tgt
stringlengths 0
320
| src
stringlengths 72
18.8k
| id
int64 1
226k
|
|---|---|---|
What is the treatment for an indentation in a leg? | Patient: Hi. I had an injury to my right shin over 15 years ago. I hit a fire hydrant as I was riding my bike which caused my chin to get caught in between the two. My chin was facing outwards and the fire hydrant smashed my shin which caused in to push my skin in, as a result I had a slight indentation and severe swollen. Over the years I was told I had nerve damage due to the accident, and I always had a very slight indentation. A few days ago I noticed my shin was very sore. It has been sore for a while but it went away and never thought twice about it. Just recently I go to rub it because it was sore, and I realized I have a massive indentation in my leg. It is very noticeable especially when you feel it. I am confused because it was many years ago and now it is taking affect. Thank you Doctor: Hi you had a minor accident injuring your right shin about 15 yrs ago and you feel indentation on your shin which is increasing now. At that time you were told that you have nerve damage . In my clinic practice , for this kind of unilateral swelling with previous history of injury , i will investigate on the lines of Deep Vein Thrombosis, by getting a color Doppler as a first step. Also I would give you compression stockings , anti inflammatory pain killers and limb elevation for a few days. | 132,105 |
Why is doxycycline unable to treat laryngitis? | Patient: hello i have been poorly 4 ten day seen my gp twice he told me i have larynjitis and have been taking doxycline for 8 days i dont feel any better, my ears feel like they have the sea in them when i lie down and also my temperature goes up at night ? any advice will be helpful Doctor: HiThank you for asking Health care magic forum.I have gone through your query. DOXYCYCLINE is a bacteriostatic antibiotic and not so strong against upper respiratory infections. You may need more powerful broad spectrum antibiotics like CO-AMOXICLAV or LEVOFLOXACIN for such cases. Get a consultation with ENT specialist to treat laryngitis more accurately. You may also need to take voice rest for some days. Gargling with warm saline , taking warm chicken soup , Tea with lemon and honey, and chewable vitamin C is good also.Hope this may help you. Let me know if anything not clear.Thanks. | 31,137 |
Suggest treatment for black out episodes during dental work | Patient: Hello I suffer from PTSD and I am Bipolar and I need to get me teeth fixed but I have blacked out at the dentist the last 4 times. how do I go about having IV sedation? this is not safe for me or any one else to work on me if I am going to black out during dental work Doctor: Hello, Before considering iv sedation I would try to take something before the procedure. If it is due to treatment anxiety then perhaps a benzodiazepine taken orally about 30 minutes before the procedure might help you relax and avoid black out episodes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist | 140,653 |
What is dlc-polymorph? How to cure? | Patient: I have been facing itching & reddishness in my body from last 15 days, so i got tlcdlc test in which dlc count is 75% which doctors say is hogh & hence i am facing this problem. Now i am curious to know what is dlc polymorph & what do i need to do get cure? Doctor: Its differential leucocytes count. we have mainly 5 types of wbc. they are polymorphs, lymphocytes, eosinophils, monocytes and basophils. total of that are 100%. each have some normal value. for polymorphs normal value is 40 to 60%. more than that is abnormal. polymorphs increase in many condition, but most common is acute infection. its the most common cause of high polymorphs count.its not a big deal. consult doctors take treatment. after infection subsided it will come back to normal level. | 118,003 |
Suggest treatment for jaundice | Patient: Though TB is negative Dr. prescribed AKT4 to my mother-in-law from 23.09.2014 to 11.11.2014. She denied to take medicine from 12.11.2014 and stopped it. Her age is about 70. Now her eyes are yellow and all says it is jaundice. What to do ? What medicine to be taken? Doctor: Hi, Thanks for posting in HCM.If her eyes are yellow, there could be possibility of jaundice. This needs to be ruled out as some of the drugs for treatment of tuberculosis is known to cause 'cholestatic jaundice' and also might cause liver cell damage as they are 'hepatotoxic'. Now, to confirm jaundice and what type it could be, kindly get her blood tested for 'liver function test'. Also get her urine examined for bile salts, bile pigments and urobilinogen. Don't have to worry jaundice is a treatable condition.Kindly visit a Physician with the report for evaluation and management. Hope the information provided would be useful. | 55,911 |
What causes pain in arm? | Patient: my mother had a diaphramtic hernia repair surgery about 1 month ago and it was a success. she had her instestines pressing against her heart, one of her lungs so they had to have the surgery. She is now experiencing a dull ache (she says like a toothache) in her left arm that will not go away...Her gp prescribed her Tramadol and told her she has a pinched nerve (he thinks), my mother still has pain and it is not helping at all....She thinks it is trapped gas in her arm because she uses a heating pad on her arm and she says she can feel the gas move from her arm to her stomache and then she has flatulence, she told this to her dr but he told her that is impossible. Do you have any idea what this could be from? Doctor: Hi,the explanation that your mother is giving is a common one and most patients feel that way, although that is scientifically not correct.as far as the pain goes, it could be due to any neural compression which may not be related with the surgery she has gone through, a good thorough examination can help come to a cause, which can be substantiated by tests, i would recommend you to contact the operating surgeon for help first and let him decide the course of treatment | 138,787 |
Suggest treatment for typhoid | Patient: hi i m suffering from typhoid(60,nh 120) with bulrubin (range 1.70)...m feeling weakness and abdomen problem...so what preventive action i should take..what should my diet consist of..? and wat medical aid i should take..??? plz reply soon..thanking u in advance.... Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Multi drug resistant salmonella infection is grwoing. I suggest you to do blood and stool culture and sensitivity. This will tell you probable sensitivity towards the organisms. If this method is not followed than there is chance of recurrence of infection. So better option is to take treatment according to the reports.Please take small and frequent diet, instead of full single diet. This will prevent perforation from the ulcer caused due to the typhoid fever.High protein and carbohydrate diet should be taken. Avoid spicy and more bulky foods. Avoid constipation otherwise perforation may occur.This infection transmits either from the foods or from the water. So keep the water and food hygiene maintained in the future so that infection never occurs.Good handwashing practice is also important, this is the most effective barrier can stop the infection from soreading. So adopt this barrier.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. | 34,956 |
Stomach pain after partially protected sex, bubbling noises in abdomen. Infection? | Patient: Right after my boyfriend and I were fooling around with each other (we didn t have sex), my stomach began to hurt and then the next day I got my period. It was really strong. Now, I m on the last days of my period, and my stomach feels hot. It doesn t usually feel hot. My ovaries have a sudden sharp pain to them, and it I could it feel it make bubbling noises. Is it possible for me to feel a pulse down there? Do I have an infection or something? Doctor: Hi. It is hard to say is it infection or something else, but this kind of pain is common at woman. If this is associated with your period then some dismennorhea must be considered. Infection would present with vaginal discharge and fever. common causes are also ovarian cysts ruptures and endometriosis so at least pelvic ultrasound should be done to rule this out.Also you need to check your hormone levels too see is there some menstrual disorder. | 94,379 |
What causes severe stinking and itching in feet? | Patient: Hi I m 19 years old I work in a pharmacy and stand on my feet all daY I ve never had a problem with this before. But one day my little sister who has always had horribly stinky feet wore my shoes and ever since then I ve had stinky feet and they itch like mad when they are hot or wet. I literally have to take allergy pills and apply cortisone cream for it to stop it s a horrible feeling. What can I do and what is this?? Thank you! Doctor: Hi..After reading history carefully, I diagnose this condition as an "Athlete Foot"-fungal infection caused by Tinea pedis fungi. I see such kind of patients attending my clinic with same complaints.I would like to recommend miconazole nitrate ointment twice (two time) daily for 10 days in my practice. Your sister must also be treated in the same way as you require in order to get cured.As athlete foot is contagious and occurs in who walk on barefoot ,I would like to suggest you some preventive measure apart from treatment part to prevent recurrence.1) Wash your feet daily, and dry the skin between your toes thoroughly after washing. This is perhaps the most important point. The soggy skin between the toes is then ideal for fungi to grow.2)Don’t share socks, shoes, or towels with others3)wear sandals in public showers, around public swimming pools, and in other public places4)Wear socks made out of breathable fibers, such as cotton or wool, or made out of synthetic fibers that wick moisture away from your skinchange your socks when your feet get sweatyPlease feel free to contact me at any time if you have any queries.As it is a skin problem, I would like to visit your dermatologist to seek an expert opinion.Regards,Dr.A.HamidFamily Physician and Preventive care Consultant | 30,780 |
What causes elevation in upper back pain while deep breathing? | Patient: hello,i have ongoing upper back pain on the right side where i was hurt with my playmate s elbow while playing volleyball...it was about a week ago and NOW it hurts...the pain increases when i breathe in. i also feel lightheaded my puls is strangly weak and than races when i start walking...it was ringing in my left ear for a short while, i had a few sudden attacks of pain in my chest during the day,i could not breathe normally and then it stopped, also when i was walking lightheaded my teath were i don t know the word...shivering?shaking like when you re cold but i wasn t cold and my body was shaking too...i feel much better now but the pain in my back won t and my chest slightly hurt everyonce in a while . I actually called er but they told me it was an urinary infection which i doubt and therefore need a second opinion. thank you Doctor: Dear friend first of all thank you for consultation.it seems that the chest pain is really bothering you very much.I think perhaps you have injured one or more ribs by the impact with your friends elbow.if any rib is broken then this kind of symptoms are elicited.as far as your shivering is concerned may be it was because of mild undercurrent fever was causing that.so in opinion you should go for a XRay of chest for rib and then seek consultaion of your orthopaedician for your problem.my best wishes for you.thank you. | 107,689 |
Is brown vaginal discharge normal while suffering from flu infection? | Patient: I was just diagnosed with the flu and my period isn t due for another 2 weeks but I ve been having a lot of really dark brown discharge, no sign of blood in it at all. Is this normal? I m not on any birth control or any medicines besides tamiflu and Motrin. Doctor: Hello, Brown discharge can be related to dehydration due to the viral infection. It can be normal. If the discharge continues after the viral infection you should see a gynecologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Dorina Gurabardhi, General & Family Physician | 28,529 |
Could rashes on inner thighs be a sign of herpes? | Patient: I have these rash type thing on both sides of my inner thighs. They first appeared about 3 months ago, went away and now their back. They look a lot like Herpes but this seriously confuses me if they are. I've never had any sexual relations with any body and I don't think my mom has them, even if she did have herpes I was delivered by c section and I haven't had anything like this until 3 months ago. If I have herpes how the hell did they just randomly appear??? Doctor: Hi Dear,Understanding your concern. As per your query you have rashes on inner thighs which seems to be folliculitis and due to frictional heat generation.Need not to worry. I would suggest you to apply warm compresses on affected area and keep this area clean and dry. You should take over the counter antihistamines like benadryl. Avoid wearing synthetic and tight clothes. Wear loose cotton cloths . If condition doesn't get well then consult dermatologist for proper examination. Doctor may examine physically along with taking sample for lab test and skin patch test and start treatment accordingly.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | 12,740 |
Took allopathy medication to treat hypothyroidism. Willing to start homeopathy treatment. How to proceed further? | Patient: sir i am hypothyroidism patent the problem is detected by me on nov 12 i started allopathy medicine on feb 13 and after 30days i stopped it my self, because i thought i have to take homeopathy treatment, but at present my age is 26 yrs, weight is 89 kg ,height is 167 cm,report of blood test is t3-42.06,t4-1.75,t.s.h-286.467, i am confused now what to do now at present i am in thane,Maharashtra.please help me. Doctor: hi i had gone through your query and understand your concerns.first i will appreciate you for want to take homeopathic treatment,because homeopathy is the only system of medicine which follows the NATURAL LAW OF CURE.the cure of hypothyroidism is permanently cure only with homeopathic medicines only.i see similar cases among peoples especially women s who visit my clinic ,and previously they are taking allopathic medicines,some are under controlled, some are not controlled of TSH levels. but complaints are due to hypothyroidism arenot controlled in all patients.after starting homeopathic treatment in all patients without any hormonal tablets their complaints are not only decreased but TSH are also become normal.consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. or mail me at [email protected] hope this is helpful for you, thank you | 97,844 |
What caused severe chest and arm pain in a child? | Patient: a student of mine had severe right arm pain about 4 days ago and when he was in karate class he had severe chest pain and was winded and his right arm was in severe pain. He was taken to ER and they kept him in Children's hospital and ran all the test and said nothing was wrong, could this be true? Doctor: Hi...it could be a myalgia or a muscular pain. Moreover when you quote that he is involved martial arts, this carries all the more importance. The hospital would have been doubly sure before clarifying it as normal . So do not worry about it.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if pain in intolerable. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth | 174,018 |
What causes stabbing pain near the right breast? | Patient: I have a defined somewhat stabbing pain high in my right side near the top of the breast and below the collar bone. I also have a corresponding minor pain in the right low side of the right side of the jaw and gland area, my right ear even feels odd. Doctor: Hello, Right side chest pain may be due to muscular spasm if no associated symptoms are there, and it could be due to wrong posture, second it could be due to hyperacidity beside these it can not be anything else and no need to worry about it, for muscular spasm you can try local muscular rubefacient, and for hyperacidity you can try Omeprazole once in day orally (Tab.) Hope I have answered your query, let me know for further assistance. | 18,065 |
Suggest treatment for sarcoidosis in the lung | Patient: I have been diagnosed with sarcoidosis in the lung and obstructive sleep abnea over the last 5 years. I was taking omeprazole prescribed by a doctor but never diagnosed with acid reflux. I saw a gastro physician and he took me off of the medicine last week. Today I am feeling very tired and sleepy and a little lethargic. What could be the issue . I also have arthritis. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your current symptoms like tiredness, lethargy, sleepiness etc are mostly due to obstructive sleep apnea (OSA). OSA causes carbon dioxide retention. And this is the main reason for your symptoms. So better to get done ABG (arterial blood gas) analysis. If carbon dioxide is high than you need to start treatment for OSA. Treatment consists of weight reduction, exercise, CPAP machine in night.You should also start treatment for sarcoidosis. So better to consult pulmonologist and start treatment for OSA and sarcoidosis. Hope I have solved your query. Wish you good health. Thanks. | 78,817 |
Suggest remedies for external hemorrhoids | Patient: I am 30 weeks pregnant.....I have an external hemorrhoid that has been bothering me the last few days....It seems really big but I don't usually get them so not sure usual sizes but I noticed today that there are about 3 tiny black spots.......it's also bleeding slightly but not from the black spots....what is this and what should I do? Doctor: Hello You are having small bumps on the outer part of anal opening . You are 30 weeks pregnant .So within next 6-8 weeks you will deliver . Now according to your history having superior, middle and inferior veins hemorrhoids . In my opinion use ANOVATE cream .Apply to clean area, up to 4 times a day ;may be used externally or inserted rectally using applicator .Since fetus part developed very well and this cream is mostly not for oral use ,so will not develop any harm to fetus .At present you are nearly on full term pregnancy , so can't take surgical treatment for hemorrhoids .In my opinion this will be useful for you.Good luck | 32,742 |
Suggest treatment for a rash due to poison ivy | Patient: What should I do about my poison ivy? I came in contact with it on Saturday and the rash developed early on Sunday. I don't think it's weeping anymore but I really want it to heal... I have no other allergies, I am a 16 year old girl, and I weigh 120 lbs. Thank you! Doctor: Hello. Thanks for writing to us at healthcaremagicPoison ivy would have most likely caused Irritant Dermatitis. Irritant dermatitis due to toxins or chemicals is usually associated with burning sensation; is sharply defined Or limited to the areas of contact, red to deep red; blistering, oozing/weeping being part of the irritant dermatitis.Take an OTC oral antihistamine e.g cetrizine 10 mg once daily.If I was the treating doctor I would have asked you to use a moderately potent topical steroid, twice daily for a few days. That would help it resolve faster.Topical steroids are prescription products and therefore I suggest you to contact your doctor for the needful.Regards | 14,599 |
How to cure knee swelling after surgery? | Patient: My brother had knee replacement on Dec 1st. Did all the therapy and did well for 3 months. He has had 3 episodes of terrible swelling of the knee and leg and also terrible pain. Drs don t seem to know what is causing all this. He has had to go on sick leave(67yrs old). He s been given steroids which brings down the swelling, etc. But it flares up again. He also has had a bakers cyst on the same leg. His dr will not drain anything due to infection risk. He is very frustrated. Seems that any fluid goes to that knee joint. Do you have any suggestions. He has been resting and icing it a lot through these times. Doctor: Hi,Thank you for providing the brief history of your brother.A thorough musculoskeletal assessment is advised.As your brother had undergone TKR, and he is having baker's cyst, why the cyst was ignored during the plan of the surgery. Usually, due to the formation of the cyst, there is venous insufficiency, i mean, the back flow of blood to the heart is restricted from the lower limbs. Now since everything is done and steroid is also failed, i will have something to workout here.I have seen, many patients with OA knee and bakers cyst. Now this bakers cyst can be get rid of through exercise and the venous insufficiency can be corrected as well. So, lets come to the point here. Your brothers age is 67, so we can expect his metabolism to be slow and the venous drainage to be slow as well. Getting the proper exercise done should help reduce the cyst and also the swelling too.The exercises to perform are -1. Sit and stand in a chair - 100 timesBegin this exercise by performing 25 and then a non stop to 100 when endurance improves. Having a sit adjustment is needed. Now what is his ROM of the operated knee is to be understood. If he has achieved 130 degrees of ROM of the operated knee than it will be good here.2. ROMAchieve 130 degrees ROM of the operated knee, as this is very important for the joint Stability and mobility.3. SquatPerform squat upto 50 in one go if the ROM is upto 130 degrees. Also, while performing Squat one has to hold the window or the railing to take the assistance.In my clinical practice i have seen Baker's cyst, swelling of lower limbs and OA issues to resolve with simple and accurate exercises.I wish your brother a good healthRegardsJay Indravadan Patel | 133,649 |
Can dental infections be cured with medicine? | Patient: hi,there was pain in my teeth, so I went to dentist.he gave some medicine and said u need to remove three teeth beccause those three teeth got infected.I m 58 yrs old.I have already removed few teeth earlier.now I don't want to remove any of my teeth.can my infected teeth can be corrected by medicine? Doctor: Hi! Welcome to Healthcaremagic.I read your query. As you have infection in your teeth, it results in bone loss and pus formation. This is detected with the help of x-ray and examination of affected teeth by a dentist.If the bone loss or pus is more, extraction of teeth is best suggested as the infection may reccur again and again.Taking medicine reduce infection and may give you relief for sometime but permanent treatment is decided by dentist based on your examination.If you have been advised extraction, i suggest you go ahead with it and get fixed or removable denture for missing teeth. Delaying extraction may lead to spread of pus and further bone loss thereby resulting in less stability of artificial denture in future.Hope the answer helps you. Thank you! | 186,637 |
Suggest treatment for hair loss | Patient: My son who is 17 years old is experiencing high hair fall for the last two years. Baldness though not total, runs through hereditarily. He has already lost considerable hair on either side of his forehead. He has history of febrile fits upto the age of 12, dengue, primary complex and streptococus infection which affected his kidney. He has recovered from all these and leading a normal medicine free life now. Kindly advice whether he can be treated for the hair loss. Doctor: Hi,Your son seems to have androgenetic alopecia.You consult dermatologist for the firm diagnosis.I would suggest to apply minoxidil 5% solution twice a day. And you may take finesteride tab 1 mg daily with biotin tab 10 mg daily for the long time. Have patience for the good result.I hope you got my answer.Thanks.Dr. Ilyas Patel MD | 10,949 |
Are there pregnancy chances without penetration? | Patient: hello doc. i m 20 yr old boy. 4 days ago first i masturbate, all sperms were on my hand, then i press her breast with my hands and then after 5 or 6 min later, i touch the vagina of my girl friend. then around after 26 hour she took half of i-pill( she is 19).. is there a chance of pregnancy??? Doctor: Hello dearI understand your concernJust touching the vagina by hand does not cause pregnancy in your case.To become pregnant full penetrative sexual intercourse or intercourse upto vaginal opening is required.Also I pill was taken with in 26 hours. It is around 85% effective in preventing the pregnancy.So I think there is no chance of the pregnancy.But period can be earlier/delayed (for 1-2 week) and with excessive bleeding.Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Use condom in future to prevent unwanted pregnancy.Hope this may help youContact further if follow up neededBest regardsDr. Sagar | 3,160 |
Suggest treatment for abdominal pain after drinking | Patient: hi i'm 42 in good health but in enjoy a drink. i tend to binge like so many and often drink too much over the weekend. 2 sessions can cause a dull ache to my stomach the day after and my question is , is this simply gastritis or is it any other sympton prone to those over 40. i understand that a definitive answer here is difficult Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.The most likely cause is gastritis and you can get relief with medications like omeprazole. The next possible cause is pancreatitis.Since you drink alcohol regularly alcoholic hepatitis is also a possible cause.I would advise you an ultrasound scan of the abdomen, a liver function test and an upper GI endoscopy be done to look for the status of these three organs.I hope that answers your question.Regards,Dr.R.K. | 87,743 |
What causes ear pain, jaw pain and difficulty in opening mouth to a 6 year old? | Patient: Hello. My 6 year old daughter has been complaining about ear and jaw pain on her left side. She said it hurts to open her mouth. She tends to be a bit of a drama queen, but she was in tears last night brushing her teeth. Normally after sleeping, she will forget about pain from the night before, but when she woke up today, she was still complaining. My first thought was molars, but she said she dosen t have any bumps back there. Any thoughts? Doctor: Hi....I have just read through your query - the possibilities include - 1. Left sided neck lymph nodes enlarging - probably due to infection.2. Erupting new tooth in the area.2. Dental infection.I suggest you give her some Paracetamol for pain relief and if still persisting consult your pediatrician.Regards - Dr. Sumanth | 169,780 |
Rash on leg, stinging sensation, red blotches, marks still present. Treatment? | Patient: i have a rash developed on my leg first noticed it 6 weeks ago it is not painful or itchy when going to bed one night felt my leg stinging a wee bit didnt keep me of my sleep forgot about it marks there all the time not painful flared up again yest. goes like red blotches uncomfortable for an hour or so when it flares up then dies down again no prob today marks still there Doctor: It may a food allergy to something u hav consumed in the evening. U can rry applying a soothng lotion | 16,012 |
Can infection in thigh caused by cat bite be treated using antibiotics? | Patient: Hello ...about 3 weeks ago my cat punctured my upper thigh. It got infected which I was treated for with antibiotics. The wounds are healing well but I can feel a hard line of something. Starting at one puncture leading to the outside of the other. Is this scar tissue? Or possibly a vein damaged? Doctor: Hi, I can understand your concern. A bite by a pet cat who had received anti rabies inoculation need not be worried of.* Injection of TT should be taken after the bite. Antibiotic ointment with regular cleaning/dressing of wound, oral antibiotics & anti inflammatory pills should be taken as per need.The hard line you feel must be fibrous scar tissue. * In case cat is not inoculated, she must be observed for signs of rabies & anti rabies injections 3 doses taken side by side. Thanks. | 35,493 |
Have cancer, take roxicodone along with ms contin. Want to stop ms contin and start dilaudid. Safe? | Patient: I have cancer, I now take roxicodone 30mg tabs 6x a day along with ms contin 100mg tabs 4x a day.I want to stop the ms contin & start taking dilaudid 8mg 4x a day with the roxicodone 30mg 6x a day,is this ok to do ? why did you guys make me first type this out before asking for money ? i am very sick & dont have this money. WOW one cant even ask a question with out someone having their hand out. SIGN OF THE TIMES ! THANK YOU ANYWAY. FROM A MAN DYING OF CANCER. Doctor: Hi, thanks for using healthcare magicIf the ms contin is not working well for you then you and your doctor can consider switching you to another agent.Dilaudid (hydromorphone) is used to treat moderate to severe pain and may work for you.It would be best to consult your doctors before making any changing with the medications.I hope this helps | 158,120 |
Is it to be concerned about the child have red stool? | Patient: my eleven month old daughter is having red paste poop what is it? She has a dairy and soy allergy and her diet has not changed no new food she has been sick for a couple of weeks and with repeat ear infections and she does also have asthma. She can not seem to get over this cold even with antibiotics. She has been very irritable and fussy and her poop has been like this off and on for almost two weeks. What should I do? Doctor: Hi...the possibilities are -1. Antibiotic associated diarrhea2. Cow's milk protein intolerance3. Infective diarrhea or bacillary dysentery.I suggest you get a stool routine test done and followup with your pediatrician. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth | 169,866 |
Suggest remedy for back pain | Patient: hi, I m a physiotherapist treating a patient for lower back pain when running. He recently found out he has a thornwaldt cyst. He also presents with sudden large twitching of his body which I predict it originates from his lower Tx spine as that is where the greatest contraction of the muscle occurs- been occuring for about a year and only occurs when he is relaxed. his back pain is present for about 3years Doctor: hi,Thank you for providing the brief history.As mentioned, the patient is having a low back pain, first needs to undergo an MRI as it will provide the insight to the soft tissue injuries. Also by doing TENS therapy and ultrasound the pain can be under control. Post that doing regular core stability, pelvic floor and spine strengthening exercises will put a weightage to the recovery of the patient. Performing regular breathing exercises will help to improve the capacity of lungs and also it will help to improve the cellular physiology of the muscles. As you need to figure out what is the pathomechanics of the spine for this patient, usually pain in the back can be of varieties of possibilities and needs to be ruled out before implementation of the exercises.With the grace of god i wish for good recovery. | 134,178 |
Suggest treatment for back pain,fatigue and stress | Patient: I had been on predisone for 10 years for asthma ,5 years ago they found out I had addrenial suppression. It took this long to get me to 6 1/2 milagrams . My doctor me I should not feel so fatigued . I have very bad back pain can this cause me stress and I get very weak legs and I feel light headed . I do drink 7 bottles of water a day.i have problems sleeping . I do get out of breath. Please help Doctor: Hello, I have studied your case.Most probable reason for your symptoms could be postural problem as you may be sitting for long time and working on computer/table for long time.When such patient comes to my hospital we usually take MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care. | 138,348 |
What causes reoccuring of hard scab on the butt? | Patient: i have a little spot on my butt near the crack its like a scab i can pick it off and when i do its like a hard pice the top is like a scab and under is a white hard pice it bleeds then feels flat for a while and maybe a month goes by and then the scab like feeling comes back Doctor: I can understand your concern for reoccurring of hard scab on the buttock region.After analyzing your query I can make out that you have cyst or infected sebaceous gland of the buttock region. I suggest you to meet a surgeon and get the area completely drained.It is quite common in infected cysts to recur again and again if the area is not properly drained or excised. The infected granulation tissue prevents the early healing of the area.In my patients I go for culture and sensitivity of the pus and then I suggest my patients a course of oral antibiotics such as amoxicillin with clavulinic acid or related antibiotic. A pain killer tablet is of much help in case of pain and inflammation.You can meet a surgeon for best guidance.Take care, all the best. | 9,311 |
Do Xarelto, Metoprolo, and Triamzide together cause memory loss, increased heart rate? | Patient: my mother is on 15mg of xarelto a day as well as metoprolo and Triamzide. she is know having issues with memory loss and has been hospitalized several times with increased heart rate. Could the combination of the above medications be a factor in these two issues? Doctor: Hi There After going through your query I understand your concern.I would like to tell you that above mentioned meds do not have any drug interaction except one , metoporlol with triamzide increses potassium level in the body and that results in low heart rate. Kindly consult with the treating cardiologist regarding this.Hope to have been helpful.Kind RegardsDr. Navneet Bansal | 19,595 |
What causes pain in jaw bone during swallowing? | Patient: HI, I have pain just at the end of my jaw bone (where my wisdom tooth ends). I can feel the pain when I swallow something or chew soemthing. Its a sharp pain. But when I drink something warm I feel better. I also tried to feel it with my finger, I could not feel any pain near the wisdom teeth. the pain is just behind the wisdom teeth. What could eb the reason for it? Doctor: Hello!Welcome to HCM.You did not mention your age and if your wisdom tooth eruption.There is a infection in the wisdom tooth.I suggest you to get a x-ray done related to the wisdom tooth.infection and pain can spread to the throat as well.Do warm saline water gargling twice daily.See your dentist for a clinical inspection.Regards. | 185,419 |
How can fever and vomiting in a child be treated? | Patient: Sir My baby 5 year girl omiting and dehydration and she feeling lot of cold, v tried abugesic plus syrup but cannot effect, fever coming in three hours after syrup, now v tried crocin syrup...... pls suggest me what i will do now..... Fever goes 102 .... Pls help Doctor: Hi, You should give Crocin-ds (250mg/5ml) 5ml q 4-6hrly for 2 days, it seems like a viral infection, it'll go away in 5-7 days. I'm more concerned about vomiting and dehydration. Your doctor should assess the degree of dehydration and ask for admission if it's necessary. Hope I have answered your query. Let me know if I can assist you further. | 162,469 |
What are the symptoms of shingles if it reoccurs?Suggest treatment | Patient: I had shingles one year ago on my head, and it involved my eye. Today I have developed an irritation/itchy spot on the eyebrow of the same eye. How will I know if shingles is returning? A second, but separate question is: if shingles recurs in my eye what will the symptoms be like? And what would the treatment be? Doctor: Hi, Welcome to HCM.Shingles is herpes zoster infection which has the tendency to recur. This recurrence is because herpes viruses have the property of remaining dormant in the body in the nerve cells and getting reactivated when the resistance of the person falls.However, these reactivated lesions present similar to primary infection but are usually less severe and less painful.I suggest you get the itchy spot examined by your testing doctor to confirm reactivation of herpes zoster.Treatment of this condition will remain same. Most effective is acyclovir.I hope I have cleared your doubts.Thanks. | 36,394 |
What causes severe back and leg pain with numbness? | Patient: What does posteriorly displacing the right s1 nerve root mean? And what does a left-sided focal disc protrusion at L5-S1, and minimal posterior dispalcement of the left S1 nerve root. I am having severe back and leg pain with my complete left leg going numb Doctor: Hello,I had gone through the case and found that it is the case of sciatica pain.So take mild painkiller and do leg stretching exercise and Vitamin D3 and Vitamin B12.If pain is unbearable then go for physiotherapy and injection epidura.Hope my answer will be effective for you.Thanks | 111,173 |
What causes walking difficulty after having an accident? | Patient: My son was in a car accident on sunday night he was in the back, he had his seatbelt on and fell asleep next thing hes on his way to hospital, they checked him and he had a head scan and was aloud to come home but he is walking funny he seems to jurk as if hes burt his lower back he can stand stiill, should i take him back to hospital Doctor: HI....I suggest you get him back to the hospital and get him examined again. This I am telling only to be doubly sure as in his last clinical examination after the accident he as normal. He might just developed a pain lager on and is having simple antalgic gait which will settle by itself. But with a background of accident I suggest you get him examined once more.Regards - Dr. Sumanth | 170,896 |
What is the best medicine for abortion? | Patient: Hi , the home pregnancy test is showing positive for my wife , and the syptom of morning tiredness and nausea is present . our second child is just one year two months old and we decided to go for an abortion . what is the right time for this and need some guidance for this. Doctor: HiI have gone through your complaints.Its best to go for abortion as early as possible .so many kits are available but best thing is consult obstrician.improper guidence leads to incomplete abortion and thus dilatation and curettage again.Thank youRegardsVasundhara | 220,871 |
How to treat dry cough with nausea and vomiting? | Patient: I have been coughing for about a month. Been to doctors. I was on dulera, prednisone and omnicef. I finished all mess last week. Felt better for about 3 days and now I am coughing. Just dry cough, nauseated and vomiting. no phlegm. I was also on acid reflex medicine. What s next? Doctor: Hi welcome to the health care magic For dry cough common causes are as follow... -viral flu -allergy inflammation -asthma -acid reflux In your case acid reflux seems most likely as causative factor... For acid reflux prescribed antacid drug like pantoprazole taken regularly esp as you are having cough Pantoprazole and domperidone combination drug available which can be taken For cough more then three week it is better to investigate with chest x ray and CBC for further work up Take care Hope your concern solved | 74,825 |
High BP, had stroke, kidney usage 33%, wears cathoda, painful and agonizing. Provide general anesthesia? | Patient: my father is 80 years old. has high blood pressure. had a stroke over a year ago and has only 33 percent of his kidney usage. he wears a cathoda for apps 1 1/2 yrs now. every 2-3 months it is absolutely agonizing for him and painful to the extreme he is screaming in pain. he wishes to be put out with general anesthesia during this process not just a local and he is awake. he wants to be put asleep. can you help me find someone Doctor: HI, thanks for using healthcare magicUrinary catheter replacement is not normally done under general anesthesia. It is normally uncomfortable but should not be painful to the extent that your father is screaming in pain.It would be important to look for a cause for this level of discomfort since this is not the expected response.Some causes of severe pain on catheterization are infection, stricture (narrowing) of some aspect of the urinary tract, perforation, using a catheter that is too largeHe may want to see a urologist to determine the cause of his pain.I hope this helps | 49,733 |
Could a course of prochlorperazine cure swaying feeling with lightheadedness? | Patient: Hello, I m a fit 51 year old male. I ve been swaying about like someone who is drunk for 6 days and feeling light-headed. My doctor prescribed a course of 28 tablets (Prochlorperazine) 4 days ago. When I woke up yesterday I had double-vision for about 10 minutes. I woke up this morning I had double-vision for nearly 30 minutes. How long will take for both conditions (dizziness and double-vision) to permanently clear? Doctor: symptoms u are describing needs urgent evaluation of brainstem....especially as it is associated with diplopia. Get MRI brain done. Prochlorperazine will give u symptomatic relief.....but it's important to find etiology for permanent cure...regards. | 143,858 |
Suggest treatment for pain in rib cage while breathing | Patient: I just started having a stabbing sharp pain in my right side at the edge of my rib cage area a few moments ago after standing up from a crouched position in which I was working on a project. It only hurts while breathing in. It also is a little painful when I press on my upper abdomen which feels tender to the touch. The pain seems to move to my back area straight across from the pain in front. It feels better when I sit and lay my head over onto the breakfast bar so that I can breathe deeply without much pain at all. I remember having this same type of pain when I was young when I ran a lot to the point that my sides would hurt. Doctor: Hi thanks for asking question.Here are few possibility in your case.1.First your presentation is acute and work related.so mostly it could be because of muscular strain by overworking , bed sleep posture or some any unaccoustemed situation.take enough rest with analgesic for that.hot compress also helpful.2.Second if you have associated upper abdomen pain than acid reflux might lead such type of pain.omeprazole taken for it.3.sometime excess stress means anxiety related to work might lead such type of pain.4.If still cause not clear and pain increasing then it might be like costochondritis or myositis like condition.5.If you have headache, cough , sore throat then respiratory viral infection might lead it.Symptomatic management done for it.So avoid stress and rule out one of the above condition.wish you good health.Dr.parth | 77,475 |
Can a pinched nerve cause neck stiffness and tingling on scalp? | Patient: pain and stiffness in back and neck area. tingling on scalp and slight numbness in face and it feels as if my ears are not clear. the feeling i may get going up in airplane. i lift heavy people and pull on them can a pinch nerve in my neck cause me to have these feelings? Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms could be related to occipital neuralgia (a pinched nerve), although the symptoms are not typical of this disorder. Chronic degeneration of the cervical spine or a bulging disc in this region may trigger this clinical situation. For this reason, I would recommend consulting with a neurologist and performing a brain and cervical MRI study. Hope to have been helpful to you!Best wishes! | 142,015 |
How can horsefly bite be treated? | Patient: I was bitten by aWhat I believe to be a horsefly Friday. I have taken benadryl to address the swelling and itchingBut during the day this makes me sleepy. Last night it reallySwelled up before i finally took another Benadryl.It iches and is qite swollen(weal?)...i do no have any sign of puss at the bite site.Shoud I be concerned or have I passed through the critical phase?Thanks!Andrea Doctor: Thank you for your contact to health care magic.I read and understand your concern. I am Dr J.D Mangukiya answering your concern.The horsefly is known under many different names in different countries, including deer flies, clags, gadflies or breeze flies. This can be dangerous because the horsefly can transmit parasites or diseases amongst its victims.Horsefly bites may take longer time to heal than other insect bites which generally take two to three daysMany cultures have developed remedies to assist with the pain of a horsefly bite. Icing the wound will help reduce swelling and dull the pain associated with a bite. You can also apply aloe vera, vinegar, Epsom salt, raw onion, mud, honey, a paste made from baking soda or vinegar to the bite to help reduce swelling and discomfort. Once you have applied a topical agent to provide relief, cover the area with a loose bandage to protect the wound and to help keep the remedy in place.You have already taken Benadryl for swelling and itching.so next you should try 1% hydrocortisone cream to the area to help eliminate these symptoms.I will be happy to answer your further concern.Thank you,Dr J.D. MangukiyaInfectious diseases specialist, TEAM HCM. | 34,208 |
What causes bug bite allergies? | Patient: Hi Dr. Grief. I m thankful you are online and can provide some guidance. I have bug bites everywhere and they re getting worse - so almost rash like. I am very allergic - take levocetrizine (sp?) daily and have recently added benadryl. I also have Desonide lotion that I ve used on the places along with calomine - not sure which is the better choice. I m thinking I might need to go see my doctor tomorrow. My dogs have no signs of fleas or ticks (we treat them for it) - but I still need to treat the yard which I haven t done this year. What do you think? Call my GP in the morning? or my Dermatologist? Doctor: thanks for your query in HCM,you need to see your dermatologistwhatever treatment you are taking is right, but before that confirm the diagnosis from the doctor and manage it accordingly. please avoid self-medicationthank you | 99,545 |
Trying to get pregnant, IUD removed, not using condoms. Any precautions? Husband just received smallpox vaccine | Patient: My husband just received his smallpox vaccine a part of his pre deployment checklist. A part of our personal pre deployment checklist is trying to get pregnant. I had my iud removed a couple weeks ago and my husband hasn't even thought of condoms since we first dated some 2 years ago. Can I go ahead and try to get pregnant? He has been following all precautions for the post care. Doctor: Hello,After removal of IUD, fertility gains within 1-2 months. Successful conception depends on proper timing of unprotected sex and ovulation time or fertile days. You have to continue this for 6-12 months.In addition, you can use ovulation prediction kit to predict ovulation time. Take folic acid & vitamin supplement with diet. Do light exercise regularly and avoid mental stress.Hope, it helps. Good luck. | 4,998 |
What causes pain in lower right abdomen and little blood in urine? | Patient: I am having pain in my lower right abdomen. I have been taking antibiotics for 2 weeks, but the pain continues. When I drink alcoholic beverages, I develop a pain in my back. Several months ago, I had a urine sample taken for a new job, and was told that a microscopic amount of blood was found in the urine. What could be some possible causes for these symptoms? I am 55 years old, a non smoker. I have high blood pressure, which I take medication for. I am 5'1, and I am overweight. My stomach sometimes is distended. Doctor: Hello! Welcome to HCM.This seems to be due to a stone in urinary tract.Stone causes obstruction to urine outflow. Smooth muscles in ureter contract excessively to overcome the obstruction & so is the pain.Commonest stone is Calcium-oxalate stone which has spikes on its surface. These spikes cause trauma to mucosa of the urinary tract & so is the blood in urine.Many such patients are treated in my clinic to whom I advise ultrasound abdomen & pelvis, X-ray KUB, renal function tests, urine routine, blood sugar level.This helps in accurate diagnosis & appropriate treatment.Hope this information is useful for you.Wish you healthy life.Thanks.Regards. | 90,659 |
What is the red and warm skin rash on the baby's face? | Patient: My son is 15 weeks old. The left side of his face gets a bright red rash on it often. Today, it spread to his forehead and was hot to the touch. I was told by my pedi. that babies are notorious for having rashy skin, but the heat makes me wonder if I should be concerned at all. Doctor: Hi,It may be urticaria. Kindly consult the dermatologist. Your son might respond to Antihistaminic syrup like atarax syrup. If needed,your doctor might give steroids in tappering dose. I hope this would help you.Dr.Ilyas Patel MD | 14,325 |
Constipation, abdominal pain, sore breast, irregular periods, Pregnancy tests done - negative. Still could i be pregnant? | Patient: hello, i am having sore breasts, lower abdominal pain,constipation, can see pulse in my stomach area above navel, haemoglobin level 9.5 (mild anaemic they said). if i am pregnant i would be in my 33 week. is have had my periods in all the months though it was irregular like usual. i have done 4 urine test- one each in 2nd and 3rd month and 2 recently. all were negative. i feel my stomach is bloated. can i be pregnant by any chance? please help. Doctor: Hi and welcome to HCM!Thanks for posting your query here.If the urine test is negative there are no chances of being pregnant. The symptoms your are saying about seems to be GI problem -Dyspepsia-where there is fault with the digestion. This is causing bloating, constipation and lower abdominal pain. The lower abdominal pain is because of constipation. It could be relieved by taking laxatives in the night. Cremaffin, dulcolax or lactulose can be used. Bloating of the stomach can be relieved by taking omeprazole or pantoprazole one tablet daily. If the problem persists please visit a gastro for further management.Regarding your periods-how irregular is not mentioned by you. A low Hb value-anaemia- may cause irregularity in the periods. This can be corrected by any oral iron preparations. One capsule a day will increase the blood Hb significantly.Hope this is helpful to youRegards | 5,510 |
What causes pain in right arm with tenderness? | Patient: Hi. My right shoulder on down the front and back and down the arm has been hurting for weeks. I ve started to stretch it out because it feels tight and that s helped, but now my arm pit feels full and tender - I m not sure if it s a muscle or something else. I had a hysterectomy 4 years ago and now I ve started menopause with severe hot flashes at times. Doctor: Hi,Thanks for your query.Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of Adhesive capsulitis(Frozen shoulder) or Calcifictendonitis.These conditions are easily managed by regular physiotherapy ( Range of motion exercices,stretching and strengthening exercises). Over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin), can help reduce pain and inflammation associated with this condition.I would suggest getting this evaluated by an orthopedician nearby for an accurate diagnosis and appropriate management. Your doctor after diagnosing the condition might refer to you a physical therapist.A physical therapist can teach you stretching exercises to help maintain as much mobility in your shoulder as possibleI do hope that you have found something helpful and I will be glad to answer any further query.Take care | 136,754 |
What does a lump under the penis skin indicate? | Patient: Hi, four days ago I was masturbating quite rigorously, but did not realize it at the time. I developed a sore area the next day where the scrotum meets the base of the penis. Yesterday, I noticed a lump there. It is sore when touching it, but not really painful.It's roughly the size of a pea or smaller.It's located under the skin and not noticeable unless the skin is pushed toward the shaft and brought taught.What might be happening? Should I be concerned? Doctor: HelloOf course you need to be concerned and please control your emotions during masturbating It's your own penis.Looking at present condition you might have injured your penis during the action if it was healthy previously.In my opinion you should keep it clean and apply any antiseptic ointmentApplication of hot packs will help in healingBe careful you do it next timeIf it doesn't improve or gets worsen than you must see your doctor for physical check up and a course of antibiotics if need be.Hope this answers your questionIf you have any more queries please feel free to write back to me, I will gladly answer you Best wishes | 199,125 |
What are the possible side effects of losartan and bisoprolol? | Patient: I have taken a statin, losartan and aspirin for 20 years due to a silent myocardial infarction my ECG showed in the early 1990s. I have now been prescribed bisoprolol 1.25mg after visiting local hospital for cardiac check. What are the possible side effects of losartan and bisoprolol. Doctor: Hi,Losartan is an angiotensin receptor blocker commonly prescribed to treat high blood pressure. Its common side effects include low blood pressure, high blood potassium levels, and some times dry cough.Bisoprolol is a heart-selective beta blocker commonly prescribe to treat high blood pressure and other conditions.Its common side effects include low heart beats, cold and clammy extremities, fatigue, erectile dysfunction, difficulty in breathing in susceptible individuals, and disturbed sleep.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 83,818 |
What is the treatment for rheumatic heart disease? | Patient: hi dr,,,my mother has rheumatic heart disease & AF,,,,her echo shows severe MR,,mild MS,,,her cardiologist recommend Mitral valve replacement ,,,what is ur opinion regarding indication ,,complication and is continuation of medical tt better or not ,,,,Ejection fraction : 61%thanx in advance yours dr m.hamdi ,,intern Doctor: Thanks for your question on Health Care Magic. I can understand your mother's situation and problem. She should definitely under go mitral valve replacement. She is already having severe MR (mitral regurgitation) and mild MS (mitral stenosis). With time her MS will be more worse and cause fixed mitral valves. This situation can cause sudden heart failure and sudden death. This is inevitable complication of rheumatic heart disease in later stages of life. So to prevent this, better to get done mitral valve replacement at present. This operation is needed in her case to prevent future life threatening complications. No role wait and continuing medical treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | 25,793 |
Suggest treatment for anxiety disorder | Patient: I feel as if im loosing my mind. I have an anxiety disorder & I just recently found out i was pregnant. The panic attacks went pretty much away but now there coming back twice as bad. Im always thinking negative and really horrible thoughts! I can't help it. I get really scared. For example I feel like im trapped in my bedroom sometimes and I can't escape. I'll wake up and feel fine and have a normal day then they come back at night and I get scared again and I can't control these thoughts. :( Doctor: HiI understand your concern.I had gone through your query.It is anxiety with depressive features.When anxiety exaggerated will lead to panic attack.Panic attack is like symptoms similar to heart attack but it is due to anxiety and will subside soon.Anxiety depression need proper evaluation and treatment.Some natural ways to treat anxiety and daily stress areExercise and meditationRelaxation and deep breathing and hyperventilationProper sleep.Avoid smoking and drinking.Stress free activity and workDo pleasurable activity like music and hobbiesPositive outlook and confidence All this will help you to counter daily stress and anxiety.medicinesIt can be treated with mild dose of benzodiazapine and mild dose of SSRIIn SSRI mild dose of escitalopram and paroxetine like drug is very usefulBut before taking this medicines you have to consult psychiatrist and evaluate your self.Get well soon.Thank you.Take care. | 207,277 |
What do lumps and severe pain in the groin area indicate? | Patient: I have had an inguinal hernia in the past on my left side however the last few days I m having extreme pain on both left and right side of my groin and lumps very hard bumps and lumps also had a small infection from an insulin injection on my buttocks on the left side which turned out to be a little bit of an infection Doctor: Hello,The most possible reason for both sides groin lump with pain is reactionary lymph node enlargement secondarily to buttock infection from insulin injection.I strongly recommend control of primary site infection, by which the lymph nodes will gradually return back to their normal position.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel | 60,868 |
Abcess on lower-front gum line, pain. How to get rid off it? | Patient: At my recent 6-month dental cleaning / exam, the hygenist noticed an abcess on my lower-front gum line about 2- teeth to the right of the center. She asked if I had been aware of this and I stated no. After cleaning she took 2 X-rays of that immediate area. The dentist came by for his final check and noted this tooth was a little darker than the others. Absense of any sensitivity / pain since my last 6-month cleaning / exam in September 2011, he believes the abcess has destroyed the root. We have placed me on an antibiotic ( penicillin potassium 500MG) tabs @ 4/day and scheduled a root canal for a week from now. Question... what could have caused this? I admit I am NOT the best flosser, but I do brush my teeth 2-3 times a day, changing the brush every 6 months. I just find this odd to have this problem considering my 3 cavaties of only a pin head size in rear molers. My parents invested in a treatment of encapsulation back in the 70s which apparently helped keep the plaque, germs, bacteria, etc., from causing more cavaties. Just looking for some insight. Doctor: Dear friend. Thanks for sharing your concern. Many a times even after maintaing very good oral hygiene patients complains of teeth decay. the sole reason for this is genetic predisposition. The morphology of teeth(i.e. particular shape,and size of teeth ,its ridges and cups.in total the whole anatomy of teeth is such that it is becoming host for the decay process.). In that case the only thing that can be done is periodic evaluation and timely treatment.as you are doing it. please continue that for better oral health. Maintain good oral hygiene till you visit your dentist and even after that. Hope i have answered your query. Thanks. Take care. | 189,331 |
How to maintain the sperm levels even while medication gives temporary relief ? | Patient: hello doctor my husband is 37 years old. he has low sperm level about 25%. he is taking medicine for almost one year. after taking medicine his sperm level was become 45%. but before one month in his test report sperm level was again low about 15 %. i am so much worried. how he can maintain his sperm level. please help me out thanx Doctor: HelloI appreciate your concernin my opinion your doctor should identify and address the underlying cause for low sperm countthus could be due to any of following chronic UTIprostate diseaseNutritional deficiencymetabolic disorder like diabetes or hormonal imbalancesIn my opinion he should consult a GP or general surgeon for check up and investigation like blood for hemoglobin CBC blood sugar liver function test thyroid test urine for culture and sensitivity or an ultrasound scanI will suggest following guidelinescomplete abstinence of smoking and alcoholregular exercise and a healthy balanced diet with multivitamin supplements is recommended lots of fresh fruits and fruit juices hope.this help youplease feel free to ask for more clarificationbest wishesDr BR Hudda | 199,752 |
Can having unprotected sex while off birth control cause pregnancy? | Patient: My fiancee is very scared that she is pregnant. We had sex on the 22nd or 23nd of Oct. without protection, but there was only a few ins and outs before a condom was used for full intercourse. She just got off birth control in the first week of Oct. Could she be pregnant? Doctor: as u had unprotected intercourse den she can get pregnant provided seminal fluid went inside vagina...don't wry wait til she get her period .if she misses it..do upt test | 28 |
Suggest treatment for kidney stones | Patient: dear sir, my wife just had and urine culture test and the report says protine - nil, colour - L. Yellow, transparency - Turbid, Reaction (PH) Acidic, Sugar - Nil, Pus cells - Plenty, R.B.C s - Nil, and Ep. Cells - 6-8/hpf what does this means she is having a pain in her abdominal and she has a fever during evening time always and our consultant doctor says that she also has a little small unknown type of stone in her kidney which cannot be identified till today , and they are refering us to see the kidney specialist asap. lease help me what dont know what to do sir . i am from Nepal POkhara Doctor: HiThanks for your queryFrom the reports provided and your wife's medical history, it looks like your wife is having a Urinary tract infection. We need to do a urine culture test and an Ultrasound of the kidneys and bladder.She needs a course of antibiotics. Also ask her to drink plenty of oral fluids.This is a common and easily treatable medical condition, so do not worry.Hope this helpsGood luck | 48,181 |
Suggest treatment for dysentery problem with weight loss and weakness | Patient: Goodmorning doctor, i am surajit pal,male,32 suffering from disetion and discentry problem since last 07 years and looses weight arround 08 kgs. other symptoms: less sleeps, bad dreams, latrin 04 to 05 times minimum daily, phycal weakness, lin & thin. email- YYYY@YYYY Doctor: Dear Surajitpal, Good morning! How are you?Thanks for posting your query.I appreciate your concern for the dysentery, weight loss, etcAfter having gone through your problem I am of the opinion that the features described are suggestive of some chronic inflammatory condition of the intestines referred to as inflammatory bowel disease (for example ulcerative colitis).In view of significant weight loss (8 Kgs since last 7 years) with bloody diarrhea you are advised to consult a physician or a gastroenterologist for proper clinical examination and may be you will have to undergo certain investigations like CBC, Stool analysis, ESR, Colonoscopy, etc to diagnose the condition.Other causes for the above condition include irritable bowel syndrome, polyps, and cancer involving the colon.Hope these suggestions could be useful to you in getting the consultation, a proper workup and of course the treatment.Wishing you best of your health.Take care. | 34,142 |
Suffering from abdominal pain, tender to touch. Family history of stomach problems. Anything to worry? | Patient: Hi, I have been suffering an abdominal pain, it is on my left side, higher then my belly button....if I touch there, it is tender, almost like a dull, bruised pain inside....sometimes I get pain without touching in the same area....I am realy worried as my family suffers from all sort of stomach problems:-( have seen GP twice, but they just said, they are sure is nothing serious, there is no always explenation to stomach pains...shall I be worried or trust the doctors... Doctor: Hi ! How is your food habits ? Do you eat frequently from out side your home ? If yes, please try to avoid it. Apart from this, you may take some proton pump inhibitor and antacid drugs. If they are not relieving your symptoms, you are suggested to go for an ultrasound/CTscan of abdomen on discussion with your family physician/gastroenterologist, which will exclude/confirm major problem if any. Wishing you an early recovery. | 93,045 |
What causes enlarged liver with high bilirubin levels? | Patient: Hi my husband is diagnosed with bipolar, diabetes and in his past has used drugs. Recently he became jaundice and his ammonia and bilirubin levels are very high 18. His docs have taken him off most of his meds including depakote and Seroquel. His tests for Hep A B and C have come back negative but his ultrasound shows his liver is inflamed or enlarged. What could possibly be the diagnosis. Also his urine was very dark but recently has begun to lighten up. Any help would be appreciated. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Enlarged liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. Although Hepatitis B and C are negative as you have mentioned. It may be due to diabetes also.So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Ask him to do regular exercise and reduce his weight if he is overweight, avoid alcohol if he drink.I hope I have answered your query and this will help you . Wish you a good health | 55,280 |
Pain in kidneys after completing Levofloxacin 7 day treatment for pneumonica | Patient: I recently got out of the hospital where I had pneumonia . I was given an antibiotic , levofloxacin for 7 days. Yesterday was my last day, and now my kidneys are hurting. Still working, but left side hurts pretty bad. Thought I would wait and see if getting off the antibiotic would help as the pain started yesterday morning when I took my last dose. But getting worried. Can not get in to see my doctor until next week. Should I go to the ER or wait and see. Took some AZO last night and it eased up some. Doctor: It may be mere side effect of drug or may be the pneumonia which is commonly caused by streptococcus pneumoniae has not responded to levofloxacin and may have developed small pleural effusion at the basal region causing pain on left side......................patient should have been put on broad spectrum antibiotics.ask for the symptoms of pain during inspiration,fever associated,as it might be empyema | 51,510 |
What do little spots on arms indicate? | Patient: HI My 2 year old son has lots of little spots on his arm half way between his elbow and wrist.+-It looks like he s been scratching it so I think its itchy, but its not red.It has no colour, just the spots.Is it a rash or the start of chicken pox or measles?Should I take him to the doctor? Doctor: Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth | 173,119 |
What causes abdominal pain after eating an egg sandwich? | Patient: As far as I can remember, Ive always enjoyed eggs for breakfast, regardless how they are cooked. I don't know what happened, but, One day, I had an egg sandwich and 15 minutes later, my stomach feels like it was in a vice grip, with every minute passing - the pain got stronger. I thought it was an isolated incident, but the next day - it happened again and again. I even thought of changing what kind of egg I ate (i.e. scrambled, omelette, etc). But it didn't work. I've tried eating egg beaters, but it happens just the same. I can eat other regular foods, but eggs. After 5 yrs now, I concluded that i'm allergic to eggs - which baffles me. Is there something else really going on in my stomach that i'm not aware of that would do this? I read that ulcers could cause these kinds of symptoms. What possibilities could cause this? Doctor: Hi.Thanks for your query.The most probable cause of pain in abdomen after eating an egg sandwich are : Now you have developed an intolerance to the egg-protein. Hence in spite of what type of egg preparation you eat you are going to have the pains and spasm .These is nothing to be baffled about. May people get allergy to different types of proteins like for the fish and nuts. No, ulcers do not cause such symptoms, please do not be under wrong impression. The only treatment is not to have eggs in any form again.. | 86,996 |
What causes high BP and headache? | Patient: Hi Doctor, My father 58yrs old has varying high BP and headache.He was consulted by a Physician and was advised for all blood tests including kidney tests, CT scan, ECG in which all the test results are OK. He was under observation in the hospital for 3days.But still he has head ache and is a little tensed. Kindly advise. Thanks, Indu Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Headache can be because of blood pressure, however if its involving only one half of head unilateral, it can be migraine also. As CT is normal, there is no need to worry at present, medicines will take some time to stabilize his blood pressure. Once blood pressure is stabilized, headache should settle down. However I would recommend him a MRI brain to rule out any aneurism or dilation of cerebral artery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rishu Saxena | 22,695 |
What causes numbness in the fingers? | Patient: My husband (70) has been experiencing numbness in his fingers and sometimes his fingers curl toward his palm and is painful. His wrist sometimes hurts as well. He takes his blood pressure and it is 135/70. He is losing ability to grip as well. He takes blood pressure meds. He has been doing work in the heat outside and tanning during high temps. It has been going on for about a week to 10 days. Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.Possible causes are:-1. Carpal Tunnel Syndrome.2. Radial Neuropathy.3. Ulnar Neuropathy.4. Brachial Plexus Disorder.5. Median Nerve Palsy.6. Amyotrophic Lateral Sclerosis or ALS.7. Myasthenia Gravis.8. Tendonitis.Hope i was useful helping you.Have a healthy day. | 128,389 |
What are the repercussions of skipping Gabapentin dosage? | Patient: i am on day 3 without my Gabapentin and i was wondering if i m safe from getting really sick or am i going to be ok? i have been taking 600mg at bedtime every night i have miss placed the medication i don t want to end up in the er and just need to know if there is anything i can do to help Doctor: At first why are you taking gabapentin? Secondly as gabapentin action mechanism involve in a kind a natural neurotransmitter, it takes time to normalize the receptors to the abscence of the drug. You have to lower the dose gradually if your disease allows you to not take the drug. | 145,511 |
Can fatigue and weakness be improved after heart, brain and neck surgery? | Patient: hi, my husband had open heart in 08 he says his legs have no energy, he feels tired all the time he is 54 285lbs had 3 way bypass other problems have occurred since then all carotids were blocked and he had brain surgery and neck surgery cholestral is under control now but still nothing in his tank as he calls it!!! what is wrong that he just cant get his strength back? Doctor: Hi, Your husband health condition is critical...he underwent some big operations in the last months...he will need some time to regain his strength, so be patient and let him takes his time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist | 16,661 |
Suggest treatment for anaerobic infection and autoimmune disorders | Patient: I ve had a low grade fever for 2.5 months now along with headaches lasting a few days to a week and fatigue. The low grade fever is 99-100.2. I ve seen my PCP and had blood with ruling out infection including anaerobic infection and autoimmune disorders. He has referred me to an infectious disease specialist but the wait is a few weeks and I m worried to wait that long. There has been no mention of what it could be. OTC pain management doesn t help the headache or bring down the fever. Does this sound like cancer? All I can think of at this point is chronic fatigue syndrome or cancer. I also spoke to a nurse and told her about the fever and she simply said I don t have a fever and to take Tylenol even though I told her it doesn t work. The headaches are from a dull ache to throbbing. I recently even got glasses to try to help the headaches and nothing changed. Please give me advice. Doctor: Fever is defined as temperature greater than 100.1 Fahrenheit. Check to see how high the temperature is and if it is highest during daytime, nighttime, or every couple of days. Have you travelled anywhere during the last 2 months? Some infectious diseases are more common in certain areas. Have you taken any new medications? There is a possibility of drug fever. Chronic fatigue does not cause a fever, so that can be ruled out. Do you have any other symptoms such as rash, itching, stomach pains, etc. You are correct that some types of cancer do cause a fever, but those conditions are pretty rare. Best regards | 30,114 |
Suggest remedy for muscle weakness and fatigue | Patient: I m experiencing a lot of muscle weakness and fatigue all the time, and I notice when I mow the yard now I have problem breathing my chest feel like its clogged and the palpitations starts, then the panic attacks. 2week ago I mowed the yard just fine, but now I have to stop to slow down the heart rate. My hair is so brittle and come out by the comb full, bald around the edges and very thin in some areas. I m very concern about the weight I ve gain I haven t felt vibrant for a long time. I m a very attractive lady, but I don t feel it at all. I want to be motivated but I can t seem to get there. My feet and hands stay cold, feels like all padding is gone from under my foot, muscle and joint pain, I feel depleted of something Help Me. Doctor: hellonothing to worry, consult a Doctor and have your serum sodium, potassium calcium and vitamin D level tested.take high protein diet avoid fats dietsclonazipam can be prescribed by a doctor for removing stress anxiety. if you diet and serum tests comes normal then nothing to worry, do meditation,walking and relaxing exercisesBest wishes | 135,688 |
Suggest treatment for abdomen pain and elevated lipase levels | Patient: I am 43 years old and have classic gallbladder pains and symptoms, HOWEVER, I had and ultra sound and Ct scan and they are negative.My blood alt and ast and lipase are elevated.I have pain in my upper right abdomen and need to know what my next step is. can you help or suggest what I should do? Doctor: HI.The enzymes are elevated , means there can be a problem with the head of the pancreas. This is as per your symptoms.You need a MRI for the area to get a proper diagnosis, and also an ERCP ( endoscopy )... Get a proper diagnosis under the care of a Gastroenterologist. Till then stop fatty foods.take plenty of oral fluids if tolerated. If not possible to take orally, you may need an admission and further management. | 91,123 |
Can any online doctor tell me about my follicle study and ovulation ? | Patient: I am 30 years and married for last 1.7 months .. Have been trying for a baby for last four months ... Did a follicle study for the first month this time .. The study states no dominant follicle on day 12 and day 14 .... ET of 6 mm on day 12 and ET of 7.3 mm on day 14 , right ocary measures 3.2*2.6 mm and left ovary measures 3.7 * 2.4 mm.. my period cycle is about 35 days ..for the last four months my periods cycle has been close to 35 days or even a little higher ... do i still have chances of ovalution consideirng the current follcile study and my oeriod cycle .. and for how many more days should i continue with follcile study in this cycle to know when the egg is ruptured if i am ovaluting ??I am not on any drugus as on date except a folic acid which was prescribed ..any views Doctor: hi, the ovulation occurs about14 days prior to the expected date of comminng period.That means you have a chance to ovulate arround 21st day of your periods.so, you can continue ovulation study till then.your Dr. may give some inj. to facilitate ovulation if needed. wishing you all the best! Thank you. | 7,253 |
What causes dizzy spells along with heavy head and partial vision loss? | Patient: I had 2 episodes of dizzy spell last sat, one in the morning one late afternoon. Went to emergency Sunday. Was told it is Peripheral Vertigo. Doctor sad it will come again in the future. I m still filling dizzy especially in the morning, it is weds afternoon now. Light headed had headache yesterday. My head fill so heavy, having heart palpitation and losing bit vision from time to time. Not steady on my feet. Keep tripping as I walk and going sideways. I do have fibromyalgia and chest pain in the morning some times. Please help. Maria. Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What causes dizzy spells along with heavy head and partial vision loss?Answer : There is a problem in your posterior Fossa. It can be reduced Blood Flow or a Space Occupying Lesion. Please consult a Neurosurgeon at once Please note that partial vision loss is not that common in Peripheral Vertigo. The symptoms of Partial Vision Loss has to be given more importance and hence I suggest you to consult a Neurosurgeon immediately Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | 144,185 |
Laproscopic surgery suggested for endometriosis. Can it be cured by Ayurveda or homeopathy? | Patient: Hi..im veena...im 23 yrs and my hus 28 yrs..im tryng to conceive for 7mnths.i have consulted a gynecologist and she diagnosed condition as endometriosis.left ovary 6cm and right 8 cm....they suggest laproscopic surgery...i want to know is it curable by ayurveda or homeopathy as im feared of surgery Doctor: Hello and Welcome to HCM, I had gone through the case and found that it is cured by homoeopathic medicine.You must give all the detail of grade of endometrial thicknes along with other associated problem like menstruation and leucorrhea etc.After getting the detail, we can start the medication.Hope you find the answer of your query.Thanks,Dr.Soni VermaHomoeopathic Physician | 97,710 |
What causes severe muscle spasms in the legs? | Patient: I have been having severe muscle cramps/spasms in my legs and feet. Had them in the past but has been three days in a row now. Thought may be dehydration first day but have been drinking a lot of water since then. The leg muscles are contracting on there own all the time with no pain. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to an electrolyte imbalance or related to a nerve root irritation. Few tests will help in diagnosis. Hope I have answered your query. Let me know if I can assist you further. | 127,460 |
Can duphaston help to get pregnant? | Patient: Hi Doctor..I am 29 yrs old..i have been prescribed Duphaston to stop my peroids for few days..Since, i am going to saudi to perform Umrah i cant manage to visit this place during periods. I have been asked to take this med fr 12 days as my date is 18th of this month..Is it safe to have this med also will it lessen my chance to getting pregant this month since m planning to get pregnant. Doctor: Hi, it is totally safe to take this tablet. It will also increase chances of your pregnancy as it supports the implantation. So don't worry. You can use this medicine. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo | 1,858 |
Is it to be concerned about the child not eating properly? | Patient: hi.my daughter is 8 months old and she eats very little solid food.after 2, 3 spoons she will just shut her lips tightly.sometimes from the very first spoon she moves away her head.if i give her finger foods she eats may be one or two pieces then starts playing with the food and does not eat. she is 7 and half kgs and 22 inches.she looks very thin.it s almost like i can count her bones.however, she is an active and cheerful baby. still i am afraid that may be she stays hungry and not getting enough nutrition. please suggest what i should be doing Doctor: DearWelcome to HCMWe understand your concernsI went through your details. Remember all those olden days when your mother struggled to make you eat all those vegetables and nutritious menu. Now history repeats itself. The behavior of your child is quite normal. One reason for this is for many “picky eaters” sensory processing plays a big role in their refusal to eat foods. Simply put, if something feels gross in their mouth or on their hands, they aren’t going to eat it. The fancy therapeutic term we give for this is tactile defensive. I strongly believe that structure and routine around food and meal time is critical to kids eating well. I suggest you to stick to routine. Never ever provide any food or drinks (except water) to the child other than in the structured time. Let the child come and tell you that she is hungry. Let her eat herself. Remove all play items, TV from nearby. Provide her food she likes most. Nutrition can be provided through drinks. It could take time, but she will start eating normal.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. Take care. | 170,968 |
Suggest treatment for gall bladder problem | Patient: Yea my daughter has a very bad gall bladder and no one will help her because she has no insurance she is in pain every day has two boys and i am really worried about her can you help us she has been dealing with this problem for about 2 years now and i don t to lose her she is my only child please help us Doctor: Welcome at HCM i have gone through your query and being your physician I completely understand your health concerns.... What is her age? Is she diabetic? Is she jaundiced? Is there any fever and chills? In my opinion she should get her liver function tests done along with liver and gall bladder ultrasound....to rule out any gall bladder stones or any other pathology...she should be seen by a doctor for proper assessment Meanwhile she should take rest and avoid fatty meal and drink plenty of water and use acetaminophen to relieve pain....May she get well soonRegardsDr saad Sultan | 55,848 |
What causes rashes on feet? | Patient: My three year old boy had a high fever yesterday (103). It seems to have cleared up today and he is acting normal, but now has a rash on the insides of his feet and all around his trunk. He does not seem to be bothered by it...should I be concerned? Doctor: it could be a viral rash and can be diagnosed by examining the patient and doing appropriate investigations.if vesiculo bullous it could be varicella rash which usually appears over the trunk initially. | 168,245 |
How to cure chest pain after an accident? | Patient: eversince a car accident i was in 3 months ago, i have had an uncomfortable pain in the bottom of my throat, above the top of my chest. i left it thinking it would ease but it shows no sign of getting better. when i go running it feels like i am constantly running in cold air which makes it almost impossible to run. do you have any idea what i have done? if so how can i help it heal? Doctor: first of please do xray chest r/o any flail chest and xray sinus or 3d imaging of maxillofacial r/o any sinus injury or cribiform plate injury if everything fine take pain killer and antibiotics otherwise go and visit to ent and chest physician | 96,863 |
What does left kidney is not visualized in left renal fossa indicate? | Patient: My husband has just undergone the ultrasonography of Abdomen and Pelvis. Doctor has given the following impression Left kidney is not visualized in left renal fossa or in rest of abdomen & pelvis mean Atrophic? Hypoplastic Fatty liver What does this mean? Is it very serious. Please revert. thanks Doctor: Hello Non visualization of left kidney during USG may be due many reasons like absent left kidney,hypoplastic/atrophic kidney.USG is not confirmatory.It is not a serious condition.Your husband can go for contrast CT scan of abdomen.It can confirm status of left kidney which may be present in other ectopic site.Fatty liver is a reversible condition.He need few other investigations like routine hemogram,RBS,LFT,Lipid profile.He should increase his physical activity.He may need to take few medicines after proper evaluation.He should avoid fatty and fried food. Avoid alcohol if he take these things. Take CareDr.Indu Bhushan | 48,729 |
How can gum line whitening with bleeding be treated? | Patient: Hi im 16 weigh 105 and am 5'5 behind my bottom 3 front teeth my gum line is white and it looks like it's bleeding I found this out while brushing my teeth today I usually only brush once a day but i have very nice teeth. This is my first time noticing it and it feels sensitive. Please help. Thank you. Doctor: Thanks for your query, I have gone through your query.The white line could be because of the deposits or it can be because of frictional kearatosis. The bleeding gums could be because of the gum infection secondary to the deposits. if it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash. Brush your teeth twice daily and rinse your mouth soon after eating anything.I hope my answer will help you, take care. | 184,356 |
Is it safe to have a central disc protrusion at the L4 and L5? | Patient: Just had a MRI saying L4/5 disc level has a moderate size central disc protrusion which is associated with indentation of the thecal sac and compression of the subarticular bilaterally and contact with both the L5 nerves. The L4 nerves are clear. Is this serious and will it get worse as i get older as i an 15 Doctor: Dear you should have consult with neurosurgeon imediataly for your problem what you have is not minor that can cause serious problem avoid weight lifting and sternous exercise while you see your doctor's thanks | 142,713 |
Suggest remedy for lump in penis | Patient: I have had a small bump on the left side of my penis, it is under the skin and isn t really noticeable until u feel it, there is no pain that comes along with it, it is near the top on the shaft before the head I know that it has been there for probably at least 2-3 years. I am 18 Doctor: hi.do you have any other signs or symptoms that comes along with it? it could be a cystic formation or any of the other benign lesions such as fibroma or lipoma. infective causes must also be ruled-out. a consult with a doctor, preferably a urologist is best, for physical examination and clinical evaluation. diagnostics and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye | 61,766 |
How can sciatic pain in the lower back be treated? | Patient: m\My husban is in severe pain. It s sciatic nerve because its on both sides and lower back. He s caramping real bad. I know he has to keep miving because he have trouble just standing. He s taking a muscle relaxer and tyelonol gels 500mg for pain. Is there any thing else we can do to get him feeling better. Doctor: Dear patient pain in back and both lower limbs may be due to nerve compression in the Lower lumbar area.Reason may be disc degeneration or hypertrophy of ligamentum flavam. Diagnosis needs to be confirmed by doing MRI of the lumbo sacral spine. Please get it done from radiology centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime with tab Dan MR twice a day. Rest is absolutely needed and alone drugs cannot work. So take proper rest for at least 3 to 4 days. If not relieved within a week please consult spine surgeon nearby you. | 106,979 |
Suggest treatment for having mass at the right base of skull | Patient: My 14 year old son has been suffering from severe headaches since Sept 27th (2-1/2 months). He has had a Cat Scan (which showed sweeling of the 4th ventricle), which led to an MRI. The neuro surgeon who read the MRI said it was of no concern and not related to the headaches. (Said it was just a mega cistern magma.) He was prescribed Endomethicin (which did nothing) and was then switched to a once daily antihistamine, diet restrictions, and physical therapy for range of motion issues with his neck. At several appointments he and I have pointed out that there is a fatty area at the base of his right rib cage (he is very thin) that causes pain when he runs. We were told it was nothing . His PT has indicated that there is a mass of (hopefully muscle) at the right base of his scull that does not respond to manipulation and therapy. He now has extreme pain both in his head and in his chest. Everything I find on line points to firbous tumors. What advice would you have for pinting his physicians in a new direction? Doctor: Hello, I passed carefully through your question and would explain that biopsy of these lesions is necessary in order to determine its nature and origin. You should discuss with his doctor on this test. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka, Cardiologist | 139,826 |
What is the best treatment for grand mal seizures? | Patient: My son is under treatment for grand mal seizures. He just had a grand mal this morning, while he was standing in the bathroom. While his staff was trying to help him lie down so she could get help, he jerked and fell out of her arms and hit his head on the bathroom floor. He seems fine now, but I don t know enough about internal bleeding. If we took him to get it checked out, what would they do? He has low cognitive functioning due to brain injury in infancy, so it is really hard to do anything with him at the hospital and I dont want to go if we don t have to. Doctor: Hi, The problem with a traumatic head injury as you described is that there is always a small chance he could be suffering from a brain bleed that will continue unchecked if not detected early. Patients often don't feel very much during this early phase of things but then, by the time it is realized something is wrong, things are more complicated. I believe it is best to take him for a medical evaluation and to allow the doctor to examine him to make a decision whether an imaging study is necessary or not. Sedation is always an option and very routinely done for patients who may move about too much during the scan. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Dariush Saghafi Neurologist | 140,461 |
Is pregnancy possible through withdrawal method? | Patient: I had unprotected sex the day after my period stopped. I am on birth control but missed a pill this month so I took the morning after pill the morning after we had sex....The guy also claimed he did not cum inside me... What are the chances of me getting pregnant Doctor: Hi dear as you people had sex on first day of your periods then there are very very less chances of becoming pregnant as its the safest period..plus ejaculation has not gone inside that also points that no pregnancy..however if you miss the periods for 7-10 days get the Urinary pregnancy test done and check it..USG is also advisable at that time..hope this will help youThanks and regardsDr.Sohil Takodara | 223,950 |
What causes a lump on breast with a normal ultrasound? | Patient: hi there,i recently had an ultrasound scan done on my left breast,the consultant said the results are normal and there is no cause for concern but i must do a follow up in 3 months to check to see if its something that is growing.im slightly worried.also i think my lump could be fiberadenoma,does that develop into anythin serious? Doctor: it is common for females in menstruating age to develop breast lumps. most are just benign fibroadenomas or fibrocystic disease. if ur usg is normal, I suggest u to undergo mammogram if ur above 40 yrs and regular self breast examination to look for any lumps. | 69,156 |
Suggest treatment for lower back pain after delivery | Patient: I just had my baby 3 weeks ago at 37 weeks because my protein had been over 6000 for over a month now the kidney dr said it will take a few months to see if the protein clears up but now I'm having lower right back pain and I'm worried my urine is cloudy with only a little bubbles how long does it take for protein to clear up after having a baby? The nephrologist said she has had some pts that only leak protein and it clears Doctor: I understood your concerns.. usually protein rich fluid may clear by 1month. That depends on personal physical status.... lower back pain after delivery due to stretched and weakened muscles around pelvic and hip. So we need to strengthen muscles and provide stability to vertebral column so pain reduce. | 108,221 |
What causes sensitivity and redness on penis head? | Patient: Hi, my husband is not circumcised an his for skin has pulled back an over the head of his penis it wont go back over an on the bottom right side the is a bubble like thing. the head of his penis is very sen-tensive an red. what should we do? what could it be? an what would the proceeding be to fix it? may I answer your health queries right now ? Please type your query here... Doctor: Hello, Its called paraphimosis and it's a serious condition. I suggest you visit your urologist on an urgent basis to resolve this issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician | 192,847 |
How long does the effect if anti rabies injection remain? | Patient: my son was administered full five injection course of anti rabbiesthis year only now again he is bit by our own dog who is fully vaccinated could you please tell me(a) how long the effect of full dose of anti rabies vaccine lasts is it life time or one year or even less(b) if the dog in question is vaccinated then in that case do we need a vaccination. Doctor: Thanks for contacting HCMI am sorry to hear that your son was bitten by his dog. Since your dog has also been vaccinated from rabies there is no reason to revaccinate your son. If though in the future your son is bitten by a dog or animal that may have rabies he will need to have an additional 2 injections to insure proper antibody levels. At this time there has never been a documented case of rabies after being immunized with the rabies vaccine.Hope this answers your question. Please contact us again with your medical questions or concerns | 37,386 |
Is swelling in knees after experiencing a sprain normal? | Patient: I recently sprained my knee playing basketball....it sweep up the following morning then I went to the doctor for it. No pain when it happened just the following day, it was stiff and hard to Move. I had mobility at the hospital, could move and bend it find with really minor pain, almost none. I have full mobility now, just water on the knee type swelling still and popping/cracking sounds when I bend it back and forth and on the left side of the knee on my left leg, when I bend it all the way back, there s a little bulge but not painful at all. Should I be concerned? Doctor: hi,thank you for providing the brief history of you.As mentioned by you that you were not able to bend the knee and was painful, have your physician advised you an MRI of the knee. Or have you met an orthopedic surgeon? As post the recovery due to the weakness of the quadriceps muscles this symptoms of cracking sounds are normal, by strengthening the muscles of the knee your problem should be solved. Also, an input from the orthopedic surgeon using a clinical examination and also the MRI will help to plan the further rehabilitation.As you are basket ball player your lower limbs have to be really stronger to get the torque in the muscles to jump for your goal. A sports physical therapist will be able to help you achieve the optimum strength. Also, in my clinical practice i have dealt with such sports injuries but the rehabilitation plan will be totally different than applied on the normal individuals to get the optimum torque for the better sports.RegardsJay Indravadan patel | 133,957 |
Does taking Asmanex Twisthaler cause side effects? | Patient: I was prescribed Asthmanex twisthaler .. After 3 weeks of using this med....I started having trouble with my legs.. when I returned to my dr after 3 weeks I had to use a cane to get around.. I have always been very active and this has really depressed me...They said the side affect could cause leg problems...I may be 1 out of a 1000 but it has really caused me added therapy... I hope it helps... thank you for listening to me.. God Bless Dottie Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Yes, you are right. Asmanex twisthaler can cause similar kind of leg symptoms as side effect. So better to change this drug and start another inhaler with lesser side effect. Don't worry, you will be alright once you stop this inhaler. Don't feel depressed. It is temporary side effects. This will definitely go away once you stop this twisthaler. Be positive and stay healthy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 72,214 |
What causes blood clotting on the skin? | Patient: I have blood clotting on the skin like Red dots while counsalting with doctor he say's that it happens due to weakness of blood vessels the medicine i have taken is steroid(DECDAN 0.5MG),ALLERCALCIN,CELLIN ,CETIRIZINE HYDRO CHLORIDE TABLETS IP but still the problem not cured for me. Doctor: Hi, i did review your concern. Your blood clotting under skin could be due to vessel problem or platelet problem. it could be due to steroid use as it can cause vasculopathy. I would advice you to get a complete blood count done and measure the platelet count and then go on from therehope this helps. wish you a healthy life | 114,906 |
How to treat ear infection in a 5 years old child? | Patient: My five year old has been sick with an ear infection and is being treated on antibiotics for the last 48hrs. He is running a low grade fever of 100.5 consistently and this morning he woke up with c/o pounding in his chest. His heart rate at rest is 135 today. Is this abnormal? Doctor: Yes, a heart rate of 130+ in a five year old is abnormal, but it is in line with the fever that he has. Just continue the antibiotic for 5-6 more days if he is improving. But if he is not improving, go back to the doctor for a reassessment. He may need an ENT consult. | 172,215 |
What are the possible causes and treatment of herpes? | Patient: Dear Doctor, My mother of 70 years old is suffering from this Harpies from last 15-20 days. We have gone for treatment in Allopathy but not cured. She is feeling pain in chest and burning sensation under armpit. There is not any sign on skin,as skin color shows normal. What are the possible causes and treatment? Please help me. Manoj India Doctor: From what you have said she is suffering from post herpetic neuralgia a complication of shingles which is mostly seen in elderly above 60 yrs. some medicine which can reduce pain are gabapentin amitryptiline and lidocaine patches.Gabapentin 300mg bd is more effective than pregabalin according to my experience.There iss no cure at present only medicine s to ease the symptoms. Herpes zoster vaccine is available for prevention . | 39,211 |
Is bronchoscopy necessary to remove nodule in left middle lobe? | Patient: pulmonologist suspects atypical form microbacterium by CT scan of chest. friend is on remicade, has RA, and unable to give sputum culture. No other symptoms. Friend never runs fevers. With RA, this person only gets chills. This person has had a RA positive test by blood. Pulmonologist recommends bronchoscopy, with cell washing, and may take a piece (biopsy). There was a 3 mm size nodule in left middle lobe.Question: What are possible outcomes if this person chooses not to have bronchoscopy? Can this person wait for a repeat scan later on, instead? Doctor: Thanks for your question on HCM.I want to ask you few questions1. Age of your friend2. Is he smoker3. What are his symptoms and since how long he is having this.If your friend is young, non smoker and not having any symptoms than I advice not to go for bronchoscopy at present. You can wait and get done repeat scan after 6 months. But if he is smoker, old age and symptomatic than , no harm in bronchoscopy and BAL analysis and biopsy. | 82,380 |
Which is the effective therapy for lichen planus ? | Patient: i am suffering from lichen planus since 5 years.i have taken allopathy initialy but no good result now i have switched to homeopathy but still new lesions erupts.plz guide. . Doctor: Hii , I have gone through your case, you are suffering From Lichen Planus, disease in which there is an itchy rash on the skin or in the mouth. Causes, incidence, and risk factors The exact cause of lichen planus is unknown. However, it is likely to be related to an allergic or immune reaction. Risks include: Exposure to medications, dyes, and other chemical substances (including gold, antibiotics, arsenic, iodides, chloroquine, quinacrine, quinide, phenothiazines, and diuretics) Disorders such as hepatitis C Lichen planus generally affects middle-aged adults. It is less common in children. But you have not mentioned about the site of the lesion appearance . Homeopathy would work miraculosly in this aspect, you could mail me the snaps of your lessions and info about the earlier medicines that you have taken. | 16,380 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.