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Suggest treatment for rash and red patches on the skin | Patient: I have rash and red patches on the skin recently, probably due to allergy. Can you please suggest me the cure? Also will this red patches/rash leave any black marks on the skin? if so, please suggest the cure for that as well.Appreciate your help in advance. Doctor: Hello, I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily for 2-3 weeks along with antihistaminic like tablet Cetrizine once daily for 10 days. This should improve your condition. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist | 13,010 |
MRI shows nodular non-enhancing area, old inflammatory granuloma. History of seizures. Your views? | Patient: Sir, 2 years back i have some small seizures normally of 2-5 seconds and 1 times a day. Then i consult a neurologist and the told me to do a CT Scan of my brain. The report impression was Calcified granulomas in left occipital and right parietal region . Then my neurologist starts a course of tegrital CR-300 and folvite tablets for 2 years. I was taking the medicines regurlarly. And now my neurologist told me to take a MRI of my brain. and the report impression is Tiny Nodular Non Enhancing Rounded Area Of Altered Signal Right Parietal & Left Occipital Region With No Perifocal Edema s/o Old Inflammatory Granuloma Likely Neurocysticercosis. so what are your views about the reports. Because my neurologist is on leave. Please tell me what ever disease i have is curable or not. And when i will get fine Doctor: Hello, Such calcified granulomas in brain are either due to tuberculosis or neurocysticercosis, and there is no definitive to distinguish between these two , particularly when granuloma is small and calcified. Generally followed method is to treat for neurocysticercosis first as treatment is for shorter duration and see how patient responds.May be a repeat scan be done. If patients fails to respond then start TB treatment. In your case there is no harm in taking addition neurocysticercosis treatment.Its short duration treatment without much side effect. Regards. | 151,204 |
Pain due to kidney stones. Ultrasound showing dilated pelvical system and upper ureter, nephrouterosis. Any advice? | Patient: Sir,Before 1 year it was found that there was right renal stone for me around 11 mm. It was not a painful one and I was advised 2 drink plenty water. I was working abroad and now I came here. For one week I was feeling pain yestrday it gone severe nd admited to hospital. Doctor giv me injection ,'voveran sr 75',and advised to consult Urology tomorrow. The ultra sound scan showing result ' Pelvical system and upper ureter mildly dilated' and Right sided hydro nephro ureterosis, probably due to mid uretric calculus. all other are normal. Today morning also I hav pain and took the tablets. How long this pain will exist? Is this a small stone enough to move with Urine, Or I may gone through a Surgery. Please waiting for Your valuable replay sir.. Doctor: Hi,Renal stones of more than 10mm are less capable of getting flushed out directly. Assistance in the form of extracorporal shock wave lithotripsy or uteroscopy is needed most often to expel the stones. Now, the ultrasound scan reveal obstructive features (due to stone), I guess you need to prepare yourself for one of the above procedures. In the interim use pain killers under moderation and continue drinking plenty of fluids.Hope this helps.Good luck!! | 50,714 |
What causes itching in hands/legs while taking lysatone and Rifa I6 Kid? | Patient: my daughter was underweight by 6 kgs at 4 yrs old.x ray chest shows minor fissures but montex test negative.Still Dr.Nammalvar chennai suggested RIFA I6 Kidtab one and half tablet and lysatone syrupdaily for 6 months.after a month my daughter develops itching in both hands and legs.is it because of above tablets and syrup Doctor: Thanks for contacting HCM. your daughter is on correct treatment. Some times antitubercular medications do cause such itching especially in initial months of treatment. Usually it settles by itself but sometimes it needs treatment. You can apply a steroid ointment locally and if necessary give her anti allergic medication.Regards | 39,413 |
Suffered of releasing sperms during sleep. What is the reason? | Patient: My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health......... Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission .This is a normal phenomenon to get night emission at the age of adolescence and nothing to be worried about it .It wlll get resolved itself without any treatment over a period of time.Try to practice moderate exercise everyday for 45 minutes and take high protein diet with fruits and vegetables and vitamins .This will help to built up your general health.and to get good sound sleep.Dr.Patil. | 202,687 |
Suggest treatment for high BP | Patient: Hi I had a query regarding blood pressure. My mother aged 62 had blood pressure reading of 170/80 in the morning. After a few hours ,when measured again too, the systolic has remained above 140 consistently. The diastolic is between 70 and 80. Does she need medical attention immediately. Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern, and would explain that her systolic blood pressure is above the normal limits of blood pressure, but we can not start treatment with the blood pressure values of one day. I recommend to closely monitor her blood pressure different times during the day, for a week (usually in sitting position after 10minutes of relaxing). If her blood pressure are above 130/90mm Hg values, a medical check up is necessary by her GP :- a careful physical examination- a resting ECG- a chest x ray study - lab blood tests (complete blood count, fasting glucose, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.), to exclude other possible secondary causes of high blood pressure. If her blood pressure are above these values for most of the time you should discuss with her doctor, the possibility of starting an antihypertensive therapy ( a diuretic or an ACE inhibitor/ARB class are recommended). Hope to have been of help!Feel free to ask any other questions, whenever you need!Best regards, Dr. Iliri | 26,565 |
What is the remedy for anxiety, guilt and depression? | Patient: Looking for an adult psychologist or psychiatrist. I m a 53 years old woman with 5 children ages 14-28. Dealing with anxiety, guilt and depression. I want a divorce and my children will not talk to me. Mostly concerned about my 14 year old son. I ve been seeing a therapist for about three months, but she is young. Living alone at a separate house from my family for over 4 months. I m better with myself right now but know I still have issues and hurtles. Need someone with more experience dealing with my type of situation. Not sure what kind of Dr. to get. Would prefer a female but qualifications mean more. Anthem BlueCross BlueShield PPO near 63050 MO Doctor: DearWe understand your concernsI went through your details. I understand your emotions. Family is a blessing. Your children are avoiding becuse they feel that you are the cause of the dilemma. They are all grown up and they have their own perceptions and feelings. The only way out from your dilemma is convince them that either you are not the cause or the whole genuine reasons for you being seperated. If you want your children should love you, you should address their concerns and emotions. Though they are grown ups, they also are having soft corner and love and apathy to you. Understanding life and critically evaluating the past family life should surely open a way out. Closure of one way opens so many other ways provided we think open and be positive. If you require more of my services, please post a direct query with every Possible details.Hope this answers your query. Avilable for further clarifications.Good luck. | 208,611 |
What causes delay in periods? | Patient: i am a virgin i dint actually have sex with boyfriend but i have noticed that my period comes very late and the right side of my stomach aches a lot these days i recently saw blood coming out of my vagina but its not as thick as the blood from my period am not sure if am pregnant i do vomit sometimes and i have diarrhea too please help Doctor: Hi dear, I have gone through your question and understand your concerns.Scanty and delayed periods can be due to hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease.I will suggest you to consult an OBGYN specialist to get properly examined, investigated including ultrasound and hormonal profile and treated accordingly.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma | 222,114 |
Could tinnitus and dizziness be related to Bell's palsy? | Patient: I suffered a jaw injury in 1976 from an extracted wisdom tooth. Damage to nerve 7, 9 and 11 are documented by the VA. I have a big problem with dizziness and ringing in the ears - both ears. is the dizziness and ringing in the ears related to bell s palsy? Doctor: Hello,Tinnitus is a common issue, and most causes are benign and temporary. However, it lasts for a longer period, then it should be evaluated.Tinnitus can occur due to causes like chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere's disease, TMJ disorders, Acoustic Neuroma etcetera.Tinnitus is not a disease in itself, but it is a symptom that indicates that there is some underlying illness. I would suggest you consult an Otolaryngologist, and get evaluated and a thorough clinical evaluation and investigations like audiometry, x-ray, MRI can help in diagnosis and treatment can be done accordingly.In case if ringing does not resolve, then you can be advised medicines like Tricyclic anti-depressant like Amitryptiline, anti-anxiety medication like Alprazolam, as well as multivitamin supplements can be advised.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ivan R. Rommstein | 124,996 |
What would cause prolonged fever and low platelet count? | Patient: What would cause prolonged fever and low platelet count? I have had a fever for 10 days, max temp on average 101.5 at night. I swear profusely in the morning as it breaks and then am afebrile until the evening brings another round. I have also experienced significant headaches with some neck pain, though not typical meningitis type neck pain. More like a bad crick on the right lower skull and the pain expands from there. No other symptoms except intermittent flank pain. I had a UA done to rule out pyelonephritis. It was negative except for large blood, so I was diagnosed with viral infection and kidney stone. Strep and flu A/B were also done and negative. I then had a CBC and CMP done. CMP was unremarkable. CBC showed normal WBC at 7 and low platelets at 136 with possible enlarged platelets on the smear. I am so tired if being sick. Is there anything else I should have checked? Doctor: First of all mention the country where you living; there are few possibilities such as Malaria, Dengue or other viral infection or considering your history evening fever and sweating could possibly Tuberculosis. Do visit your consultant and get it checked. | 116,251 |
I am 27 years old,i have one tube damaged and other very tight,not able to conceive for this. What is the success rate of IVF in my situation ? | Patient: i 27 years trying to get conceive for the last 2 years but not get success. we already gone for iui for four cycle and lastly undergo laproscopy hystroscopy test in which doctor found that my one tube is damaged and another is very tight. is it possible to get pregnant plz guide me what to do should i go for IVF? plz provide me the best ivf centre in india. Doctor: Hi,Welcome to HCM.Since your both tubes are not favourable for conception, ideal would be to go for Invitro fertilisation. For this you will have to under go follicular growth monitoring after taking drugs to induce follicular growth and your husband's semen would be required at the time of oocyte retrieval.You have not mentioned your location. I think local doctors should be able to guide you to a good infertility centre, where ICSI (Intra Cytoplasmic Sperm Injection) is done. There are I believe good centres in Delhi, Bombay, Bangalore, Cochin etc. | 45,104 |
How can tic douloureux be treated? | Patient: Hello, I am a dentist and I believe one of my patients has developed a tic Doulouex. It is a mild case but it began right after having a root canal done on his lower second molar by a vey good specialist on the ipselatereral side. The trigger point is about where the trigeminal nerve exists the mandible on the surface of the skin. This is extremely rare to me so I don't know how to treat it or who to refer it to. Can you give me a suggestion? Doctor: Greetings from Healthcare magic members,Dear Doctor, I have understood your query. It is very important to first confirm the diagnosis of trigerminal neuralgia as many other medical and dental conditions have similar presentation of pain. Improper diagnosis may lead to patient dis-satisfaction and withdrawal.Once you come to definite diagnosis, then comes the treatment choices.There are a number of medications that control the pain of trigerminal neuralgia.The most commonly prescribed first line drug used is carbamazapine (Tegretol) which is an anticonvulsant. If its not effective then other choices of medications could be phenytoin (Dilantin), gabapentin (Neurontin), oxcarbazepine (Trileptal) topiramate (Topamax), lamotrigine (Lamictal) and valproic acid (Depakene). Start with the lowest dose and then increase gradually until the symptoms of pain resolved. In some patients, muscle relaxant such as baclofen (Lioresal) can be given in combination with an anticonvulsant for adequate management of pain. While in others, opioids drugs such as oxycodone, hydrocodone or morphine is prescribed for very short period of time depending on the severity of pain. However, all these drugs are not without adverse side effects so prompt use in advisable. Handling these patient is bit difficult for general dentist, so if you have doubts, then you can refer your patient to either a neurologist or maxillofacial surgeon who have expertise in handling nerve disorders.Hope this answer is helpful. If you have further questions please do not hesitate to ask me. Best regards,Dr. Khoja | 181,143 |
What causes lump on the back of lower leg? | Patient: I have a small pea-size lump on the back of my lower leg that comes and goes. Often I can t even feel it, but sometimes it appears, and when it does, it cause a burning, painful sensation in my lower leg. Then it goes away, especially if I walk around or elevate the leg for 15 minutes or so. What could this be? I am a 64 year old female in good health with no illnesses or issues. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of back of leg lump, I would come up with three possibilities, these include: 1. a varicose vein or vascular herniation2. a lipoma or benign fatty tumor or neurofibroma3. The second possibility is of a benign cyst like bursa or ganglion cyst Overall, it is benign and not to worry about this but you could go for USG/Doppler test for confirmation if still worried!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. | 66,533 |
How can kidney stones and blood urea be controlled ? | Patient: I am Virendra Vyas i have suffring form kidney stones for last one year & my blood urea is 32.5 please help me how to control my blood urea & kidney stones I am Virendra Vyas i have suffring form kidney stones for last one year & my blood urea is 32.5 please help me how to control my blood urea & kidney stones Doctor: dear Welcome to healthcaremagic, Your blood urea id absolutely normal and you sholud stop worrying about it. You need to know the size as well as location of your stones for any further treatment for them. sincerely Rajiv Goel | 51,945 |
Suggest remedy for getting pregnant | Patient: Hi, after calculating my ovulation day (22th. to 25th june) we had intercourse on 23rd n 24th june i had cramps as i use to have before my periods, we had iintercourse after that for 2times n i also did hasthmaithun.....did these things lead to my periods.?i had my regular periods on 8th of July.please help. Doctor: Hi.. Thanks for writing.. Unless fertilisation occurs there wohn't be pregnancy.. By intercourse after ovulation or by doing yoga don't prevent pregnancy.. I would like to know since how long you have been trying for pregnancy.. Is your husband's sperm count normal? If so you can try ovulation induction pills and get a follicular study to know the status of ovulation and have intercourse on that day to increase the chance of pregnancy.. Hope I have answered your query. Good day.. | 3,317 |
What causes palpitations and shaking of hands after taking Tylenol? | Patient: so i been with this really bad cold and took tylenol not pm just the normal one. but i took some allergy relief an hour before i took the tylenol and i feel weird right now, like weak and like my heart is racing and my hands are shaking, should i be worried?? Doctor: Hello, It’s probably an ingredient in the allergy relief medication rather than Tylenol that is making you feel this way. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Kamila Seilhan | 83,842 |
What are the symptoms of potential hernia? | Patient: My sister baby male is 2 months and a few weeks old. belly button is pushing out like an outie. Poop is a little watery. the family is sick. Yellow color. she is no longer breast feeding for 2 weeks now. baby is on Enfamil newborn. She can not take the baby till Monday to the doctor to see if this is a hernia. Any thoughts? Doctor: Thanks for the query.You have not given cause for not feeding.It is although preferable to completely breast feed the child till six months of age.Hernia of belly button is a very common condition and usually does not cause any problem.It gets resolved on its own by two years of age. As abdominal muscles grow.For lose motions check if utensils used for feeding are clean and sterile, which is a source of intestinal infection.If child is taking feeds, sleeping properly, passing urine and motion well then you need not worry.If lose motions are too watery and frequent then it is advisable to visit doctor ASAP. | 178,094 |
What causes lower abdominal and back pain post my periods ? Are these normal and how can they be treated ? | Patient: hi. its been 2 days since i have finished my 5 day period cycle. I ve been getting lower abdominal pain and lower back pain that comes and goes. what is that caused by? and is that normal Doctor: Hi, . Yes it could happen sometimes due to severe menstrual cramps. Not to worry, you can take any of the over the counter analgesics for this. But if the pain becomes severe and if there is any associated Abnormal Vaginal bleeding, you should be seeing your Gynecologist so that she can examine you and rule out the exact cause. It is the spasmodic type of pain which comes and goes. Apply heat pads several times a day and get adequate rest. Wish you Good Health, Take Care. | 95,257 |
Can uni knee surgery causes pain in the tibia and walking? | Patient: Had a uni knee surgery that changed my alignment 6 degrees. Had to walk slow. The first time I walked a little fast I had severe pain in the center of my tibia. It s been 9 weeks and it still hurts if I walk fast or turn my foot. Should I have an x-Ray? Could it be fractured or bruised? Doctor: I understood your problem. you have to consult orthopedic doctor.he will suggest for x ray.it may be ligament /miniscus injury over the knee joint.for treatment you can go for physiotherapy .some exercises and modalities can give you. | 132,372 |
Can excess masturbating cause semen in urine? | Patient: can u tel how to cure my problem as i m having sperm in urine( before and after) its specially happening at the time of stool...i have constipation and even materbate alot but for last few days i have given up since i have came to know that i have this prob. may be due to excess masterbate. kindly giv some advise Doctor: Thanks for asking in healthcaremagic forum Semen might come with urine if present in urethra immediately after ejaculation. They have a common passage. If it is coming daily without any ejaculation then it is abnormal. Please go for urine test for further suggestions. All the best. | 200,477 |
What causes lumps in the neck and chronic fatigue? | Patient: Since I was 15 I have suffered with chronic fatigue. I am now 39. Sometimes it is worse than others. Have had ultra sound on thyroid gland as well as test to see if thyroid was functioning properly. They say there is no problems with my thyroid. I have small lumps in my neck at the base of my throat & the sides of my neck which dr s have said are on my glands but no cause & they aren t concerned as they havent grown in the past 10 years. I have tried herbal things with no luck. I feel tired constantly no matter how good I sleep, eat, etc. It can be sometimes 6 months or a couple years when I get hit with really bad fatigue. When its like that I fall asleep if I sit down for more than 5 minutes & have no energy. I have had rapid weight loss (30 lbs in a week). I have also had rapid weight gain when this happens. I am 5ft 6 in tall & 145 lbs when things are normal. Within a week I can drop to 110 lbs or can go up to 180 lbs. I am not depressed. I am healthy & active. Just want an idea of what is causing me to feel so tired all the time. Doctor: its called cervical lympadinitis .. due to cronic infection .. you aneed to get evaluated .. first get an fnac done.. its an aspirating with a fine needle .. once diagnosis is established with that .. can start treatment accordingly | 62,566 |
Suggest treatment for mental illness | Patient: Hello, My friends dad has been suffering from abnormal mental condition for more than 2 weeks now. He is 57 years old, 165cms in height and around 80 Kg in weight. He has not had any such condition before. He has a very strong feeling of some one coming to hurt him. He also hears illusional voices of others trying to harm him. He is refusing to go to a doctor as well. Pls help Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description, it seems that your friend's father is troubled with acute depression / schizophrenia. Only a nearby physician or psychiatrist should treat him based on his symptoms. Online treatment may become a bit risky. Please consult a physician / psychiatrist.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. | 208,686 |
Suggest treatment to control blood pressure | Patient: I have been on multiple blood pressure medicines for several years, since I was 35 years old. I am now 58 years old female. I check my blood pressure at least every other day to monitor. My average bp has been 148/95. However over the last several months I have been experiencing what I will refer to as BP spikes. I have had BP rages from the average (stated above) to now having BP readings of 170/100. I feel terrible. I have not been able to determine a pattern or trend with these spikes. I am having on occasion nose bleeds and severe headaches where I am nauseated and have vomited. My doctor has increased one of the BP medications, but I am seeing little to no change. I am a possible candidate to have a stroke? Doctor: Hi, Your BP is uncontrolled. Ideally, BP should be 130/80 mm Hg or below. Yes, high BP is the most important risk factor of stroke. Your BP needs to be controlled even with multiple drugs, if necessary. Your doctor will be the best judge to combine drugs and dose adjustment as per the response. Ambulatory blood pressure measurement (ABMP) by automated devices in one's own home is helpful to monitor the response. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist | 16,706 |
Have rashes on head, losing weight. Have been on medication. What to do? | Patient: Yes. My mother is taking the following medication: Losartan Potassium 100mg., Allopurinol 100mg., Oxybutynin 5mg.,Zoloft 100mg., Furosemide 20mg. She has develop a rash on her head and scratching her arms. She is 90 and in the last years she is with not much appetite loosing lot of weight. Are all this medication good for her? or she is over medicated in some area? Doctor: HiWelcome to healthcare magic forum I understand your concern about your mother problem.Thank you for your query.All medication you wrote are specific for some problemThey are essential one and must not stop without your doctor advise.In this age low appetite is common and she is not over medicated.she can apply calamine lotion over face and for itching levocetrizine tablet is helpful in such case.tell her to drink more water and fruit juice.Better to consult dermatologist for proper treatment.I hope I answered your query .Let me know if you have any query.regards | 15,095 |
I m feeling slight pain in my liver-area, and a bit of dizziness, please help | Patient: is it ok for liver-pain/ dizziness to occur when on udiliv-300 ? I have high SGOT/ SGPT levels, & was prescribed uldiliv-300 twice daily for 15 days. However, I m feeling slight pain in my liver-area, and a bit of dizziness for a few hours after I take medicine. Is it safe to continue ? Doctor: drink lots of water like every two hours for the next week to clean out any infection u may have sometimes the meds are giving you side affects | 95,611 |
Are high ESR and creatinine level signs of failed kidney transplant? | Patient: My dad is 47/ had undergone renal transplant 6 months ago. for past 1 week he often gets fever (98.7-99.4 deg) .todays test indicated high ESR / creatinine 2.0. i dont have ESR values in hand at present. Is this indication of failure of transplanted kidney? pls suggest. any more tests to be performed..dad is right now enroute to visit nephrologist. Doctor: Hi,I will guide in best possible way,Kidney transplant is done when creatinine level are very high,for eg some what near 10,Actually creatine 2 is not that high it means kidneyThat is transplanted is working,Though correlating with earlier investigation is neseceray,Other thing is to check urine output,It should be more than before in general sense,Fever may occur because immunosuppresents are given to prevent rejection,Hope this information helps,Seeing your sr.creatinine ,urea reports Nephrologist will give you the best expert opinion,Wish you a good health. | 48,843 |
How to treat failing kidneys that leads to water retention in lungs? | Patient: MY FATHER IS 59 YRS OLD. HIS HEART IS WORKING ON 20% AND 80% IT IS DAMAGED. HIS KIDNEYS ARE ALSO NOT FUNCTIONING DUE TO WHICH WATER GETS RETAINED IN HIS LUNGS. WHAT IS THE SOLUTION FOR THIS KNOW? CAN DAILYSIS BE DONE WITH A SHRINKED HEART? HIS HEART IS VERY WEAK. Doctor: Hello and welcome to HCM.As an Urologist, i can understand your concern fully.A weak heart with chronic kidney failure, is a serious medical condition.The only way to drain out the excess water is to do a hemodialysis urgently.During the dialysis, cardiac problems will be treated under supervision of a nephrologist, so you don't need to worry about it. Leaving him without treatment is a slow end stage.You're welcome to send me the reports(latest), and i can give you an expert opinion. Wishing him well. | 47,952 |
Suggest medication for bumps appearing on the stomach | Patient: Hi, Last week I noticed that my stomach started itching really badly. When I started it, it revealed bites/bumps scattered all over my stomach. I thought it was dry skin at first and applied some lotion, but the next day or so bites/bumps continued to spread to my waistline. I woke up a couple days later to intense itching of my neck and back. I don t believe it is bed bugs, as I searched my mattress and did not find anything. Doctor: Thanks for your question on HCM. I can understand your situation and problem. In my opinion, you are mostly having allergic skin reaction. Itching, redness and spreading nature of rashes suggest possibility of allergy more. Allergy can be due to anything like badsheet, pillow cover, inner wears, soaps, shampoo, night clothes etc. So better to change your bad sheet, pillow cover. Wear cotton clothes at night. You may need anti allergic and antihistamine drugs. You may also need steroid containing cream on skin lesions. Since all these drugs are prescribed medicines, you need doctor 's prescription for them. So don't worry, you will be alright. | 65,220 |
Suggest cure for pain,numbness and tingly feeling in knees | Patient: I fell ans landed on my knee with all my weight last week. I have numbness and tingly feeling right under my knee cap. it I bump it at all it is very painful. I have no insurance so no doc. I have full mobility and it does not hurt to stand or walk. will this heal on its own? Doctor: Hello, An x-ray or the knee is advised. As you had a fall and a direct impact on the patella bone it is advised to take an x-ray. Post which it fractures is found than immobilization is advised. But if not fracture then exercise will be advised. Doing hot water fermentation, using knee cap, static hamstring, static Quadriceps, straight leg raise, and ankle toe movements will help improve the overall knee strength and functions. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,294 |
What causes wheezing when walks a little distance? | Patient: I am an asthma patient for the last fifty years originated from acute cold for which a tablet was provided to stop cold with asthma to paste on chest At 2 Oclock mid night I wakened up and felt difficulty in breathing but cold had absolutely come down. Then I went to another doctor and he gave me dycristin injection and calcium also. every fortnight i had to do this and then some other medicines were prescribed thus i fell as a regular patient. Now I am eighty three years old before taking this bad tablet I could swim thousan yards to and fro but now I cANNOT WALK A FEW STEPS OR TALK A WHILE , BYTHE TIMEi WHEESE. THANK YOU DOCTOR Doctor: Hi,Asthma is itself a allergic disease due to cold (or dust or pollens or grass etc) irrespective of the triggering factor.Your asthma actually triggers bronchospasm which leads to your wheezing and breathing difficulty.You can go for pulmonary function tests if not done.Treatment is mainly symptomatic which might require inhalational steroids,beta agonists,anticholinergics as MDI or rotahaler as a regular treatment.There are very good medicines like steroids, alpha adrenergic agonists, anticholinergics available in market in all formulations like inhalation, oral, injectables etc which can be effective within seconds even.To decrease the inflammation of bronchi and bronchioles,you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation.The best way to cure any allergy is a complete avoidance of allergen or triggering factor.Consult your pulmonologist for further advise. | 99,394 |
Suggest treatment for swelling in the legs post a knee surgery | Patient: Hi my father just had knee surgery with prosthetic on Monday Aug 21,2017 and he s doing great some swelling on his foot and leg which we were told were normal and some bruising also but is it normal to have some meaning to boils on the side of his knee. We are in Houston and going thru Hurricane Harvey cannot get a hold of his doctors staff at this moment but I don t think this is an emergency what do you think? Doctor: Dear patient Mild swelling of the leg and foot post knee surgery is common for initial few weeks or months. It is not a matter of urgency. Keep limb elevated on 2 pillows. Apply crepe bandage or wear lower limbs stocking. continue knee range of motion if permitted. | 128,315 |
Suggest treatment for skipped heart beat | Patient: Hi, I m a 34 year female and for the past 3 years I ve been getting skipped heartbeats, it sometimes catches my breath and feels like my heart pauses for a few moments. It really scares me. I have had 24 he b.p monitoring, 24 hr taping and 7 day taping (king of hearts). I don t understand why it keeps happening? Doctor: Hi, By the history you are giving, it seems like you are having Premature Ventricular beats(PVC). These are normal in a normal heart detected by 2D Echo. PVC are extra beats originating from places in the heart other than the normal conducting system. I hope your 24hr & 7days Holter monitoring (continuous ECG monitoring) is normal. If that is normal than their is nothing to worry. Just don't think about them. I will also advise you to get a Thyroid function test done if it has not been done. If possible send the results of ECho, 24hr & 7day Holter so that I can guide you in a better way. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist | 17,524 |
What causes mild sensation under rib cage? | Patient: I have a mild sensation (pressure) not pain in my upper right under rib cage. It usually is accompanied with a tingling sensation directly in the same area but in my back. I have more burping than normal, and I seem to bloat with just eating very little. Any suggestions? Doctor: had you been suffered from herpes in past. this rib and back sensation typical of that or you might be going to have it. I hope you are not running high fever n all. consult physician | 128,648 |
What is the treatment for dark elbows? | Patient: Hi. I am having an issue with my elbows. They look dirty. I scrub all the tine. Now the darkness n dryness is past elbow up arm couple inches. What can I do? Maybe scrubbing too much? Use stone sometimes then skin gets red and sensitive but no change Doctor: Hello,Welcome to healthcare magic.I understand from your query that you are having problems with dark and rough elbows. Please stop scrubbing the area. Scrubbing, especially with a stone causes friction and increases the skin thickening.Use a good moisturizer containing squalene, urea and lactic acid every 4 hours.Keep your elbows off the table while you are working. Do not rest them on the desk. This will avoid friction.Use a cream containing 6-12% Glycolic acid at bedtime. This will cause mild peeling off of the thick skin and improve the appearance.Hope this helps you.Take care. | 11,512 |
Suggest treatment for pus filled lumps in my groin | Patient: I have a lump on the back part of my scrotum it swells if it gets irritated and feels like it has a vien attached or apart of it that streches toward near my anus but not on it just between scrotum and anus where there s another lump the pus and little blood come out of two openings like the head of a bump. My groin itches and there are also smaller bumps or lumps with the same pus that come and go that line either side of the cheaks of my buttocks. I sweat a lot in my growing area and have had jock itch Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some fistula in ano or fissures or abscess formation. You should go for examination. If it is abscess then go for incision and drainage. If it is fissures or fistula then go for surgery to remove entire tract. Also you should take a course of antibiotics. 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. | 68,010 |
How to straighten penis? | Patient: hi when i was 14 yrs old , i had tried sex with a girl but unfartunatley that was not happend but i slept on her for few minutes by forsing my pennis towards her after that my pennise is bent now i am unable to give strokes please tell me is there any surgeris are avalable to straighten my pennis? Doctor: Hello, It may not be a bent penis. It can be erectile Disfunction. Female vagina is made in a way to take in a bent erect penis. If its 1st-time sex, no need to worry. Slowly you will get it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | 194,364 |
Does amexidil 5 help stem hair loss? | Patient: I have sebum on my head if it is due to DHT level. are they related to each other? I m 24 yrs old yet i m on second stage of hair fall.also after applying Amexidil 5% I faced much hairs falling I applied it Once a Day first.also how to know this is working or not 3 weeks are done. applying it twice from yesterday If it will work. Doctor: Hello, Sebum production and DHT levels are related. You should apply Amenexil twice daily for at least 3-4 months to see results.Only 3 weeks of use won’t help in stopping hair fall. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist | 10,094 |
What are the chances of pregnancy if I have intercourse on the 18th day of my cycle ? | Patient: hi doctor , i have a 28 days period cycle, this time i got my ovulation on 14th day(i get severe pain duing this time) and had sex on 18th day, please suggest me whether i will get pregnent Doctor: Welcome to Healthcare Magic There is some possibility you will get pregnant. But it is advisable to have sex on 13th, 14th, 15th days for best results. You may do a Pregnancy test in 10-12 days to confirm or you ca wait for missed periods next cycle. You need to conceive during ovulation period for best results. | 6,695 |
What causes numbness in hands, feet and on lips? | Patient: Can you assist me? I have been experiencing numbness in both of my hands and feet along with lips over the past month... I am scheduled to see a nuero, but waiting for appointment. The numbness has gotten worse over past several weeks and seems to get worse in bed and when I elevate my feet. Overall I have not felt great as well. They have taken many blood test and all came back normal.. Doctor: Hello, In your case, peripheral neuropathy or damage of the small peripheral nerves by other underlying conditions should be considered. These conditions may be diabetes, prolonged alcohol use, viral infection, adverse effects of drugs, heavy metals poisoning, low vitamin B12, etc. Discuss with your Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Erion Spaho, Neurologist, Surgical | 139,797 |
What causes late period after taking i pill? | Patient: hello i had a sex with my gf on her 17th day of her periods but unfortunately the condom tore off and my early fluid came in contact with her vagina(and it was not the semen)...she took ipill within 12 hours after doc's advice..her periods were due on 7th of october but its been couple of days now she hasn't got her periods...what should we do now? Doctor: Hi,Even the early fluid contains sperms and it can result in pregnancy. It is good that she took I PILL to prevent conception.I PILL is very effective in preventing pregnancy. If taken within 24 hrs of unprotected sex it is 95% effective.So there is a small possibility of method failure resulting in pregnancy. If I PILL is taken in the second half of her period the period usually gets postponed by a week. So if her period is delayed for more than a week, she must do pregnancy test.To avoid such unnecessary stress I advise your girl friend to consult her doctor and start regular contraception like hormonal contraception or intrauterine devise as they are very effective in preventing pregnancy.It is good that you are using barrier method of contraception like condom. This protects you from contracting STDs.I hope I have answered to your satisfaction. If you have any further queries do contact me through healthcare magic | 224,313 |
Can herbal medicines cure high blood pressure and hypertension? | Patient: I have been on dialysis for two months. I just started taking natural herbal medicine that claims to rejuvenate the kidneys and eliminate the need for dialysis. I think my kidneys are improving. The failure was caused by high blood pressure and hypertension. What are my chances to be cured? Doctor: i would like to know more details about your condition, and history of the problem. also give the details of the ' Herbal Medicines' prescribed to you for your renal disorder. there are medicines for controlling Hypertension which are very effective. | 97,579 |
What causes tightness in the chest? | Patient: I m concerned about heart flutters. I ve had them in the past but only every once in a long while, so I was never concerned. For the past month or so, I ve noticed them more often, only lasting 1-2 seconds each time, but they are happening more often. I ve had more fatigue over the last week or two. Chest tightness in the last couple days, but thought it may be allergies. Today, I have a general feeling like I m getting sick - heartburn type feeling, chest tightness, weakness/fatigue, maybe some lightheadedness, and I have had several flutters today. I don t have any other symptoms of sickness. I don t have good health insurance, so I only want to go to the doctor if it s important to go. I have been under stress for quite some time, due to a divorce, but I can t say I ve had more stress over the past couple months than before. Just moderate to high stress all the time. Let me know what you think this is and/or what I should do about it. Thanks so much! Doctor: If you have chest discomfort and don't know the cause, the safest option is always to see a doctor, be interviewed, examined and have an EKG. Your past palpitations aren't useful to distinguish benign from worrisome. Indeed the problem may be due to the stress that your have described but don't bet on it. | 20,350 |
How can a pregnancy s paternity be confirmed? | Patient: Hi, may I answer your health queries right now ? Please type your queryok, i had my period on the march 13th and then on the 27th i had sex with my husband who is white, i had a one night stand on the 4th with a black man and i know how bad this is and the guilt is eating me. i took a pregnancy test on april the 14th and said positive. on the 16th i did digital conception test which said i was 3+ weeks from conception. i did 2 test both the same result. when i had sex with my husband he came inside me and the cum did not come out for 24 hours. the black man did not cum inside me but may have leaked. i dont know when i ovulated but im scared as to who is the dad. please can anyone help me? here... Doctor: Hello, and i hope I can help you today.Unfortunately, your two sexual encounters were close enough together that it is really impossible to presume the paternity of your pregnancy. Sperm can live in the reproductive tract for at least 3-5 days, and an egg can also live for 72 hours inside your body. This means that the most accurate estimates of conception can only be within 5 days. So because your two encounters were only 5 days apart, and there is no way to know exactly when you ovulated, both of these men are possible candidates to be the father of your baby.Paternity tests on the baby can only be performed after the child is born.I hope I was able to give you the necessary information and I wish you the best for the rest of the pregnancy.Best wishes,Dr. Brown | 219,210 |
What causes large, painless lump on wrist? | Patient: Some time ago I found a large (about 1 inch diameter) painless lump in my right wrist. I suspected it was some kind of tumor, saw a doctor and had it x-rayed. The doctor said it was just a normal bone, and it's bulging out because of my bad sitting and working positions. How can this be? I don't see a similar ball anywhere on my left wrist, I have tried to find it by touching but nothing. Should I get another opinion? Doctor: Hi,Dear,Good Morning and Thanks for your query to my virtual Clinic At HCM.I studied your query in depth and understood your concerns .Causes for large painless lumps on wrist are as follows-Mostly they are ganglion /deep granuloma annulare?Psuedo-Rheumatoid nodule.Multidector CT Arthrography of wrist would fix wrist Ganglion.FNAC Biopsy of the lump would fix the diagnosis.Don't worry of them,as they could be relieved with proper treatment.Hope above reply would help you to relieve of the issue you have.Welcome for any further query to ME and HCM.Wishing you a Fast Recovery.Write Good review for the benefit of my new patients.Click thanks ASAP after this.Have A Good Day.With RegardsDr.Savaskar | 63,884 |
What causes suicidal thoughts? | Patient: My mind so week I can t remember any thing for long time even some menuts too and my confidence level is so poor and always negative thought developed in my mind that cause I think to suicide. why this happen and can i improve our mind power .please tell me how to tackle this problems. My age is 35 . please suggest some remedies and exercises for me that helps for my mind .Thanksgiving Doctor: DearWe understand your concernsI went through your details. Nobody is born with weak mind. The weak mind is always made due to the circumstances and the wrong attitude. I suppose, from the childhood, your attitude was wrong. Even now you can have the right attitude. But, that is called behavioral modification and it will take some time to modify the whole behavior. Negative thoughts and suicidal thoughts are persisting because you could be idle. You should know "idle mind is devil's workshop". You learn to be entertainingly busy. Engage in pleasurable activities like hobbies, participate in games which keep you fit physically and mentally like shuttle badminton, Meditation to relax and calm you, breathing exercise to keep your metabolism clean and over and above watch many comedy movies, laugh aloud, play with children etc. If you combine all these with your right attitude, surely, within 6 months your behavior will change.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. | 205,598 |
Could the pain in the iliac crest be due to bulging of L4? | Patient: I am undergoing cortisone injections for bulging l4 after l5 fusion last year.I have noticed that what I think is iliac crest is able to feel and that is where it hurts so badly.is l4 bulging pushing this out? What can I do for pain? I am considering si belt as a girdle helps with pain. Doctor: After going through your query I think your You are suffering from lumbar disc prolapse(L4).There are two treatment options.First option is Rest in position of relief(generally lateral position with both knee bend),NUROKIND GOLD ONCE DAILY and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics .You can use lumbosacral belt to support back. This method needs patience as it take longer treatment times sometimes up to 6 months.Second option is go for surgical operation(Discectomy). You can discuss with your treating surgeon.I think your query answered.Welcome to any follow up query | 110,091 |
How to treat enlarged salivary gland? | Patient: My poodle has had a blocked salivary gland for over a year and has been fine. Yesterday it seems to have enlarged and my dog isn't eating or drinking besides what I'm putting in her mouth with a medicine dropper. I have also see that she has a mucus type saliva coming out of the side of her mouth that is swoolen. Doctor: Hi XXXXThanks for your query at HCM!I am Dr. Sheetal Verma an Infectious Disease Specialist answering to your query!I went through your query and understand your concern.Visit a veterinary doctor. In meantime give your dog plenty of fluids and antibiotics. It could be due to some infections. It could be infectious so practice hygienic measures among family members.Hope I have answered your question. If you would like some more information I will be happy to provide. You can also write a review for me. Wish you good healthTake care! Wish you best of Health.Dr. Sheetal VermaInfectious Disease Specialist | 34,837 |
Is presence of pus cells in a child dangerous? | Patient: please doctor i just want ask you about pus cell in my daughter she has 3 years old and she has nephrotic syndrom and her analysis shows that the pus cell is 22 and e.s. r shows 24.0 and im realy afread about her can you tell me is it dangerous ???? and what can i do Doctor: Hi, I had gone through your question and understand your concerns.It is suggestive of urinary tract infection which needs prompt treatment. As immunity is low in case of nephrotic syndrome , chances of getting infected are more. Getting a urine culture and sensitivity is also recommended to know causing organism and sensitivity to antimicrobials.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care .• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination | 178,686 |
What causes hoarse voice while suffering from asthma? | Patient: I was put on oral prednisone to treat an asthma flare up - was on 60 mg x 5 days then 20 mg x 3 days. One week later put on again- 60 mg x 7 days then 20 mg x 3 days. During second round began cough which became rattling with mucus and became hoarse and unable to talk on the 3rd day. Have been off prednisone x 5 days- cough mostly gone but hoarseness remains although improved. How long until I have my voice back? Doctor: HI, thanks for using healthcare magicIt can take a few days to a week for the cough to improve. You would need to rest your voice as much as possible.The use of steam inhalation and humidifiers may also help as well.I hope this helps | 99,280 |
Why am I asked for sodium chloride bone scan while having prostate cancer? | Patient: My brother, age 41, avid runner and extremely fit was diagnosed yesterday with prostate cancer. Our father, age 74, passed away 6 months ago from prostate cancer that went to bone cancer. My brother's Dr. has ordered a sodium chloride bone scan to be done this Thursday morning. What can you tell me about this type of scan and what if any are the reasons for it's use as opposed to the conventional scan. Doctor: Hi,Thanks for writing in.Cancer is a difficult condition to treat and complete staging is required before starting treatment. This is because the treatment for each stage of cancer differs and for better recovery and cure a detailed test is required.Prostate cancer is known to spread to the bones of the skeleton. As you are aware, your father also had the same problem and his prostate cancer had affected his bones. Sodium chloride scan is a technique by which radioactive chemical will be injected in to the system and images acquired after a short duration. This scan will tell any cancer areas in the bones and this is recommended to know if your brother has a prostate cancer that has involved the bones.In the conventional scan, it take time to visualize cancer in the bones. In the sodium chloride scan the bone involvement is visible many months before it can be seen in the conventional scan. Therefore the doctor has taken the right decision in recommending a sodium chloride scan for your brother who has prostate cancer. This is to provide accurate staging of disease and give the required treatment. Please do not worry. | 154,772 |
Can Avil be taken for allergic skin reaction to fish and peanut? | Patient: Hi sir, I have skin allergy from past 5 yrs if I eat any peanut and fish iam getting rashes itching . If I eat fish what medicine can I take immediately after eating this please say me can I take avil tablet or any another new medicine can u please say me the name . Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Avil or Wysolone immediately after having fish or peanut as preventive measure. However, it is far better to avoid such foods if you are known allergic to them. Wishing you good health. Thanks. | 98,346 |
What does this liver sonography report indicate? | Patient: Hi...DOctors...my mom's sonography reports shows Liver is increased echogenicity.Tiny calcificspeckf in right lobe of liver s:-f old infective etiology with fatty infilteration of liver.Can u plz tell me wht it means in simple terms n wht treatment should be given. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For your fatty liver problem life style change can be done. Reduce weight by doing active exercise. Udiliv tablet can be prescribed for that. Fruits taken more. Indian gooseberry, sugar cane juice, Apple juice good for liver health. High saturated fatty diet should be restricted. Avoid alcohol if habit. Fatty liver common condition nowadays and don't worry about that. Check your cholesterol level as well. Hope this will help you. Take care. Consult physician for examination | 52,607 |
What causes sudden BP rise? | Patient: Hello. May I consult why all of a sudden my BP rise to163/101 even if I already took my medication? Usually, my BP were maintained between 105/70 for the past weeks so I am wondering why these happened? I am taking Lozartan 12.5 + 50mg in the morning and Therabloc 50mg. in the afternoon, male and 42 years old. Doctor: Hello!Welcome and thank you for asking on HCM!I read carefully your question and would explain that these episodes could be related to physical or emotional stress (anxiety). I recommend to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer the values to your GP. I would also advise consulting with your GP for a careful physical examination, a resting ECG, a chest X ray study and some blood lab tests (PCR, sedimentation rate, complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes), to exclude other possible secondary causes of uncontrolled high blood pressure. An ambulatory 24 hour blood pressure monitoring (Holter) may be needed to examine better you blood pressure trends during the day. Hope to have been helpful!Best regards!Dr. Iliri | 26,231 |
In process of passing kidney stone. Feeling it in vaginal opening, uncomfortable, air bubbles coming out. Is the stone still present and will there be pain and blood involved? | Patient: Hello, I am have been in the process of passing a kidney stone for the last 2 weeks. I was diagnosed in the emergency room and referred to a urologist . I haven t been able to be seen by the urologist because there is only one office in my area so appointments are hard to come by, let alone even receive a phone call in return. The past few days I thought I possibly had passed the stone without realizing it. However, today I feel as though it is sitting at the opening of my vagina and I feel it more so when I urinate. It is more of an uncomfortable feeling rather than actual pain. Also, I am experiencing what seems to be air bubbles coming from that area. Not passing gas, just very small air bubbles . In your opinion, do you believe that the stone is still present? Are these bubbles normal/have anything to do with the passing of a kidney stone? Also, what can I expect when the stone actually passes? Will there be a great deal of pain and blood involved? Doctor: Hi, Welcome to HealthcareMagic forum. Renal stones less than the size of 10mm are flushed out easily without major complications. It occurs in 2 stages - origin till the urinary bladder and from the bladder to outside. Pain, abdominal cramps, bloody urine and discomfort which are usual accompanying symptoms as the stones pass out is found only in the first stage. Second stage is asymptomatic and rarely one can experience flattened stream of urine or double stream urine. From your description, your symptoms are unlikely related to renal stone passing. The discomfort in the vaginal region is probably due to localized infection. Consulting your local gynecologist will be helpful. Drink plenty of fluids and cranberry juice can help in the meantime. Also important is to abstain from unprotected sexual intercourse until complete recovery. Hope this helps. Wish you good health. Regards | 51,453 |
Could redness around mouth after feeding wheat be a sign of Coeliac disease? | Patient: Hi, my son is 6 month old. When he was 5.5 months, I started giving him cerelac wheat (stage 1). I noticed redness around his mouth after feeding him so I discontinued wheat and tried rice. That did not cause any redness around the mouth. Did he has wheat allergy? Is he in a danger of developing Coeliac disease? Doctor: Hi, welcome to HCM. In celiac disease, the child has gluten sensitivity at intestinal region that is at small intestine. I think it's just a coincidence that you have given wheat to child and his mouth near lips became red. I have not seen a single case of celiac disease with this type of history although i have seen many. I think that your child doesn't have celiac disease. If you want to be 100 percent sure than I suggest you to do TTG levels in child, it will clear all your doubts. I hope this has helped you. Take care. Regards - Dr Deepak Patel, MD Pediatrics | 171,076 |
Suggest the duration of treatment for prostatitis | Patient: Suffering from prostatitus,my urologist has suggested Loxof by Ranbaxy,Niftran and Urimex by Cipla n Urikind n suggested urine culture for sensitivity.Please suggest duration for treatment.Whether the abve disease is completely curable. Please advise. Doctor: helloThanks for query .You have been diagnosed to have Prostatitis and is prescribed Loxof,Urimaxand and Niftran by your Urologist .Prostatitis is a notorious disease and embarrassing both for patients and treating physician .It takes long tome to get cured hence one has to take appropriate antibiotic for 6-8 weeks .I would suggest to get swab test and culture of urethral discharge obtained after doing prostate massage so that you can take appropriate antibiotic as per culture report .This will help to resolve the issue faster .Dr.Patil. | 197,268 |
Undergone laparoscopy for gall bladder removal. Had bile leak, acute pancreatitis and had ercp. Walking helps? | Patient: I had my gall bladder removed 3 weeks ago via laporascopic surgery. The next day I had to go back to the hospital for severe pain which was a bile leak and the flowing day had an ercp and stent put in. Then got acute pancreatitis. I was in the hospital 7days. I will have another ercp in 2.5 weeks and have stent removed. Still having some discomfort on my right side of abdomen but tolerable. Still very fatigued and out on medical leave. My question is would it be helpful to start walking to build up my strength or is it to early? Doctor: Hi and welcome to HCM. Usually we suggest patients to walk 10-14 days after surgery so if this passed then there shouldnt be any problem. Bile leakage is rare but possible complication of CH-tomy. Stent removing is simple procedure so there is no need to be concerned about this. This is done on the same way as stent was placed. More important then physical activity is dietary changes. You sgould avoid alcohol, fatty food and smoking till your liver ann pancras recover. At least 2 months. Wish you good health. | 59,168 |
Is the scar, fibrotic PTB with dry cough curable ? | Patient: hi,i was about to go abroad for a job and i received my medical exam and it was diagnosed that i have a scar, fibrotic ptb. i have a dry cough but i have no fever.was this scar curable? was this scar may always affect everytime i go for medical exam ? Doctor: Thanks for your question on HCM. I can understand your situation and problem. You are having fibrotic scar due to old healed tuberculosis in past.So i advice you to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAL ( Bronchoalveolar lavage ) analysis to rule out active tuberculosis. CT thorax is far better than chest x ray for the evaluation of fibrotic scar.Bronchoscopy and BAL analysis is more superior then routine sputum examination to rule out active tuberculosis. If both are normal and negative for active tuberculosis, then you can argue with visa authority about not having active, infectious tuberculosis and your x ray lesions are only healed, inactive scar lesions. So consult pulmonologist and discuss all these. | 80,794 |
Suggest treatment for pain and stiffness in mouth after filling | Patient: Went to dentist on Jan 26 for routine cleaning and a white filing on a wisdom tooth. It was not a big filing. Had to be frozen with, i believe, 3 needles. Drilling was short and everything was painless even though I was told it was a difficult area in the mouth to reach. I was fine for a couple of days then on the 29th Jan. I started feeling some tenderness around tooth. This escalated to soreness in upper and lower gum/jaw area on side of filing. Went to dentist on Feb 1st and he told me everything looked fine and to take Advil for pain and wait and see. Pain got worse and it was dificult to open mouth or eat. Went back on Feb. 3rd, dentist had a look and I was told there was an infection. I am now taking Amoxicillin. Dentist said I probably chewed on that side while I was still frozen(which I didn't). What are your thoughts. Does this happen easily and often? Doctor: Thanks for using Health Care Magic. Read your query. Pain in the filled tooth continuosly and increase in swelling can be probably due to the presence of underlying infection in the last tooth. Amoxicillin can be continued as adviced. I would advice you visit your oral surgeon and have a radiograph done.If the tooth can undergo root canal treatment,please go ahead with.If not have it extracted.Removal of the filling will provide relief. Do salt water gargling. Hope this was useful. Thanks and regards. | 183,029 |
Suggest treatment for shoulder pain while suffering from cancer | Patient: I have a question my friend that has cancer and on morphine and tremadole for pain is having a lot of pain in the shoulder blades and chest, he said that he thought he was dying last night. he is also on laxis and pottatsiom what do I do he goes and sees his cancer doctor on Friday Doctor: Hello dear. For relief of cancer pain in your friend case. the dose of morphine and tramadol can be increased. Also other form of narcotic like buprenorphine patch and fentanyl patch can be prescribed. Hope that solves your question.regards. | 153,045 |
What diet is advisable for a Glucose-6-phosphate dehydrogenase (G6PD) deficient infant? | Patient: hi! my baby is now 11 months old and he has G6PD syndrome.i had normal delivery by the way and he weighed 2.8 kg. can you give list of right foods, drinks and vitamins for him? can you tell me an example of what foods and vitamins?he is okay as i can see him everyday.but of course there are really such times that he is suffering from cough, flu,headache.i am still worried. thank you. Doctor: Hi....in G6PD deficiency individuals sulphites should be avoided. I am here with giving you a list of foods that can contain sulphites. I admitting that I have collected this information for the internet as I feel it my responsibility to guide you through when you are here with a query.Sulphites are often found in: baked items, like cakes and cookies bottled lemon and lime juice frozen or canned fruits and veggies cornmeal and cornstarch crackers sauces like ketchup and mustard processed meat, like hot dogs and sausages dried fruits and veggies (including raisins) dried spices and herbs tea fish and shellfish fresh grapes jams, preserves and fruit pie fillings lettuce fruit and veggie juices prepared potatoes (like frozen fries, dehydrated potato) chips and candy prepared rice and noodle mixes soy products processed tomato (like tomato puree or tomato paste) vinegarRegards - Dr. Sumanth | 170,815 |
Irregular periods. Had Implanon but has expired. Chances of pregnancy and irregularity a side effect? | Patient: my Implanon has expired for approx 2 months now, I have had numerous occasions of unprotected sex as I didn't realize it was the 3 year mark already, I was wondering how likely it is that I could be, or can get pregnant. as for my periods, I was getting them for three months at a time, the whole on my Implanon, with only 1 week off them approx inbetween each 3 month, but as of late, they are all over the place, I can have them for a day, or a month, is there a reason for this, or is it just side affects from Implanon? Doctor: Hi,Thanks for the query. As you had unprotected intercourse after completion of the time period of the implanon, protection from pregnancy can not be expected now. Irregularity in menstrual cycles is common while being on implanon. After completion of the time period of the implanon also, it may take some time for regularization of the hormonal levels. So that may be one possibility for the irregularity of your cycles. Better to consult gynecologist once and get examined. Go for blood test for pregnancy. If the test comes negative, the possibility of pregnancy is less. Then with your doctor's advice, you can take tablets to control the spotting. And choose some regular contraceptive method. Take care. | 225,418 |
Can precum lead to pregnancy? | Patient: Me and girlfriend just had sex without the use of a condom. She was recently off her birth control for three days before being back on them for the past 4 days. I pulled out beforehand and notice there was already some "stuff" on me when doing so. What are the odds of my girlfriend getting pregnant? Doctor: Hi, I think there is a chance of pregnancy. So, she should take some emergency contraceptive within 72 hours. If not possible, if her periods get delayed, do a urine pregnancy test at home. If positive, consult a doctor if you don't want pregnancy. If negative wait for your periods. Hope it helps. Regards Dr khushboo priya | 1,426 |
Suggest treatment for skin rashes and itching | Patient: Hello, My granddaughter is seven yrs. old has a rash in both arm pits and behind the knee. Heat brings it on and so does swimming in the lake. After swimming it was so bad her face swelled up and the itching is horrible. Please advise. Thank you Doctor: Hi, I had gone through your question and understand your concerns. If I were your treating Doctor for this case of rash, I would come up with two possibilities, these include: The first possibility is of Sweat rash. Diagnosis can be confirmed by dermatologist and appearance in time of heat wave. To help control the sweating ,you should use Nyacin or other powder to affected areas.The second possibility is of chlorine water in the swimming pool as it may cause allergy, dry skin, itching. I suggest-Antihistamines-Cetrizine 1 tablet once a day for 10 days.-Before swimming take shower and apply oil for protection skin and hair, after swimming take shower and apply moisture cream. Hope this helps. | 173,535 |
Suggest treatment to get conceive | Patient: Hello Doctor, I am 27 Year old woman, I am planing for baby since last two years and did not get any success, I got two abortion in this period. The Cyst was only 5 to 6 weeks old. The date was Jan 2010 to Apr 2010. After that there is no pregnancy achived. Please help what should I do. Do me or my husband any medical prescription pla advice? Doctor: Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Nitasha Khan. I have read you question completely, i understand your concern and will try to help you in best way possible.you are young and healthy there is no reason wjy u shuldnt be able to cncieve just make sure you get al the tests done like ultra sound hormone levels every thing than doc wil be able to figure out whts the prob do it like fr ur self and also do ur husbands semen analyisis that wil help mean while stay happy and calm eat healthy and you wil be fineI hope this answered your question.If you have more queries I am happy to answer.Otherwise rate and close the discussionRegards.Dr.Nitasha Khan | 41,265 |
I am having pigmentation problem while taking hormonal medicines so which medication should I take for menstrual disorder PCOD ? | Patient: hello sir, i m suffering from the menstrual disorder PCOD ..... for that gynaecologist has prescribed me the hormonal medicine (YAMINI) but during this treatment from the last 3-4 years, pigmentation( brown spots on nose, forehead, cheeks) is developing which becomes more prominent in the sun outside.. my complexion is changing day by day ... please suggest me for the same.. one doctor has given me TOPI BEBERIS cream... wat about dat doctor.. Doctor: Hi dear mani.., Thanks for choosing HCM.., TOPIBEBERIS....contains.Berberis Aquifolium 10% w/w, Cream base q.s. It is indicated for all forms of skin diseases...., such as psoriasis and also in acne...., Topi Berberis mainly indicated in the symptons and supporst the healing process of psoriatic lesions.., It is suitable especially for the subacute and chronic phases and it can be used for stabilisation during sympton-free periods., also indicated in eczemas.., So it is not indicated for PIGMENTATION....no role on Hypermelanosis.., Hence follow this treatment.., 1) Morning use...SUNSCREEN LOTION..., 2) Night times ....KOJIC CREAM...contains...Kojic acid, Azeloglicina and Lactokine.., 3) Cap..Derantox daily for 30 days....Curatio company.., good luck...thanQ | 11,952 |
Should a flap of skin in the inner cheek after an injury be removed? | Patient: ..hello my daughter bit the inside of her cheek and now it is swollen with little flap. Will the flap have to be removed? It isn't flapping or moving but rather a swollen little piece protruding Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your daughter have bit the inside of her cheek and due to mucosal injury there is swelling, pain and a swollen little flap.Do not worry as it will gradually heal in about a week.If it is painful apply Lidocaine gel over it.Sucking ice can help in reducing inflammation.Feed with cool and bland fluids and avoid spicy and hard foods.In case if it does not improve in a week consult an Oral Physician and get him checked.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora | 180,477 |
Suggest dosage for Tramadol | Patient: I started for pain tramidal. 200 mg pills 3x a day. I m not sure how it got this high over past year. I was on 200 am and pm I m a62 year old man I have been depressed forever andhave been on Effexor time release 150 mg for years. I found tramidal not only helped my arthritis and migraines from a prolactinoma but it helped with depression. I found I was hung over in the morning so added a pill around 4 am which then was not feeling bad in the morning. And went up to 200 tid. How do I wean off. Doctor: Hi,Tramadol is analgesic and also it has an anti depressant effect. You can wean off by decreasing the dose gradually by 50 mg every 3 days. Other way is to take another pain killer like ipbrufen and to stop it all of a sudden. Yet I would recommend that you should be under medical supervision for that.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Walid Hassan | 205,391 |
What does grey streak across the bottom of testicle indicate? | Patient: I just discovered a slanted grey streak across the bottom of my testicles, I'm 32, it has never been there before and I have no STD's, UTI came back negative on my uralysis, urine is dark yellow and really smells, I'm scared and I'm away from home traveling where my health ins. doesn't cover, been on Penicilln and Flagyl anti-biotics for 4 days, please help, thank you Doctor: Hello,It may be a scrotal vein or it may be fungal infection or localised vitiligo etc. Until examination is done it is difficult to say what it is. If it is associated with itching then you may use local anti-fungal cream. If not then consult with your dermatologist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist | 192,347 |
What causes dizziness with a shivering body? | Patient: i just stood up and went really dizzy. i couldnt see anything and stood against the wall so i didnt fall. all of a sudden my whole body started shaking and i could feel my legs giving up on me and were shaking until i managed to slide down the wall and sit down. i dont know what just happened to me Doctor: Hi, I had gone through your question and understand your concerns.In my opinion you were experiencing a faint like episode which is basically a lower extremities venous incontinence which cause decreased cerebral perfusion pressure (which is less blood in your head). Make sure you get enough liquids, if you are hypertensive under treatment you should check the therapy with your cardiologist and at last if this happens again you should do a Doppler Ultrasound of your lower extremities.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. | 146,372 |
What causes right upper quadrant pain after gall bladder removal? | Patient: My wife got her gallblader removed due to gallstones. A couple of months later she starts having a mild pain in the upper right quadrant of the abdomen. Liver enzymes normal. A month later a sonography showed mild hepatomegaly otherwise unremarquable. She has minor beta thalessemia. What dies that all mean? Thanks Doctor: Hi thanks for contacting HCM...Your wife have post cholecystectomy pain...It can be due to bile leakage over adjacent area....So producing pain .Sometime such pain can remain for months....Your wife having beta thalesemia minor that is congenital hemoglobinopathy.Usually asymptomatic but if hemolysis occurred due to some reason then hepatomegaly can occur as compensatory extramedullary erythropoiesis.Take low fat diet....Fruits more....Fried and junk foods less.Take care | 54,238 |
Suggest treatment for elevated liver enzymes and fatty liver | Patient: Over the past 5 years, my liver enzymes have been up and down, mostly up and now I just found out my liver is enlarged from CT scan. I also have a marble size hard spot in the upper right quadrant of my abdomen that hurts to touch. My Dr. says I have fatty liver, which I believe, but I do eat mostly healthy foods and not much meat. So my question is how do I have fatty liver and it is that, that is really causing my tenderness and pain? I m also a redhead and fair skinned. Sometimes that plays into medical diagnosis. Thanks! Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). There are many causes of fatty liver disease apart from taking high fat diet like hepatitis B/ C, metabolic disorders, autoimmune disorder, alcohol or drug intake etc. So for this you require evaluation and then appropriate management. So I will suggest you to visit a gastroenterologist for evaluation. Fatty liver leads to enlargement of liver and thus streching of the capsule that covers liver leading to pain. So it may be the cause for pain under the right ribsI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. | 55,611 |
Suggest treatment for mouth infection and ulcers | Patient: Dear sir. My name is Ramprasad. I am 45 years old. I am suffering form mouth infection and ulcers from past 3 - 4 years . I used to chewing gutka 5 years back . Now I stopped completley that bad habbit. I have contacted many doctors . I made biopsy(test) flesh pice of baccusa . the result is normal.though It was not cure .recently i have know that I have Aneamia . pl suggest which treatement is suitable me My email ID YYYY@YYYY Doctor: Namaste,Recurrent mouth ulcers and infections in a person of your age may also be due to poor dental health. Please get a dental examination done alongwith scaling and cleaning if required. Mal-occluded teeth can also cause ulcers.If you have anemia then you need to have protein, iron and B-vitamin tablets. Have a protein rich diet-eggs, meat, dals alongwith Iron and B-vitamin tablets which you would get at any chemists. After 2 months of having these tablets and a good diet you can get your blood profile done again which would see if you have improvement in anemia.thank you for your query | 36,066 |
What causes white vaginal discharge and itchiness after taking Plan-B? | Patient: I took plan b in oct a week after halloween. The week aftet that i started having this white discharge nd i started itching down there. Ive never had that itch until i took plan be. It is Jan and im still having that discharge n itch problem..am i allergic to the pill? Doctor: Hi, I think you can be having some vaginal infection. Get yourself examined by a gynecologist. you may need some antibiotics and antifungal drugs. Vaginal pessary may be needed. Hope I have answered your question. | 223,509 |
Angry, tired, scream on every one, child birth, crying always, can't do any work. Cause? | Patient: why do i feel so angry and tired i cant stand anybody even my kids and husband i was such a good mommy for the first 3 months of having a new baby now i dont even want to deal with him any more im so mad at myself i cant sleep or eat i dont even want to play with him m crying allthe time and if im not crying im yelling at my husband or my other kids i feel so horrible the house is a mess i dont cook or do laundry anymore if my kids are hungry they ave to get something themselves or wait for me or my husband to do it. why am i like this now when i was such a good mommy and wife before? Doctor: Hello friend ,Welcome to Health Care Magic .,I read your concern and you are perfectly normal . There is nothing to worry .Hormonal variations can occur at many time as age advances , there is nothing to be depressed ..I suggest you to speak to your husband about your health condition and he will help you to relax from stressful daily activities.I would suggest you to relax and spend time with family as trip to nearby places to help in control mind and fight against depressions .I would recommend Tablet Fluoxitine at noon time and Tablet clonazepam 2mg and citalopram at night after food .This drug will help you to be enriched with healthy thoughts like before .Ask help from your consulting physician to help you more before starting on medications.Hope this information is useful .Thanks & Take Care. | 211,600 |
What is the solution for lump and bruising near incision after heart catheterization? | Patient: I had a heart catherization a week ago and have developed a lump under my skin at the incision about 3-4 days later. the incision looks find it is not bleeding, red or sore but I do have excessive bruising around my thigh near the incision. What should I do? Doctor: Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.Angiography or cardiac catheterization is done through one of the major arteries in either your arm or the leg. Arteries are high pressure flow regions. Add to it the fact that they give blood thinner during the procedure which delays clotting of blood at the site where the prick was made. Due to this some blood from that high pressure area escapes from the artery and collects under the skin immediately after tge procedure or during removal of arterial sheathThat blood is then broken down by the body to give a purplish color.It is not permanent and will disappear in due time. Meanwhile if it causes pain you may use cold compresses or a sandbad to alleviate itI hope this answered your question, if you have more feel free to ask.RegardsDr.Asad Riaz.General and Family Physician.. | 23,906 |
Can consuming expired medicine cause any problem in kids? | Patient: I gave my 4 years old son (40 lb) an Ultrafen (iBuprofen) 200mg suppository (to treat 38.8C fever). After one hour he got a rash all over his body and I discovered than the medicine was expired (12/2010). His temperature is down now and the rash is gone.Is there anything I should do now? I gave him one (from the expired suppository) yesterday too. Doctor: HI...as of now you need not worry if he is other wise active. But as there was rash on his body, I suggest you take him to the nearest physician and get his vitals checked.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., | 170,033 |
What is the treatment for chronic cholecystitis? | Patient: hey doc, my relative is diagnosed(ultrasound report) with chronic cholecystitis with cholecystitis with no evidence of extra hepatic biliary obstruction with bilateral calculi with retroverted uterus with average thickness endometrium with right cystic cystic ovary... plzz suggest me what should we do now?? and also about prognosis? Doctor: Hi and welcome.Prognosis is that it may cause recurrent pains during the life and the best solution would be to do surgical removal of gallbladder and this can be done laparoscopically today so you should see abdominal surgeon if you ask me. Everything else would just be not efficient enough.Wish you good health. Regards | 53,769 |
Trying to conceive, vomiting and fainting, allergy in uterus, taking candid-v6 vagina tablet | Patient: this is AAAAAAA i am 26yrs old, i am planning to get baby, but few days ago i have prob in vomiting sensation and faint, met with dr and she said bz of acidity it happens and also allergy in uterus , she prescribed candid-v6 vagina tablet, is this affect? If i will except my baby this month? Doctor: HelloThanks for your query.Candid is given for vaginal yeast infection.The tablet would not affect your pregnancy in case you conceive this month.Take regular folic acid supplements if you plan to conceive.All the best. | 5,255 |
Suggest treatment for lower back ache due to compressed vertebrae | Patient: hi..i've been having a lower back ache for about a month..went to a hospital,took an x-ray and it showed that i hav a compression in my lower vertebrae...i had physiotherapy for a week,..but tha pain has come back again...what should i do to get my vertebrae back in position? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Compressed vertebrae does not get back to its original position.2. It can only be controlled. Use Lumbar support to support the vertebral column and also try lumbar exercises/ lower back muscle strengthening exercises.3. With activity, pain will increase. Take rest as required and use lumbar support during activity.Hope it helps.Any further queries, happy to help again. | 109,969 |
What causes lower back spasms which radiate to the obliques? | Patient: Hi, I had an L4 laninecomy and some opening of L4and 5. This was done in late November, this past Wednesday afternoon I started to get several back spasms in my lower back that radiates to both obliques and down to both flutes. I can t seem to shake it. I ve been on long term disability since June of 2014. I have several other spinal issues from top to bottom, you name it I ve got it somewhere. Can you give me any Insight? I ve got a message into my neurosurgeon but it won t be until Monday before I hear from him. I take 3 different spasm mess take narcotics as well, I visit a Chiropractor 4-5 times a week as well. Doctor: Hello, As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | 125,736 |
Suggest treatment for cracks and patches on feet and palms | Patient: Hi greetings of the day ! Doctor I am having Psoriasis, Both foot having patches and cracks. As well both of palm having same from problem may be last 3 years. I undergine CABG3 Jan 2009. These patches disappear with the usage of Propsalsilic Oint NF 6, clonet with xerina creams. But again reappear over a period. I was given Methotrexerate 7.5 mg for 4 weeks. Once in a week. Could you please advice me. Thanks and warm Regards Jagannathan Doctor: Hello, palmoplantar psoriasis disrupting the day to day functioning is an indication for methotrexate therapy,i would like you to visit ur dermatologist for evaluation of the extent and severity, to be able to start the treatment accordingly.psoriasis is a chronic relapsing condition, relapses are common, so, once the lesions get resolved, apply bland emollient like moisturex soft cream on the palms and soles daily and precipitating factors, if any, should be avoided.ThanksTake care | 12,262 |
What causes itching red spot on knee? | Patient: I have a red spot on my left knee that at first looked like a mosquito bite but came to a head yesterday and then started oozing yellow pus. Now I have another sore starting on my right calf. Both are itchy. I ve been fighting a bad cold for 10 days and am concerned that these may not be bites. Thoughts? Doctor: HI, thanks for using healthcare magicIt is possible that they are bites that have become infected. Bites can become infected when bacteria is introduced from under the nails during itching.It is not likely that they are linked to the cold that you are currently fighting.The use of topical antibiotics may help but if they do not resolve with topical treatment then oral antibiotics would be needed.You should also consider repellent to prevent further bites.I hope this helps | 100,212 |
What is the treatment of high bp problem ? | Patient: i have started taking targit-80 for last 16 days to control high BP, stopping losartan-aproblem: BP level went up 150/100 which usually remain in the level of 120/80. Doctor made this change because of swelling in leg/ankle. I am having headache also.Kindly advise. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have high blood pressure. If it is not controlled by loraston then you should consult your physician and set the dose of drugs or changed to other antihypertensive medicine. 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. | 116,676 |
Will I get pregnant again after having intercourse and also having previously aborted ? | Patient: i had intercourse with my husband on 22nd day after taking a abortion pill during abortion bleeding was for 5 days and the abortion was complete, now due to intercourse on 22nd day will i become pregnent again Doctor: Hi! You can get pregnant as soon as two weeks after an abortion. Your body normally will go back to it's regular cycle, and release an egg (ovulation) at 2 weeks post-abortion. So you have chances to become pregnant again. | 6,456 |
Acne,Isotroin led to dry skin. Is Wysolone safe? | Patient: hie, m 22yrs n i had sever acne for the last 3 yrs.. i was put on isotrion for 6months which helpd me getn rid of acne but after i stopd it after a month i started getting dry skin near neck area n face.. now the doc has reccomnded wysolone 20 fro 5 days... is this medication safe? Doctor: Hi...dear Sweety.., Thanks for choosing HCM.., Follow up treatment is not good., Hence U get ACNE again and again..., So follow ..., 1) Tab..ISOTRETINOIN...20 mg for 2 months..., stop 1 month again start drug for 2 months.., then stop for 3 months...this is called PULSE .., therapy is best for prevent recurrence.., 2) Topical 1 % CLINDAMYCIN 2 times daily.., 3) Tab..AZITHROMYCIN 250 mg for 3 consecutive days..., and stop...after 1 week again start 3 consecutive days.., then stop for 1 month..,will prevent recurrence effectively.., 4) Take plenty of fruits and green vegetables.., thanQ.... | 7,728 |
Is ectopic pregnancy recurrent by nature? | Patient: On Saturday the 4th of march I woke up with tender breasts and the following week I had brownish discharge. I didn t take this very seriously until it continued. I then decided to take a pregnancy test where I discovered I was 3-4 weeks pregnant. The next evening I was in bed asleep and woke up with excoriating pains almost biting through my arm unsure of the situation my partner rushed me to hospital. I was in so much pain I thought I was about to die. It was at that moment I was told it may be an ectopic pregnancy and that I would have to be rushed into surgery. 1am surely this could not happen ? Well it didn t I was given all the pain medication and taken to a room where I would sleep and in the morning I would go get checked. By the time morning came I felt almost better I could walk again I was feeling fine - I had the scan and the doctor picked up that I had a 5cm cyst on my right ovary but thought that I wasn t in as much pain to have an ectopic. My pregnancy was still very early and so my readings were very low and unable to show any signs of a baby how ever there was a concern. The next day I went in for what I thought would be a DNC and came out completely shocked that I had double trouble a cyst on my right ovary and a ruptured ectopic pregnancy on my left Fallopian tube. Both removed. it was also very much of a shock that I was 8 weeks pregnant and not 2-3 weeks like everyone had thought. My question is what are my chances of ever having another ectopic pregnancy because I am so nervous to ever try again one day in the fear that I will go through this again. I am so scared that I am not worthy of myself if I cannot have children and I will feel as if I m letting my partner down too. Doctor: Hello,I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-hCG titres are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in he diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps. | 218,974 |
Suggest treatment for a tooth cavity when diagnosed with multiple myeloma | Patient: I am in remission for multiple myeloma. I believe I have a cavity or two and am worried about going to my regular dentist. My bones are exceedingly fragile. I have suffered 3 broken vertebrae, 2 broken ribs, and a broken toe. I have I lot of lytic lesions and some of them are very large (hand size). I worry about the amount of pressure the dentist will have to apply with the drill possibly breaking either my jaw or my cheekbone. Doctor: Hello,As per your query, you have symptoms of tooth cavity when diagnosed with multiple myeloma. Need not to worry. Treatment depends upon depth of carious lesion which can be diagnosed after taking oral periapical radiograph.I would suggest you to visit oral and maxillofacial surgeon once and get it examined. Start treatment accordingly. Go for oral prophylaxis and superficial carious lesion removal which don't require much tooth structure loss.Chew on sugar free candies and stimulate salivary flow. Drink plenty of water and fluids. Maintain proper oral hygiene.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari | 180,770 |
What causes pain in lungs after kicking chest? | Patient: My girlfriend got kicked on the chest and she passed out. After gaining consciousness she couldn't eat any solid foods. The pain is coming from where her lungs are but the kick was at the middle of the chest. Is there any serious injuries with this attack? Doctor: Hey thereYes this kind of trauma can lead to serious injuries.Pain might be due to injury to lungs and about dysphagia she might having injured her upper gastric system. | 74,893 |
What makes one lazy after taking medicines for a sinus infection? | Patient: Hi This is Shaji Mohamed 25 Years old. I am having Tablets for Sinus problem. My doctor gave me three tablets for morning session and one for night session. After having the morning session tablets i fell so sleepy and lazy.Those tablets are 1. L-Cetal Levocetrizine 2. Omnacortil -5 (prednisolone) 3. Becozym (Vitamin B Complex Forete). Doctor: The Levocetrizine should be taken at night. It is an antihistamine tablet which is usually given for allergies including nasal allergies. It can cause sedation or sleepiness. So it has to be taken just before you goto bed at night. I do not agree to the treatment that you got from your doctor for sinus problem. If you want to consult me for a more proper management, I can help you. Take care. | 34,729 |
Shingles, catnip tea, itching around ribcage, three kidneys, solution | Patient: I have shingles , I had medicine and taking catnip tea now both has not stopping the itching -i am now burning and itching around my rib cage on my left and right side more to the left. In the past three weeks I sometimes had fever and sweat when I do house work just in that area of my body that only happed once - I also have have had three kidneys should have two one was under developed and I am wondering about it its at the top of my stomach and bothers me all night with a dull sensation and a little pain Doctor: HELLO & WELCOME TO HCM FORUM YOU ARE SUFFERING FROM SHINGLES WHIACH IS ALSO CALLED AS HERPES ZOSTER LESIONS ARE SOMETIMES VERY PAINFUL WITH ITCHING VIRUS OF THIS DISEASE IS GENERALLY PRESENT IN OUR BODY IN DORMANT STATE AND MAY GET ACTIVE DUE TO STRESS, DURING MENSE, SUN EXPOSURE AND ANY DISEASES LOWERING YOUR IMMUNITY. YOU SHOULD TAKE ACYCLOVIT 200 MG 5 TIMES OR FAMCYCLOVIR 500MMG BD FOR 7 DAYS APPLY ACYCLOVIR OINTMENT AND CALAMINE LOTION ON THESE LESION IT IS GENERALLY ON SKIN AND MAY SOMETIME INVOLVE YOUR FOOD PIPE (ESOPHAGUS) AND INVOLVEMENT OF STOMACH IS VERY RARE. IT DOESN'T AFFECT YOUR KIDNEY TAKE CARE AND GET WELL SOON DR.MAYANK BHARGAVA | 51,497 |
Suggest remedies for chronic HBV | Patient: Hi, I am a chronic carrier of HBV according to tests ( HBSag and Alisa ) of last 3 years . But a week ago i got tested myself for liver function and HBSag by PCR-Quantitative Which shows that my liver is functioning properly and PCR-qtt. value is below detectable assay ( i.e 50 IU/ml ) . Is there any possibility that i could get rid of this +ve report of basic screening because In countries like Pak , No0ne does PCR-Quantitative for job etc. My carrier is on peak of risk ! please do guide :( Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I can understand your concerns. Presently there is no need for any treatment since the virus is in inactive stage.Present medicines available for the treatment of HBV do not lead to negativity of HbsAg what they do is they suppress the viral replication and keep HBVDNA to low level only.I hope I have answered your query and this will help you . Wish you a good health | 55,446 |
What might be the reason for soreness in the cheek bone and swelling in the jaw? | Patient: I have been having an issue with my cheek and possibly parotid gland. My cheek feels like it could have a canchor sore internally under the cheek bone. If I rub it slightly it aggravates it and then when I eat under my jaw swells up quite noticeably but goes down within the hour or so. I am on my 10th day of antibiotics and feel like the issue is still there. Any idea what it might be. It s been about 3 weeks Doctor: Hi, It can be due to stones or inflammation in your salivary gland also known as sialadenitis. You can consult a general surgeon and get evaluated. You have to take an ultrasound scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. | 126,968 |
What causes severe nausea, mild headaches and fever when diagnosed with chronic sinusitis? | Patient: My daughter has chronic sinusitis. She was told that they could do surgery but no guarantee it will fix the problem and it is very costly. For the past couple of weeks she has been getting very nauseous, has chronic mild headaches and now feels like her lungs or something in that area is bruised, plus she is very hot most of the time lately. Can all this be caused from the chronic sinusitus and the fact that she throws up mucus and phlegm almost every day? Doctor: Hi thanks for asking question.In chronic sinusitis headache , vomitting can occur as constitutional symptom.So your symptoms can be because of that.For that you can take antiematic and analgesic may needed.Functional endoscopic sinus surgery if possible has to be done.The viral sinusitis infection may lead to secondary bacterial pneumonia or bronchitis like infection of lung.chest x ray done for it.Meanwhile to relieve congestion take daily steam inhalation.You can use eucalyptus for steam inhalation.Eucalyptus cough lozenges or syrup might be helpful.Sameway oregano oil also sooth respiratory tract.Osha root and peppermint also useful in respiratory conditions.I hope my suggestion will be helpful to you. | 31,328 |
What causes lower abdominal pain, heartburn and spotting? | Patient: Last week Tuesday I had a dark brown stain on my underwear, it went away, this Monday I had a pink tinge on the toilet paper when I wiped, it only happened once through out the day, yesterday it happened again but a little more red than pink, it happened twice during the day, today it happened again, I am having a little pain on my lower abdomen and I woke up with really bad heartburn, all pg tests are negative. What could this be? Doctor: Hi! Good evening. I am Dr Shareef answering your query.If you are sexually active, this could be a missed pregnancy or could be a manifestation of PID (pelvic inflammatory disease). If I were your doctor, I would advise a serum HCG test and an ultrasound abdomen if need be to rule out a missed pregnancy or any pelvic pathology, a urine test (routine/microscopic/culture sensitivity test), a complete blood count, and a vaginal swab for culture and sensitivity test. Management would depend on the result of a physical examination, and related investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 88,344 |
What causes lump on top of head post injury? | Patient: My 5 year old has a lump that sticks up and is hard enough to feel like a bone or cartlidge is sticking up (on the top of his head). His uncle said he hit his head on the counter almost two weeks ago and my son was pretty upset but there was never any blood. The bump has not gotten smaller and is very noticeable. I, along with his father, teacher and grandma, are concerned! There is also a patch of dry, flaky skin (almost reptile looking/feeling) where the bump is. How concerned should we be?? Doctor: Hello dear,The lump formation on the forehead is due to accumulation of fluid & blood and it is called Hematoma.The blood cells accumulated are eventually broken down and absorbed in the body.But this is a slow process & takes times to disappear completely.Till that time, symptomatic relief is obtained by analgesics preparations (like paracetamol), ice compression & adequate rest.Since, almost 02 weeks have elapsed since the injury and there is no decrease in size of the lump, it will be better to consult his Doctor.Under such circumstances, a proper clinical+ radiological evaluation will be needed to rule out any pathological cause for symptoms.Till then, maintain adequate hydration & nutrition status.There is no need to worry, your son will be fine.Wishing him a good health.Take care. | 179,918 |
Why am I getting frequent seizures and losing my consciousness? | Patient: hello, I am trying to locate a dr that spelizes in seizures, where a patient loses conciencdeness, and is a friend of mine, I found him in Blackburn, Virginia, patient is around or in her 30 s, had seizures for over 15 yrs (give or take) I witnessed her having a seizure and at that time, she was on Dilantin, and said it caused her discomfort w/ stomach issues, but now her seizures are ore severe, and the family is trying to get her the best help, they can, and they can afford it, but having said that, she is losing concienseness, along with the usual symptoms of grand mal type seizures, these are quite frequent, the family has money, but not very educated on this matter, this is a woman with with 3 young children and I am worried about her, as her friend, I had located a Dr, in Blackburg, Va upon recommendations of someone else that her life was drastically changed for the better by this dr, All I know he is Board Cert, and been in practice in that area, hoping you can help, she is actuially at a neurologist office right now, as apparently the family now realizes after all these years their daughter needs really good and concise help. I am not able to pay a fee, I just noticed this feature on here, I am just trying to save a mother and her children and husband, from losing her,to this problem Doctor: Hi,Thank you for posting your query.I have noted the symptoms of your friend and I appreciate your willingness to help your friend.She needs to be evaluated to find out the cause of seizures. This would require clinical examination, followed by MRI brain and electroencephalography (EEG).In most cases, medicines would be enough to control the seizures. Good anti-seizure drugs include sodium valproate, lamotrigine and levetiracetam.The neurologist would be able to choose the best drug for her.There is no need to worry, as she would do well with appropriate treatment.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in | 148,214 |
Sero negative RA, positive HLA B27. Fever, tiredness, easily bruising. Leukemia? | Patient: I recently had blood work done and was diagnosed with sero negative RA with a positive HLA B27 my monocyctes wer 14.9.I have had radiation in the past. Recently I have been running a fever, I have been having very cold, tired, and been bruising easy. My appetite is poor though I feel full all the time and have also been short of breath and having pain. Feeling as though I have the flu . My grandmother died last summer of luekemia. The Doctor reffered me to a Hemo Oncologist to rule out luekemia. Do you think that it is possible given my results that I could have luekemia? Thank you Doctor: Hello and welcome to HCM,The symptoms of fever, tiredness, easy bruising, breathlessness and decreased appetite indicate anemia, low platelet counts, and constitutional symptoms of chronic illness (e.g. cancer).However, there are other causes of bone marrow suppression like granulomatous infections/ inflammations, infection with parasites like malaria, leishmaniasis, fibrosis, previous radiation exposure, etc.Bone marrow suppression can also occur due to radiation exposure.Consult your hematologist for relevant investigations which includes complete blood examination, bone marrow aspiration, bone marrow biopsy, etc. to come to exact diagnosis.Positive HLA B27 suggests ankylosing spondylitis. It is an autoimmune disease process which damages the joints of the spine.You need to consult a rheumatologist for management of the disease process.Thanks and take careDr Shailja P Wahal | 118,841 |
Is Viagra advisable for an 17 year old? | Patient: hey doc what does Viagra do to a 17 year old male if he was to take after he blows his load and still wants to go at it with his girlfriend, because when we have sex i can't get it up after that, if not Viagra then what else works so i can keep my hard on ?? Doctor: Hello, Viagra(sildenafil) can cause many serious adverse effects and it is not at all recommended at this age. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 192,640 |
Will a possible stress fracture in the base of toe heal on its own? | Patient: I have a possible stress fracture in the base of my 3rd toe. MRI and X-ray showed stress reaction. I don t know if that means full stress fracture. I ran a marathon last week and it is actually feeling Okay. I saw the Dr. yesterday and he sayss that I need to rest it if it is ever going to heal. He said that he could put me in a hard sandal or I could just wear my shoes with orthodics. I prefer not to use the sandal. I teach P. E. and I am on my feet all day. How long will I need to back off from running. I also teach spinning classes and assume that I can continue to do this. Doctor: Hi, Your doctor is right. You have to rest your leg, it will take a couple of weeks to one month for complete recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | 122,113 |
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