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Shin hurt and in pain. Why is the hip painful? | Patient: I am a 26 yr old (not pregnant) female. I fell onto my Left side on the ground 2 days ago and hurt my hand and left arm but was fine other than that. Yesterday my shins and Left side started hurting. Since last night I can t bend, turn over in bed, cough , or sneeze without my lower left quadrant hurting so badly that I double over in pain. What would be causing my lower left quadrant pain - down by my hip - after this fall? Doctor: Hello! Thank you for the query. It is very common that couple of days after trauma the pain is getting worst. It is caused by repairing processes of soft tissues due to nerves irritations by cells degradation products. So you probably are suffering because of soft tissues (muscles, tendons) contusion. Such pain can last for about a week or two. But such pain can be also caused by some fractures as well. Left side trauma should be always checked for spleen contusion. It is advisable for you to have left arm and hand, left leg X-rays and abdominal ultrasound to rule out fractures and abdominal internal contusions. Hope this will help. Regards. | 94,772 |
What causes difficulty in breathing? | Patient: hello,my mom has trouble breathing,brought on by anxiety sometimes,but the doctor she went to suggested she has asthma,so she has been using a nebulizer (not sure of the spelling)almost daily for a few years now...almost out of habit..to "make sure" she won't have any breathing problems,any ideas of where to go with this? Doctor: Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different reasons for the difficulty in breathing as - stress , anxiety - lung problems of infection , inflammation , pneumonia , tumor , allergy , others .* If her condition remains stable with nebulizer means that her lungs are somewhat weak , requires ongoing support of the same .* Still further work up with clinical evaluation and co relation of the available reports are highly recommended for deciding further line of action .Hope this clears your query .Regards . | 72,788 |
Suggest remedy for severe chest pains | Patient: I have had HORRIBLE chest pains but more so near my left breast it takes my breath away and is very painful when i move a certain way or even talk a certain way. Im also 6wks pregnant. I was sent to get an EKG done today the lady said it came back normal but the doctor still had to go over the readings so does that mean there still could be something wrong Doctor: Hello,Chest pain in pregnancy. Give me some more details about the patients and tests I need to examine the patient before giving any treatment.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. RS Gulati | 19,017 |
How can muscular pain in the arms, neck and shoulder be treated? | Patient: I have muscular pain through my body. It started in right arm muscle when I bent my elbow. It is now in my butt, left arm, neck, shoulder. It is all muscular. It hurts with movement and now when walking. I was on Eliquis but asked to get off of it. Have been off of it for a week but it is still bad, especially in the morning. I have a hard time getting out of bed and combing my hair. Doctor: Hello, This pain and aches are due to muscle weakness and fatigue to set in. I will advise you to do regular stretching and strengthening exercises which will help improve the neck, arm, shoulder, back, hip, knee etc. Having doing 20-30 minutes of regular physical exercise helps to improve the overall well being. Also, diet modification is advised to improve metabolism. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,301 |
Is diarrhea a side effect of norvelo? | Patient: i took the morning after pill norvelo less then 24hours after having unprotected sex im also taking the pill cerazette daily but seven hours after taking norvelo i had slight diaherria i read this is a side effect but will that effect it working? please help! Doctor: Hi,Yes, it is. Most common side effects of morning after pill Norvelo are abdominal pain, diarrhea, nausea, vomitings, breast tenderness, dizziness, headache, irregular, altered or heavier menstrual bleeding, easy fatigue etc.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist | 84,658 |
Can i get pregnant while suffering from hypothyroidism? | Patient: Hi Doctor , I have hypothyrod..My TSH level is 12.6U/ml,FREE T3 is 1.6Pg/ml,FREE T4 is 0.7ng/ml.....I am taking ELTROXIN 100mcg from 10months ......I am planning to conceive from 1yr ,but I am not getting that ......Please tell me whether is this curable or no ? and Can i become pregnant at all ??? Please help me .. Doctor: Hi, I think you can increase the dose of eltroxin by 25 mcg. Do a repeat thyroid profile after 4 weeks. You can conceive naturally also. But you can go for a follicular monitoring to see the ovulation is happening or not. If ovulation is happening, then you can try naturally for 6 months. If it doesn't work, then you can go for some medicines for growth of your follicles. Hope I have answered your question. | 813 |
Diagnosed with staph infection on legs | Patient: My son was diagnosed with staph yesterday. He has two locations, one that was large, dark red and filled with pus. The doc lanced and drained it and put my son on antibiotics. He took one last nite and two today but he is still in a lot of pain and running a slight fever. It almost looks like a hole in his leg. Can I wait till the AM to check back with his doctor? Doctor: Hi,Welcome to HCM!Since the infective organism has been identified (Staphylococcus), your treating doctor must have given the right antibiotics. So you need not worry. Since the lesion was big, it was necessary to drain it. Antibiotics will take 3-4 days to show their effect. Mean while, I'd advice your son to take an antipyretic and pain killer to get relief from the fever and pain respectively. Apart from this, you may wait till AM .Hope this has solved your query. Feel free to ask for any doubt.Regards,Dr. Sridhar Reddy | 39,632 |
Suggest treatment for apparent esophageal cancer | Patient: my father is 90 years old, they did a scope today and found a mass and apparent esophageal cancer. Also a mass with a hiaetal hernia, any ideas of what they may propose to do. They will meet with doctor after a CT scan next week. he has lost weight the last 5 months, today blood pressure was 117/70, 140 pounds. Doctor: GOOD evening. So your father has got cancer of esophagus. So first of all a CT scan is required to look if cancer has spread to other sites of body. Because that will change the treatment. If your father is healthy and the tumor is limited to esophagus then surgery and chemo will be done. If cancer has spread outside then only chemotherapy is the option. | 153,122 |
Suggest remedy for low BP | Patient: hi there, i am currently on a gp referel scheme at my local gym relating to back problems. I am halfway through the course, feeling a little better, however, i had my blood pressure & weight checked tonight & my blood pressure is lower at 107/64. Instructor said to keep an eye but i'm a little worried now. I have an annual blood test for diabeties as my mom/nan have had type 2. Should i be worried? Thanks, H Doctor: Hello,A blood pressure of 107/64 is completely normal if you are not having any other symptoms like weakness or giddiness. Some people have low blood pressure, which can be genetic. Athletes tend to have their blood pressure on the lower side. You don't need to worry if you are healthy otherwise. But if you are experiencing any symptoms like weakness or dizziness, you should get your self assessed properly. Eat a healthy diet and drink lots of water to keep your blood pressure in the normal limit.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nazma.amman | 19,108 |
Are mild diffuse brain volume loss and mild chronic small vessel ischemic changes serious concerns? | Patient: I am 66 years old, and have bipolar 1 disorder. I just got the results of an MRI: HISTORY: Dementia; Cognitive impairment without underlying source identifies.. Symptoms for 5 years COMPARISON: None. TECHNIQUE: 16 mL MultiHance was injected IV. Precontrast and postcontrast multiplanar MR images were obtained of the brain. FINDINGS: Brain and dura: There are a few scattered nonspecific punctate foci of increased white matter signal. Brain volume loss is present. No bleed, edema, or mass/mass effect. Ventricles and sulci: Normal. Vessels: Vascular flow voids are preserved. Calvarium: Marrow signal is normal. Craniocervical junction is intact. Orbits, sinuses, and facial soft tissues: Normal. IMPRESSION: Mild diffuse brain volume loss and mild chronic small vessel ischemic changes. I also had 7-1/2 hours of testing with a neuropsychologist. I m waiting for an appointment with a neurologist. I m starting to be scared. Doctor: Hi, The report means that there are very small blood clots in the brain. Due to this the brain size is slightly reduced. This is not very uncommon with increasing age. If you have diabetes or hypertension you should control to avoid a further stroke. Also, you may be advised to take a baby Disprin if not contraindicated. There are no major abnormalities like any a tumour or infection in your brain. Hope I have answered your query. Let me know if I can assist you further. | 140,887 |
What are the causes and treatment options for acne ? | Patient: i hve acne problem please give mes solid advice. Doctor: hello khan , for ur acne general advice can be jus wash ur face with plain water minimum 4 to 5 times a day ,and avoid excessive oily foods, take plenty of water ,avoid touching or pricking the exisisting pimples as it leads to more acne , for previous acne marks u can get relieved completely by glycolic peels , consult the dermatologist for further . | 7,840 |
Could the body aches be due to heat stroke? | Patient: My husband has been saying he doesn t feel well all day! He finally told me his body aches all over. At first he thought it might be from the beer he drank yesterday. but he has also been doing a lot of construction work outside the past few days in the morning. The heat here has been terrible. 34degrees at it s highest yesterday but 11am. We live in the mountains of Northwest BC. (Smithers, BC, Canada) could it be heat stroke or something like that? What can I do to help him? Doctor: hiIt may be due to dehydration. Give him plenty of water and juices and coffee and pain medicine like tylenol two times a day. Electral powder mixed in water 4-5 times a day and make him rest, avoid outdoor work.he will be okay.consult a doctor nearby.thanks | 136,103 |
Suggest remedy for minor head injury | Patient: My friend was riding his bike at a high speed and slipped off then hit the back of his head. It happened 40mins ago there was a bump, the size of a Canadian dollar with a little blood. He was talking slow but now the blood is gone due to me giving him ice and he's also speaking like normal. Anything I should do now? Doctor: hello,thanks for ur query, as road traffic accident,open wound, u can give inj. tetanous toxoid intramuscular injection, tab.brufen400mg twice daily for pain for 5 days, cap.amoxcillin 5oomg thrice daily for open wound for 7 days, if its asoociated with head-ache,vomiting,loss of conciousness or fits u should take him to emergency to rule out any internal injury. | 97,179 |
How are cysts on the ovary and liver treated? | Patient: I am 40 year old female.I am 5ft.5in.I weigh around 155.I have hypothroidism,diverticulosis,and meckels diverticulum.I also have cysts on my liver.I have had colonoscopy and upper G.I. last year and 3 CT scans because of the severe pain in my right side.The CT scans revealed cysts on my right ovary.I was given antibiotics and pain medication each time I sought treatment.I have the same pain in my right lower side daily sometimes I cant lay on that side because it feels like I have a rock in my side.When I eat it feels like ive eaten everything in sight I am bloated and very uncomfortable for hours.Any help would be greatly appreciated.I became too weak after many bouts with these conditions to continue working fulltime and have returned to school to finish my education.After 27 visits to specialists I am BROKE seriously. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. , I understand your concerns and I will try to help you as much as I can. Ovarian cysts are common and may be single, multiple or may occur as a part of pplycystic ovarian syndrome.Also, hormonal imbalance may cause ovarian cysts which are which are in most cases small and asymptomatic but sometimes may cause symptoms and require specific treatment especially if cysts are larger than 5cm, bleeding cysts, torsioned or ruptured. The surgical treatment is required. Also, if there is polycystic syndrome as underlying cause then hormonal therapy is indicated. Pain is usually placed deep in pelvis on affected side and may be associated with nausea and fever. To diagnose exact type it you should do ultrasound and vaginal examination.I hope I have answered you query. If you have any further questions you can contact us in every time | 52,726 |
Flaky skin in the beard, reddish patches. What is wrong? | Patient: Hi. I had a beard of 6 weeks until tonight. I then decided to shave it off because I noticed dandruff like skin flakes on and under the beard. When I finished shaving I noticed big patches of red, burn like marks on the whole of the beard area. I am just wondering what could be wrong? I'm positive it did not happen because of the shaving. Doctor: Hi, thanks for your query As per your information it seems that you have fungal infection which we call as tinea barbe It can be dignosed by a simple lab test of the scrapings. You may take an oral antihistaminic like cetrizine Apply a soothing lotion like calamine Wash your face with cold water with a mild cleansing agent . Keep your face well hydrarted with a good emolient You may start anti fungal tablet and cream by a prescription once it is confirmed . Hope this helps you Wish you a speedy recovery | 9,527 |
What are the chances of pregnancy if experiencing symptoms after being diagnosed with endometriosis? | Patient: Hi, I m 31yrs.old I have endometriosis.So my periods are irregular. Lately I ve been having a lot of crazy symptoms like nausea, headaches,extremely tired hot flashes,cramps,light discharges,sore breast,weight gain along with food cravings.I took 3 pregnancy test the 1st one was a faint positive and the other 2 were negitive.Could I still be pregnant??? Doctor: Hi, You can be pregnant if you have missed your periods. As you told you had a faintly positive result, better do a serum bhcg blood test and a ultrasound too. Consult a doctor. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya | 2,819 |
Does Premoult has side effects? | Patient: hello i want to know that 2 months before i had ivf but it fails than i was having my irragular periods so i had medicine premoult n and than i had periods on 21june now this month i didnt got period till today 26 i want to know r there any side effects on me Doctor: You may not experience any of the side effects.Even if they are there, are more common during the first month after starting Primolut ,and they should subside with duration of treatment.Most common and consistent being changes in bleeding pattern including irregular bleeding, scanty bleeding and the absence of bleeding. | 84,494 |
My child has itchy rashes all over the body. She is on Nutriguiem milk. Need a good remedy | Patient: Hi my 3 month old has a bad rash all over her body. It itches her and we don't know what it is its even in the palm of her hands what can it be I've tried everything what can I do nothing's working we live in Korea but the health care for military isn't very good please help she's been suffering since 1 month she's on nutriguiem milk. Doctor: Is this rash recent? It is probably alergic. It could be related to the new milk he is on, or it could be an alergy from other environmental cause. Considering the age, you should see a doctor as soon as possible. There are other causes of skin rashes in this age, and not many medications approved for small children. | 15,877 |
What should i do to increase hair growth on my body and face? | Patient: I AM 24 yo and i have facial hair and body hair ,but some places have a light hair and others have thick hair in my face and my chest and body what should i do to increase my facial and chest hair and body hair and to be all thicker and have a normal View ....? Doctor: DearWe understand your concernsI went through your details. Facial and body hair thickness depends on the amount of male hormone in the body. You can see majority of people with scarce body hair. Majority will not have thick facial hair even at their middle age. I mean to say that you should not worry about such silly matters. Thickness of body hair is never a determinant of your personality or behavior. There are no tried and tested medicines which can improve body and face hair growth. Please understand. 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. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. | 197,478 |
Suggest treatment for a pus filled bump on skin | Patient: I have a bump on my skin and we ve drained pus out of it, but there is still swelling. The bump has been there for 6 days, and I first drained pus out of it 4 days ago. I have used Aloe Vera to try and draw out more pus, but instead the aloe vera turned a pinkish red color. I have also used Heated Salt Water to draw out more pus and it had a slight effect. The bump has an opening from where I cut with a splinter remover to get pus out the first time. The skin also feels hard in places around the bump. Doctor: Hi,Welcome to HCM.You have had an abscess which is drained partially and it may get filled up with pus if not drained completely. Please do not try any home remedies as you might infect it by doing so. Hot fomentation will help to some extent to soften the abscess. This abscess usually has septae which divide the abscess and these have to be broken for the pus to be drained. I suggest you get in touch with a GP nearby you and get the abscess drained. You might also have to take antibiotics for 5-7 days for faster healing.Keep the area clean and dry as possible.Thanks. | 37,682 |
Suggest treatment for erection problems | Patient: I am 35 year old , I could not have sex with my wife due to my penis stiffness not enough to penetrate and also my penis loosing temper, hence i could not have sex with my wife. . please help us to rectify this issue in without side effects by any exercise and food styles or anything else... Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Most of the erectile dysfunction cases are due to anxiety issues over sexual matters. Sex is supposed to be passionate. If you are unable to have proper erection for penetration, there could be underlying causes. If it is due to mental issues, you should consult a sexologist. Otherwise, please consult a infertility specialist. Do not become anxious about it. Try having sex once or twice in a week when both partners are relaxed and happy. You will succeed.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. | 201,373 |
How can swelling in the toe be treated? | Patient: I have a badly swollen hot red large toe. Went to urgent care, they thought maybe gout, but it is not painful to the touch, just uncomfortably swollen. They prescribed two drugs Diclofenac Potassium 50mg and Dephaexin 500 mg. One for pain - which isn t really a problem (I am diabetic, though well controlled A1c of 7) I m not sure about these meds since one is for bacterial infection - which gout isn t, the other for joint pain - which really isn t present. What do I do? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from gouty arthritis or cellulitis or infection. Until examination is done it is difficult to say what it is. Use NSAIDs and heat ,cold compression; if symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | 127,510 |
What does multilevel spondylosis with broad-based disc protrusion causing moderate central canal stenosis suggest? | Patient: Mild/moderate multilevel spondylosis, most pronounced at C5-6, with a broad-based disc protrusion causing moderate central canal stenosis and bilateral neural foraminal stenosis minimally progressed since prior study. No abnormal cord signal. Doctor: Hi, Findings suggests degenerative changes in spine. Hope I have answered your query. Let me know if I can assist you further. | 140,950 |
What does growing lump around cervix indicate, apart from pregnancy? | Patient: i have an appointment friday. a few weeks ago i found a pea size lump on the rim of my cervix, now it is less of a lump and more like half of my cervix rim is mushy (i am not pregnant, nor sexually active) and with in the last 2 days i believe i have the beginnings of a UTI. friday seems to far off to the questions i have today. can u tell me anything about this? Doctor: Hi,Dear,thanks for the query to HCM.I studied your query in depth.I am of the opinion that its just the co-incidence and the UTI you have needs routing -care-with-High intake of fluids and proper hygiene of the private parts.May be the cervical lump-with infectious discharge my lead to UTI.So dont get panicky.If pain is more-get sodabicarb-lemon juice 3 -4 times a day, would reduce the burining pain you have.If any more query plz feel free to ask.Hope this would resolve the query.Thnks.Wellcome. | 64,978 |
Can insomnia cause memory issues? | Patient: I have had insomnia for years. Recently I have started to have severe long term memory issues, I can t recall almost anything beyond 4-5 years. I have no problems with motor skills. My more recent memories are mostly solid but it just doesn t seem to be as sharp. Could insomnia be the cause or something more severe? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. For your knowledge, insomania is just a symptom. You need to investigate further to know the clear causes of your insomania. Then you shall know the reasons for your memory loss. Please consult a neurologist.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. | 208,268 |
Suggest treatment for painless swelling in knee due to effusion | Patient: I am doctor, I did mountain hike one month ago, after two weeks of hiking, I got painless swelling of my right knee, us showed effusion, took NSAIDs , cold, physiotherapy, rest, still same after two weeks, MRI significant effusion, no other injury, what to do? Doctor: hi dochope this msg finds u in good health knee effusion is pretty common in such scenarios..if nothing has worked. .u can get a shot of intra articular steroid injection after getting d fluid aspirated.. u can send d aspirated fluid for examination When needed, feel free to consult me anytime Nothing to worry about thanks Take care god bless | 132,915 |
Natural treatment for reducing esr | Patient: I am 20 years old female. I have esr at range 43mm. what are the natural treatments to reduce esr? Doctor: Hi,Kaliselvi, Thanks for query, Nothing to worry,slight rise in esr is not a problem. if you get cough or law fever then investigate for it. Keep your body healthy with nourishing food. ok and bye. | 95,743 |
Should Fixcom be continued more than 2 months after no relief from chest problems? | Patient: Hello, I had my chest problems 8 months ago and My doctor advised e to take Fixcom 4 for 2 months and Fixcom 3 for 4 months, i've done that already but after 2 months I feel the same way, do I have to undergo another Xray or take more medicines of Fixcom 3? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. You are taking treatment for tuberculosis. Fixcom 4 and Fixcom 3 are combination of anti tubercular drugs. You have taken correct dose for correct interval. Recurrence of TB is common. And in your case possibility of recurrence is more because you are feeling similar symptoms after completion of treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x ray. You may need sputum AFB culture and sensitivity to rule out MDR (multi drug resistant) tuberculosis because MDR tb incidence is high in recurrence. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 79,260 |
Epilepsy, regular seizures. Had scar on the frontal lobe. Suggestions? | Patient: i have epilepsy and my seizures happen at night . discovered a couple of years ago tha i have a scar on the right side of frontal lobe ..dont recal any head rauma except being told i was droppd pretty hard on my head as a baby my old neurologist said the scarring is why i have epilepsy and now new one wants to look into it further .i am concerned Doctor: Hi, Thank you for posting your query. Scar in the brain is a common cause of epilepsy. This is a result of old trauma or insult to the brain. Treatment in your case would be with anti epileptic medications. Scar does not require any treatment. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | 150,963 |
How does Suboxone affect pregnancy? | Patient: So I have a question I just had a baby in Feb 2015 took suboxone the hole pregnancy and he is healthy as can be. now I m 6 months pregnant and am now on subtext and my ultrasound technition is saying there is signs of soft spots witch could mean dowsindrome is that caused by taking suboxone or subtext Doctor: Hallow Dear,You have to seriously think about the need and indication of Suboxone. Please try to understand the indications and risks for Suboxone. Suboxone contains a combination of buprenorphine and naloxone. Buprenorphine is an opioid medication. An opioid is sometimes called a narcotic. Naloxone blocks the effects of opioid medication, including pain relief or feelings of well-being that can lead to opioid abuse.Suboxone is used to treat narcotic (opiate) addiction. It is not for use as a pain medication.It is not known whether Suboxone will harm an unborn baby. If you use buprenorphine and naloxone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.Buprenorphine and naloxone can pass into breast milk and may harm a nursing baby. You should not breast-feed while using this medicine.Suboxone falls in FDA pregnancy category C meaning thereby that Animal reproduction studies have shown an adverse effect on the fetus however there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.However, nowhere in the literature, Suboxone is mentioned to lead to the Down's Syndrome to the baby in the womb. Still, my advice to you is refrain from the use of Suboxone, not only during pregnancy (even otherwise also unless you are using it for de-addiction from opioid misuse). Please report to your Gynaecologist and Physician to find some alternative non addictive medicine for your condition other than de-addiction. For the Down's Syndrome (21 Trisomy) of your baby in the womb, please report to your Obstetrician. You may require amniocentesis for the study of the foetal cells to confirm the diagnosis. Just do not go on what a technician has expressed to you. Anyway, you are now 6 weeks pregnant, so you have crossed the limits of legal abortion (if you are in India) and you will have to plan for upbringing this baby with the help of some experts. I hope this helps you. | 219,363 |
What causes fluctuations in the BP level in a lung and liver cancer patient? | Patient: Someone I know has been on this for awhile and has been getting great results I have noticed her belly is getting big and her blood pressure is going up and down. She has been diagnosed with stag 4 cancer liver lung pelvis cancer do you know if this mean it is getting close to dieing I am close to the family I just want to be prepared for them or is it hard to say thanks Doctor: if patient's tummy is getting distended that signifies that she might be developing ascites (accumulation of fluid in the tummy )or disease is spreading.so it's a poor prognosis and survival is maximum upto 6 months in these cases | 152,714 |
What does these scan of kidney indicate? | Patient: Hi ,One of my relative scan report showing this info, what is the impact of this.Why it occurs ? could you pls explain.gross dilation of the pelvicalyceal system seen on left side, left renal pelvis measures 10.5n 8.3 cm. diffuse thinning of the left renal parenchyma seen. Doctor: HelloUltrasound scan report suggests gross hydronephrosis in left kidney.Hydronephrosis is causing thinning of left renal parenchyma.It is due to pressure effect caused by hydronephrosis.It is important to search for cause of hydronephrosis.It may be due to many reasons like calculus,unilateral reflux etc.Underlying cause should be treated.It is important to assess function of left kidney.Patient may need IVP (intra venous pyelography).IVP is used to assess function of left kidney.Get well soon.Take CareDr.Indu Bhushan | 48,267 |
What causes upper back pain with a normal MRI? | Patient: Dear SirI have upper back pain since last 10 years. It is increasing continuous. I am working in pharma company and mostly sitting state. I am applying many anti-inflammatory creams and taking Intagesic tablets. But no use of them. Also I had under gone MRI several times and no abnormality found. I also under gone steroid inflammatory injection at trigger point, but the pain returned back. Kindly help to come out of this problem.Thanks a lot.Mallikarjun Base Doctor: Dear sir, I have read ur details, would like to inform u that if u have long standing pain, pls do consult ur ortho for exercises and u have to make some changes in ur sitting and working postures...u will requre min 3 mnths exercises and analgesics and opoid group of drugs as HS DOSAGES.. | 111,032 |
Have abscess in gums, discharge, painful. Have mitral valve regurgitation. Worried | Patient: I have dr apt tomorrow but am worried. I have an abscess on my gums which I am draining with pressure and one on my breast nipple which I am also able to drain a couple times a day. They are both painful but much better now that I can releave some of the pressure. What I am worried about is why they would come up at the same time within a day. Also I have mitral valve regurgitation so I worry about any infections in my mouth. Should I be ok till tomorrow or consider going to the er? no fever Doctor: Hello,Thanks for writing to us.Abscess in gums may be arised due to deep caries or periodontitis.I would advice you to get the abscess drained and curetted.Infected pulp ,has to be extirpated.Maintain oral hygiene well.Take metronidazole along with analgesics.Regarding other concerns,please do visit a general physician.Take care. | 188,856 |
Can late afternoon walk be good after an angioplasty? | Patient: I am a keen walker used toi walk twice a day till 19th of March this year when i had to under go angioplasty and two stents were placed.The Doctor who carried the Eco test after that i have an excellent heart conditoion.i have resumed my moring walk i.e an hour of brisk walk.Can i resume my late afternoon walk as well? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Certainly you can begin your afternoon walk as well. Start walking gradually and watch for the symptoms like chest pain, heaviness, and giddiness. If symptoms are appearing then you'll need to limit that other wise you can continue.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode | 22,620 |
Suggest treatment for liver cirrhosis and ascites | Patient: My husband has recently been diagnosed with Alcoholic cirrhosis of liver with ascites. The doctor said it was at stage 4. Earlier this week he had the fluid trained from his abdomen which was only about a liter. He has lost 20 pounds in a week which is fluid and probably because he has not been drinking alcohol and the meds they gave him to get rid of the fluid. How long does a person usually live with this diagnosis Doctor: Hi and welcome.This is very serious disease and quitting alcohol is the most important thing that should be done. Also, medications which are hematotoxic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but but in case of progression, only liver transplantation may help.It is hard to progones anything since it depends on his general health and other factors but all in all, prognosis is poor if ascites already developed.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. | 53,067 |
Swollen jaw under ear causing tingling while eating from that side. What could be the cause? | Patient: Hello, i have begun to get a swollen jaw right under my left ear. It s only on the left side and doesn t cause much pain. I have a weird sensation like tingling when i eat something on that side. My teeth don t hurt at all and yes i do have my wisdom teeth in and have had them since i was 18 years old. I am now 36. This is the first time this has occurred. I also sleep on my left side most of the time and was wondering if this could be a cause. Doctor: hello dearyou look like you are having parotid salivary gland swalling, and there multiple causes for thatyou shoud know that there is systemic conditions like diabetes, caushings disease ,alcoholism, hepatic cirrosis , gout ,and myxoedema can cause painless swalling on the salivary glansalso we put in mind mumps, it is aself limiting viral infection, it can cause the same symptoms you have especially if you already took mummps vaccination, but in your mind if you had previosly infected by mummps then it is very unlikely to get second infectionfinally , if your condition would not subside within 14 days then i recomand you to visit your doctor for clinical examinationhope you all the healthiness | 190,051 |
Cannot speak after removal of cancer effected area. Any treatment? | Patient: my father suffring throught cancer ,so we did treetment last month doctor remove cancer effected area and remove voice box because during dressing time that area effected ye swelling ,now probem is he cant speck ,so we need support to bye servox speech aid ,i m living in australia and my father livi in india who gonna supoort me australian counsil or donetor Doctor: Hi, throat cancer probably cancer larynx can be treated by radiation or surgery depending on stage. what type of surgery has done to your father should be mentioned. anyway artificial voice box reconstruction can be done surgically depending on previous extent of surgery. consult your ENT surgeon who will discuss this issue in detail. | 159,233 |
Suggest medication to strengthen immune system | Patient: My daughter is 4 yrs old and has weight 13 kg consistently for past 1. 5 yrs. Also she is frequently ill by day to day cold, fever and vomiting. We have been taking every care regarding hygeine. Also she suffered from chicken pox 20 days back followed by post viral fever. Her cough also is frequent. In past 4 months she has been infected by sometimes bacterial infection, diarrhea, viral fever resulted of lymph nodes at sides of neck, still in small amt visible. Please advice some kind of medicine/immune system strengthening tonic for her. Doctor: Thanks for asking. I gone through your question and I understand your concern. Your daughter who is 4 year old is not doing well since last one and half year. she has having recurrent cold cough and she is also episode of chickenpox 20 days before and you are interested some medicine to boost her immune status. If I was your treating pediatrician I would suggest you multiple vitamine that can contain and vitamin A. In India it is marketed by the name of syp A to Z . If she underwent blood investigation and her hemglobin was below 11 you can add iron . hope i answer your question | 172,346 |
Episodes of rapid sneezing, running nose, triggered by rise in temperature. Heat allergy? | Patient: Hello! I have been experiencing episodes of rapid sneezing, then followed by a period of time where I have an uncontrollable runny nose. I suspect they are being triggered by a rapid rise in temperature, as the symptoms occur after I exercise and after I take a hot shower. This has been happening for about 2 weeks. What could this be; a heat allergy, or something else? Doctor: Hi, Thanks for using HCM.Your symptoms looks like vasomotor rhinitis that is usually triggered by change in temperature. The treatment for this id avoiding sudden change in temperature. For the time being for symptomatic relief you can take antihistamine tablet like loratidine twice daily.This will help you.Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. Hope I answered your question. Consult your doctor for further management.Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out.Wish you good health. Take care.Regards | 103,190 |
What causes pain in the right leg after removal of a tumor from the right femur bone? | Patient: 11 years ago i had a fleshy tumor removed from the upper trocanter of my right femur and filled with a synthetic graft. Over the years i have experienced pain in my right leg intermittently that makes it difficult to walk. When it flares up i walk with a limp. The pain starts in the area where the graft was implanted and shoots down the outside of my leg down to my ankle. A month ago it got so bad that i fell in my kitchen and was unable to get back up without assistance and was taken to the emergency room. They did an x-ray and found no damage to my leg, gave me a shot of toradol and sent me home with a script for norco. The pain went away until 2 days ago. Today it was so bad that i was unable to climb the stairs at work. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To me your problems looks like sciatica( after going through the details).I would suggest you to get MRI of lower spine to assess the level and amount of pressure on nerves. In the meantime Start pain killers, physiotherapy and a combination of Pregabalin and Methylcobalamin. Hope I have answered your query. Let me know if I can assist you further. | 127,428 |
Suggest measures to control SGOT | Patient: I am 40 and diabetic was taking Glocuphage 750 mg SR twice.after my SGPT and SGOT came 80 and 85 I reduced the medicine to 500 mg. after 1 month SGOT is 73 and SGPT is 57 but blood sugar is 250 average. Please suggest what measure should I do to reduce the SGOT also.Thanks a lotMMK Doctor: Hi thanks for asking question.You have not mentioned whether hepatitis present or not.For diagnosis of viral hepatitis viral marker can be done.Here are few suggestion that might be helpful to you for better relief.Avoid refined sugar and refined food.Healthy carbohydrate like green leafy vegetables, fruits,whole grain useful.Avoid trans fat containing food like cheese,butter,chicken, beeef ,pork meat,cake, pestry etc.Take minimal oil in food, and use omega 3 fatty acid containing oil like olive oil, sunflower oil, pea nut oil etc.Do regularly 30 minute exercise like running, jogging, cycling etc.Avoid alcohol.Garlic is very beneficial that can be taken early in the morning on empty stomach as 1 to 2 garlic after peeling.Cumin seed with water is also helpful.With these measures you will benefit most.I hope my suggestion will help you.Wish you good health | 55,307 |
Suggest remedies for Hair fall | Patient: I am 22 year old boy weigh 60 kg height 5ft 10 inch suffering from severe hair fall and frontal hair thinning MPB previously doctor adviced me for mintop forty solution it worked well, i quit it beacuse of alcohol content in it..(religous issues). No one in my family is bald, currenty a doctor adviced me for zocon lotion for dandruff 2 times a week It is working perfectly for dandruff and stopped hair fall. I consume nutrilite hair skin and nail IN MORNING suppliment and 2 seven seas secod at night I want to ask u that 1) is there any side effect of zocon fluconaxole lontion? How safe is it? 2) is there any non alcoholic type of mintop forty available ? 3) what should i do to stop this hair fall?? Doctor: Hello, You may try Androanagen solution. It is also a Minoxidil topical 5% solution but has a different base than alcohol. In addition I suggest you to take finasteride tablet. It is also an approved remedy for androgenetic alopecia. You may continue with fluconazole lotion for dandruff. It is a safe and effective remedy for dandruff. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist | 10,112 |
What causes frequent erections? | Patient: I am 24 and I still get uncontrolable erections. Its embarassing becuase I am a larger guy so its very noticeable. How can I stop them or decrease the frequency, it happens every single day, also I work at a pediatric hospital and I do not need that kind of creepy reputation. I m not in highschool this shouldn t be happening right? Doctor: Thanks for asking in healthcaremagic forum At this age it is completely normal. So, do not worry you will get adjusted to the situation by time. If your urge is too much more then earlier you can go for hormonal assesment. All the best. | 200,619 |
On birth control pills. Pregnancy negative. Missed a pill and feeling hot flashes and nauseous. Pregnant? | Patient: hi, I'm 17 years old and am sexually active. I have been on the birth control pill for about six months or so now and a few weeks ago Im pretty sure I skipped a day but just took both pills the next day. a few weeks after that I started bleeding and I figured it was just my period. after about two days it changed from blood to heavy brown discharge. the discharge happened continuously for about a week and a half. i took a pregnancy test and it came up negative. today I was nauseous all day and couldn't go to school because of it, I'm also having hot flashes and have been over heated all day. should I try another pregnancy test or is this just from missing a day on the pill? Doctor: Hello I am not sure about the your due date of period. If your due date of period is passed then you should go again for urine pregnancy test. As you are felling hot flush it may be due to pill becouse pill contains hormones effect of these hormone menifest like this . so you should wait till your due date then decide ok take care | 226,176 |
Have Guillain-Barre Syndrome. Taking Percocet. Guide | Patient: Hi, I am a 59-year-old male with Guillain-Barre Syndrome who is suffering from extreme, constant pain. I am currently taking Percocet 10-325 four times a day, however this is not helping. The main problem I am encountering is the both the strength of the medication and duration that the medication lasts for. I have spoken to my doctor about this problem, and he gave me a choice of several other pain relief medications that I can try. They are Oxycodone, Oxycontin supplemented with Percocet, and MS Contin. I am wondering which of these medications would have the longest duration of pain relief, while at the same time delivering a stronger effect than the Percocet I am currently taking. As an aside, I have had both Percocet 10-325 and Oxycodone 10 available to me at the same time due to a prescription mix up. When these two medications were taken together, they alleviated my pain completely for more than the 6 hour time period that the dose was supposed to perform for, and allowed me to take regular Percocet 10-325 for the rest of the day without any significant increase in pain. However, this solution in and of itself has not been something that has worked as well as I hoping it would work.My question is, of the options I have been offered, keeping in mind they are the only ones available to me at this given time, I need to know not only which would be the most efficient and longest lasting, but also, mot probably the safest.I would also like to add that during two recent visits to the hospital, each of which lasted one week, I was given 4 mg of morphine every 6 hours with no ill effects whatsoever.Thank you for any advice you can offer. Doctor: Hi,Thank you for posting your query.It is unfortunate that you are suffering from severe pain, following Guillain Barre syndrome (GBS).I see many patients with GBS and about half of them have severe neuropathic pain.Most of them get better with pregabalin and gabapentin. So, I would suggest you try one of these, if you have not taken them earlier. Otherwise, percoset is fine.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] blog: http://bestneurodoctor.blogspot.com/ | 150,111 |
Suggest treatment for mental problem | Patient: I HAVE A ELDERY NEIGHBOR, MAYBE IN HER 60 S. HAS MENTAL HEALTH ISSUES SHE HAS, NO WATER, NO PG&E. NO GAS, NO ELECTRIC, SHE IS LIVING NEXT DOOR, WE TAKE HER WATER AND FOOD, SHE HAS ABOUT 4 DOGS IN THE HOUSE AND 2 OUT SIDE. SHE HAS BEEN THROWING HUMAN WASTE, ON CARS THAT PARK IN FRONT OF HER HOUSE, WHEN THE NEIGHBOR S ARE IN THERE YARD, SHE CURSES AT THEM THROUGH THE SCREEN, I REALLY DON T THINK SHE IS A DANGER TO SELF OR OTHERS. BUT I COULD BE WRONG. HER BROTHER IN LAW OWNES THE HOUSE SHE IS IN. WITH HER MENTAL HEALTH PROBLEMS, SHE SHOULD BE GETTING A CHECK OF SOME KIND. Doctor: hello,Her behaviour of throwing human waste and using abusive language for neighbourers for no reason suggest possibility of psyhotic disorder. She lives alone with pets only- can be a stressor as there is no one all the time to take care of her.you have been doing a very good and humanly service in providing her with basic necessisity daily and by taking out time to post a query on her behalf for her well being.I think that she needs an antipsychotic like resperidone or olanzapine( initially in low doses, but may be increased later if required). She should be evaluated by a psychiatrist in person (if possible) and preffrably undergo routine blood tests- Hb%, TSH, Lipid, liver and kidney profile.Please call up emergency services for her or may be suggest her relatives to take her to a doctor for evaluation.you may start the drugs mentioned after discussing it with the treating team.With meds - she will show good response in a week or so.wish you good healthDr. Manisha GopalMD Psychiatry | 209,529 |
Does recurring UTI s cause problems in conceiving? | Patient: So I ve been pregnant before and had a medical abortion due to amniotic band syndrome and I ve been trying for 4 months again the thing is I keep getting utis and I went to a urologist they said im healthily just prone to them so every month I take the antibiotics I was wondering if that s a factor I can t get pregnant and also we have intercourse everyday a few times I know they say save up a few days before but what can Ido to help conceive? Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. In my opinion, UTI may not be the cause of your inability to conceive. Please get urine routine examination and urine culture and sensitivity test done. I will suggest you to get diagnostic hysteroscopy done within first ten days of the cycle. This will help to know about any intra uterine adhesions affecting implantation of pregnancy. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar | 3,043 |
Suggest treatment for diarrhea and swollen ankle in a 82 year old female | Patient: My mother is 82 and she got sick to her stomach on Sat after dinner. She thought it may have been the turkey she ate at lunch because she also got diarrhea . Sunday morning she felt fine and we went to an outdoor dinner gathering. Monday one foot and ankle got swollen and red, she did not want to go to the doctor, she said she thought it was from walking around in the yard on uneven grass and pebbles. Today Tuesday, I came home from work and her foot looks better but she got sick to her stomach again and is napping, she never naps during the day. Could these things be connected? Could it be a spider bite? I do not see any fang bites on her foot? She does not want to go to the doctor but I figure out what this is? Your thoughts? Thank you, Linda (her daughter) PS she has Hemocromotosis, could this be related? Doctor: Hi Hope this message finds you in good health.I have gone through the complaints and understand your concern.Swelling and rednessis caused by inflammation locally and isnt related to diarrhoea,hemachromatosis may be related though. Another possibility is protien loss.You can get an Xray and detailed blood profile done to find out whats wrong.Physiotherapy,analgesics,anti-inflammatory drugs should help.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless | 132,698 |
What causes ear pain after blowing up balloon? | Patient: My 4 year old tried to blow up a balloon and after complained his ear popped . It s been several hours and he is in pain, barely will talk, and is swollen on both sides. I gave him some tylenol. What should my next be to comfort him or should I take him to the ER? Doctor: Hi..... this is called valsalva maneuver. When kids blow balloon like this by air pressure from the oral cavity will get shifted to the middle ear through the eustachian tubes. This will cause pain. You did right in giving Tylenol. Please be patient, it will settle down. If he doesn't settle down in a few hours please take him to the nearest Emergency Room.Regards - Dr. Sumanth | 168,280 |
Is getting fluid filled in lung and E.coli infection common after gallbladder removal ? | Patient: Hi, my 82.5 year old father with a 4- month old pacemaker recently had his gallblatter removed. He was in the hospital for an entire week because he 1) filled up with fluid on his left lung and 2) E. coli was found in his blood. After a week in the hospital he was sent home with a potent antibiotic that is administered via a pic(?). My question....what question(s) should we be asking his infectious doctor and surgical doctors at his one week follow up appointment. Thank you Liz PS. ertapenem IV antibiotic Doctor: hi. I have read your query. Its not common to fluid filled lung and E.coli infection after gallbladder removal. Your father's surgery got complicated and he got E.coli infection from the hospital. You should ask the following questions from your Doctor.1. Should we get a diagnostic pleural tap? ( fluid taken from the lungs for analysis)2. Should we get culture and sensitivity test run on the fluid?3.What is the result of the Blood Culture and Sensitivity test?4. Change the antibiotic according to the sensitivity report?5. Ask about a repeat Chest X-ray to see if the fluid has decreased?6. Can your father be put on oral antibiotics according to the sensitivity of E.coli?These are the questions that your doctor should answer as these tests and their results are very important for the health of your father. | 57,955 |
Suggest treatment for ear infection and red spot behind ear | Patient: Hello, my Baby is 14 months old, has ear infection and started antibiotic 3 days ago. He had fever for 2 days, but today he woke up with no fever. But is crankier that last couple days, and crying all day long. Now, he has red spots behind ears, on his neck, forehead, chest and back. Also tiny ref bumps behind his ears. What could it be? Thank you Doctor: Hi,Thank you for asking question on health care magic.You description suggests that may be due to Measles infectionUsually preceded by URTI and the rash appears on the 4th day as the fever subsides.This will pass off within a week.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 | 174,350 |
What causes high BP? | Patient: I have always been borderline Blood Pressure...since early 20 s (43 now)...numbers ranged 140 s/90-100....Last 2wks started checking again...and noticed through out the day....numbers 150 s/100 s....going to 175/120....highest and bouncing in between///160/110......I am trying to geting into Dr appt this wk....any major concern with these numbers until then or in general?? Doctor: Hi, You had already hypertension (BP>130/80 mm Hg) and should have been on lifestyle modification and/or antihypertensive drug/s. Now you have persistent high BP. Risk factors need to be evaluated. Anti-hypertensive drugs need to be started. Base-line investigations like CBC, urinalysis, blood sugar fasting, post-prandial, BUN, serum creatinine, serum electrolytes, serum lipid profile, ECG, X-ray chest, USG KUB area need to be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist | 17,710 |
Suggest treatment for depression and insomnia | Patient: Good afternoon...can you please refer me to some reputable resources re: depression, specifically in what ways can parents of an young adult assist/support their child? My 21 year old nephew, college junior recently share that he is dealing with depression (feelings since 11/2014). He had shared this his sports coach, referred to psychologist (whom he has seen weekly for 3 weeks), next follow-up may be prescribed medication. He admitted to increased alcohol intake, which made him feel worse; and of insomnia. He is not suicidal - his immediate and extended family are close - his parents have seen him several times since he shared this info. We all want to support him - and not say or do anything which may be counter-productive. Appreciate any reputable/evidence-based resources. Thank you YYYY@YYYY Doctor: DearWe understand your concernsI went through your details. From the given description, I see very few symptoms with which I can say that the patient is depressed. Proper diagnosis is the key for cure. If he has been diagnosed with depression, the best way towards cure is to consult a psychiatrist and get treatment. A combination of psychiatric medicines, psychotherapy and meditation works well for depression. You can consult American Psychology Association web site for depression resources.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. | 205,769 |
Is ejaculation problem due to cytoscopy? | Patient: i had a cytoscopy about 2 weeks ago and i masturbated after 1 week of cytoscopy and was shocked to see i didn't ejaculate at all!! from that day to today i'm not ejaculating at all after masturbation so i'm worried about that. Can it be due to the effect of cytoscopy? Doctor: HelloThanks for query .You have not mentioned following facts in your query 1) Your Age (I asume it to be more than 60 yeras)2) Reason to do Cystoscopy3) Are you being prescribed any especially drug like Tomsulosin after Cystoscopy?Inability to ejaculate is mostly due to retrograde ejaculation that is side effect of drug Tomsulosin .Please verify whether you are currently taking Tomsulosin .Dr.Patil. | 197,161 |
What are the chances of survival of a seventy year old in ventilator? | Patient: HiMy 70 year old mother in law is on a ventilator and has pnuemonia. Her blood pressure is concerning the doctors as is very low. What is the likely hood of her surviving? She has fibrosis due to taking many tablets for many years. She was put on the ventilator 24 hours ago but she is still not responding to treatment Doctor: Hi Dear !! Thanks for your query to HCM.I understood your health concerns. My Impression-How Long Will She Servive-is a very hypothetical and still philosophical question to be asked on this forum,as it has limitations of available information of the given patients.Still, Based on facts of your query, Your old Mother seems to suffer from- Recoverable ILD(Interstitial Lung Disease) with Non-Specific-Interstitial Pneumonia, which have better chance of recovery- as the Pneumonia itself indicates less of fibrosis, which is comparatively amenable to Ventilator Supports and are not prone to deteriorating lung respiration, as with IPF-Idiopathic Pulmonary Fibrosis,where the fibrotic part is more wherby, early VILI(Ventilator Induced Lung Injuries) lead to early deterioration from early percolation of the mechanical effects causing Ventilator lung injuries.AT the experts hands her chances to come are better in the situation submitted by your query.Hope this resolves all your queries to your satisfaction.Keep Me updated whenever needed , 24 x 7, to help you out by even,online tips for You, on weekly basis. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS | 77,584 |
Does AKT-4 helps in treating high range of IGG value? | Patient: hi i had tuberculosis around 12 yrs bk .... and i hv gone for ivf, once i got miscarge and the 2nd came out ectopic pregnancy... now i gone for eilsa test where my iggtest range is very high and in mestural blood igg is +ve .and nw i m takin akt-4(ethambutol hcl &isoniazid tabs, pyrazinamide tab, rifampicin caps). i will b fine after taking this tab, will bacteria die. i can get preg natuaruly or sud i go 4 ivf. Doctor: Hello.IgG suggests longterm infection. You seem to have been started on AKT 4 on the suspicion that you have/ had genital tuberculosis. But, it is a bit confusing here - if at all you have been carrying tuberculosis for 12 yrs without treatment it would've had spread to different places and been much more severe by now.However, if it is genital tuberculosis indeed, taking AKT-4 will definitely help in normal conception, if both your fallopian tubes are patent and ovaries are working fine. This is because, tuberculosis is known to cause blocked tubes and unfavorable changes in the lining of the uterus.If there are any changes in the reproductive organs i.e. ovaries, fallopian tubes or the uterus, I am afraid you may have to go for IVF again.Your gynaecologist must have already checked the patency of the fallopian tubes i.e. they should be hollow. If at all they aren't, options are IVF or surgical reconstruction (with very less chances of success).Hope this helps.Regards,Dr Geeta | 30,210 |
Sneezing, irritation in left nose, watery eyes, shivering with fever, nose block. Increased depression. Help | Patient: Sir very soon I suffer from sneezing due to irritation in left nose due to it left eye becomes watery this will further result in fever with very shivering like I will have to take quilt in summer , one side sneezing other side nose will get blocked. I feel very suffocated while drinking water when above symptoms occurs. My depression gets increased Doctor: allergic rhinitis you may be suffering from pollen or other allergy whih cause sneezingthe blockage of tube connecting eye and nose an cause the eye symptompsirritation of nose can cause sneezing or blockageneed to get xraypns waters view and consult allergy or nt doctor to find the cause and treat according to allergy guidelinesmean while use anti allergic tabs sypneomycin h ointment in nose bdsea water 2 drops each nose at nightanti allergic eye drops to control symptomps | 103,150 |
How long does it take for cough and fever due to TB to cure? | Patient: Hello, i am 25 years old male, about 25 days ago i started to feel pain in left-side back. pain is internal i only feel it if i try to stretch my body, then i also started to have mild fever, which drains my energy, and from past 10 days i am also started to cough.About a week ago i went to the doctor, who suggested a chest x-ray, in the x-ray he found pleural effusion in the left side. according to the doctor i have TB, i also had the mantoux text. which came positive.i have been taking akruit-4 from past three days, but i dont see any relief in cough and fever.my question is how much time it will take for cough and fever to cure? and am i contagious Doctor: Hello Since , you are having tuberculosis with Montoux's test positive . Also having pleural effusion . Taking anti tubercular treatment ( rifampicin+ethambutol+ isonizide+ pyrazinamide ) and this is a standard treatment as recommended by WHO , so take according to your doctor . In my patient I also advise them to take LEVOFLOXACIN 750 mg , one tablet in the night . This is third day for treatment , so don't be in panic . You will get relief within next 7-10 days ( your fever and cough will subside ).Since , now you are contagious ,so please don't share your personal belongings with any one till complete relief.Hope this will help you. | 33,005 |
Suggest me remedy for tingling pain in penis? | Patient: Hi sometimes I have penis pain it s a tingling uncomfortable pain so I did some research and too me I was ore masterbaiting and using too much grip with my hand so I stopped for a month and I was fine but now I only do it 1 to 2 times a day and sometimes it comes back for a second are my nerves in my penis still recovering or something else Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No need to worry, The tingling is caused because of the friction caused because of the excess of masturbation.I advice you to do it with soft hands. Action with hard hand can cause more friction and more tingling sensation.You can also do the act with clean hand. Dirty hand practice can cause infection on injured penile area.For future act you can clean all the area along with slight aplicstion of lubricant. This will reduce the friction and can make act more pleasurable.Masturbation is very common in today's life. It is very safe practice, there is no harm to anybodies health by it.In option you can do the act with condom on the shaft, this will provide lubrication present in the condom and also prevents friction injury.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM | 200,034 |
Do we feel semen inside the vagina after ejaculation? | Patient: Is it normal not to feel semen when I man ejeculates inside of you? I m worried also that after sex a good amount spills out..I worry that none of the semen stays in and I can t feel it. Does that mean I ll never b able to get pregnant? Is something wrong with me? Doctor: Hi it is completely normal that the semen spills out after intercourse. You need not worry about that. What you can do is to lie down for 15 to 20 minutes after contact. You can become pregnant. You should have contact around your ovulation days or may be every 2 to 3 days after your periods stop. | 2,357 |
Can HBP and hardening of the heart cause change in the arm? | Patient: We noticed last night the my husbands right arm is significantly smaller than it use to be and and a lot smaller than left arm and he is right handed. For the past year he has been treated for high blood pressure and hardening of the heart. What would cause this change in the arm ? Doctor: No blood pressure will not cause change in arm.blood pressure has no relation to arm span or diameter | 22,172 |
What does chronic dull pain under the rib cage towards the right, headaches and disorientation indicate? | Patient: I have various symptoms. I am 55 years old male. I have low Iga 0.4. Dull ache in right side under ribs for 15 years now. Prickly feeling in legs and arms. White burning tongue. Severe headaches and feeling disoriented. A sweet smell while eating. All blood tests come back fairly normal. I have had candida, but test results now show negative. Myself and doctors are at a lose? Please help Doctor: Hi, The pain under the ribcage can be related to a muscle spasm in the area. Hot compress, local analgesic gel and regular exercise with oral muscle relaxants can help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon | 126,600 |
Abdominal pain, vomiting, weight loss. History of gall bladder removal. Suggestion? | Patient: Central and right upper abe pain with vomiting weight loss of 55 pounds over 3 years all test come back normal. Pain is getting severe and usually only at night like a spasm. Happens at least 5 night a week. Galbladder out in 1998. Have had upper gi, lower gi, mri for stone, ct, stomach emptying which was slightly on the slow side. Very frustrated any suggestion on what to check for next? Doctor: Hi,The symptoms that you describe are classic for gall bladder stones. Treatment is simple. All you need to do is meet a surgeon who will take the stones out. This will help you greatly. Follow this advise and everything should be fine. All the best.Dr Vineet | 93,093 |
Suggest medication for severe pain after multiple rotor cuff surgeries | Patient: Low T after taking pain meds 14 years,and 3 rotor cuff surguries. What kind of low T meds should I ask for? I m tired and have no energy! I got mersa after #2 surgery. I don t think replacement, shoulder, are in my plans! Low t is from the pain meds, which I can t stop taking. Severe Pain, day and night. Doctor: Hello,Welcome to the magical world of health care, I went through your query, and from what you write it is clear that you are in lot of pain, the most important part for us to know is the condition of your shoulder joint, if it is totally degenerated then you have no options but to go for replacement, or bear the pain on drugs, so get your self screened again and see the condition, if you feel like you can send me your X rays and we can discuss the case further.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. | 138,156 |
Is it normal to have kidney albumin level to be 30+? | Patient: Hi Doctor my Father (68 yrs old) is a diabetic patient from past 30 yrs and he is taking injections Recently my father gone through the regular check ups everything is all right but in kindeny the Albumin is coming 30+.So acn u tell me is it normal or some problem is there?Thanx Kajal Doctor: Hello Kajal and welcome to HCM.As an Urologist, I can understand your anxiety.Urine showing 30+albumin level, isn't normal. Especially in a diabetic, as its an early sign of diabetic nephropathy. He should check his :1.24 hours urine protein level. 2. blood routine, creatinine, HbA1C,LFT,electrolytes and platelets. 3. ultrasound-KUB.According to these reports,an expert opinion can be given. Dr. MATTHEW J. MANGAT. | 46,430 |
How to cure pain on the right side of the groin area? | Patient: I have noticed right sided groin region pain that seemed to show mild sensitivity to my right testicle as well. It is sore at rest. It began this morning during a shower, however last night I was demonstrating a dead lift exercise to a client and remember feeling a mild strain sensation in my right groin. Being a physiotherapist I am inclined to believe it is muscular but am concerned by the soreness at rest. Is there any way to easily differentiate between an inguinal hernia and a psoas or hip flexor strain? Doctor: HIThank for asking to HCMI really appreciate your concern this is right side pain of groin area and that containing many internal organs and from the history given here it could be renal colic, appendicitis, hernia, right now this complain can be treated conservatively, with the "Tab Acetaminophen and Dicyclomine three times in day, if this fails to respond then you need to go for clinical examination, have a nice day. | 202,469 |
Suggest treatment for allergy | Patient: Both my children (my son is 7 and my daughter 2) suffer from allergies.My son was diagnos with allergic Rhinitis when he was a baby.Now that my daughter is 2 yrs old she is starting to develop allergy symptoms quite often.My daughter develop a runny nose on saturday with fever.I gave her 1 tsp of histal and panadol syrup and it devolped into a throaty cough.the fever has broken but now she has a chesty cough with the runny nose..Apon examination the doc told me to give her Loratadine,histal dm and broncomat and to use otrivine nose drops.she is getting a greenish discharge of mucus from the nose since saturday.Is the medication too much for her age..she weighs 27 plbs. Doctor: HIWell come to HCMThis could be allergic constitution and no need to treat the condition aggressively with the multi drug, simple expectorant with antihistamine would be fine else this is self limiting symptoms, if symptoms persistence with the fever then can be investigated for infection and for this routine blood work is advisable, pure honey gives excellent result and can be tried at bed time, take care and have a nice day. | 100,208 |
Why there is a drop in the SGOT and SGPT level? | Patient: hi doctor. my son is 19 years old, last month his weight was 208lbs; sgot was 200 and sgpt was 300. Then he cut down his fat intake and when he got his sgop it was only 100 and sgpt was 200; his weight went down to 202 lbs. what can you advice us to do? please help Doctor: HelloHe likely has what is know as fatty liver syndrome and it can be treated with a low cholesterol/low fat diet and weight loss. If he continues to do well with his diet and loses about another ten pounds, the SGOT and the SGPT levels may well get into the normal range | 54,102 |
For what disease is Nicardia prescribed? | Patient: my age is 30 and L.M.P is 20.8.2011 and 5.4 height. 52 kg. doctor priscribed me nicardia tab . plz for wat purpose she priscribed Doctor: Hello, Nicardia contains nifedipine. Nifedipine is a calcium channel blocker. It is used in treatment of hypertension and angina. Specific reason for starting this tablet may be known if you describe your symptoms for which you consulted your doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sushant, General & Family Physician | 83,218 |
Suggest treatment for PSC | Patient: About one year ago I was diagnosed with PSC after a year of symptoms (did not seek treatment from a hospital due to the suspicion that it was a gall bladder issue, so I changed my diet and reduced my symptoms dramatically with only a few exceptions of serious pain). The hospital staff that diagnosed me did not inform me of much at all, simply what my condition was and how it worked. I was told to eat a low fat diet and sent on my way. Later I found out that I will most likely need a liver transplant within 10-15 years, and if I do not I will die within that time period. So now I really need to ask, how often do people whom need a liver get one based on economic status, location, liver availability ect. and how long is a person expected to live based on things such as living / deceased donor, condition, age of receiver and donor. Doctor: Hi,Regarding Liver Transplant: It is of two types one is Live donor and other is Deceased donorLive donor in which half of liver from one person who is normal, is taken out and transplanted in the patient.Advantages- Liver is available immediately.Disadvantages - 1.You have to arrange for donor and it should be your near relative preferably first degree relative and that after some paper work and completing the legal formalities.2. Both donor and recipient undergo major surgeries and donor also have more risk of complications (although it is very safe these days but due to major surgery risk is definitely high)Deceased Donor in which a person who is dead or brain dead is used to get full liver. Advantages - 1. Full liver is available.2. As donor is already dead, no risk to donor.Disadvantage -1. Wait list is very long as it depends on some one who died2. It also depends that whether blood group of that person is matching with you or not.Different hospitals and different regions have their own preferences. In some places, mainly it is Live Donor while in others, it is mainly deceased donor, but live donor is also there.Cost - In private set-up it is quite expensive for surgery and later on for follow up investigations and treatment (which is life long), you would need a monthly expenditure plan just for this. While in Govt. set-up, it would be lesser. Regarding 2nd part of your question - and how long is a person expected to live based on things such as living / deceased donor, condition, age of receiver and donor. The quality of life after liver transplant is excellent if everything goes well. However, there are many factors which effects the outcome both donor and recipient related. It is quite a complicated equation. It depends upon the co morbidities in recipients like heart disease, DM, Hepatits C or B, history of Alcohol or cigarette smoking etc., and quality of liver which you receive like how fatty or fibrotic it is. Any surgical related or post operative complications like rejection, blockage of blood vessels or bile vessels, any post transplant infection etc.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parvinder Singh, Gastroenterologist, Surgical | 52,179 |
Does Primolut help in getting pregnant? | Patient: Hi, may I answer your health queries right now ? Please type your query here...i have been trying for a babay for 5 years now had ivf for three times all failed, a friend asked me to take primolute that it will help me concive, what is does primolute do Doctor: Hi, primolut is a progesterone which helps in getting your periods if they get delayed or it helps in stopping the bleeding if it is in excess. It can't help you in conceiving. Other progesterone like duphaston or susten is a better option. Hope I have answered your question. Regards Dr khushboo | 1,468 |
Have lumbar peritoneal shunt, increased back pain. MRI of lumbar spine done. What does this mean? | Patient: I have a lumbar peritoneal shunt. I have had increased back pain that is terrible at night with pain and pressure in my hips. My neurologist ordered an mri of my lumbar spine. My shunt in at the lumbar valve looks fine-but it did show that I had a moderate amount of fluid in my retroperitoneal space. Is this a normal place for the cos to settle? I was under the impression it would absorb and be expelled as waste. Doctor: Hi All the shunts in body when placed does not last longer it gets block soon, but still they done their job, your back pain could be because of your posture, sleep on water bed, yes peritoneal fluid gets absorb but does not come whole in the form of waste material, it same like you drink a water, do not worry get well soon. | 112,693 |
Had multiple exploratory laproscopy surgeries, hystrorectomy, tubial ligatio, colon removed. Have one kidney. Pain in lower vaginal region? | Patient: Thanks, You should know that I have had at least 4 exploratory laproscopy surgeries, hystrorectomy, 3 children, tubial ligation, 2008 had 10 inches of colon removed becaUSE OF PARALYSIS and I was born with one kidney oh and my bladder is falling and it is hard to hold in the urine. Any thoughts? My major complaint is that I have severe pain in lowest area of left side and pain shoots in vaginal regional an a little way down my leg. Pain is always about a 3 while sitting at rest. Doctor: Hi, Thank you for posting your query. Your pain in the lower vaginal region and leg pain seems to be neuralgic in nature. For relief, you may take pregabalin or gabapentin capsules. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] | 150,316 |
Use of renalog tablet | Patient: hi me want to know the use t rinaloge Doctor: Hello. Thanks for writing to us. Renalog tablets are a combination of herbal extracts which has been claimed to improve renal disease, hypertension and other systemic chronic problems. Since its efficacy has not been proven with controlled clinical trials, it is not advisable to use these tablets without strict medical supervision. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected] | 51,750 |
What causes severe pain in genitals after a tailbone injury? | Patient: my brother was running to catch a football and fell quite hard on his tailbone, he is in alot of pain and dizzy and nauseas. he did not hit his head, but did have burning pain into his genitals when it happened. could this be more severe that a bruise or break? Doctor: Hello, He may be suffering from an injury to the tailbone along with it compressive neuropathy. Use tablet pregabalin 75 mg once daily for five days. Check it out MRI lumbar spine or x-ray LS spine. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist | 125,135 |
Reason for discomfort in knee after fracture? | Patient: Hello, one week ago I dislocated and slightly fractured my knee. Now whenever I stand up, my foot starts turning blue, even without putting pressure on it. I am wearing the cast given to me by the hospital, but it turns blue even without the cast. What should I do? Doctor: Hello, Fractures which extend into the joint cavity can cause severe pain due to associated arthritis. As first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist you can consult an orthopaedician and plan for a steroid injection to the joint cavity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 124,757 |
What is the difference between fibromyalgia and lupus? | Patient: How do you tell the difference between Fibromyalgia and Lupus? I have tested positive for ANA and constantly run a fever, fatigue, rash on face and back of scalp and pain in hands, wrists and elbows. Also general ache all over as if coming down with the flu. Doctor: Hi ! thanks for your Query on this forum. FM does not cause inflammation, arthritis, skin rashes, or damage to tissues, organs and bones like lupus. Medications commonly used to treat lupus have little or no effect on the symptoms of FM. People with lupus often suffer from the symptoms of FM or may be initially diagnosed as having FM. If you have FM, it is important to know that it is not rare. FM is never life-threatening, and it is manageable.The clinical assessment may reveal objective evidence for a discrete illness, such as hypothyroidism, rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), polymyalgia rheumatica, or another inflammatory or autoimmune disorder. Such findings do not exclude comorbid fibromyalgia. Indeed, approximately 25% of patients with RA and approximately 50% of patients with SLE also have fibromyalgia, and the provision of optimum care in such cases impels recognition and treatment of both illnesses. | 82,669 |
Was advised Verine for giddiness and vomiting after MRI for head and backbone came clear. What does it indicate? | Patient: Hai sir,iam mahender from hydrabad, iam suffering from gidding and vomting, one day admit in hospital in that hospital doctor chekaup in head MRI and backbone MRI,in that MRI Clear no problem.Doctor siad to me use verine 16 mg daily two tablets continue one week dont drive bike and take rest. Doctor: Hi Mr Mahender,Thank you for posting your query.I am glad that your MRI of head and back were normal and there were no problems detected.As of now, the diagnosis seems to be peripheral vertigo (due to ear related problems) and vertin (betahistine) seems to be the correct drug. I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/ | 148,637 |
Suggest treatment for fourth stage food pipe cancer | Patient: Dear Sir, a male patient (age-46,height-5.11",weight-78kg) is suffering from food pipe cancer (don't know exact name) in which his whole food pipe is dameged with tumors and his liver is also affected. It's fourth stage of this cancer and operation is not possible as per docters so He is going through chemotherapy right now. I just wanted to ask whether it is possible to save his life .or is it possible to extend his life for 10 to 15 years???Pls reply asap. Thanking you Doctor: HiI would advise 6 cycles of chemotherapy.It will prolong his life by 5 years.CT as chest has to be done after 3 cycles.RegardsDR DE | 155,154 |
What causes elevated liver enzymes? | Patient: Hi, I was taking an antibiotic, and the week prior i had a hep a, typhoid, and yellow fever shot. Also, i was taking Oxyelite pro. I took a blood test and my AST and ALT levels are 73 and 96 respectively... Other than that, everything else on my blood test is normal, i work out every week, and I'm in perfect shape. What could cause the high liver enzymes? Doctor: Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.viral hepatitis ( HAV,HBV,HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik | 53,532 |
What does calcified granuloma lesion in brain mean and how does it effect? | Patient: what does calcified granuloma lesion in right region m.s 3x4mm in brain mean??......how does it effect ??do it has any problems in d future ???my mother is 47 years old and doctors said it has been there since 10 years....any medicine or operation required ...plz suggest me doctor..... 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 queryA granuloma is where an infection may have happened once, as your doctor said, in the last 10 years or before. This infection could have been anything like a tuberculosis to maybe some minor lesion. Now the body fights infections on its own. So the infection may have never come to the surface. But the body must have fought off the infection. However some damage may have been left back.Now the body usually responds by depositing calcium in such spots- whether in brain, or in any other body part. This deposition occurs over a long period of time- hence we say maybe the infection occurred 10 years back. The lesion in itself is inactive.The problem however is that it is in brain. So if the lesion is calcified in brain, especially in cortex, it makes her prone to seizures. The brain works on electrical signals. The calcific spot forms a lesion that changes this electrical field and makes it abnormal. This abnormal electrical field may be going on, and may be under control. But with right set of conditions, a seizure can develop-This set of conditions can include-a lack of sleepexcess coffee/teastaring at blinking lights too longtoo long television gazing etcBrain surgery should be avoided as far as possible. However you can discuss with the doctor the need of prophylactic antiepileptic drugs. Personally, I would avoid them till at least the first seizure episode. Before that just avoid the triggers.Testing a Mantoux test, ESR, TB Quantiferon gold test may help.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.Please do understand that some details could be extracted from a detailed history and examination.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)Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida | 146,782 |
Using clotrimazole betamethasone for jock itch. Scar persisting. Need a permanent cure | Patient: Hi, Had jock itch, used clotrimazole Betamethasone Dipropionate Cream over 5 wks, keep cloths clean, bath, stay away from eating sugar now. Drink water 10 times a day, primary jock itch is gone, but now the scar got wider and more discolored. It's getting better but very very slowly and if I don't do these things regular it starts itching there again within a day. Doctor: Hi, thanks for using healthcare magicThere are different potential causes from groin rashes. They are: fungal infection, chemical reaction to creams/detergents/soaps, erythrasma, eczema, psoriasis.Based on what you have been using it is likely that your doctor believed that it is related to a fungal infection. In addition to what you are doing, you need to avoid tight clothing and use only loose fitting clothes, try to keep cool- heat and moisture make the rash worse.It can take a long time for a fungal rash to resolve,if you continue to notice no improvement then your doctor may consider switching medication.I hope this helps | 15,810 |
What causes pain in right side of abdomen spreading towards back? | Patient: My husband is 27 years old and has been sick for the past 4 years. First he went to his doctor as he lost alot of weight (around 2 stone) in a short space of time, and would fall asleep alot. Suddenly he was admitted to hospital with abdominal pain to his right side (which he still has today). They took it as his apendix, and removed it, but they told us that it was not enflamed enough to cause the pain he was experiencing. Since this he has been to a G.I. consultant and she diagnosed him with crohn's disease, which was two years ago and has now said he dose not have crohn's disease and will confirm this with a sample from his bowel this may. Also he has haemochromatosis, and oesteoperosis in his hips and lower spine, at a density of -6.5. He is in contant pain in his lower right side and this pain has travelled into his lower back and shoots down his right leg to the front and into his bum on the back. We got him an mri in 2008 and they said he had a trapped nerve between two discs, and put him on medication for it. We got him another mri in july 2010 and they have said this is not the case anymore and his mri is clear, he just has a minor curveture in his spine. His osteo doctor said there is nothing surgically he can do to help him. He attend pain clinics to manage the pain but we dont understand why no one can tell us what is wrong. He is on 100mg of Lyrica twice daily, 10mg amitriptyline once daily, 100mg of tramadol hydrochloride every four hours, 60mg of codeine phosphate hemihydrate with 100mg of paracetamol every four hours, 20mg omeprazole twice a day, and sleeping tablets at night. He can hardly walk up and down our stairs in our home. He is like an old man trapped in a young man's body and we are desperate as we feel we have no where else to turn, we have literally tried everything, ie. physio which the physio therapist said he can not work with my husband ubtil his pain is managed, he has tried reki, acupuncture, meditation and all of the above medication which he is still on. Please can you give us something to go with as we are at our wits end. Thanks, kind regards Miriam Doctor: hi miriamNothing to despair as MRI is clear.All he should do is wear a lumbo-sacral brace during daytime,avoid bending,lifting,physical therapy,massage with muscle relaxant gels and reduction of either tramadol or codein,increase of dose of amitryptaline to 25mg instead of 10 mg and use gabapentin 300mg twice instead of lyrica.Addition of methycobalamin 1000mcg if your doctor agrees.too many opioids make a patient lethargic, and if pain can be relieved by local measure,gels,brace,massage would be saferbest wishes,regards | 108,519 |
Suggest medications for bleeding lumps in the bum region | Patient: hi, i have found a hard lump in between my bum crack next to my bum hole and it bleeds and stings only had it for 4 days plus im 2 days away from my due date and i dont no what it is and i dont want to give birth with it there any suggestions on what it could be and how to get rid of it? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some piles or other lesion. You shoul go for examination. Treatment ofcchoice is surgical removal. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 65,896 |
When does pregnancy occur after having unprotected sex? | Patient: My friend is freaking out about being pregnant and not knowing exactly who the father is! She had sex with her husband with a condom on since they have been married. She had sex with her ex only once on Oct. 23rd right after her period. It was unprotected but the guy did pull out and doesn't pre cum! Then she started having unprotected sex with her husband and he did pre cum inside her! So my question is who is most likely the father of the baby? Doctor: Hi, Thanks for the query. I understans your concern. Pregnamcy is possible with unprotected sex around the ovulation day ( In case the menses cycle is regular falls on 14th day before the expected day of next period) so sex 2 days before &2 days after the calculated ovulation day are mkst fertile days. This would help yiu to decide the fraternity of child. Thanks. | 440 |
Had hysterectomy with one ovary left, gain weight, bloating, cramping. Ovarian cancer? | Patient: I had a hysterectomy in year 2000 with one ovary left. I have weight gain with no apparent reason, bloating , and minimal cramping, also gassy. I ve done a lot of research and these system state most likely ovarian cancer is this correct. Oh and I also read with the age I m at there s a higher risk. I m 41. I went to my MD she states go to the gyno which I will. Overall what my I be looking at. Doctor: Hi and welcome to HCM. thanks for the query. Ovarian cancer is not the first thing to think of. It is not so common in your age and usually some other symptoms are present. However you should do ct scan or diagnostic laaproscopy consdiering your previous history. Your symptoms can more likely be sign of hormonal imbalance or gastroenterologic disease such as IBD. Wish you good health. Regards | 157,734 |
How to get rid of mole on the stomach? | Patient: I have more of a beauty question, not a pain or disease question. I m just embarassed by a mole that I have on my stomach which is around the side o a pencil eraser. How can I get rid of it ASAP without having to go to a doctor, and asting any money? Doctor: hi..you have mole on the stomach...i am sorry to say that you will have to go to the doctor...there are two procedures by which this mole can be removed..one is laser for which you will have to go to a laser therapist with specific laser available,,2nd is the surgery,,very minor surgery,,day case surgery under local anaesthesia..excision of the mole will be done..if the mole is since birth then don't go for any beauty cream as i don't know such creams which can remove such moles..thanksDR IHSAN | 8,417 |
Ate spots on tooth normal post wisdom tooth injury? | Patient: wisdom tooth hs broken for a while. have terrible pain, and some spots in the cheek on the side of rotten wisdom tooth. Are spots normal for a rotten tooth - it doesnt seem swallen, but it the jaw and the side of it hurts. any answer would be much appreciated Doctor: Thanks fro using Health Care Magic.Read your query.Pain and broken tooth suggests the presence of acute abscess in relation to the wisdom tooth .The spots in the cheek which you have mentions suggests cheek bite and it should not be worrisome.I would suggests you take Ibuprofen tab for pain (if you are not allergic to any medicine).Do warm saline gargling and avoid applying hot bag externally.Keep the area clean to avoid further infection.Visit your oral and maxillo-facial surgeon and have a radiograph and get the wisdom tooth removed.You may need a course of antibiotic like Amoxicillin thrice daily on prescription by the dentist. Hope this was useful.Thanks and regards. | 184,346 |
Can bleeding gums lead to cancer? | Patient: hi sir i want a query about bleeding gums actulaly sir everyday when i brush my teeth blood comes from my gums. This problem afecting from last 5 or six year nd i ignored all thing but now i think i have to take some precaution so kindly tel me what i should to do and tel can it b fatal diesease mean to say cancer. Doctor: Thanks for using Health Care magic.Read your query.Bleeding gums is usually to the gingival inflammation (gums infection) , the major cause is due to the improper maintainable if the oral cavity.It cannot be cancer unless and until confirmed , so relax and do not worry.I would advice you to visit your local dentist and have your teeth professionally cleaned and polished .Follow the post cleaning instructions and maintain it well to avoid re bleeding.Use chlorhexidine mouth wash for a while.Brush your teeth regularly and do flossing.Hope this was helpful.Thanks and regards. | 183,536 |
What are the side effects of HCG injection? | Patient: Hello doc pls answer i m 32 yrs, and trying for baby from 1 year. i was given clomiphene 100 mg for 5 days from day5 and have been advice inj. hcg 5000 units also on 14th day. Kindly advice wht are the side effects of HCG injection and also. your advice on same. Doctor: Multiple pregnancy is more likely with HCG injection. it can also cause overstimulation of follicles which can be painful. Rarely electrolyte disturbances ,distension of abdomen due to fluid collection, pulmonary oedema,clotting of blood in side the veins etc. may develop. These complications can be prevented by using lowest effective HCG dose. and ultrasound monitcring of follicular growth | 42,961 |
Does Folicin 5mg help to conceive? | Patient: hi i am vani Its almost 1yr that i got married and i have not yet conceived lot of questions and force from in-laws. i was skipping my periods but the preg result was negative.we meet the doctor as we were planning for pregancy she asked us to take Nuforce kit for both of us and folacin tablet twice a day for myself for 3 months and she even asked us for my thyroid test which was normal..my menstrual date was on 7th but i have skipped my periods but very tensed if the result will be negative...does folicin 5mg twice a day will help me to conceive.. Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. If you have delayed or irregular cycles, then please get USG done to rule out PCOS - polycystic ovaries. Also, post menstrual HSG - hysterosalpingography will be of help to know about the patency of the fallopian tubes. And please get husband's semen analysis done. This will help to know about quality and quantity of sperms in the semen. With the normalcy of these reports, you can get follicle study done from day 10 of the cycle. You can simply opt for unprotected sex act or IUI on the day of ovulation. Secondly, the Folic acid supplements that you are taking is not for getting pregnant but taking Folic acid supplements at least 3 months before you plan to get pregnant helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar | 1,151 |
Suggest treatment for insertional tendinosis of distal tendon | Patient: I had an MRI of my elbow yesterday. The conclusion of the report says: There is moderate insertional tendinosis of distal tendon, accounting for the patient's symptoms. No discrete tear is demonstrated. Remainder of the examination is unremarkable. Conservative therapy would be appropriate.My doctor gave me a 1 month supply of Naproxen - SR 1000mg and said rest it. Every site I have looked at with my results says I should not use anti-inflamatories and I should be using heat and light exercises.What is the best course of action to take with a full recovery in mind. Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Given the history of insertional tendinosis there can be degeneration of tendon involve so avoid heat therapy. Instead use ice and appropriate rest in elbow support for 6 weeks followed by eccentric exercises and stretching exercises, good nutrition with vit c , vit b 12 and calcium is also important for new collagen tissue growth and tendon health.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Harsh Swarup | 130,703 |
What causes blue toe during cold? | Patient: My son is 19 210 lbs started college in the fall light athletics started to feel pain in one foot started noting great toe becoming blue when cold with pain and reddness. No weather starting to become warm still intermittent. Had pressure test in legs normal Doctor: Hello and welcome to HCM,Pain, discoloration of toe from blue to red suggests a vascular disorder.For symptomatic relief, keep the toe warm and avoid exposure to cold environment.You need to consult your physician for clinical assessment and relevant investigations for diagnosis and thus management.Thanks and take careDr Shailja Puri | 115,425 |
Have potts spine, enlarged liver, diabetes, cholesterol and stone in gall bladder. On fruit diet. Help? | Patient: my mother is 55 yrs old. she is suffering from potts spine . she is on a medical treatment since jan 2013. She is under the medical treatment. After taking medicine for 1 months her LFT Test is to be done and the report shows her SGPT is 182. Doctor is saying her liver is inlarge. She is taking the AKT-4 medicine. She has fewer at everytime like 99,99.2 or 100. she is also feeling some dullness. she says that she is not able to eat the food. Her Diet is- 1 cup tea & 2 threptin biscuts in the mornig in breakfast 1 glass of milk and one fruit. In lunch 1 roti aur 3-4 spoons rice.In evening 1 cup of tea & 2 threaptin biscuts and in night 1roti & 1 glass of milk. Is the diet she is taking is sufficient or not? Write now her diabaties is also tested than the result shown that her fasting is 116 & pp is pp is 159. Is she is suffering from sugar? Her Cholestrol is 215 & there is stone in gallblader 7-12 size. Please tell me what to do? Doctor: Hello Welcome to health care magic Dear patients son, as your mom is suffering from potts spne , her low grade temprature is becaus of that only, though she has been taking AKT4 for last one month and generally fever stops with in one or two weeks after starting AKT4 but some times it may take 2 to 3 months for the temprature to subside so you need not to worry about that, her LFT report showing SGPT of 182 is a bit high and if it is more than 3 times the base line SGPT value which is there in previous LFT then it may warrent to hold AKT 4 , if previous LFT is not available,then you continue with AKT4 and get your LFT repeated after 1 week, if that shows SGPT of more than 540 i.e more than 3 times the current value then AKT4 will need to be holded till hepatitis subsided and then ATT can be reinstituted again , this will be done by the doctor who is treating her for POTTS spine. About her enlarged liver, it may be due to fatty liver which is common in diabetic patients, but may even be due to drug induced hepatitis if that is happening, her blood sugar is fairly under control and you continue with the same diabetic diet which she is taking and it will be giving her enough calories , and her serum cholesterol is fairly normal .you consult you doctor who will access her LFT reports and will see if she is not developing drug induced hepatitis and will decide about further course of action wish her recovery soon thanks Dr Arshad | 59,371 |
Suggest medication for typhoid | Patient: I am 40 years of age and having only 30 kg. weight. I am suffering from fever for about 12 days. Temperature goes up to 103 with cold. Now I have test and found that I am suffering from Typhoid. Which medicine should I take for speedy recovery. Thanks Doctor: Hi thanks for contacting HCM....You have mentioned diagnosis as typhoid fever ....So is it correct or spelling mistake ???As in question heading it is written as thyroid .....If you are having typhoid which is enteritis infection by typhoid bacilli .......You need to given antibiotic full course like cefixime for 10 to 14 days. ..Meanwhile small meal taken with frequent interval ....Excess fatty meal avoided. ....Non veg food taken less ....Fruit juice more .....Egg while like protein diet more ...If you are having hyperthyroid than for it propylthiouracil like antithyroid drug needed. ....For hyperthyroid confirmation in which high fever and heat intolerance present you can investigate with tsh and t4 estimation.....Consult physician for examination and accordingly prescription of medication....Take care | 30,447 |
What is the treatment for getting pregnant while having PCOS? | Patient: hello doctor,I'm 28 years old and I have a daughter of 5yrs old I'm trying for my second baby but I hv a problem of pcos . my doctor suggested me clomid 100mg for 5days and again week later she suggested me clomid 50mg for 5 days but still i cannot be able to ovulate. Can u please help me how can i get pregnantThank you laxmi Doctor: Hi and thank you so much for this query.I am so sorry to hear about this difficulty you are having trying to get pregnant. Even in women without any fertility related problem, it may take as many as 12months to succeed becoming pregnant. it is more of a game of chance and no one can actually predict with precision that a particular method would guarantee a pregnancy. However, in women with PCOS, metformin has been shown to increase their chances of conception. It would be best to ask your doctor of this as a possible treatment option.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD. | 43,022 |
What causes severe left-sided shoulder pain post knee surgery? | Patient: Yesterday I woke up with severe pain in my left shoulder. I had knee replacement surgery 3 weeks ago. I have been taking Tylenol and hydrocodone or Oxycodone for the knee pain mostly at night. The pain in my shoulder is excruciating and it only improves when I take the pain meds for a couple of hours at most, and then it comes back. I have tried a tennis ball, ice,heat and it isn t helpingI i can t sleep for very long and I am crying from the pain what is going on? Doctor: Hello, It is not related to knee surgery.As a first like management you can take analgesics like aceclofenac or tramadol for pain relief. If symptoms persist you can consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician | 126,232 |
Am I pregnant if having brown discharge after having unprotected sex and taking unwanted72? | Patient: doctor i have unprotected sex on 3rd day of my period 23rd january my period stoped on next day and i hab unwanted 72 in 48 hr of unprotected sex.then on 6th feb i have protected sex and also took unwanted 72.on 13th feb i have some bleeding continuing 3days.nd stoped.it was brown coloured .1)is this symptom of pregnency??2)if not when i got next period?? Doctor: Hi,Welcome to HCM.Unprotected sex done on 3rd day of periods will not cause pregnancy.Protected sex followed by emergency contraception should also not cause pregnancy.Pregnancy is least likely in your case. Whatever you are having looks like periods/withdrawl bleed.You will get your next period depending on frequency of your cycle. That is if your cycle comes every 28 days, your next menses would come on 13th march.Its better to use regular contraception than using emergency contraception frequently.Regards. | 4,373 |
Is it safe to take Repace 50 while having normal BP? | Patient: I am a 33 years old married man,and am dignosed with grade 1 kidney disease, I have been prescribed to take repace 50 .although my BP is normal Now my question is ,when I have no BP problem and if I take medicines like repace 50,would it affect me adversely? Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that yes replace is safe drug to control your blood pressure as well safe for kidney, so you can take it for better control of blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist | 17,272 |
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