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What causes back pain and pain and redness in finger tips? | Patient: hi Making this query for my father, who is 58 yrs his HB count shows 19. He is facing some problems like redness(mixed with purple) on the finger tips and pain, fatigue, low back pain etc. Would like to know what will be the reason and treatment. Doctor: Here as per your explanation, having HB 19 is some thing really good. But I need to know what about other parameters like is he having sugar ( diabetes)?Well if he is not diabetic then next is what about hypertension, cholesterol or any other medical history.?If he is healthy and this is first time some thing happening different then I suggest to check on his back pain. Is it coming from back to leg along with numbness and tingling sensation. If yes then his problem is at spinal level which is affecting the nerve coming from that particular level and so that he has pain and sensory changes at lower end of the leg where ever the nerve supplies.But if there is no symptoms of radiating pain then it could be some thing related to vascularity where his lower limb circulation might be affected. Now to have conformation on this there is physical test that is hold and squeeze his calf muscle and check about pain if he complain of pain then the test is positive showing abnormality in circulation for lower limb. How ever the conformation can be done only after dopler test for lower limb.Here just with symptoms of redness in finger tip, fatigue, pain is not enough for any diagnosis it can also be related to simple fever where you will have similar symptoms. soni suggest to take him to doctor in case the symptoms are not going on its own and get him examine properly and do needful.Take care. | 108,267 |
Suggest treatment for a painful rash on the penis | Patient: I had a rash on my penus that was very painful. I went to see the doctor three weeks ago and he gave me antibotics and a fungle cream. That did not clear it up, so I went back about a week and a half ago. He gave me an oral anti fungule. Slight improvement but rash still not gone, and there is a white /clear discharge from the head now. What is goin on?? Doctor: Hello I share your concernLooking at your description this could be STI or infected ulcer I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashApart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply mupirocin ointment externally.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards | 199,353 |
Have breathlessness and chest discomfort. EKG and CT scan done. Have abdominal bloating. Can it be gallbladder attack? | Patient: I have had sudden onset of shortness of breath and chest discomfort for past 8 days. I also have a history of abdominal bloating. I have had EKG and CT scans for chest...all normal. I am being treated for asthma but symptoms continue and appear to be getting worse. I will be seeing pulmonologist in 2 days. Can it be gallbladder attack? Doctor: your allergies are involving the other system like digestive system you asthma medicines are not controlling any more and the allergy is increasing i think it to be food allergy causing asthma and digestive system diseases get blood tested for specific antibodies for food like milk egg wheat potato chana rice poatao nuts when you go for elimination of diet which causes allergy your asthma and abdomen problem will decreases but get ultrasound abdomn for gall bladder also to rule out its effects | 59,088 |
What causes palpitations with blood pressure despite taking Benicar? | Patient: Hi there - I take Benicar for my HBP - however recently my diastolic pressure has been over 105 for several days, and I am experiencing severe headache and racing heart - should I see a doctor or double up on my Benicar? I was out with my kids the other day and became upset over something - the pain shot up my back to my head and it felt like my head was going to explode for days - I went to donate blood and found after 3x s taking the pressure it was consistantly 124-130 over 104 to 106. It has remained the same for days now. Doctor: hiYou can certainly double the dose, but before this type of isolated diastolic high blood pressure responds well to salt restrictions and exercises, reducing weight if you are overweight.Also thyroid test and kidney function test Along with urine protein test should be done. | 22,960 |
Suggest remedy for tightness on shin due to falling down | Patient: I fell on my shin a few years ago. I don t have problems walking but I can t put any kneeling pressure on my shin. When I kneel it feels tight and like I m kneeling on a balloon filled with sand. Most of the swelling went away but not all. Is this something my general practitioner can look at for me or do I need to see a different type of doctor? Doctor: Hi,I have studied your case,There is possibility of stress hair line fracture to tibia, or there can be muscle strain due to excessive runningYou may need x ray leg if pain and swelling persist on rest.I can not compare swelling, but if swelling is there, you need to take rest and use splint or compressive crepe bandage to reduce swelling.Till time take analgesic like diclogesic sp.Watch for appearance of redness, infection.Do ice fomentation.If required you may need to do blood investigation for prognosis and recovery.Consult orthopaedic doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | 136,657 |
Suggest treatment for non retraction of penis foreskin | Patient: Hi, may I answer your health queries right now ? Hello doctor yesterday by chance my penis foreskin get out of its normal position behind the bulb.And i tried it to get it back to original position but it is not getting there. It is really paining. What should i do now. Doctor: Hello, You have to go to the emergency room because you have a condition that you call paraphimosis. If this is left untreated for a few hours there will be severe swelling of the penis and you may need emergency circumcision. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist | 193,461 |
Interprete my Sputum test culture report | Patient: I want to interpret my Sputum test culture report:CULTURE , SPUTUM SUSCEPTIBILITYCULTURE; SPUTUMSPECIMEN SOURCE SPUTUMGRAM'S STAIN PUS CELLS: 8-10/LPFEPITHELIAL CELLS: 3-5/LPFGRAM POSITIVE COCCI SEEN IN PAIRS AND CHAINS: (+)ORGANISM NO PATHOGENS GROWN. NORMAL RESPIRATORY FLORA GROWN.Pl help. Doctor: Gram positive cocci seen in pairs & chains could be Pneumococci & streptococci respectively.Even if the culture of sputum is negative(Mainly due to technical faults), indication is for the judicial use of antibiotic against Pneumococci & Streptococci. | 40,200 |
Is pregnancy possible without ejaculatory intercourse? | Patient: GOOD DAYI HAVE A QUESTION THAT MAY SOUND OR BE SEEN AS INANE BUT IT HAS BEEN BOTHERING ME AND MY PARTNER FOR A WHILE NOW. WHILST HAVE INTERCOURSE THE CONDOM BROKE AND FORTUNATELY ENOUGH WE LIVED NEAR A PHARMACY AND WE WERE ABLE TO GET THE ECP, SHE GOT HER PERIODS LATER THAT MONTH,WHICH WAS NOVEMBER LAST YEAR. IT WAS A RELIEF AS WE ARE NOT READY TO HAVE UNPLANNED CHILDREN. LATELY WE HAVE BEEN GETTING ANXIOUS WHEN WE SEE PREGNANT PEOPLE OR SEE BABY RELATED THINGS, I FREAK USUALLY THINKING I MIGHT BE PREGNANT AS WE USUALLY HAVE DRY SEX OR HE TOUCHES ME SEXUALLY. IS THERE ANY CHANCE THAT I CAN GET PREGNANT FROM DRY SEX OR HIM USING HIS FINGERS. LAST WEEK WE DID HAVE PROTECTED SEX WITH A CONDOM BUT WE STOPPED IN FEAR.AND WE TRIED TO GET AN INJECTION BUT WAS TOLD I HAVE TO BE ON MY PERIODSYOUR HELP WILL BE HIGHLY APPRECIATED AS THIS IS NOT MENTALLY HEALTHY FOR US. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes. Can happen due to pre cum. I hope this information has been helpful for you. | 218,531 |
Suggest remedy for frequent penis erections | Patient: Hi I am a male 17 years old. I have been mastrubating for the past 3 years , my penis is getting erected frequently and I cannot control it . It affects my day to day life. Please tell me the cure for this malfunction. My mail id is YYYY@YYYY . Kindly, send me all the details regarding this . Thank you Doctor: Hi, Check your thyroid and testosterone levels and do regular exercise, yoga and physical games. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist | 193,158 |
Continuous cold and cough, LFT showed high bilrubin, prescribed cough medicines, liveril forte. Guidance? | Patient: Hi Doctor, I am Kapur/28/M. from last month I am having cough/ cold related symptoms. I was taking antibiotics and other tablets. In LFT my sgot is 55 and sgpt is 74 bilrubin 0.9 direct bilrubin 0.2 and indirect bilrubin 0.7. Also my weight got reduced by 4 kg. I saw many doctors and most of them are concerned only about bilrubin and told me that other counts are fine and asked me to medcine for cough/cold and liveril forte for sgpt control. Can you please guide me. Doctor: Hi, Thanks for writing in. Certain antibiotics can cause alteration in liver enzymes. In your case the alteration is very minimal and should not be a cause for concern as other liver enzymes are normal. You can continue with liver tonics containing ornnithine such as hepamerz tablets. Stop the antibiotics as early as possible. I hope this answers your querry. With regards | 59,876 |
high-grade squamous intraepithelial lesion | Patient: I had a loop procdure and was found to have high-grade squamous intraepithelial lesion that was removed it's been 2 months.during the 2 months I keep getting a low grade fever around 100 degrees. I never had so many days of fever in my life can you tell me what is going on Doctor: Thanks for the query I think u r talking about 'lap' procedure. U need to undergo another ush scan/ct abdomen to see if there is another abscess formation in your abdomen again. Low grade fever however is nt a sign of an abcess, in abscess u get high grade fever with chills. What i am trying to get at is, there might some post op infection which has to be taken care of Have a healthy life | 160,049 |
What causes itching and white discharge through the penis? | Patient: hi, i had sex about 2 mounths ago and about a month and a half ago with two differen t girls. now i ve been feeling itching inside my penise tubes and white stuff has been coming out it looks like cum or puss or something, i ve also noticed really small redish bumps under my penise head. I m 16 and I don t want to go to a doctor unless i have to. can someone please help? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Penile discharge after unprotected intercourse always warrants workup for sexually transmitted diseases I would advise you to visit the doctor and get yourself worked up for STD's. Hope I have answered your query. Let me know if I can assist you further. | 195,581 |
Does a lump in the chest lead to breast cancer in men? | Patient: Hi I have a lumb at the top of my left chest which is surrounded by brusing I don't recal of any blows in that area it is painful and seems to be getting bigger been to my doctor he saysy he will refer me but did not tell m e much except only 1% of brest cancer is is in men it is getting bigger Doctor: You must not worry swellings associated witb pain and bruise are usually benign and might be because of some trauma.start tab combiflame tbree times dailywih chymoral forte three times daily. | 65,981 |
What are the lumps on her wrists? | Patient: Last Wednesday I picked my 6 year old daughter up from her afterschool program and she showed me a hard lump on the lateral side of her right wrist, she didn t have the lump that morning, and she said she noticed during class, the lump doesn t bother her mostly, but is bothersome/painful when she bumps it, or it s touched. My sister is a pediatric LPN and she looked at the lump Saturday night, and she said it looked as though it could be a cyst, and should be looked at, but could wait unitl Monday. Then yesterday morning when she woke up, she had another lump, and it is on the lateral side of her left wrist, the lump on the right wrist was still there as well. I took her to the urgent care, the doc said to give her motrin, he wanted an xray, and if nothing shows up on the xray, and the lump are still there in 4 days then we d have to go to the next phase of testing, but their xray machine was broken, won t be up and running until tomorrow, and he said he isn t too concerned and it could wait until Tuesday. Well, the lump on the right wrist has already been there for 4 days, and I am just trying to get some idea of what might be going on, or causing these lumps. Also, she has not fallen, or anything like that, so injury isn t a factor, if anyone has any clue, please let me know. Kim Doctor: Hi,These lumps on the wrists seem to be insect bites as it pains on handling them.The second on the left wrist came overnight and hence seems to be due to bedbug bite or insect bite.Don't worry and it would go in next weeks time.Apply anti-inflammatory gel like Voltaren and your daughter would be alright.Hope this would resolve your query.Welcome for any further query in this regard to HCM.Write good review and hit thanks if this reply is helpful to you.Have a Good Day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS | 63,474 |
What causes chest area pains persistently? | Patient: hello my name is joshua mckeon i am 24 years old 5'10" 160lbs as of right now this very moment i am having chest pains directly over my heart area i actualy think it is my heart hurting, this has been going on for about four years and it has been happening every 2 months or so now for the past week it has been happening every day about every 3 hours it is like sharp stabbing pains could this be seriouse do i need to see a doctor in person Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This intensity of persistent pain has many possible reasons as - valvular dysfunction - ventricular issues - conduction defects - others .* Needs immediate attention with your family doctor to get an EKG and manage precisely .Hope this will surely help .Wishing you fine recovery .Feel free to ask any further doubts .Regards . | 72,302 |
What can I do for swelling in the feet while on medication for diabetes and hypertension? | Patient: Good evening - I have notice yesterday & today that my right foot has swollen very much. I am use to my ankle swelling sometimes due to I also broke it about 20 years ago, but never my foot & not this much. Currently I am taking medication for Hight blood pressure & diabetics. Can you tell me what I can do other than elevate it. Doctor: Hi, It is not related to your blood pressure or diabetes medicines. It may be due to something else and you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. | 126,921 |
What causes dizziness post a lumpectomy? | Patient: Hello I had a lumpectomy (11/21/16) I am currently in Physical therapy and some massage therapy. In the past week I have been having dizzy spells. I have seen many medical Dr to rule out can inner ear concern. My question are these dizzy spells normal after surgery? Thank you Doctor: Hello!Welcome on Healthcaremagic!These dizzy spells are not normal after surgery. They could be related to anemia or an inner ear disorder. For this reason, I would recommend checking your complete blood count for anemia and monitor your blood pressure values to exclude low blood pressure. If the dizziness persists, I recommend consulting with an ENT specialist. Hope you will find this answer helpful!Kind regards, Dr. Aida | 142,325 |
Had painful abdomen and light bleeding. What could be the cause? | Patient: I started bleeding a day before my period an it was light and last few hours an stop day later nothing then I had a tiny bit it last 2 ministers now I'm on day 4 still no period I am normally very heavey so this is very weird I had pain in abdamon very bad today but it only last 30 seconds could you help please I'm very confused Doctor: Hi, it appears that you have period one day before, and that was the end, the rest were spotting. the reason might be the anemia, infection, or anxiety. I advise you to consult a gynecologist for diagnosis and treatment. Take more of green leafy vegetables, pulses, sprouts, and proteine rich foods. Thank you. | 92,656 |
Suggest remedy to cure cough during pregnancy | Patient: hi am 5 months pregnant and suffering from bad cough since almost a month due to which i even have muscle spasm in my chest which is painful with every bought of cough. also now again i have started getting throat infection due to climate changes. fearing of my cough day by day.Please help. i am already on grilinctus syrup, bedazine tablets and have finished a antibitoic course of cefixime tablet. i have started taking homepath since 15 days but still no improvement.plz suggest. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should consult pulmonologist first and get done clinical examination of respiratory system. If pulmonologist heard rhonchi and wheezing then bronchitis is more likely and you will need inhaled bronchodilator and inhaled corticosteroids (ICS). But if he found crepitation and crackle then you may need chest x ray with abdominal shield (to prevent radiation exposure to your baby) to rule out pneumonia. You may need higher antibiotics too. So don't wait, consult pulmonologist and discuss all these. Don't worry, with appropriate drugs, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 76,911 |
Does pain and pressure in rib cage require immediate medical attention? | Patient: I previously wrote in about lower abdominal pain and that I had been waiting to be seen by my GYN dr at the end of the week to be re-evaluated after being treated for BV and having it reoccur (at least that s what it seems like to me), and mentioned that I had noticed my left rib sticking out. It is about an inch further out than my right, and not sure how long it has been that way. I made the appointment on Monday and was hoping that I could just wait to be seen by my Dr, but over the past 24 hours I ve developed a lot of pressure in the rib area (it didn t hurt at all when I first mentioned it) and moderate pain. Basically just enough pain to make me feel nauseous. The pain is located just under my left rib cage and hurts more toward my side than in the middle. When looking up information online about what could be causing the pain I keep coming across people saying get to a Dr immediately if you have pain there because something might rupture, but I imagine that I would be in severe pain if it was that urgent? Is it safe to wait to be seen? My appointment is in about 10 hours. Doctor: Hello, I suggest you have a thorough clinical examination and basic investigations like X ray and follow up accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rajesh Gayakwad | 119,910 |
Does not eating meat cause stomach pain ? | Patient: Hello, my name is Tudy I am 31year old.I weigh 65 and my height is 1.6. I dont eat meat and it has been 14years since I last had meat. I only eat fish and i also dont use a lot of dairy products.resently i have been getting bad stomach pains on the right side of my stomach. I have been to a doctor three times and he always just gives me medication for the pain. I have never been like this before, I am now not sure if my stomach problem is because I dont eat meat? this is all new and it would happen twice or three times a month. then it would go away. I now dont know what to do, please help. Doctor: Hi, Tudy, Thanks for query, As there is pain in right side of abdomen we should rule out chronic appendicitis,some kidney problem. Go for ultra sound and find out the cause. ok and bye. | 95,427 |
Why do I have pain in lower abdomen along with fever and cough? | Patient: I had a fever last night which has calmed down now. Now I have this throbbing pain in my lower left abdomen which gets worse when I cough or sneeze. It feels like something has burst in my tummy when I cough and the pain is unbearable when that happens Doctor: Hi,Thanks for writing to HCM.You might be having a left ureteric stone with urinary tract infection, to cause those symptoms.Get an ultrasound of your abdomen done along with a routine urine examination.If its a uti with a stone, then you need to show to a urologist for further management depending upon the size and location of the stone and antibiotics to control the infection.RegardsDr. Ashish Verma | 91,468 |
What causes sleeplessness despite taking Ambien and Xanax? | Patient: Good morning , Take one fourth of a 10 mg Ambien to fall asleep at night.I also take one fourth of Zanax once a day to keep calm .I have had very bad stress for one year my husband went to his 82 year old lover I alone can’t sleep YYYY@YYYY Doctor: Dearuntreated depression is one of major cause of insomnia. As u r suffering from stressful events in your life just treating with sleep inducing medications won't workby now u must hv developed tolerance to such medicationsu may be needing antidepressants after detailed psychiatric interviewRegards | 204,703 |
Suggest treatment for pain in the palm during a physical activity | Patient: I have pain in the palm of my hand, below the thumb when I golf, type or try to unscrew something hard. My physician thought it could be carpal tunnel and gave me a wrist brace to wear at night. It s been about 2 months wearing the brace, the pain is better than before but still there. Your thoughts? Doctor: Hello I have studied your case,I consider that there was no injury/trauma to your wrist.As per your history there is possibility of De Quervain's tenosynovitis.Physiotherapy like USG and TENS will help in relieving symptoms.Avoid twisting activity of wrist.Till time continue your medication.If not relieved local steroid injection will help, you can take that after consulting your treating doctor. Last aspect remains surgical release as long term cure.Another probability of carpal tunnel can be considered in which there is swelling over wrist .There is nerve compression near wrist which leads to pain on movement.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | 128,003 |
Can Nortriptyline intake cause reactions on a person allergic to Compazine-related drugs? | Patient: I have just been prescribed Nortriptyline by an ENT to reduce the raspiness in my voice. I am highly allergic to Compazine and other drugs related to that and want to know if I could have an allergic reaction if I decide to take the Nortriptyline. Thanks. Doctor: There is no allergic co-relation between Compazine and Nortriptyline as both of these are different class of drugs. You can safely take Nortriptyline.But I would still recommend keeping an eye open for any serious though rare side effects like itching, rash and report the to your doctor.hope this answers your question, Thank you. | 98,642 |
Suggest remedy for rashes | Patient: hi doctor i am a low incom parent so i dont have money. my 1year *month old baby has a bad rash accross her body aswell as her eyes are weaping to a extent that they are glued shut in the mornings. she has been on a lot of meds the last 2 1/2 months I am worried about her liver. please help Doctor: Hello,The symptoms of your baby seem to be related to a baby eczema. Meanwhile, I suggest using a mild steroid cream for local application such as Calamine lotion.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | 12,733 |
What causes swelling and tenderness in the back? | Patient: To the left of my spinal cord in the middle of my back is swollen and tender to the touch. It just randomly came about last evening. I used a massage chair while getting a pedicure so I dont know if that's what caused it or if it just made a prior injury worse. Doctor: Hello. Thanks for writing to us. The swelling and tenderness can be due to an infection in the area. A para spinal abscess needs to be ruled out after a direct examination.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,[email protected] | 111,015 |
what could cause panic attack? | Patient: Hi, I'm 16 and I havent been feeling that well for about 4-5 days now. I feel exhausted, dizzy, thirsty, and I now have bright green stool. I've also had a couple of panic attacks, which I've never had before. I'm having blood work done on Wednesday, but I have to go back to school tomorrow. and im scared. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.The condition that you are having is basically panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | 209,993 |
Suggest treatment for ulcerated eye in a baby | Patient: What is the treatment for an ulcerated eye in a baby - we are in West Africa and my watchmans baby fell and this has resulted in the ulcer - she is at the eye hospital and they are giving injections but say they may operate - is this standard treatment - the child is 1yr old Doctor: Trauma resulting in ulcer in the eye is a serious condition which can result in loss of vision in that eye.If your opthalmologist is giving injections in the eye and had asked for surgery, then you should proceed for surgery as delay could affect future vision in that eye. | 165,372 |
What is the ICD-9-DX code for a complicated pregnancy? | Patient: I want to find out the service code/ ICD-9-DX code for; INDICATIONS: The patient is a 26-year-old woman with a complicated pregnancy, who has been on bedrest because of diabetic nephropathy. Due to the fact that the fetus might be in a hostile environment, we felt that accelerated pulmonary maturity might be a possibility; therefore, at this time, we elected to go with amniocentesis to help us manage her pregnancy. She had been fully informed of the risks and benefits of the procedure prior to proceeding. DESCRIPTION OF PROCEDURE: Ultrasound scanning was done by the technologist, and placenta was posterior. We prepped the abdomen and draped it. We used a sterile covered ultrasound transducer with guide and located a pocket of fluid (do not report the ultrasound guidance). The 20-gauge needle was inserted. As we got into the uterus, the baby moved into the area; therefore, the needle was immediately withdrawn. The fetus was palpated a little bit, and we stimulated the baby and it moved out of the area. We then repositioned the transducer, and we were able to drop into the pocket of amniotic fluid and withdraw 20 cc of clear yellow amniotic fluid. The fluid was sent for maturity studies. The patient tolerated the procedure without difficulty. Doctor: Hi, I have read your query casrefully. The ICD -9-DX codes consist of international statistical classification of diseases & there health problems. numbers 630 to 679 cover those conditions complicating pregnancy.- It provides multiple external links to help. Thanks. | 221,338 |
3 year child suffering from cold and cough. Is it safe to give puffs for child? | Patient: hi my child is 3 yrs old and is suffering from cough and cold from last two weeks. The doctor had suggested for omnocortil for 3 days and augmentin for 10 days. its a week now but still his chest is congested,he used to take nebulisation with budecort and asthalin but still he is not getting rid of the cough he has stil got flum inside.now the doctor is sugges ting for foracort inhaler 100.is it safe to give puffs for my child,need ur suggestion Doctor: Young children often develop asthma like symptoms after an attack of cough and cold as the airways become hyper reactive. If he continues to be breathless, continue with nebulization with asthalin and budecort. You may repeat a course of omnacortil for 3 to 5 days. Different manufacturers have different guidelines regarding use of foracort in children below the age of 6 years. You may discuss it with your paediatrician. | 105,452 |
Suggest treatment for child suffering from fever and eyes pain | Patient: My 4 year old daughter has had a fever for about 5 days, her temperature has been 103 under her arm, it goes down a little when we give her ibuprofen and alternate with tylenol but goes right back up as soon as we stop. She says her throat doesn't hurt, she did say a couple of times that her eyes hurt, but doesn't complain of anything else. She looks really pale. What should I do? Doctor: evaluate for viral fevers like dengue, malaria, typhoid.. because, all these fever are of sudden onset which are of high grade temperature and head ache along with retro orbital pain or eye pain.. do a complete blood profile with peripheral smear and widal | 164,504 |
Suggest medication for depression? | Patient: Hello iam 39 years old I have 3 kids very healthy beside that 10 years I was diagnose with deprassion I suffer from at for 3 years until they told me that it s biopoler , they gave me litium and celexa and after few week I got better, I took at for 3 years , and then I got preagnant with my baby , we stop the medication , I felt great now after so long everything came back iam feeling very bad , I went to my famliy doctor and he gave me the litium and the celexa again but it s not helping , iam very upset I went to the emergency room last week , I didn t sleep for weeks , they check my litium level and they say it s very low 0.5 my doctor say it s not make different and this not why I don t feel better do u think if the litium level low the deprassion can go away ? They had me now another medic ion the name is lamictal , I am very depressed and very worry , I don t know what should I do Doctor: HiThanks for using healthcare magicYou are chronic case of depression. In that case you have to take medicine regularly. If you are not pregnant, in that case you can again start with lithium and any antidepressant. Blood level of lithium should be between 0.6 to 1.1meq/dl. Below that level, it would not show any effect. You should consult a psychiatrist to optimized your dose, so that you could get better response. In case you need our help, you can connect us.RegardsDr. Abhishek KapoorPsychiatrist | 211,053 |
What causes vomiting and sweating? | Patient: Hi, my brother is ill at the moment and i am a bit concerned, his symptoms have been vomiting, chills and sweating, he has been lethargic and has been in bed most of the day. He isn't hungry and has only been drinking water and sustagen all day, he said he is vomiting clear liquid (most likely water). He is 30, 84kg and has recently come out of hospital from a sinus operation (polyps) as he suffers from Cystic Fibrosis. Any help would be much appreciated. Doctor: HelloBased on the symptoms that your brother has he is likely to have post operative septicemia which does occur due to infection following surgery .He needs to be hospitalized and take 1) Appropriate antibiotics .2) I.V fluids to maintain water and electrolyte balance 3) Multivitamins and other medication like anti emetics and H2 receptor antagonist like Ranitidine .This will help him to stop vomiting .Dr.Patil. | 197,213 |
Are high potassium levels a normal progression of kidney disease? | Patient: my friend has been told his potassium is to high. He is 4th stage kidney problems, diabetes and is 84 years old. He had open heart surgery 15 years ago. I don t know how to find foods with little potassium. Is there anything I can do to help him out with foods or is this a normal progressions of the 4th stage kidney disease? Doctor: Hi,Thanks for writing in.In any patient with kidney disease there is potassium, phosphorus and sodium level abnormalities and this requires to be controlled. There are medicines which might be given to drain the excess of potassium from the body. Please give him foods which have less potassium content and avoid those which are rich in potassium.High potassium foods from natural food sources like beans, dark leafy greens, potatoes, squash, yogurt, fish, avocados, mushrooms, and bananas. Please give these in smaller amounts. Please do not worry. | 47,808 |
What to do for calcium deposits on rib cage? | Patient: had an xray on right side of back (3) as i have soreness like a strained back. woke up with it. had xrays taken, a little degenerative going on there but nothing to be to concerned per dr. i saw xray of right side and it showed some signs of calcium deposits on rib cage. dr. called the radiologist said no C but some women over 60, which i am may show signs of this. normal? Doctor: HiYes, this is nothing to worry about and quite often we see it in both men and women over the age of 60 | 132,637 |
Itch on upper legs, thighs, spread to pelvis, penis, ribs, tiny bumps between fingers. Allergic reaction? | Patient: back in the beggining of july i noticed an itch on my upper legs and thighs, it then spreaded to my pelvis area, and then my penis , it has now spreaded to my ribs, shoulders, and my butt crack, my penis has these itchy bumps, i also have tiny bumps between my fingers, i occasionally get small bumps on my legs but when they are there or not, my legs still itch, my mom says it could be an allergic reaction , hwat could it be? Doctor: Hello, Your condition could be described as an acute urticarial eruption if the lesions are red, itchy with central clearing and disappear in a few hours. Individual lesions do not last for more than 12 hours and new ones appear, and it seems they are always there. Allergic reaction is only plausible if this was after a new medication, food you have taken and happens within a few hours. Pain killers are notorious to cause these reactions, but if you have not taken before an outbreak it is unlikely to be an allergy. However, medications can have a secondary effect on skin so do get your mdications reviewed if you are on any. Urticaria is mostly non-alergic, although blood tests such as CBC, LFT, thyroid are necessary at some stage especially if lond-acting antihistamines over 3-4 weeks taken daily do not help. Thanks. | 105,178 |
Suggest treatment for erection problems and grey hair | Patient: Hi Doc!!!I am Salah, married in 2005, 42 years old with two kidz. Height is 5 feet 4 inches, weight is 70 kg. Sometimes I feel some erection problem as well as early arousal. I got hair loss and grey hairs Please tell me some medications but should be without after effects. With regards,Salah Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have mentioned that you are having erectile dysfunction problem and for that problem your general physical examination should be done first. Your blood pressure should be check to rule out hypertension and if any positive cardiac history present than cardiac causes can affect erection as well. Your cholesterol value also should be checked. If you are having any prostatic problem then provide history regarding that. Smoking anxiety and depression also can lead problem in erection. For your hair loss any chronic illness if present should be ruled out and after detailed history and examination if it seems to be androgenic alopecia that is male hormone induced than topical minoxidil can be prescribed. Hope this will help you Let me know if I can guide you further | 195,528 |
What causes increasing pain in lower abdomen? | Patient: All throughout the day i have been experiencing a gradually increasing pain in my lower abdomen. The pain comes in waves that keep getting stronger. I can barely move now. Im not sure if these are ovarian cramps or if it is appendicitis. Do you think I should go to a doctor? Doctor: Hi.The pain in waves is caused more by an intestinal problem than the ovarian problems.This can cause due to many diseases like gastroenteritis, ureteric stones besides some irritable cause in the lower abdomen like a lymph node or so.I would suggest you to visit a Doctor who can examine you clinically and advise investigations if he/ she feels so | 91,857 |
What is the treatment for the twisted ankle? | Patient: I fell off a cabinet onto the floor because the step stool flew out from under my feet on Wednesday, twisted my knee and it swelled around the knee cap, it feels a little warm, and also feels like it has liquid under the skin when touching. I put ice on it for past few days and seems to have the swelling go down. At first I couldn t bend my leg backward but now I can with only mild discomfort. I used a walker the first two days, do you know what I might have done? I am 60. Thank you! Doctor: Hello,Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. Your questions stays twisted ankle, but in the text refers to your knee. I suspect you are worried about a knee problem. When the knee is swollen after an injury it is always a good idea to make sure that you haven't damaged a meniscus or ligament in the knee. If the knee feels stiff I would apply some simple heat and take something like a Tylenol if it is painful. If it is not improving in the next few days I would suggest seeing either your primary care physician or an orthopaedic specialist.I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions.Best wishes,Adrian Rawlinson MD | 137,951 |
Itchy rashes above the ankle. Due to bug bites? | Patient: on my left leg just above my ankle area, I have a couple of small flat red places that sometimes itch . They are bright red at first, then later become brown and start to fade. I first thought they might be some strange bug bites from working outside this summer. But now that I am not outside anymore, I still get one or two. Doctor: HI there. Thanks for your query at HCM. As i am wont to say, dermatology is a 'visual' field. So it would be great if you could upload some good clear photographs of the rash onto this site using the 'upload data' icon on the right side of your screen. In the interim, your guess of an insect bite reaction seems fairly accurate & intelligible. The reason it does occur indoors is probably due to the presence or infestation of dust mites/fleas etc in our indoor surroundings including carpets/rugs/ blankets etc! There are two approaches you could take. First, visit a skin specialist (dermatologist) nearest you & get an opinion/skin biopsy & then move onto the treatment or simply apply a potent corticosteroid cream that you may get over the counter if you have a friendly neighbourhood pharmacist on hand & do remember to treat the fomites & spray the surroundings etc! But, do remember if you go with the cream, then no biopsy can be done for at least two weeks after stopping said cream. In any case if the cream & and a non sedative antihistamine (fexofenadine 180) does not work, then best visit the dermatologist. Cheers & Good LUck! Dr Praveen Rodrigues MD | 16,205 |
Are antibiotics the right medication for severe pain in the groin area? | Patient: Someone is having major issues with SERVERE PAIN IN HIS GROIN area ... had a MRI done and was told he has a bad infection in his groin (HUGE BULGE KNOTT ) causing unbearable pain he said ... first thought it might be a hernia ... however was told INFECTION IN GROIN and was put on strong anitbotic. Doctor: Hello Since the MRI shows the presence of an infection in the groin area so the right treatment is an antibiotherapy.For the hernia there are a number of symptoms which mainly is the existence of a bulge being more visible by effort and reduced by hand and it's not that painful unless if it's strangulated, Unlike the infection, which is painful with redness of the skin and increasing of the skin temperature over the area and sometimes a fever.I suggest that you trust the doctors and continue the treatment to prevent any further complication.Hope I answered your question Best regards Dr. Noor Farid | 29,284 |
Is an elevated calcium level in infant a cause of concern? | Patient: Hello, My wife and I have twin boys (fraternal) that are 2 months old. Our one son just went through testing for an elevated 17 OHP level. This level was high at birth but has gone down and after seeing an endocrinologist they found normal levels. Now they tell us that he has a slightly elevated calcium level of 11 (they said normal level is 8-10.5). Is this cause for concern? Doctor: HI no need to worry because serum calcium is high normal,Just give normal feeds aon demand to your baby and can repeat SERUM CALCIUM ONCE AFTER A MONTH. | 174,681 |
Is there any treatment in homeopathy for ovarian cyst ? | Patient: hi,i m hajra 30 yrs old, got married 4 years back,i have been operated once for left ovarian on 15.07.2010 and that was removed and also tubercular infection was detected in pelvic region,the course of t.b.has been completed but after 6 months the cyst recurred again on my right as well as left ovaries and both are 7.5 cm of size,i have no child and i dont want to be operated again,can homeopathic remedy is available for me? Doctor: Hello Hajra, Welcome to HealthcareMagic. The kind cyst you have mentioned of the ovary could be cyst due to endometriosis, in which case the cysts have a tendency to recur.It could even be a functional cyst, which is seen generally in a case when, ovulation ie..removal of egg from ovary, does not take place and the follicle continues to grow forming a cyst. This is seen in cases of Polycystic Ovarian Disease.In such case there is a hormonal imbalance too.I would suggest you to get your hormonal levels done after discussing with your gynaec, in case not yet done.And follow the treatment as adviced.Homeopathic treatment, of course might be of some help, as long as the cause is not something which mandates a surgical treatment only.Hence , the best person to commend upon the same would be your gynaec, after it is thoroghly evaluated as to the cause of the cyst. If it is still of tubercular origin.Hope I could answer your query well.Get well soon. | 45,049 |
What causes pus filled lump on the mouth? | Patient: hi i have a large bump on the roof of my mouth that came up yesterday about the size of a grape and it is sore seems to be filled with liquid although quite hard i phoned d entist and he cant see me for 3 weeks doctor cant see me till monay. any ideas what it coul be i am worried if it bursts when im asleep and spreads the infection thank you .emma Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some abscess formation due to infection. You should go for drainage of your abscess. You should take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answere your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 65,801 |
Pain in side, popping sensation under kidney. Have copper coil. Taken antibiotics for PID | Patient: Hi i am having extremely bad pains on my sides...cant sleep on either side and feel a popping sensation under my left kidney. i have had a copper coil fitted in. It has been 7months was ttold after a screening test that i have pelvic imflammatory disease was given antibiotics but had a bad reaction to them so couldnt compplete the course. I have been in my lower back thinking could it b my kidneys Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.F. It appears to be the pelvic inflamatory disease, along with renal lithiasis, (kidney stones) urinary tract infection. When you find the drugs are in compatible to you You should consult your doctor for an alternative medicine. He will give you a medicine which suits to you. If they are gastric irritant you can use P.P.I, and antacids to combat gastric irritation with your doctors advise. The copper coil also may be the cause of resistant infection. The removal can solve the problem. Wishing for a quick recovery. Best regards. | 94,111 |
Noticed a pimple on the shaft of the penis | Patient: Hello on the shaft of my penis i have this pimple that is like a tunnel i could fit a toothpick through it, its like someone pierced it with a needle and the skin just stays there its been like 2 months i keep trying to squeeze it but nothing comes out Help Please Doctor: Thanks for asking in healthcaremagic forum May be a scar formed because of boil. Please visit a doctor for examination and further management. Till then do not insert any thing into it. All the best. | 200,410 |
Mental disorder and fearing problem.Treatment? | Patient: Doctor, My uncle suffering mental disorder problem from past few months. For every insident he is fearing, about his boss. He always used to tell Police will come to our house and will arest all persons. Some times he used to go outside lonely and sometimes night also. One year back he had problem with his boss. Same insident he used to recollect and getting fear. He thinking that his boss made complaint against him, so police will come any time. But actually there is no serious problem with his boss, and his boss not having any angry on him. For his mental disorder or fearing problem what we have to give treatment. Now his health alright, except his boss insident matter, he used to talk nicely about all other matters. We shall be very greatful if you give kind advise for the above issue. Thank you, GAB Suresh 0000 YYYY@YYYY Doctor: Dear Mr. Sutresh,I do appreciate your concern for your uncle. From what you have mentioned, your uncle seems to be having delusion of persecution, where a person falsely believes that others have turned against him and want to harm him in some way or other. It is a symptoms suggestive of psychosis. It may or may not be associated with other symptoms which will need complete evaluation.I would suggest that you seek a psychiatric consultation for him. he would respond well to antipsychotic medications like olanzapine.I do hope that I was able to answer your query. Best wishes,Dr. Sunil Gupta | 207,654 |
Can swelling and numbness in toes be normal after getting pierced by glass? | Patient: Hi I stepped on a piece of glass and it went in about a little more than half an inch and when I pulled it out blood started gushing for about 3 minutes and then stopped. Now I m having some pain when I walk and swelling and numbness on that area and on my toes. Is this normal? Please help! Doctor: Hello, It is due to local inflammation. There is a chance for infection and antibiotics have to be stated preferably amoxiclav. Daily clean with soap and water and apply topical antibiotics like mupirocin. If there is pain, over the counter available analgesics like paracetamol or aceclofenac can be taken. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 215,220 |
How to treat the painful, hot, burning thumb caused by a bad smash? | Patient: Last night i smashed my thumb in the bathroom door it is my right thumb last year i sprained that same thumb i have been having pain for hours on end it is really big and red and bruised all over and is very numb i accidentally bent it and it started getting really hot and starting burning what is wrong with my thumb? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems like severe soft tissue trauma along with ruptured blood vessels leading to inflammation and bruising..The numbness is due to damage or inflammation of nerve endings secondary to injury..I would suggest you to consult an Orthopedician and g uredfractet evaluated and he can do a clinical evaluation along with an x ray to rule out for bony fracture..In case if there is bone fracture reduction of bone segments and fixation ill be done..In case if there is only soft tissue injury doing alternate warm and cool compresses,applying analgesic gel like Diclofenac to relieve pain, heparin gel to reduce bruising and steroid gel to relieve burning..You will also be advised to take anti-inflammatory painkiller like Ibuprofen and muscle relaxants for relieving inflammation and stiffness.Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | 135,777 |
How can severe depression be treated while suffering from hypothyroidism? | Patient: i am 59 years old and i am in a big struggle with depression and i have hypothriodism...i am gaining weight and loosing my hair terribly..i never feel good any day of the week and i am not happy is this treatable? what vitamins can i take to feel better and get myself healthy enough to exercise and get back to life. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You need to take medication for hypothyroidism. For hypothyroidism you need thyroid supplements and not vitamins. Consult a physician for it. Depression can be caused due to hypothyroidism and once your thyroid function will return to normal, symptoms caused by it will gradually improve. Hope I have answered your query. Let me know if I can assist you further. | 204,521 |
Is there any cream to bring back my skin color ? | Patient: hello doctor i am 17 years old boy and my name is kamal i was whiter when i was born but gradually my skin became dark and my face is brown in colour i want to became white so is there any tips for becoming whiter especially any creams??? i have dry skin type..... pls doctor help me Doctor: hi u need to apply good moisturizer cream twice a day u have sensitive skin so u need to avoid sunlight and use regular sunscreen drink more water eat more fruits and green veg avoid oily and spicy food better to consult dermatologist | 9,051 |
Child suffering with allergies, periodically on Montair. Does it lead to behavioral changes in children? | Patient: My 8 year old son has had allergies for a few years and is advised to be on Montair periodically- he mainly has rhinitis and wheezing and at time skin hives when affected. I have heard that Montair can lead to behavioral changes in children especially aggression- is this a know side effect? Also, what exactly does montair do? Doctor: Hello Priyanka Thanks for your query. How is your son now ? Regarding your question , Montair contains the drug Montelukast,which is a Leukotriene [cys LT1] receptor antagonist.It blocks the action of leukotriene and prevents leukotriene mediated inflammation and bronchoconstriction.It is used in prophylactic therapy of mild to moderate asthma,in allergic rhinitis ,urticaria etc.Montelukast is usually safe drug.SideEffects are GI disturbances,headache & rashes.Few cases of Churg-Strauss syndrome have been reported. In a report FDA mentioned about the possibility of neuropsychiatric side effects with leukotriene modulator drugs like Montelukast. Although clinical trials only revealed an increased risk of insomnia, post-marketing surveillance showed that the drugs are associated with a possible increase in suicidal behavior and other side effects such as agitation, aggression, anxiousness, dream abnormalities and hallucinations, depression, irritability, restlessness, and tremor. Update here how your son stays ... Take care. | 105,153 |
Have discoloration around gums, weight loss, teeth and mouth hurts. Got graves disease. Done thyroid removal, gastric bypass | Patient: I am 37, I had severe graves disease, thyroid removed in 08, then had gastric bypass in aug of 09. Well since then I have gotten sicker! Yes, I have lost a vast amount of weight, currently weigh 119lbs for the last 2 years. Anyway, in June of 2011, I went into thyroid storm, almost didn't make it, was in ICU almost 8 days, after this episode, and I mean within 45 days my teeth and mouth began to hurt. I mean I cry! they are black around the gums and are turning brown, all this in 45 days, so I looked online because I don't have dental. And I see a lot of reference to METH MOUTH. I HAVE NEVER SMOKED METH IN MY LIFE! What is going on. Doctor: hii.Welcome to HCM.I have gone through your query and past medical history.Firstly since you have undergone gastric bypass surgery in the past, one of the reason of your brownish tooth discoloration could be due to gastroesophageal reflux leading to tooth erosion and consequent pain and sensitivityOther reasons of brownish discoloration are1.rampant dental caries 2. excessive consumption of tea,coffee or tobacco3. chromogenic bacteria 4. overuse of antiseptic mouthwash5. various systemic medications can also lead to tooth discoloration.It would be best if you consult a dentist for the confirmed diagnosis as physical examination is very important in your case.hope you find this reply helpfulregards. | 188,227 |
Are fatigue and weakness when diagnosed with sinus bradycardia a concern? | Patient: how serious id sinus bradycardia? I have confirmation from ECG. I am a previous smoker, quit 2 years ago and healthy habit since. I am experiencing weak and fatigue especially when for 2 -3 hours after waking up and periodically through the day. I am concerned with fatigue and feeling of weakness. Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that considering your previous smoking history bradycardia with fatigue and weakness can be cardiac. It’s recommended for you to get a basic cardiac evaluation done which includes ECG, echocardiography, and TMT and consult a physician with reports. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist | 17,241 |
Alesse birth control, levonorgestrel and estradiol content. What is the dosage? | Patient: Help: mess up the pill order of birth control Alysena28(Alesse)?My period began on Aug4th and ended on 9th. I start to take my Alysena which is generic brand of Alesse on 10th, I didn't miss any pills, but I messed up the pink pill order for 4 days already. I didn't take any of the white pill, just took the pink pills. I just notice there is numbers on every pill that are 100 and 20. I thought the pill order is been specifically set up and have to be taken in order, but I compared my other 2 NEW packs and found out that they don't have the same order on the 2 pack of pills. I'm wondering is it gonna increase my pregnancy risk if I didn't take them in order? Does every 100 means one pill only contains levonorgestrel 100 µg but no estradiol? Thank you very much! Doctor: Hello,Thanks for posting your query on health care magic.Missing out pills will definitely increase your pregnancy chances.Since you have already missed 4 pills, i suggest you to stop taking any of the pills from the pack.Use back up method like barrier contraceptive.Start new pack from 1st day of next cycle.100mg is LNG and 20micr g is estradiol.Placebo contain iron tablets.Hope this helps.regards,Dr Nilofer | 225,679 |
What could be the lump on the right side of neck above collarbone? | Patient: I woke up a few days ago, and i found a small lump on the right side of my neck , right above my colorbone, its about the size of a dime, when it first came up it was a little smaller, and caused stiffness to my neck for 2 or 3 days, the stiffness is gone today, but the bumb is still there, you cant see it unless i tilt my head to the left and point it out but you can feel it. Im a 12 and a half year old female , 5 foot 4, and 156 pounds i dont smoke , or drink and i still havent had my pieriod Doctor: HelloLump on the collar bone may be due to enlarged lymph nodes.There are many lymph nodes in this region for lymphatic drainage.Generally lymph node are enlarged due to infection/inflammation in scalp,face,ear or throat.These region proper clinical examination to search for cause.Mostly these are due to benign reasons and disappear with treatment of underlying cause.So,you should consult your physician for proper evaluation.Get well soon.Take CareDr.Indu Bhushan | 65,777 |
Is Rovamycin, Duphaston, Folic acid, Naturogest vaginal capsule safe for this pregnancy? | Patient: hello....i had miscarriage in 10th week ,cause was rubellla infrction found after torch test. now again i am 6 weeks pregnant . Doctor suggested folic acid for month along with Rovamycin forte , Duphaston 10 ml. each twice a day for 15 days. Naturagest vaginal capsule for 15 days. Is this medication safe?? Doctor: Hi,Since you have already had rubella, you are immune to it. So you do not need to take the Rovamycin (Spiramycin) which is usually given when found to have TORCH infections. Duphaston and Naturogest are both progesterone are not required in your case, as cause of your previous abortion was rubella not hormone deficiency.Folic acid is the only drug from your list that I would advise you to take.It prevents brain and spine defects in the baby, and is taken upto 12 weeks of gestation.Hope this helps.Regards. | 221,898 |
Medical advice on diagnosis reports for prolonged fever | Patient: I am 79 years old, weight 55 kg, I had bypass surgery on the year 1999. I have fever from 12-7-2014 to find out the cause of fever performed different laboratory test. 1) X-ray test – (negative) date: 19-7-2014 2) Serology report – (-ve) date: 13-7-2014 3) Hematology – (-ve except ESR 72 mm date:13-7-2014 4) Urine examination report (epithelial cells -1-2 /Hpf,pus cells-2-4/Hpf others are normal.) 5) UFG of whole abdomen a) Slightly small size kidneys b) enlarged prostrate with PVR – 55cc date:17-7-2014 6) Total PSA 4.22ng/ml date:17-7-2014 7) Bio-Chemestry report S.creatinine -1.2 mg/dl others normal date:17-7-2014 8) Hb Electrophoresis is normal Date:18-8-2014 9) Another Hematology report on 16-7-2014 Blood film nonspecific features on 13-8-2014 Free T3 – 5.94 Pg/ml, Free T4-1.48 ng/dl,TSH - .26uiU/ml ESR 67mm on 20-7-2014, ESR 78mm on 13-8-2014 CRP 115mg/l on 13-8-2014 Another urine report on 20=7-2014 Albumin (+ve),Ep’ – 1-2/HPF,P cells- 4-5/HPF, RBC n-12/HPF others normal on 27-7-2014 C and F Blood no growth in 72 hours at 37 degree Urine on 27-7-2014 Culture result C&F urine culture result no growth in 24 hours CRP – 9.19 mg/dl, Plazma glucose random 5.8, Serum creatinine 1.27 mg/dl another rrport TSH 0.06 result date :21-7-2014 Antibiotic taken: a)Cap cefixin – 400mg 7 days (1+0+1) from 12-7-2014 b)Cap doxicylline (100mg) (1+0+1) – 1 day, (0+0+1) next 7days from 13-8-2014 protein (+ve) on 20-7-2014, Pcells 2-3/HPF on 20-7-2014, RBCS numerous /HPF For Prostrate:medicine used: Tamsoline for Prostrate.but fever is continued (99-102 degree) To reduce the fever paracitamol is used. After taking antibiotic, fever is continued as mentioned on different dates. How I will be recovered from this type of illness? Would you kindly reply me at your earliest convient? Doctor: looking at your history and investigations ,you have prolonged fever with high ESR,HIGH CRP and proteinurea.i would suggest you to get ANA testing done which is blood investigation to rule out collagen disease as non infective cause of your fever.if it is positive you should be managed with steroids and immunosuppressives.also i would suggest to get thyroid antibodies to r/o chronic thyroiditis for which also u need steroids.you should also consult urologist to rule out chronic prostatitis if above 2 reports are normal. | 27,997 |
Menopause, taking Tamoxifen for breast cancer, lupus, heat within body, nothing helps. Advice? | Patient: I feel like I have a fever all of the time but when my temperature is taken it does not show that I have a fever. I am in menopause because of the Tamoxifen I am taking for Breast Cancer and I have been diagnosed with Lupus but I can t seem to get cool. I get cold and then I can t get warm. When I get warm I can t get cold again. I was wondering if my conditions or the medicines I am taking can be messing with my body temperature and what can I do to cool it down. I have tried drinking soda or water with Ice Cubes, using Ice Packs on my body, stripping down to nothing but nothing helps. Doctor: Your heat within the body is called hot flashes.It is a side effect of hormonal therapy tamoxifen which u are taking.Pharmacologic drugs include selective serotonin reuptake inhibitor (ssri) antidepressants, megestrol acetate, and gabapentin. Antihypertensives such as clonidine have shown modest benefit in tamoxifen induced hot flashes.U can try the following non pharmacologic measures to reduce hot flashes.They are dressing in layers, use of cotton clothing and bedding, strategic placement of electric fans, and the carrying of cold drinks. Reusable cooling bandanas containing polymer crystals may be helpful. They can be soaked in cold water for 10–30 minutes and tied around the neck for a long-lasting cooling effect. Results from these changes are usually seen within the first 1 to 2 weeks of use. | 158,092 |
Irregular cycles with heavy bleeding, taking ovral to stop bleeding. Had kidney transplanted. Future problems ? | Patient: I am kidney transplanted 8 years now And I , on several drugs as well..... I have an irregular cycles some time it starts bleeding and it continues for like 15 days than have to take ovral l to stop the bleeding .....recommended by doctor if I face such issues .....but want to know will I have any issues in near future or baby s or any kind of complications...... YYYY@YYYY and YYYY@YYYY Doctor: Kindey transplant and its meficines alter the hormonal status of individuals resulting in abnormal periods and may be inability to conceive.You have not mentioned what drugs are you taking and in what doses.However normal periods and pregnancy are possible after a couple of years of transplant.You should consult a gynecological endocrinologist and get your hormonal workup done but any medicine prescribed should only be taken in consultation with your nephrologist .Regarding the current problem with periods you will require menstrual regulation with small dose hormonal preperations in consultations with both gynecologist and nephrologist. | 50,084 |
What causes swollen lymph node in neck of a 4 year old? | Patient: HI, I have a 4 year old with what it seems like a permanent swollen lymph node in neck. It is small (pea size) and not tender. it is moveable and has not increase in size. She has allergies and tends to always get sick in the winter time. please help Doctor: age of your child is agegroup of natural hypertrophy of lymph nodes of body which regress spontaneously by 6 yr of age. significant size of neck lumph naodes is more than 1 cm in lengh. so dont worry all about that. | 167,236 |
Rh negative. Do I need a blood test to check if sensitization has taken place in body? | Patient: Hi I m rhesus negative and have read a lot about the anti d jab and having a blood test to see if rh sensiziation has taken place in body, I have had 1 child that was rh positive then had a jab after giving birth. I have just miscarried for the second time and not had a blood test to check anti bodies in system or had an anti d jab. Will my gp provide this blood test if needed and also make an appointment for jab if needed?? Do I need any of these? Doctor: hello mam welcome to health care magic mam you are Rh-ve and the 1st baby was Rh+ve and you had taken anti D injection after the birth of 1st baby right,,.so no sensitisation had taken place with the babies blood.. secondly for the second time you have miscarriage,,mam for miscarriage this is not the resaon,,it might be other causes like genetic hormonal or your infections but not due to Rh incompatibility no need to panic and no need to check anti body status..you can plan for a pregnancy,no need to worry.. hope you will understand my suggestion,, if you are still in dilemma consult gynecologist for the cause of miscarriage and take precautionary measures for not getting again miscarriage... no need to worry about anti D status(if you have been given anti d for the first pregnancy).. thank you Dr siddartha | 119,099 |
How to heal broken foot? | Patient: Hi I m 13, just broke my foot yesterday and in temporary plaster cast since this morning. Being a young teen, I m very self conscious and I m worried about the handling the smell of my player cast. Is there any way to reduce the odor that will come in the near future. Any help very much appreciated, thanks :) Doctor: Hi, Plaster cast smell only when one starts putting secent or powder in it. It also begins to smell when you stratch in side with the help of pen, pencil, spoons etc. Kindly do not indulge in any of such activities. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon | 124,973 |
Tiredness, hair fall. Iron, thyroid tests done. Had iron infusion. What is the normal iron level? | Patient: I live in NZ. Is the iron count/recommended levels different for different countries? I had an iron count of 5 in February. Underwent an iron infusion. I didn t feel too bad at the time and not that much noticeable after infusion. Feel a bit tired again. Had iron level tested last week. 17. I am also waiting for thyroid result. My hair has been falling out consistently and now noticeably thinner. What is an acceptable level? Thank you. Doctor: Hi, Welcome to HCM, The expected range of iron can differ slightly in different countries due to their traditional food habits. Reference range of serum Iron in female is 7-30umol/L(SI units) or 40-170 ug/dL(traditional units). As soon as you receive your thyroid reports, consult your physician with reports. Thanks for trusting Healthcaremagic and posting your query. Hope you found my response to your query informative and helpful. If you have further concerns in this regard, you can submit those with Healthcaremagic as well. With good wishes, | 119,303 |
Why am I unable to have food and having blood in stool while suffering from liver cancer? | Patient: My friend's mom was diagnosed of liver cancer after having surgery. Since then she had signs of failing ,refused to eat nor dring fluids, screaming of the pain, blood in stoos and lately she's swollen on both feet, hands and face. Is she close of dying ? Doctor: no, there are no specific sign of dying like that. but what you have mentioned may be because of progressive disease, decreased function of liver. she may needs supportive treatment. | 156,759 |
Should I be concerned about the swelling in the inner cheek after wisdom tooth removal normal? | Patient: Hi,I had my wisdom tooth lower one removed 4 days back. While the pain on the site is reduced there is a swelling on the left inner cheek that is big. I have checked with the doctor yesterday and he said that wound had no infection and was healing well. The swelling on the cheek worries me a bit Doctor: Hello, Welcome Thanks for consulting HCM, as u said that you undergone wisdom tooth extraction few days ago, you still had swelling in your cheek you dont have to worry about that it is still normal dont worry what happend is in wisdom tooth extraction swelling remains for a week ar about 15 days also I will suggest that you take proper rest , medication prescribed by your dentist and avoid speaking, as much as possible, speak less and do warm saline gargle also. | 187,763 |
Abdominal pain, kidney stone surgery, headache, nausea, painful cough, tired. Renal colic? | Patient: i have chronic flank pain, had kidney stone surgery in april 2011, never had any issues til now. i had ct scan and no stones, however now going for more test, due to two spots on kidney. i have headaches/nausea/hurts when i cough or sneeze . pain meds do not help. i am so tired since the flank pain has come back. doctor thinks maybe i have renel collic due to the surgery last year. i have been dizzy at times too Doctor: HelloThanks for your query.Based on the facts that you have posted it appears that you have undergone surgery for kidney stone. You have not mentioned about the nature of surgery whether it was a endoscopic surgery like (PCNL OR URS) .The pain that you are getting now is not related to previous surgery and can be due to recurrence of stone or due to spots in the kidney that you have mentioned in your query.Please consult qualified Urologist for clinical assessment and further treatment.Dr.Patil. | 49,758 |
How to treat itchiness on legs? | Patient: Hi, my son is 6 years old . 4 days ago after baseball he was complaining of itchiness , we gave him Benadryl - for allergy . The ff. morning front of his both legs developed reddened solid rushes until now, he is an active boy , minimal complain of itchiness and bit of a pain, pls advice Doctor: thank you for Q on HCMItchiness is related to possible skin allergy / inflammationI suggest you continue with anti histamine orally & also apply very low strength cortisone based cream if it is available from chemist directly without script ( depending on country you reside)If it doesn't settle then it will need to be looked at by DrHope this helps | 100,479 |
What is the treatment for osteophytes along femorotibial joint margins? | Patient: Hi i have a root tear of the attachment of posterior horn of medial meniscus Also moderater knee joint effusion and small osteophytes along femoro tibial joint margins and altered signal intensity in mcl indicTing strain and myxoid degeneration is noted inacl. Can you pls explain also what is the treatment for it Doctor: Hello, Usually, the active knee range of motion is around 120° and the passive is 140°. 140° means heel to hip. So first we need to use hot water fermentation for relaxing the muscles and provide maximum vasodilation. post this knee ROM exercises along with using the knee brace. Post this doing strengthening exercises for the muscles of the knee is of utmost importance to provide knee stability and also improve joint space. Once joint space is attained then you should be not having much trouble. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist | 123,329 |
Is exercising safe after recovering from jaundice? | Patient: I had jaundice from last three weeks,on 10th june bilirubin level was 5.2,on 20th its 1.3 after doctor advice.Now im taking proper diet foods.I used to do gym before jaundice...,but now i lost 4 kgs....,so i want to join the gym again after one month.., can i join after one month or after how many day i can join gym? Please give me advice... Doctor: Hi, Your bilirubin level is almost normal as per mentioned in history. So after one month if clinical improvement than you can join a gym. Initially for one month, it's advisable not to start heavy weight lifting exercise. Meanwhile, continue to take healthy diet for one month after improvement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician | 52,410 |
Do gall bladder stones prevent pregnancy? | Patient: im married since two n half years now.I started planning my family since May2010.All my reports are normal and my husbands reports are all ok.I have gone through HSG test,which also came out normal.I have also conducted follical study twice and we tried doing intercourse on those particular days but still were nt successful.Is it bad if the sperms come out after intercourse?I also have stone in my Gall Bladder,Sowill it affect me after concieving? Doctor: Hi,No, gall bladder stones will not affect your fertility. But once pregnant, if you have pain due to gallstones and they require removal or treatment the pregnancy could be affected. So, I would advise you to get treatment for the gall stones before embarking on a pregnancy.Also, since you have no factors for infertility but still unable to conceive and if you have been trying for more than 2 years, I would suggest you to consider IVF.Follicular studies and timed intercourse will not help unexplained infertility and delay your goals.Also it is normal for some amount of sperm to come out.Hope this helps.Regards. | 221,924 |
What causes itchy red rash on face? | Patient: my son is 18yrs old and woke up with red bumps on his face and down below, also rashes on his face this morning. He has had the chicken pox in the 2nd grade. What is it? I told him the run a bath with Aveeno Oatmeal Bath and also got Aveeno anti-itch creme. It did stop the itch, but where did it come from? Doctor: Hello,Itchy red rash on the face spreading downwards maybe due to allergy, hair dyes, skin irritants, atopic dermatitis, contact dermatitis, etc.He is suggested to take care of his hygiene, drink adequate water. Avoid eating food that triggers allergy. avoid hot spicy oily food, Stay away from addictions if any.He can take non sedating antihistamines for relief. He can apply hydrocortisone cream in the area affected.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician | 12,735 |
What causes spotting after getting a Primolut Depot shot? | Patient: Hello, am currently having post miscarriage complications. On 12 january 2017 i found out i was 5 weeks pregnant. [ My last period dated back to 10 dec 2016.]. On 14 jan 2017, i started spotting. I went to hospital on 16 january 2017. On 17 jan, they did normal echography and found nothing. Later on they did transvaginal echography and we saw the embryo but it was not stuck to the wall of my uterus yet. Later on that day, they injected me with primolut depo 250 mg. My bleeding only increased. Still bleeding 5 days later. Then it stopped for a day and it started again and on 22 jan my miscarriage started. By 28 jan i had passed out all clots but the bleeding continued several days later. Then it went to spotting. Then few days of nothing [ during which i had protected sex with my husband]. Then. spottinng started again and on 17 feb i got what i thought was my period [ 6 days of bleeding then 4 days of spotting then nothing for a day]. I thought it was over and we started TTC again.A day after the sex [TODAY ], i started bleeding again, not heavily but definitely more than what you would call spotting and my breasts are itching a lot at night. What could it be? Is it the primolut injection side effects or am i having something more complicated? Doctor: Hello,Thanks for trusting us with your health concern. In the current scenario, your symptoms are more likely to be due to the hormone disturbance associated with the miscarriage and also the progesterone injection administered. If the embryo is not viable or sometimes when there is a threatened abortion, progesterone is better not given. Before you plan for another pregnancy, I suggest that you undergo proper appraisal of your hormone status and correct any deficiencies. You may need another sonogram of the pelvis to clarify. Hope this helps. | 218,827 |
Suggest the effects of high wbc count | Patient: sir,i am 40 yrs old diabetic women im allergic to b-complex,antibiotic and other vitamin pills and it leads me to formation of acne and white patches in my tongue.and doctors say that my wbc count is high.im afraid weather it is some kind of cancer and im unable to intake vitamin antibiotic tablets . Doctor: Hi, dearI have gone through your question. I can understand your concern. You should go for differential count. Total wbc count is high. It may br due to infection or may be due to some other conditions like cancer also. Go for complete blood count and peripherals smear examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 116,884 |
What does it mean to have high AST level on liver test during pregnancy? | Patient: hello I am 35 weeks pregnant and did a liver panel and my AST level came back and is 62. Everything else is normal. I ll be seeing a doctor next week, but I m wondering if I should be concerned or if there s anything to know before I speak to the Dr. Doctor: hello. there is no concern. the elevation of the livery enzymes can be normal but you need close follow up and regular blood tests | 52,833 |
Suggest treatment for degenerative disc disease | Patient: I have degenerative disc disease and my L5 has flattened to non existence I also have gluten sensitivity as well as gastritis and meds that cause alot of constipation which I take Miramax and for 4 days straight I had severe pain in rectum and lower spine I have AN MRI. scheduled for Monday. The pain subsided last Monday only to come back this morning. I haven t had a BM today so can this pain be related to both problems? My back and colon? Doctor: Hello. I have been though your question and understand your concern.If there is a degenerating disc disease, this causes you back pain. If there subsides a constipation problem, this causes an increase in your abdominal pressure which is reflected in the back, which already suffers from its own condition, resulting in increasing of the pain.So, yes, the two conditions are related to each other.Hope this helps. Please feel free using MHC again | 145,142 |
What causes occasional itching on penis head? | Patient: I am 20 years old and i have occasional(nowdays very few) itching in my penis head region. Also,iv found that litttle white particles(more like smegma but im not sure what it is) are there in my penis under my foreskin ...i wash it in the morning and by the end of the day it s again there?...i wonder if it s due to any infection or is it just smegma?....please help me soon!!! Doctor: Hi,It seems that due to collection of smegma might produce itching on the part.This is normal secretion and you have to clean daily while taking shower.If smegma sticks under fore skin of glans and not cleaned regularly there might be having some infection called prosthititis.Keep local hygiene proper.Ok and take care. | 199,217 |
What causes frequent stomach infection and weight loss? | Patient: Hello Doctor, its nmm, mother of 1 yr 1 month baby. pls advice me. my son always sick with stomach infection, Inspite of giving him brandyplus medicine 5 ml once in month and home cook meal. He was sick for whole month and had pass stools 4 time a day. becase of which he had almost 1 kg weight loss. his weight was only 8 & half kg and now its 7 & half. He is anyways looks very very pale. Is there anything i could do in this case? Thanks Doctor: Hello. I have read your concern. I think your child has loose bowels may be due to some bacterial or viral infections. Iwould like to suggest some home remedies, and i hope this will help.1.Make a decoction of Saunf (Fennel Seeds) 10 gm with 2 glass full of water. Simmer it on fire and when left half...Filter it and give your child spoon by spoon through the day. This will help in improving intestinal flora. You should use this remedy for an year long. Make sure make the decoction fresh daily.2. Make one tea without adding milk and sugar. Now add half banana into it and mash it properly. Consume this mixture. This will instantly helps in stopping the loose motions.3. Add 1-2 cups of freshly homemade curd into his diet. Curd is a natural probiotic. It helps in digestion.4. Abstain from milk for sometime.5. Give him zinc rich diet. OR you can also purchase a good zinc solution from market.Still if you have any query please feel free to ask. We are at your service.Wish him a speedy recovery.Thanks | 164,894 |
Had intercourse before and after periods. Chances of pregnancy? | Patient: hello! just was very curious about my situation!if i had sex the day before my period and sperm was ejaculated in me 3 times and then 2 days after my period and sperm was ejaculated in me twice can i get pregnant? would i have still been fertile thru those days before and after my period?to where there could have been an egg? Doctor: Hello,Unprotected sex with ejaculation just before and after the period is very much safe if your previous cycle was regular. Here, chance of being pregnant is almost nil. So, you have nothing to worry.Ovulation occurs 14 days prior to expected due date and fertile days are 11th-18th day of each 28-30 days cycle.Practice safe sex in future. Good luck. | 219,182 |
What causes balding? | Patient: My 11 month old daughter got a small bald spot at the back of her head. It initially looked like the hair was severed. You could see more hairs growing but the spot was overall bald. It was red and pebbled but after using hydrocortisone cream, it healed and now slowly 1 month later hair is growing back. but I now noticed thining of her hair at the very bottom of the back of her head, close to the neck. And also at the sides of her head by her temples. it's like she's balding in these areas. I never notice clumps of hair anywhere. What is this? How long will it last? Is there a cure? Doctor: I have a notion that she is losing hair because of either allergy to the soap or the hair oil that you may be using. First of all, stop all soaps and oil applications. Start using a moisturiser like Cetaphil shampoo/soap on her, which is hypoallergenic and soft and light on a baby's hair. Secondly, check on her nutrition. She should be on mother's milk plus top milk which is fortified with vitamins, as well as nearly all vegetarian foods like legumes, pulses, fresh greens and egg or some other high protein source (soya beans is one, for example, that veggies can be given).Dr. Taher | 172,025 |
Suggest remedy for sore gums | Patient: Hey I've got really sore gums its under my 3 teeth at the top of my mouth I can't eat on that side of my mouth my gum is red swollen and got about of white on it I was wondering what it could be? Plus I've got a small lump in side my mouth on my cheek could you tell me what that might be ? Doctor: HiThank you for your query with HCM, I think you have inflammed gums with which needs an clinical examination to rule out the causecoming to the lump it might be a periapical infectioni would suggest you to visit your periodontist till then you can use some mouthwashes for relief Hope my answer would be helpful to your query. | 184,462 |
What causes death in a child suffering from fever and abdominal distension? | Patient: my younger brother die yesterder in africa. he had a fever only for four days but his tummy was getting bigger and bigger until he turned white and died. through out the night he was talking and seems to have forgotten where he was. He was only 4yrs old. Doctor: Hi... sorry for your loss. By the minimal information which you have provided I feel that he could have either Malaria or any of the viral hemorrhagic fevers which are quite common in African continent. His turned pale indicates that there was blood loss or blood breakdown in the blood vessels which is also suggestive of Malaria. I am again sorry for your loss.Regards - Dr. Sumanth | 168,500 |
What causes walking trouble in a baby? | Patient: I have baby 2.5 yrs of age.He got operated when he was born from his back due to a small fluid rash.He is also a sufferring from hydrocaphlus.When he was born his right foot was a little bit tilt.I massaged and exercised his tilt foot daily and now its a little bit good.My baby learned walking very late at age of 2.25 than a normal child.Now sir the problem is whenever he walks he does not place his right foot in proper position and staggered during walk.Also he does not get stand at his own.Whats the reason and problem sir and whats your opinion? Doctor: hi! looks like your child had an operated meningomyelocele. such children usually have difficulty in walking. they learn to walk late and also have difficulty in standing on their own. this is because of the spinal cord problem which is responsible for the lower limb movements. even though he's been operated recovery is slow and sometimes incomplete. physiotherapy should help. | 166,950 |
Does cooking gas smoke inhalation need medical attention? | Patient: i was cooking last night. due to tiredness, i forgot to turn off the gas and i slept off.. when i woke up this morning, the house was filled with smoke luckily, am still alive.. i inhaled this smoke for good 6 hours.. what can i do? right now i fill fine..thanks Doctor: Welcome to Healthcare magic? As you have told you don't have any symptoms, you need not worry. If you develop any symptoms like cough, difficulty in breathing or dizziness, immediately consult doctor. Forgetting to turn off gas, would have been catastrophic. You need to be more cautious next time. | 96,977 |
What causes pain after gallbladder surgery? | Patient: Just have gallbladder surgery 2/12/2014.I am having the same pains as I had before surgery.My doctor says it s normal to feel this way and I will be fine.Said the operation went well,no problems.Yes i did have gallstones,many according to Dr.What can this be? Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Even though it is too early to comment on this post operative pain in your abdomen, if I were your doctor, I would advise you for a review ultrasound abdomen to rule out any left over stone in the common bile duct as there were multiple gall stones as per your history. Also the condition of the pancreas could be known from the ultrasound report. I would also advise for some routine blood tests for you like CBC, LFT, and also a serum amylase and lipase estimation. Further management depends on the reports of the investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 57,619 |
What causes rise in the body temperature despite giving Bifilac and Cepodem? | Patient: My daughter(2 and half old) is not feeling well for past six days.. She s having high temperature, During the morning only. I am taking colpol and sinerst.Also giving bifilac and cepodem as antibiotic. As per dr advice I took platelet counts and maleria test. Maleria is negative, platelet count is 1.6 million. Dr asked another test on Monday(2/1/17). Really confused. What would be the reason for high temperature. Pls suggest. Doctor: hi, high fever for 6 days can be due to typhoid, malarial infection, lower respiratory tract infection urinary tract infection. Since, you have already done malarial test. chances of Malaria infection are ruled out. for other causes, you should do blood test like typhidot IGM, x ray chest to look for chest infection and urine routine microscopy test and urine culture test. Since child is already on antibiotic, the antibiotic needs to be upgraded. based on reports, the antibiotic needs to be changed. review with reports. Take care. | 166,310 |
What does ascending polyps, serrated one polypoid sessile in colonoscopy report mean ? | Patient: My husband had a colonoscopy today. He is 80 years old with a history of prostate CA, and under care for skin cancer. He actually had most of his ear removed. The colonoscopy findings were: " # polyps ascending, all < 1CM, 2 serrated, one polypoid, sessile, all removed with cold snare and sent to pathology, sigmoid diverticulosis, otherwise normal. What does this mean? We were told it would take 2 weeks for results. Doctor: HI, thanks for using healthcare magicThe terms serrated, polypoid and sessile are being used to describe the appearance of the polyps seen in the colon. They also state that all the polyps that were seen are less than 1cm in size.The only way to determine whether the polyps removed were benign ( non cancerous) or cancerous would be to send them to the lab, which was done.It is possible that they are all benign.I hope this helps | 157,228 |
What does bilateral nephrolithiasis with right sided hydronephrosis mean? | Patient: I've just got my U.S.G. report. I'm afraid there's some bad news for me. I'ls like to get it interpreted. It says:Kidneys: Both kidneys are normal in shape, size and echotexture. Ciorticomedullary echo-differentiation is maintained. Multiple echogenic calculi are noted in right kidney with dilation of pervicaliceal system(largest calculus measures 10.9mm)A calculus is seen in lower calycx of left kidney without any caliectasis (calculus measures 9.2mm)Rt kidney measures – 93.4mmLt kidney measure – 96.4 mmUreter : They are not dilatedU. Bladder: It is normal in shape with regular wall. No intra-luminal calculus or mass lesion is seen.Prostrate is normal in size, shape and echotexture.Prostatic capsule is intact.It measures- 29.0 mm X 29.3 mm X 44.3 mmWeight is 19.7 gmsImpression : BILATERAL NEPHROLITHIASIS WITH RIGHT SIDED HYDRONEPHROSIS. Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety. Your scan shows stones in both kidneys,with some block of urine flow in R.one.It's not bad as you think.Both side stones can be treated by fragmenting the stones,without surgery.The procedure is called as ESWL.PCNL is another surgical procedure.ESWL is done with mild sedation and the stone is completely fragmented.Both sides are cleared of stones and you don't need hospitalization for it.If you've any doubts,send all the reports to me,as a direct question.Dr.Matthew J. Manga | 46,402 |
Can remote monitoring of a Medtronic pacemaker be done every six months? | Patient: I have a pacemaker that was replaced 2 years ago. This is my second one. It is a Medtronic pacemaker. The first one lasted 10 years. I was wondering why I have to send in a transmission every 3 months. Recently I was told it can be done every 6 months. I have no symptoms and would like to know if it can be checked every 6 months instead of every 3 months. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern and I would like to tell you that a pacemaker requires assessment according to the symptoms of the patient or pace settings. Kindly speak to your treating cardiologist regarding this who can guide you properly and is able to explain causes of frequent monitoring. Hope I have answered your query. Let me know if I can assist you further. | 18,485 |
What causes lower back pain and groin pain after being treated for right epididymo orchitis? | Patient: i have Rt epidydemoorchitis before 6 months and i was treat that U\S was done and the testes was completly normal now i have Rt lower back pain hip pain and some rt groin pain especially after urination and some rt scrotal pai alkaline urine mucus threads rare epithelial cells rare others are normal i was done U\Sbefore 3 months and was normal Doctor: Hi there.There is possibility of urinary infection. Get a urine analysis done to rule out infection.Eat plenty of fresh fruits and green leafy vegetables. You must drink 2-3 litres of water daily especially if you have burning sensation on passing urine. Get a Urological consult to rule out flare up of infection. | 107,638 |
Suggest medication for fat accumulation at back of my neck | Patient: hi, doc imm 22 yrs old, my height is 5.15 ft n weight is 58 kgs... , i hav fat accumulation at back of my neck in between two shoulders ( buffalow hump) , can i get rid of it through any medication or i have to go for liposuction n is it safe if i go for liposuction, and after surgery ll it again revive or ll it be completely eradicated? Doctor: Thanks for your question on HCM. Get done serum cholesterol level. If this is high then you need to start lipid lowering drugs like statin. And this can reduce fat accumulation on your back. But if your cholesterol levels are normal then liposuction is the only option. It is very safe surgery. It is usually done in day care setting. So no need to worry for this surgery. Success rate is 90% but in 10% cases recurrence is there. So discuss in detail about recurrence with your treating doctor. | 65,203 |
What causes lump on the armpit area? | Patient: my husband 54 came home from work quite sick he has a very painful pea size lump in (r) armpit the area is becoming warm to touch the redened area is moving down his side there is no sign of bites , the lump is not visible. he is feeling much better after a sleep but no improvment on the lump. Doctor: HI. This is a developing abscess. and your husband should take proper antibiotics and anti-inflammatory medicines like Ibuprofen as per prescription of a Doctor. It is possible that the medicines will cure the problem. IF not he may need a small incision at an appropriate time if need be. | 69,790 |
What causes irregular heartbeats? | Patient: I am a 29 year old male 5’6” 187lb. The last 7 years I have struggled with my body fat. A few years ago I got back into shape by working out very hard daily. I got married and had a kid which has changed my routine needless to say I have gained back all the weight and more. Several months ago I decided to get back into the gym. I started by walking fast at an incline for 30-45 minutes 3- 4 times a week. During a few of these workouts I felt what I can only describe as a miss beat or double beat of the heart. I am just assuming that is what it is, it would only last for like 2-3 seconds and then it is gone. This has happened half a dozen times over the last year on the treadmill. Then one day I was lifting weights and I was hit by a much longer and more powerful version of this condition. I was hardly able to stay alert. As soon as I felt it come on me I put the weights down and walked to the drinking fountain where it subsided. It has scared me and I don’t know what it is? Doctor: Hello dear and thanks for posting your query here.You seem to have ectopics that is extra beats.I would suggest you to see a cardiologist and get your baseline ECG and Echo and a 24 Holter study.Also get your thyroid functions tested.These ectopics occur in every person but if they are occurring frequently as in your case then they warrant a detailed evaluation and treatment accordingly.Thanks and all the best. | 19,772 |
Over weight, abdominal crunch, bulge in stomach. What is it? | Patient: I am a 32 year old male, I am overweight but 2 months ago started martial arts training 5 days a week. Its moderate to intense, my shirt is usually drenched by the time we are done. 2 nights ago I was laying in bed and went into a abdominal crunch and noticed a large bulge develop in the center of my abdomen , above my navel. I would estimate the size of the lump to be a large orange. It seems to go back down when I relax but when I crunch it comes right back. Any idea what this could be? Doctor: Hi, Possibly likely what you are describing is an hernia. Hernia is the only swelling which disappears when you lye down. worthwhile seeing an physician to see what is happening after examining you. An ultrasonography may help in differentiating it from an intra abdominal pathology. hope this answers your query. Wish you a speedy recovery. | 94,152 |
How to reduce fever? | Patient: Hi. My 3 yo son ran a fever of 101 for three days, that reacted well to fever reducers. But it s now up to 104 and fever reducers are only bringing it down to 102. He has a little bit of a cough and head cold. He has been complaining a lot about his legs hurting. It s sat night. Can I wait until mon to call the dr or should I call the on call dr. sooner ? Doctor: Hi,Thank you for asking question on health care magic.Paracetamol 15 mg/kg body weight/dose every 4-6 hourly along with tepid sponging will bring down the fever promptly.If the fever is under control you may wait till monday.Otherwise you have to call on the doctor soon.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics | 179,914 |
Should I take my 6 year old child to doctor for stomach pains? | Patient: My 6 yr old has complained of stomach pains since Friday afternoon. She threw up twice on Friday night, then seemed better almost all of yesterday. This morning, she fell asleep almost immediately after waking up. She fell asleep while watching cartoons, which is not like her. She's seemed kind of out of it for an hour this morning and is now sleeping. Should I take her to the doctor when she wakes up? Doctor: HIWell come to HCMI really appreciate your concern, if this is just a symptom and no other complaints are there, like fever, sever abdominal pain then condition need to be kept under observation and if something worse happens then you can take her to Doctor, else this is nothing to worry, hydration would be matter of concern and better pay attention for this, take care. | 174,968 |
Can antibiotics affect the kidney? | Patient: My daughter is 20 years old and her urine test shows pus cells 20, occult blood trace. She is been prescribed antibiotic, she is resistant to most antibiotics therefore the doctor prescribed her antibiotic the one given to ladies in their pregnancy. Is it safe to take. Will her kidney get affected in this case. Doctor: Hi,Name of the prescribed antibiotic not mentioned however it appears to be safe for the kidneys. Amoxicillin is commonly prescribed to treat urine infection during pregnancy which is considered to be safe. Assuming that your daughter also takes amoxicillin there is nothing to worry it does not cause any harmful effects on the kidneys.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | 83,767 |
Suffering from hepatitis b with amebiasis. Is it danger to me ? | Patient: I am a hepatitis b postive. For the past one suferring from amibiasis. is it mean my liver was worsen? is it danger to me? Should I hospitalised? I have been using homeo medicine. is it cure? Doctor: Dear ponduru Just going by amoebic infection the state of liver functioning can not be judged. It calls for more investigations if the problem remains. You have to cure amoebic infection first with tab. amoebika or kutaj ghan vati. The hepatitis b has shown good improvement in many cases with tab. nirocil and sy. livomyn. Have light diet and donot grow panicky. | 98,224 |
What causes cramps and lower back pain after IUI and Susten? | Patient: I had iui done on 28th Oct (clomid & hcg shot) and was asked to take susten post that. Took hpt on 37 th day and got faint positive. Having cramps and lower back pain same as when having period. Is this a sign of an impending period or early signs of pregnancy. When can I repeat the test. Thank you. Doctor: HiThanks for your question. I can understand your concern. If you have tested for pregnancy via urine pregnancy test and faintly positive then you may repeat it after three days. It is advisable to do blood test for pregnancy ie beta Highway test for confirmation. Early pregnancy symptoms are usually overlapped with pre menstrual symptoms. So symptoms you mentioned could be due to pregnancy. Hope this helps you. Regards. | 41,022 |
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