nodes swollen, have canker sours in mouth. Should i be worried about cancer? | Patient: I smoked for 5 years, then cold turkeyed it for 5 years, then smoked for 2 1/2 more years, and have just quit again. My lymph-nodes are swollen in my neck and I have canker sours in my mouth. It is also hard to swallow. I am 27 years old and a male. Should I be worried about cancer with these symptoms? Doctor: probably yes. the symptoms that you have indicated may be some warning signs of cancers or cancers per se. I would advice you to meet a physician nearby and get thoroughly checked for signs of cancers or associated diseases which may be termed as pre malignant conditions. I would strongly advice you to quit smoking and other ill habits and follow health diet and hygienic food with more vegetables. I hope this clarifies your queries and would be glad to answer more if any. regards. | 157,412 |
What causes pain on right lower side above hip area? | Patient: Good evening.My daughter, 12, is having pain on her right side- lower right above hip area. No problems when in restroom. She has not yet begun her cycles. Debating on trip to er as she says sometimes hurts to breath, bends over- feels winded when the pain is sharp? Doctor: Hello, thank you for using healthcare magic. I read your question and understand your concern. The most frequent cause of the pain in that region might be appendicitis, so I advise you to take your daughter in the emergency room to exclude that condition .Dr. Selmani | 129,166 |
What causes chronic cough? | Patient: i have been suffering on and off for 3 months a terrible ggging cough !! it feels like water running down right side of throat !! i have had a nasal spray anti acid tabs and i am now on antibiotics !!! i am still concerned it could be more serious ??? Doctor: Thanks for your question on HCM. In my opinion you should first consult pulmonologist and get done1. Chest x ray2. PFT ( Pulmonary Function Test ). Chronic cough not responding to antibiotics can be due to bronchitis. So we need to rule out this first. And PFT is needed not only to diagnose but also for knowing severity of bronchitis. And treatment is based on severity only. So PFT is necessary. Another possibility is chronic lung infection like TB or fungal infection. As routine antibiotics will not work on it.So chest x ray is needed to rule out these.So better to consult pulmonologist and discuss all these. | 81,743 |
Suggest remedies for a hard lump on the clitoris | Patient: Hi, may I answer your health queries right now ? Please type your query here...I have had a rough lump of skin growing on my right side og my clitoris and is uncomfortable. I have tried cryo for about 18 m onths and various antibiotics byt to no avail. please advise what this is and what do I do. Thank you. Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,after its review,In my opinion you should try low cost option treatments or continue with repeat sessions of cyro treatments if you can afford.Because this is a Genital Wart with HPV and recurrence needs to be controlled by repeat treats,with muliple modalities-with cautious applications as your wart is very near to clitoris,and this needs to be under expert Dermatologist ONLY.a-Trichloracetic acid(TCA)-local applicationsb-Sinecatechins/Podophylin/Imoquids-immunotreatsc-Co2 laser/Cryod-Surgical excision-a and b are last to be considered due to clitoris vicinity/cryo and co2 laser are precise excising modules.a and b are -low cost local applications and as your's is a recurring disease,need to be tried with experts hand only but is with risks of nearby damages.Hope this reply resolves your worry with your queries.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS | 62,686 |
Why i am getting pimple on my face after masturbation ? | Patient: After masturbation my face become oily and too much pimple within 10hours.Help me with some tips and medicine I m male 19 years old.I m suffering too much pimples and oil after masturbation.please help me out with some tips and medicine Doctor: hi u have oily skin and pimple due to ur age and not due to masturbation. so dont think like that. stop masturbation for 10 day ,even after pimple will not stop. better to consult dermatologist. what u have observe is good thing ,but its just co incident. drink more water. avoid oily and spicy food. avoid direct sun exposure. | 8,076 |
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