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Recurring pain in left armpit with small lump. Due for periods in a week. Possible sign of breast cancer? | Patient: Hi,I'm a 22-year-old female. My period is coming up probably in about a week (my breasts are always sore around this time) and I've noticed a pain in my left armpit. I believe there is a small lump where the pain is coming from, about the size of a pea. I believe this has happened before prior to my period, though not consistently. Could this be normal? Or is this a sign of breast cancer? I'm very worried. Thanks for your help. Doctor: Hi thanks for your question.Sore breast before periods and during the period is normal process and is due to hormonal changes before periods. The small lump in your left armpit could be a small lymph node. Pain in lymph node could be due to inflammation of the lymph node secondary to breast changes .Chances of this lymph node of being secondary to breast cancer are very, very rare but can be only ruled out by physical examination of breast and FNAC of this small lump.Hope this answers your question | 158,326 |
Pain in side, abnormal bowel movements, pain during intercourse. Any ideas? | Patient: I had pain in the lower right side of my ( i want to say stomach ) but i feel it is a bit lower, about a month ago, it went away and now it is back, i have been having weird bowel movements and sometimes cannot go at all. When i had intercourse 3 days ago we were in the missionary position when that same spot had a sharp shooting pain through it. It now just feels irritated more than anything except for the occasional sharp pain, and I cannot pass anything at the moment. do you have any ideas? Doctor: Hello, slloyd, The location of the pain and some changes in your bowel habits point to som problem with your large intestine or the colon. If you are over 40+ years of age I suspect you may have Diverticulosis or pockets on the colon wall. This is more common on the left side of the colon although can involve any part of the bowel. If one of these pockets get infected , then you can have significant pain, fever, chills and even bloody dirrhea. In many cases , this is associated with spasms and the symptoms are similar to IBS or irritable bowel syndrome with abdominal pain and constipation. If you have not had a screening colonoscopy, you should get one. At the minimum, you can get a Barium Enema to see if there are any problems. If you have any family members with history of colon cancer , then you should have the colonoscopy. Same thing is true if there are any signs of blood in the stool, weight loss or anemia. Have your stool tested for blood and also get a complete blood work. For constipation, you can take stool softeners that are readilily available in drug stores. A high fiber diet and adequate fluid intake is very important. There is also a polyethylene glycol solution which is safe to take. Follow the instructions on the label. (MiraLax) There are generic alternatives to this brand. I wish you the very best. | 94,441 |
What causes bloody diarrhea? | Patient: My husband has been having bloody dirreahea lately and he's not sure what's causing it. He says he doesn't have any pain of any kind. He hasn't eaten anything unusual or been anywhere. He has been under a lot of stress lately with work and his mother recently passing. Doctor: hi madam, welcome to HCG, i understand ur problem, Bloody diarrhea is a potentially critical condition in which there is blood mixed in with loose, watery stools. The blood can arise from anywhere along your digestive tract, from the mouth to the anus. Bloody diarrhea is often a sign of gastrointestinal bleeding due to injury or disease. Diarrhea that contains bright red or maroon-colored blood may be referred to as hematochezia, while melena is used to describe black, tarry, and smelly diarrhea. Bloody diarrhea may also be referred to as dysentery, which is usually caused by a bacterial infection. Hope u satisfy with my answer, thank u | 30,480 |
What causes severe pain in lower abdomen while standing? | Patient: Hi, Jody Freeman, On Thursday Feb 13th 2014, I got up from the sofa and had a severe pain in middle of lower abdonimal area. a dull pain all the time. Pain worsen when standing, coughing, A lot of pressure feels like my insides are going to fall out. I had colon cancer in 2011.Thanks,Jody Freeman Doctor: Hi,From history it seems that this pain might be due to having secondary spreading to mesenteric lymph nodes or other adjoining organs or structures.Consult Gastro-enterologist or treating doctor of cancer.Ok and take care. | 87,297 |
How long can 86 year old suffering from lungs/liver cancer survive? | Patient: A friend of mine was diagnosed with stage 3 breast cancer.She had the breast removed in 2012. In January of 2014 they told her that it had spread to her lungs and liver. She is 86 years old, so they aren t doing any type of treatments because of her age.How long do you think she can survive? Doctor: Keeping in veiw her age the sur vival depends on metastesis. Terminal care treatment should be started.Terminal care include pain reliever body nutrtion mantainance of body hygine. | 156,798 |
What causes numbness in feet in a diabetic? | Patient: I have had diabetes for 20 years..the past year dependent on insulin but has always been controlled .My feet are now numb, I feel constantly sick ( and occasionally am), I have no appetite at all and am forcing myself to try and eat. I find balance and walking very hard. Dr says is all nerve damage endings and nothing they can do..not sure how this explains the sickness as well Doctor: Hi, Thanks for your question. After going through your question, I can understand your concern. Most likely cause for your symptoms is Diabetic neuropathy. Nerve damage by diabetes. Though other causes need to be ruled out by detailed clinical examination. In such case I may suggest - - Complete Blood Count. - Liver function test. - Renal function test. - HbA1c. - Lipid Profile. - Vitamin B12. - Vitamin D3.- T3, T4, TSH. If there is doubt in diagnosis after clinical evaluation and above test results specialised tests like MRI brain or Spine, Nerve conduction study. In diabetic neuropathy treatment includes - - Good glycemic control. - Blood pressure and Lipid control. - Vitamin B12 supplement. - Drugs like Pregabalin, amitryptilin, Aldonil. Hope this helps you, if so do vote as helpful. | 191,848 |
How can we deal with our autistic child? | Patient: Dear sir my only son is diagnosed with Autism who is now 7yr old. he looks as normal kid but he cannot speak. though he utter few letter it s meaning less. he always engaged in some activity no diversion he can tolerate. he is poor in attention. he cries but cannot express his need/pain. he cannot fulfill his basic needs. i am lot worried about his development and future. the pain we feel when he cries and we fail to know why he is crying. pl. leave your valuable advise. Doctor: Please send him to a special school where a special educator, occupational therapist and speech therapist are available..continuous training is needed. .parents support is must..then he will be able to communicate.. | 169,963 |
What causes shortness of breath? | Patient: I held back a series of sneezes yesterday, now I have an extremely sharp shooting pains accross my right rib cage and severe shortness of breath. i cannot move a great deal without the pain taking my breath away. walked 50m from bus stop and had to stop twice as could catch breath. i am a fit 27 year old with no prior problems Doctor: You need to consult Emergency or a pulmonologist asap. It may be only a muscle pull but more serious causes of chest pain and breathlessness need to be ruled out. | 75,518 |
Suggest treatment for thinning of hair on scalp | Patient: hi am from the uk.. am 38 but had a thinning problam at the frontal area for few years now.my gp tlod me its mpb and there waz no cure for it.also said its a genatic cond and with age slowly the hair will dye .i want to now iz ther any gurantee treatment.cuz i have tryed few oils in the past from india. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Minoxidil 5 % solution and oral Finasteride tab once a day are approved remedies for androgenetic alopecia in males. The goal of treatment is to arrest further progression and regrow lost hair. Treatment is long term preferably lifelong. Regards, Dr. Kakkar S., Dermatologist | 10,420 |
What are the symptoms of mentoux? | Patient: I am in medical line sat for pre employment medical checkup about a month ago.My mentoux test reading is positive with 15 mm reading. I went for futher chest X-ray done and did my sputum AFB for continously 3 days with NEGATIVE RESULT. But Iam wondering know coz my scar is slowly disappear but yet still I can see even it was not so clear, after a month having the test on my skin.I am scared if the 2nd mentoux test done again, it might shows same result even chest X-RAY and sputum was NEGATIVE. Somebody explain to me. I need this for my job. Doctor: Hi,Welcome to HCM.You do not have to worry about Montoux test being positive because it is not diagnostic of TB infection. This test is like a screening test which can indicate past infection also. TB has to be confirmed by Xray and AFB in sputum. If you are negative for both these results, there is no need to worry.Thanks. | 38,744 |
Hard lump on forehead above left eyebrow. Any risks of cancer ? | Patient: Hello. Last week I noticed a hard lump on my forehead about 5cm above the middle of my left eyebrow. It is not sore and is under the skin. It's about the size of a very large pimple. It has not gone down or become bigger.I am very concerned about it being cancer. Thank you. Doctor: you need to understand clearly that all lumps are not cancers. non cancerous lumps are more common especially those under the skin. mobile lumps are usually non cancerous. but if the lump is growing in size or changing its characteristics it is better you see an oncologist | 157,467 |
What is the possibility of pregnancy after having sex after 4 days of periods? | Patient: i am 15 years old and want a baby , me and my boyfriend have been trying for a month and i was certain that i was pregnant but i wasn't because i got my period the next day .. i have finished my period 4 days ago .. and me and my boyfriend had sex 3 times and every time he came inside of me .. what is the possibilty of me being pregnant after 4 days finishing my period .. Doctor: Hello,Thanks for writing to us.You are too young to conceive and continue the pregnancy. There are so many risk and complication in young age (age should be more than 18 yrs).Sex 4 days after period is quite SAFE. You can't be pregnant during this time (first 7 days after period) as these days are Non-FERTILE.To be pregnant, you need to involve in unprotected sex during fertile period (D12-D18) of regular cycle. In this time, chance is quite high.Hope, it helps for your information. Good luck. | 3,496 |
What causes brown to black specks in urine? | Patient: I have a 34 month old. About 3 weeks ago I notices some brown and/or black specks in her urine but didn t see anymore any other time. Yesterday and today, I have again began to notice them. Once yesterday and twice so far today. I would think it would occur after she hadn t gone for some time, but there seems to be more if she goes then tries again within the hour. She is showing no signs of discomfort, doesn t have a fever and is acting normal (playing, running around, etc). What could this be? Doctor: HiUr baby is 3yr old.Black or brown spects in urine indicate it is altered blood.It can be due to so many causes. Commonly UTI , tumors& nephritis.As ur saying there is no fever possibility of infection unlikely. But cont be completely excluded.so go for comlete evaluation.Hemogram, Urine analysis/USG.Based on reports we proceed. Thank u | 170,380 |
What time should i take susten200 ? | Patient: My dodctor has told me to take susten 200 vaginally twice a day.my query is how much time i should spend between the two? minimum 12hrs. maximum will do? Doctor: Hi, Put one in the morning and one evening.12 hrs gap between them. | 45,381 |
What causes red bumps on back, arms, chest and torso? | Patient: My 15 year old daughter is just getting over a middle ear infection accompanied with a bad cold wih a lot of congestion. She was prescribed antibiotics a week ago and is still taking them. Today she started breaking out in a rash and by this evening the rash has spread over her back, arms, chest torso and legs. They are small red bumps with lighter rings around some of them. What could this be? Doctor: HI, thanks for using healthcare magicRash can sometimes accompany viral infections especially in children. This is called a viral exanthem.In this case, the rash tends to decrease as the infection resolves. If the rash is itching then it may be an allergic reaction not the exanthem.If that case an antihistamine may be needed, if related to medication then it would have to be discontinued.I hope this helps | 99,073 |
Gum infection in an old root canal, took Amoxicillin, Ciprolex. Lips and face tingling, couldn't breathe. Medications ? | Patient: I have a gum infection in an old root canal that was never crowned. I started taking amoxicillian today.I am also currently taking Ciprolex for anxiety and depression.To top it off I am smoking methemphetamines. My face started to tingle and my lips went numb after I flossed and mouthwashed.5 minutes later my whole right side went numb and muscled started contracting and then the left side.so I was numb and tingling and I couldn't breath. Hyperventilating.Do these medications/drugs have bad reaction to one another? any ideas? Doctor: hello please do not take any medicines without consulting your doctor since you are having so many other problems too.. yes the drugs may have adverse reactions... you go to your dentist and get scaling done for that tooth.. also ask him to take an x ray and know the condition of root canal treated tooth may be you require a re RCT.also get it crowned THIS TIME...THANK YOU | 188,499 |
Suggest treatment for chest pain with difficulty in breathing | Patient: Hi, I'm 20 years old, usually a very healthy person with an amazing immune system. About a week ago I had a pain in my chest that was worse when I would breathe. I took tums and aspirin and the pain disappeared. But ever since I have a pain in my right arm that feels like when you sleep on it wrong, but all day, and for several days. It starts at the wrist and continues to the elbow and I can occasionally feel it in my shoulder. Is it just a coincidence or are the two incidents possibly related in some way? Doctor: Hello,The Possibility of musculoskeletal pain is more likely. So, follow these below steps for better symptomatic relief in musculoskeletal pain:1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas of arm.4. Take painkiller and muscle relaxant drugs like Ibuprofen and Thiocolchicoside.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar | 71,467 |
How to interpret mri test result? | Patient: my daughter is being seen by a neurologist for headaches. she previously had ALL when she was 6 months old. she is now 10 years old. her mri showed enlarged lacrimal glands, her eeg showed intermittent slowing of the temporal lobe and her mcv is 81. should i be worried? she had a conner s test which was negative and he is still wanting to put her on vivance for adhd which i said no too. Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryI will take on the reports 1 by 1First, enlarged lacimal glands are nothing to be worried about unless she has excessive tearing from her eyes. Second, EEG changes- I need to know of she was sleeping during the changes. Because then it may be normal. Else its abnormal and she has a potential of developing seizures and medial temporal epilepsy. Repeat MRI would be needed periodically in this case.Third, MCV 81 might just be within normal range depending on the laboratory. We would need to know the labs reference range. As per me its normal, but at the lower limit. Checking hemoglobin would be advisable.As for Amphetamine, it may actually benefit her, but may trigger a seizure. So I will not recommend it unless advised by a neurologist who has examined her.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site.You can upload them with the query, or if you have a problem, send them to [email protected] with Sub: ATTN 'Your Name'. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me.Please do understand that some details could be extracted from a detailed history and examination.Please click on Thanks/Helpful if found useful.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) | 144,926 |
What is the reason for appearence of pea sized lump in earlobe? | Patient: I currently have a lump in my right earlobe, near where the lobe meets the neck. I have that ear pierced and am currently stretching my earlobes, but that has nothing to do with it as I have gotten the same thing before I have ever gotten them pierced. I noticed it 3 days ago as a small grain size ball and now it's about the size of a pea, it's not exactly painful but uncomfortable to the touch. Any possibilities as to what it may be? Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you seem to have JD lymhadenitis node lumps, which are due to the recent Flu viral infection of the throat.Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it.Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Surgeon, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. | 63,588 |
How to treat bruise on the right of lower tummy? | Patient: Hi,my 7 years old daughter has two bruises in lower tummy,on left and right side.each around 1,5 inch big,dark red ,blue colour.Just find out yesterday.I seen it os same place weeks ago but much smaller and just light brown.i think it was from fast growing but now I am worried.What do you think it could be,please? Doctor: Thank you for asking question.First of all find out if she had any trauma.If not then consult your doctor and get cbc coagulation profile done as it coulx bd start of bleeding disorder.Hope you find this useful.Rate the above answer if you like it.Regards,Dr rushikesh kute | 180,100 |
How to treat CIPD? | Patient: Thank you , my father suffering with CIDP , diagnosed in India in Medanta Hospital , He made Plasmaexchange & took IVIg treatments two times, but he didnot response to all these treatments , Iam asking why ? is there any probability it may be another type of Neuropathy. Iam living in Iraq Doctor: Hello, CIDP stands for chronic inflammatory demyelinating polyneuropathy. This is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms. Treatment consists of corticosteroids (e.g. prednisone) prescribed alone or in combination with immunosuppressant drugs. Your father already did plasmapheresis (plasma exchange) and intravenous treatment (immunoglobulin IVIg). Although no good response, he needs to run physiotherapy. It will help improve strength, function and mobility, and minimize the muscle weakness. To rule out other types of neuropathy EMG (electromyography) and NCS (nerve conduction ) studies are highly recommended. They will show demyelination. Discuss this further with his neurologist, and ask to hire physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician | 125,295 |
Numbness in leg and arm, neck pain and stiffness. Clear MRI of brain and spine. Symptom of MS? | Patient: My symptoms started about a year ago, i was woken up suddenly in the middle of the night, it all happened so quick i jumped straight up and fell to the ground as my left leg and arm were numb and in pain, then feeling slowly came back. After this mild neck pain and stiffness started and which over the last year has progressed to severe and seems to be traveling down into the top of my back. I have constant headaches and eyeball pain as well as muscular pain in arms and legs and general fatigue . Recently my numbness sensations have started to happen more frequently again awakening suddenly during the night with one side numb and in pain and causing me to fall, sometimes i just awaken with just my arms numb. I had MRI of BRAIN AND CERVICAL SPINE in March 2012 both were clear. At time of scans i had very MILD neck pain/stiffness and only 1 episode of numbness. Since then they are becoming more and more frequent and my doctor has now diagnosed me with anxiety. Can you still have ms with an all clear mri scan? I do believe i have some anxiety but can this not also be a symptom of MS? Everything i have read, forum after forum its quite clear that doctors miss-diagnose ms all the time and that it is a very hard disease to diagnose. I am also getting physical therapy for the neck with no real affect, and when my pyhsio performed a reflex reactions exam there was no reaction to my left arm, when i told the doctor he completely ignored it. I am 25 year old male non smoker who has went from attending the gym twice a week, playing for an amateur football team and golfing regularly to basically sitting in front of the TV and not wanting to do anything. Doctor: Hi, welcome to HCM. Fortunately you are not suffering from multiple sclerosis. It affects functions very severely. There nothing like a numbness in only one arm or leg. So please forget about MS. Also for diagnosis there should be combined features of clinical and radiological features. I think your doctor is correct. You are having anxiety related disorder. Just take a second opinion of cervical spine imaging. Otherwise you need to consult for anxiety. Hope I have answered your query. Regards. | 151,062 |
What reduces the bilirubin levels in blood? | Patient: Dear doc. Hope you are doing fine. Doc, I am 24yr old male, height 183cm and 80kg weight. I went for LFT for some medical examination and i was rejected as my total bilirubin was 1.56mg/dL indirect was 1.2 and direct 0.36mg/dL. They want total bilirubin to be under 1.20mg/dL. Kindly help me out as I have only one week s time P.S: I am taking medicine called Reheptin as suggested by my physician Doctor: Hello welcome to healthcare magic. Thank you for posting query.. I understand your problem. I suggest you to continue taking the tablet. Go for a healthy diet that should include more servings of fruits and vegetables. Regular exercise is very much helpful. Hope i have answered your question, if you have any other questions i will be happy to help. | 55,779 |
Suggest alternative medication to replace Atopica for plant allergies | Patient: I ve taken Atopica in the past, many years ago, for plant allergies. Is it just for animals now? What can I ask my doctor for now as a substitute because it worked so well when over the counter and other prescriptions failed after a very short time? I only need it for a 3 month season. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Atopica is having cycloserine. It is immuno modulator drug. It is also cytotoxic drug. It is not used now for allergy and it is scheduled drug so you will need doctor's prescription for this. It is not advisable to take it for allergy. In my opinion, you should definitely consult allergy specialist and start combination of anti allergic (montelukast) and anti histamine (levocetrizine or fexofenadine) once a day at night. This will definitely control your allergy and related symptoms. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. | 98,331 |
Suggest the type of specialist to consult for dropping hemoglobin level | Patient: My 97 year old father is basically healthy & well-functioning. However his hemoglobin levels keep dropping. The doctor(s) put him in hospital for a blood transfusion or 2 or 3 and it drops again. What type of doctor is best to consult with? He has a primary care, hematologist, oncologist, radiologist, cardiac .. he appears to be leaking blood probably in the upper GI tract. What field of medicine is best for another opinion? Doctor: Hello and welcome to HCM,Fall in hemoglobin can occur in a number of conditions.Gastrointestinal tract is a very common site of bleeding and thus fall in hemoglobin.Blood loss can occur in cases of ulcers, polyps, or growths.In elderly there is increased risk of development of malignant tumors.Thus, as first line investigation, complete hemogram and peripheral blood smear examination should be done.In addition, stool for occult blood should also be done.presence of occult blood in stools suggests bleeding from gastrointestinal tract and thus requires colonoscopy for further assessment.Thanks and take careDr Shailja P Wahal | 115,708 |
What causes dry heaving in child? | Patient: My baby keeps dry heaving, he s 3 weeks old I m wondering if it s reflux or just a dry throat as he sleeps with his mouth open, there isn t a pattern to him heaving it s just now and again sometimes he brings up milk but other times its just the heaving, he is very good with his wind! It comes out both ends a lot! I m worried he s going to choke while he s asleep.. Doctor: Hi...this happens in kids who are over weight and re being over fed. They tend to regurgitate the feed which is excess and that's what comes out. If he is otherwise active do not worry.Regards - Dr. Sumanth | 176,905 |
What does palomas mean? | Patient: I have gone to the dentist to get new dentures made. While examining me, he found two white lesions and called them palomas. What does that mean? I am going to be seeing an oral surgeon, but I would like to know more about what these lesions are before hand. Doctor: HelloWelcome to HCMWhite lesion in oral cavity can be of variety of type like leukoplakia, lichen planus, candidiasis etc. It can only be seen by looking at lesion so you should visit your dentist and get the local examination done meanwhile you should have started with anti oxidants glo gem 1 tablet per day atleast for a month and if you have any sought of habbit like beetal nut, tabacco chewing and smoking then you should immediately stop that.Thank you | 187,374 |
Suffering from eczema, how to control brown spot on face? | Patient: hi my 4year old daughter she has eczema when she is 6months old. now she is getting brownspots on her face. we are using sunscreen lotion with spf50. she is going to scool and she is playing outside. ow to control the brown spots and why it is coming on her face Doctor: Hello,Thanks for the query.This hyper pigmentation can be removed by using skin lightening creams.Various creams are available like melalite xl, lookbrite, Lumaglow etc.You can take any of them.The following should be procedure to use it.1. Wash her face in evening around 7.2. Dry face and apply cream all over her face.3. Keep it for one hour.4. Wash face again.5. Apply some moisturising cream and let her sleep.6. In morning apply a sunscreen with spf at least 30.Do this for a month, you will see the results.Let me know if you have any other doubts.Thank you | 11,572 |
What causes severe back pain long after having a back surgery? | Patient: Hi Doc My Fiance Margarita Rios has been suffering for ever from a back surgery when she was only 14yrs old becauseof this surgery she has become nothing but agony and pain , the pain is so intense that the metal rod in her back has made her very helpless. My Fiance is now thirtyseven and it has only gotten worse, not to long ago two yrars as a matter of fact she was diagnosed with overion canser my question is why does she still suffer pain if this surgery was to help her not live with pain for ever. I truly belive that the metal in her back caused the cancer, See my brother too had a rod in his leg and he also developed a rear type of cancer in the bone.Doctor EDWIN was the doctor that performed this surgery at Doctor Childrens Hospital here i Houston. Doctor: dear patient if your fiancee has underwent surgery at 14 with metal implants and now she is getting pain there can be ma y reasons. first of all there might be implant failure with backoult or implant breakage. there is also possibility of infection. instability due to increased mobility around implants may be other reason for pain. association betwwen metal implants and cancer is not proven yet. so your fiance needs to be investigated with digital xray of involved spine both anteroposterior and lateral views. I would advise to visit your operating surgeon as he knows better for her previous surgery. thanks. | 128,945 |
How to treat uncontrollable drooling? | Patient: My son (9) just told me he was drooling uncontrollably during a bowel movement. I thought, Odd, but not particularly alarmed. On the other hand, he seemed rather disturbed that it happened. I suggested that it could simply be a bodily reaction to the relief he was feeling, but I would like to know more. Doctor: Hi, thank you for posting!I have gone through your query and I understand your concerns.In my opinion, your son's symptoms indicate that he suffers from hypersalivation, which may be a result of an abdominal disease, such as GERD (gastroesophageal reflux disease) or a liver disease.Your son need the following tests:- Abdominal ultrasound- Liver test- Complete blood count- Urine testYou should consult your gastroenterologist, in order to determine the right diagnosis and treatment.Hope this helped.All the best,Dr. Behar. | 178,766 |
What amount of folic acid should I take ? | Patient: I am 26/f. I am hypothyroid and take 150 mcg of levothroid. In my first pregnancy, the feutus had fibular hemimelia i.e. the limbs were not properly developed and I had to undergo abortion . Second pregnancy was a miscarriage . I am trying to get pregnant again. My question is about the dosage of folic acid I should take. I take prenantal vitamins which contains 800 mcg of folic acid. Is this sufficient or should I take more. I read somewhere that I should take 5000mcg of folic acid. Can someone please clarify? Doctor: Hi, Thanks for query, Usal folic acid dose is enough as you have in prenatal. But you have pregnancy problems you may require higher dose of folic acid. How much to be taken let your gynaec decide, Cosult your gynaec and seek advice. ok and bye. | 7,151 |
What causes black discolouration around eyes? | Patient: My 4 1/2 yr old son presents with a black eye around his right eye. Next to the nose and below the proximal side of his right eye is bluish purple coloring. He says his eye feels fine and he can not remember being hit or falling. Should I be concerned? Doctor: Hi,From history it seems that there might be having fallen some foreignbody in the eye causing local sub conjunctival hemorrhage.Nothing to worry, put some antibiotic decongestant eye drops 3-4 times a day for 2-3 days.Ok and take care. | 176,395 |
Is MRI/spinal tap required to test for MS after being diagnosed with Lupus ? | Patient: Hello! My question is about myself. I am currently diagnosed with lupus, but my rheumatologist wants me to see a neurologist to be tested for MS. I cannot afford to at the moment due to no health insurance, but my symptoms are getting worse. Does a doctor have to do an MRI/spinal tap to test for MS or can it be diagnosed without those tests? I am having weakness in my right arm and leg, tingling in my hands, frequent bladder infections and problems emptying bladder completely, have been falling more (in fact think I bruised my ribs), in the mornings, I have noticed that I have trouble with keeping my right arm on task (almost like trying to put the wrong ends of magnets together). I am 42 years old and have a history in nursing, but have had to let that go due to my lupus, so I am currently in a sedentary job, but that doesn't help the fatigue and weakness. Anything I can do or do you think this is related to my lupus? Doctor: If you cant afford MRI, you should do atleast a CT MYELOGRAPHY.may be your complaints are related to MS. | 82,934 |
What causes erectile dysfuntion? | Patient: Hello doctor i am nishanth, i Am 26year old my probleme is Past 6 obwards I Have Habit Of masturbate, Yesterday i got chance to make a fuck but i con t fuck her because my Penis Not Much harder(but 3week before i donet my blood) I don t have smoking & alcohol habits,what s my problem please help me Doctor: hi i think you are suffering from erectile dysfunction.the most common cause for it is anxiety .then lesser causes like diabetes,alcoholism and smoking can be attributed.see for the nervous dysfunction.treat the condition of thrilpil tablet one hour before act and use of neurokind plus daily once can cure the condition | 202,212 |
Suggest natural remedies to strengthen knee ligament | Patient: When I was a child I had a poliio attack. My parents took me to a Siddha doctor who prescribed an oil to be applied every day. I could walk after that and though there is a slight growth problem and general weakness on my left leg, I could run, play sports etc. My left leg is slightly thinner at the thigh area and about an inch short than the right leg. Now I am 37 years old and I feel very weak on my left leg. Frequently I trip and fall, while walking, climbing down stairs and sometimes even when standing. I recently met a friend who practices EMIT therapy. She checked me out and tells me that if I could strengthen my ligaments in my knee, the siutation could improve and my left leg would feel stronger.Are there herbal medicines to strengthen my knee ligaments? Doctor: muscle or ligament weakness need lot of massage with particular sneha[oil].here in your case i am of the opinion that you need vasa ie is the fat which accumulates on the surface of water when mausa[meat] pieces are boiled in excess of water.the fat that collects on the surface should be collected and applied to the weak leg and profuse massage should be given.parthive dravya like ashwagandha,mausa rasa,udad dal should be a part of your diet. | 214,611 |
Abdominal pain after taking Primolut. Alarming? | Patient: Hello, I have been prescribed Primolut tablets (2 tablets twice a day) and upon taking it for a week, I am now having severe abdominal pain . Actually I am irregular in my periods and i was bleeding for more than 3 months when I went to hospital and prescribed the tablets. Is it alarming to have these pain? Many thanks for your answer Mina Doctor: Hello, shouka12, When you were prescribed the drug "Primolut N" (Norethisterone) I am sure you were explained about some of the side effects that you can expect. Every drug has some sort of side effect and it does not happen to every one that take the drug. We all react differently to medications. One of the major concerns about these class of drugs is possibility of blood clots and very rarely liver tumors. Most common side effect may be nausea, but severe abdominal problem is rare. I would recommend that you have an ultrasound examination of your gallbladder to rule out gallstones. I encourage you to discuss this with your doctor. Wish you well, | 94,822 |
Need medication for lump on the collarbone | Patient: Im overseas in France on vacationing and just noticed a lump on my daughters (7) front part of her next an inch or two above her collarbone. she is on an inhaler for bronchitis but no medicine other than that. Wat is it? Should she stop using her inhaler? Doctor: HelloLump on the collar bone is generally due to enlarged lymph nodes.This is the site of lymph drainage.Lymph nodes in this region may be enlarged due to ear,throat infection etc.It is not related to inhaler,so she shouldn't stop inhaler.Generally these conditions only require conservative treatment.Underlying cause should be treated.She also need clinical examination.Get well soon.Take CareDr.Indu Bhushan | 65,964 |
What causes chest pain with history of broken ribs? | Patient: i broke my ribs while at work in july 2010 and since then i have out on a considerable amount of weight is there a reason for this, i am unable to do sport as my chest still hurts and the stomach digs into my chest hurting me where i had broken my ribs originally Doctor: You probably need to consult orthopaedics, Evaluation of your broken ribs must be done.Sometimes there is soft tissue injury which might have not recovered.n Sometimes there is malunion of broken ribs also.Get your Chest Xray and CT chest done. | 21,721 |
What causes severe pain in the sciatica radiating down the leg? | Patient: 24 year old female no health conditions besides asthma. lower back is hurting possible siactica nerve problem because pain radiates from lower back to buttocks doewn the thigh. sudden servere pain. also i just noticed when i put my chin to my chest that same area hurts real bad. Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to sciatica pain. I suggest using painkillers such as Ibuprofen to relieve the pain. Gentle stretching exercises may also be helpful If the symptoms continue, you should consult a neurologist and get evaluated. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician | 120,796 |
Has alzheimers, dementia, coronary artery disease, peripheral vascular disease. On atorvastatin. Help? | Patient: I am a student at Bow Valley College doing a Health Care Aide program. I am doing practical and I have to Reseach a clients medication. I need to find out what these medications are for and the side affects for this client.ASA CHEW 80 mg daily ATORVASTATIN 10 MG - CALCIUM ELEMENTAL [CARB] CHEW- CHOLECALCIFEROL [VITAMIN D] - LANSOPRAZOLE RD [ PREVACID FasTab] 30 MG - LISINOPRIL [ZESTRILPRINIVIL,APO-METOPROLOL] 5 MG -MELATONIN 3 MG - METOPROLOL [LOPRESOR,BETALOC,APO-METOPROLOL 25 MG -MIRTAZAPINE [REMERON,GEN-MIRTAZAPINE] 15 MG -POLYETHYLENE GLYCOL POWDER 17 GM -RISPERIDONE 1 MG -ZOPICLONE 3.75 MG -GLYCERIN 1 SUPP -LOPERAMIDE 2 MGThis client has Alzheimers, Dementia, Coronary artery disease and Peripheral vascular disease, I know this is a long list but I will be grateful to know about this. Thank-you!b Doctor: Hello Your clint has Alzheimer's disease, coronary artery disease, peripheral disease. From available medicines I can tell you that he is taking following medicines- - Atorvastatin is a lipid lowering agent. It is given for cases of atherosclerosis. - Calcium elemental, cholecalciferol are given to supplement calcium and vitamin D in blood - Lisinopril and metoprolol are given is cases of high blood pressure. - Lansoprazole is an antacid medicine. It is a proton pump inhibitor. In your patient it is being prescribed to decrease gastric irritation due to so many drugs. - Mirtazepine is an antidepressant medicine, it also improve sleep. - Resperidone is an antipsychotic drug. It can be used in Dementia also in low doses. - Zopiclone and melatonin are added in prescription for sleep problems. - Loperamide is an anti motility drug. It is given to improve bowel motility. Thanks | 212,348 |
What causes joint pain with fatigue and coldness? | Patient: I have joint pain, fatigue, cold all the time, lots of pain and very tired all the time. Had tests for RH arthritis and blood work is good except for vitamin d deficiency. Iron not too bad, had infusions in past for low iron so it is better. The joint pain feels like when I had rheumatic fever as a kid, comes and goes, no swelling or redness. I am 68, over weight but very active. Still work full time. Doctor: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you need to correct this Vit D deficency also, and I would recommend you to get your tests repeated after 3 months after consultation with a Rheumatologist, as in many cases these tests come negative in early phase of disease. also I would like to know your CRP and ESR values.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. | 139,324 |
Suggest medication for difficulty in breathing with history of prostate cancer | Patient: Hello and Thank you. 64 year old male.Diagnosed and treated prostate ca this past summer.Four stints put in this summer.Copd,I smoke but as always ....have cut down....My problem now,Last 8 months or so..As soon as I wake I start have difficulty breathing. Hard,heavy deep fast uncontrollable breathing..No other symptoms. on one trip to er was in a-fib.Had appointment at Murfreesboro va with respiatory Dr. He said Bronchiaspasms.E r DR. there did not know and called mental health dr to see me. Do not know she diagnosed but gave me med called citalopram,20mg daily.already on clonazepam 2mgdaily.taking three htn meds,prostate meds two kinds, bupropion hcl 150mg twice daily.No other symptoms oiher than what I described.No chest tightness pain ect. What they always did at er was nebulizer .albuterol and iprotropium bromide.so now I have a nebulizer at home.Takes about forty five minutes to 1hr 15 minutes to clear up and then every thing is fine.until nex one they do not happen every morning but are becoming more frequent,last two times I called 911 It cleared up when they were here it ouit so no trip to hospital..I live alone and it is very frightening Please excuse the one finger typing.Any advice or what to do I will be grateful for. regards ,Walt Doctor: hi,as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing.respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker.What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body.I will advice you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. for making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay Indravadan Patel | 152,858 |
What is the recovery time for flu? | Patient: Hi, may I answer your health queries right now ? Please type your query here...My husband was diagnosed 5 years with hypertrophic cardiomyopathy. He got a flu shot a couple of months ago & this past weekend came down with the flu. He's no better after 6 days. Is it normal for a flu to hang on like this? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your husband have flu symptoms which are pointing towards upper respiratory tract infection which can be caused by bacterial or viral infection due to poor immunity of body. Need not to worry. Avoid hot, sharp , spicy food. For now continue doing gargles and drink one spoon of honey mix with glass of lukewarm water. I would suggest you to consult ENT specialist for proper examination. Doctor may order test like viral culture test , throat swab test and blood test to confirm the diagnosis and rule out causes. Doctor may prescribe antibacterial amoxicillin or anti viral acyclovir depending upon the diagnosis along with decongestants. You should take steam inhalation along with vaporizers. Symptoms will resolve in 7-10 days.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 31,722 |
Is swollen gum due to sunk blood clot in molar after tooth extraction serious? | Patient: Hi, i had two wisdoms and a molar extracted ten days ago and the blood clot seemed to be developing fine. Today I have noticed the blood clot seems to have sunk in my molar and the gum around it feels more swollen. Is the blood clot meant to sink like this? I do not have any pain but i'm worried about developing dry socket. Is it still possible at this stage? Doctor: Formation of blood clot after tooth extraction is normal and it helps in healing of socket .do warm saline rinses twice a day for 3 to 5 day and you ll be fine.Tc | 185,645 |
Does apicolorodic view in chest PA indicate tuberculosis? | Patient: Hi, I ve done chest PA and the result is as follows: RADIOLOGIC FINDINGS There are minimal suspicious hazed opacities in both upper lung fields. The heart is not enlarged. The great vessels are not unusual. The trachea is at midline. The diaphragm, sulci and bony thorax are remarkable. IMPRESSION: Apicolordotic view is suggested. Am I being suspected for tuberculosis? Doctor: Thanks for your question on HCM.In routine chest x ray PA view, apical region of both the lungs are not clearly visualized because of the overlying bony structures like clavicle and 1st and 2nd ribs.So any lesion involving apical part is not visualized properly.So apicolordotic view is needed. In this chest x ray is taken in such a way that bony structures are not interfering with apical structures and thus they visualized clearly.So apicolordotic view is useful in upper lobe lesions.Diseases which affect the upper lobes are1. Tuberculosis2. Sarcoidosis3. PneumoniaSo to evaluate these properly apicolordotic view is needed. | 82,538 |
How to heal upper chest spasm? | Patient: I just went running this afternoon (as per usual on Saturdays), and now I have returned home and I ve got this weird, hollow spasm-ish feeling in my upper chest. It s not right where my heart is (no irregular beats, I don t think), it s more like it s right at the top of my chest. where my collar bone meets my chest plate. It doesn t really hurt, it s just unsettling. What might this be? Doctor: Hello, It could be a simple muscle spasm. As a first line management, you can take analgesics/antispasmodic combination like aceclofenac/baclofen for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 125,439 |
Suggest treatment for mobility tooth problem | Patient: I am 27 year old girl and having 3 grade mobility tooth problem. What could be the proper solution of it? can splinting technique be used to fix the grade 3 mobile tooth which is at upper front tooth? and as it seems bone loss, can bone be recovered from this technique? I don't want to lose my natural tooth. Doctor: Hello,Thanks for consulting HCMRead your query as you have grade 3 mobility in front teeth see mobility in teeth can be due to reason if it has trauma or due to poor periodontal condition .Dont be worried so much if your investigation shows bone loss then therr is very less chance to save your teeth splinting is done in teeth with grade 1 or 2 mobility but I will suggest you to consult Periodontist for good opinion .Inmeantime you should maintain good oral hygiene by brushing and use mouthwash .Hope this will help you. | 181,854 |
What is the treatment for dog bite? | Patient: my niece who is turning 17 yrs old was bitten by a pet dog about 1 1/2days ago and was given anti rabies vaccine only (1st shot) 1day ago. She was told to go to a pediatrician for anti tetanus shot. Is this anti tetanus shot, vaccine or tetanus toxoid? She was given the primary series of DTP (3shots) before. Thanks. Doctor: Yes, its the tetanus toxoid vaccine. A tetanus toxoid vaccine (booster dose) is given at the age of 16 years. If she has not received that dose,she needs to go the doctor to get the vaccine shot at the earliest. | 34,799 |
How to cure cyst on the tip of penis? | Patient: My 2.5 yrs old son is having a white cyst like formation beneath his foreskin ( can be seen after pushing the skin backward) under the tip of the opening of penis. No symptoms of pain or redness or swelling. Please let me know how it should be treated. Is there any kind of infection? Doctor: Thank for writing to us!Hi! this is a benign condition and if I were your family physician for this condition, I would examine him carefully to exclude a possibility of para-urethral cyst or an inclusion cyst.Therefore please see your surgeon for an opinion and physical examination or some simple pathological tests for confirmation of the diagnosis and relevant treatment protocol.Take care not to injure there!Hope you got the answer; please write to us again if any follow-up advice is required.wishing your son good health! | 66,271 |
On Oratane course for acne treatment, redness on cheeks and neck, skin tone dark, advised Demalin. Is it safe ? | Patient: I am currently undergoing acne treatment , with 2 and a half months into my Oratane course of 40mg, with another one a half months to go. While the acne has almost entirely disappeared, I am left with redness on my cheeks and neck as well spots (reddish too), also my skin tone has gotten at least 2 shades darker. My pharmacist suggested Demalin. How safe is it on dark skin? And in how long can I expect to see changes? Doctor: Hi, you are having redness over your face as you are on isotretinoin oral therapy and redness is a known and acceptable side effect with isotretinoin. You can use a mild moisturiser or calamine lotion to soothe your skin. However if your skin is dry or too much itchy along with redness then you might use a mild steroid cream or pimecrolimus. I would not suggest using demelan at this point of time as it would irritate your skin and make it more red. Use a good sunscreen too, it will prevent darkening of your skin. Take care | 7,528 |
Suggest treatment for abnormality in spine | Patient: Hi, I am 18 and weigh around 142 pounds. I dont know if its because of weight or a posture problem but my thoracic / middle of spine sticks out and is visible even when im standing up straight and keep a flat back. It is uncomfortable when sitting or lying down on a hard surface. Just wanted to know if i could do anything to resolve this Doctor: Hello,Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. There is certainly a couple of things that need to be looked at in your situation. Most of the time decent issues are due to poor posture and is seeing a physical therapist can certainly help correct this issue. The most significant thing to look for is a scoliosis which can be diagnosed by an orthopaedic specialist. This sometimes needs x-rays.In the first instance, I would suggest a visit with your primary care physician who can probably tell you whether this is truly posture related or something more challenging such as a scoliosis.I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions.Best wishes,Adrian Rawlinson MD | 138,140 |
What could be the reason for lack of sleep and misshaping during bike ride and office work ? | Patient: Sir I am 31 yr old man serving in military engineer services as a junior engineer. Sir I was suffering from mental problem in 2001 I got checkup my self from AIIMS IN Phyciatry DEPT IN MAY 2001 DOCTOR TELL ME THAT I HAVE OBSESIVE COMPULSION DISORDER THEN I TOOK MEDICINE FROM 2001TO2005 AFTER THAN I GET RID OFF FROM THAT PROBLEM .NOW FROM SIX MONTH DUE TO FAMILY PROBLEM AND OFFICE PROBLEM , I HAVE FACING LACK OF SLEEP,FEARING OF MISSHAPPENING DURING BIKE RIDING AND OFFICE WORK ,MIND BHARI HO JATA HAI . what is the theproblem now. PRASANT AMBALA Doctor: Hello Mr. Prashant,From your symptoms I think it is possible that you may be suffering from another exacerbation (worsening) of obsessive compulsive disorder (OCD). OCD is usually a chronic illness, which means that it does not get cured completely. With medicines, it can be brought in control (like Diabetes or Hypertension), but during stressful situations the symptoms may return. You seem to be facing some stress at home and at work; probably this stress has triggered another episode of OCD.Another, though less likely, possibility is that you are currently having an anxiety disorder other than OCD. A confirmed diagnosis would require a face-to-face consultation.It is very likely that you will benefit from the same medicines that had helped you earlier. I recommend you visit a psychiatrist for a face-to-face evaluation and consider restarting those earlier medicines. More importantly, please do not stop the medicines on your own in future.Regards,Dr. Saifuddin KharawalaMBBS, DPM | 213,736 |
How to treat hyper mobility joint syndrome? | Patient: i have hypermobilty joint symdrone, and have a pain meds, musle relaxers, cymblata.. i do everything to keep moving, but i stay in constant pain, in my back top to bottom, knees wrist, feet i wanna know what can i tell my doc, so that hes mre aware of how to help me Doctor: Hi, In my opinion, if you have hypermobility syndrome then you do not need any muscle relaxant. I suggest you stop all medications for a week before consulting your doctor and tell him exactly what you feel. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon | 124,828 |
How long will it take for the burned calf to heal? | Patient: I burned my calf on a motorcycle pipe on Friday. I was placed on antibiotics and the silver cream today over the phone from my dr. I m experiencing extreme pain when walking after laying down. Is this normal and if so, how long will it last? It s really very painful. It takes me a while to get moving. Doctor: hialongwith silversulfadizine cream mix xylocain 5% skin jelly which will soothen burning pain.keep the area exposed and continue oral anti biotic.You may add tramadol alsofor pain or combiflam as anti-inflammatory pain medicinebest wishes | 135,711 |
Is Duolin a preffered drug for asthma in children? | Patient: I have a 10 year old son (57 kg) 5'1" who is suffering from Asthma since he was 8 years old, currently I am giving him Asthalin Liquid (2tsp)when required for the last 2 years Should I change it to Duolin? HE also uses the Asthalin inhaler. The shortness of breath starts at about 4:30 am or at night as soon as he is in bed (10:30 pm). Am staying in Navi Mumbai at present. Kindly advise. I would remain ever gratefulMs Suparna Doctor: Hello Ms Suparna,Thank you for asking at HCM.I went through your son's history.Both Asthalin and Duolin are rescue drugs for asthma. They are used when child as an asthma attack/worsening of asthma. Duolin contains two drugs - salbutamol (same as Asthalin) and ipratropium bromide.Practically, if your son responds well to Asthalin inhaler, I would suggest you to continue it on "as and when required basis". When symptoms are more/attack is severe, it is advised an additional drug such as ipratropium bromide (as in Duolin). However, most attacks can be well managed with Asthalin only.I want to emphasize one thing that if he needs to use Asthalin approximately more than twice a week or he has night-time/early morning cough more than once a week, that suggests his asthma is not well controlled. So using regular controller medications like montelukast or inhaled corticosteroids is highly recommended. Also, as he is having mostly night/early morning symptoms, I would think of house dust mite or mold or cockroach allergy. So I would suggest you to consult an Allergist-Immunologist who will suggest him allergy testing and advise accordingly.As general measures, I would suggest yo avoid dusts, smokes, cold air currents and air-pollution as much as possible. If he can perform regular breathing exercises, Yoga and Pranayama, that will help him a lot in a long run. I would also suggest him a nutritious diet rich in vitamins, minerals and anti-oxidants. I would suggest his bed room to be warm and well-ventilated, however, more recommendations can be made on basis of allergy testing only.Hope this will be helpful to you.Wish your son the best of the health.Regards. | 101,314 |
What is somatoform disorder? | Patient: I just realized after reading about somatoform disorder that I have this disorder. Currently I am taking antidepressant and anxiety pills, and am about to take an additional antidepressant pill prescribed yesterday. Do I need to continue with this additional antidepressant when I already know that I have a different disorder?It is not just depression, but a somatic symptom disorder. Or Is it risky not to take it until I meet my doctor next week? Doctor: HiThanks for using healthcare magicIt is good to see, you know about your disorder, but it would be better if you take medicine as you are taking. In somatoform disorder, patient needs longer treatment and i would not advise you to leave treatment or any medicine without doctor consultation.Thanks | 210,179 |
What causing painful white spots on the tongue, bleeding gums & lips and bumping gums behind the 2 front teeth? | Patient: I have sore gums, I can't tell if my tooth is wobbly or not because my mum and friend said I'm just imagining it, my tongue has very small painful white spots on them, my gums do bleed, my lips are sore and have been bleeding, behind my two front teeth are bumping gums, I don't know what it could be Doctor: Hello there, thanks for the quiery. I think it could be herpes gingivostomatitis, but its better you show your local dentist or oral surgeon. It requires antiviral mediciation, but dont know how many days have passed by. so i suggest you to take lot of fluids, topical anesthetics and analgesics for your pain. Hope it helps. plz get back to us if u still have doubts. | 187,579 |
Suggest remedy for elevated bilirubin | Patient: Bilirubin elevated to 2.7, I m 57 y/o have high blood pressure, mostly controlled with medicine, high cholesterol, & hypothyroidism. 40 lbs overweight. Do occasionally enjoy mixed drink. This is first time with lab work this was found. Recommend things to do/ concerns? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Get a liver function test along with direct and indirect bilirubin.2. Need to control cholesterol, possibly fatty liver disease. However, diagnosis is based on direct or indirect bilirubin which is elevated. Hypothyroidism can also cause elevated bilirubin due to reduced metabolism, repeat of bilirubin to be done after treatment with thyroxine.3. Advise stopping alcohol, weight reduction, control of lipid profile and regular medication for all including hypothyroidism.Hope it helps.Any further queries, happy to help again. | 116,375 |
Is it possible to get pregnant while having thyroid problem? | Patient: sir 1st report is +ve ani vachindi nenu treatment em tisukoledu 2nd time -ve ani vachindi symptoms are hair loss and irregular periods if i got thyroid.in future iim getting pragnancy on not getting. my hight is 5.4 and weight is 58. how to weight loss Doctor: Hi, you can conceive even with a thyroid problem . Take your medicines regularly. Be in contact with your husband every 2 to 3 days after your periods stop. Maintain a healthy diet with lots of fruits and vegetables. Try some exercises and yoga. Hope I have answered your question. Regards Dr khushboo | 1,572 |
Suggest treatment for pain in the groin area | Patient: I have a dull ache to my right outer hip/groin area that I feel when I sit, especially while driving. It has been several weeks now. No real pain. It just feels like there is something there when I m sitting. When I stand all is well and I don t feel anything. I m 38 with a history of htn controlled with cozaar and diet. Doctor: This is mostly a pelvic congestion. Avoid long-standing and carrying heavy objects. Take Daflon tablets and don't worry it isn't dangerous. | 216,324 |
Suggest ways to stop bottle feeding in kids | Patient: My 3 year old son loves his bottle and that is how he drank his milk until about a week ago when I took it away. He drinks juice from a sippy cup, but will not drink milk this way. I ve put milk into a big-boy cup and he still won t drink it. I ve also refused to give him juice until he drinks his milk, but he would choose to go a whole day without drinking. Please help! Kelly Doctor: Hello. Bottle weaning milk can often be very challenging with toddlers. Since your child already knows how to use a silly cup, it is simply a matter of no longer giving him any bottles at all. He may go on a "milk-strike" as you described and that's okay. You can feed him yogurt and cheese as alternate dairy sources. To get him to drink milk, you can continue to deny him his juice until he has a cup of milk, even if he refuses to drink all day. No child will ever dehydrate themselves to any point of danger when the drink is available for him. Thirst is a powerful motivator so stand your ground and he will eventually give in. Good luck! | 164,431 |
Suggest treatment for cough and body ache in kid | Patient: Hi - my son is 5 years old, he has been having cough for last 3 weeks, yesterday went to doctors office. They have given amoxycillin as he has pain in his body/ head ache & mucus. He is feeling restless, seems he is feeling heat in his legs. He has taken the medicine twice today. Doctor: Hi,Amoxicillin is an antibiotic which means that the doctor has found a bacterial infection. If the child suffers from body ache and headache you can give him acetaminophen or ibuprofen syrup every 8 hours to resolve the body ache and headache. If he is having cough with phelgm then you can use a cough expectorant as Mucinex . You can also use a cough suppressant as Dextromethorphan.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman | 166,693 |
What causes blood vomiting while treating acute pancreatitis? | Patient: My husband was coughing and throwing up blood, he has acute pancreatitis and has had a major whipple done 3 years ago. I took him to the Er and hey did a CT scan and some bloodwork. Scan showed nothing abnormal and bloodwork said his sodium was low and his blood sugar was798 so he was given insulin. He is not a diabetic. He is continuing to vomit blood, only at night after laying flat, and when he coughs there is still blood. Could this be something hat was overlooked? Doctor: Hi, I will suggest you to any hospital where gastroenterologist is available who will examine you and do endoscopy examination and may be colonoscopy. Because the blood in vomitus followed by blood in stool is an emergency as it may be from upper gastrointestinal tract only. Visit your doctor for examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon | 52,218 |
Does different blood groups of the partners have any advantages over same blood groups? | Patient: This is regarding blood group compatibility for child bearing. I have O+ blood group. I do understand that mother with (-) blood bearing a (+) child Or vice versa may have complications. But does blood group pose any pros/cons if its same e.g. in my case if my partner is O+. Does differnt blood groups of the partners have any advantages over same blood groups? Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1]Please do not worry at all about blood groups and problems arising out of it.2] As you are O+ve, baby's blood group will not have any problem for baby.3] Only when mother is Rh negative , and Father of the baby and baby is Rh +ve, then only there is is risk of a condition called- Rh incompatibility.so please do not worry.Also there are no any such advantages over having same blood group of both parents.I hope my answer helps you.Thanks.Wish you good health. | 221,828 |
Can foreign object cause local pain or infection? | Patient: Im 32 year old and have had a needle in my butt muscle since I was two years old. I have no pain or symptoms at all where the needle got stuck. I'm having other neurological symptoms wich doctors can't find a reason for. Can a foreign object cause other problems than local pain or infection? Doctor: HelloWelcome to HCMI understand your concern.its rare for the needle to cause neurological symptoms.If at all if the needle is getting abutted in the nerve and nerve has got injured,there are very rare chances of you getting these symptoms from the needle.I would advice you to undergo MRI to rule out disc protrusion or disc prolapse.Hope you are happy with the answer.Thank you | 39,357 |
How to cure hair dye dermatitis on wrist & face? | Patient: Hi I have had two dark spots appear on my wrist and my face for a little more than 2 years.I went to 2 dermotologists and they said it was pigmentation and hair dye dermititis.All of the medications they gave me do not seem to work and have the made the spots appear almost black now Doctor: Hello. Thank you for writing to us at healthcaremagicYou have a condition known as post-inflammatory hyperpigmentation /PIH. It is hard to explain how a hair dye could cause pigmentation on wrist?Therefore I would like to keep another differential diagnosis of Fixed drug eruption (FDE).FDE presents as red colored or dark spots at various body sites in response to certain Oral medications like antibiotics, antiinflammatory, antiepileptics etc.The eruption is called Fixed Drug Eruption because each time the implicating drug is taken orally the eruption would appear at exactly the same sites Or would make previous spots darker.I suggest you to take a note of all the drugs that you have been taking or were taking for other illnesses like fever, flu, diarrhea, pain etc.I suggest you to visit a dermatologist in your region for a review of the diagnosis.Unless and until the implicating drug is identified and eliminated the spots would keep getting darker every time the drug is taken orally.Apart from avoiding the culprit drug, treatment of FDE is topical application of mid potent topical steroids e.g mometsone furoate 0.1% twice daily.Regards | 11,259 |
Need treatment for thrush | Patient: Hello, I get thrush two weeks before my period is due evry month I take all the pills and potions and nothing stops it. I have had a course of anti bioctics and this helped for 6 weeks but then it has come back again. This is now 6 motnths. After 3 months they did swabs and thrush was present but nothing else. Doctor: Hello,Welcome to HCM.Thanks for the query.You require to take Flucanazole once a week for 3 months and also be very meticulous about personal hygiene.It would resolve the problem. If it does not you should check your immune status.I shall be happy to answer more queries.Take CareDr Noble Zachariah | 36,487 |
Suggest treatment for SVT | Patient: Hi, I have been having SVT's since falling pregnant with my first child in late 2004. I cam off beta blockers in may last year and have had a few SVT's since then , but they have not required hospital treatment. I have read that they can prove to befatal, is this true as my consultant said they were not fatal. Can it be controlled by diet at all? Doctor: Hello Welcome to HCM. Most SVTs usually are not life threatening. When there are accompanying complications like low BP, previous heart disease then they may cause issues. But usually SVTs are not troublesome. There are no diet modifications that can prevent SVTs. They happen due to some improper circuit within the hearts conduction system. Medications like beta blockers do not cure SVT, the inhibit the trigger which leads to SVT. the keep the heart rate low so that SVTs sont occur. Since you are still getting them, I recommend you should be on a small dose of calaptin (calcium channel blocker) daily for your SVT. They have very less side effects and tolerate well by all patients. Another approach that is used for patients with low risk SVTs is to take a calaptin 120 mg SOS during the episodes. Since I have not examined you and seen your records, I would recommend the daily dosage of calaptin approach. Wishing you good health Regards | 20,702 |
What is the purpose of Microdox in the treatment of infertility? | Patient: i am 31 yr old ,Gender Male ..my wife & me are trying for a baby but due to health problems we were not able to suceed ..while consulted a doctor they have suggested me to have microdox lbx tablet for my health problem.. could you tel me why is this required to have Doctor: Hi ,Thanks for writing to HCM .Microdox contain doxycycline . It is antibiotic given for infections. I guess your doctor must have suspected sexually transmitted disease (STD)in you and prescribed microdox.The treatment for STD is antibiotic and avoiding sexual contact with wife, maintain good local hygiene . Once it is treated you can plan for pregnancy. You should confirm from your doctor that the disease is cured.Hope I have been helpful .RegardsDr.Deepika Patil | 42,769 |
Can using echinacea help to increase the immunity in a patient suffering from DiGeorge syndrome? | Patient: Hi my name is Melissa, my son has been diagnosed with Di-George syndrome and has no immune system at all, the thymus is non existant. He had open heart surgery at 3 and a half weeks old (vsd, aortic arch was almost closed and a hole that was misaligned (blood was flowing from the right ventrical back into the left)He is six years old, had the lower right lobe of his lung removed last year, I have battled for six years with pneumonia and related infections, I have had him on echinacea for the last few months, and is the healthiest he has been ever. My question is, can the echinacea be providing him with some sort of an immune system. Thank you Doctor: yes there arevsome evidences that this herb may strengthen immune system. this may help the child to fight against infection. | 167,180 |
Suffering from obesity and stress. Family history of cerebral hemorrhage and heart attack so check up required? | Patient: My sister is 54 yrs of age and obese. Has not been to a doctor for a number of years. Has had detached retina surgery around the age of 40. Is under a great deal of stress with her job. Father and older sister died of cerebral hemorrhage, other parent of obdominal annyorism, and an older brother of a heart attack. Should we head to the doctors or hospital? Doctor: Hi,,yes, it is good to take her to your Doctor. Your Doctor will do clinical examinations, Investigations specific to her need. If there would be any warning symptoms or Signs, he or she will refer her to the specialist or Hospital. If everything comes out normal, her stress level will reduce, and will have to concentrate on healthy way to reduce weight by diet and regular exercises. Her retinal detachment at early age indicates also some chronic disease like Diabetes, hypertension or vascular disease, specially Aneurysm.Better to be proactive, rather then stay in fear.Wish her good healthDr H Hamdani | 211,058 |
Can acute high blood pressure cause permanent brain damage? | Patient: ease type your query here...My childrens nanny collapsed today with blood pressure 290 over 148 when paramedics arrived. She was completely incoherent and nauseous... could this cause permanent brain damage. Forgot to mention we live in a third world country - she had swelling and bruising on her arm and did not bump herself - could this be related to todays incident? Could the arm bruising be a clotted artery? 7 hours after admission we still had not seen a doctor.. so I have not been abke to get any answers? Doctor: Hello, I would explain that such high blood pressure values can lead to intracranial hemorrhage For this reason, I would recommend performing a brain CT scan in order to be sure that everything is OK. Regarding the bruise in her arm, I don't think that it could be related to a blood clot. But, I think that it could be caused by a trauma during falling. Anyway, a physical exam and an X-ray may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | 16,856 |
Suggest treatment for tumor in liver | Patient: Hi, may I answer your health queries right now ? Please type your query here...i did my mom has a 14 cm liver tumor and was diagnosed with HCC in august of 2009 she went thru a chemo embolization and has ben on nexaver since oct of 09 since then the tumor went from 10-12 to 14 cm and she is now experiencing complications due to her liver not functioning normally what else can we do?? Doctor: Hi, I had gone through your question and understand your concerns.Unofortunately, this is serious conditions and such large tumors cant be treated surgically or with liver transolantation. Only chemotherapy is advisable but it has limited success and it may just slow the progression for few weeks with no other benefits. Unfortunatly, the diseases is incurable and ustoppable. She may have stent placed in bile duct to improve bile drainage as a pallative care...Wish you good health. Kindly regards | 53,263 |
How to cure swollen lymph nodes on neck? | Patient: My grandson is two and has swollen lymph nodes in his neck right side bigger than other. Picked him up for summer visit from mother and nothing was said. He had a cough the first night but then that went away. He has no other symptoms besides the swollen lymph nodes. And they are going down but slowly. What can we do at home to clear this up? Doctor: The child may have suffered respiratory tract infection. May be subclinical. Lymph nodes are first barrier to check infection. Therefore they get swollen to take fight infection. If it is already subsiding then there is no need to worry. | 179,288 |
Is it correct to hold the baby upside down, if the food is struck? | Patient: Hi my daughter has a six month old baby and was asking me what to do if piece of say....banana or somesuch got stuck in her throat and couldn't breathe, I said to pick her up by the ankles and hold her upside down to dislodge the item, is this correct? Doctor: DearWelcome to HCMWe understand your concernsI went through your details. When food is stuck in a babies’ throat, he or she is probably unable to breathe and it is therefore very important to remove the item as quickly as possible. This is one of the reasons that it’s so important to never leave a baby unattended while they are eating, even once they are a toddler. If you see the food, and you can retrieve it without forcing it further down their throat or by cutting off their oxygen supply, do so right away. Now you should not try to give rescue breathing. Immediately you should call for medical help.As a first aid measure, the toddler can be held upside down and firmly pat the child's back blow the neck and upper chest three or four times. See the food particles to come out. If not please rush the child to a hospital or to a nearby health center.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | 170,310 |
Loss of appetite, nausea, severe agitation, crying for no reason, depressed. Taking cymbalta. Normal? | Patient: I was on Cymbalta for about a year at 90mg and experiencing severe loss of appetite and nausea, last few weeks. I have been advised to reduce to 60mg a day for a week then 30mg for a week, then stop. I am experiencing severe agitation, crying for no reason, overly sensitive and overall fatigue and just feel horrible and more depressed. Is this normal? Doctor: Greetings !Welcome to the site.Well, no this is not normal as it seems like you are still reeling under the depressive cognition and Cymbalta after 1 year long use has become ineffective owing to increased tolerance/ resistance that your body must have developed against it.So while I support the idea of bringing you off Cymbalta but the weaning strategy can be improved by first bringing you down to 60 mg dose and after 1 week further down to 40 mg dose / day and then after 1 week down to 20 mg / day dose and then after 1 week taking 20 mg dose every alternate day for another week and then stopping the drug completely. This slow tapering of the dose is essential to prevent development of withdrawal syndrome which can further worsen the condition.Also alongside the withdrawal of Cymbalta there is a need to replace it with another anti depressant which can be done by introducing Lexapro ( generic name -- escitalopram ) at dose of 5 mg / day in the morning when you have reduced Cymbalta to 20 mg / day regular dosing. This process of introducing a new drug while discontinuing the older one is called as Cross- titration, kindly discuss about this with your doctor.After 1 week of being on 5 mg dose / day the dose can raised to 10 mg and then after 2 weeks further up the dose to 20 mg /day as per the discretion of your doctor.I am hopeful that such sort of replacement of the current Cymbalta with Lexapro will prove to be useful in bringing you out of the clutches of depression which is present at the moment.I hope this helps.Regards. | 211,772 |
Is tightness around upper arm caused by arthritis in neck? | Patient: results from my x-ray show arthritis in my neck at c5 & c6. Pain is in my neck down my left arm. 2 weeks ago, my left upper arm felt like it caught in a vise...excrutiating tightness around my upper arm. Does that have to do with arthritis in my neck? Doctor: Hello!Welcome to Ask a Doctor service!Regarding your concern, I would explain that your symptoms could be related to a pinched nerve (irradiating nerve pain) or bursitis (shoulder joint inflammation). Coming to this point, I would recommend performing first a shoulder X ray study. If this test results normal, I would recommend consulting with a neurologist for a physical exam and some tests: - a cervical spine MRI study - nerve conduction studies. Hope you will find this information helpful!Wishing good health, Dr. Ilir Sharka, Cardiologist | 121,375 |
Suggest remedy for problem in breathing | Patient: Hi, I have been having some breathing problems and I was wondering if you think I may have asthma. I feel like I can t get a good breath, I ve had a cough since the beginning of June and when I laugh or cough it s very hard to catch my breath, and my chest has a tight feeling. This seems to flare up mostly at night. I have two cats and I m not sure if I have allergies. Doctor: HelloWelcome to health care magicThanks for your query. I think in your case first we have to evaluate you properly before diagnosing you as an asthmatic or you had developed allergy towards your cats.First you should take a chest X-ray and consult with a pulmonologist to rule out other pulmonary conditions. A simple peak flow meter testing for peak expiratory flow rate will give an idea about you problems. Further your can stay away from your cats and see if you get better.To confirm your allergic condition you can do specific IgE tests or radioallergosorbent tests (RASTs).Treatment for your pulmonory problem might involve administration of antibiotic therapy, anti-histaminic therapy (such as citrizine), and salbutamol can be helpful for the relief of bronchospasm (Chest Tightness).Consult pulmonologist and take further suggestionsWish you a good health.Dr Kidev.S | 100,156 |
Will taking Z-pak and Mucinex be safe for cough? | Patient: Sat. night and my diaphragm is SO sore from coughing. Was to the doctor on Thurs., and she prescribed a Z-Pak and Mucinex. Still coughing and in lots of pain. Taking IBU and have the heating pad on it. Is there additional things to do or am I doing all I can? Doctor: Hi,First of all you need to be evaluated for the cause of cough.Get a chest Xray, Sputum Culture (if cough is productive), and routine blood counts.Do you have a recent past history of an upper respiratory tract infection (Sore throat, fever, cough)?Do you have complains of gastric acidity (Bloating, burping, burning in chest)?Once we get to the cause of cough, management can be a lot easier. In the mean time, your pain is apparently due to muscular staring while coughing (though an underlying aetiology needs to be rules out, and Chest Xray or USG Chest shall help).If the pain is muscular, consider taking Capsule Tramadol 50 mg three times a day. Pantoprazole 40 mg Once a day along with your antibiotic shall suffice. Mucinac being a cough expectorant is also fine to loosen up the cough.Note: NEVER USE A COUGH SUPRESSANT IN A PRODUCTIVE COUGH, AS IT IS USUALY COUNTERPRODUCTIVE. Unless advised by your doctor in special cases. | 82,029 |
Suggest treatment for edema caused after a circumcision | Patient: Hi doctor, I am a 26 years old male. I had to undergo circumcision due to congenital phimosis in june this year. A "Shang Ring" was placed on the cut line after the surgery and thus stitches were not needed. After 8 days of surgery, the ring detached partially and it began burning. So I visited my doctor but he could not notice it. In next two days the burning sensation aggravated and i again visited the doctor. This time he removed the ring and told me that edema had occurred at the cut line and that it would heal on its own. Now three months have passed but there is no improvement on edema. What should I do now? Please help me. Doctor: Hello, It is just inflammatory oedema and will settle by itself. You can consult a urologist for expert opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 194,764 |
Broke into hives after allergic reaction to hair dye and got more on taking avelox for sinus infection? | Patient: Built up an allergic reaction to hair dye and broke out into hives. On prednisone and benydril for two weeks and still have hives breaking out. In addition I have a sinus infection and put onAvelox and have more hives. Does this mean I'm allergic to avelox also. Doctor: Hello,Welcome to HCM,As you developed allergic reactions following dyeing of hair, it will take some time to reduce the symptoms.As your doctor has advised medications for treating generalized hives, you need to take treatment for some more days to control the symptoms.In addition to the drugs for treating hives, you have been given a course of oral antibiotics to prevent and treat any secondary bacterial infection, with this medications your symptoms will improve.If your symptoms are not coming down you can1.Apply Ice packs on the areas of hives2.Avoid exposure to hair dyes3.Oral Montek LC.4.Steam inhalation with VapocapsWith the medicines and the above remedies, your symptoms will improve.Thank you. | 102,276 |
How to reduce the facial seizures in eyes that occur due to asphyxia at birth ? | Patient: My son has epilespy this was caused by asphyxia at birth I am told that he had an injury on the brain at birth. so he has facial seizures his eyes go on the left side for some seconds to 1 minute he is 9 years and this occurs about 3 times in a day about 6 times in a month what can i do to reduce or stop this Doctor: HIThank for asking to the HCMI really appreciate your concern, this may not be epilepsy but this could be nerve damaged, and this condition get alright with the time as the baby grow older, if this does not reverts then MRI or CT would be suggested, but chances of correction is fairly enough, hope this information helps you, have nice day. | 147,889 |
How to treat erectile dysfunction and premature ejaculation? | Patient: sir i am a 48 years old man who enjoyed 23 years of mairage.But now i like anal sex exiting than real sex.My wife dont accept anal sex.while real sex is not exiting me with my wife causing erectile disfunctioning,& pre ejaculation.may u guide me please.thanx sir. Doctor: DearWe understand your concernsI went through your details. Earlier you liked vaginal sex more than anything and now you like anal sex which is actually against nature. Your wife may not accept it because she will not get any pleasure out of it. Over and above she may be experiencing pain too. You should not do according to your convenience and pleasure when your wife is also involved in the act. You should understand her emotions too. Premature ejaculation can be managed by usung condom. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck. | 199,144 |
Are muscle cramps normal after an arm fracture? | Patient: HI. I SUFFERED A FRACTURE TO THE HUMERUS IN MY LEFT ARM AS A RESULT OF A FALL. THIS OCCURRED WEDNESDAY NIGHT. I AM WERAING A SLING AS PRESCRIBED BY MY MD. EARLIER THIS EVENING A HAD A VERY STRONG AND PAINFUL MUSCEL CRAMP IN THAT UPPER AREA OF MY ARM. IT HAS SINCE SUBSIDED, BUT THE MUSCEL IS STILL TIGHT AND FEELS AS IF IT WILL CRAMP UP AGAIN. IS THIS NORMAL ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The muscle cramps can happen due to a decreased tone of the muscles. It is best to do a regular physiotherapy to help it. Hope I have answered your query. Let me know if I can assist you further. | 127,457 |
Suggest treatment for recurring fever and cough in a child | Patient: My son is 4 years(18Kg) old. He is having fever around 99-100F and having frequent cough for last 2 days. He has been given Ambrolite Levo Syp 3.5 ml and Sinarest AF Syp 3 ML. Does he need to take any antibiotic. The Pediatrician to whom we visit for my son s illness is out of town so I am asking for opinion. Doctor: Hi,Thank you for asking question on health care magic.Fever along with cough suggests infection.I usually prescribe Amoxycillin and clavulanate combination 2 times daily.You may add paracetamol 15 mg/kg/dose for control of fever.All other medicines you may continue as prescribed by your doctor.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | 174,237 |
Could throwing up every time after eating salmon and fish sticks indicate allergy? | Patient: tried it first when I was 3 and I had fish sticks, I threw up everywhere. Then when I was 6 I tried salmon, and the same thing happened, and when I was 8 I tried fish sticks and I was still badly. It's not like I don't like the taste either, so it's not that I'm a fussy eater. Should I try it again recently, or do you think it could be an allergy? Doctor: Hi,Thanks for writing in.You might be having a mild allergy. If you have not been hospitalised in the past after eating salmon, it is unlikely to cause a severe reaction. However if you want to have salmon, you can taste it in small amounts and stop if you are not feeling comfortable. | 102,342 |
What causes bunching behind rib cage with history of pneumothorax in lung? | Patient: Four years ago, I had a spontaneous pneumothorax in my right lung which was operated on. Everything has been fine until recently. Often, when I cough or sneeze, I actually feel something bunching up behind my rib cage; I m not sure if it s a muscle or my lung. I don t know if this some strange quirk or if I should be examined. Doctor: Hello,It is possible that you developed scarring of the lung following the pneumothorax surgery. This can cause a pulling feeling at or near the site of surgery.A chest xray would help look at this area further, but without other symptoms, I would not worry about it.All the best. | 136,259 |
How can persistent cough with rhinitis and vomiting be treated? | Patient: My daughter is 1 year and 2months old. Since January (month she was born) she has been constantly falling sick. She had spell of vomiting. then she had cold with running nose, fever and cough followed by vomit again. We decided to take a 2nd opinion and changed pediatrician in the beginning of Feb. The 2nd doctor diagnosed she had an infected adenoid.He prescribed an antibiotic for 3 weeks. she was better by the end of 3rd week, but then again she got cold, cough and vomit with slight fever. aging the doc said that she had a bacterial infection and we got another antibiotic for 5 days. she was alright for a couple of days and then she had running nose (which i thought as cold). The running nose reduced and today she started coughing again with vomit. I am really worried as she has been constantly sick. please advice. Doctor: hello dear!probably your daughter is having enlarged adenoids. I would like to have a detailed history regarding her symptoms like is she a mouth breather?does she snor at night? do you have a family history of allergy and asthma?was thsi child delivered via c-section?i would recommend an x-ray soft tissue neck for adenoids.If they are enlarged to the extend that they are causing difficulty in air passage through the larger airway,i should be removed by the time she is at 5 years of age.But mostly they regress by this age. I would advise some good anti-histamines like levo-cetrizine about 2.5 ml at night for a period of 3 months along with monteleukast sachet 4 mg at night for 3 months. I would like you to try some home remedies also like a teaspoon of honey in a glass of luke warm water once daily. Avoid giving her cold drinks,sour foods like vinegar and ketchup.Avoid candies and icecreams.Hope it will help.Wishing your child good health :-) | 165,792 |
Stomach ache, black spot on stomach, nausea, restlessness. Hernia? | Patient: Hi.My boyfriend had hernia and the doctor did a surgery on him. now his stomach aches and he has a black spot on the stomach lining or wall of the stomach. What does that mean and what is the solution to his health issue. I am trying2find solutions for him in addition to his next visit to his doctor. Does he have an ulcer? He complained of alotta pain, nausea, restless nights. It's not easy on me to hear of his health condition, so this is my way to possibly give him more valuable information. Doctor: Hi welcome to Health care magic forum . Thanks for calling H.C.M.Forum. Your boy friend had a surgery for hernia.He got stomach pain, and black spot. He got pain nausea, and rest less nights. It appears the pain may be due to non healing of the internal sutures , and reherniation. Of course with out examination we should not comment, other causes may be gastric pain, urinary tract infection, stones in the urinary tract, and a big list. i advise you to consult the operated surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. I also advise you to avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards. | 93,594 |
Recovering from severe gallbladder attack. On antibiotics, no fat diet. Can have plant based fats? | Patient: My father is recovering from a severe gallbladder attack resulting in sepsis , etc. Pending his next evaluation, while on antibiotics , he was instructed to be on a NO FAT diet. He has eliminated all meats, oils , & dairy (except non-fat milk). What about plant-based fats such as lentils, rice, beans, etc.? His doctor is on holiday & unavailable for advising. Doctor: Hi and welcome to Healthcare magic.Thank you for the query.You can have such fats,but try to have more frequent but smaller meals.Also,avoid alcohol and smoking completely. animal fats,especailly pork, will trigger gallbladder attack so you should avoid fried food,spicy food and food that cause bloating. And drink plenty of fluids with meal.Wish you good health. Regards | 58,724 |
Is defibrillator implant causing chest pains? | Patient: HI. MY DAD IS SUFFERING FROM CHEST PAINS RADIATING OUTWARDS . IT HURTS MORE ON THE RIGHT SIDE OF HIS RIB CAGE. HE CURRENTLY WAS ADMITTED TO THE ER FOR CHEST PAINS AND WAS TOLD HE HAD A MILD HEART ATTACK. HE HAS HISTORY OF CARDIOMYOPATHY & DIABETES. 3 YRS AGO HE HAD A DEFIBRILLATOR IMPLANTED IN HIS CHEST. PLEASE ADVISE WHAT OTHER POSSIBILITIES THIS CAN BE. Doctor: Hi, A heart attack is mostly the cause of this pain. I don't think there might be other factors according to the history you provide. My advice is to do a full check up and blood tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist | 70,842 |
What should I do for sinus allergy despite taking Glemont-F and Otrinoz? | Patient: I have a allergy in my sinus which blocks my sinus from last few months. I Consult ENT twice, initially he gave me Glemont-F and Otrinoz nasal drops. it works few days and my allergy responded well to these medicines. But after few days of finishing the course, i again infected with same problem which blocks my sinus and again i consult the same doctor he prescribed me Efcrolin nasal drops and Olopatadine tablets. But i didn't get proper relief from these medicines. I have allergy to dust and smell. Please advice what should i do? Doctor: HI. Allergy is known to recur. Continue medicines as advised. At the same time you mist avoid the things causing allergy as much as possible , as this is the mainstay of treatment. If you are not getting relief it is advisable to undergo CT Scan of PNS- that is para-nasal-sinuses to know the details of extent of the disease. Some ailments and its complications are treatable by surgery too . | 102,749 |
Suggest remedy for itchy allergic infections | Patient: i am 32 years married woman having allergy problem for last 6-7 month. the reason is unknown. the symptoms are constant itching all over body. i did all the test like blood,Ige(350),doctor prescribe medicine (Zeren 10mg) taking every 3 days whenever itching sensation is felt and I am taking the same till date but no improvement.I am frustrated,kindly advice Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. The most important thing I would like to know is whether you have only itching or itching with rash/hives. As the causes differ completely.2. At present, I assume you have no rashes/hives. I would suggest you to apply moisturizing lotion over dry skin and itchy areas immediately after bath regularly for at least 2-3 weeks.3. I would also suggest you to take a multivitamin-multimineral containing especially vitamin A, vitamin E, zinc, selenium and essential fatty acids for at least 2-3 months to improve you skin.4. Apart from above measures, I would suggest you to take an antihistamine like fexofenadine or levocetirizine in the morning and hydroxyzine before going to bed (because hydroxyzine can cause sedation) for control of itching.Please note that these antihistamines only control itching, will not cure the cause of your itching.Once your skin is improved with suggestions no 2 & 3, you yourself can gradually reduce the antihistamines and eventually stop them.5. Please avoid wearing woolen, tight-fitting clothes. Loose-fitting, cotton clothes are good in my opinion. 6. Please do not scratch the itching areas, it would aggravate your itching.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. | 100,198 |
Child had open heart surgerey | Patient: My 5 month old had open heart surgery on monday and we were sent home on thursday and she has the worst gas pains. She had her ASD and VSD reparied. She moans and crys and lifts up her little legs . She came home on no pain meds . We were just told to give her tylenol every 4 hours. She is eating and drinking fine . Doctor: HiWelcome to the HCMI have gone through your question and understand your concerns. Don't worry. These episodes seems to be due to gastritis associated with pain killers she is receiving along with the post surgery stress. I would recommend you to go down on the frequency of Tylenol to 6 hourly along with an antacid such as Lansoprazole or Digene.Ensure regular feeds.Hopefully this will help you. I would be happy to help you out in any future health related questions.Take care | 172,389 |
What causes severe left arm pain? | Patient: Hi, with no warning or obvious reason, my continuous pain has begun in my lower left arm. It started a few hours ago with just a stiffness in my wrist, but has continued to the rest of my forearm and slightly to my fingers... What could this be? I am a 21 year old female. Doctor: Hello, As this sounds to be due to nerve root entrapment at the cervical or the wrist level. Getting it examined will be of help. Either it can be cervical Radiculopathy or carpal tunnel? But need an assessment to claim one. Also, doing hot water fermentation to the neck, posture correction, static neck exercise, shoulder stabilization exercises should help reduce the symptoms. Kneading massage over the Trapezius muscle will be useful. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,295 |
Suggest treatment and diet plan for refusal of food in kids | Patient: My 8 year old daughter refuses to eat almost every vegetable. She will walk in the kitchen when I am cooking and say that smells good, but when you put it on her plate, she says it *looks* nasty and refuses to eat it. I have started putting a blind fold on her when she tries the first bite and she will usually say It s not bad but when she takes the blind fold off, she will not take another bite. She will eat sweet potatoes, but VOMITS every other vegetable up. Any suggestions? Doctor: Try to mesh all vegetables and prepare dishes and give her in a nice presenting way, so that all the vegetable ingredients reaches her. also try to give her fruits and vegetables in juice form. | 179,264 |
Have large and purple vein inside tongue, swells randomly. Reason? | Patient: Hi, my name is Sandra and I am 20 years old. Last night I couldn t sleep because I have a large, purple vein on the right side of my tongue . It s usually small, but it swells up randomly. I ve been observing it and I believe it swells when I eat very spicy foods. I want to know why I have this vein on the side of my tongue. Thanks. Doctor: hello and welcome to hcm forum Sandra, i would be glad to inform you that a tongue has numerous veins on its inner surface and if in case there is some kind of selling/lump, then that needs to be checked clinically by your dentist. you have not mentioned whether you have pain or not, or even infection. swollen veins are associated with a number of factors; infections, salivary gland stones, stress, etc. i would recommend you to visit your dentist soon. i hope i answered your query, i wish you good health, take care. | 190,490 |
What causes a skin tag on the inner lips after an injury? | Patient: Ok my 10month old daughter fell and busted her moth open earlier today and it was her top lip on the inside now the little flap of skin that goes through the middle of her top lip is stuck between her 2 top teeth....it doesn t seen to bother her but I m a worried mom please help Doctor: Hi..Thanks for the query..It looks like her labial Frenulum is severed during injury and it is struck between her teeth..If it is not released it will continuously get irritated and can become painful later on..So my suggestion is to consult a Dentist or a Pedodontist and get evaluated..The Frenulum can be released from the teeth after applying Lidocaine gel to avoid pain and if needed it can be stitched back in place..If it is not torn completely it can be left in its place but should be removed from the teeth..Hope this helps..Regards.. | 181,070 |
Suggest remedy for abdominal pain | Patient: I have a lot of stomach pains. There are sharp pains in my lower stomach right before i poop. I also get this bad pain on the bottom of my rib cage on both sides. I have went to many docters to get blood tests and those things but they can t figure it out, we thought it might be an allergie or a gallstone problem, what do u think it is? Doctor: You have got a proper history of pain before poop. This indicates the need for colonoscopy and ultrasonography to start with , Need for an antibiotic course suitable for bowel along with metronidazole, probiotics. IF required to go for Barium studies to rule out obstruction and CT scan of the abdomen to rule out Gastro-intestinal Cancers.This will the proper diagnosis to get a proper treatment. | 89,918 |
What is the cause of weakness in forefinger? | Patient: i am having decreased strength in my left forefinger when hand is horizontal and pushing down with forefinger. when all fingers are pointing out i cannot lock the knuckle of left forefinger. if i point three fingers down i can lock knuckle. also having difficulty in using fork in left hand while cutting with knife in right. the muscle (web) between my thumb and forefinger appear sunken and knuckle appears 1 1/2 times normal size. Doctor: Hi, There seems to be wasting of thenar muscles (muscles responsible for thumb movements). There seems to be median nerve involvement at or around the wrist. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon | 119,954 |
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