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What causes redness around anus? | Patient: Hi my 15 month old daughter s anus area has been red for over 2 months. It started out when I gave her antibiotic for ear infection and with that she got yeast infection in the diaper area. The yeast infection went away with anti fungal cream but the redness is not going away. It looks really bad. Now using topical antibiotic ointment but what if the redness doesn t go away?????? Help Doctor: Hi Dearwelcome to the HCM,Deworm the kid with single dose of albendazole.Some probiotic to be given orally.antifungal cream with mild steroid application at the anal verge will relieve the symptom.Hope the query is answered.Thanks | 177,808 |
Can high dose of vyvanse be taken? | Patient: I m taking Vyvance, I started today, I took a 20 mg, nothing really, so I took a 30 mg 2-3 hours later, basically i m up to 130 mg, and still dont feel much, I m 5 11 and weigh 257 pounds, does that have something to do with the low affects. FYI: I took two 50 mg of Vyvanse about six months ago. I took one at work and felt great, no side effects, the second one I took early in the morning around 9 am, and then at about 1:00 pm I felt like I could fly to the moon, and I felt a little weird, but nothing serious Basically my question is am I going to be alright on 130 mg of Vyvanse, i feel fine, and I don t plan on taking anymore, Today! Doctor: HiI had gone through your query.Vyvanse is psycho stimulant. It contains dextroamphetamine.Higher dose can be fatal and very dangerous for life.It has high addictive potential and there are reviews that suggest it is associated with psychiatric illness or it may worsen it.So better to avoid it.Psychological evaluation is must and if require it would be better to decrease dose gradually for better future.Motivational and supportive psychotherapy can help.Consult psychiatrist and get help.Happy to help you further.Thank you | 206,653 |
What causes leg thinning? | Patient: Hi I am a 27 year male adult. I usually work from home and to say my work conditions of late are such that i have had to work at night and sleep late in morning. Now lately i can observe myself that my legs are getting skinnier and thinner. To an extent one can see the veins marks and the bones. All my acquaintances have the same observation. Earlier i used to have average thickened legs. Now i can feel i am loosing the mass in my legs. Now a friend told me that it could me the masturbation which is causing this effect. Well to be honest of late i am masturbating almost each day. Plz tell me whats the reason behind my legs thinning out? Thanking in anticipation. Doctor: Hello, Masturbation in no way lead to thinning of legs.Most probably your friend have joked with you.There can be following reasons for this- -Decrease manual work or walking. -Deficiency of multivitamins and vitamin D. -Decrease protein intake. -Any major injury to spine. At present i shall advice you to take good food with good protein intake .You may have multivitamin supplements for few days. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari | 120,611 |
What causes watery diarrhea and gas in a baby? | Patient: my 3 month old has watery diarrhea and a temp. of 95.18 degrees fahrenheit (35.1 degrees celsius) and is incredibly gassy. I ve been monitoring his temp. for the last few hours, it goes up .1 degree every hour. Should I take him to the hospital or could he be teething? He had his first set of immunizations on the 19th of this month, could it be the effects of that? Doctor: HiI understand your concerns. The symptoms are suggestive of gastrointestinal infection. Teething starts usually at 6 months of age and he is too young for it. I would recommend you to start him on oral rehydration therapy including regular feeds. Start a zinc supplement along with probiotic such as enterogermina. Get his CBC, CRP and stool routine examination done at a near by lab. You may upload the reports for my reference.In case the baby seems to be too lethargic, poorly feeding and dehydrated, then immediately take him to the ER for clinical evaluation.Take care | 168,408 |
What causes high blood pressure, blind spots in eye and loss of coordination? | Patient: I am a 44 year old female who has had trouble with high blood pressure for quite some time, taking it seriously only recently (very stupid, i know). By high i mean the systolic was always above 180 and sometimes above 200; diastolic was always above 100, a few times even as high as 129. My heart is enlarged and they say that a valve in my heart is leaking, which i've been assured is normal. I'm being tried on several different medicines. About a month ago i started seeing small blind spots in my left eye, then started loosing coordination, lower left part of my jaw would feel kind of numb, my left arm and hand tingles alot lately, i'm confused the majority of the time, and at times when i talk my words get jumbled. I think i'm either having TIA's or have had at least one. I'm also tired all the time, only wanting to sleep, and the slightest exertion wears me out! what could be wrong with me? Doctor: yes there is a high chance of you having a TIA . pls get an MRI brain done as soon as possible. I hope you have now started taking antihypertensive medications. your condition needs to be addressed as it may lead to permanent paralysis or other motor disorders | 19,711 |
Any suggestion for cold, runny nose, cough and mild chest pain? | Patient: hello doctor. i'm suffering from cold for a past few weeks. it affects me now and then. sometimes i'd have running nose and then i'll be alright and the back to running nose and cough. so, now i'm feeling a mild chest pain on the right side. i'm concerned. Doctor: Hello, Thanks to contact us. If I am your treating doctor, first thing I suspect is a allergy from your symptoms, second is a viral infection. But mostly allergy is your problem. I advice you to find out what is the causative agent behind the allergy? It may be possibly dust from house hold, some plant product, some chemicals recently have it in the house. I advice you to find out and stay away from the source. I advice you some drugs but it is only supportive untill and unless you do not remove allergen the problem remains as it is. You should take the drugs like steroids like prednisolone, B agonist like salbutamol, Anti histaminics like chlorpheniramine maleate. Please note this are only the brand names and actual drugs available in the store have different brand names. thanks contact me if in further querry Dr. Arun Tank | 101,003 |
Lower back pain when jumping, jogging, or bending. Reason? | Patient: I've recently started working out and after about two weeks, i started feeling a sort of pain in my middle/lower back - kind of like a stich. It only hurts when i'm jumping, jogging - basically when i'm landing on my feet. Also, when i bend forward in a certain way, i can feel it too but it's not that intense. I'm only 18 and have never had any major injuries anywhere so I don't know how this happened. Doctor: Hi,Initially when starting exercise you may get this type of pain in the body due to stiffness, strain or pulling of muscles.nothing to worry, gradually every thing will be alright.Start with slow exercise for less time and gradually increase time with heavy exercise.Ok and take care. | 112,519 |
I have High Liver Enzymes, please suggest me | Patient: Just got a letter in the mail from my Dr. that my Liver Enzymes are high and to start taking milk thistle. (The reason its so high is because I m on a great deal of antibiotics). I see my Dr. in 2 weeks to see if he has anything else to say about it, but does anyone know if doing a liver cleanse would be helpful ? Doctor: Liver cleanse - don't waste your money. Milk thistle - no solid proof it is effective but shouldn't be harmful. Ideally, milk thistle is taken to prevent, not treat, liver issues. But as there are no good pharmaceutical trials showing its efficacy, who knows? | 60,709 |
Critically serious. Details of the best nephrologist in India, Ahmadabad needed | Patient: To obtain an opinion or to refer a critically serious patient, I want details of the best Nephrologist of Ahmedabad, best of India and best in the world. Their name, mobile and e-mail address pl.Thanking you, With Warmest Regards! D.A.Shah ( G.A.S.) Resident Additional Collector &Additional District Magistrate Collector Office, Patan, Gujarat, IndiaGovernment of Gujarat, Cell-+91-0000, +91-0000 Doctor: Dear Mr Shah, there are very good nephrologists at Ahmedabad.. Dr Javed vakil, Dr Ketan Darji and Dr Manthan kansara. They visit almost all hospitals of new Ahmedabad like sterling, SAL etc. Good luck and health wishes. | 50,298 |
How to treat positive anti HBc when sgpt and sgot are high? | Patient: My Wife is 29 yrs Old and she has high SGPT(90) & SGOT(49). I have done his Hepotitis b but it was negative but anti was positive. She did not take vaccination then it means she went through the infection phase but developed immunity for Hep B. Can you pls advise me the next step? Will UDLIV will be good for her? Doctor: Hi thanks for asking question.According to history your hepatitis b is seems in recovery phase as you have HBSag negative.If HBSag remain elevated after 6 month then carrier state present which is less likely in your case.But follow below instructions for few days.You can take ursodeoxy cholic acid tablet that you have mentioned.Avoid refined sugar and food.Eat green leafy veg and fruits more.Do regular aerobic exercise.Avoid trans fat like butter, cheese, cookies , fried foot etc.Olive oil, canola oil, peanut oil like omega 3 fatty acid containing diet can be used for cooking.Limit alcohol.Crushed powder of carom seed or cumin seed with water is useful herbal remedy.With above measures mostly you will recover within few month.still regularly monitor your liver enzyme with HBSag for few month.Wish you good health.Dr.parth | 55,282 |
Nodular acne on cheeks, pustule acne under lips and chin. Taken doxt-s, acnestar. Suggestions? | Patient: hello doctor, i am suffering from nodular acne over the cheek and pustule acne under the lips and chin , for the past 8 years. i have taken medications prescribed by doctors, such medications include Doxt -s , Acnestar soap and gel, Benzoyl Peroxide cream, Tretin cream, clindamycin gel. But no fruitful results. Can you please guide me what is the next step i need to proceed to get rid of acne. Doctor: Hi shahanawaz , Thanks for writing in. Acne is hormonal condition and may need hormonal treatment if necessary. Also cryotherapy and peeling are very much helpful in acne .They are available in good skin clinics. Consult qualified dermatologist for the same. Hope this helps. Wishing you good health. Regards. DrSudarshan MD Dermatology. | 7,428 |
What causes recurrent ear and chest infections? | Patient: Hi I'm getting quite worried I've had a caugh for 3 weeks following a cold back to a chest infection and now ear infection my heart rate is rapid and I'm getting really bad palpitations I had 3 ear infections in the last 5 months but they were fungl ones yes I know it's sounds crazy but this ear infection seams to be not as bad as the other ones but my heart is racing is this normal !!! Doctor: Hello,Your chest and ear infections could be interlinked (allergic/infection -- viral, bacterial, or fungal). Increased heartbeats can be following weakness of recurrent infections/nervousness due to recurrent infections or some heart problem.It's not normal. You need a complete health check-up ( chest, heart, and ear), get some investigations (CBC, sputum/throat/ear swab for culture and sensitivity test, x-ray chest, ECG, and full cardiac profile, allergy screening test) as per need to pin point the cause and get specific treatment to manage all of them. Consult a physician to start with and experts (chest physician, ENT surgeon or cardiologist).Cleanliness, healthy food, avoiding allergens, good sleep, routine exercises, and exposure to extreme weathers with a positive thinking. In addition, specific treatment would help you to get rid of the problems.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale | 29,631 |
Suggest correction for an asymmetrical face | Patient: Hey Im 15 years old, I have an asymettrical face, I didnt have it when I was young tho, I had braces when I was 13, and I got them taken off last month (14 years old), my face looks asymettrical, my right cheekbone is more prominent than the left, and my right jaw is longer than the left, I dont understand why its like this? It looks terrible in pictures btw Doctor: hi...i can understand your problem..and i am happy to see you recognize your problem.lets make it more clear.facial asymmetry may be because of two things 1) bones 2)2 soft tissueif its because of bone it needs correction ..that's needs surgery..if its because of soft tissue..it also needs surgery (dermal graft,fat grafting etc..) but that is different from that of bone..you should consult plastic surgeon.i don't think this asymmetry is because of braces..but if it then you must go to your dentist. | 8,418 |
What could be the cause of pain in wrist and pinky finger? | Patient: It hurts in my hand when I place pressure on it, like leaning on something with my hand. The pain is sharp and it does not consistently hurt but it will hurt if I move it in the wrong way. The pain is not in the wrist but just above it below the pinky finger Doctor: Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persists better to consult an orthopaedician and get evaluated. In that case an MRI scan is required 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 | 125,365 |
What does a lump behind the neck indicate? | Patient: I've had a lump on the back of my neck for about 3 weeks. At first I thought it was just a very big pimple because I've had them before, but it doesn't seem to be getting bigger or smaller. Pretty concerned about it. It doesn't itch or burn but sometimes when pushing it, it can become painful or when I tense up my neck. Any help? Doctor: Hello,The narrated lump seems to be most likely soft tissue lesion as a sebaceous cyst, lipoma or others. A clinical confirmation of the diagnosis with a consultant surgeon is strongly recommended.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | 60,870 |
Is it safe to stay in a location 7200 feet after a craniotomy? | Patient: I had blood above the brain and had to have surgery to have it removed. Craniotomy. I am having a home built at an elevation of 7200 feet and am worried that the elevation may not be good post surgery. I had my surgery one year ago. Is there any risk going up to the home? Doctor: Hello, Theoretically low oxygen in high altitude may dilate cerebral vessels may lead chances of small bleed or hypoxia. But no studies had proved much. But if observe the above symptoms then you may consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | 140,555 |
Suggest treatment for itching and red color eyes of a 4 year old | Patient: my kid s eyes are red and itchy he is 4 yars old, it happens regularly , we showed to Dr , they prescribed some drops but , again and again this is happening, we are concerned by using regular drops to the eys please help me is there any solution for this? Doctor: HiWelcom to the HCMThe symptoms of your child are suggestive of allergic tendency to some allergens most likely aeroallergen. So, the most important part is to avoid identity and avoid allergens if possible. Also, visit an ophthalmologist for complete eye examination to rule out any ongoing infection, inflammation or high ocular pressures. Once the diagnosis is confirmed, it will be better to treat her/him by most definitive treatment.Hopefully this will help you.Take care | 171,495 |
Suggest cure for excruciating pain in the abdomen | Patient: I have been having this excruciating pain in my lower abdomen just below my belly button and then i have the greatest urge to go and pass stools, when I got the pain builds up and a lot of blood is in the toilet and my stool can vary from black to a yellowish brown. Doctor: Hi.Thanks for your query and an elucidate history. Noted the history of bellow-belly button pain, urge for motion and passing of blood / black stools. Your telling us more about other history would have helped me, like :Since when have you got this problem? Any other associated symptoms of loss of weight or appetite, bloating of abdomen and so on . Well' with the available history I would suggest you the following:Get a colonoscopy doneCT scan of the abdomen.Investigations of blood , urine and stool.This helps us to come to a conclusive diagnosis to get a perfect plan for further treatment . | 88,094 |
Had jaundice. Ultrasound shows mild ascites, thickened walled, calculus at neck region. Meaning? | Patient: My brother in law was having Jaundice since last 25-26 days and was advised Ultrasound of Upper Abdomen. The Ultrasound Report says : Ill-defined heterogeneous echotexture mass lesion (size 48x43 mm) at the biliary confluence causing dilatation of proximal right and left biliary duct and intrahepatic intra hepatic biliary radicles, contracted and mildly diffusely thickened walled and calculus at neck region with minimal sludge in its lumen. Mild Ascites. What does it mean? Is he having Lever Cancer at last stage? That is that somebody told me. Doctor: Hi,After going through available history, he is having Jaundice and it obstructive jaundice possibly due to calculus or mass lesion.you have not mentioned about liver enzyme and Bilirubin level as high alkaline phosphatase level pto wars obstruction to bile flow.Please visit a Gastroenterologist and he needs further investigations like CT scan of abdomen,and Tumor markers like Alfa Fetoprotein and Carcinoembryonic antigen to confirm diagnosis.Even Endoscopic retrograde cholangiopancreatography (ERCP) will be very useful in diagnosis and treatment as if stone can be removed and bile flow is restored.If there is stricture and in that case dilatation and stent can be placed .With available information even diagnosis of cancer is questionable,be hopeful it is not last stage so hopefully this information helps and further investigation and treatment will be helpful to him.Take very good care of him.Good Luck.Dr.Akhilesh Dubey M.D. | 59,005 |
Suggest medicine for seasonal allergies | Patient: I am a 22 year cadavar kidney transplant patient. This kidney is still functioning very well. I live in Chattanooga, Tennessee and have been suffering with seasonal allergies. Would a consultation with an allergist or immunologist be recommended and could he/she provide some relief? Doctor: HiWith you query, definitely they will help you with the treatment coz in kidney diseases one cannot take all the drugs which may interact with drugs. Kindly visit either of you mentioned doctors. Hope thus helps you and avoid the allergens that result in discomfort. | 101,520 |
What causes brown spots in foot with headache? | Patient: I am concerned about a orange/brown spot on the bottom of my foot that just apperaed overnight and is about the size of a dime. Its flat and not painful and will not scrape off. I am also concerned due to the fact that my headaches are increasing in intensity today and taking my vision away with them. Doctor: Hello,Considering your symptoms, it is necessary consulting with your attending physician for a physical exam and some tests:- Complete blood count, PCR, ESR for inflammation- Coagulation testsIn the meantime, I recommend to closely monitor your blood pressure values and body temperature. You should discuss with your doctor on the above tests.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 120,900 |
Suggest remedy for hard lump around collar bone | Patient: Hi I have had a hard lump about the size of an olive around my collar bone i went to the GP when I first noticed it he said he couldn't feel anything and I am a working mum thats why I'm tired all the time. The lump is still there it is not visible you have to feel it under the skin. It is definatley more apparent. I now have been suffering with terrible back ache and more recently chest aching pains. I am very tired and my neck area often aches although the lump itself is not painful. Doctor: HI,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns about the hard collarbone lump.Treatment for Cause about the hard collarbone lumps-The facts of your query indicates that you had a which your Gp could not locate, but lately causing tiredness with terrible back ache and chest aching pains and with neck ache.All these symptoms indicate that you might be a case of chronic infection- such as TB Lymphadenitis / Lymphadenitis (NHL or HL)with rising systemic complaints of aches and pains of body parts lately .and with progressive growing up of its systemic toxic / rhuematic effects, I would suggest to Consult PCP or ER Physician to do ESR and Complete Blood Tests.and to rule out other causes of systemic complaints with the hidden subcutaneous collar bone lump.Primary Treatment-Hot fomentation/ Infra red lam radiation of the collar bone,With Anti-inflammatory for few days.If no relief add Antibiotics, under cover of your family/treating doctor ONLY.As many other causes need to be ruled out by Second opinion from ER Surgeon /Physician or family doctor and hence I would suggest your doctor's Second Opinion,If need be your doctor would plan for you permanent cure option by--Surgical Excision with HPR Biopsy of the lump(to rule out NHL or HL -start of Hodgekin's Lymphoma-which is least possibility unless proved by HPR)would confirm the cause of it and your doctor would plan its treatment according to its cause if need be.Hope this reply would satisfy your query and would resolve the worry with it.If you feel satisfied with this reply,don't forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM.Welcome for any further query in this regard to HCM.Have a good day.With Regards,Dr.Savaskar M.N.M.S.Genl-CVTS,Senior Surgical Specialist | 63,097 |
What causes pain in lower abdomen and back? | Patient: i have left pelvic pain, mid abdominal pain, and lower back pain... i have never had regular periods and have been tested for every std out there this past november i had an issue and was bleeding a lot i went to several doctors and no one could tell me what was going on... the only thing they said was to get tested for cervical cancer. I also have recently started bleeding during intercourse that has never happened before. i just need some answers about why im in so much pain. it's hard to move but i don't have insurance and can't afford a doctor right now. please help me! Doctor: Hi! Good evening. I am Dr Shareef answering your query.Irrespective of your insurance status, I am afraid you might have to consult a gynaecologist in your area for a gynecological examination with any other related investigations like am ultrasound abdomen and a pap smear or the like to arrive at a diagnosis for an appropriate management. Till then you could go for an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 87,221 |
Could the stabbing pain while breathing be due to asthma? | Patient: hello i have uncontrolled asthma (i sumtimes forget to take meds) i am on seretide 250 and salbutamol im having very bad back and shoulder pain feels like something is stabing me when i breathe but then its constant pain too and hurts more when i breathe or even when i move ? could it be to do with asthma ? pain is at top of my ribs on my back mayb its my ribs stabbing me ? Doctor: You need to get an x ray chest done to rule out any underlying lung problem. If you are having hectic cough, some times there can strain over ribs or even fracture of the ribs. Hence consult your local physician for a complete check up. Also, you have to take or inhalers regularly for proper control of asthma. | 100,689 |
Have patches on face. No medication till now. What is the remedy for this? | Patient: Hello, I am currently experiencing lighter small little patches on my skin that are lighter than my actual pigment (I am African-American) and it's just on my face. it is kind of around my nose, and across my nose, and they are like little circles and some parts of my skin are noticeably lighter (not Vitaligo though) & recently my normal pigmentation is sort of coming back over the spots and at one part of my face there are like 3 small circles doing that procedure of lightening then having my skin color "grow" over. WOuld you be able to identify what I am experiencing & if it is common? Doctor: Hi, Thanks for your query, Continuous exposure to the sun damages your skin.dark patches appear on face due to sun exposure.face is mostly exposed to the sun. this is the main reason why dark patches appear on face. stress is also one of the reasons for it. Sometimes due to illness or allergy the dark patches appear.selection of soaps,face products and cosmetics affects the skin. some of the remedies for dark patches can be suggested :1)Rub coconut oil on the patches at bed time. wash gently in the morning everyday.Apply for 15 days at least.2)Application of carrot juice on patches also helps.3)Apply lemon juice on the patches and allow it to dry.Repeat the same till patches are gone.Regards, Dr.Sharmila | 11,723 |
Suggest remedies for pain in thigh | Patient: I slipped and scraped my thigh really bad almost 3 years ago and i started having pain in the same area today i had an mri done on it when it first happened and they said nothing was wrong so why am i still having pain i am 46 years old. 5 4 and weigh 128 lbs. thank you Doctor: Hello, The pain in the area can be due to a muscle injury in the area as there was a scarping. If the superficial skin has healed well then there is no need to worry. Rest and mild pain killers will help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon | 123,488 |
Any alternate medicine for phenylalanine? | Patient: Yes, I told my Doctor that I was Allergic to Phenylaline, or the fake sugers that put Phenyl in there products.I was tested by a specialist so I know that I am. Also whenever I drink a Diet Soda with Phenylaline in it My throat swells up and I have difficulty breathing just from one sip. Well, it seems he is not listening or does not believe me. Because, my doctor prescribed Phendimetrazine 35 mg. which is a derivative of the Phenyl products. I do not want to end up in a Hospital. What other medicine can he prescribe instead which is safer for me? Doctor: **1. Since you are a diagnosed allergic/hypersensitivity case for Phenylalanine thus following points are worth mentioning:. check for PKU [Phenylketonuria] since people allergic to phenylalanine are unable to metabolize this also.. avoid phenylalanine derived food: meat,eggs,fish,cheese,products containing aspartame,almonds,beef,legumes,nuts,peanuts,pork,pumpkin/sesame seeds, soyabean/flour.. Even if you suspect that any medical symptoms you are having are related to an aspartame allergy, you should consult a doctor to rule out illness caused by other disease or factors.PS. Supplements are not regulated by the FDA.2. Phendimetrazine is used as a short-term supplement in the treatment of obesity, for long term proper diet and exercise are best suited.3. You may contact your Doctor for any alternate to the drug, since all weight loss medicines are associated with cardiac problems [and will have phenyl in their products] and/or consult a dietitian for healthy diet chart. | 97,620 |
Is an injury to arm despite being on blood thinners a cause for concern? | Patient: Hi I am on blood thinners and I ran into a dresser today with my arm, hard enough for the dresser to bump into the wall behind it. Should I take any medical action or is it fine? I have a pre existing appointment with my hematologist tomorrow morning. Doctor: hi,welcome to healthcare magic.nothing to worry about it. you have already appointment with your hematologist tomorrow morning so act according to his advise. | 117,322 |
When should Clomid be taken to ovulate at the correct time? | Patient: Hi, i am trying to concieve but can only meet with my husband 21 days from day 1 of my period for a week as he is a seaman. When can i start taking clomid in order to ovulate around that time. Thanks i'm 44, 5ft 11'', 130kg, ok generally but had hyperthyroid surgery five months ago. My periods are slightly irregular and i've had 3 misscariages in the last 6 months. Doctor: Hello,You should keep relationship between 11th and 18th day of the cycle. Do follicular study after taking Clomiphene from day 2 till follicle size increase to 18 mm then rupture and then keep relationship, then only you will get result or do IUI.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal | 204 |
Have parenchymal disease. Protein discharge. Is immunotherapy safer than dialysis? | Patient: dR. sTEPEHN PLEASE HELP US ... MY GRANDSON 29 TO 30 0R 31 IS NOW AT A KIDNEY HOSPITAL. please help us as he is diagnosed for parenchymal disease. But his bladder is strong. My daughter is now traumatised due to her deceased husband of 5 years dialysis . what shall we suggest doctor ? the doctor said his kidney filter is punctured that protein is discharged. my grandson is confused and is speaking what he he says but he could recognized people around him. please help us doctor what to do. what is immunotherapy Doc? is this safer than dialysis? Doctor: your grandson has nephrotic syndrome, a condition in which kidneys filter lot of protein albumin in urine.this may or may not be with kidney failure, which can be diagnosed by seeing his kidney function reports.if there is no kidney failure then he doesn't need dialysis.immunosupressive drugs used for initially are generally safe.toi know about the disease we need following reports :1) 24 hrs urinary protein2) blood urea nitrogen3) serum creatinine4) serum cholesterol5) ultrasound kidneysafter these he may need a few more tests and a kidney biopsy..many diseases of kidney cause such a condition and some of them are curable. so your grandson should ne under treatment of a nephrologist and follow his advise. | 50,147 |
Child having allergy, has balloons on lower eye lid, runny nose, watery eyes, takes cetrizine regularly. Can I start homeopathic medicines? | Patient: should i take homeopathic medicine with cetrizine my child has a allergy from 2 years her sometime ballons on lower eye lid running nose and water in eyes and dr gave steroids also he gave lc montair kids but now she take only cetrizine half spoon at night i want to start homeopathic medicine for this allergy should i start Doctor: montair and cetrizine is banned combination it appears in sr no 204 of drug list disapproved by dcgi india cetrizine is not drug of choice now a days you can give alegra 30 mgm bd montair 5 mgm bd syp tossex 1/2 tsf night apply neosporin h ointment in nose sea water in the form of drops in each nostril at night get blood test tested for specific antibodies for milk,wheat,potato,chana,rice,egg you will get answer then go for slit therapy fopr cure homeopathic is no answer and if your child strts allergic to homeopathic medicine we cant give any antidot as we dont know the salt and even homeopathdoes not know what is he giving and what specific antidot is there for that salt | 105,290 |
Taking folic acid, s-Adenosyl methotrexate for SGPT level 417. Am I under proper medication? | Patient: Hi my age is 28, i recently got my body check up done my sgpt is 417, is it dangerous. My doctor prescribed folic acid and s-Adenoslyl methotiate 200mg. Can help wheather am under proper medication. I got checked my Heptatis A,B,C,E but the report was negative. I dont have any pain or symptoms in my body. I got my SGPT checked twice it shows same. Kindly help. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).SGPT may be increased in you apart from ABCE (which are negative) are:1. Alcohol if you are taking then please avoid it2. If you are obese or overweight you need to reduce your weight3.Other common and treatable causes like Serum ceruloplasmin for wilson disease, ANA and SMA for autoimmune disease4. Lipid profile and Ultrasound abdomen to see for liver echotextureApart from medicine which have mentioned take tablet ursodeoxycholic acid and vitamin EI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. | 58,026 |
What causes blood clots in motion in a child who was on oscillator? | Patient: my granddaughter has been on a oscillator since xmas weekvery poorly doctors said she will not make it at all four days ago the tube was taken out and all her vital signs have been very good for about two weeks now so they moved her to high dependency ward two days ago and unexpectably she has started being sick and pasong blood clots in her motion and urine and some in her vomit now they say she is very poorly again can you help me as i am shocked Doctor: Hi, Blood clots in vomit and stool mean there is internal bleeding. It's because of poor general condition, like stress, infection, or a bleeding disorder. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Cajetan, Pediatrician | 161,503 |
Bloating. Fluid in stool. Had gallbladder stone removed, stressed. Remedies? | Patient: Hi, this is Gaurav, Male 25 years, Indian living in Czech republic for 2 years. I am a student. I have been having some problems with the digestion ever since I came to Czech Republic The problem I face every time is, whenever and whatever I eat (both in home and Restaurant) I have to run for the toilet after 15-30 mins, in most of the cases If I am eating some chinese food. After having the meal the tummy expands. The poop is in the liquid form, as I have seen sometimes it is in the form of thick gel kind of liquid. My medical history is: 1. Had an operation for the Gallbladder for having stone and was removed. Now a days I am having some stress cause of final stage of my studies and the job searching. What should I do to prevent this thing to happen again and any remedies that I should consider? Thank you. Doctor: get one colonoscopy done to rule out any abnormality of colon, if colonoscopy is normal then it could be irritable bowel syndrome. standard treatment is available. | 58,614 |
What is the treatment to get rid of asthma? | Patient: I have been having an asthma attack for 3 weeks now, maybe more. i can hardly breathe and it feels like something is crushing my lungs. i have been to the emergency room twice for my asthma and nothing they did really helped and none of my meds are working. I am supposed to go to the hospital tomorrow for a check up with my asthma doctor person. Is there a chance I will be hospitalized? Doctor: HelloAs you mentioned that you are having asthma ( supposed to be bronchial asthma ). Since this occurs due to allergy , which causes bronchospasm or bronchoconstriction ,hence breathlessness. When such patient visit my clinic I prescribe them to take monteleukast+ bambuterol tablet twice in day till complete relief.As you mentioned that you had 3 attacks so also need some inhaler ( for time being i.e steroid ) .Also take terbutalin+ chlorpheniramine maleat+ ambroxol syrup .Hope this information will be helpful for you. | 101,429 |
What is the treatment for gout? | Patient: Hi,I had a gout that lasted for two months. took alluprinol and NSAID as needed. Got acid reflux. Given PPI. Now acid reflux has gone,but have diturbed sleep and swollen gut. 5 weeks have gone by. Taking all the precautions with diet. No improvement. please advise. Thanks Doctor: gout is the disorder of purine metabolism. it will leads to high uric acid level in the blood. later on its crystals are deposited in the joint and produce pain. so allopurinol is the perfect drug that you are taking. its will increase the excreation of uric acid. take NSAIDS as and when required only if pian and inflammation is there. and take low protein containing diet. it will help you to decrease uric acid level. and regularly check uric acid level. and change the dose of allopurinol accordingly. but its the perfect medicine that you are taking. | 117,929 |
Will 'progesterone' help to get pregnant? | Patient: hi i am 25 years old and married on feb,2010 and my cycles are regular(28-30 days) and i conceived on sep,2010 and had d& c(Because of blighted ovum) on october 2010, and suffered from chicken pox on Feb,2011.For the past 2 months v r trying to conceive and last month Dr prescribed me take progesterone 400mg on 18 to 32 days of my cycle and today am on 33rd day i did home test today ,it was negative and no signs of pregnancy..help me and dont know wt to do..lots of confusion Doctor: Hi, progesterone helps in implantation. But if you don't conceive, it delays your periods also. It may take 2 weeks to get your periods after stopping the progesterone. I think you can track your ovulation by ultrasound or by ovulation detection kits. If you are ovulating, then you can try naturally for 6 months before going for any evaluation. Be in contact with your husband every 2 to 3 days. You can continue taking progesterone for last 2 weeks of your cycle. Hope I have answered your question. Regards Dr khushboo | 1,651 |
Will outer skin attached to penis head give pain while making relation with girl? | Patient: hello sir actualy this year i am turn to 21 but my outter skin which is attech with my penis head . and my frnds are told me that when i go for a relation with a girl then at that time it give me more pain . is it true? if true then plz suggest me how i open my penis properly Doctor: HIThank for asking to HCMI really appreciate your concern, you have been wrongly informed in fact you wont find this skin in the erection phase of penis so the question of pain may not be there just forget about this wrong information this is not true and no need to worry about this and thinking about this wrong information, hope this information helps you, have nice day. | 202,533 |
What is the remedy for pain in upper part of the foot? | Patient: I ve heart my foot kicking the wall, toes up, right foot, now the upper part of my foot is hurting, i can t walk at all, it happened a little over 24 hours ago and iv e been icing it banding it and elevating, the part the hurts is the area where if u looking at your foot and u go from the little finger and the one next to it up towards your body it is right before you get to the leg, it hurts all the time, very deep, i feel like it is not a bone but yet i can t move my foot, what can it be please help me i am in a lot of pain. only took 2 advils in order to fall asleep but woke up twice at night from pain, leg was elevated most of the night as well. Doctor: HIWell come to HCMI really appreciate your concern, such pain could be due inflammatory changes and it could due to infection or it could be some diabetes too, on tentative basis anti-inflammatory and anti-biotic can be tired and best drug would be Tab Ibuprofen 400 mg and Amoxicillin 500 mg three times in day, if this fails to work then clinical examination and investigation would be advisable hope this information helps. | 134,725 |
Suggest treatment for common allergies | Patient: I am a 32 year old female in relatively good shape and health. I have common allergies (mold, dust, ragweed, animal dander) that I receive shots for every week. I live in the southeastern United States where the pollen count is high right now. No health issues, including current illness or diseases. I quit smoking 3 months ago after smoking for 17 years. I have been a runner for the past 4 years, but now when I run I have a difficult time breathing. Even 24 hours after running, it is difficult to breathe. What is going on with my lungs? Why was it easier to breathe when I was a smoker? Doctor: Hello,Allergies are known to increase in intensity overtime if exposure to the allergen continues. Smoking is also an irritant and decreases the capacity of the lung over time. If you quit smoking, it is always helpful. It not only prevents further damage to your lungs and heart but slowly they recover as well but the absolute amount of recovery depends on the amount of initial damage. In your case, in my opinion, you shouldn't link your cessation of smoking with breathlessness; it's always the opposite. Focusing back on your allergy, If I was your physician, I would like to get you examine the status of your lungs as well as test your allergies to make sure you haven't developed a new one or that the other ones are in check. It would also be advisable to start an anti-allergic like Desloratidine 10 mg daily and Montelukast sodium 10mg daily in this season, until pollen counts are below safe levels.I hope it's helpful. Thank you. | 99,459 |
What is the treatment for red sores on the head? | Patient: Hi my 3 year old has a ringworm like thing in his head its basicall just a real dry patch of skin in his head, when i scratch the skin of his head his hair comes out with it? Also now he has little red sores with a crust over the top kind of like a cradle cap they dont seem to bother him and he doesnt scratch them, he had really bad cradle cap right up until about a month ago Doctor: Hi...I feel there is a subcutaneous fungal infection still lingering in the scalp. I suggest it could turn out to be Kerion and he might require oral anti-fungal therapy like Itraconazole for 8 weeks. I suggest you consult a pediatric dermatologist. Regards - Dr. Sumanth | 176,374 |
What causes persistent chronic cough? | Patient: My husband has a bad cough. He has had it for about 6 weeks. He has been to the MD 3 times. His blood test indicates it is not Valley Fever. His chest X-ray indicates there is no problem with his lungs. What could it be? His MD has no ideas and does not know what or if he needs meds. Doctor: Hi, Thanks for asking. I understand your concern. Persistent chronic cough can be due to- - Dry air ways - too hot or cold exposure/drinking less of water/excesive use of nasal spray - following Cold & flu ( viral) air ways remain sore.for long time... the basic symptoms may disappear but cough continues due to sore air ways/ repeated viral affection. - Acid reflux disease (burping, regurgitation & cough ) - Blood pressure medicine - ACE inhibitors can cause it. - history of allergic asthma, bronchitis/ bacterial infection * to pin point the cause co relate his symptoms & get complete blood count done& consult your MD .Depending on his other physical signs he may order more specific investigations followed by treatment. Thanks | 29,548 |
What precautions need to be taken in case of liver problem? | Patient: This is Rambabu suffering from liver problem.My diagnosis resuts are as follows. sgot 89 and sgpt 56, In ultra sound scanning hepatomegaly with grade 2 fatty liver was noted.My height is 5.3 feet and my weight is 51kg.Iam on off consuming alcohol.please tell me what are the precausitions i have to take.with regards. Doctor: Dear Ram Babu, HiThanks for posting your query on HCM.I really appreciate your concern for your liver problem. The blood test and the ultrasound shows that you have a liver disease apparently due to consumption of alcohol.As a matter of fact in addition to the liver, alcohol can cause harmful effects in almost all the organs including testes.My advice is, first of all stop taking alcohol, avoid taking oily vegetarian and non vegetarian foods, eat plenty of fruits and vegetables, do regular exercise. You may also take Vitamin E containing supplements which are helpful in protecting your liver.Repeat your liver enzymes (SGOT, SGPT, and GGT), Lipid profile (Total cholesterol, LDL Cholesterol, Triglycerides) after 3-4 months to check the response.Hope this answers your query.Prevention is better than treatment.Rate this answer, if you are convinced. | 56,203 |
Could accidental contact with Lidocaine being injected into sebaceous cyst be dangerous? | Patient: Hi, I am a medical student. I was working on anesthetizing a sebaceous cyst, and the lidocaine injected into the cyst squirted out of the cyst back thru the injection site and splashed a few drops on my face and lip (my mouth was closed). I don't think it got into my eyes. Should I be worried about the risk of infection, including STDs and HIV? 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.No, sebaceous cyst is the cyst which is having the collection of the material which is occasionally infected with the bacteria only.So when you are injecting the anaesthetic agent and accidentally expose the material in to the face and lip it only put you on the slight risk of the bacterial infection.So don't worry for the risk of the viral infection. It can only infect you when the infected blood exposed to you on the eye and mucosa.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 35,056 |
What could white discharge on penis suggest? | Patient: Hi I have been getting white residue on my penis, once or twice a day. I am uncut, and clean, always peel back head to pee and dab with toilet paper. The residue is like skin that i can rub off, but its not skin... ive had unprotected oral sex but thats it. Im 34 and this is a fairly new issue for me. Never had a smegma or other issue.. Doctor: Hello, The Yellowish / whitish substance is called smegma. Smegma is a combination of shed skin cells, skin oils, urine, sperm cells and moisture. It occurs in both male and female genital organs. In females, it collects around the clitoris and in males, smegma can collect under the foreskin. There is no evidence that smegma causes penile cancer, but its presence over a long period of time may irritate and inflame the penis, which may increase the risk of cancer. It may also make it harder to see very early cancers. Clean the area beneath your foreskin daily twice after pulling your foreskin back. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist | 193,314 |
Can heating pad be used for pain under rib cage due to enlarged spleen? Taking Ibuprofen, multivitamin | Patient: My daughter has a mildly enlarged spleen due to epstein bar virus. Her IGG was 8.0. She is feeling really bad. Really hurts under her left rib cage. Is it okay to put a heating pad on an enlarged spleen? Her ct scan performed 2 days ago showed mild splenomegaly. She is taking Ibuprofen and Tramadol for the pain. SHe is taking a multivitamin and B-100. He gave her Celebrex but she cant take Advil with that and the Advil seems to work better than Celebrex. Any other suggestions? Doctor: HIThak for asking to HCMHeating pad is used for superficial muscular problem say any inflammation not deep seated, one more thing I would like to say here that you can not use heating pad in liver pathology it wont help here neither this Technic helps in other way it is just exerting best placebo support and patient feel very good with worm sensation have nice day. | 92,476 |
What causes blood in stool of a child? | Patient: my baby is 14 month old, from five days passing hard stool.one day i noticed red blood in her stool.at the time of passing stool baby is crying.baby is taking junior horlicks from two months before. and also regulary taking pure cow milk everyday along with mother breast feeding.we are very afraid to see the blood in her stool. Doctor: Hello,Hard stool ate often accompanied by bright red fresh blood in children. Blood appears only in hard stool and not in the soft stool. Increase her fluid intake. If her constipation is cured then give her a mild laxative for a few days. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi | 163,110 |
Suggest treatment for malaria | Patient: Hi My daughter is 17 years old, is in Tanzania doing voluntary in a hospital and she text me yesterday to say she felt a bit unwell, lightheaded, feeling sick and aching and today she text to say she has malaria and a UTI, she had a blood test at a private clinic and has been given tablets. She was taking generic malerone tablets, she said she missed 1 tablet in the 11 days she has been away. How worried should I be, I text tonight and she has gone into the hospital to do an evening shift, so she must be feeling ok to do that, she did say if she was at home she wouldn t have gone to the doctor feeling as she did. I m worried in case it gets worse as I ve been googling! Doctor: HelloThank You for contacting HCM.Welcome to Health Care Magic.My name is Dr Muhammad Ahmad & i will look into your problem.I have gone through your query and would try to help you in the best possible way.MAKE SURE ONE THING: i am not sure what Malerone is given 1 tablet a day for 11 days this is prophylactic dose which you are talking about but if she does have malariashe should be give a dose like this 1 g/400 mg (4 tablets) through mouth daily for 3 daysand Malerone has nothing to do with UTI so kindly ask her to tell you the truth how is she feeling and if she is alright then it's ok probably it wasn't malaria.Suggestions: If i were her doctor and i confirmed malaria and UTI i would give her (1) Malaraon 1g/400 mg (4 tablets) PO daily for 3 days (2)Ciprofloxacine 250mg twice a day for 5 daysand then would have run her re tests after 15 days...Things just don't fit according to my opinion..And symptoms of malaria is very high fever with shivering,may be sore throat and night sweats, then this fever is alternating for example a high fever in night 1 then high fever during night 4 then night 7 that how it goes....MOREOVER: unwell, lightheaded, feeling sick and aching are usually signs of viral illness which usually go away by themselves ask her to drink loads of water and have a simple pain killer when pains.In my opinion you daughter was misdiagnosed she has a simple infection of something you don't have to worry but have to talk to her.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing her good health | 36,851 |
Suggest remedy Tietze syndrome | Patient: I have really bad abdominal cramps and taken an indigestion tablet but I m still in pain and gassy only now I m feeling sick, what does not help is that I have titizie syndrome and it s tKen affect again, is there anything I can do or nee to be done to just get out of pain, I m 18 and female thank you :) Doctor: Hello,If you are having Tietze syndrome then you may have relief with following:- Take a good analgesic on recommendation from your doctor like ibuprofen, aspirin or paracetamol.- Do warm fomentation over affected area- Avoid excessive strain at workYou need not to worry about this. It will go away in time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopaedic Surgeon | 120,936 |
What does an honeycomb pattern on arms of 10 yr old indicate? | Patient: My 10 year old son has a spiderweb/ honeycomb pattern on his arms. No itching. No swelling. No pain. He has to follow a gluten and wheat free diet and is scheduled for his first visit with a pediatric rheumatologist later this month. Can this have something to do with the pattern on his skin? Doctor: Hi..by what you quote I feel that it is - STATUS MARMORATUS. This can even occur inconsequentially. Unless it is associated with other symptoms like discoloration of nail beds and joint pains you need not worry. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - Dr. Sumanth | 175,777 |
How safe is taking Azithral 250 mg for chest infection? | Patient: Hi, I am travelling in India and have a chest infection and told the doctor I usually take Xithromax. He has given me the generic, Azithral, 250mg. I am bit nervous of taking this as tend to react badly to some medications (am hypersensitive). I am also asthmatic, have recently had whooping cough (which I am still recovering from) and am allergic to penicilin. In addition to this, I am not sure how many tablets to take. He arranged with the hotel to collect the tablets, and when they arrived, it was in a brown packet, with 10 x 250mg pills in Azithral blister pack (from the hospital accross the road). Should I take one twice a day for five days? (If I should take them at all?) I saw the doc two days ago and actually feel worse today so feel like I really do need antibiotics, all things considered. Doctor: HiWelcome to HCMTab Zithromax and Azithral is same medicine with different brand name. It's a pretty good medicine for chest infection especially in asthmatic if you don't have to high grade fever and just increase cough and chest tightness.But along with antibiotics you would also need to take inhaler containing steroid and bronchodilator. | 79,241 |
How is a damaged ligament treated? | Patient: Hi My Self Ashish Verma working in MNC indore in MP I have an problem in my right knee my doctor have suggest me to go through to MRI. After MRI I have an damane of one Ligament and Doctors said to me that you have to go for operation thorugh lesser.Please suggest Doctor: Hi, The arthroscopic repair will be the best option for you. Consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 122,815 |
Noticed fluid coming out from the big toe nail & also it hurts | Patient: My big toe is leaking fluid i dont know where its coming from its coming from the inside top bit of my toenail it really hurts and is painful i dont what this is? its hurting me a lot also i just wanted to mention that i am also pregnant. Has this got anything to done with it Doctor: HIThanks for posting your query to Healthcaremagic. No it's not related to your pregnancy. What seems like is you are having Infection around your toe nail and Pus is getting accumulated around your toe nail . Your require Antibiotic course and and may require Drainage of pus from your Toe Nail . Kindly consult for doctor for this soon . Hope this answers your query.Any clarifications or Queries feel free to ask. Happy to help you. Regards. | 37,670 |
Suggest treatment for breast cancer | Patient: My sister had breast cancer several years ago and had a double mastectomy. She did not have chemo or radiation. since then she has had severe memory loss and personality change. she is difficult to get along with, argumentive and can t make decisions or get things done. she insists she needs add medicine and still does not get anything done Doctor: Breast cancer is in the top 3 cancers in women . Every patient with breast cancer should be examined every 6 months for 3 years . I have no information whether CT scans are present . I would suggest a CT scan of the head and thorax for metastasys . At this time there is no need for medicines . After the CT scan , if there is no sign of metastasys you should see a Neurologist | 152,765 |
What causes stomach cancer after having keyhole surgery? | Patient: HI , my friend has recently been diagnosed with stomach cancer ( malignant gist) , she has just had keyhole surgery to remove an additional tumour that was blocking oesophagus, this was benign, since returning from hospital post surgery, she has been having seizures , she has had four. Can you offer any advice on these & what may be causing them ? Thank you ... Doctor: Hi,Thanks for writing in.It is not the key hole surgery which is causing stomach cancer. The reason is that there might have been a tumor in the abdomen which caused the benign tumor and some of the cells were still inside after the key hole surgery. With time these cells transformed to malignancy and therefore a malignant gist was formed.The seizures cannot be ignored if she had 4 attacks. A CT scan brain is required to evaluate the brain for any new metastatic transformation. The malignant gist tumor can become aggressive and then this causes secondary deposits in other organs including brain, liver and lymphnodes. It is urgent to do a CT scan brain and look for disease spread. Please do not worry. | 153,984 |
How to treat a small lump under the breast? | Patient: Have small lump under right breast doesn t hurt or move get pulsating sensation in breast and causes pain in my nipple when lifting breast up with hand looks kind of like an orange peel but when down doesn t look like that also have lump above collarbone was small and has gotten bigger was already on a 30 day antibiotic for boils under breast Doctor: Hello!Thank you for the query.Such lump can be a breast lump or benign skin lesion. As it is close to the breast, should be treated as possible breast cancer. That is why I suggest you to have proper diagnostics. Brest ultrasound should be done and biopsy of this lump considered. If it has no contact with the breast, should be removed as a regular skin lesion. General surgeon should be able to do that.Hope this will help.Regards. | 67,813 |
Will taking Ibuprofen and benedryl help cure bee sting? | Patient: I took my 2 year old daughter to the E.R. a few hours ago. I'm thinking she was stung by a bee sometime today. She has swelling around the area where she was stung. They gave her some ibuprofen and benedryl and sent us home. Is it normal for pus to come out of the site of the sting? Whatever I read online is telling me to take her to the E.R. Wondering if I should or just wait till tomorrow to see if its better. 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.The most feared situation in bee sting is the allergic reaction. It appears immediately after the bite.As your child passed this stage there is emergency situation there is no need to worry. Right now there is no need to worry regarding ER.Ibuprofen and benadryl is enough to control the allergic reaction. But you can add low dose steroid like prednisolone to counter the allergic swelling your baby is having.Please take care of the wound with good cleaning and dressing. This will prevent the infection.Please also avoid injury to the affected part as it can cause further infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 34,789 |
What causes heart palpitations along with chest pain? | Patient: Hi.. I am having pain in my heart and also palpitation. .. My BP is 140 by 100 and triglycerides is 510 .. Other blood tests are all fine... I have got ECG done which is also fine... My weight is 104 and m determine to reduce it .. Pl suggest the way forward or recommend tests which are required as m feeling pain towards the left of my chest Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern and I would like to tell you that your Blood Pressure is Borderline high which can be causing cardiac disease or end organ diseases. Considering your high blood pressure and high cholesterol it’s recommended for you to get basic cardiac check up for evaluation of chest pain. Kindly get an ECG, echocardiography and Treadmill Test and consult a physician with Reports. Hopefully this information will answer your query query. Kind Regards Dr Bhanu Partap | 18,312 |
Are there any side effects of mikacin and mirtaz ? | Patient: is there any side effect of par it D? i have been discovered irritable bowel syndrome (IBS). and also a bit of PID (pelvic inflammatory disease). have been prescribed mikacin 500mg injection twice a day and morease with par it D empty stomach. also mirtaz (anti depression) twice a day. are there any side effect or mikacin and mirtaz ? Doctor: Hello,Mitraz long-term use may cause anxiety, palpitations,dry mouth, tremor and irritability. Amikacine may cause fluid retention, nephro and ototoxicity.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | 83,634 |
Is PCCA Poloxamer 407/20% Gel an antibiotic? | Patient: I am a dental hygienist, I have been putting doxy in periodontal pockets. It was too thick to inject even through the largest needle I could use and still get inside the pocket. now we have switched to pcca poloxam gel 407/20% My Doctor is not in today, I am wondering what it is. Is it an antibiotic? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your complain PCCA poloxamer is a polymeric compound that is used to better retain medication to the tissues. It is not an antibiotic but can help in retaining antibiotic components in the Periodontal pockets. I would suggest you not to use it in place of antibiotic in the Periodontal pockets as it will not help. You can simply use an injection needle to push the antibiotic into the pocket and use poloxamer only after proper guidance of the dentist.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora | 181,251 |
Is it safe to continue Rekool for a long term for gastritis? | Patient: My 32 years old married female relative is taking Rekool 20 for the last 18 months continuously for her Gastritis problem. The medicine use keeps her fine while its discontinuance even for a short period aggravates her problems. Is it safe to continue the above medicine for 2 years non-stop continuously? Doctor: Hi, There is the possibility of decreased sweating, heat stroke or metabolic imbalance due to Zonisamide. So it is best avoided in children. Especially staying in tropical areas; where the side effects are more common. Please discuss with her treating doctor before you start giving her the medicine and get your doubt satisfied. Probably doctor has found the benefits of the drug more than the side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Vasudha Jayant Athavale, General & Family Physician | 85,341 |
Suggest remedy for numbness in rib cage | Patient: Hey doctor. I am 18 years of age. I have recently felt that my feeling system on the upper right of my rib cage (centering near upper closing of ribs) is numb. I seem to feel it effecting me when i sit in certain areas and positions. It aches and feels really painful. Because of this sometimes I feel as though a nerve maybe trapped. Could you guide me into the correct path to what It is or what The solution may be? Doctor: Hello, I have studied your case. Due to compression of this nerve root there is pain in your ribThere is another possibility of costochondritisI will advise you to do MRI thoracic spine, HRCT [CHEST] and EMG- NCV [nerve conduction study]For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.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 | 136,998 |
Suggest treatment for OCD despite taking Zoloft and Abilify | Patient: My room mate is a 60 year old male & has Covered up his Chronic OCD for years.In the last four years he has tryed quite a few druds.Now he is on 200mg Zoloft & 100 abiltfy.Also Adivan 4 times a day & Phenobarbitol that was for his stomach.Nothing seems to work.AdvBrettise ? Doctor: psychiatric reassessment is necessary.for resistant ocd risperidone with sertraline or fluoxamine/clomipramine is a good choice.consult your psychiatrist.thanks | 205,172 |
What causes bump with spreading purple color? | Patient: Hey docs, my mom had a small cut on the back of her hand a few days ago, and it s turned into a large discolored bump. It s dark purple and the bump isn t as swollen as yesterday, but the color has started to spread to her fingers and wrist. Any help is appreciated. Doctor: Hi, I have gone through your question and understand your concern. You didn't mentioned how many days has been passed. As you said its dark purple it means that blood has been accumulated inside and as darkening spreading to fingers it means that it is pressing arteries and obstructing blood supply to finger and wrist.you must consult a surgeon for proper surgical incision and drainage under antibiotic cover. | 33,120 |
How can i remove burn marks from face ? | Patient: sir this is shwetha from india my problem is i have a burn mark on my face from 18 years now iam 23yearold it hapend due to plastic right now i treyd lot of medicen but it doent remove becuse of this mark iam very dippress pls help me give me a sollution for removeing this burn mark Doctor: Hi, Swethaji, Thanks for query, You have to go for plastic surgery,there is no option. Consult plastic surgeon and seek his advice. ok and bye. | 8,917 |
Suggest natural ways to control CKD | Patient: I am a 50 yrs old male suffering from HTN/CKD. Taking B.P. drug for last 7 yrs. and diagnosed as CKD patient since two and a half years. currently my Hgb is 12.8 gm/dl. , Creatinine is 1.91 mg/dl. serum urea is 41 mg/dl. Albumin in urine is present at 10 mg/dl. and R.B.C. present stray.All the other parameters are normal. Previously doctor had advised to restricted diet only. Now should i consult the doctor for the albumin and R.B.C. abnormality or should i follow his advice of nutritive diet strictly and then only consult him? Please also tell me the natural ways of controlling this without drug. Doctor: Hello and thank you for your question. There are several things you can do to prevent the progression of the chronic kidney disease. The most important is to make sure that your blood pressure is always controlled. You should restrict salt and protein in your diet. It is very important to avoid anti-inflammatory medications and alcohol as they care worsen kidney disease. There are also medications such as ACE-inhibitors that can also protect the kidneys. Please see a doctor to make sure you get the best care possible to protect your kidney function. | 214,223 |
What causes red, itchy and dry skin on scrotum post an intercourse? | Patient: Hi, I had unprotected sex a couple weeks ago with my girlfriend and I noticed a couple days after that my penis shaft was red and irritated. That has since claimed down but now I have noticed that my scrotum is peeling off tiny bits of dry skin and is itchy. What could this be? I have also been working out more at the gym. Thanks Doctor: HelloThanks for query .Based on the symptoms that you have .You have developed allergic reaction to vaginal secretion of your girlfriend.She needs to get examined by qualified Gynecologist and take the necessary treatment .If you have active lesion now take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical steroid cream twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil. | 197,261 |
What causes itching in the body after eating meat? | Patient: I am 18 years old boy. I was having dengue fever and had descharged from hospital on 21st Nov.10. When I eat non-veg, my full body starts itching. What should I do? Is it because of any infection or cold winter? I was treated at Godrej Hospital, Mumbai. Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to make following suggestions:1. Were I treating you, I would prescribe you an antihistamine like levocetirizine or hydroxyzine for 2-3 days for treatment of the reaction.2. I would suggest you allergy testing for the foods that you react to. I would suggest you to avoid those particular foods for at least 3-6 months followed by "trying" small amounts of food to know whether you still react.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. | 100,658 |
Suggest treatment for stabbing chest pain | Patient: Last night I fell down a few stairs after my foot slipped out from under me. I landed on my back quite hard, but there wasnt any pain except for the initial impact pain. This morning, I started getting pains that feels like it is stabbing my heart, although they only come when I breathe in deeply or stretch my muscles. Should I go to the doctor or am I just overreacting? Doctor: Hi, Cannot say in your particular case but, angina/heart attack/etc is not caused by falling, is not stabbing, is not positional, is not associated with breathing. So, heart is not associated with this sort of pain. But lung, muscles, joints, surrounding tissue irritation is associated with this sort of symptom and it could be a fracture or tear. Mostly even the larger injuries do not have a treatment. If the pain is getting better and if breathing is not affected generally there isn't a lot to do. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 215,446 |
How soon should mitral valve prolapse be operated upon? | Patient: MITRAL VALVE PROLAPSE (PML)MITRAL REGULATION SEVERE (MRJA-14 SQCM.) NO MS NORMAL LV SYSTOLIC FUNCTION LEVF 60 % PAH. IAM TAKING OLMEZEST H.40 AND ATTENOL 50 ONE DAILY. DOCTOR TELLING TO REPAIR MY VALVE. WHEN IA HAVE TO DO THE OPERATION. HE IS TELLING TO EARLY AS POSSIBLE. MADHAVAN Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are having severe mitral regurgitation (MR).You are also having MVP (mitral valve prolapse). So your mitral valve is almost failing. Mitral valve is most important valve in heart. It is responsible for cardiac output. So problem in mitral valve will cause decreased cardiac output and this can cause hypotension and sudden cardiac arrest (death). So to prevent these life threatening complications, better to treat MR and MVP. You are having severe MR, so surgery is the only option. So don't wait foracort surgery, get done mitral valve replacement as soon as possible to prevent life threatening complications. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 25,533 |
How to confirm japanese esephilitus? | Patient: My son was born in China and my wife is asian. A month or so after his birth he started to look very pale and the inside of his mouth turned dark black. We took him to the hospital and they rushed him to a special childrens hospital. We where told that his blood vessels where bleeding and that if they reached his brain he would die. I never could get a straight answer on what caused this. They claimed it was Japanese Esephilitus but I am not sure I believe them. It happened right after he received some vaccines. Two of which we do not give in the U.S. I have talked to doctors and none of them seem to care and brush it aside. I am concerned that there may have been something wrong that could come back to haunt us in the future. Please give me some clues or ideas for me to follow-up on. Doctor: Hi... I understand your concern. But with the information provided by you I am clueless as to what has happened.I am sorry regarding this because I need more information on this.Can you please upload all his reports and discharge summary if possible so that I will be in a better position to guide you further.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth | 164,971 |
How can one get pregnant despite PCOS? | Patient: Hi, may I answer your health queries right now ? Please type your qHi Doctor I am shri 25 years running. I am 3 years married. My problem is i am unable to get pregnant. Last Year i was pregnant but i had aborrtion in the month of 2.5 , after that i am unable to get pregnant. I have all tests like TORCH TEST (IGGM, IGM), Glucose test, Menstrual blood test taht all ate normal. I a test i have PCOD problem for this problem doc, advised me TABLET BIGOMET SR 500 for 3 months i am taking this tablet and this is my last month for taking this tablet, with this i am taking FOLIC ACID tablets also. please doctor advise me what should i do for get pregnant as soon as possible. Regards shri XXXXXXXXXXuery here... Doctor: Hi, I think you should take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Discuss with your doctor regarding this. The problem in pcos is with ovulation. So, you have to take medicines for ovulation. Bigomet alone will not help. Hope I have answered your question. Regards Dr khushboo | 957 |
Suggest treatment for hard bump around the jaw | Patient: Hi I had surgical wisdom tooth extraction about 4 days ago and the swelling is not disappearring. Its has become a hard bump around my jaw, and it hurts to open my mouth. Is this normal, what is the treatment, and how long will it take to disappear? Thanks! Doctor: Hi,It seems that due extraction of wisdom tooth there might be having some infection over the site producing enlarged, painful lymph nodes.Go for one antibiotic, anti-inflammatory medicine course for 3-5 days.Ok and take care. | 67,156 |
Suggest treatment for hair thinning | Patient: I have noticed thinning in my hair at the top and along the from hair line. I am a 57 year old female. I take Azor for blood pressure and did notice some shredding when I first started taking it. I am also "addicted" to nicotine lozenges. If I stop the medication will my hair start growing back? Doctor: Hi,You seem to have telogen effluvium. There are many causes of telogen effluvium. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.After thorough examination and investigations,your doctor might give proper medicines. Nicotine addiction should be stopped immediately,which will improve your condition of scalp.I would suggest...- biotin 10 mg tablet once daily for few months- iron and B complex vitamins - vitamin E - apply mild steroid lotion on the scalpRegular shampooing and oiling of the scalp might improve condition of hair structure.If any internal disease like thyroid dysfunction is found, take treatment.I hope this would help you..Thanks.Dr.Ilyas Patel MD | 10,771 |
Side effects of taking Isoniazid on liver? Alternative? | Patient: I have been taking Isoniazid 300mg 1x day (this is the first month of of a nine month treatment) and am concerned about the med s effect on my liver ( toxicity ). 1)Is there anything that can reduce the toxic side effect? 2) Would fiber psylium supplement be beneficial or not a good idea to help rid the body of waste (acetylisoniazid)? Doctor: The question is why are you taking Isoniazid ? Is it for prophylaxis or is it part of tuberculosis regimen ? Yes Isoniazid has liver toxicity but not in all patients .. Only some patients develop raised liver enzymes because of isoniazid. Do have an underlying liver disease ? If not there is nothing to worry. Go for a baselne Liver function test and repeat it after three months , if the ALT and AST has not increased by > 3 times the upper limit of normal then there is nothing to worry. You dont need to take any other medications to prevent liver toxicity. | 60,020 |
Suggest remedy for swelling, inflammation and pain in elbow | Patient: I have been experiencing pain in the elbow for about 1 month. No obvious swelling or inflimmation. No injury that I am aware of. I was diagnosed with arthritis at 26 yrs and have calcium pyrophosphate dihydrate, crystal deposition disease in my knees and possibly my shoulder. Could my elbow pain be caused by this or more likely something else? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have swelling, inflammation and pain in elbow. Well there can be many reasons for symptoms you mention in query like septic arthritis , osteoarthritis , rheumatoid Arthritis , gout , psoriatic arthritis , septic arthritis , torn ligament or tendon . I would suggest you to consult orthopedic surgeon for proper examination . Doctor will examine physically , take history and order CT scan , blood test or urine test . Doctor may prescribe allopurinol , methotrexate , muscle relaxant , anti inflammatory along with recommend physical therapy . For now apply warm compresses , keep it elevated while sleeping and give your arm proper rest . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 135,424 |
Irregular period. On ATT treatment. What are my chances at pregnancy? | Patient: hii.....sir my age is 24 and last year my periods get disturbed and it use to be irregular only one day every month, which was not proper. Earlier my periods come for 5 days.Than i consult a doctor and after PCR test non tuber colosis is detected & now i am taking ATT treatment from last six months & my doctor suggested me to take ATT course for 15 months. Now my periods started to come in time for 2 & half days. Sir i wanted to known that will i be able to become pregnant in future or not and is non - tuber colosis will also infect my partner. pls help me out so much depressed. Doctor: Hi, Thanks for the query. If there is no internal damage of reproductive organs due to the infection, then you may conceive normally after completion of ATT. You better go for endometrial biopsy once on first day of periods followed by hysterosalpingography after completion of ATT. If you are having abdominal tuberculosis secondary to pulmonary tuberculosis then there is possibility of spread of infection. Take care. | 5,621 |
Arm implant removed, pain in lower stomach, thick yellow vaginal discharge. Normal symptoms? | Patient: So I recently had my arm implant taken out I had it for 6 months and decided it wasn t for me! My ob Said it could take weeks for me to get back to normal. A week after I started to get pains in my lower stomach across my c-section I recently in the past 3-4 days have had yellow discharge not smelly or am I itchy its just thick Doctor: Dear patient, the normal vaginal discharge is clear, white, thick or thin, non odourous and not associated with any itching, where as an abnormal vaginal discharge is yellow or green in colour, with or with out foul smelling , with or with out itching and with or with out lower abdominal pain . The abnormal vaginal discharge usually resuts from the infection in vagina or infection in cervix,uterus and fallopian tubes which is called pelvic inflammatory disease (PID). lower abdominal pain is usually associated with PID than with the infection in vagina alone so in your case chances of PID seems more than the infection in the vagina alone as your vaginal discharge is yellow in colour, itchy and associated with lower abdominal pain even if it is not foul smelling .PID has no relationship with the implant removal but may be related to IUCD, number of sexual partners, general hygiene mantainance, douching techanique and other factors. So you can have a gynecological consultation done where by the doctor may advice you following test and treatement . USG abdomen .Urine routine and microscopy .STD screening tests .Cervical swab for gram stain and culture and sentivity .Mean while you can receive following treatement .Tab ciprofloxacin tinidazole , one tab twice daily after meals . tab doxycycline 100 mg twice daily after meals . tab buscopan one tab thrice dail after meals before taking the tablets make sure that you do not have any allergy to these medicines and you are not pregnant | 226,244 |
Suffering from persistent cough and discomfort in left lung | Patient: When I go to bed at night, my left lung bothers me. It does not hurt during the day nor when I take deep breaths. I do have a persistent cough but not any phleam but at times the cough can be deep. We recently went away for a long weekend and my lung did not bother me. Doctor: Do you feel difficulty breathing and coughing on lying supine on bed..If yes then get evaluated for your heart by getting an electrocardiogram and an echocardiogram after consulting your family physician..If no, then i woul opine you to get an Xray chest done to rule out any abnormality in lungs | 80,866 |
History of tuberculosis in both testis. treatment taken. FNAC results normal. Abdominal pain during ejaculation. What could be the reason? | Patient: I am 48 years. My height is 5 ft 9 inches and weight 85 kilos. About eight years back I had swelling in my right testis without any pain. After FNAC I was diagnosed with Tuberculosis in my right testis. After a treatment of about nine months I was cured. Again after four years I found swelling in my left testis with pain in lower abdomen during ejaculation . I was given antibiotics for about two months for suspected inflamation. But the swelling and pain persisted. Then an ultrasound of lower abdomen and testis was done. FNAC was also done which was normal. Then a test for tuberculosis was done which was found positive and the treatment for tuberculosis was given again for about one year. The swelling has gone but there is still pain in my lower abdomen during ejaculation for the last about four years. What could be the possible reasons as I had already taken anti inflamatory medicines. How it can be diagnosed. Doctor: Hi...though the disease has been cured but it must have caused residual fibrosis in the vas or other part of the tract...leading to pain during ejaculation...this is very difficult to cure...you can get a vasography to see the deformity... | 203,927 |
What causes backache and mouth ulcers while suffering from fever? | Patient: Hello! Good day. I ve been sick for almost a week now. Fever and chill on an off. Have a terrible muscle pain in my back. have mouthsores in my throat and mouth. Do you think I have HIV with all of those sympoms I experience? Do you think I already have pneumonia or TB? I will go to hospital tomorrow for a test but I am so paranoidright now. :( Doctor: Hello,In my opinion, these looks like a viral fever which causes myalgia.If you have not indulged in unprotected sex, then I do not think there is much cause to worry.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Fahim Sheik | 106,816 |
Suggest treatment for atrial Septal Defect | Patient: My granddaughter is 21 months old and has Atrial Septal Defect. Two holes in her heart. My son sent me a picture of her leg and she has several veins that just popped out on both the front and back of her leg, but only on one leg. Is this something to be concerned about? Doctor: Hi...unless this is causing her discomfort or any other sort of [problem, you need not be concerned. But if there is swelling of both the legs, with a background of heart disease, this is something to be w2orried about. I suggest you send over the images of the veins which you are mentioning so that I can guide you more scientifically.Regards - Dr. Sumanth | 178,103 |
Should I consult the doctor for the Dizziness and lightheadedness and has mild fatty liver? | Patient: I am having waves of dizziness and lightheadedness, along with pain in my upper right abdomen. I have been diagnosed with mild fatty liver disease and we are treating it with diet and exercise. They did not find any gallstones or such. I am wondering if I just have a rib out that is causing the discomfort...but the lightheadedness is concerning me. Should I consult my physician, as well as my chiropractor. When should I become concerned to the point of going to the emergency room. Doctor: HelloDizziness and lightheadedness may be due to many reasons like hypertension,cervical spondylosis,internal ear problem etc.You may need clinical correlation and investigations.It is generally a manageable condition.You may need few investigations like routine hemogram,cervical spine X-ray(AP/Lateral),random blood sugar etc.Mild fatty liver is a reversible condition.It may be reversed by diet and life style modification.You may need few medicines after investigations.Get well soon.Take CareDr.Indu Bhushan | 55,806 |
Suggest treatment for pseudomonas infection | Patient: MY HUSBAND HAS BEEN TOLD THAT NOTHING FURTHER CAN BE DONE FOR HIS PSEDOMONAS INFECTION. i PUT GENTOMINICIAN DIRECTLY INTO HIS BLADDER VIA TUBE AT NITE, BUT NOW THERE IS A HORRIBLE SMELL AND MUCUS COMING FROM PENIS AND SCROTOM. "WHAT IS HAPPENING NOW. HE IS IN HOSPICE CARE AND THEY ARE NOT CONCERNED,, BUT I WOULD JUST LIKE O 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.Pseudomonas is onr of the most resistant bacteria we have in list.I advice you should do culture and sensitivity for it. Once you have sensitivity report in hand you can take the antibiotics which are most sensitive.Please do not give him random antibiotics. As this can not cure, and adverse drug reaction have to face the patient.Once you gave appropriate antibiotics infection will start going to cure. Please take plenty of water. This will help flush the bacteria from the urinary tract. Maintain good local cleanliness. This can be helpful for treating the infection equally as antibiotics do.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 34,431 |
What causes constant fever with running nose and cough in children? | Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi, my 3 years old daughter, she occasionally coughed a little bit in the nights during the last two weeks of January. We thought it was okay. The she got fever on Feb 6 and got well on Feb 8 after taking paracetamal and Voren (insert). Then the fever came back in the evening of Feb 9, so we gave her once paracetamal and anti-biotic. However, she started to have running nose on Feb 22 till now, we give her the Zyrtec. From today, she starts to cough, then she takes Prospan. then this evening she got fever (around 38.3), i just insert the paracetamal bullet for her. Could you advise what s wrong with her? what should I do next? I really worry about her. Many thanks! Catherine Doctor: HiFever with cough and cold is mostly due to viral upper respiratory tract infection. It takes approximately 1 week time to recover. you will need to give symptomatic treatment in form of paracetamol, and tepid sponging with tap water.Tepid sponging: sponge whole body including tummy and back with tap water.Sponging just before giving paracetamol helps in keeping temperature down for a longer duration.keep him well hydrated. Give him warm liquid to drink.Clear nose with nasal saline drops and suction it out with manual nasal suction for babies.keep room humidified with humidifier or hot water bowl.Best wishes | 164,594 |
Suggest treatment for mental problems | Patient: sir,my query regarding my mother's health problemActually she is suffering from mental problem.like she think some call her,like her son ,any person.ans she also believe this thing in reality.this problem starts from in the year 1997 and we also gone through treatment in orissa in year 2000.but this problem is continue.please reply . Doctor: Hi,I do understand your concern regarding your mother's health. Your mother seems to be suffering from a psychotic illness. However, more details regarding her symptoms would help in arriving to a definitive diagnosis. Symptoms like suspiciousness, aggression etc in addition to hearing voices might be suggestive of schizophrenia.You also haven't provided details regarding what medications have she been on (with dose and duration). She might need treatment with antipsychotics (olanzapine, risperidone, etc). It might be possible that she doesn't respond to the 1st drug tried. Then another drug will have to be tried and effect assessed. You can discuss regarding this with your mother's psychiatrist (hope you are already consulting one).Hope this information was helpful. Best wishes. | 209,659 |
Suggest remedy for headache with hair fall | Patient: I suffer from severe headache days now and at the same time my hair falls , i found it is not normal anymore. my hair is getting thin , our company doctor said i lack nutrient and gave me vitamins but it never cure the losing of my hair and I still suffer fr headache . please help me . Doctor: It can be of stress. So reduce stress first. And stop noticing your hair, which make you more stressfull which can be your cause for headache if you still persistently get headache, go for a consultation with a neuro physician you may have migraine or a ct brain plain can be done to rule out other illness | 11,245 |
What causes itching and brownish semen after anal intercourse? | Patient: i was wondering why 3 days after i received unproted oral sex my bladder was seeming full, i was itchin over my body but not genital area an it felt like my anus was always sweating "i think it was a discharge" an im jus reallly scared because i have a baby on da way an dis happen while me an my girlfriend broke up.then 2 weks after dis incident i masterbated an my sperm came out brownish lookin.PLEASE HELP ME! Doctor: hellothank you for trusting HCMdear brown semen may be due to food or medications that may give Color, other possibilities like bleeding in seminal vesicles or trauma etc.. please consult your physician he will examine and treat you accordingly . I think I answered to your question if you have more questions feel free to ask.take care | 195,926 |
What is the treatment for severe lower abdominal pain? | Patient: Hi I keep getting pains I the lower side of my stomache it's happens all the time my belly seems to bloat everytime I eat something the pain seems to be getting worse every hour of the day I can't seem to be able to sleep eat drink or walk without the pain starting Doctor: HelloLower abdominal pain may be due to many reasons like liver problem,kidney problem,pelvic causes,colitis etc.You may need clinical correlation and few investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile,urine and stool RE/ME,ultrasound of abdomen.Ultrasound of abdomen is very important in your case and it can exclude many causes.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan | 86,328 |
What causes fever and pimple like rash in a child? | Patient: My boy who is 28 months young has had a few colds this past season; he s got well for a few days and then meets a sick kid and gets sick again. this time three days ago he shared a frozen chocolate covered banana with his cousin who was sick, coughing and runny nose; withing 12 hours he had the same symptoms. he is had fever, dry cough, clear runny nose, and pimple like rash around his knees, inner thighs mainly but also a few around his calves, and elbows. he was feverish the second night, and all that day; day 3 he seemed okay; went to the park played. this morning he had fever again. the pimple looking rash looks reddish; not scratching; we re using witch hazel and body lotions. Just wondering if I should be more concerned? Doctor: Hi...all this is fitting into a viral illness with exanthema - that is - viral induced skin rash. This will respond well to oral paracetamol and anti-allergic medications orally. Do not apply any calamine lotion as it might spread the rash. If it is not settling in 48 hours, consult your paediatrician.regards - Dr. Sumanth | 179,757 |
What causes breathing difficulty after sinusitis? | Patient: Ive recently had a sinus inffection my doctor told me and that cleared up because my breathing got better, but about few days after i was feeling fine i had a lack of oxygen feeling and that went away a while after but now im having heart and breathing problems again at night when i lay down my heart is beating hard normal pace it seems but hard and i can feel it in my torso area kind of shaking feeling slightly but mostl just hard feeling and it keeps me from going to sleep i can only feel this when im laying on my stomcah when on my back it feels fine and also it seems when i walk now my breathing feels shaky when i walk and almost like a lack of oxygen feeling but mostly a shaking feeling i smoke on and off but havent smoked since a few days ago Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Sinusitis is upper respiratory tract infection (URTI). Bronchitis is very common after URTI. And bronchitis can cause similar kind of symptoms like palpitations, breathing difficulty, feeling of lack of oxygen etc. You were also smoking and bronchitis is common in smokers. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these. Quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 75,657 |
How can diabetes be managed while on chemotherapy? | Patient: My husband has pancreatic cancer, he had the Whipple procedure in September, 2016. He started chemo Oct.31, 2016. he is now in remission and no longer taking chemo. He is eating very well, but, continues to lose weight. I have done everything I can to add calories to his diet. He is now diabetic bc of his pancreas being removed. We are having a hard time controlling his blood sugar levels. He is very insulin sensitive. Any comments on what else we can do? Doctor: Hello,Sad to hear that your husband is been recovering from such a serious Illness, give him the Diet as advised by the Dietician/Oncologist.Please adjust the Insulin dosage levels based upon the lab values FBS,PLBS & Hba1C please see a general physician or Diabetologist for dosage or you can contact me on my number.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah | 191,390 |
What is the dangerous level of Bilirubin? | Patient: My husband had obstructive jaundice due to a gall stone. At the time of admittance to hospital his billiruben total was a (9 night before admittance) It went up to 11 and then 12.9. What is a dangerous level or range? How urgent was a MRI/MRCP needed? How urgent would an ERCP be needed to retrieve the obstructing the common bile duct? How fast should a doctor act upon things? Doctor: HIThank for asking to HCMI really appreciate your concern, look mam the clinical symptoms is matter, even if the serum bilirubin level is low and the clinical condition is sever then this has to be managed accordingly and if the condition is asymptomatic and the level of bilirubin is high then this is not emergency, hope this information may helps you take care and have nice day. | 57,640 |
What causes itching in anus of a child? | Patient: Hi I have a 4 year old son who over the past 2 days is complaining of a very sore and extremely itchy bum hole, he is always trying to itch and rub it by putting his finger in it. He says it hurts him when he goes to toilet, making him very uncomfortable. What can this be? Doctor: Hi,From history it seems that he might be having worm infestation and due to passing worms there might be having irritation, itching and soreness on the part.Go for stool test for ova and cyst to confirm worm infestation.Afterwards give him one course of anti-worm medicine like Albendazole.Apply triple action or antibiotic cream locally.Keep his fingers well cut and clean.Ok and take care. | 177,003 |
Is it normal to have tightness in stomach, vomiting, nausea and bulging veins throughout body when using implanon? | Patient: I have the implanon in, its been in almost 2.5 months. but im having such weird side effects. Identical to pregnancy. My lower stomach is so tight, which looks like an early pregnancy bulge. Nausea but no vomiting. I feel very full and can only eat very small amounts. Very thirsty. And tired to no end- even after 8.5 hrs sleep every night! My boobs get sharp pains in them and I have bright blue veins all over my body... Any ideas? 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.Yes implanon being a hormonal medication can lead to this kind of problem. It causes increased acid secretion leading to the symptoms like bloating, pain in abdomen and chest, nausea and vomiting. You may discontinue the medication and shift to some other birth control option. Condom is one of the safest birth control option as it has no side-effect. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddyWish you good health,Kind regardsDr. Srikanth Reddy M.D. | 225,211 |
Suggest remedy for swelling in nipple | Patient: Please answer my question I don t have android or ios cell phone so I can t download your free app I had old model black berry.send answer on my email I d. I am 22 male Actually my problem is. when my body is at normal temperature or warm my nipples look like that there is air in them and right nipple look bigger than the other I can t take my shirt off infront of any other people but when their is cool breez going on or I felt cold they get small and tight please if there is cure tell me to get permanentaly small tight nipples.I can t take my shirt off at gym,beach or other places. Doctor: Thanks for asking in healthcaremagic forum The size of nipple varies from individual to individual though rudimentary in males. Like other skin it is sensitive to temperature and may react to it by pilorection causing tightening of skin. Please visit a doctor if you have gynaecomastia (enlargement of breast in males) for help. All the best. | 200,108 |
Suggest treatment for high BP with dizziness | Patient: I am 64 yrs old, 5foot 4inches and weigh 9 stone 4lb and i am female. I have been suffering with anxiety for about 5 weeks and this has caused high blood pressure and a high heart rate. Yesterday I started propranolol 10 mg 2 daily. I have been feeling a bit sick and a bit light headed is this normal. I am not very good at taking tablets and I must admit that these ones frighten me a bit as it seems as though they are difficult to come off. My heart rate has come down from 108 to 80 but the blood pressure seems high still. Doctor: Hi,Propranolol has heart rate lowering action and bp lowering effect is weak, so you need to have some more bp lowering medicine like Telmisartan or Amlodipine. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode | 22,407 |
What cause tight feeling with pain in right abdomen area? | Patient: i am experiencing a tight feeling with pain sometimes in my right side of my abdomenfirst in oct'11 had an ultra sound and was diagonised with trapped gasfeeling went away but is now back so had ct scan but was all normalcould it be related to liver problems? it is in that area Doctor: Hi,If ct scan of your abdomen is normal, then your liver should also be normal.That tightness can be due to gastritis. Try taking a course of antacids like omeprazole or pantaprazole tablets and see if that helps.If it does, then continue it for two weeks and avoid tea, coffee, soda drinks, spicy and fatty foods.Hope, i have been helpful.RegardsDr. Ashish Verma | 91,039 |
Suggest treatment for heart palpitations | Patient: hi dr.gopi i have been experiencing heart palpitations for a while now they are on and off and yesterday i have one which was pretty bad and i started shivering and felt nauseous and kept on having to urinate. My iron levels and all are fine but what should I do about my condition , i went for an ecg and they said i was fine,..but should i check with a cardiologist just in case? its very annoying. Doctor: Hello,I passed carefully through your questions and would explain that some skipped heart beats or palpitations are quite normal in every healthy individual during physical activity or emotional stress.Anyway, I would recommend performing some additional tests in order to exclude any possible cardiac arrhythmia or metabolic disorders:- A cardiac ultrasound to examine your heart function and structure- An ambulatory 24-48 hours ECG monitoring to investigate for any cardiac arrhythmia- Blood electrolytes for any possible imbalance- Thyroid hormone levels for possible thyroid dysfunctionYou should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka | 19,101 |
Suggest treatment for concussion, black eye and rib injury | Patient: Please yes, I had a very bad fall 4 weeks ago, landed on the front of my body, had a concussion, black eye and injured the ribs, stomach, and since then have not had a good bowel movement. I have passed a few hard small rock shaped pieces of stool. For the past 5 days I have taken Pure Max from CVS and till have not passed much. Tonight I feel so full and stressed in my stomach. I please need some help with this. I am also starting to have a fever tonight, finding it hard to lay down, causing pain in lower left side and fullness in stomach. What am I to do. Doctor: Hello, I have studied your case.pain in stomach with fever indicates abdominal or pelvis pathology.Various possibilities include appendix inflammation, gall bladder infection, to muscle strain or renal calculi.Possibility of sciatica can be ruled out by MRI spine.You may need X ray and Ultrasonography abdomen and pelvis.And also check your vit B12 and vit D3 level.Medication like methylcobalamine and analgesic will reduce pain.Hope this helps. Wish you a speedy recovery. Take care. | 136,181 |
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