tgt
stringlengths 0
320
| src
stringlengths 72
18.8k
| id
int64 1
226k
|
|---|---|---|
What causes dry coughing, itching in throat and breathlessness? | Patient: Hi... I AM 8 WEEKS PREGNANT. SINCE 3-4 DAYS i AM HAVING DRY COUGH- NO CHEST CONGESTION AND NO NASAL BLOCK, JUST HAVING ITCHING IN THROAT DRY COUGH AND BREATHING PROBLEM. cONSULTED dR BUT THEY SAY ENOUGH OXYGEN IS REACHING MY CHEST. bUT i AM NOT ABLE TO SLEEP DUE TO BREATHLESSNESS. pLEASE ADVISE Doctor: HIWell come to HCMI really appreciate concern, this is just nothing to worry and even nothing to do, just have a more water, hot drinks, steam inhalation, everything would be fine, no medicine, in pregnancy medicine is not good, even without the history of pregnancy this condition does not need any medicines, take care, have a nice day. | 100,003 |
11 yr old diagnosed with Thalassemia intermedia. What's the best treatment ? | Patient: Hi i got a question about my niece.. she is 11 years old, her weight is around 24 kgs.. Around a year back she s been diagnosed with Thalassemia intermedia .. she is got a 16 inch of spleen and her Hb remains around 9 to 10.. so, i was wondering what would be the best treatment for her?? and how to reduce the size of spleen?? Thanks. Doctor: Hi, Welcome to HCM, I am Dr. Das In thalassemia intermedia, it is unlikely to have such a huge spleen. Are there any other symptoms like gum bleeding, chronic infection etc? For thalassemia intermedia basically you only need Folic acid supplementation. And if Hemoglobin level fall below 9 then blood transfusion is the treatment of choice. In my opinion go for a complete blood test (CBC) with a query for abnormal cells. | 119,291 |
Suggest treatment for horse bite | Patient: My horse bit my bum cheek two weeks ago. The bruise was very big, possibly as big as my hand. After 24 hours the bruise turned purple, but remained normal in the centre. Now the bruise is starting to go, I have noticed a large flat lump (a little bigger than a 50p piece). Do you have any idea of what this could be? Doctor: Hello,Welcome to HCM,Hello,Welcome to HCM,As you were bit by a horse over the bumps region which has led to punctured wound and internal bleeding, horse is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment.As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.1. Wash the wound thoroughly with soap and water to washout the rabies virus if it is present in and around the wound.2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3.Passive immunization with rabies immunoglobulin in and around the wound.4.Inj TT, if you have not received in last five years.5.Oral Tab Augmentin, 625 mg, twice daily for five days.The aforementioned treatment will help to protect you against getting rabies.Thank you. | 37,564 |
Few hyperechoic polyps are there in my anteior and posterior wall, what does it mean ? | Patient: My father age 75, while routine checkup of ultrasonograpy of abdomen , the report say Few hyperechoic polyps measuring around 2mm attached to anteior and posterior wall. And few mobile calculi measuring around 1 - 2 mms are noted in gall bladder . what does it mean? would you prescribe some treatment? No BP, hypertension , abdomen pain. Doctor: hi welcome to hcm the gall bladder polyps are nothing but the outgrowths of the gall bladder tissue and calculi are gall bladder stones. most of the polyps are benign and do not cause cancer. however large polyps with co-occuring calculi in elderly need to be evaluated for a malignant change(cancer) it is always better to consult a surgeon and take an opinion. prevention is better than cure! take care! | 60,487 |
Can acidity cause chest pain? | Patient: I was wondering if gas can cause the heart to hurt? My left side of my chest is hurting and so is my hurt. Sometimes I feel like I'm smothering down. I'm 15. I weigh 154lbs. I'm 5'3. I have no medical history of anything bad except a appendicitis surgery. Doctor: Hi. I can understand your concern. Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. GERD (gastroesophageal reflux disease) can cause similar kind of chest pain. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with drugs you need to follow certain below mentioned lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Loose weight if you are obeseDon't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | 77,961 |
What causes pain in knee, hand and shoulder? | Patient: I have pain initial in my right Knee that is slowly growing to right shoulder and hand. I think it will be related to do with computer/laptop usage. I am doing my physiotherapy and just started putting the neck belt. I am worried, should I do some additional test or take some medicines? Doctor: hi,as mentioned by you, about your symptoms it is prior needed to have a thorough assessment of you. Also, getting treated symptomatically will provide temporary relief in the physiotherapy department. also to understand the root cause of injury is more important for the better help in the future to avoid any workstation related injuries.Also as you mentioned, for shoulder and wrist pain an MRI of the neck and the NCV will help input. Since the pain in shoulder and wrist can be due to two reasons. One is nerve impingement in the cervical spine or may be carpal tunnel compression. Also for knee, need to check if you lower spine is fine or any knee ligament issue is there. Also sometimes the pain understanding is more important which helps to find the root cause. Like the nature of pain, like the intensity of pain, the frequency of pain, the position in which pain is more and the position the pain is relived.For more questions you can ask me directly.regardsJay Indravadan Patel | 134,088 |
What causes persistent severe apin in the lower abdomen? | Patient: I am having a huge problem!I am having a severe pain in my lower right abdomen, it comes and goes every time I get up and it even hurts sometimes when I'm lying down. I am having this problem for 36 hours now. I have been to the E.R. this morning, they took my blood, urine, temperature, etc, everything is fine. My white blood cells are in the normal range. No nausea, no fever, no vomiting, nothing. Still this pain is excruciating. From the E.R. they gave me an anti-inflammatory drug and sent me home. They said it's not a hernia, not appendicitis. What in Gods name can it be??? Doctor: Hi.Thanks for your query.Your history looks like appendicitis or Typhlitis (inflammation of the cecum) or right ureteric stone or so. If the pain is coming and going the possibility is more of a impacted stone in the right ureter. The blood, urine and everything else can be normal. The proper diagnosis can be made only on a high resolution ultrasonography and / or CT scan of the abdomen. Insist for one . get the diagnosis and get treated accordingly. | 86,989 |
What causes extreme fatigue, joint/body pains, breathing trouble, stomach upset, swollen throat? | Patient: I don t know what is wrong with me but I have been experiencing tremendous fatigue where I cannot function. my joints and body ache and I have a hard time breathing. Very painful to take deep breaths and my jaw and teeth hurt really bad. My feet are super cold and my stomach gets upset every time I eat so I m afraid to eat. I have been like this for the last 3 weeks and I don t know what to do. My throat and my glands in my throat area feel hot and swollen. Doctor: In my opinion you have parathyroid problem , check your parathytoid hormone levels , calcium and phosphorus levels Good Luck | 130,950 |
55 year old female suffering from ulcer ? | Patient: hi, my grandmother is sufferin from ulser. she is 55 years old. she have been suffering a pain in her abdoment scince 2 weeks. everyone is worried. is there any suggestion from your side that may help us:( Doctor: ulcer in the past was very big problem as is always to be operated, but now fortunately research of third generation ranitidin, operation is rarity.one long course of these medicine will cure ulcer.you consult gastroenterologist and take his opinion | 96,102 |
What is the treatment for constipation, fatty liver and stones in kidney? | Patient: i was suffering from the pain in kidney as sonography report found the 4.5 mm stone in the right kidney. and other thing that found fatty liver of first to second stage , my sgpt is 28 , there is no pain at liver area .but i feel fuller ness when take nonvegetarian diet for atleast 24 hours & facing constipation problem .even im not an alcoholic.i m 35 years of age.so pls, gives suggestion regarding the seriousness of this liver problem. and what to do to overcome from fatty liver.Thanking you Doctor: Hello, I read your question very carefully and can understand your concern very well. I would like to probe you few things whether you are taking any medications for any chronic illness, what is your weight and height, whether you had done your lipid profile or not. Come back to me with all this information anytime. Meanwhile, i would like to tell you that it seems not to be an urgency or any serious problem, but at the same time you need to have few precautions to prevent further complications of fatty liver, because it can lead to cirrhosis and liver failure. I would suggest you few things...........1. Check your lipid profile with fasting blood including HDL, LDL, Cholesterol and Triglycerides. 2. Start regular brisk walking of at least 40 minutes a day and reduce your body weight...3. Take high fiber diet including green leafy vegetables, fresh fruits,e tc.4. Avoid oily and junk food, rather have protein rich diet...5. Drink plenty of water, as it will also help to remove your 4.5 mm stone...6. Avoid alcohol, smoking and caffeine containing drinks... Follow these for 3 to 4 months and then repeat the lipid profile, liver profile and sonography, they will be much better than before. Continue these for rest of your life and you will have a very health life. Hope this answers your question and let me know directly if you have any further relevant queries. | 56,177 |
Tartar in teeth. Which toothpaste is advisable for tartar control and healthy gums? | Patient: SIR, I HAVE TARTER IN MY TEETH . TO REMOVE OR LESS IT & FOR HEALTHY GUMS , MY QUESTION IS - IS ANY TOOTHPASTE FOR TARTER CONTROL WITH HEALTHY GUMS . THANKS & REGARDS KAMAL KHULBE Doctor: Hallo kamal welcome to HCM FORUM tartar/calculus already depositedon your should be removed through scaling using ultrasonic scalers. this helps remove your tartar and maitainance of healthy gums in the long run. after this you can go for twice brushing daily with tooth paste containing triclosan, and flossing the teeth regularly. this will be very helpful for your oral hygiene maintainance. thanks for the concern. hope i have tried to anwer your query. | 188,688 |
Dry skin that peels off around the fingers | Patient: i have a dry skin and it usually peels off espercially around the fingers, what should i do? Doctor: Welcome to Healthcare Magic You could be having drying of skin due to excessive use of soaps and detergents. You should use moisturisers and keep warm. Avoid excessive washing of hand. | 9,642 |
What causes sharp pains on top of chest with sharp twinges? | Patient: Skeletal chest pain left side, had for aroud 18 months, 22nd October 2010 had PFO closure so I know my heart is all OK, no more mild strokes. I get sharp pains to the bottom side and top of my chest, sharp twinges then release. The pain is like a burning pain that can grind away for hours, sometime pain killers will give me relief, sometimes no. When I am sitting and slightly leaning forward is when I at my worst or trying to complete some physical work. Have been told it is skeletal or nerevs caught in my rib cage casuing the problem. Your thoughts thanks David Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (sitting) and movements (leaning forward) of chest.So follow these steps for better symptomatic relief. 1. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. 2. Avoid heavyweight lifting and strenuous exercise.3. Sit with proper back support.4. Avoid movements causing pain. Avoid sudden jerky movements of chest.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 72,706 |
What are the side effects of Duromine? | Patient: What are your views on Duromine 30mg I am 48 yrs old, need to lose weight. I had my thyroid removed 2 yrs ago. My doctor has prescribed Duromine. Based on the blogs I ve read online with regards to this medication, I am rather concerned. What are your views on Duromine, is it safe? Doctor: Hi,Duromine is an amphetamine-like drug commonly prescribed to reduce body weight in people weight loss who are obese. Its common side effects include increased heart rate and blood pressure, palpitations, dry mouth, insomnia, nervousness, constipation, tremors, and restlessness.There is a high risk for arrhythmia, heart failure, stroke or coronary heart disease. In view of the above I recommend you to take bupropion with naltrexone or orlistat which are less likely to cause those harmful effects as seen with duromine along with exercise and diet restrictions.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 84,150 |
Back pain, not able to bend, never been pregnant. What does this mean? | Patient: Ive had a heavy period for almost 3 weeks in a half, close to 4weeks. Ive never had a irregular period.. never missed been late or had extra days. I get light headed here and there. I have extreme painful stomach aches, not cramps . Its hard to explain exactlly what the pain but its between the middle of my stomach and below my breast line. It is hard to explain how it feels but out of a rate 1-10 it will get to a 10. Feels like someone is jus eating my inside taring them apart. the pain is so extreme its whips my whole body out. Recently i was having bad back problems at first it felt like a pich nerve but it lasted for about 3 4 days i wasent able to bend over or everytime i go to stand up id have this sharp sticking pain in my back when i sat down anything. ive never been pregnet never was able to get pregnet. Im not sure what this means ? Doctor: Hello. Thanks for writing to us. The pain in the lower back that you have described is likely to be due to a muscular pain. You can do a hot fomentation and apply a local analgesic gel over the area for symptomatic relief. Oral muscle relaxants may be needed if the pain is persistent. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected] | 113,068 |
Taken Plan B, suggested birth control intake, bleeding lightly, headache, back pain, dizziness. What is wrong? | Patient: Hi, I took a Plan B pill and my doctor said to start my birth control on Sunday. I woke up late so I figured I ll just start it the next day because she suggested taking it in the morning rather than at night. But that night I started bleeding lightly, so I didn t start the pill the next day. I normally get dysmenorrhea for the first to second day of my period so I didn t think anything was wrong, just that it was really bad yesterday. I had a headache. I was dizzy, had lower back pain and thought I was hungry because of abdominal pain . I was also sweating even though I felt it was cold. After eating I threw up and I just thought it was the dysmenorrhea. But I feel the same way today, except I haven t actually thrown up. And it s weird because I m on my third day. I should be fine already, but I m not. I m not sure what s wrong. I really want to get better. I had to leave work early yesterday and I have to go in tomorrow. Doctor: it is very common to have a period after taking plan B, and it takes sometime for things to get back to normal. I would assume that this is the most likely explanation for what has happened to you. once you start taking the birth control, things should get back I normal again. I do believe that this is the simple and most likely explanation for what you are going through. I hope this helps, please let me know if you have any more questions. | 224,892 |
Suggest natural remedy for controlling water retention in body | Patient: Hi there My name is Rita Carrion . I am 49 years old.I have often retention of water in my body and more when I will have my menstruations my retention of water it is really hight and I have pain in my left arm. I use diuretic.I would like to know what I can use something natural because in my last exam of my blood was a little rise of potassium in blood.I try to eat asparagus but I don t really know what I can have some thing else or another diuretic that low the potassium or balance.thank you.Rita Doctor: Hai rita,generally retention of fluid in body related to kidney function.as u said ur potassium is is little rised.if u r diabetic kindly keep it in control.As per ayurvedic treatment,Avoid non veg and complex junk food.Asparagus is a good choice. but when ur diet pattern and lifestyle remain the same ur problem will not come down.take fibre food more.kindly takechandraprabha vati tablet- 2 thrice atime.(kottakkal arya vaida salai company)goksura capsule- 2 thrice a day- good act in kidney function.cumin seed boiled water around 3 letters per day. | 214,619 |
Does celestamine help to treat itchiness all over the body? | Patient: Hi Doctor, would it be possible to have allergies on shampoo? Been using this brand before and I just stopped because I tried on a new brand and then I went back again to use the same brand. Then it sort of my scalp is starting to itch and I can feel itchiness all over my body. But I have no rashes or anything. Just weird itch all over. Can I take celestamine for it and how for long? Thanks Doctor: Hi,You can take Celestamine for itching and safe for long use.But important is avoid allergen causing this problem.Do not use shampoo for some time.Rule out other skin lesion like dandruff, fungal infection in scalp.go for regular head bath.Ok and take care. | 35,117 |
How safe is taking Tryptomer ? | Patient: the pt., 83 yr, F is prescribed Pramipex 0.75 mg O D at night by the neurologist about 2 wks ago. Earlier, she was on 0.125 mg OD. She wss also prescribed tryptomer, 25 mg OD and Pacitane, 2 mg BD,1/2 tab AM + 1/2 tab PM. She has become more dopey than before (Primipex 0.125 mg + Tryptomer 25 mg). Is this regimen OK? Doctor: Hello!Welcome and thank you for asking on HCM!Regarding Tryptomer, I would explain that this is an atidepressant, which is not well tolerated by patients of this age. It may cause dry mouth, low blood pressure, orthostatic hypotension and urinary retention at these ages. Cardiac arrythmia can also occur as a possible adverse effect of this drug. For this reason, I would not recommend taking it. Instead, I would recommend taking a SSRI drug (sertraline, paroxetine, etc.)for the same purpose (depression or anxiety). These drugs are better tolerated at her age. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | 142,479 |
What are the symptoms of mononucleosis? | Patient: I am currently showing signs of strep throat or mononucleosis, I went to my family doctor today to get a throat swab done, the results should be out in a few days. When I cough, my lower right abdomen has bouts of pain, this condition just surfaced about 2 hours ago. Should I be worried about this new pain? Doctor: Hello,This is dr. Papaqako answering your question.The most common symptoms of mononucleosis are:Fever, which may range from 101 °F (38.3 °C) to 104 °F (40 °C), and chills; Sore throat, often with white patches on the tonsils (which may look like strep throat); Swollen lymph nodes all over the body, especially the lymph nodes in the neck; Swollen tonsils; Headache or body aches; Fatigue and a lack of energy; Loss of appetite; Pain in the upper left part of the abdomen, which may mean that the spleen has become enlarged.If I was your caring doctor, I would recommend to take some Paracetamol/Ibuprofen or Buscopan 10 mg. If the pain does not get better, or gets worse (like spreading in all the abdomen, or getting higher in intensity, or stopping your bowel movement and gases) I would advise to go to the ER and investigate the cause of the pain.Hope this helps,Take care. | 35,976 |
What cause headache and rashes after eating chocolates? | Patient: a few years ago, i was allergic to chocolate. it went away after a month, and never came back. now, 5 years later, i got it again, having bad headaches and rashes on my face, and difficulty breathing. Now all i get is headaches when i eat chocolate. how can you explain this? Doctor: Hello,Welcome to HCM,The history and symptoms are suggestive of known allergic to chocolates, you should be very careful and try to avoid the chocolates. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition.I would suggest you avoid the chocolates which is causing all these symptoms Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SCIT) or sublingual immunotherapy (SLIT).For the present symptoms you can take Tab Montek LC which helps to control the symptoms, but it is temporary. You need to avoid these chocolates to protect yourself from getting these allergy symptoms.Thank you. | 101,056 |
What does IgG : positive and IgM : Negative from report suggest? | Patient: sir,for last 10 days suferring from fever.First 3 days 104 F then after taking 3 injections of amikacin temp. goes 96, but again within a day it goes to 103 and still its there.Along with I have jaundice but not severe.My ELISA koch report is postive IgG +VE and IgM -ve.What I have to do do ? Doctor: Hi thanks for contacting HCM..Noted you have IG G antibody positive which is form in chronic infection.While in case of acute infection antibody is IG M..So here your koch ELISA positive...Means you here having tuberculosis .Sputum examination and chest x ray needed.Your treatment for tuberculosis started after consulting doc with AKT for 6 or 8 month duration under observation...Hope your concern solved.Dr.Parth | 54,710 |
What could cause difficulty in conceiving? | Patient: hello doc. married for 4 yrs , had 1 missed abortion case in 2009 jan their after actively started for family from march 2010 but still no luck. Got my Hsg done and other basic tests require of mine and my husband ,all of which seems to be normal as per my gyno. then why we still having hard luck, we are well informed about fertile days and ovulation history always keep that in mind and plan. please help Doctor: Hi,If your basic infertility work up is normal then this is unexplained infertility. What is your age. I presume you are around thirty years. If I were your doctor I would start induction of ovulation with clomid/ hormones for 6 cycles. If no pregnancy occurs I would proceed with intrauterine insemination for 6 cycles and later IVF.Take one tablet of folic acid daily. To increase your chances of pregnancy maintain normal BMI, quit smoking ( if you are a smoker ).It is best to have intercourse atleast three times in a week. There is no need to concentrate on fertile days. I hope I have answered to your satisfaction. If you have any further concerns contact me through Healthcare Magic | 41,464 |
What causes chest fluttering during pregnancy? | Patient: I am 24 weeks pregnent and for the last few days i have had this butterfly feeling in my chest, I get short of breath, it lasts for a couple of mins then goes away, comes back.....what can be causing this? and is it ok for my pregnency? Doctor: Hello, and I hope I can help you today. The fluttering you occasionally feel I nyor chest is called heart palpitations, which are occasional irregular heartbeats. They can be caused by pregnancy itself, but thyroid disease, anemia and other heart problems should also be ruled out. I recommend you tell your prenatal care provider about your symptoms, and they will likely refer you to get an EKG to check your heart rhythm. If it is abnormal,you may need to see a cardiologist for an evaluation. The good news about this is that none of these problems have any affect on the baby, but it is important you have a medical evaluation of your symptoms to make sure your heart is healthy. I hope I was able to adequate answer your question today and that my advice was helpful. Best wishes,Dr. Brown | 220,087 |
Can Metapro-50,Atorvastatin ,and Asprin 150 causes kidney damage? | Patient: i am a cardiac patient. Had a three blocks before, which was cured thru angiorgramme. Now I am using Metapro-50 1 bd, Atorvastatin tab 40mg 1 od, and Asprin 150 g 1 od. My BP and cholostrol are under control. But I am worried abt my kidneys being damaged due to contineous usage. Pls advise Doctor: Hello, You can use these medications because there is no kidney damage from these medications and no interaction between them. Just take care of your lifestyle, maintain a healthy diet and exercise. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician | 85,859 |
The ultrasound scan reveals a well defined gestational sac but no fetal pole and no heartbeat. What does this mean? | Patient: My last lmp was 24th feb.. my pregnancy test shows positive.. according to the dates i m 6 weeks 4 days but yesterday i went for my first ultrasound and its says there is well defined gestational sac but no fetal pole and no heartbeat.. what does it mean?? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There is always difference of 2 weeks between the ultrasound and LMP age. LMP counts gestational age from last date of menstrual period whereas ultrasound measures actual fetal age from the day of conception. So, both are correct in their own way. You will get fetal parts development in follow-up ultrasound without failure. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel | 218,314 |
Have issue with breathing. Why is it difficult to swallow? Is it anxiety? Why always dizzy? | Patient: I am 35 year old female. I have this issue with breathing . It seems like my chest rattles when I am laying down, only at night/early morning. If the weather is muggy I can also feel it. My doctor has given me an inhaler , but it only seems to make it harder for me to breathe. I am also noticing it to be more difficult to swallow . What is going on? I started with a variety of symptoms in November of 2011, about 2 months postpartum. My first episode was in the end of November. While with my two young children at Walmart I started to see very fuzzy, then felt very faint. I asked a passerby to take my baby and I sat on the ground. They helped me make my way to the front and I called my husband to come and get me. In looking back I hadn t really eaten or drank that well and given the fact that I was nursing I thought maybe I was hungry or dehydrated. About a week later, the same sort of scenario, it was early morning and I was in the kitchen and suddenly felt like I was going to pass out. My mother was here with me at the time and she got me some orang juice and I got something to eat as it was near breakfast time, my dad rushed over to my home and took my blood sugar( which was fine) I was very shakey. This time I went to the ER. Ultimately they ran labs and checked me over and everything seemed ok, they even did an xray of my heart to make sure it was not swollen from after the baby, that was fine. They went ahead and sent me home with a heart monitor, which came back borderline abnormal. You should also know that just after this my PCP put me on 50mg of Zoloft which caused incredible side effects,from shaking to hot flashes to severe panic. They decreased my dose, but the side effects were just too much to handle.I was then put on Paxil which seemed to aggrivate my SVT, though keep in mind at this time the PCP did not know I was struggling with SVT they called it anxiety .In February 2012 I was finally given a stress test which showed SVT, but that the structure of my heart seemed fine. In that same month of February I had noticed the breathing issue begin, it would seem that it would rattle when I would be laying down only, or upon waking. I went in my PCP and he did a chest xray which indicated the possible beginning of pneumonia, which he hesistated to treat stating that it may just be breast tissue . He treated it with Zpack anyway. Along the way I have also not felt right in my head, I feel sort of drunk and out of it, sort of like I m just floating through my day. On April 3rd 2012 I had the Catheter Ablation for my SVT which seems to be a success so far. During the ablation they actually found two SVT s which is rare I am told. One of the other symptoms I have is the feeling from the pit of my stomach, like nervousness but also a sensation where I feel as though I cannot get a full breath. Lying down only makes it worse. In May 2012 my PCP felt that they needed to treat my anxiety by treating me with more meds, so they put me on buspar. They also did a breathing test and ultimately sent me home with Advair, which didn t seem to help any. I also went to see an ENT who put a tube/camera down my throat to see if they could see any problems with myt throat. They showed a slight irritation and ordered an barium xray, which according to that xray I do not have acid reflux, so I stopped taking my acid reflux medication. I am still battling the breathing issue, I feel winded just going up the stairs. I started exercising again and can seem to run 3 miles without feeling awful. Most recently I feel very dizzy and off balance, I just don t feel myself these days. My PCP said it s my inner ear and doesn t seem to be anything more. I just feel drunk and short of breath and sleepy. My PCP chalks it all up to anxiety. I was recently in a store with my mother and got very dizzy, out of nowhere, I was feeling perfectly fine then it hit me I was just dizzy. I m overwhelmed, it seems since November my health has gone down hill and everyone seems to think nothing of it. What should I do? Is this all in my head? Am I crazy? Do I sound crazy? Are there questions I need to be asking my doctor that I just don t know of? Doctor: ei thing you mustttttttttttgo for xray pns waters view and other investiations hb,haemogram total ige level in blood total ttg levels of blood tatal eosinophil count' thee will be anwer sitting on these investigations post after this homework | 105,232 |
Tingling in tailbone on bending head forward. Previous neck pain, tailbone bruising. Treatment? | Patient: hi. I have tingling in my tailbone when I bend my head forward. it is not painful, but it is very noticeable. it started about a week ago when my menses started. I do yoga on a daily basis and have had prior issues with my neck . also bruised my tail bone about a year ago. I plan on going to my doctor this week. I am a little concerned about what may be causing this. Doctor: this is due to injury to tail bone and you can take homoeo medicine for nerve injury for this | 151,013 |
Suggest Amway products to manage diabetes | Patient: Hi,Good day doctor. I am Rammeas.S here my friend has diabetes for about 4 years and now his age was 49. His weight around 70 plus height 165cm his still went for the medical treatment but there are not much of improvement that we see. What is the Amway products that can be recommanded by the Amway doctor s ? Doctor: please donot rely on amway products ...they are non medicos trained to sell amway products ...please rely on trained allopathic doctors ...there is no cure for diabetes...there are safe drugs for disbetes ...and with these diabetes is well controlled .. | 191,267 |
Suggest treatment for chest pain, fluctuating heart rate and BP | Patient: Hi my name is Elizabeth Hannaford I was up at the hospital for three days got out yesterday afternoon I have been having chest pain in my middle lefted chest, I have had three blacks In one day 5 days again and I have had the chest pain on and off for over a week now the doctors said the my heart rate and blood pressure keep going up and down and they dont know why today I have had a full black out and my legs have gaven way two times blurred vision and dizziness and had pains in the front of my head and still been having my very pain chest pain not shore what to do and feel like I am going to vomit but havnt yet any ideas what is going on? Doctor: Hello,There are various reasons for such issue as anxiety, heart related issues central nervous system or other systemic issues.As there are multiple presentations, a detailed case analysis with thorough history, physical examination, lab tests, EKG with or without 2D Echo of the heart is required to find the root cause and manage accordingly.Though, primary relief with oral rehydration salt and deep breathing exercises can be obtained.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | 71,516 |
Disc dehydration, impingement on thecal sac and nerve root, focal extrusion. What is the treatment? | Patient: Intervertebral levels: Disc dehydration is noted at L3-4 & L4-5 levels. L3-4: Left foraminal broad based herniation causing mild impingement on thecal sac and adjacent exiting left L3 nerve root . L4-5: Right paracentral focal extrusion with extension towards right neural foramina causing moderate to significant impingement on thecal sac and adjacent traversing right L5 nerve root. Other lumbar discs: No significant herniations. Both S.I. joints are normal. what is the treatment that i shd take? Doctor: U have to take tab pregalin sr 75mg once in night daily for 10 days .if urine control good no need to worry.u have to learn and do back strengthening exercises daily life long to prevent progression.u hav to take cap rejunuron daily a vitamin | 147,208 |
Can I get pregnant with blocks in fallopian tube? | Patient: I am 30 years old.I got married on Jan 2010.I am not yet conceived.My Doctor suggested me to do X-Ray to check my fallopian tubes.I had it.She told me tat i am having blocks in right tube and partially in left tube.I had put 10 placentrex injection for the last month.Pl z help ,Am i able to get pregnant without laproscopy...I depressed...I don't want to do any surgery.... Doctor: Hi, Welcome to health care magic. I understand your concern. Fallipian tubes play major role in transfer of mature ova from abdominal cavity.to uterus &also thar of sperms from vagina to fallipian tubes to unite ova..6 Placentrex is kbown to remove blockages in fallopian tubes . You should go for HSG salpingography to check for tube patency. With corrected tubal blocks you should go for normal conception... if not you can go for test tube baby using your ova &your husband . Thanks. . | 407 |
What is the cause of hardness at the bottom of my testicles when on provigor? | Patient: I have a hardness at the bottom of my testicles after taking a product called provigor that s was to help with Erectile dysfunction along with another product called prosvent and now I have experienced a hardness of my testicles and occasional swelling and slight burning of urine Doctor: HiGreetings Since it followed after taking the drugs for erectile dysfunction,it is better to get it evaluated by an andrologist or urologist. It could be due to some infection either in your testicles or in epididymis. However you definitely need a check up at the earliest. Hope you are convinced. Regards | 197,099 |
Should I take montek LC for solar urticaria? | Patient: hi madam,I'am suffering from solar utrecaria. And my dermatoligist suggested montek-LC. I've been using it since 3 months.But it wasn't of much help as it reappears as soon as I stop using it. Should I continue the medicine? And will it have any side effects? Doctor: Hello,Welcome to HCMI have gone through your clinical history carefully and have understood your concern. Montek-LC consists of monteleukast and levocetrizine.It does have some side effects like headache,dizziness,heartburn,upset stomach,tiredness,stomach pain,tooth pain and stuffy nose.New drugs have evolved which can counteract these side effects with ease.So, I advice drugs like Third generation antihistaminics like levocetrizine,olopatadine which are relatively very free of side effects and are more patient friendly.Since urticaria in your case is more than 6 weeks duration,it is usually termed as Chronic urticaria,which also requires low dose steroids for improved outcome; Ex-hydrocortisone for short period of time,when used on intermittent basis,can dramatically control symptoms of itching and rash by reducing the causative inflammation and bring you prompt relief.Hope you are happy with the answer.Thank you | 36,969 |
Suggest treatment for severe foot pain | Patient: I am 30year old women with one child. I m suffering from pain on left heels from the time of child birth(3yrs). I have severe pain when standing after sitting or lying... intensity of pain varies with climate and after walking some distance..plz tel a remedy Doctor: Dear patient You are having plantar fascitis. It's condition commonly seen in middle aged women and mostly bilateral. There is inflammation of heel bone at attachments of plantar fascia. This leads to pain on weight bearing and even at rest. You should wear soft heel cushion in your boot or Chappals. Start tab diclofenac plus serratiopeptodase combination twice a day for 5 days. Do stretching of ankles in morning before getting out of bed. If all this measures does not relieve you of pain in a week you should ask for injection depomedrol locally at the site of maximum pain. This is effective in 90 % of patients. All the best. | 139,296 |
Taking prodafem for long bleeding. Will it interfere conceiving? | Patient: Hi, i was with my doctor last week because of too long bleeding and she prescribed me Prodafem to take for 10 days. my worry is, I'm trying to get pregnant, will this be a problem taking Prodafem? Please help! and also my clearblue fertility monitor have be saying fertile for 6 days now and never show a pick fertile, could this also be problem from PRODAFEM?Thank you very much! Doctor: Hi, Prodafem is progesterone used for control of prolonged and/or heavy bleeding and is safer over Norethisterone when pregnancy is contemplated, but , the drug must be used at the doctor's discretion. The fertility monitor you are using is meant to detect LH levels and it may be affected by the medicine at higher doses only. The fact could be that you did not probably ovulate this cycle so far. Please get further suggestions from your doctor. Take care. | 5,540 |
Suggest treatment for fever and rashes on body | Patient: My 4 year old son developed a non-productive cough 2 days ago while visiting with my in-laws in Northern Virginia. They returned home to South Carolina last night, and he woke up this morning with a raised, splotchy rash all over his body. He s been on Benadryl throughout the day, and he just woke up from a nap with a fever of 102. I m not sure what s going on. Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.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)., | 171,263 |
Feeling pain in the big thumb after a repair of basel joint | Patient: I had surgery to repair my basel joint with tendon work. 9 weeks ago I have a soft splint I wear sometimes. yetsrday I was squeezing my car window trying to pull it up and I felt pain in big thumb not always constant, but when I squeeze something john Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Do some hand exercises and finger stretches regularly, and just warm up before doing hard activities. And do hot and cold therapy. Hot and cold therapy is to put your hand in hot water (lukewarm) for 3 minutes and in cold water for one minute. Do it 5 times. Hope it will help you. Let me know if I can assist you further.Regards,Dr. Harsh Swarup | 130,785 |
Is cypon syrup recommended to a 11 month baby for vomiting? | Patient: hi my son is 11months old.he is a very fussy eater.he usually vomits his food and sometimes he vomits the previous meal also.It smells like sour curd.elders at home say he has indigestion problem and less apetite.they advise me to give cypon syrup for infants.Is it safe to use cypon.please advise Doctor: Brief answer :Not recommended. Detailed answer :Hi, welcome to HCM. Cypon syrup contains cyproheptadine which is a centrally acting appetizer drug. At 11 months, there is no need to give an appetizer syrup as at 11 months child don't want to eat because of taste problems. Child prefers to eat what tastes betters. In my opinion, you should give multivitamin drops 1 ml PO once a day so that multivitamin deficiency will be corrected. I hope this will help you. Take care. Regards - Dr Deepak Patel, MD Pediatrics | 171,044 |
What causes severe stomach pain? | Patient: I have stomach pains a lot usually both lower quadrants. Lately it has been the right lower quadrant and more so when I lay on my stomach. I'm 19 and female. It's a sharp pain. Tolerate it because I have no insurance. I need to know if I need medical attention and what it could be? Doctor: Hi,That can be either due to appendicitis or ureteric stone or ovarian cyst.You need to get an ultrasound of your abdomen to help reach a diagnosis. As management of each is different.RegardsDr. Ashish Verma | 91,321 |
Can biotin deficiency cause hair loss on the entire scalp? | Patient: My hair is thinning all over the scalp, especially above the sideburns i.e.behind the eye(wherein i ve every bald person has hair on the sides except on the top) so i hope this is not androgenetic alopecia, i ve lost hairs from all over the scalp, the temple hairs have almost gone, my scalp can be seen through the hair, no history of hairloss runs in my family. My dermatoglogist prescribed hair bless tablets, he said that this is due to biotin deficiency. Can biotin deficiency cause hairloss on the entire scalp? Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it is very true that excess of deficiency of Biotin can cause thinning of hairs and can cause severe hairloss..So in case if you are diagnosed with Biotin deficiency then hairloss can occur..Hairbless tablets contains Biotin, Niacinamide, amino acids and minerals and it is an appropriate composition for hairfall..You can also apply 5% Minoxidil solution over the scalp..You can massage you scalp with coconut oil or olive oil or other appropriate mineral oils..Wash your scalp every alternate day..In case if there is no improvement you can consult a Trichologist and get evaluated and he can advise hormonal assy as well so investigations like Trichogram and Dermoscopy to rule out the exact cause and treatment can be done accordingly .You can also discuss about Platelet rich plasma ,Mesotherapy etc..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 10,930 |
Itchy rashes on the neck spreading. Food allergy? | Patient: i HAVE A RASH ON MY BACK THAT STARTED ON BACK OF MY NECK AND HAS MOVED DOWN MY BACK. VERY ITCHY BUT DOES NOT HURT AT ALL - JUST ITCHES. I HAVE HAD IT FOR ALMOST 2 WEEKS NOW AND MY NECK AND UPPER BACK DON'T ITCH ANYMORE - BUT WHERE IT HAS TRAVELED DOWN MY BACK ITCHES. IT COVERS MY LOWER BACK STOPPING AT MY WAIST. COULD I HAVE DEVELOPED AN ALLERGY TO FOOD LIKE PEANUT BUTTER OR ALCOLHO? Doctor: Hi and thanks for the query,Its important that this rash be distinguished from either being of infectious origin or allergic origin. Are others around presenting with same symptoms? Is it the first time you are experiencing this? Any fever or lymph node enlargement?A careful evaluation could really be needed. A food allergy is a possibility but the spread is really unusual. It should be interesting to know the duration of time between consuming alcohol or pee nuts and developing the rash. If it occurred immediately after, it could be incriminated. But if not, other sources should be searched for.Characteristic lesion should easily guide the clinician, depending whether the rashes are vesicles, pustules, macules or papules and other clinical parameters, an appropriate diagnosis could easily be made.Booking an appointment with your family physician or dermatologist could be of interest.Thanks and best regards,Luchuo, MD. | 103,812 |
What could white lesions in cheek & tongue suggest? | Patient: Hi, i have white lesion on my 2 cheeks. From one side it's small, from the other it's bigger. It's been so white, but now they became lighter, but i think my cheek inside became little bet swallen and 2 days ago i find out very small lesion on my toungue. I had been on urgent care and they give me some medication from trush, but it's didn't help and my dentist thinking it's not a trush........what it's can be? Doctor: It could be leokoplakia or more precisely if its filled with liquid , it could be leokodeamaApply tretinoin .025% ( retino a cream) and have an antioxidant and vitamin a chewable tablets daily.If it burns on application discontinue it | 184,308 |
Suggest remedies for skin allergy causing bruising | Patient: Hi, I have an English Bulldog, have had him for about six months. I have skin allergies, but they seem to be getting worse not better. My dermatologist gave me a steroid shot that helped for a while, but then my skin started to bruise. Now my skin is breaking out worse than ever all over. It is extremely itch. I think it is like eczema, but have not had a definitive diagnosis. Is there anything I can do to help this problem. I do not want to rehome my dog. Doctor: HI, thanks for using healthcare magicYou may want to have allergy testing done, it may not be the dog dander that is causing the problem.If there is another source then you may be able to reduce your exposure to it.If it is related to the dog and removal is not an option then you would need to consisting use anti histamines and topical steroids to help with your skin reaction.If severe then oral or injectable steroids can be used.I hope this helps | 100,100 |
Does Clomiphene Citrate tablet work in case of low ovulating egg? | Patient: am karunya, my age is 23 and 6 months passed my married life still i didnt get concieve doctor told that ovulating egg is low so she prescribed Clomiphene Citrate (Siphene) tablet for 5 days ....... is it is really give good results? and also it ill increase again and again or whenever i take tablet only increases? Doctor: Dear Karunya, Clomiphene citrate is a medicine used for induction of ovulation (release of eggs from the ovaries) where the ovaries fail to ovulate. These pills are given for 5 days. Few days after that the ovulation results. Ovulation Monitoring by ultrasonography after the day 9 of the cycle will give evidences of ovulation; more over it will help you to locate the day of ovulation so that you can plan your sexual relations on and around that day. Addition of Metformin and/or Myo inositol may give better results in case of failure of egg release due to PCOS. Clomiphene citrate trial should not be extended beyond 6 cycles. If it fails to result in pregnancy, you may have to go for HMG/hCG combination therapy. I hope this gives you preliminary guidelines. Dr. Nishikant Shrotri | 3,061 |
How to check paternity during pregnancy? | Patient: Hi..I m in a fix right now. Need some answers. Had sex with a girl late last year (Dec 22), she used prostinor 2 and complained about stomach upsets and she saw some blood discharges, later she was ok. We had sex again on 6th,7th and 8th of January this year being protected once in those 3 days. She took the prostinor again, saw little discharges and later she had her period. We had it again on the 17th and 18th of February. I was protected the first day and the first part of the second day. I was unprotected the second time we had it the second day (18th) but i m pretty sure I did not ejaculate into her. She took the prostinor a week later after she said she forgot to use it. Now she claims she is pregnant for me. I said ok but now I think something is off. She had a scan done and it says the baby is 16weeks old as of May 24. Now i m a little alarmed, I dont want to be tricked into something that isn t mine even though i do care about this girl. I ve done the maths but the dates just don t tally. I do insist on being protected all the time but she says she likes it better if we are not. I m a little confused here, thats why i looked you up and I think you can help If its mine, i would take responsibility but i m not sure if its even mine. I also did some little research. Learnt that the sperm could survive for up to 3 days in the uterus and that the woman could only get preggy on just fourteen days of the month. When I factor in all the possibilities, it still doesn t add up. Please advice. Want to know if i should start paying child support...just saying. Thanks. Doctor: Thanks for asking in healthcaremagic forum You cannot calculate like this by dates. Pregnancy is a possibility in your case. You should have thought this before having intercourse(unprotected). If she is giving you the evidence then, trust her. Or else you can go for paternity tests later, but by this you will lose your girlfriends's trust on you. All the best. | 200,478 |
Suggest remedy for itchy skin rashes | Patient: I have been bitten by some bug, I think in overgrown grass. It looks like a mosquito bite in size but has a large ring/rash around it and itches like crazy. Very slightly warm to the touch. Any idea what this might be and how can I stop it from itching and spreading? Doctor: Hi, I have gone through your complaints and it is very difficult to comment on the nature of the insect bite. I would recommend you to take antihistaminic like tablet Cetrizine twice daily and apply topical steroid like Cortisone cream on the affected area twice daily for few days. This will resolve the reaction. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney | 13,816 |
How to improve penile size, strength and erection? | Patient: Hi there sir, I would like to ask that I have one problem which is I used penis developer pump 2 years ago ,my penis stretched so much badly after use of 3 days ,may be used very hard for extra time ,nobody guide me how to use this penis pump but I used it ,15-20 minutes straight , after 3 days use of pump , was no erection few days after use of pump because of over stretch of penis ,which effect still I have till today. Symptoms ; 1:Penis thin and small and shrink and soft like ballon, after use pump which was not before, 2:Penis stays tired and cold . 3: weak and short erection , 4: feeling or feel like to sex so much in mind but same time penis has no erection because of penis muscle stretched badly, feels even after 2 years. 5:while I am doing sex my mind and felling are 100% in it but my penis has no erection , if I have erection I did entered in Vigaina straight way without foreplay which is not good for my partner without foreplay sex because I am done but partner not. Note: I never ever had no any problem before usage penis pump ,physically I am strong and health , I wish to have sex so much in a day , but my penis does not supports. It Stays cold and tired. Experience and felt : After 2 year I found that my penis base is became very weak because penis too much stretched by (penis developer Pump, ) even after 3 time of use. Treatment ; Penis muscle need to get relax and strong , if muscle are strong then definitely strong and long erection will be. Please suggest to me exact medicine to cure and heel my penis problem. Please don t hesitate to ask anything. I will be waiting for your great response . Kind Regards Doctor: HelloThanks for query.Based on what you have narrated I would say that you a have probably sustained an injury to erectile tissue or artery that carries blood flow to penis for effective and hard erection due to Vaccum device used for lengthening penis ,Your problem of erectile dysfunction is mostly vascular in orgin and needs to be confirmed by doing a test called Color Doppler Ultrasound Scanning of penis ..Please consult qualified Urologist for clinical assessment and get the test done .Further treatment will be decided by him based on result of this test.Dr.Patil. | 199,951 |
What causes discomfort when suffering from testicle cysts? | Patient: My boyfriend is has been having discomfort in his testicles lately. He has cysts that have been there for a while, but his doctors have told him that it is nothing serious. He wants to get a biopsy on it to see if it is cancerous or not. what would you suggest doing? Doctor: Hello, It depends on "cyst" size. Usually cyst is not common in the testicles. Rather there are tumours. It is not clear from your question whether he has cysts, tumours or just enlarged testicles. Most of the time, scrotal ultrasound gives information whether the testicular swelling are "normal" or "cancerous". In some cases, blood tests can also be helpful (beta hCG, AFP, LDH). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta | 192,120 |
What medicines should be taken to increase height? | Patient: I'm a 16 year old girl, 5.2“ft. I want to increase my height 4 inches more. I also have genes for tall height. Can me suggest me supplements or anything at all to help me grow tall fast? Currently I'm on homeopathy, Calceria phosphorica and grow-t drops, but I donot see any height growth. Please help. Doctor: Hello friend,You are almost in the right track. Because Homoeopathy is the best method of treatment for such genetic conditions. But in Homoeopathy, there are no specific treatment for any disease. You have to reconsider the medication you are getting now. Calcarea phos will help calcium building but the constitutional remedy is also important. For that you have to undergo constitutional treatment from an expert Homoeopath. If you cannot find any one in your locality, I can help you provided you will ask a personal query to me through Healthcare magic. I can even assist you to prepare your case by sending a case taking format on request in which you can develop your case.But at the same time I have to remind that the height of an individual is basically a genetic feature and there is no method known at present to increase the height as we desire. In your case you desire to increase by 4 inches. This sort of desire is a part of your thinking process specific to your age. Have a relaxed approach to these conditions and get Homoeopathic treatment for a healthy constitution.Since your genetics has the tendency to get tall body, you can wait for few more years till the growth hormones will complete working for some more time period.With best wishes,Dr C. J. VargheseHomoeopath | 97,750 |
What causes erection without ejaculation? | Patient: hello sir, i m 25 yrs male, and i am having the habit of masterbation without errection , with the help of a pillow or towel, so how could i get rid frm this problem, because my semin is not coming out while shaking when my penis is fully errected, plse help me ?? Doctor: Dear userWe understand your concernsI went through your details. Delayed ejaculation (DE) occurs when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. DE has multiple causes, including anxiety, depression, neuropathy, and reactions to medications. Please let us know whether you have any of these conditions. No drug has been specifically approved for DE, but medications used for conditions such as Parkinson’s disease have been shown to help. Counseling, psychotherapy, sex therapy etc can also help you. If you require more of my help in this aspect, please use this URL. http://yyyy.gl/yyyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 196,386 |
Suggest treatment for hair fall | Patient: Hi i am 31 years old and from severe hairfall from more then 3 years, i have thyroid for that i am taking 62.5mcg thynorom tablet, so it is under control. I have consulted dr, she prescribed me minoxidil 2%, because of that my hair become so hard and dry so she changed it to grocapix gel and tricotan forte tablet, i am following this treatment from more than 2 months but still no effect, even no now my forehead is becoming broad and on top of the head baldness has started plz suggest me something very good, thnx priti Doctor: Hi, I have gone through your complaints and would recommend you to apply Androanagen lotion to the affected areas and take Follihair A tablet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 10,088 |
Is it normal for a 9 year old child to masturbate? | Patient: Dear Sir My daughter is 9 years old. My wife has caught her doing somnething similar to masturbation .she touches her genitals or squeezses her legs/is it wrong/or is it normal?In indian society it is considered to be wrong and in society such things are shunned. I am concerned also i donbt want to punish if in case that might affect her mentally and also if she does more as a result of rebellion. Is it normal for kids that age to masturbate. Pl advice Doctor: Hi..it is not normal for kids of this age to do so. You are also right in thinking that - in this age kids do what we say no to. So I suggest you discretely get her consulted with a child clinical psychologist. They will be able to guide you better.Regards - Dr. Sumanth | 167,336 |
Having high SGPT level. How to lower it? | Patient: I am having high SGPT level 109 ? how to lower it? Reason as to why so high? In a recent medical test it is found that my SGPT is 109. I am not an alchoholic i drink 3 PEG BRANDY TWICEl IN every week. I was not taking any medicines for any ailments. I do eat food from outside as i am staying away from home. Tell me how i can lower this. 2.5 MONTHS AGO IMPLANT REMOVAL (PHILOSPLAT)SURGURY AT SHOULDER And why this has happened Doctor: Hi.Thanks for posting query at HCM.Value of AST or ALT greater than 85 or above maybe investigated further.HAV, HBV, HCV, Alcohol ingestion , obesity are common causes of liver disease.Rule out HBV and HCVUsually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | 53,072 |
What causes small white spot with pus at tip of tongue? | Patient: I have a ver small white spot appeared to be pus filled on the tip of my tounge . It appeared 4 days back when i was eating mango and suddenly chewed my tongue .It has decreased in size.. i have no pain in ear,neck,swallowing..But when i touch dat white spot it hurts very little.....Is there any thing to worry ???? Doctor: Hello, Welcome to healthcare magic. As you have small white spot on tongue dont worry it is due to traumatic injury to tongue during chewing dont worry for this you can do warm saline gargle two - three times a day. Apply ointment Mucopain or dologel two - three times a day on tongue . Take one capsule vitamin B complex once daily for 15 days If you wont get relief then go to dentist for examination .Hope this will help you. | 186,259 |
Red dots on uvula, yellow substance on tongue. Tingling and pain when swallowing. What is the problem? | Patient: Hi i was looking at my uvula and i took a pic .i used a flashlight and saw it had red dots. And then up on top od my tounge has yellowish things. And bejing the ivula i found alot of red dots they looks like alot of red blood drops. Please tell me my problem also wjen i swallow somthing it starys to tingle and it hurts. Doctor: Hello, Thanks for your query. As you provided the detail,it seems that you have infection in your mouth. So iwill suggest you please visit an oral surgeon in your area as soon as possible and provide him complete detail like- 1.since how many days you have these painfull ulcers. 2.are you taking any medicine? 3.do you have these ulcers on cheek or lips also?etc... Nothing to get worried every thing will be alright. Take Care. Dr.Gunjan Gupta | 190,242 |
What causes infection in gum? | Patient: I got my cavity filled 6 months ago and my tooth is still hurting I went back after 2 months and they said the filling was too large so they took some off I went back again the next month they did the same thing,now white puss that tastes really bad is coming out of my gums and my tooth still aches. What is wrong with my tooth? Doctor: Hello, thank you for consulting with healthcaremagic. As you are mentioning that now white puss is coming out from gums, it looks that now the infection of tooth has spread to the apex of the tooth and abscess has formed.You have to get a root canal treatment done which will resolve the infection.Hope it will help you. | 185,431 |
What to do if am bleeding after taking 3 packs of Logynon pills back to back without break? | Patient: Have been on the logynon pill for about a year now, and I thought that taking the pill back to back was okay for up to 3 packets. I didn't check before I did this. No half way through my 3rd packet I've started to bleed is this a problem? Should I stop my packet now and give myself a break? Then start a fresh packet ater a weeks break?, i Doctor: no,you might have forgotten 1 or 2 pills .so you are having breakthrough bleeding.continue with the same pack.you will have your regular periods at the usual time. | 224,100 |
What causes painful lump at the top of butt? | Patient: Hello.i have a lump right at the top of my butt, it hurts really bad like when i lay or sit down, its pinkish and its been there for like a week and has gotten bigger since i first realized it. could it be a boil?? any suggestions are very appreciated Doctor: YES, IT COULD WELL BE A BOIL!Hi! thanks for sharing your health problem with us; this is fairly a common condition and generally the diagnosis is straight forward!Anyways, as I can visualize your lump, I must think of few possibilities like infected inclusion cyst, boil/abscess/folliculitis or some benign skin tumor getting infected.Therefore it possibly needs antibiotics and surgical drainage / excision as would be felt better by your consulting surgeon.regards, | 66,111 |
Runny nose, throat and nose itching, sneezing, cough after season change. Taken allegra, levocetrizine and montek LC. Advice? | Patient: Every change in season I suffer alot with running nose, throat itching, nose itching and continuous sneezing with block nose and ears and cough with jelly kind of scrotum , I ve consulted various physicians and i ve been informed that i m allergic, I ve taken Allegra , Levocetrizine and Montek LC. I want to take suggestions from ENT specialist... Doctor: It is apparent that you are suffering from allergy. You have rightly been prescribed montair lc and antihistaminic. If it is really bad, a short course of steroids may help. For nasal symptoms, take flixonase nasal spray. Avoid any known allergens. | 105,038 |
Suggest treatment for knee pain after injury | Patient: I hit my knee on a metal hinge getting into a 4wheeler. It hurts to the touch and walking. Sitting down low like on a toilet is excruciating. However I can straighten it and can walk. I vied it for thirty minutes and now it hurts worse. That was iced it. Doctor: HelloYour condition need proper clinical evaluation.You may need X-ray of knee(AP/Lateral view).It will exclude bony fracture.You are rightly taking conservative treatment.You may take analgesics and proton pump inhibitor.MRI of knee may be advised after clinical evaluation.MRI will exclude ligament,meniscus injury etc.Proper management depend upon evaluation.Get well soon.Take CareDr.Indu Bhushan | 216,907 |
Could Atenolol cause memory pauses having delay in recalling certain things? | Patient: Could atenolol have any connection with some 2 minute memory pauses I have had - we have ruled out atril fib, MRI s, EEG s, ultrasound of carotid artery, and PET scan have been normal, Lymes test has come back negative. The 2 minute episodes (6 in 6 months) were reduced to 2 in 12 months after cutting the atenolol from 50 to 25 mg. Alzheimer s is a possibility but several doctors said it doesn t act like that. I have not had any episodes in the 15 months, but I do have some memory holes and some delays in recalling certain words. Any suggestions????? Joan Doctor: Hello Joan!Welcome on Healthcaremagic!Regarding your concern, you should know that atenolol may influence on those memory gaps. It is known to reduce physical performance. Besides, bradycardia, may cause low brain perfusion and thus, memory problems.Anyway, I recommend you to follow up with a neurologist after 6 months and perform some cognitive tests in order to exclude other possible causes of dementia. Hope you will find this answer helpful!Best wishes, Dr. Aida | 142,346 |
Elevated SGPT levels, swollen hands, legs, face. On thyronorm for hypothyroidism. What is the cause? | Patient: My Mom has been medicating for Hypothyroism for the past 6 months....and using Thyronorm drug12.5 micrograms intially and fro the past 15 days 50 micrograms.....in her recent medical check up....I observed elevated levels of SGPT(59 IU) and face,hands & legs became swollen.....but the sugar levels , Bilirubin are normal......Is there any Liver infection or Medication for Hypothyroidsm increses SGPT levels? Please clarify my queries.....Thank you Naveen Kumar;India Doctor: Dear Naveen, welcome here. could you let me know the latest TSH levels? were they incresed ( since your dose has been increased. if TSH was rising, the symptoms could be explained. but I would need details of all reports to advise appropriately. SGPT 59 is very minimal rise and no cause for worry isolated. hoping to get details. thanks and good luck. | 60,065 |
Is it normal to feel drowsy and non responsive after bypass surgery? | Patient: My mum had a heart bypass on thursday. she seems to still be very drowsy and not very responsive. the drs arw not aure why as she is not on pain relief. my mum has previously had brain hermorage. strokes she is epileptic and diabetis. she is 66 years old. please help. is thia a bad sign Doctor: Hello , Post bypass surgery many reasons can be the reason for drowsiness . Most common and easily correctable are low sodium or other metabolic reasons ( hypoxia, low sugars , impaired renal and hepatic causes) As you said pain medication or sleeping pills , some antibiotics and other rarer medication which can cause the same. Considering her history of stroke and epilepsy, A EEG to rule out silent continuous seizures . Lastly during bypass the blood supply to the brain is drastically decreased , do an MRI to rule out any new stroke , or another hemorrhage considering the blood thinners used for bypass patients should be the later considerations if other common causes are ruled out. Regards | 24,098 |
Papilledema, swollen left eye, fluid behind eye, headaches, upset stomach, brain pressure a cause of concern ? | Patient: My mom was just diagnosed with papilledema. The doctor said her left eye was really swelled and there was a lot of fluid behind her eye. She has been having bad headaches , and has been sick at her stomach. She has an appointment for an MRI scheduled next week. I m really worried! Is this life threatening??? The whole pressure on the brain really concerns me! Doctor: Papilledema is a very specific diagnosis which refers to optic nerve edema from increased intracranial pressure... this is by definition. So, for the moment, your mom has swollen optic nerves or optic disk edema. Optic disk edema has multiple causes including... 1. uncontrolled high blood pressure,2. rare bilateral diabetic papillopathy and 3. strokes to the optic nerve (anterior ischemic optic neuropathy) which can rarely be bilateral, are associated with vision loss and may be associated with giant cell arteritis. Since these are all treatable easily, they must be considered. (Likewise infiltration of the optic nerve through neoplastic processes such as CNS lymphoma can cause the appearance of edema and will show up on an MRI.) Once these possibilities have been considered, the next logical step is MRI...This is looking for CNS tumors and should be performed with contrast. If negative, lumbar puncture measuring openning pressure should be performed with removal of cerebral spinal fluid for cytology to look for signs of infection or tumor in the brain. ( This test will actually diagnose the patient with papilledema.) The swollen nerves in this case are just a sign... the underlying reason is most important. The most common CNS tumor in middleaged women is meningioma which is benign and can be resected... everything is worse. The MRI will give your the answer. | 151,664 |
Is it possible to have baby through ICSI while having abnormal sperms? | Patient: I was wondering if it is possible for a male with 100% abnormal sperms to do ICSI with this same sperms and result in normal baby?P.S this semen analysis is the same after 6 months, there are no underlying causes for this permenant abnormality. We had several trials (about 6 times) of ICSI AND ALL lead to failure.Is there anything new?Thank you Doctor: Hello, in case sperms are taken from testicular biopsy and analysed then can be mated to your egg via ICSI then chances of pregnancy increases manyfoldIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain | 41,156 |
Child with hydronephrosis. Enlarged kidney. What does it mean and treatment options? | Patient: Dear Sir, We would like to know your opinion on below mentioned case of my sister Name: Ms Pooja Jadhav Age:14 She had complaint of Back Pain and doctor advised us for sonography and DTPA RENOGRAM AND SCAN. The Details regarding the reports is as follows: Sonography reports shows that the size of Right Kidney is enlarged: 16 x 7.7 cm, Left Kidney :9.5 x 4.7 cm Echotexture : Gross Hydronephrosis with paper thin cortex for Right Kidney and for left kidney it is normal CMD: Lost in right kidney , Left kidney it is Maintained. Renal Calculi: None (both) Ureter: Undilated (both) Ureteric Calculi: None (both) And DTPA RENOGRAM shows results as follows: QUANTITATIVE DATA: A) Cortical function at 2 min 1. Left Kidney: 65.64% 2. Right Kidney : 34.36% B) Retention at 30 minutes: 1. Left Kidney: 27% 2. Right Kidney: 100% Comments: Left Kidney shows normal perfusion , compensatory cortical function and normal excretion . Right Kidney shows reduced perfusion, residual cortical function and is obstructive in nature. We request you to please go through the details provided and advised us suitably. Please let us know if there is any medicine which can cure this problem also any alternative way to surgery. Hope to hear positive reply soon from you end. You may contact us on +91 0000 and +91 0000. With regards, Anjali Misal Mumbai Doctor: Hello, You mention the your sister has symptoms of back pain. The ultrasonogram has shown that the right kidney is grossly enlarged (normal 9-11cm, but 16cm in her case). The DTPA renogram shows an obstructed drainage. In a symptomatic patient it is always better to go for surgical treatment. Unfortumately there is no medical treatment for this condition. It can be explained in a simple mechanical example where in the out flow pipeline is blocked and there is enlarged kidney as a result of the pressure built up. If you can remove the blocade then it will help at this stage especially because the relative function of the kidney despite being hydronephrotic is still at 34% which is good. You can preserve the kidney function if the surgery is done at this stage. You can consider a laparoscopic surgery if you are not interested in an open procedure. This will have good results and less scarring. Hope it was helpful. Regards. | 50,942 |
Is vaginal discharge a sign of ovulation? | Patient: Hi - I have experienced a long string of clear gooey discharge 2 days ago. My last period was Oct 23rd and I was intimate with my Husband just Sun Nov 16th. I should have ovulated Nov 9-14th according to OV calculator. Could this be late ovulation and could there be a chance to conceive? Doctor: Hi, the vaginal discharge can be a sign of ovulation. Sometimes, ovulation gets delayed. You have a chance of getting pregnant because egg is there for 24 hours to get fertilised. Hope I have answered your question. If you have any other query I will be happy to help.Regards Dr khushboo | 1,851 |
Suggest treatment for hair loss at an alarming rate | Patient: Hi, For past one year, am loosing hair at an alarming rate. Have tried various anti dandruff shampoos but all in vain. My diet is ok. But yes I drink less water. Please help me in this. Because of such hari loss, am moving into depression stage. Also, someone advice me to put onion paste on head to increase the growth. Should I apply it? Many thanks, Namrata Doctor: Hello Namrata,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to any form of stress.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 6 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | 11,196 |
What causes weird behavior with limited vocabulary? | Patient: i am worried about behavior of my wife .She gets annoyed without any reason. She recalls past incidences and starts blaming every body/ anybody. Her behavior sees no reason. She also associates herself with any ailment she hears about. Her vocabulary is also limited. Often it happens that she cannot express herself well. Does this condition needs consultation with a psychiatrist? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The condition of your wife may not be requiring a consultation of a psychiatrist. Here you must act as a care taker and mentor. Open talk should be able to reduce the behavior. If there is no respite, she may be taken to a psychological counselor for behavioral counseling / psychotherapist for behavioral therapy. I do not see any sort of psychiatric illness in her.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | 208,445 |
What causes cough while asthma? | Patient: My mother has been having diffculty with breathing for the last few weeks. She has asthma and has been coughing non-stop. We thought it was just her asthma acting up but after rounds of steroids and treatments she is still coughing. She does okay when lying down but as soon as she stands she starts to cough again. She had x-rays and nothing showed up but then a ct scanned showed something. They went in today and found a jelly like substance and washed her lungs out. What could cause this? The dr's have not told her anything yet but will discuss it with her tomorrow. I just was wondering if anyone has heard of this before as I have not. Doctor: HI, thanks for using healthcare magicThere are different possible causes for persistent coughing. The most common causes are: asthma, post nasal drip and GERD (gastroesophageal reflux disease).The xrays or CT scan would have ruled out any significant changes to the lungs.Post nasal drip (which may not be detected in some) is the most common of the causes mentioned above.She may want to consider the use of topical steroid nasal sprays and oral antihistamines to see if these provide her with any relief.I hope this helps | 101,070 |
What causes lower back pain with history of kidney stone? | Patient: hello i had a kidney stone 2 years ago ... i feel like its coming again soon it hurts me by the lower right side of my back kind of the meddle of my right side it also hurts every time i take a deep breath and i keep burping.note: i drink hard alcohol 2 to 3 days a week!any idea of what i might have? Doctor: Hello,I had gone through the case and found that if you have history of stone then you must go for ultrasound of whole abdomen.Renal stone pain never aggravate with breathing and burping never occur due to stone.It might be due to week digestion causes burping.So After the ultrasound take proper treatment.Avoid alcohol because it create stone and liver cirrhosis.Take antacid for burp.Hope my answer will be effective for you. Thanks | 111,217 |
How to improve penile size? | Patient: hi doctor i shy about what i say to you ..but i have to tell you my name is riad i am in qatar affter 3 month i have my married but my penis very very very small penis so please help me i am fat men ... YYYY@YYYY if you say so i come karachi Doctor: Hello, Please understand the average penis length is 4.5 inches that even a two-inch penis can satisfy any girl and therefore do not worry about your penis length. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist | 193,487 |
What causes tingling in arms, sore arms and breasts and swelling in feet? | Patient: 30 year old female, 380 lbs, 5 5 ,...having tingly hands, sore arms, sore breasts, no period, swelling of legs and feet, tired a lot. No other issues in past other than gallbladder removed in 2009. On Paroxitine, changed birthcontrol 6 months ago, stopped taking it a month and a half ago. Doctor: Hello,Your symptoms are suggestive of a metabolic disorder. I would recommend consulting with your attending physician for a physical exam and some tests:- Complete blood count for anemia- thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes- PCR and ESR for inflammation- Kidney and liver function tests- Vitamin B12 and vitamin D plasma levelsYou should discuss with your doctor on the above tests.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 121,060 |
How can severe anxiety and hallucinations be treated? | Patient: I am worried I have HPPD and Anxiety Disorder, I get persistent spurts of hallucinations (some of them nightmare-ish) mixed with cold chills and anxious feelings a few times a day, especially at night/in dark areas. i beleive it was caused by previous usage of LSD/Marijuana/MDMA/2C-B....Is there any way I could fix this through medication or visiting a psychiatrist? Or will this eventually go away? Doctor: i strongly suspect that you may be having panic disorder.panic disorder can lead to depersonalization and derealisation.treating your anxiety disorder is important.please consult a psychiatrist | 205,186 |
Fever, nausea, vomiting. Had wisdom teeth removed. Normal? | Patient: Hi,So I got my wisdom teeth removed today and I took a nap when I got home. But for some reason I woke up with a fever and nausea. This was about 6 1/2 hours. Ago. About two hours ago, I started vomiting everything, and now I have nothing in my stomach and I am still vomiting! I have no idea why and was wondering if it was normal or not? Thanks,Sammi Doctor: Hello,Thanks for choosing HCM forum.Vomitting post-extraction of wisdom tooth can be due to-Side effect of antibiotics administered.Gastritis.Abscess draining from the site of tooth extraction.Please do visit your dentist and get a thorough clinical evaluation done.Take plenty of fluids as well as nutritious diet.Vitamin becosules and iron supplements has to be administered.Take care. | 188,932 |
How to get relief from left ankle pain after masturbation? | Patient: Hello , Dr, Goyal , i have been having a problem since long time ago , after done masturbation i can feel too much pain in my left ankle as well as foot . sometime i can fell the pain in my left leg completely , so can you suggest what should i do to get relief frm this kind of pain , thank you Doctor: Hi, Masturbation has nothing to do with your symptoms. Relax. Concentrate on your studies or work. Get married if you are of marriageable age. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon | 124,095 |
What causes recurrent neck pain despite having a fusion surgery on cervical spine? | Patient: Thank you for your time sir, I have been diagnosed with multilevel moderate to severe degenerative spondylosis. 1mm at C3-4 and 2mm at C7-T1....I have had fusion and rods surgically implanted (obviously). Also have rods and pins at L3-S1..... my neck is getting progressively painful and am really becoming very limited in my daily activities. This pain is waking me up and noticing the loss of strength in my left arm. What are your thoughts? Again, thank you for your time. Michelle Doctor: Hi Michelle, Following surgery to the C spine, what you can develop after a period of time is called as adjacent segment disease or degeneration. What is means is that the cervical vertebrae are subjected to increase movements and following fusion surgery this places additional stress on the intervertebral discs above and below the fusion levels, the superior levels being more affected. This can lead to narrowing of the cervical canal and cause nerve root compression if its severe enough. So kindly get Cervical spine x rays done, get a neurological checkup done to see if you're having any sensorimotor deficits and consult a spine surgeon if these levels will require decompression and fusion as well. | 129,586 |
How to ease the pain caused by torn shoulder ligament? | Patient: I have a torn shoulder ligament which I have had extreme pain for several months. After trying Arnica, cold compresses, tens unit aroma therapy and a cortisone shot over 2 weeks ago, which helped a little, but the pain has returned with a vengeance. Hurts so much, I have to drive with my left hand. Can t get appt til next wed and I can t keep my sanity until then and going to a clinic and waiting around to be seen would be intolerable. I have no allergies and have taken pain medication before, no side affects. What are my options? Doctor: Hello there,I have read your problem carefully, As you have mentioned torn shoulder ligament, but on what basis you have mentioned this , if its MRI, than which particular ligament is injured?And how did this injury happened to you?And if its you guess that you have injured your ligament, than this could be a wrong guess.As other than ligament in shoulder joint there is possibility of labrum tear.You have mentioned driving is problem for you, so this indicates there would be major issue, if not treated early could lead to degenerative changes in joints .The best option available here for you is visiting a Physio/Orthopedic get the proper assessment done (if not done earlier)and get start with physiotherapy treatment as you have mentioned TENS , Steroid injection , but they are not effective on long term.So US therapy, Laser therapy could help you in healing process.Taking pain killers dose will damage your kidney, so wear a shoulder race untill you visit your doctor , give yourself some rest.Thanks and regards | 135,073 |
Is it normal for bilirubin levels to fluctuate within normal range? | Patient: Had a question about lab blood work. Is it normal for bilirubin levels to fluctuate within normal range? My last few labs were .8 then a .6 now back to .8. I quit drinking 4 years ago so pay close attention to liver tests. All are normal range but just worried somewhat as they fluctuate, Doctor: Fluctuation of serum bilirubin levels is quite common and need not to be worried as long as it is within normal range. Most commonly it appears to fluctuate due to change in the lab and kit. | 57,332 |
Can heart repair itself through consistent exercise and lifestyle modification? | Patient: I am 33y/o and have had several short reoccurances of A-fib triggered at night as well as with a deep inhilation most recently, which self converted back to sinus rhythm after 60min. and a hot shower. I have been using a albuterol inhaler for many years. Could the affects of improper inhaler use have caused my A-fib??? I am following a cardiologist's regimine of cardizem but am relucant to start flecanide as I have no occurance of flutter/a-fib since stopping the albuterol. With elimination of causes, can my heart repair itself via consistent exercise and lifestyle modification???? or are the improper eletrical channels permanent and ever-present??? Doctor: Lifestyle modifications helps to improve risk factors for heart disease.However, cardiac arrhythmia like Atrial Fibrillation needs to be evaluated and find the reason for it. The electrical channels in the heart can not be changed with lifestyle modification but it helps specially if you loose weight that will help the heart to work less.The heart muscle repairs when you have a good aerobic exercise. | 27,913 |
How can flu and pneumonia be treated? | Patient: My mom is in hospital with type a flu and pneumonia. She has regular albuterol breathing treatments at home. At one point when I didn t think just albuterol was being esffective , we tried the duo. She did not respond well so we went back to only albuterol. Here at the hospital they were giving her duo and I wasn t aware....she was already having difficulty with a fib....after the third treatment I asked what they were giving her...she had a purple face, jerking and a person from cardiac came to her rooom because her heart rate was overhead 180 and a very elevated by. Respiratory was arguing with me that it was the albuterol in the duo and I assured them that she has it at home everyday and does not shake. Also a doctor told me that there was no difference in metoprolol and traprock... when over the years anytime it s not topol she gets sick as a dog, Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.I think at this point she should take an antibiotic to help pneumonia being cured except inhalation with ventoline and prednisone injection. The antibiotic we prefere in this severe cases and hospital care is ceftriaxonHope I have answered your query. Let me know if I can assist you further. | 28,617 |
How can severe anxiety and depression be treated? | Patient: my wife doesn't understand I get so bad anxiety stress depression Ihave to take my meds & go to bed & pray for sleep These attacks only take less than 5 min to start had one today when DR.called wanting specifics I told hem I could not handle it right now & would call hem back. BUT PLEASE LEAVE SOME THING ON HERE TO EXPLAIN TO MY WIFE IN ITS SELF IS A BIG PROMBLEM OR CURE.THANK YOU! Doctor: in my opinion she needs to understand give her some videos , written material or leaflet for her to read to understand depression and anxiety is caused my decrease of certain chemicals like serotonin | 204,917 |
Which is the best baby formula? | Patient: Ive been breastfeeding my baby exclusively for over 5 months..this coming sunday, hes going to be 6 months and il love to start him up on a baby formula but I dont know which is better whether NAN PRO 2 or nestle lactogen,? And how much quantity of water can I be giving him? Doctor: hi it is good to know that you have breastfeed your child exclusively, it would be very good for your baby if you do so till at least one year of age. as he is now 6 months you can start home made complementary food for your child along with your feeds. in case of an emergency you can give him farex or nan pro or lactogen. there are many recipes online age wise which you can introduce to your child. hope this is helpful to you, kindly rate it if so. take care | 180,288 |
What causes back pain, fever, nausea and UTI? | Patient: My friend is exhibiting symptoms of back pain fever, nausea and uti. She has presented her self to the Emergency department at our local hospital several times and they send her home. She has been unwell for sometimes withe the symptoms coming and then going and then reoccurring. What are your thoughts? Doctor: Hi,In my opinion I think she may have a kind of gouty arthritis where SUA is higher than normal levels which happens with UTI, back and joint pains. It may occur with low water intake or high protein and salt intake meals thus increasing the serum uric acid SUA. For now, I suggest more hydration, analgesics and some investigations for proper diagnosis and evaluation ask your physician. Please give some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan | 107,460 |
Suggest treatment for rashes and itching on face | Patient: I have some sort of rash on my skin, it s not red it s appears to be dry patches of skin with wrinkles. It s mostly on my face & chest area and a little bit on my arms. I consulted with a doctor and he gave me am allergy shot, it has been 2 days since the shot & I have even more rashes. And it s itching now, how long till the allergy shot works, or maybe it s not working for me? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Allergy medicines take time to act. Meanwhile, apply Cortisone cream on the affected areas and take antihistaminic medication, like Cetirizine tablet depending on the intensity of itching. Regards. | 13,986 |
Suggest medication for diarrhea | Patient: hi doc,my baby girl is 5 month old.her birth weight is 2.5 kg. now she has 5.260kg.she has been suffering from loose motion for the past 3 days.from the 4th month onwards i started giving solid food one time a day.i m so much worried.when ll it stop?is her weight apt for her age? Doctor: Hi dear Welcome to the HCM, Get her stool cultured to know the exact cusative organism and also the drug effective. Colistine sulphate to be used in effective doses to get rid of the inf3ection. Take care of the bottle hygiene very effectively. Increase the frequency of semisolids you are using. Hope the query is answered. thanks | 171,859 |
What is the sharp pain between my shoulder blades? | Patient: When stretching my back the other day, I felt a sharp pain between my shoulder blades followed by so much pressure, I couldn't yake a breath to speak. The pain is concentrated between my spine and right shoulder blade. The pain worsens when standing or sitting for too long, or deep breaths. Doctor: Hello!Welcome on HCM!I carefully read your question and would explain that your symptoms are related to a musculo-skeletal pain from overstretching. Coming to this point, I would recommend having some rest and taking some painkillers (acetaminophen, ibuprofen, ketoprofen, etc.). A muscle relaxant (flexeril) would also be helpful, coupled with a good massage of this region to relive the muscle spasm. Hope to have been helpful!Kind regards, Dr. Aida | 143,386 |
Swelling in the face after tooth extraction. Taking lidocaine. Feeling body tremors at night. Reason? | Patient: when I had a tooth extracted, the lidocaine the OS gave me made my face swell immediately. it was before the extraction. I was scared but he went through with the extraction anyway. The swelling went down within a few days. It never turned black or blue, but it felt very rubbery for days. what was this? I also experienced full body tremors at night while I was sleeping. It would wake me right out of my sleep. Doctor: Hello,The swelling may be due to the overdose of local anaesthetic solution injected.I would advice you to take antibiotics-analgesics complete course.Apply cold packs on the affected area.Warm saline and betadine gargle may help.Avoid anxiety and stress.Take rest for another 5-6 days.Maintain oral hygiene well.If synptoms persists,visit a dentist.Hope this helps. | 189,006 |
Should multivitamins and spray for hair growth be continued? | Patient: hi doctor i wanna ask you about my hair is is started falling down later for 6 months maybe after i went in diet ( so strong diet i did not eat what was needed ) so i have bald places among my hair i went to the doctor before couple of weeks and he gave me multivitamins for hair , skin and nails ( tonic) and another spray called hair grow i wanna ask should i go ahead on this or shouldd i change the drugs and medicine . by the way i am a smoker thanx alot Doctor: Hi.As per your case-history your hair-fall is due to excessive dieting and smoking.So gradually stop smoking. It will worsen your condition if u continue.Treatment given to you is proper. Go ahead with it. Just i would like to add Vitamin d3 once a week if not given. Apply Hairgrow spray twice dailyU will get satisfactory results in 3 months.Thanks.Dr.Harshit BhachechDermatologist | 10,745 |
Suggest treatment for depression and anger | Patient: hello, my cousin is facing a psycological prob .... shes suffering frm atleast 3 yrs nd above... shes lost all her feelings and allways keeps herself isolated from others.... shes getting angry at every small bit.... we tried frm the psychiatrist she got ok till her medicines were regular...on stopping it her condition bcame worst.... what should we do??? Doctor: hi dear,in psychiatric illness medication is going for long period so counsel her regarding importance of medication and if you are not taking medication what is going wrong with her.and also counsel her about with every relapse medication duration is increased and in future chances that you should take medication for a lifelong.also for certain psychiatric illness long acting injections also available so discuss regarding that with your treating doctor.also if your cousin is not ready to take medication then you can give it in her food or drink.Thank you | 208,519 |
Why do i feel i am loosing sensitivity in penis? | Patient: hi sir, i feel like loosing my sensitivity in penis, there is nothing problem in urination. but my blood pressure has suddenly gone down because of weakness, and after that only i felt loosing my penis sensitiviy, and feeled lots of worries tension, and now i don't find erection seeing my gf, please advise Doctor: Hello,It may be due to performance anxiety. Still for further assessment you may require complete hemogram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take balanced diet and proper rest. Avoid smoking and alcohol. Till then you can take tablet sildenafil one hour before sexual act Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general further | 192,533 |
Low blood levels. Had blood transfusion in the past. Feeling dizzy and breathless. Iron tablets finished. Need help | Patient: Hi, I had a blood transfusion last year- 2 units, my blood is now a 9. I ran out of iron tablets while in the Caribbean (so had none for a week) I went to the pharmacy and they put me on Trihemic 600, I am to take 2 a day until they run out- so that s two a day for 15 days then go back for more and take one a day- ...I have 3 days of double dose left but I have been feeling a little breathless in the last week (I had slight headache in the first week but pharmacist said this would happen) and now my eye has started twitching- it wouldn t normally be a problem- but that is what happened when I was at stage 1 blood loss- I m not bleeding (unless I am into my uterus again- but think Id know that right? I would bleed out like last time?) Sorry I m just being a dizzy blonde- I am just worried as I am here on my own as my fiancé has just gone back to sea. Thank you! Kiki Doctor: hi if you are feeling breathless or headache with hg of 9........means either you are getting more anemic coz you are a female or other problems with your rbc production from bone marrow....or having malabsorption and trihemic not getting absorbed......or change trihemic with other tablets in market take care | 119,114 |
What causes heart palpitations with headaches? | Patient: Hi, may I answer your health queries right now ? Please type your query here...I am having heart palpitations all day even when resting..not "attacks" like for a few minutes but they come like heavy beats then stop then do it again randomly throughout the day. I am having daily horrible headaches even when I wake up. Pain in my ribcage that wraps around front to back and other random symptoms like leg pain and bruising. I had bloodwork done and it was normal. i know something is wrong, I know my body. What could be going on? Im scared. Doctor: Hello!Welcome on HCM!Your symptoms could be related to different possible causes: chronic inflammation, cardiac arrhythmia, thyroid dysfunction, electrolyte imbalance, vitamin D deficiency, etc.. Anxiety can also mimic this clinical situation. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound to examine your heart function and structure- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia- complete blood count for anemia- thyroid hormone levels for possible dysfunction- blood electrolytes - Vitamin D plasma levels- PCR and ESR for inflammation. You should discuss with your doctor on the above tests. Meanwhile, I recommend you to closely monitor your blood pressure. Blood pressure fluctuations can trigger headaches. Hope you will find this answer helpful!Wishing good health, Dr. Iliri | 19,814 |
How can severe anxiety be treated? | Patient: Hi, the back of my throat is extremely Uneven. It looks as though it is lopsided. I have this weird thing where I can stick my tongue down my throat and I do it all the time! Sometimes I don t even realize I m doing it. It s just a thing I ve been doing since I was a child. Is it possible that maybe affected it? Can that cause problems? I have really bad anxiety involving my throats and now I m freaking out. The left side of my throat caves in a good 3 or 4 inches than the right side. The back of my throat is not even! I m afraid it ll get close and closer to the front of my mouth and maybe eventually stop my breathing?? Again, I have terrible anxiety so maybe I m just freaking myself out but any advice? Doctor: Dear userWe understand your concernsI went through your details. Many of Your body parts are more flexible than you actually think. If you are able to practice with a particular elastic movement with one your fingers, hand, leg, joints etc continuously, you will be able to move it awkwardly which others will not be able to do at all without practice. Same has happened with your tongue. So don't dwell too much into it. Your anxiety is due to unrealistic thinking. Cognitive therapy is best suited for you.If you require more of my help in this aspect, please use this URL. XXXX. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 205,122 |
Is epididymitis symptomatic with swelling in the scortum? | Patient: Hello. I am a 27 year old male and have had swelling in my scrotum for roughly a month now. I have been diagnosed with epididymitis twice, both times without being diagnosed with an STD. I do not have painful urination or ejaculation. Could I have recurring epididymitis? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to suffer from recurrent epididymitis. It may be bacterial in origin. It is not STD. Consult the surgeon for the perfect diagnosis. A course of antibiotic and anti inflammatory drugs may be given for two weeks. Improve immunity taking immunomodulator. Hope I have answered your query. Let me know if I can assist you further. Thanks. | 195,745 |
What causes intense nerve pain in the right arm and hand? | Patient: Hi I have had a bad shoulder for 3 too 4 weeks I first had a x-ray which came back ok. Then had a steroid injection which didn t help I know have nerve pain in my right arm only there when I rest or am active. When I cough the pain is even more intense I have pins and needles in my hand nearly all the time and get a bad burning feeling on my skin of bicep when I elevate my arm Doctor: Hello, I have studied your case. Due to compression of this nerve root there is pain your arm.I will advise you to MRI cervical spine for better diagnosis.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | 128,109 |
Suggest treatment for hairfall | Patient: Good morning Sir, i am Mr.karan Rathore i am here with my q? for how to stop hairfall since 2-3weeks i have hairfall. i got blood test reports in that it was mentioned as FALSE typhoid ?? i am confused. Consulted Dr. in our city even he said nothing to worry its a FALSE TYPHOID to just have some medicines. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hair fall, my treatment advice is - 1. You are having telogen effluvium due to typhoid. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement. If problem persists then consult a dermatologist. I hope I have answered you query. If you have any further questions you can contact us in every time. | 10,450 |
What causes fever along with dizziness in a child? | Patient: Hi I have a ten year old daughter, who has had unexplained fevers for the past two years, she has recently been having some dizzy spell. We had some blood work done and her Immature absolute granules and immature granules were at 0.6. Her platelet count was a elevated at 418. Should I be worried about this? Is her levels normal? Doctor: Hi, Welcome to the HCMSince all the signs of having immature cells in C.B.C , recurrenr fever and dizziness , also age factor can occur in blood disorder ( leukamia).I would suggest that to be on safe side repeat C.B.C and chest xray , and discuss with the haematologist to rule out above mentioned disease as it can be treated if diagnosed at first stage.Other wise previous viral fever can also cause chronic fatigue syndrome but as this age is uncommon for this syndrome so first rule out and blood cells disorder for that bone marrow biopsy may also required to diagnose the cause.Regards, Dr.Maheshwari | 176,180 |
Under stress. Preparing for exam. Getting angry. Suggestions? | Patient: Hello. i am a 23 year old girl. engineer by qualification. considered bright by all around me. now preparing for a difficult service exam in which i have failed in my first attempt. im under a lot of mental stress in my second try now. i hardly get chances to talk with my best frens since all are busy with their jobs. My problem is i get very angry when my mom hums or sings songs. she is a bad singer. im not a great one either. But i realised that my anger and shouting was abnormal when one of my friends shockingly pointed out and said she has never seen this side of me. I was embarassed. Help. Am i fighting psychological problem? Doctor: HelloFailure in life or carrier at any time may result in decrease in motivation for subsequent attempts. This is the time which determines that whether one will achieve success or not. If any individual continue to try despite the failure he becomes successful. You are 23 and failed only once and it is not a big thing, continue to try again and again and dont loose your zeal. Realize your potential. Due to failure you have started blaming or projecting others in form of unconscious anger and irritability. Try to relax your self and spend your time in studies and watching good programs on television. Control your episodic anger outbursts as they will just decrease your energy only. If symptoms persist then visit a Psychiatrist.ThanksDr. Seikhoo Bishnoi, MD | 212,098 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.