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Suggest treatment for fungal infection between toes | Patient: I have been suffering from a fungal infection in between my 4th toe and the little toe on my left leg. I have used Terbicure ointment and now using keto -B .It has reduced.I wore shoes but unfortunately it has come back.Can you please advise what needs to be done.It's been there for nearly six months now. Doctor: Hi,To treat fungal infection of toes, local application of anti-fungal is not enough.Go for one course of oral anti-fungal medicine like Flucanoozole 150 mg once in a week for 4-6 weeks.Keep local part clean and dry.Clean the part dry after shower.Do not wear socks for few days or after removing socks keep inter digital spaces dry as wet part is god atmosphere to grow fungus.Ok and take care. | 36,437 |
How to improve the patient with affected kidney? | Patient: My brother is kidney patient.his left kidney is not visualised.and left side is paralised.And right kidney is effected.he is under dyalisis per week and one espogen10000 injection per week.Medicine rocaltrol 0.25mg,panD,Tide10,folic acid. His urine is not normaly.and he is not improve. Doctor: Hi, welcome to HCM.Looking to your brother's history, i as a nephrologist can fully understand your concern.It seems that your brother has kidney failure requiring dialysis.Dialysis is not a treatment for kidney failure. It is a supportive therapy. It is necessary to determine the cause of kidney failure and type of kidney failure - acute (reversible) or chronic(irreversible)Do basic urine report and sonography.Then discuss with your nephrologist regarding disease and further treatment plan.You can communicate with me further with detailed reports. I think this would be helpful to you.Best wishes. TC.Dr Jay Patel. | 47,596 |
High blood pressure, beta-blockers, ACE inhibitors, calcium channel blockers, palpitations | Patient: I am a 65 year old high blood pressure patient controlled with beta-blockers, ACE inhibitors, and calcium channel blockers. I have been getting constant palpitations for about 2 months. On my 3 visits to my doctor they had stopped and he declared the heart rate/ pulse OK. I was not palpitating when they did the ECG . ECG came back normal as did a raft of blood tests for thyroid , liver and kidney functions. I am still constantly palpitating however. There is no pain and I swim and gym regularly. I am not getting out of breath . What do I do next? Doctor: Hi, In case you are having intermittent palpitations , you might get 24 hour ECG monitoring i.e Holter test which give catch any intermittent rhythm disturbabces you might be having.Meanwhile also get yourself screened for anaemia . Hope it helps. | 118,476 |
Can missing doses of blood thinning medicine cause blockage of stent? | Patient: I underwent angioplasty and stent placement 6 months ago. Last week I was not able towalk long distances and had breathing trouble tired even for short distance. Doctor took angiogram and said I am having a block where the stent is placed. He also says I developed this because I didnt take blood thiing medicines for two days. Is it Ok. He says that I should ujndergo bypass. Is there any other way to get relief from this.I am 62 yrs,75Kg and heart patient .No diabetics,cholestrol. Doctor: Hi,This is Dr Sameer here.Blockage in stent has a lot of causes. Stopping medicine is one of them. But it does not occur in a day or two. It occurs over time.If blockage is significant (>70%), then it will need further management in the form of Angioplasty or Bypass. Exactly i can tell you if you can send me the angio report.ThanksTake care | 22,188 |
Suggest remedy for hemorrhoids with significant bleeding | Patient: Hi, I am suffering from Haemorrhids since last 6 months and there has been significant bleeding from them in teh last two days. Except this it has been going well and there was'nt any problem. Not sure as to whether I can attribute this problem to my food habits or it is something else that is aggravating this complication. Pelase suggest ways to reduce the pain. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of PAINFUL PILES, I would come up with following advice: 1. pressure on the bleeding piles for 10-15 minutes to stop bleeding; if do not respond, Inj./Tablet of Tranexemic acid / mafenemic acid2. lotion of povidone-iodine to prevent infection3. seitz-bath with chlorhexidine solution and lidocaine gel to relieve from pain!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | 115,380 |
What causes cold,cough and tiredness? | Patient: I started feeling Ike a cold or something coming on 10 days ago, I was extremely tired and a cough started by the 4th day. No running no or sneezing, I went to the doctor the 5th day and was told my lungs are clear and the cough would be the last to go. I feel tired and the cough comes in bouts, and is uncontrolable. Is this something that will subside on its own? Cough drops don't help much, I'm drinking so much water, I do anyway, but have upped it two fold. Doctor: HelloYou are feeling cold for 10 days with cough and tiredness ( 5th days).Cough syrup is not providing any relief.While lungs are clear .Such type of symptoms may be due to ,these possibilities, these include:1 Allergic bronchitis , as allergy produces bronchoconstriction and this produces cough .So instead of simple cough , you require bronchodilator syrup( like salbutamol or terbutalin ).2 Flu may be the next reason of such cough , tiredness . Get in physical examination by a physician .3 Septic pharyngitis ( sore throat ) may be the another reason. Diagnosis can be confirmed by physical examination by an ENT expert.However, there are also, so many other reasons of such symptoms but according to this history consult another physician and get his opinion (2nd ) ,because physical examination as well as clinical examination and history of illness is important.Good luck. | 35,722 |
Swelling in lungs with cough and sputum. I use inhalers | Patient: Hi, I am 24 F. I have breathing problem from last 10 years. there is swelling in lungs with cough and sputum problem. Initially I took different kind os medicines including styroid as well. but from last 2 years I am using inhalers only. Now i feel that inhalers are not too effective. i am lookinf for advice what to do now. Is there some permanent treatment available like surgery or something else? Suggest me some good hospital/ clinic in Delhi NCR? Doctor: hello..‘’. steroid and inhalers give symptomatic relief.. n there is no surgical procedures for curing asthma..along with allopathic medicines i will advice you to opt for homeopathy.. it will benifit u a lot.. it will help u in increasing the immunity n making ur lungs mores stronger.. as with the treatment the attacks of asthma will be reduced and finally total recovery will take place consult a homeopath.. ‘Wish you Good Health’. | 106,236 |
Suggest remedy for fluid build up in hips | Patient: I was in a scooter accident 2 days ago I was going about 55 to 60 miles an hour and hit a telephone pole I have a lot of fluid build up around my left hip all the was to the left side of my chest my chest is hurting very badly and I cant breath good what do I do Doctor: Hi,thanks for providing a brief history. You shouldnt ignore when the swelling dont come down for 2 day or more. Its always safety to get consulted and get checked for our life. which is precious. Please meet a physician and take xray of chest and pelvic to see any signs of fracture or such. Usually the swelling is a different pathophysiology than the fuild accumulation. Nothing harm in getting checked by the physician. I hope you will understand this.With the grace of god i wish you a good heatlh | 134,351 |
Stiffness in legs and feet, irregular bowel movements. Had taken tetanus shot, done tooth extraction. Cause and cure? | Patient: A an absessed tooth was extracted several days ago. The tooth was absessed for several years. I am feeling stiffness in my legs and feet when I arise in the morning. My bowel movements are not regular throughout the day. Is the tooth extraction or the tetanus the reason, and what can be done to relieve the symptoms? Doctor: Hello,Thanks for writing to us.Since the extracted tooth was associated with abscess for several years,the pus may have drained into GIT causing irregular bowel movements.Take complete course of antibiotics-analgesics prescribed by your dentist.The extraction socket has to be cleaned well with betadine solution.Take complete rest.Analgesics along with muscle relaxants has to be administered.Take care. | 188,954 |
What causes abdominal pain post a gallbladder removal surgery? | Patient: Yes my name is lorna just would like to know. I had gall bladder surgery four months ago. And i was ok til i broke out with a rash took a test for scabbies but turned out not to be that so my dr thinks i have a staph infection. And my stomach starting to hurt mornings im usually ok than by night i start hurting what should i do go to the hospital where i had the surgery done or what. My dr gave me strong antibotioc meds and cream. But they seem to be getting worse. Thank u. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have abdominal pain post a gallbladder removal surgery. Well there is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites . As you become more active the amount of pain medication needed should decrease quickly. It will go with time . I would suggest you to take ibuprofen or acetaminophen for pain and consult with your surgeon again if condition doesn't get better . Doctor will examine physically or order ultrasound to rule out any problem or infection and treat it accordingly .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 86,200 |
43 year old, having multifibroid uterus, normal ovary sizes. Will i be able to conceive? | Patient: Hi, my name is Nobesuthu and am 43 years. I have multifiboids uterus, the dominant is 5 x 5 cm fundal posterior fiboid displacing the endometrium anteriorly. Two small ones measuring about 1,5 cm and 2,3 cm are sited more inferiorly. Endometrium is of the uniform thickness although midly and maximum thickess 11,1 cm. Both ovaries are normal size, apperance and echogenicity, the lft ovary containing a functional 12 mm follicle. Will I be able to fall pregnant in this situation Doctor: Hi, Thanks for writing to us. In my opinion you should consult a gynaecologist for proper examination and test to see the treatment option for fibroid because you are in advanced age and fibroid is one of the cause for infertility. So first you take treatment for fibroid then only plan for pregnancy. Good luck. Take care. | 5,084 |
Can exposure to raw sewage cause staph infections? | Patient: can exposure to raw sewage in a home with faulty plumbing cause staff infections and other skin issues? I have also had to have surgery on my eye to scrape the tear duct due to repeat infections. I do have chron s disease and my immunity is compromised. Doctor: Thanks for your query at HCM!Yes it is possible that repeated exposure to raw sewage can cause Staphylococcus infection.Staphylococcus aureus is a gram-positive pathogen that causes a variety of diseases.Staphylococcus also are widespread in untreated water, raw milk and sewage.Yes it can cause variety of skin problems (folliculitis, cellulitis, etc)Practice hygiene, wear gloves to dispose sewage.Wash hands before handling leftovers and use clean utensils and surfaces.Practice "Handwashing" with soap water.Take care! | 36,589 |
Severe back pain and hard breathing with a pain in chest | Patient: for several months now i go back and forth with have severe lower back pain and constipation . usually if i dont watch what i eat it was happenin after a week or so. now recently ive been eating salads and watchin other things i eat. well i was felling great this last monday and tuesday and then on wendsday and thursday i did eatin some mozzerella sticks and fried potatoes and fish and no salad and by thursday night i was in severe back pain and hard breathing with pain in the middle of chest at bottom of rib cage. could this really be just constipation?? btw im a 30 year old female with no toher health problems. thanks Doctor: Hi, You need to take care of your diet to avoid constipation. Drink 2-3 liters of water, increase your fiber intake especially on days you include meat in your diet. Drink half liter warm water in the morning before breakfast for detoxification. You can try Bryonia 200 for your constipation associated with backache. Also consult a physiotherapist for strengthening exercises for your back. | 114,042 |
What causes chest pressure, dizziness and sharp pains in left upper shoulder? | Patient: I have been to the dr they don t seem to worrid but I have been getting this feeling in my chest like something is stuck and pressure like I was under water to long and dizziness and faintn but just for a second then sharp pains in my upper left shoulder Doctor: Thanks for your question on HCM.Your all symptoms are suggestive of cardiac cause. So we need to rule out this first.So get done ECG and 2 D Echo to rule out cardiac cause. If both are normal than we need to rule out pleurisy(inflammation of pleura) as shoulder pain , breathlessness and chest tightness can be seen in pleurisy.So get done chest x ray to rule out this.If this is also normal than no need to worry. Your symptoms are most probably due to anxiety. So better to avoid stress and tension. Keep calm and be relax. | 82,108 |
Done prostate biopsy, size normal, had questionable area, no urinary problem, elevated PSA, fPSA. Possibility of undetected infection other than cancer? | Patient: My 46 year old husband just had a prostate biopsy . Prostate was normal in size but a questionable area was found. No urinary problems, erectile problems or pain. PSA was 2.8 in 2009, 3.6 in 2011 and 5.4 in 2012. fPSA was tested last month and also 5.4. Because everything is normal other than increasing PSA and low fPSA, is it possible this could be an undetected infection other than cancer? We are so worried. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your husband has marginally high PSA (5.4)..The high PSA could be due infection of Prostate itself(Prostatitis).Prostate biopsy is the only confirmative test to confirm or rule out cancer of the prostate.If the prostate biopsy report does not reveal any positive finding suggesting cancer of the prostate you not need not worry at all.Dr.Patil. | 202,676 |
What is the treatment for an elevated SGPT? | Patient: resp. doctor, I'm a defense force candidate, recently i was tested for elevated SGPT(64), i was also suffering from constipation at that time. so it was due to tHAT OR WAT ? also can i reduce it in 1-2 days to below 40 ? I'm taking urcosol and evion tablets. Doctor: Hello. I d' like to begin by the end. You say in one or two days but it's a small period, so you have to wait a little more and I recomend to repeat the liver transaminases one month after. As for the constipation I don't think it was the "culprit". I agree with your treatment but I'd want to know if you have excluded before the viral causes like hepatitis B and C (markers) at least and what about your wheight (as a defense force candidate I suppose o.k) . Anywhere you can keep on with the treatment and reevaluate after one month as I said. We can speek again after. | 55,247 |
What is the non tender, vascular looking bruised area on the upper palate? | Patient: BUISED AREA ON UPPER PALATE APPEARED ON 8YO HEALTHY BOY.NONTENDER.VASCULAR LOOKING.NOT SURE HOW LONG PRESENT,BUT HAVE BEEN MONITORER FOR ABOUT A MONTH NOW WITH NO CHANGE.ORAL SURGEON WANTS TO CONTINUE TO MONITOR IT FOR 2 MORE MONTHS. NOT SURE WAITING 2 MORE MONTHS IS GOOD.WHAT COULD IT BE? Doctor: Hello:)Welcome to HCM.As you mentioned there is no increase in size or not tender, it seems to be a benign hemangioma lesion.You did not mention if another lesion is present on his body elsewhere.However, a complete clinical examination is necessary for diagnosis.I advice you to trust your surgeon and wait to monitor the lesion.You can be worried if you see any change in the appearance,size texture or any pain associated.Regards. | 185,903 |
Does taking Salmedrol be effective for Asthma exacerbation? | Patient: I have been hospitalize for 8 days for asthma exacerbation. Doctors gave me 320 mg of salmedrol. Its been about 6 weeks. I have oily dark urine, still have asthma issues, and constantly fatigued. I received a letter from my primary doctor to have my WBC checked again since it was high. Doctor: Hello,It will work for bronchial asthma. But it is a corticosteroid have plenty of side-effects. It may cause hypertension, elevated blood sugar levels or peptic ulcer disease or Cushing's syndrome and prone to infections etc. Consult with your doctor for follow up he will check for above side-effects and treat you accordingly.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 | 83,803 |
Is having tiny gall bladder a cause for worry? | Patient: After an ultra sound test, the technician said my gall bladder was tiny. So I asked her what does that mean and she said it meant my gall bladder was not working. I has a Hita scan and they said that my gall bladder was very small and they could not see it so they gave me morphine to try to jolt the gall bladder so they could see it. That did not work so they said there was no point in continuing the test. Then I had a endoscopy and the doctor said my stomach was fine and I had no gall stones. I knew I did not have gall stones but something is wrong and I don t know what to do next. Can a person have a tiny gall bladder and be fine, nothing to worry about? Doctor: Hi, dearI have gone through your question. I can understand your concern. If you don't have any symptoms then no need to worry. Tiny gall bladder may not cause any problems. If you have any symptoms related to gall bladder then you should go for removal of gall bladder. Person can live normal life without gall bladder also. So don't worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 56,458 |
Liver function test, SGOT at 38, SGPT at 43, normal or high level ? | Patient: my liver function test shows my sgot at 38 and my sgpt at 43 is this normal range or high Doctor: ,This is a normal range for all practical purpose.Of course these readings are at one extreme of normal range but it has no abnormal relevance. | 57,480 |
Had a VATS RUL lobectomy. Was a cancerous tumour. Report says grade 2, macrophages in the air spaces and emphysema. Lung cancer? | Patient: HiI had a VATS RUL lobectomy in August. I just found out is was a cancerous tumour. What is the difference between small cell and large cell lung cancer? The report says it s a grade 2, well differentiated. About 7 cm in size. Solitary.Also states: scattered pigmented macrophages in the air spaces and emphysema. What does all this mean in terms of survival and reoccurence? Thank you, Coleen Doctor: First of all, you did not mention whether you had small cell cancer or not. Both have different treatment algorithms and outcomes. Small cell is generally more aggressive. Also, i would like to know if they removed the nodes or not and if they were involved by tumor or not (this would be in the biopsy report). If they were removed and are negative and the margins of resection are negative for tumor (this would mean that the tumor has been completely removed) then you would be in the 2nd stage (stage IIA technically but high risk due to large tumor size). So, i would recommend that you get further chemotherapy to decrease your chances of recurrence. The prognosis is good and you have a 70% chance of being cured. | 157,879 |
What caused recurring rash on both legs of my child? | Patient: My 9 year old has a recurring rash on both legs, front and back, with some itchiness. He was given an antibiotic, which he finished, but rash came back same day he finished antibiotic. Any ideas? The antibiotic did have a warning about being in the sun. He has been outside to play. Doctor: HIWell come to HCMThis could be hypersensitive reaction, you have not mentioned which antibiotic being given, because the rash could be due to that only, in my opinion this can be treated with Levocetrizine liquid the dose need to be adjusted according to weight, hope this information helps. | 14,609 |
What causes sneezing and itching? | Patient: hi...from past many days i am suffering from sneezing & itching in the morning or during night...this disorder doensnt occur every day,may be in the month of 10-15 times in a month..consulted local doctor but they say that its a seasonal allergy which is due to polen in the air...whenever i smell some body spray perfume or some smoke in the form of agarbathi i get sneeze.during sneezing my body get week...kindly suggest me what should i do... Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to Allergic rhino-tracheo-bronchitis.Presented with similar complaints, I usually treat my patients with:1. Tablet Allegra 60 mg twice a day or Tablet Levocetrizine 10 mg in the evening.2. Tablet Montelukast 10 mg in the evening.3. Asthalin inhaler (if there is associated breathing difficulty).4. Voice rest- avoid talking in loud voice & for a long time.5. Stay protected from exposure to cold, dust & other allergens.6. Steam inhalation.7. Avoid smoking, cold food & drinks, maintain adequate hydration & take soft, non-spicy foods.There is no need to worry, you will be fine.Wishing you a Good Health.Take care. | 101,606 |
Are mood swings, tiredness and irritation stress related? | Patient: I am a 32 yr old female, experiencing a bit of stress. I am mostly concern about feeling extremely tired even tho' I sleep at least 8 hrs per day I still feel tired throughout the day, also I've been getting mood swings and I become easily irritated or sad. Wondering if it's all just stress related? Doctor: hithanks for using healthcare magicI think u r in depression. Easy fatiguability, irritability, low mood, excessive sleep, etc all are symptoms of depression. U need some antidepressant that would help u. Consult a psychiatrist and discuss ur issue with psychiatrist. According to ur severity of disorder, u can get treatment. U can also do some relaxation exercise, that would help u to stay calm.Thanks | 211,069 |
Suggest remedy for loose motions | Patient: My girl who is two years 9 months old has throat infection and I am Giving her augmentin twice daily as prescribed by doc along with melosprum and Adol. today is the third day and she has pooped 6 times as in loose motion. I have not given her any other medicine. Please suggest Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Diarrhea is a common side effect of Augmentin. So I would first think of diarrhea due to the antibiotic.2. It usually subsides by itself after discontinuation of the antibiotic so usually it is not a serious thing.3. Please give your daughter plenty of oral fluids including ORS, coconut water, buttermilk, rice water, etc. This will prevent dehydration.4. I usually prescribe my such patients probiotics for 5-7 days which may improve antibiotic relater diarrhea.5. Please do not discontinue Augmentin by yourself for the fear of diarrhea. Please consult your doctor to report the side effect.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health ahead.Thank you & Regards. | 177,290 |
Suggest remedy for fever and round shaped red spot on the neck | Patient: Our 5 month old had a fever for 2 days, and then developed a round red spot with a raised center that was filled with puss in the nape of her neck, the size of a silver penny (under her hairline). She also developed two smaller pimple sized spots in the back of her neck but which dried up and went away. We have been treating it with topical antibiotic. Is this something we need to seek medical advice to for? Doctor: Hi...Thank you for consulting in Health Care magic. 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. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | 169,555 |
Light burning sensation in gall bladder area. Mild fatty liver. sgpt/alt 91 and sgot/alt60. History of gallbladder removal. Help | Patient: Sir, my sgpt/alt-91 & sgot/alt-60 and nearly same range was one year ago. Recent Lipid profile test is showing total cholesterol-223 & TG-190 . My Gall bladder has been removed in Feb2012' . Now i am feeling light burning sensation or mild pain from Gall bladder area. USG is showing my lever is mild fatty . I am non alcoholic & non smoker . Pls advise how to reduce my sgpt & sgot level . Doctor: Hi,Thanks for posting your query.Are you an alcoholic?With the available described symptoms, there could be possibility of non alcoholic fatty liver disease (NAFLD) and untreated case may lead to non alcoholic steatohepatitis and cirrhosis.You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.You should go for complete blood count, liver biopsy, HbsAg, Anti-HCV.Meanwhile, you should take low fat diet along with brisk exercises.You should take Ursodeoxycholic acid, vitamin E and statins.Statins also helps you in controlling deranged lipid profile.Take care,Dr. Mayank Bhargava | 59,044 |
Suffering from wheat allergy rash on hands, arms. Taking antihistamine tablets, cream. How long will it take to cure? | Patient: Hello. I have what I believe to be a wheat allergy rash on my hands and arms. I have antihystamine tabs and cream for it, but wondered how long before it starts recovering. I first noticed it about 5 days ago but paid it little heed until it got worse. I started treating it today 6 july. Is there anything else I should be doing to aid recovery? Thank you. Doctor: Hello, True wheat allergy is rare, whereas wheat intolerance is quite common. Allergic rash secondary to wheat allergy is unusual, and this might be a coincidence. You are more likley to have idiopathic urticaria that might get worse after eating certain foods and long-acting antihistamines for 4-6 weeks is recommended. If you continue to have itchy rashes, continue for 3 months. Fexofenadine 180mg/90mg and/or cetirizine 10mg is standard treatment options. I hope that was useful. | 105,510 |
How to treat Parenthesis associated with mild tinnitus? | Patient: I get full body paresthesia when lying down after around 45 minutes. Mainly during sleep. It wakes me up at around 4 in the morning. It goes almost instantly when I get up. The paresthesia can be removed from a part of the body - say the torso - by rubbing it. It then increases it in other parts of the body. I can progressively isolate it simply to the hands, Rubbing the hands together will remove it altogether for around 5 to 10 seconds but then returns usually back to the hands but sometimes back to other areas of the body. It cannot be removed totally without getting up. It s often accompanied with mild tinnitus which also only occurs when lying flat. Have spoken with 3 GPs a cardiac specialist (referred by a GP) and no one has a clue of the cause. I say paresthesia but there is no pain, no numbness - just a sort of high speed vibration and warmth inside the limbs. Doctor: Hello!Thank you for asking on HCM!Your symptoms seem to be caused by anxiety or a neurological disorder. I recommend you to consult with a neurologist for a careful physical examination. A nerve conduction study may be necessary to exclude a possible neuropathy with liability to pressure palsies. Although this disorder would cause pain and numbness (which you don't refer to experience).Thyroid hormone levels may be necessary to exclude a possible thyroid dysfunction, which can cause similar symptoms. Hope to have been helpful!Greetings! Dr. Iliri | 27,464 |
What is the life expectancy of a patient with NSCLC apread to lymph glands? | Patient: hi my mum has been diagnosed with primary nsclc, and secondary tumour in her spine, and it has spread to her lymph glands. she has been taken to hospital and now has pneumonia, she is very weak, she is losing weight very quickly and has been on build up drinks for 4 weeks which are not helping. she has had a second dose of oral chemotherapy, no one seems to want to give us a prognosis, we want someone to just say how long we possibly may have left with mum Doctor: Hi,Thanks for writing in.Since your mother has been diagnosed as NSCLC with lymphnodes and secondary to the spine, this is stage 4 cancer. Unfortunately stage 4 NSCLC carries an extended survival of 2 years and eve n with most aggressive therapy, few patients outlive this period of survival.There are also other problems like pneumonia, weakness, loss of appetite and the stress of chemotherapy which is affecting her general condition.Cancer chemotherapy must continue till the end with adequate care of pain relief measures. She should be given high protein liquid diets of her choice at regular intervals to help maintain her energy balance. During chemotherapy, there is a lot of destruction of the cancer cells and these circulate in the blood leading to further weakness. With expected respnse to chemotherapy and good support, her survuval might be ectended to 6 months to over a year. Please do not worry. | 154,247 |
Suggest treatment for swollen feet and ankles | Patient: I am experiencing unexplained swelling in my feet and ankles. I have taken metabolic comprehensive tests and all are normal, nothing flagged, unrinalysis is normal, CBC normal. Blood pressure good and am at good weight and active. Yet feet swelling seems to come and go, does not necessarily improve with elevation. I am 56 but a Personal Trainer and in good shape. I am perplexed as to why I am starting to experience this? Doctor: Hello, It is necessary performing a cardiac ultrasound and checking NT prob BNP levels in order to exclude possible heart failure. I would also advice performing a Doppler ultrasound of the leg vessels in order to exclude possible chronic vein insufficiency. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka | 119,676 |
Is pregnancy possible while on birth control pill? | Patient: Hi! Respected Sir/Ma;am, Just i have query!!!! If i had unprotected sex, on the same night she is taking birth controll pill.... does this pill help to controll pregrant and do family planning. And!!! What it the Frequency for taking bill. Please help Regards, Doctor: birth control pills provide good contraception,if taken regularly..on time...from 5th day of period...every 24hrs u have to take your pill...u can have unprotected intercourse if u take pills regularly... | 223,413 |
Suggest treatment for spots on liver | Patient: Three years ago I was diagnosed with a very small carcinoid tumor which was found accidentally near the end of my small intestine duriing a colonoscopy. Sugery was reccommended, but I passed. About three weeks ago I had a very bad cold, and a little sinus infection. After the cold got better I noticed a dull aching pain on my right side under my ribcage. I had a ct scan a couple of days ago and the radiologist said they saw some spots on my liver. I am a 60 year old black female. I have no carcinoid syndrome symptons, in general good health, and feels good most of the time. I am on a very low dose of Lotrel for high blood pressure, and 50,000 mg of Vitamine D. I supplement with garlic with parsley seed oil gel caps for my hot flashes (menopause). Over the last couple of years I started to develope small bumps (boils) around my genitile area that would develop one after the other and get really sore and then errupt and heal. I seem to have solved that problem with daily doses of 1000 mg of vitamine C and alcohol rubs. Could all of these issues be related? Right now I am mostly concerned with the spots on my liver. I am due to see an oncologist later this month. Any idea as to what I can expect? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.In most cases these spots are benign growths such as cysts or hemangiomas. Hemangioma is very small and this cant cause such symptoms unless larger than 10cm. You should do MRI scan or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma . This abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I dont think this is causing any symptoms.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. | 52,874 |
What causes leg ache and backache along with discoloration on the legs? | Patient: Hi, my granddaughter is 14, she complains with her legs hurting, sometimes her back. When shes up on her feet for an hour or more her feet get a deep red color, almost purple. She said they don t feel hot to her. Any ideas? Email is YYYY@YYYY Doctor: Hello, I suspect venous return impaired . I will recommend color doppler study of blood vessels of leg . She must also be assessed for varicose veins . Hope I have answered your query. Let me know if I can assist you further. | 162,512 |
What does severe backache on the left side indicate? | Patient: Hello! I started having sharp pain on the left side of my back. I have tried icy hot , a hot shower and a heating pad. I have also been urinating more, but I am a diabetic type 2. Should I be concerned about a kidney infection or is it just possible muscle pain. I don t recall pulling anything but have been doing an execive amount of cleaning. Thank you Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.Common Causes of Lower Left Back Pain:-1.Bulging or herniated discs.2.Muscle spasms.3.Pulled back muscle.4.Muscle imbalances.5.Muscle strain, injury or trauma to the back muscles, ligaments or joints.6.Trigger points.7.Stress / Negative emotions.If lower left back pain is particularly severe, it may be an indication of a herniated or ruptured disc, or sciatica.Recommended Treatments for Lower Left Side Back Pain:-1.Muscle Balance Therapy.2.Massage Therapy.3.Trigger Point Therapy.4.Inversion / Decompression Therapy.5.Acupuncture / Acupressure.6.Use a Back Support or Cushion.7Relaxation, Meditation.8.Dietary improvements (ie. reducing foods that cause inflammation like dairy, wheat / gluten, sugar, nightshades).9.Drink more clean, filtered water.Left Side Back Pain Prevention:-1. While walking and sitting, keep a relatively upright posture2. When lifting objects (heavy or light), always lift with the legs-never bend from the waist3 .Exercise; focus on working out the muscles in the core (abdomen and back)4. Daily Stretching. Hope i was helpful.Have a healthy day. | 106,967 |
Suggest treatment for BPD | Patient: Hi, I am 29 years old and my girl friend is 30 years old we have been in the relationship for the past five. I stay in hyderabad and she stays in delhi. We have a strong bonding for over 4 years. In April 2010, her father got paralysis attack and she started getting deviated from the relationship. She is a very simple and commited girl. She used to be shy in the beginnng and later on over years her emtional attachement towards me grew very much (We dont have any physical relationship). We were just waiting to get married, her dad s health condition changed her alot. She has lots of changes in her character. Now when everything is set for the marrriage she says she can no more think of our relation. We never had a fight or an argument over all these years. She used to be very supporting and she used to pray god to get married with me. Her behavior and attitude towards her friends also changed. I think she has BPD, can some help us out .... Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The description you gave about your girl friend is not at all assisting us to diagnose her problem. You noted that her father is paralyzed and undergoing continuous treatment and she is assisting her. Continuous assistance to a paralyzed person could change her view about her life and future. You should talk to her regarding this in detail. Appraising her about the change in her behavior patterns could help her much. If need be, consult a psychologist and provide counseling to her. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 206,248 |
What are the chances of pregnany post intercourse without penetration? | Patient: Hi my name is Tiffany and I had unprotected sex twice with 2 different guys one on the 4 and the other on 11 but none of them nutted in me they both pulled out so the question is there a possibility that I can still get pregnant cause my calendar says I'm 4 days late but I always had a irregular menstrual Doctor: Hi.Pulling out just before ejaculation also called the withdrawal method is the least effect method of contraception with the highest failure rate of 50%. Considering that statistic, I would say there is a chance you could be pregnant, especially if you have never been late on a cycle before.But, sexual intercourse itself can sometimes be a trigger to bring on an early period, or even cause a delay in one. So go ahead with a home pregnancy test using an early morning urine sample for a more conclusive answer.Best wishes. | 219,019 |
What to do for the lump in the throat? | Patient: my friend who is 19 has a lump on her bottom right side of her throat that you can see when she opens her mouth. it looks yellow and has puss coming out of it that she keeps spitting out. it is hurting her and it hurts her to eat. she does smoke but hasnt been since getting this lump Doctor: hi dear thanks for the query on HCMshe needs to visit a surgeon / ent specialist who will do a clinical check up, may suggest a ultrasound of the region and get a biopsy(fnac) of the lump , there by getting a diagnosis and treating the lump thank you | 65,438 |
Suggest treatment for severe knee pain after child birth | Patient: I am 22 years old. As of last monday I weighed 256lbs and I am 5foot 6inches. I am 1month post pardum from my unplanned C-section for my 7lb little girl. I have been having extreme knee pain. Is this normal? When should I be concerned? It hurts even to sit. I do exercise and I push the baby in her stroller for walks when the weather is nice. It has been raining so hard here the last few days I haven t been able to walk. Please help I am some pretty severe pain and I don t know what to do. Doctor: Hi,Noted the history about a patient who had C-Section one month ago and now have severe pain in knee joint.The knee joint pain could have been due to local causes in knee joint and structures around it.Hence I would advise you the following :Take an anti-inflammatory like Ibuprofen if it suits you.Consult an Orthopedic Surgeon for clinical examination and evaluation.Relevant tests of blood.MRI of the affected knee joint will give an appropriate diagnosis.This will allow the proper management as per the cause found.Till then take rest.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon | 122,233 |
Suggest treatment for edema | Patient: I m in Nepal for the next six months on a research grant. The trip here from the US involves a 16-hour plane ride, which often makes my ankles swell terribly. This time, I wore light compression socks which helped tremendously - my ankles swelled only slightly. But since I arrived here a month ago, my ankles and feet are usually swollen most of the day, and at nght. And I ve developed carpal tunnel syndrome (diagnosed at a Western clinic here) for which I m wearing an arm brace at night. The doctor didn t seem to think the ankle-swelling was serious or related. I ve been walking more than I usually do in the US, and the food here is quite salty. But this hasn t been a problem in the past. I m 45, female, not menopausal, bp 112/65, weight 114lbs, height 5ft 3in. I don t take any medications; I do take 400mg vit E daily, 1200 mg Evening Primrose Oil, and a fish oil supplement. I have no allergies, my cholesterol levels are enviable, according to my home doctor. Any ideas about the edema and how I can remedy it? Thank you -- Doctor: Hello, Swelling of the foot after a long sitting position is usually associated with a cardiac pathology. In my clinic, I advise this type of cases to do a echocardiography and then follow up with a cardiologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tanmoy Roy, General & Family Physician | 125,684 |
Adult having 18 teeth, abscessed, rotten teeth, pain, fever on right side, yellow snott. Advise? | Patient: What can you tell me about someone who at the age of 24 has a total of 18 teeth, 7 of them they pulled in his eighth grade year that never grew back and were acclaimed to betheir baby teeth, all accept the front bottom for are either rotted almost to the gum and even past it on some, a front right abscessed tooth where it seems to have just started to build up in the roof of their mouth in a Knott that is obviously painful and possibl fever on right side of head, yellow "snott" ? honestly honestly honestly because they had a childhood where they weren't taught to brush correctly or everyday u have to know that fact also Doctor: Hi, Thanks for writing, To be frank the hygiene of the mouth is to be graded as poor. This requires an immediate visit to the dentist. Full mouth clinical examination and X-rays have to be taken. First, i want you to know, that teeth can be saved even if they are decayed. There are many procedures which you will be guided to, by your dentist. Second, the infections arising from teeth are immediate concern and have to be treated by a course of antibiotics which your dentist will prescribe. They can even lead to major complications if not looked after on time. Third, as you told in your history some teeth never grew back, they might have been impacted in the bone. If teeth dont erupt on their own, they have to be surgically removed. If not, in some cases they might cause other complications and even develop cysts around themselves. Finally i would like to tell you that an early visit to the dentist can restore the whole dentition for the patient. Present teeth can be saved and crowned, infections cured and missing teeth replaced, to give a whole new set of shining white teeth. Its never too late. Stay healthy, Dr. Tarush Thakur | 189,277 |
What causes skipped heart beat with high blood pressure? | Patient: Hi, may I answer your health queries right now ? Please type your query here... I went to the doctor because of skipped heart beats, only lasting a second, which causes me to cough. Just didn't feel right. At the office my blood pressure was 169/92 which is 50 pts up for me, ekg turned out ok. He did chest xray and blood work. Waiting for results and appt. for echocardiogram. Heart feels like it beats a lot stronger. Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that these skipped heart beats could be related to a cardiac arrhythmia. For this reason, I would recommend performing further tests: - a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged period of time- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible imbalance. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Iliri | 19,403 |
What are the chances of heart attack after a triple bypass surgery? | Patient: What are the symptoms of a heart attack? I had a triple bypass done on February 21st of this year. Today, I have lots of sweating, my jaw was in severe pain for 2 or 3 minutes, and when I sat in a chair at an office this afternoon, my heart was beating so hard it was moving the back of the chair. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your all symptoms are classical of angina or heart failure. Jaw pain, sweating, palpitations etc are symptoms of heart attack (angina). Since you recently had bypass surgery, possibility of blockage in new coronary arteries is more. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test (trade mill test) 5. Coronary angiography (if required). So don't wait at home, your symptoms are suggestive of heart attack and this needs immediate action. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 25,033 |
Could swelling in lower neck be related to FNAC report suggesting tuberculosis? | Patient: I have noticed swelling on the right side of lower neck around 15-20 days back. The FNAC report is strongly suggestive of Tuberculosis. Can you please let me know if I can start the treatment? I need to know when the treatment starts, how can I come to know that I am relieved from TB and when my nodes will heal? Also let me know the precautions to be taken and how can I start my treatment. Whether this is infectious? And what are the reasons for this disease. Doctor: Thanks for your query at HCM!According to me you are suffering from tubercular lymphadenitis infection. As your FNAC report also suggest the same. Absolutely it is high time you start the treatment with first line anti-tubercular drugs isoniazid, rifampicin, ethambutol and pyrazinamide with pryridoxine. You may get registered if centers for treatment if provided in your country like DOTS in India where you get free treatment. You might have to undertake repeated aspirations for swelling if it persists and send sample for ZN staining and culture for AFB and sensitivity test for the same. There are special tests like Hains which can be ordered at that time for genotypic testing from aspirate.Yes this is infectious you need to take precautions and follow hygiene practices. After 2 weeks post treatment you will become non-infective. The reasons for the disease is living with a person suffering with TB or you may have contracted it through coughing by infected people who commonly move in public places. Sometimes latent TB gets activated with declining immunity. It is curative, so don't worry. strictly adhere to treatment of long duration to avoid emergence of drugs resistant mutants which can complicate your case and life-threatening.Take care. | 36,689 |
What home-remedies can be used to treat liver problems ? How can severe back pain and chest pains be treated ? | Patient: Hello Doc, Please provide me a home remedy to my possible liver problem. Currently I feel severe back and chest pain and some node pain too. i feel some moving force in my legs. here are my blood test result: total cholestorol 243 mg/dl, ldl cholesterol 142, triglycerides266, liver profile: sgpt 65, sgot 48, ggt 117 . thanks and GOD BLESS U!!! Doctor: Your liver function tests, although only marginally elevated, should not be ignored. It is advisable to stop thinking about home remedy and consult your family doctor for further evaluation of your problems. | 60,293 |
Suggest treatment for spondylosis | Patient: Have had blood tests and xrays and so far the only thing that shows up is spondylosis. Extreme tiredness during the day and falling asleep, and wide awake at night. One leg and foot swelling....hair loss for several years.....aches and pains and like a biting all over the body.....arms and legs hurt and having hard time getting from laying or sitting position to standing and walking. Bottom and tops of feet hurt...RA ruled out... Doctor: HiU seem to b having some sort of vitamin or calcium deficiency Spondylosis is nothing to worry bout Take some multi vitamin or calcium tablets. .add some exercise Take care | 135,556 |
Suggest medication for disturbed sleep after taking antibiotics for abscess | Patient: I had a hysterectomy in February and last monday I had an abscess burst inside of me. It was on the other side of my "cuff". Most or maybe all of the puss drained out of me and my ob/gyn put me on Flagyl and pain meds. She also gave me a shot of a strong antibiotic into my hip at her office (I do not remember the name of it). I started the antibiotics on Tuesday evening and I am now feeling even more so drained with trouble sleeping & really bad nightmares that wake me. Could I have an infection? Doctor: hiwelcome to HCM I had gone through your history and can understand your concern.u had underwent hysterectomy, it is a major operation , you have to take strong iv antibiotics.As you are operated there will be hormonal changes, heamatophysiological changes and emotional disturbances. that is the reason for your sleeplesnes. so dont worry , keep continuing your antibiotic course.Take proper rest,ask your doctor for hormonal tabletsThank youTake care | 30,548 |
Does Ayurvedic medicine helps in relieving the pain in the chest? | Patient: thank u,i am a heart patient on a waiting list for a bypass surgery n i am a diabetic too.i want to heal myself in a natural way,i am actually using ayurveda arjuna powder,extranase n emanzen forte together but i still have rugular chest angina with a single effort. Doctor: hello sir,chest pain will varies on the level of coronary artery block (main vessel or peripheral vessel) and ishaemic changes in the heart muscles (myocardium).if the blood supply to area affected,then pain will occur.ayurvedic medicine will help up in heart disease depends upon the disease severity and your diabetes also should be within control.you should consult your ayurvedic specialist to reassess your medication for your complaint. because assessing a pain(severity) cant be done in a single visit.depends on your feedback and assessing your severity medication can change or increase.thank youHope i answered your query. | 97,552 |
Suggest home remedies for constipation in a child | Patient: hi, my son is of 2 and half years. he is not doing the motion freely. 1 month back he had not gone to motion for almost 1 week then we consult the doctor and given some medicine. It came properly, but now from day before day he is going to motion.. can anybody suggest some home medicines or any good advices???? Doctor: Give him a 'The supreme medicine'!! Mix 200 gm of honey, 100 gm of cow ghee & 50 ml of sesame oil in a mixer & start giving him 1 tsf at night. | 214,471 |
Shrunken liver due to alcohol, kidney failure. Given injection. Dialysis recommended. Treatment options? | Patient: hi My Father is 66 years old. He was used to drink liquor . Now his lever got shrunken. Also while testing his creatine level is 2.9. Now the doctors are telling that we are going to wait for a day. And they injected one medicine. If he got improved then no need to worry about anything. Otherwise we should take dialysis . Is it correct way? Please here we can not get the understandable information... Also What about my father condition, tell frankly... Doctor: Dear Ram, From your description it looks like he is suffering from hepatorenal syndrome(HRS), which a kidney failure secondary to severe liver disease. (Although there can be other causes for renal failure such as infection) If it is HRS, then the kidneys are unlikely to recover till the liver improves or if a liver transplant happens. Most likely he is receiving terlipressin injections, if he fails to respond to it, dialysis will be needed as supportive care. He may improve his kidney function if it is due to some other cause rather than the liver. Regards | 51,291 |
Is it safe to take Clarimythocin for bronchitis? | Patient: hi- I am taking clarimythocin because of bronchitis and yesterday I started having major discomfort in my vaginal area i couldnt sit comfortably and then came the burning when i urinate. It isill very painful and it comes- and goes,but VERY painful . Is this a side affect of the med? Doctor: HelloPain during urination is most likely not related to clarithromycin side effect.Pain may be due to urinary tract infection(UTI).Besides clinical evaluation,you may may need routine hemogram,random blood sugar,urine RE/ME and culture/sensitivity.You may need to take specific antibiotics depending upon culture and sensitivity report.You can continue antibiotics for bronchitis.You may also need antispasmodic drugs.Get well soon.Take CareDr.Indu Bhushan | 77,891 |
How do i get rid of gall stones? | Patient: Hii I m 29 yrs.... I m having gallstones of 22mm.... but yet I dint felt any symptoms other than indigestion ( not always, sometimes) I am taking ayurvedic treatment... the stone is too big.... vl it b cured.... should I go for surgery or stick to ayurvedic medicine...I want to plan my pregnancy now Doctor: Hi, I understand your concern.I see similar problems many times in my clinic. And I always try to get more dipper with examination, particularly if patient planing a pregnancy.Gallstone disease during pregnancy may escalate attacks of colic and can lead to surgical treatment during pregnancy, that's why such question have to be discussed together with your gynecologist.Usually I recommend to make a laparoscopic cholecystectomy, then follow a special diet during whole pregnancy.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. | 57,573 |
What is the treatment for stress and depression? | Patient: I seem to cry an awful lot. Sometimes I ll just cry every day and night for no reason at all, or the slightest thing will make me upset. I m only 16 so I guess some of it could be hormones but surely it shouldn t be this regular? I m worried, what can I do? Doctor: Hi dearit can be due to depression and stress. Need to evaluate properly. Low and sad mood is the key symptoms of depression. It can be treated with medicine like combination of SSRI and benzodiazapine. In SSRI sertraline/ escitalopram will be useful.but before it you will require proper evaluation and diagnosis. So consult and get help. Still if you have a query then feel free to ask. Happy to help you. Thank you. | 207,316 |
How can leg pain that is not relieved by gabapentin relieved? | Patient: I just got through reading the article on how to treat neuropathy, the article say how to take care of your feet, all common sense answers, but it does not say how to treat the leg pains, etc. . . . how do you treat leg and other pain, I take 300 mg gabapentin, a most useless product, There are almost daily ads from DC;s what it that they claim to do, I do not trust DC s only MD s, Gus Real YYYY@YYYY Doctor: HIThank for asking to HCMAs long as the question of mode of action of analgesic is concern all the analgesic have a more or less same mode of action from mild moderate to potent, the best way to deal with pain is to bear it till the last last moment of it plateau, then the intensity of pain start declining gradually and that is the called real and physiological analgesic affect, of course it is bit difficult and may take longer than enough time but gives excellent and long standing result, have nice day. | 148,786 |
What ointment should be applied for an infant suffering from rashes on face ? | Patient: Hello doctor I have a girl baby nd she s two months old she s fine but frm last weak i find some rashes on her cheeks nd eyes so i went to a doctor she gave atogla rash cream i applied that ngt but my daughter started crying nd she did nt allow me to put that cream futher y did she do that wil it itches her a lot pls pefer some other cream thatbwil make my baby soon free frm rashes Doctor: hi, u can visit the doctor again or a skin specialist for the rashes, it might be simple heat rashes and specially mention that she is sensitive to atogla lotion. u can ask for mild steroid lotion/ cream after confirming from a doctor and for the eyes you can check with an ophthalmologist the cause of redness, whether allergic or infective as the treatment schedule is different according to the cause. take care | 16,379 |
Is a sunken fontanelles in a 2 month old a concern? | Patient: my two month olds frontal is sunken in and it’s been for a couple days. She doesnt seem like anything is wrong . tears come out when she cries , her pee doesn’t smell , her poops are regular .. she only eats 4oz every two hours she won’t eat more I’ve tried .. even tried smaller feedings more frequently.. she sleeps from 30 mins to 4.5 hours nothing longer .. she’s still a happy baby I’m just unsure if I should bring her to the hospital or not .. she doesn’t have a fever . and only wears a shortsleeve onsie at home Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Closure of the anterior (front) fontanel usually occurs between 4 and 26 months of age. Was she a premature baby? In preemies the closure of the anterior fontanel is delayed. A slight depression may be present for a time after the anterior fontanel closes. A sunken anterior fontanel is an important sign of dehydration in infants. Should she have a sunken fontanel, then she needs to be seen by a doctor right away. Premature babies usually feed every 2 hours, but a full-term infant has a large enough stomach to take enough milk to feed every 3-4 hours. Two months of age is a regular time to have a well-baby examination. I recommend that you make an appointment with her regular health care provider as soon as possible for her check-up. The provider will check her weight and speak to you about her feedings at that time. I hope this is helpful to you. Please return if you have additional questions. | 162,524 |
Suggest treatment for painful abscess between buttocks | Patient: I got diagnosed with an abcess on my buttcrack and was given antibiotics, it has now became a pimple and is slowly draining should I go to the hospital again or try and pop it more its still causing an extreme amount of pain I cant sit for a long period of time? Doctor: Hi,Now what requires is proper dressing after removing pus form the wound with antibiotic cream or with gauze pack with antibiotic lotion.Complete the course of antibiotic medicine.Gradually wound will be healed up.Ok and take care. | 36,604 |
What causes constant dull pain in my chest? | Patient: for the past two days I have had a dull pain in my chest straight through to my back. It hurts when I cough, take a deep breathe and last night when I was swallowing. It is hard for me to sleep on my right side, I feel like I can t breathe well turned that way. I had swelling and pain in my leg on Thursday but since then it has gone down. Doctor: Thanks for your question on HCM.In my opinion you should first rule out cardiac cause for your chest pain and chest heaviness.So get done ECG to rule out cardiac cause.If ECG is normal than no need to worry much for cardiac cause.Since you are having more pain on right side and worsening on lying down on same side, pleurisy can be the cause.So get done chest x ray to rule out possible causes of pleurisy like pneumonia, pleural effusion, tuberculosis etc.So if chest x ray is normal than musculoskeletal pain can be the cause.So take good painkiller and muscle relaxant.Apply warm water pad in affected site.Avoid strenuous exercise and heavyweight lifting. | 81,317 |
What is the big soft lump on the bicep? | Patient: My two year old has a half dollar size lump on his upper arm. When I saw it I thought it was his bicep muscle, then when I examined it further it s too low right above his elbow. He says it does not hurt, it is soft and not hard. What do you think? it does have a bruise on it so perhaps he bumped it on something. Doctor: Hi your two year old boy has a painless and soft bump on his arm just above the elbow which does not hurt. In my opinion it could be a small lipoma(soft mass of fatty tissue) . I suggest that you keep an eye on it and if it starts to grow , becomes red or painful, then you consult your doctor. | 132,083 |
Bubble in mouth popped with oozing smelly pus. Any thoughts? | Patient: 3-4 months now iv had a bubble under my skin......when id push it i would feel it in my broken tooth.....but no pain....one day 4days ago i pushed it and i hear...pop n my tooth just pussed and pussed n stinkssss...still pussing....what do i do and my tummy hurts bad now Doctor: Hello, thank you for consulting with healthcaremagic. The bubble which you are mentioning which is arising inside your mouth according to your description it looks as it is an abscess means a collection of pus and it looks that it has arised from the infection of the broken tooth in which you feel the pressure. In that case you should visit your dentist get an x-ray done of the tooth and if it actually infected you should go for a root canal treatment as without the treatment the problem will not be solved. | 188,169 |
How frequently can costochondritis affect people? | Patient: I was diagnosed with costochondritis in February and again a few months ago. I have the same pain again now. I was told when I was diagnosed with it the second time that once you've had it once, you're more likely to have it again, but how frequently can/does it affect people? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, costochondritis can recur in same patient.It is more likely too recur in patients with calcium and vitamin D3 deficiency. Usually in healthy individuals, costochondritis don't recur. But if you are having calcium and vitamin D3 deficiency then it can recur twice or thrice in a year. So in my opinion, you should first get done calcium and vitamin D3 levels and if deficiency then you will need supplements. Also follow these steps for better symptomatic relief and for prevention of recurrence. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,405 |
What causes head pain and dizziness? | Patient: I am a 57 year old female that had lung cancer ib 2000, given 5 years to live, but I am now considered cancer free. My blood pressure has normally been @ 120/70, but for the past three weeks I have been waking up in the middle of the night feeling like the top of my head is coming off it is hurting so bad. During the day I start feelinf very light headed and dizzy annd very weak. i check my blood pressure when these things happen and it is anywhere fom 155 to 166 over 99 to 107. What would cause this? Doctor: HIWell come to HCMThis may not be anything to worry or anything danger, but looking to your history of malignancy of lung it is advisable to get done the CT of brain, just for safe side, if this turned unremarkable then, your symptoms may be due to stress, anxiety, and no need to worry about this, have a nice day. | 155,383 |
Is this sperm test result normal? | Patient: below mentioned are my semen test results: Physical characteristics: liquefaction time:<60min, color: greyish white, volume:1.0 ml, viscosity: sllightly viscous, reaction: alkaline(PH:7.8) microscopic characteristics: sperm concentration:occasional motile n non motile spermatozoa seen morphology: normal:occasional normal spematozoa seen pus cells:1-2/hpf, R.B.C's:0-1/hpf Spermatological Diagnosis: severeoligoasthenoteratozoospermia Pls help me as am gonna consult the doctor tomorrow, am scared Doctor: Hi The report does not seem normal. It says that there are only very few sperms which are normal and motile. Was this semen sample collected as per lab instructions. Don't collect it in condom having spermicides Ideally the sample should be collected after 48 hours of abstinence.Have you suffered from any illness in the recent past. Are you on any treatment. All these can effect the result.Consult andrologist/Urologist . Take antioxidants and repeat the test after 2 months. If results are still the same you need help of assisted reproductive techniques for conception.I hope I have answered to your satisfaction. If you have any further concerns do contact me through Healthcare Magic | 41,369 |
Lower back pain, cough. MRI shows dessicated L4-L5. Is surgery the only option? | Patient: Dear Doctor, Last one and half month back, I had a violent caugh which made me stuck with lower back pain . Before the incident, i have been suffering from back pain from couple of months and the incident made me to rush to hospitals . After consulting with Orthopedic (25+ years exp), he suggested me to go for physio and few medicines. I could not recover, then I changed the doctor with an MRI . MRI report has a dessicated L4-L5. Doctor suggested me to go for an operation. Is surgery is the only option for me? how my life will be after surgery. What would be procedures of surgery? Thank you in advance. Doctor: Hi, If you are having desicated L4-L5 you should have to go through surgery that is not much dangerous. This isnot life threatening.In this disc reconstitution therapy is to be done that will improve the outcome of life. There is nothing to worry about the outcomes of surgery. Go through the surgery you will utlimately be benefited from the procedure. Take care, Good Luck for the procedure Regards, Dr. Azhar Sattar | 151,018 |
What are the causes and treatment for mononucleosis? | Patient: Hi, I'm writing an article on the truth behind mononucleosis for my school paper. I was wondering if you could give me some causes, symptoms and treatment methods...that would be great. Also I need to cite who I'm interviewing so if you could tell me your title that would be great! Doctor: Hi thanks for contacting HCM...At such a young age you are searching for mononucleosis for article is good thing.I appreciate you....Infectious mononucleosis also called glandular fever.It is acute febrile disease.Etiological agent - Ebstein Barr virus EBVSelf limited illnessTransmission through saliva by close contact like kiss , sharing eating utensil , and sometime spread through blood.Symptoms.....Fever, pharyngitis , lymphedenopathy ...Anorexia , headache , fatigue like symptom present...Sometime rash and jaundice can occur.Treatment with bed rest.For secondary infection antibiotic taken.If severe pharyngitis , air way blockage or purpura present steroid might be used.Dr.Parth Goswami | 31,056 |
What causes body shaking when suffering from post traumatic stress disorder? | Patient: A friend of mine was beaten severely as a child. Ever since, he has "shakes" that he gets intermittently. He's had these shakes for about 16 years. What could be the cause of these shakes? My initial thought was a subdural hematoma...how long can a person live with a subdural hematoma? Doctor: Dear User,Thanks for using health care magic.Although subdural hematoma can be cause of tremor but the tremors are continuous unlike your friends problem. Intermittent tremor in a patent with PTSD is more likely due to emotional arousal and flashbacks. They continue to persist life long if not treated either by medication or psychotherapy.So at this I advice you to see a psychiatrist or psychologist for assessment of problem and get required prescription.'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks | 208,255 |
Does vomiting and diarrhea cause abnormal SGPT test results? | Patient: My ALT (SGPT) test came back 51 after having had a couple days of vomiting and diarrhea that appeared to be from a contagious pathogen. My husband got it a couple of days later. Could the vomiting and diarrhea cause the higher than normal enzyme result? Doctor: Hi. The vomiting and diarrhea are not known to increase SGPT levels. In fact it may suggest concomitant liver infection due to gastro problem you got. | 57,664 |
Suggest medication for pain in stomach and eyes with fever in a child | Patient: my 7 year old has temperature of about 39.she is complaining of tummy pain. she has has diarrhoea for 3 days, however not so bad today, and when her temperature goes up further she says her eyes hurt - is this normal, not sure if she has trapped wind too. anything i can give her to ease discomfort in tummy? Doctor: Hi... by what you see I feel that your child has contracted a viral illness.Hurting of eyes and redness is very common in viral illness.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth | 164,587 |
On augmentin for UTI. Family history of polycystic kidney disease. Pain in the kidneys, blood in urine. Kidney affected? | Patient: Good Afternoon, I am on my third course of anti-biotics at the moment.. Augmentin . I am being treated for a UTI Infection which has believed to have caused an infection in my kidneys as well. I am extremley worried as to why all of these anti-biotics and various treatments/ urine tests/ultra-sound scans etc..has not pin pointed the problem, and that it still hasn t gone away. This has been going on for 3 months now...and I am forever running to the bathroom to wee..this goes on constantly through out the day just minutes apart. The other reason I am worried, is that on my father s side of the family, we have a history of Polcystic Kidney Disease...in which my father resulted in having kidney faliure and a transplant. Can the frequent weeing, severe pain in my kidneys and blood in my urine be something related to PKD...or just a very bad infection? Thank you Doctor: Hi Welcome to HCM. Infection may not always be sen in the scan. It is diagnosed by urine culture test. Frequency and urgency may mean overactive bladder and if confirmed by clinical evaluation, treatment is needed for about three months. The pain and blood in the urine could be related to PKD and ultrasound that has been done already should be helpful and it needs review. Hope this helps. best regards DR GS | 50,991 |
Suggest treatment for metastatic brain cancer | Patient: is there cyberknife surgery available at guwahati?My mother 66yrs old recently gone through Modified redical mastactomy for LABC Grd.3 T4Mx 9/14nodes metastatic.But we could not give her chemotherapy owing to comorbid health condition and now she is showing synptoms of metastatic brain cancer,pls help. Doctor: Hi, dearI have gone through your question. I can understand your concern. She has breast cancer with metastasis in brain. Itis stage 4 disease. No surgery will help at this stage. Chemotherapy and radiotherapy can not cure the disease completely. It is just used as palliative treatment. Despite of any treatment prognosis remains poor. Life expectancy is not good. Chemotherapy has its own side effects so avoid chemotherapy is the better option. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 154,381 |
What causes discomfort in my lower left stomach and pain in testis? | Patient: My wife and i went walkin the other day and came home and had sex afterwards i was im pain so bad i couldnt hardly walk now for the past three days i have had a heaviness sensation in my left testicle and discomfort in my lower left stumach. Its hasnt been but a couple days before that we had sex also and was fine could this be a pulled muscle or something Doctor: HelloThanks for query .Based on the symptoms that you have pain and discomfort in left testicle with pain in abdomen on left loin is mostly due to infection of either Epididymis or Testicle .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound Scanning of Scrotum .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .Get the prescription of medicines from your family Physician.Ensure to drink more water .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | 198,267 |
Can Diazepam drugs affect the mental health? | Patient: Hi, may I answer your health queries right now ? Please type your query here...My husband had a mental breakdown he is now living with his mother he has been taking diazepam for 4 years he has changed from a loving husband to a stranger is the diazepam affecting his thinking. Doctor: hi dear,Thank you for your query.First of all your husband is taking diazepam for what reason and what in what dose?Normally diazepam is used for sleep disturbance and sometimes used in epilepsy.Is there any other medication he is taking?Diazepam has little effect on cognition but for that detail history and mental status examination is required.Consult psychiatrist for detail history and mental status examination.Thank you | 206,894 |
What is the treatment for hypertension? | Patient: I am 49 years by age, 6ft tall, 85 kgs by weight and have been suffering from hypertension for the past 6 years, there is a family history of hypertention and MI.Was on losartan 50mg for quite sometime, then changed to concor 2.5 and then to supermet xl 50 mg and now to supermet xl 25 in the morning and targit 40 in the evening. My diastolic pressure is not coming below the 90/87 mark after changing from losartan 50 mg. After taking Targit 40, ( the change was effected only last week, I have sores in my mouth and a feeling of giddiness in the mornings) Should I revert to a combination of supermet xl 25 and losartan 50 mg? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Actually Losartan and targit are similar class of drugs no point of switching from one drug to other. At present you continue with targit and look for the effect, if it control your blood pressure then continue if not then you can switch back. Also regular exercises and weight loss will help reducing BP. Low salt, calorie and fat diet will also help. 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 | 22,594 |
How long should Lactogen be given for a preemie? | Patient: My baby is a premature, and breast feed is not there because of no milk, now he is 1 year old. up to 7 months we have given lactogen and 7 months onwards we are giving light black tea and juice. Any problem will happen in future because of not giving lacogen. now he is only 8.5 kg. Doctor: Hi Dear Welcome to the HCM,Lactogen or the formulla milk is not necessary at this age. He can be tried any milk.But weaning with semisoilds is of utmost importance and should be encouraged with special care and should also be given due importance to get the desired weight gain from a primie. Gradually milk to be tapered off and semisopild to be incerased Hope the query is answered.Thanks | 179,555 |
Had unprotected sex after periods. Taken unwanted 72. Again had sex after 3 days. Will I get pregnant? | Patient: sir my girl friend age of 26 after her completion of period time, we involve in sex.... her period time stop on 19th to 25th we involve in sex on 5th and 7th of next month and used unwanted 72... but my doubt is at 11th date again we involve in sex ... with out precaution... so now she get pregnancy or not.. please tell me.. Doctor: Hello,Pregnancy is possible only,if unprotected sexual intercourse is done with ejaculation around ovulation time in regular period. Ovulation occurs approx 14 days before due date.If your girl friend's due date was on 19th in next month,then ovulation occurs on 5th of the month.You did sex on ovulation time and your girlfriend took unwanted 72.It is very much effective in preventing unwanted pregnancy with failure rate less than 1%. A withdrawal bleeding may occur and next period may be delayed/earlier.You also did sex on 11th day and it was almost safe period with low risk.If she does not get period,do a home pregnancy test with urine for B-hcg after 1 wk of missed.Practice safe sex by using safe period/OCP/Condom etc to avoid unwanted pregnancy.Be well. | 219,197 |
What causes odd marks on the lumbar area? | Patient: My 12 year old daughter has suddenly developed some odd marks along her spine area around the T10 to lumbar region, (in the last 2 days). She has also been having back pain for about a month, lower right lumbar...what could the marks be and is it related to her back pain that she developed during cross country training? (She s thin/lanky) Doctor: Hi...Thank you for consulting in Health Care magic. 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. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | 173,301 |
Is there any procedure to fill the gap between my front lower teeth? | Patient: I went for usual teeth scaling today and after the procedure I noticed a little gap between my front lower teeth. I am scared that it will only grow, is there any procedure to fill this gap up, as I know this is due to receding gums I am 39 yrs old male. Doctor: Hello, Thank you for consulting with HCMActually in the process of scaling, removal of plaque and debris is done which is deposited between the tooth and gums.So after the removal of debris you feel that there is gap between teeth, but when there is healing of infected gums after scaling this gap fills on there own.But if there are large space between teeth then the patient has to go for crown placement of tooth to close the gaps.Thank youRegards | 187,770 |
Had recurrence of severe and continuous abdomen pain. Medical cure for this? | Patient: I HAVE HAD A SECOND RECURENCE OF A SEVERE AND CONTINUAL PAIN WHICH WOKE ME THROUGH THE NIGHT AND HAS LASTED 2 DAYS. THE PAIN IS IN MY LOWER LEFT ABDOMEN WITH NO OTHER SYMTOMS. THE PREVIOUS TIME (9 MONTHS AGO) I WAS THOROUGHLY CHECKED IN A&E AND IN THE END IT WAS CONSIDERED TO BE PROBABLY A VIRUS. OTHERWISE I KEEP GOOD HEALTH AND I AM 62. IT IS NOW WEARING OFF AGAIN --- SHOULD I WAIT AND SEE IF IT RETURNS? --- OR GO TO THE DOCTOR AS THEY FOUND NOTHING LAST TIME? Doctor: this is not sufficient historyare you taking medicines for some disease or off and on analgesicsi thnk some food item start behaving this initially it starts like this and increases as time increasesget blood test for foodspecific antbodies for foods you take routinelyavoid using pcm brufen vitamins diet supplimentsany local cause like gerd all bladder infections and stones uti can also do itget for diagnosis and treat accordingly to prevent recurence in future | 93,425 |
Suggest treatment to bring sense to paralyzed lower part of spinal cord | Patient: My cousin got injured (to his spinal cord break at d10 & d11 100% total break / cut ) by falling from 40 feet height conveyor belt while he was on duty. He got operated and the doctor has implanted two titanium plates to my cousins spinecord to adjoin the breakage. My cousin s lower to d10 part is paralised and have no sense (even for urinal and motion). What is the treatment available now to bring sense for his lower part? Please guide me. Regards RAMA KRISHNA REDDY Doctor: Hello, Unfortunately, until now there is no cure for complete spinal cord injury. Since he was operated and the stability of the spinal cord was achieved, rehabilitation in a specialized center is the only way of treatment. This to adapt your cousin with the changes after the injury. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical | 140,445 |
Suggest remedy for strep, toothache, swollen and red gums in children | Patient: My 11 year old son was diagnosed with strep on 8/22/14. He was started on Amoxicillin 500mg bid x 10 days. He is saying that he is worse. Complaining that his teeth/mouth hurts and his throat. His gums look red and swollen. He can not eat anything even soft foods. He says it hurts too bad. He does have a mouth ulcer on his cheek. His tongue is coated white. Do I need to take him back to the doctor on continue giving him the Amoxicillin? Doctor: Hi...you need to take him back as his symptoms are worsening and this is not usual. You can use some soothing gel for the mouth ulcer and he might need some multivitamin too.Regards Dr. Sumanth | 177,048 |
Can masturbation cause seizures? | Patient: Can masturbation cause seizures? I have been seizure free for over two years and I masturbate a few times a week. One night when i did masturbate i had a seizure about 4 hours later. Is there a correlation between the two that may have caused the seizure? Doctor: Hi,Thank you for posting your query.First of all, I would like to reassure you that masturbation is safe and is not linked to seizures.So, the seizures after four hours of masturbation may be co-incidental and may not be causally linked.Therefore, you need not worry about masturbation and increased risk of seizures.I assume you are on good doses of anti-epileptic drugs for your seizure control.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 147,802 |
Suggest remedies for redness and slippery discharge from penis head | Patient: sir, from last 4 days, my penis head s color changes to red from pink. but only half portion of it. its texture become very slippery and some discharge is there all the time even i clean my penis every time i go to pee. i m worried of it and I am very embarassed to reveal this to anyone.Please help me out Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is a discharge which arises because of some kind of infection.I advice you to get microscopic examination via Grams staining. It will suggest you the probable infecting organisms and so treatment options also.It look like bacterial infection but exact etiology can be known after the report. You can take the tablet Doxycycline 100 mg once a day and pantoprazole once a day till report received. After that treatment should be taken accordingly.Please maintain good hygiene by frequent washing and cleaning. Wash the part clearly with water at the time of bath and subsequently in the day thereafter.Avoid sexual intercourse during the period and if the partner is infected than treatment for both partner simultaneously is necessary.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 200,188 |
Suggest treatment for blood in semen and light headedness | Patient: a few days ago I had bloodwork.ok.but I haven t been feeling well,.tired,alittle light headed and a bout a month ago I discovered blood in my seminal fluid.again, last week. for about three days last week ,I had some pain in my abdomen ,approx. 2 inches below the belly button Doctor: HelloThanks for query .You have not mentioned your age in your query .Repeated episodes of blood in semen (Hematospermia) could be due to following three reasons .1)Infection of Prostate (Prostatitis)2)Cancer of the prostate 3) Enlargement of Prostate (BEP) .Please consult qualified Urologist for clinical and digital Rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Semen examination and culture .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil. | 197,983 |
How to treat herpes simplex type 1 virus? | Patient: So my boyfriend has herpes simplex 1. We didn t have oral sex, but we somehow managed to transfer it to my vagina. As he was apologizing to me he promised that it would be the first and the last time that it broke out there and would later appear as less painful cold sores. Is that true? Also, how long will the pain/discomfort last? What are some ways to lessen the pain and/or shorten the effects? Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you herpes is usuallyvery painful condition it will never be a pain less. Secondly you can take acyclovir as prophylaxis. Calamine lotion will relieve you by giving relieve from pain. For severe pain you can. Take tramadol also. I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. | 38,066 |
How to conceive with irregular periods? | Patient: Hello I have pros and I m 23 I started my period at 11 but from the age of 13 beyond they were irregular. Up until last year when I was giving 10mg of some pill that lead on my periods every month. I am currently trying to conceive and I don t know when is the right time because it s hard to track my ovulations because my periods range from a 28-35 maybe even 50 days. I did see clear stretchy mucus yesterday and me and my boyfriend had intercourse this morning. I just would like to know what I should do, my dr really isn t much of help and I can t afford expensive fertility treatments so if you could help or even give me pointers I d gladly appreciate it thanks I m Tina by the wat. Doctor: Hi there, Dear Tina, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you have history of irregular cycles, please get USG done to rule out PCOS - polycystic ovaries. As you might be aware that PCOS is a lifestyle disorder, and it can be corrected by following a healthy diet and regular exercise regimen. Secondly, please get your boyfriend's semen analysis done to know about the quality and quantity of sperms. I will suggest you to get post menstrual HSG - hysterosalpingography done, to know bout tubal patency. With these reports in normal range, you can get ovulation study on USG done from day 10 of the cycle. This will help you to know about the day of ovulation. You can simply opt for unprotected sex on and around the day of ovulation. or else you can opt for IUI - intrauterine insemination, on the day of ovulation. This will help to get pregnant. These are basic and low cost investigation and treatment options for getting pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar | 946 |
Suggest treatment for nocturnal emmisions | Patient: Hello Doctor, i am 24 years old male , and i have a problem regarding semen discharge, it happens twice or thrice in a week at night while i am sleeping and i am very much afraid of that thing, as it affects my confidence and make me lazy , kindly help me out regarding this problem i want to get awayfrom this problem. Doctor: hiii.there is no effective medicine to cure nocturnal emissions.be mentally stable.avoid watching porn.try to mingle with friends.take nutritious food.if you are mentally stable,this problem stops by itself. | 196,201 |
Is it normal for my hand to swell post arthroscopic surgery on my wrist? | Patient: I had arthroscopic surgery on my wrist Tuesday under general anestesia. I was fine post. Today hand is really swollen and now am getting a scratchy / itchy feeling in my throat and lips. Is this normal? I have only a Taken Tylenol for pai, and just took 25mg Benadryl. Doctor: Hi, Post arthroscopic surgery this will be a common thing to happen. you need not to worry much. Swelling happens as a protective mechanism and it gets vanished once the hand is started to use. Also you can take some sessions from the physiotherapist so that you regain the full ROM and full strength of the hand. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 124,220 |
Is further medication required after Rabies shots? | Patient: hello sir a dog had bitten me on my leg I washed the wound with water nd applied dettol on it the incident happened in the year 2001 but i had five rabies shots in 2006 am i safe now is there any need of any medicine i am in depression as any body told me that a person died of a dog bite what should i do Doctor: HIThank for asking to HCMI appreciate your worry, it is all depends upon the dog there are some concrete conditions first, the dog should not be female, the dog must not have rabies infection, dog should not died after the bite, if this are the conditions then you should not worried, and I hope this was not the case, you have already received the dosage, may be you have taken inadequate dose, still do not worry, hope this information helps you, take care and have good time. | 40,389 |
Is medication required for hypertension? | Patient: Dear doc, I have a question concerning high blood pressure medication. My aunt had a liver operation in 2003 and has been diagnosed with hypertension in 2008. Now her doctor won t prescribe her drugs for her hypertension and she is not being treated for this. My question basically is: is this the right action for a physician to take? Thanks, Cathy Doctor: Hello, If the blood pressure is too high, antihypertensives can be started. If the blood pressure is above 140 it is better to start antihypertensives at a low dose. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 17,682 |
Suggest remedy to reduce high blood pressure | Patient: Hi, i am 48 years old man, have recently conduct a lipid profile test. Cholesterol is 182, HDL is 41, LDL is 121 and Triglycerides is 98. I feel high blood pressure and noise trough my ears also. What is your advise for me to reduce the blood pressure. Doctor: Hello!Welcome and thank you for asking on HCM!Your blood lipid profile, is within the normal ranges (Total cholesterol/HDL ratio 4.4), which means that there is no need to be treated, as there is no dyslipidemia. Regarding your blood pressure values, I would like to know your actual values. Some natural tips to help maintain a normal blood pressure naturally would be: - reduce salt and caffeine intake- perform a lot of physical activity (walking, aerobics, etc.)- try to reduce your weight if you are overweight- avoid smoking contacts. Hope you will find this answer helpful!Kind regards, Dr. Iliri | 19,582 |
Can non-penetrative intercourse cause pregnancy? | Patient: My husband and I have a very stable relationship but we're not ready for children yet. However, we had much foreplay today and after making him orgasm, he could have possibly gotten sperm on his hands and he fingered my afterward. Is pregnancy possible from this or am I just being paranoid? Doctor: yes chances are there you can get pregnant. sperm can cause pregnancy if introduced into female genitalia by whatever means. try emergency contraceptive pill within 72 hrs of this event. and better go for some contraceptive to prevent pregnancy from next time. | 637 |
Suggest treatment for headache and heartburn during pregnancy | Patient: I m 29 weeks pregnen and this morning I woke up with a pretty bad headache and felt like I was gonna pass out. I took some tylenol and ate to see if that would help, but seem to just make it worse and give me bad heartburn. Then I noticed that my face was really red but was not hot at all...What should I do? Doctor: hi I understand your concern.as per your symptoms I can say you might be having drug induced gastritis.which is causing heartburn ,as such also heartburn is quite common in pregnancy.for these symptoms you have to take tab rantac 150mg odfor 3 days.avoid taking tlenol empty stomach and get your bloood pressure regularly checked during pregnancy.I hope I am able to solve your problem. | 219,835 |
Suggest treatment for persistent fever and blisters in mouth | Patient: hi my daughter is 25 months old and about five days ago she had temprature 39.3 degree in the night i gave her calpol and in the morning she was fine but she lost her appetite and would not eat anything. next night she got same temp. again and did not sleep at all and since then she has got temprature every night and some times in the day too. i took her to a&e and they said they can't find anything wrong with her. i gave her amoxicillin but she has not got better and now got blisters in her mouth too. she does not want to eat or drink but if i force feed her then she pukes and brings up lots of phlem. i need hep please. i'm giving her calpol and iburoprofen. Doctor: Hi..Thanks for the query..Your daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HERPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated..In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief..Do cool compresses over gums for relief from Inflammation and reduction in swelling..In case of pain in the sores on tongue a numbing gel like Oragel can be applied..In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness...Give him cool and bland diet..Give him sufficient rest..Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush..Hope this helps..Regards.. | 164,120 |
Is it appropriate to take postinor after vomiting post intercourse? | Patient: Hi, we just had an unprotected sex last night around 1am. Ive been researching about postinor 2, we planned to get 1 ASAP because the sooner, the better right. So my question, what if after the second pill has been taken, and she vomit later. Should she take another pill? What if she keeps vomiting? When should she stop taking the postinor 2? After finished taking 2 tablets? Thx! Doctor: NamastheWelcome to Healthcare-MagicGreetings of the day If the vomiting occurs 2 hours after intake of drug, there is no cause for concern as the drug would have already been absorbed into circulation and will be effective.Repeatation of dosage is required if the vomiting occurs less than 2 hours after intake.In case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH | 225,174 |
Suggest remedy for stones in gall bladder | Patient: I was diagnosed of gall stones in my gall bladder in 2006. My question is can d gall stones still be there and If they are,can I ask for a surgery now(they are not bothering me) but I just feel the need to take them out before they become a bother again Doctor: hi.noted history of gallbladder stones. yes, you may opt for an elective cholecystectomy (removal of the gallbladder), which is the definitive management in your case. an ultrasound will be recommended to confirm the presence of the pathology. other diagnostics (complete blood count, liver function tests, alkaline phosphatase) and management (medical and surgical) will be directed accordingly. it is best if you consult with a doctor, preferably a general surgeon, for physical examiation and clinical evaluation. cholecystectomy may be done laparoscopically (goldstandard) or open technique. low fat diet is also advised.hope this helps.good day!!~dr.kaye | 55,205 |
Suggest treatment for chronic cough in a child | Patient: My daughter is 6 years old .she has a catarrah in nose plus she has morning sneeze every day.if she get cough through out night she suffers and she has to take ventoline for the cough she has been suffering for the last 3 years.please tell me what can i do for this. Doctor: Thanks for follow up , your daughter has viral infection. If i were your doctor i would advice your girl otrivin 2 drops 3times in nose, sualin 1 tab 4-6 times for resolution, benadryl 2,5 ml in the evening, ambroxol 30 mg 1/2 tab 2 times 7 days.Recovery soon | 175,367 |
How to treat high blood pressure? | Patient: hi, my friend has High Blood Pressure..his regular reading is 160/100 and whenever he has headach or bit dizzy his BP raises to 180/130 . and he is frequently hospitilized with BP of 200/130 and above. aHe keeps on seeing different doctors and keeps changing medicines. Though he goes to gym atleast 3 imes a week...he hasn' reduced his belly. But he is not fat. His cholestrol level is also bit higher. Please advice. Doctor: Take anti hypertensive drugs like losarton and atenolol as per doctors advise. And he should start atorvastatin10/20 mg daily to reduce cholestero level to prevent any coronary risk. Take salt restricted and low fat diet.and regular exercise. | 118,054 |
What should a pregnancy test be done after stopping Depo shots? | Patient: Hi i just got off the depo shot ive only had one im trying to concieve right now when should i take a pregnancy test when i believe i suceed my period is already irregular and i had a four week one during the depo starting dec 8 ive had nothing since it stopped but when do i test if ive not had a period to count from Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After stopping the depo shot it will take some time for reception of the ovulation and menstruation may get ovulation immediately after stopping the Repo that is in around 2 weeks but sometimes it may get late. If you are not sure of your dates please go for Urine Pregnancy Test 3 weeks after last unprotected intercourse. If the test is negative, you can go for withdrawal bleeding by taking tablets with your doctor's advice. After you get withdrawal bleeding you can take tablets for ovulation induction from second day of your period and follow with follicular study from 11th day and plan unprotected intercourse around the time of ovulation this will increase the possibility of pregnancy. Hope I have answered your query. Let me know if I can assist you further. | 218,539 |
What causes heartburn and pain in chest while drinking alcohol? | Patient: heartburn Hi im 40 female.Im a smoker no other health problems.I get heartburn and i have mild pain underneath my right ribcage to the middle.I weeze when i sleep and sometimes I cough.I had a terrible burning pain my chest twice while i was drinking brandy and coke.Now i rather dont have any alcohol.What can this be Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your symptoms are characteristic of GERD (gastroesophageal reflux disease). Since you are smoker, GERD is likely and this is even worse by alcohol intake. Actually both (smoking and alcohol) cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So better to avoid smoking and alcohol as soon as possible. Take proton pump inhibitors and prokinetic drugs. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 77,909 |
What causes a tickling sensation in the chest? | Patient: Every time I take a deep breath in the morning my chest , like right below my throat , tickles yet hurts like I have the urge to cough it s been like this for two days , I have exercise induced asthma but I haven t done anything to trigger this in the morning , what s wrong with me ? Doctor: HI, thanks for using healthcare magicIt is possible that the symptoms are due to post nasal drip of mucus.This would cause abnormal sensations in the throat and is also associated with coughing.It is very common in persons with asthma.It is most usually provoked by allergens so avoidance of any triggers may help along with nasal sprays.Eg of sprays are rhinocort, nasocort, nasonex, flonaseI hope this helps | 98,880 |
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