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Suggest remedy for infertility problem | Patient: sir, i married before three years ,wife not yot conceived..we are under teatment in an infertility clinic .Dr.says my sperm count is normal..it is as follows active-33%,sluggish -30% dead-44% total count-26millin/ml...70% are normal sperms..i had verecocel surgury.my wife under govne laproscopic surgeury.she had moderate endometriosis..nothing else..its all happended one year before one year...wife still not conceived...we had iui...last month....not even an indication of pregnency showed even now..today also we had done it.doctrs not saying any reason for our infrtility..kindly give prper advice wat we should do... Doctor: Hi welcome to healthcaremagic.I have gone through your question.Your wife has undergone endometriosis surgery, so she has been treated completely!?Your motile sperm has less than normal. But it is not worrysome.I would advise to do histosalpingography HSG , ovulation profile for your wife. Then consult a gynecologist he/she will advise you further.Hope i answered your question.Would be happy to help you further.Take care. | 41,830 |
How to normalize BP without medication? | Patient: I am 38 yrs old, weight 86 kg. height 173 kg, I just quit smoking for 1 month. I have high blood presure (after taking concor 5 and olmetec 20) my blood presure become 120/70, but after exercise become 110/70. I took the olmetec 20 just 1 month because my bp become veryhigh (170/90)... What can I do to stop dependency of the medicine... thank you... Doctor: Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. You can also try yoga for the same. A combination diet rich in fruits, vegetables, legumes, and low-fat dairy products and low in snacks, sweets, meats, and saturated and total fat helps a lot. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode | 22,371 |
Could an orange mouth and saliva be the start of Kawasaki s disease? | Patient: My 15 mo old daughter was diagnosed a few weeks ago with HFM disease. She is still having blisters pop up on occasion on her feet with excessive peeling of the skin going on as well. Yesterday and today she has had a very bright orange color mouth and saliva...I called her dr and am to take her in first thing in the am but I am feeling panicky. Could this be the start of Kawasaki s disease? It s not the bright red strawberry tongue but it s all very bright orange like the color of Cheetos. Doctor: Hello. I just read through your question. What you describe is not Kawasaki Disease. No need to panic. | 177,383 |
Suggest tips to overcome excessive masturbation | Patient: Hi, may I answer your health queries right now ? Please type your query here... Hello,im 21 year old boy my height 165 weight 45kgs(110p)..iam having one more problem during last 5year of mastubation..i realy don't no how 2 stop pls tell me some usefull tips 2 build my future... Doctor: hiii.thank you for using our website.to get rid of doing masturbation,my opinion is that1.avoid being alone,try to mingle more with friends and family members.2.dont watch porn.3.first of all, have a strong desire to stop masturbation.you can achieve this by doing meditation,yoga etc.,4.take nutritious diet.hope my answer would have helped you.thank you. | 196,124 |
What is the treatment for chest pain? | Patient: I am 40 years old. And for three weeks now I have been having problems without my heart. I can't sit up or stand without having chest pains and get dizzy bbad and nauseated. But if I lay down it eases somewhat. I have headaches afterwards too. I am scared to death. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. High blood pressure can cause dizziness and nausea. So better to first get done blood pressure monitoring. If this is normal then possibility of GERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain (burning) and nausea. So avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitors and prokinetic drugs. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | 79,860 |
What causes redness on face after nebulizing with Duolin and Pulmicort? | Patient: Dear Dr, I've nebulised my son for the past 4 days (2x a day) with Pulmicort (0.25mg)and Duolin with added sterilised water.(He was diagnosed with Bronchitus) When I checked on my son a few minutes ago his face and neck had a red rush on it. Is this normal? What can I do? Do I need to take him to a Dr. ASAP. Whats the cause? Regards Wendy Doctor: Hey Wendy,Yes it could be due to Pulmicort or Duolin you are giving.Either allergic to any of it or it's side effect on skin after exposure by mask.Try tube nebulisation if possible. | 74,960 |
Diagnosed with bipolar depression, on numerous medications, no relief. What can be done? | Patient: I am very discuraged I have seen several doctors and I have been diognosed with bipolar depression . I have been on numerours medications for appromimately four years and I am still having serious problems. Did have a problem with alcohol but I have not touched it in exactly four years. I have many stressers and no money to pay a doctor to review all my medications and tell me what how to tweek them so I can get better and move on with my life but I feel like I need to do somthing to help my self and my family. I am always sick, crying and/or cannot cope with day to day life. My main pills are topamax , lamictal , Klonapin seraquil and at night I take a half a pill to help me sleep I can t think of the name of it right now starts with an R. can you please help me. I just want to the doctor today and he wants me to take even more medicine wellbutren. but my past experence with this drug only made matters worse more sad and tired. 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. You are already on plenty of drugs. Adding one more wont help. You have not mentioned the doses as inadequate doses is one of mean reason for low response.Best thing would be stop everything gradually and start on the new drugs one by one. But before thay make sure psychiatrisy knows about this.ECT is also a good option in your case. 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 Neuro-Psychiatrist and Sexologist | 211,624 |
I have burning pain in my stomach after eating | Patient: Within 1/2 hour after eating Mexican food I began having a burning pain in my stomach, both hands went numb, extreme sweating and maybe disoriented a little. Numbness in hands and sweating went away in about 20 min but both hands and lower arms felt very weak and tired the following day. This is the 2nd time exact thing has happened. Is this an allergic reaction? Doctor: Hi well come to Hcm. This may or may not be allergic because other allergic menifestation like rash itching are not there. this could be gastric intolerance to the food which is creating acidity and may be nauseating sensation if there can give you perspiration and little numbness. Thanksh | 106,016 |
Is delays in periods an indication to potential pregnancy? | Patient: Hi, i suspect i am pregnant, but i have not confirmed. My last period started on the 26th january 2011, and i had sex about 2 days after it ended. However, i took a morning after pill which made me see my period again on the 4th of february. I had unprotected sex from 19th to 24th of february. I stil haven t seen my period. Do you think i may be pregnant, and if i am, please can you suggest safe ways that i can Remove it without having an abortion? Probably drugs or injections? Ashley Doctor: Hello dear,I understand your concern.In my opinion the morning after pill was not required as the 2 days after completion of period comes under safe period.The pill causes hormonal imbalance leading to effect on timing and amount of bleeding.So,you experienced the period on 4th Feb i.e earlier than expected due to pill effect.As the periods have come irregularly we cannot predict the chance of pregnancy.So, I suggest you to do a urine pregnancy test.This test usually given accurate results a week after expected period.If the test in negative wait for spontaneous onset of period for 10-15 days.If test is positive it can be terminated medically upto 6-7 weeks.But always take (pregnancy) termination medicines under doctor supervision to avoid complications.Best regards.....Gynecologist | 221,135 |
What causes heart palpitations and elevated BP? | Patient: i got these palpitationse while falling asleep and have had them before, too. my BP ws just checked and high at 148/96, but before that, it's always been 120/80 as early as last December. no pain or chest discomfort but my neck has also been hurting for a couple months. I am 41 year old male and not overweight at 5'11 and 165. Cholesterol checked in March and totally normal. Doctor: Hi,Restrict the amount caffeine, soda intake and stop smoking, if you are a smoker.Take Kalms before going to bed. If your complaints don't disappear in a month, and your blood pressure doesn't normalize, then see a doctor.Take care | 23,531 |
Is elevated bilirubin level due to taking lipitor for months? | Patient: Good evening, Dr,I just had some blood panels done after 2 months of taking lipitor and I have an elevated Bilirubin level (1.4) I am wondering if that is the likely culprit, and wonder if it s to be concerned about being that the range is .02-1.2?I plan to chat with My family doctor in the morning, but stumbled on this site while looking at other info. Thanks in advance for your time. Shane Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Siuch a minimal increase in bilirubin alon is of no significance. What I will advise you to go all the liver function tests like transaminase levels, and serum alkaline phosphatase along with serum bilirubin after a week, to see whetehr there is any wrong or not.I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. | 55,541 |
Suggest remedy for hard lump on chest since birth | Patient: My niece has a hard lump on her chest since birth, she is 14 years old now and the lump gets bigger and now she said she has hard time breathing. When she was young we took her to a doctor to have a check up, they did an X-ray but the doctor said there s nothing to worry. Doctor: Hi, dearI have gone through your question. I can understand your concern. She has lump and x ray is normal. So she has chance of some soft tissue tumor or cyst. She should go for biopsy and histopathological examination. Then 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. | 66,987 |
Suggest remedy for painful and itchy arms and shoulders | Patient: For the past two weeks my left arm and shoulder have hurt and has been itching like crazy and i cannot seem to get the itch to stop almost like its inside my arm. i recently was on medicine that i found out i was allergic to... what do you think it is? Doctor: Hi thanks for using HCMThe itching could be due to the allergyYou can have antihistamine tablets (which reduces itching)you can also apply moisturising cream with aloe Vera .It gives some relief I have a doubt regarding the medication you had prior to this complaint...If it is oral tablet then it is unlikely to cause itching on a particular place.Usually these causes generalised itching...If it is a local applicant and you applied over these area then it can cause these problems...Fungal infection. also can cause itchingPrecise treatment can be told after full history and seeing the lesionthank you... | 99,937 |
Suggest treatment for severe tooth ache after filling | Patient: I'm a 46 year old man, had a terrible toothache after filling.Had the tooth extracted and prescribed CLAVAM 625 mg and meftal 500. Two days into taking these had diarrhea, what really causes this and also have tight stomach muscles and feel ridged on my waist.I'm also not having an erection. Doctor: Hi Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern...Toothache after filling can be due to many reasons1. when a filling is done near to pulp tissue (which is present deep in tooth), it causes inflammation & necrosis of pulp causing severe pain2. Sometimes a tooth is asymptomatic, but still has infection in it due to deep caries. In these tooth due to large cavity infection has a way to get out. but after filling , The way for infection to get out is blocked & this causes severe pain by increase in pressure inside the pulp. If you have diarrhoea , you could take probiotic medicines Visit your dentist if problem persistDon't worry you would be fineHoping your query is solved. | 181,576 |
How to overcome the fatty liver problem? | Patient: During the course of ultrasound multiple well defined hyper echoicSOLs scattred B/L lobes of liver noted. The largest measured 2.9X2.7 cm in left lobe. I had fatty liver problem since I was 30s age. I never smoke and not taking tobaco. Occonally I drink alcohol hardly 4-5 times in a year Doctor: HelloYour major findings are multiple hyperechoic SOL in both lobes of liver.Fatty liver is a minor issue,it is a reversible condition.You may need clinical correlation and few more investigations like routine hemogram,random blood sugar,liver function test,viral markers,contrast CT scan of abdomen.Contrast CT scan of abdomen is very important and it can exclude many causes.Ultrasound guided FNAC can be done if needed.Only FNAC/Biopsy can assess exact nature of lesions.Treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan | 55,889 |
What causes uncontrollable sadness and excessive tear? | Patient: Hi,I am male 70 years old and I find myself weeping whenever there is a sad situation that I observe or am involved in. I believe it is hereditary because my father had similar symptoms as well as my older brother.Generally in good health and am active.It is particularly embarrassing when I am trying to tell a story that is sad or touches my hart.Any ideas Doctor: DearWe understand your concernsI went through your details. I understand. I think you should not link your sadness problem with depressive disorder. Being emotional and being depressed are two different things. Emotions are part of body's defense mechanism and please do not try to alter it. Many emotions do alter themselves when you get experience in that area. In your case, you are already 70 and I believe you have enough experience in this area. Nothing unhealthy can happen even in the condition. So let it be so. Please do not worry and be obsessive.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. | 205,443 |
Painful abdomen, back pain, liver cysts, echogenic lesion, hemangioma with a differential diagnosis. Help | Patient: My mame is Alicja I am a woman 50 years old - I do not drink alcohol and do not smoke cigarettes - more than a month I have pain around the right side of the abdomen under the ribs and radiating pain that fastens to the back, Often Pain That wakes me up very early in the morning - and lasts during the day - with varying degrees of intensity, in the painful area also feels the heat - A blood test showed alt-69, gamma-GT - 105 the liver - 1.8cm cysts - in right lobe and 0.8 cm - in left lobe, left hepatic lobe in is a uniformly echogenic lesion with acoustic enhancement posteroir consistent with a hemangioma measuring 1.5 cm. right hepatic lobe anteriorly there is another uniformly echogenic lesion measuring 1.5cm Likely Representing well as hemangioma with a differential diagnosis of focal fatty infiltration. Doctor: Hi and welcome to HCM. You obviously have symptomatic liver haemangioma. This is one of the most common liver "tumors". It is immposible to be 100% sure that this is haemangioma considering ultrasound only,but it is good that some more serious liver malignancies are ruled out. Haemangiomas cause problems when become large enough so it can press surrounding structures or liver casule. Usually it happens when it measure more than 5cm but even smaller cysts can do it as well. So consult your surgeon about modalty of treatment and do further tests to exlude other liver lesions. Wish you good health. | 59,300 |
How to get rid of redness and pain under tongue? | Patient: respected sir/madam, I am having redness and pain under my tongue and lower inner part of mouth whch lies Under the tongue. Also, pain in tongue-tie. When my lower tongue touches teeth, I feel pain on lower tongue. This happenned to me in 2008 as well and troubled me for about 3-4 weeks. What can this be? Please help/suggest. Thanks Doctor: Thanks for your query, I have gone through your query.The redness and pain in the floor of the mouth could be because of the ulcer secondary to trauma by the teeth since you have tongue tie, the chances of trauma to the tongue is more. The other possible cause of redness and pain could be inflamed salivary gland duct opening secondary to stone in the duct. consult a oral physician and get it ruled out. if it is a ulcer, then you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food. The tongue tie has to be treated by surgery. if it is a stone then get it removed surgically. I hope my answer will help you, take care. | 183,803 |
What is the severe abdominal pain and blood in urine? | Patient: hello, I have terrible right lower sharp abdominal pain (its getting worse and has been hurting for 4 days) and blood in my urine. Sometimes it looks pink and other times it is red with blood clots. My period was a week ago and i have not had sex since. please help. Doctor: Hello ma'am......I seems that this pain is due to stone in your ureter or in bladder .it is wise to get a USG KUB to confirm the diagnosis . | 88,451 |
Pain in right side, tingling sensation in back and underarm. Weight loss on Atkins diet | Patient: i am a 55 yr old male, recently lost 70 lbs on the atkins diet .. for the last few months i have had a strange ache or pain mainly in my right side at about waist level. sometimes it seems to radiate or shift to my mid and upper back region, also have strange tingly stinging sensations in various back and side and underarm regions Doctor: Hi,Pain at about waist level ,radiating to back needs to be evaluated.You should undergo Ultrasound abdomen to rule out Right sided Ureteric stone.Regarding tingly sensations please Sleep in a Flat and Firm bed and also please take X ray Cervical Spine and Lumbar spine.Please check your Blood sugar levels by Glucose tolerance test(GTT). | 94,520 |
Is anemia a high risk when I am pregnant? | Patient: I just delivered twins on 06/26/10. They were 5 weeks and 1 day premature. I had an emergency c-section because I was having liver complications that were making me itch horribly and my blood pressure was high. I was also on blood thinner injections to prevent clots. My doctors office just called me and told me that they forgot to review lab work with me from April saying I was Anemic. Is it possible that being Anemic in such a high risk pregnancy with out treatment could have caused me to have liver problems which forced me to deliver so early? Doctor: Hi,The liver problem that you have described seems to be due to increase in bile acids, which is a condition unique to pregnancy. It causes itching without rash and is relieved once delivery occurs. Anemia can cause increased risk of post delivery bleeding, need of blood transfusion during delivery or later, but would not be a reason for liver problems.Twins pregnancies are known to have an increased risk of complications, and also early delivery due to a variety of reasons both maternal and fetal.The high blood pressure, and the itching(obstetric cholestasis) could be the cause.For the anemia, I would advise you to take iron supplements and get your haemoglobin checked again after 1 months time.Hope this helps.Regards. | 221,709 |
What to do if child is not eating, losing weight due to sinus and ear infections? | Patient: hi my name is stephanie broughton. my 5 year old daughter is 5 years old and she has a sinus infection and a ear infection. shes been sick for about 5 days. im getting scared because she doesnt really want to eat anything. she only pick at food here and there. shes already small and shes losing weight. this is really making me nervous. when should i get worried? Doctor: Hi,Welcome to Hcm,Any infection in a 5 Yr old can be very disturbing and troublesome for the child especially an ear infection can be real bad. The appetite gets bad only cos of the infection. Good thing is child is on treatment for the same and soon the recovery will happen. Dont worry much about the weight loss. keep trying to give him as much feed as she can take. Fluids, juices all will help. Dont force her with any specific food. Once she recovers, she will gain all her lost weight in no time. So be patient and let the infection get treated completely first. Wish your child good health. Take care. | 171,588 |
Have a kidney stone which was diagnosed earlier. Have undergone many surgeries earlier for various reasons. What to do now? | Patient: I need to know what to do about finding a surgeon that will listen to my ongoing battle with kidney stones. I have had 8 surgeries in the past year, lithotripsy, uteroscopic, tubes in back. I now know why I get them so much, para thyroid and I hope to have that surgery within in the next month, but that is not 100% fix. My basic problem now is that I have a stone in my kidney now that a month ago was 5mm, it is now 13x9x6. Because it is still in the kidney they don't want to take it out saying it causes no pain. I have never had one go into the pole, and I keep a UTI. What do I have to do to get a urologist to listen to me? Doctor: Hi, iam sorry to know about your stones in the urinary tract, i advise you to consult a urologist for diagnosis and treatment. Avoid taking tomato, green leafy vegetables, to avoid stone formation, or to prevent increase in the size of the stone. I to my patient with such symptoms prescribe some aurvedic preparations like neeri, cystone etc a long time basis for desolving the stones . Thank you. | 49,930 |
Suggest remedy for persistent cough | Patient: My son has had a resistant cough for months. They r/o reflux. They gave him an inhaler & allergy meds. They did a chest X-ray which was negative. It is interrupting his sleep & affecting his family life. Any suggestions as to what next steps to take would be appreciated. Thank you. Doctor: Hi since they are relating it to reflux, he must exercise, lose weight if he needs to. Also eat small meals and avoid onions, garlic, fizzy drinks, coffee, smoking, too hot or spicy. All these cause reflux.Regular breathing exercises and inhalation with Vicks/Eucalyptus oil will also help--regards | 98,699 |
What causes ribcage soreness, nausea, stomach upsets with polycystic ovaries? | Patient: I have Polycystic ovaries. Had a spell of nausea last night along with a very upset stomach and chills. (Not the first time this has happened.) When I woke up in the morning, both sides of my rib cage were extremely sore. Wondering why that is. Is it tied in somehow? Have my cysts become bigger? Do I have cancer? Doctor: Hello, it is most probably related to acid problems in stomach due to excessive stress.PCOD cysts dont get bigger on their own so nothing to worry regarding that aspect.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain | 41,210 |
Having high cholesterol, liver enzymes high. Stopped udiliv and started atorvastatin. What to do? | Patient: Hello doc, I have been having high cholesterol for many years now... and recently noticed that my liver enzymes were high too... I was given UDILIV this jan and after taking it for 3 months the liver enzymes came down and then the doc asked me to stop UDILIV and start Atorvastatin . After 1 month now my cholesterol has dropped down but my liver enzymes has shot up..... Please advise me on how to move on now Doctor: This is due to statin.consult your doctor he may reduce the dose of statin and restart udiliv.regards | 57,898 |
Suggest treatment for changing the shape of nose | Patient: Hello, I am 13. One day i was thinking of a kid at school whos nose was big and curved downward a bit. I was at home thinking about this and then i looked at my nose in the mirror and i didnt want my nose to do that. i started pushing up pretty hard on my nose for 1 or 2 days and i now think i changed my nose. for 2 weeks now i have been really sad and i want my nose to be the same it was before i did that. I used to think i looked good untill 2 weeks ago when i pushed up on my nose for 1 - 2 days. I want my nose to be like it was before i pushed up on it. Please help me resolve my issue. Doctor: Please wait for few weeks and watch,if not corrected cosmetic rhinoplasty can be performed after 17 yrs once growth of nose ceases. | 8,266 |
Why doesn t child eat while having runny nose and cough? | Patient: my 1 year old is having running nose and cough. he was given otrivin an flucold 4 three days...despite which he didnt recover..infact he had more cough and fever so on consulting the doctor he prescribed cosome 4 two days and now he stopped taking my feed but takes lil bit of cerelac. he s lukn better but slept the whole day.i am worried why is he not taking my feed. pls reply. Doctor: Anti allergics can cause nausea and sleepiness in toddlers.Also expect some crankiness.So I ll suggest that stop these anti allergics use home remedies like honey and sweetened ginger tea.As for medicines you can use some Ivy leaf extract. | 165,026 |
What causes a sharp pain behind the right ear? | Patient: 1. I experience light headedness all day and night, and it varies from a little to a lot at times. This has been going on for a little over a year (about Oct '13). I was seen by a doctor a year ago, but could not find the problem. It started coming on strong then, and nearly passing out when I bent over to tie my shoes or in the shower. I had a new eye exam and prescription, but only very minor change. I noticed no difference in the lightheadedness. I had xrays done, I think to neck and chest, found nothing. I'm having balance issues like I can not stand still, I wobble.2. About a week ago, I was driving home from work and started having a very sharp pain behind my right ear, it came on quick and lasted about 10 minutes, then, a loud pop was heard and felt in that area and the pain quickly went away. Don't know if it's related to anything. No repeated issues. I'm diagnosed with migraines, but I don't think it was that.3. I've had ringing in my ears for about as long as the lightheadedness, don't know that it's related, but it is getting worse and is constant 24 hours a day.4. Two weeks ago while at the gym, I started some new abdominal exercises, twisting side to side machine. I only did a few with little weight. Since then, I've had a sharp pain in my lower abdomen, like I need to go to the bath room, not from he exercise itself. I normally go #2 several times a day, normal for me.I don't know that any of this is related, but is some of my history. I'm a 42 YO male, 67"/180lbs, and normally exercise 3-5 times a week, running at least 15 miles a week and eat decent, don't smoke or drink. I often wonder if this is due to cholesterol, blood pressure, tumor...? I don't know. Can you please help shed some light on this? I just got a new doctor and waiting for an appointment to go talk to her about this. Thanks. Doctor: Hi, 1. This is most likely to be a referred pain form the teeth to the ear and surrounding area. The other possibility is the cervical nerves. 2. The pain sensation is mediated by the common nerve supply from the Trigeminal (Fifth Cranial Nerve). Chronic pain can alter the brains perception of the pain, making it more difficult to treat. The C3 dermatome supplies the region of the neck that you experience pain in. 3. Consult a neurologist to get an examination and a prescription for neuralgic pain killers (such as amitriptyline/ carbamazepine/ gabapentine / pregabalin). Do not self medicate as these medications can cause several side effects (including drowsiness and blurring of eyesight). 4. Other painkillers would give a partial relief in higher doses. 5. Let me know if this helps. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon | 215,359 |
Suggest remedy for cough with mucus and rumble in lower back | Patient: Hi, may I answer your health queries right now ? Please type your query here Hi i have been coughing up mucus in the morning and thru out the day but when its thru out the day its clear in the mornin after i wake up its yellow and just a few minutes ago i cough and it was a rumble on my lower back and some chest conjestion what advice could you give me ? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Chest congestion, rumblings in lower chest, coughing, mucus expectoration etc are suggestive of lung infection like pneumonia.So better to get done chest x ray first.You may need antibiotics.If chest x ray is normal then no need to worry for pneumonia.Drink plenty of fluids orally. Do warm water gargles 5-6 times a day. Take levocetrizine for cough.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | 73,654 |
What causes pain full lumps on the back? | Patient: I have lumps that come and go in the part of my back both sides they are very pain full so bad I can not walk at time this has gone on for a few years getting worse. X-Rays show nothing or mri shows nothing can not stand pain getting worse do not no where to turn Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma or schwannoma. Or some other painful tumour. You should go for fine needle aspiration cytolog or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the tumours. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. | 65,499 |
Numbness and dryness in the mouth after eating food with peanuts. No allergies till now. Reason? | Patient: All of a sudden the inside of my mouth started feeling kind of numb and dry. This happened after eating some M&M with peanuts but I've head them before and nothing. I am not allergic to peanuts or chocolate or anything. I don't know if this ever happened to you.....have perfume or hair spray accidentally sprayed in your mouth the taste and feeling your mouth gets its kind of what I'm feeling. Doctor: You can have allergy to any substance at any time at any age If it is single episode take medicines it qwill subside but i occurs again and again you will have to see allergeologist Take anti allrergic fexofenadine 120 mg bd add antacid syp tds apply kenacort mouth gel tds sop after 10 days | 104,371 |
Metallic taste in mouth, groin pain after biking, heavy lifting. History of malignant melanoma. Recurring cancer? | Patient: I have sence august of 2012 are having systoms of metallic taste in month and groin pain,i had removed in 2009 maligment melanoma or skin cancer .pain in groin is present after riding my bike lifting weights and eating food,went to dentist in Dec 2012 every thing is fine thier.Is this Cancer again in a more serious maner i am 45 yrs old and they also took out in the same spot the skin cancer in dec2012 the borders were starting to show signs of cancer again from the freckler that apeared in that spot. Doctor: Hi, malignant melanoma has to be staged before commenting on prognosis. Surgery is the mainstay of treatment. IF it is local disease it cane be removed with surgery but in case it has locoregional spread to lymph node chance of cure decreases. Unfortunately adjuvant treatment does not help very much. they are very poor responder to chemoradiotherapy. Biologics have some role. Consult you oncologist regarding staging and treatment options for your case. take care. | 159,344 |
Large red blotches on chest, lower back, arms and thighs, painful shoulders. Had seafood the earlier night. What is the cause? | Patient: I woke up this morning with a large red blotch on the right side of my chest . There are smaller red blotches on my lower back, arms and thighs. They do not hurt. the tops of my shoulders however are very painful...like I got hit. The only thing I can think of about the blotches is I had shrimp at a restaurant last night. I ve never had a reaction to shrimp or seafood before. I am 56 male, 165 lbs Doctor: Hello, Shrimp allergy is likely only of your sy,ptoms started within the hour of eating the food (and also they do not last that long). However, foods like shellfish do have a lot of histamine and can release even more histamine if you are prone for urticaria. You can get a skin prick test for seafood (must be off all antihistamines) and is likely to be negative. What you are having is urticaria, when mast cells on skin release histamine and can be occasionally triggered by histamine-rich foods. See your doctor for a precription of long-acting antihistamines like fexofenadine 180mg AM 90,g PM plus/minus cetirizine 10mg at luch time. | 105,523 |
What causes a lumps in the pubic area above the penis? | Patient: Hi i have found what looks like a pimple in my pubic hair region above the penis. It had a white head and i popped it and blood came out as well. It looks blackish color... Im just a lil worried. its been there before and came back a long time later inches away from that spot. Doctor: Hello!Thank you for the query.Such lumps are nothing more than hair follicle inflammation. It may appear due to shaving or insufficient hygiene in this area. Sometimes diabetes can make you prone to such lumps.This lumps are not the reason to concern. To prevent this lumps you should wash this area with water and soap regularly and keep it dry and clean. If you shave it, please use sterile shaver.Hope this will help.Regards. | 68,560 |
What could cause black and purple bruise on upper arm? | Patient: Hi there, About 5 weeks ago I got a huge knarly black and purple bruise on my upper arm. It took about two weeks to fade when another one (equally as large, painful and colorful) appeared. I didn t think much of it until I started being asked if someone grabbed me so I began being more cognitive of it s placement and it s healing. It started fading when it appeared again last week, more painful and his time with visable broken-spider-like-veins with the bruise surrounding it. I m a tad concerned. Any thoughts? Doctor: Hello, It might be due to trivial trauma, The cause for discolouration is slight exrrasation if blood. You can apply ice packs for faster recovery. If symptoms persist better to consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician | 124,600 |
Noticed a tear on the penis after having sex | Patient: Hi doctor. I have been married for 4 years, faithful to my wife. Yesterday, after we had sex, which we had not had for a while due to the birth of our baby, I noticed a little tear on the stem of my penis. During the maternity period, I do masturbate from time to time but not excessivly. It is dry winter weather here. Thanks. Doctor: Thanks for asking in healthcaremagic forum Small cuts in the foreskin and tear of frenulum is very common with dry and rough handling of genitals and can also be due to recurrent infection causing contraction of foreskin. So, please maintain hygeine and lubrication to avoid this. If not relieved then visit a doctor for physicale examination and further management. All the best. | 200,202 |
What is the solution for hair loss after using Androgel for low testosterone? | Patient: Sir, I am experiencing continuing hair loss (thinning to scalp area) approximately three months after discontinuing the use of Androgel for low testosterone. I am 53 y/o and had a full head of hair before using Androgel for two months. What can I do to stop/reverse hair loss? Thank You. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may use R89; massage into bald area vigorously for 5 minutes or you can use Mintop solution apply at area of hair loss. If symptoms not improved or aggravating please consult your dermatologist, he will examine and treat you accordingly. Take care. | 10,170 |
Wisdom tooth partially come out, pus and blood through a yellow spot on gum. What could this be? | Patient: Hi, my left wisdom tooth is comin through but has only partially come through and I have a flap of come now because of it, it s not that painful but this morning I noticed my gum was yellow like a spot so I pushed on it and puss and blood came out! I ve been doing salt wash before today as that s what I got told to do by my dentist with my other wisdom tooth! What is this?! Doctor: Hi, Thank you for the query. Wisdom tooth usually when erupting develops pericornitis i.e.infection caused due to the foodlodgement in and around the flap and getting inflammed leading to formation of abscess . This is what has happened in you case as well, the yellow spot is the abscess . I suggest you to get an x- ray done and visit your dentist for the treatment. Operculectomy is the procedure to be performed in this case where the flap leading to food lodgment and infection will be removed exposing the teeth.This should be followed by a course of antibiotics and analgesics .If teeth is impacted and decayed then it has to be removed surgically. Hope this information helps you. | 189,980 |
Is taking Acitrom during pregnancy harmful? | Patient: hello doctor, i m palvinder kaur bakshi from new delhi. i operated in 2007 AV+MV replacement. i m now 7 week pregnent. it is my first baby. but unfortunately i was taking acitrom of 5mg till today. is it harmful for my baby? i m afraid. my USG today shows that my baby is normal and heart beat is normal. is everything ok withmy baby. thanx. palvinder YYYY@YYYY Doctor: Hello palvinder, thanks for the query. While it is very important to be on acitrom for you to prevent thrombotic complications in pregnancy, it is equally important to prevent significant malformations in the baby due to acitrom. Please consider the following facts.1. The fact that you were on acitrom says you must have had mechanical prosthetic valve replacement rather bio prosthetic valve where anti coagulation may not be required at all.2. The use of any anticoagulants in pregnancy is a risk for bleeding at the placental site and subsequent miscarriage, preterm birth and low birth weight in the baby. In such a circumstance, using acitrom ( warfarin) in the first trimester poses further risk of malformations in the baby. And hence once pregnancy is detected, acitrom is usually replaced with either low molecular weight heparin or unfractionated heparin till 12 to 13 weeks to avoid teratogenicity. As acitrom is the best anticoagulant used to prevent thrombotic complications ( the risk for blood clotting in pregnancy is magnified 6 fold), it can be restarted following 12 weeks or continued with heparin depending on physician judgement. However, one must know that the risk for valvular thrombosis increases about 7% if only heparin is used during this period.3. Although it is very hard to determine the effects of acitrom on baby so early, as you have discontinued it in the very early stage and the dose is less 5mg) there may not be any harm on the baby. But I must warn you that you need to see your doctor for a detailed discussion and for anticoagulant replacement with heparin which is of utmost importance till 12 weeks following which you can be on warfarin again. Continued therapy during breast feeding is safe and encouraged. Hope this helped. Take care. | 219,107 |
What could sudden feeling of being punched in gut above belly button suggest? | Patient: A couple of times in the last few days, I've had a feeling of being punched in the gut, a few inches above my belly button. I haven't eaten right before the pain and I've thought maybe I NEED to but the thought of food when I'm this uncomfortable makes me feel sick. I'm female also. What could it be? Doctor: Hi, Based on your medical history, pregnancy could be a possible cause. I suggest to get a pregnancy test to rule it out. If pregnancy is excluded, PCOS or premenstrual syndrome could be other causes. I suggest to have an abdominal ultrasound for further evaluation. If everything with your genital tract is normal, then, should consult a GI specialist and run upper endoscopy and stool examinations to rule out GI pathology. Dr.Sejdini | 91,812 |
What causes chest and arm pains with forehead tightening? | Patient: Hi, my name is Michael. In the last few weeks, I've been having frequent pains and difficulty sleeping. The pains are persistent but mild for the most part, but sometimes it intensifies in my chest and arms. It feels as if they are tightening, especially on the left side. And furthermore, I'm beginning to feel the left side of my face and forehead tighten intermittently for several seconds, a dull pain around my left eye, and the feeling that my veins are bulging behind my let ear and upper-left forehead. My family usually dismisses these either as symptoms of anxiety attacks or gas buildup within my body, but I'm worried because most of it occurs on my left side, and it almost feels like I'm about to have a stroke or heart attack. I can't tell what it is, but it doesn't feel like my regular anxiety attacks. I need advice. Doctor: Hi and pleased to answer youAngina pectoris is a sign of myocardial ischemia, occurring when the oxygen requirements of the heart are higher than the intake by a coronary artery defect in blood supply to the heart muscle, by obstruction (atherosclerosis most often), Or by arterial spasm.Angina is characterized by the occurrence of pain or chest discomfort for several minutes, typically caused by effort, anxiety, most often located in the heart region, which can radiate to the left arm, or to the jaw, realizing the classic stress angina attack in which the oxygen requirement of the heart increases while the coronary blood flow is already reduced, a usual manifestation of coronary insufficiency but not causing myocardial necrosis.The gastritis corresponds to an inflammatory alteration of the gastric mucosa. There is no particular clinical picture of chronic gastritis, and sometimes it gives the same symptoms as angina.I urge you to consult a cardiologist, first, cause the angina pectoris can be harmful to your live. But if the cardiologist checkup is normal, you can do a fibroscopic exploration of your stomach at the gastroenterologist office.I’m sure that you have one of this two diseases.May my opinion help you and best wishes? | 23,403 |
Suggest treatment for lump in the ear | Patient: I m a healthy 21yo female. I just noticed a few days ago a painless, moveable, pea-sized lump right in front of my ear. The day I noticed it, my jaw was clicking while chewing on the same one side for a brief period in the morning. I have no other symptoms. When I open my jaw wide it retracts and I can t feel it anymore. How long should I wait before getting it checked out by my doctor if it doesn t go away? Doctor: Hi ! Good morning. I am Dr Shareef answering your query.Most common lumps on the head and neck region are lymph node swellings. Although it requires a physical examination of the swelling to opine on it, from the history I would consider it initially to be a lymph node swelling and examine all the related regions around it including the oral cavity and an ENT check up. The scalp and hair also could be the culprit due to dandruff infestation sometimes. After ruling out all these aspects, if the lump persists or increases in size even after a course of anti inflammatory and a broad spectrum antibiotic, definitely I would advise you for a routine blood check up like a CBC, ESR, and a FNAC (Fine needle aspiration cytology) to have a proper histological diagnosis and appropriate management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 67,787 |
Pain below stomach, releasing low quality sperm. What are the reasons? | Patient: Dear doctor, i am sudhakar 35years male, I am getting a pain below the tummy, can u tell me what are the reasons for this. I am getting since from 25 days. not a more pain but i can sense that location is giving me some pain. if i want to go for a check up in india, andhra prades, hyderabad, can u suggest me the good doctor. Is give me a trouble in my sexual life, because i am releasing low quantity of sparm while i am having sex since from past 8 months. I do not have a kids, i just celebrated a my 1st marriage anniversary in this month only. i just need a proper guide line. thanking you. Doctor: Hi, It seems that you are most worried for your wife not being pregnant yet . it will be best for you to attend an infertility clinic along with your wife and get both of you checked up and investigated . Do not worry .Foloow advice of doctors and be on treatment till you get result . hope every thing goes all right with you and get result soon . | 94,816 |
Are there any chances of pregnancy since my period was short and had a brown coloured discharge after 4 days ? | Patient: Had a three day period four days later had little brown spotting been ttc for two n half yrs but this month I used pre_seed, what's going on Period lasted three days and four days later had literally a spot of a brownish discharge. I have a daughter and four yrs ago I mc at three mths. So, now for two nd a half yrs I have been ttc. My question is what can you make of this situation Doctor: Hi welcome to Healthcaremagic hi..., most of the conditions like you are normal cessation on the monthly regular menstrual cycle..., hence need not worry.., but if you continue to have the brown discharge for longtime then you need to consult gynecologist... Hope I have answered your question.. Takecare... | 6,705 |
Feel dizzy. On medicine. Eating salty chips. Raised BP. Taking more medicine, resting. Treatment? | Patient: husband, just turned 80, dizziness since last thursday when getting out of bed or chair....been treating with meclizine once a day......2 episodes today when getting out chair...increased med to 2 today.....been forcing water and eating something salty (chips) .....blood pressure began at 94/44 -- 3 hours ago, has risen to 130/65 p..now 86.......more meclizine, bed rest, sit in chair now.....or what??? Doctor: Hello, Thanks for the query to H.C.M. Forum. Meclizine is a good medicine for vertigo , but in limit & if cause is known.Since your husband is having repeated attack of dizziness , so cause may be as, 1 Congestive heart failure as you mentioned that his B P was 94/44 mm of Hg, elevated to 130/65 mm & again 86 . This is a common feature in congestive cardiac failures cases. Diagnosis can be confirmed by E K C , E C HO and consult a primary care physician due to the old age of patient. 2 Miniere's disease , diagnosis can be confirmed by examination by an E NT specialist. 3 Idiopathic reason , so get blood for sugar and lipid profile and consult a physician as physical examination is very important . As B P is very low and an alarming so consult a primary care and get his opinion and deal accordingly. Good luck. Dr. HET | 118,641 |
Suggest remedy for body pain, weakness & high blood pressure | Patient: Dr., hi, thank you for reading this. To make a very long story short I would like to know what your opinion is regarding my recent situation. I ve been diagnosed with Undifferentiated Connective Tissue Disease, Raynaud s, Fibromyalgia. I ve just been to see a new rheumatologist because my previous one has retired. The new physician was disturbed to find out I don t produce cortisol anymore, have high levels of aldosterone (I think that s what its called), occasional 2.4 levels of potassium requiring IV treatment, face burning/tingling, arm numbness, all over burning or cold sensations, sinus tachycardia, a shadow that showed up on my back left side of skull during a brain MRI and horrible flares of all over body pain, weakness, nausea, headaches, high blood pressure and so many other symptoms. She is sending me to an endocrinologist and neurologist and she briefly mentioned multiple sclerosis at my appointment. I ve never been told I have lesions but with all other symptoms I m worried they will be enough to diagnose MS or the other end of the spectrum and get told nope, no lesions, no MS, good luck with the excruciating existence you experience! That s a nightmare in its own right. Anyway, I guess I just wanted to hear your thoughts and if I came in your office with this information and presentation, what would you say? Thank you in advance for your opinion. Doctor: Hello!Thank you for asking on HCM!I read carefully your question and understand your concern. Your symptoms seem to be related to a metabolic disorder and a hormonal imbalance. High levels of aldosterone may be related to primary hyperaldosteronism or Conn's syndrome. This is a disorder characterized by an overproduction of aldosterone from the adrenal glands, leading to high blood pressure and other cardiac and kidney complications. While low blood potassium is classically described this is only present in about a quarter of people.I recommend consulting with the endocrinologist and perform further blood lab tests and abdominal MRI to determine the diagnosis. Regarding MS, it is a diagnosis based mainly in an abnormal physical examination for neurological signs and an abnormal brain or spine MRI, where specific lesions are reveled. Sometimes it may mimic this clinical scenario, but suspicions are raised only in case of an abnormal physical examination. I would like to know if you have ever performed a brain or spine MRI? It is the most important examination in the diagnosis of MS, but it is usually performed only if neurological signs are encountered during physical examination. So I recommend consulting with the neurologist for a careful physical examination, to exclude this disorder. Hope to have been of help!Best regards, Dr. Iliri | 27,035 |
Suggest treatment for fever and elevated bilirubin in a child | Patient: Hi, may I answer your health queries right now ? Please type your query here...My baby s age is 10 days..serum bilirubin 15.6mg,direct 3.6mg,indirect 12.0mg..having fever at the time of 1pm to 3pm at around 100 degree day time after that gradualy reduced everyday..what is remady.. YYYY@YYYY Doctor: for fever use acetaminophen 3 times dailyfor high bilirubin, you have to increase the amount of fluids the baby takes..try to give him a breast feeding or a bottle very hour.. and foolow up the test every 2 days.. if the levels is decreasing then continue.. if the levels are increasing then go to the hospital, the baby may need to be subjeted to special type of light that breaks bilirubin in blood | 167,136 |
Why would the gum behind the last molar tooth be swollen? | Patient: The gum behind the last molar on the right side on the top of my mouth is swollen. like a big ball kind of. i don't have wisdom teeth yet. I want to know if their is a solution to getting rid of this without seeing a dentist cause i nor family have the money for it Doctor: thanks for your query, the swollen gums could be because of the infection of the gums over the erupting wisdom tooth.. it can be because of the trauma from the opposing tooth.. you can take a course of antibiotics like doxycycline 100mg twice daily for first day and once daily for next 4days if you are not allergic to doxycycline...you can take any anakgesic along with this, but this is not the permanent solution..for that you need to consult a oral physician and get radiograph done and get it diagnosed and treated..i hope my answer will help you..take care... | 186,803 |
What causes mouth ulcers? | Patient: hi there recently my husband I and developed multiple mouth ulcers inside our mouths as well as extreme fatigue. The ulcers have lasted for over a week and covered the whole tongue. I have also had terrible diarrhoea for the last 4 days. We have 3 young children and none of them seem to be showing any signs of having these aliments. I am wondering what it could be? We recently went camping (we live in NZ) and it seemed to develop on our return. Any information would be very helpful Thanks. Doctor: Thanks for your query, I have gone through your query.The ulcers can be because of the herpetic virus infection resulting in erpetic gingivostomatitis. Nothin to be panic, consult a oral physician and get it evaluated. Mean while you can take symptomatic treatment like topical anesthetic and analgesics like lignocaine and choline salicylate gel respectively. Do saline gargling.I hope my answer will help you, take care. | 181,917 |
What causes sudden increase in heart rate and pain in chest? | Patient: I am 36 years old, 163 cms tall and weigh 71 kgs. Im quite healthy play tennis and netball once a week and go to gym 3 times a week i was playing netball and started to get really fast heart beat and felt dizzy and slight pain in chest what could it be Doctor: Hi,This is Dr Sameer, cardiologist.Increased heart rate & palpitations can have a lot of causes.It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any.Thanks | 22,177 |
Suggest medication for flu | Patient: hi my name is joe, I just had a flu and moslty coughing and runny nose, so what i did is rest for about a week or 2 till I finally feel better, but then when I tried playing basketball my coughing came back, and I dont know why. I just wanted to ask how can I get rid of coughing once and for all , thank you Doctor: Hi. I can understand your concern. It must be a viral infection try stem inhalation and warm salt water gargling. Also drink lots of fluids. Take fruits rich in vitamin c like orange etc which will help you come over the infection faster.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks | 78,398 |
What causes pain the right flank area? | Patient: my husband is 43 yrs old, and was born with one fully functioning kidney and a non functioning kidney. He had a stint put in 13 years ago, due to the ureter closing off. The stint was removed a few weeks later. He has had no problems since. Now, he is having a lot of pain in the right flank area. It is painful to the touch. He keeps insisting it isn t his kidney because the pain is not the same. He is a stubborn man...any advice? Doctor: HelloThanks for query .You have not specified about which kidney is functioning and which side stent was placed in 13 years ago.The pain in flank is mostly due to hydronephrosis of the Rt kidney Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DTPA scan of the kidneys .4) Intravenous Pyelography to assess the kidney function on both sides .Further treatment will depend upon result of these tests and final diagnosisDr.Patil. | 47,710 |
Is consumption of alcohol advisable while being on antibiotics for typhoid? | Patient: Hi Doc, I am 30yrs male & diagnosed with Typhoid, and my liver & spleen shows mild enlargement too. It s almost 9 days now i m on antibiotics. From the last 3 days there is absolute no fever and i am feeling much better (still on antibiotic & multi vitamins ). Just slight headache and pain in the eyes... Is it ok if i consume alcohol in limit? regards _AJ Doctor: HiWelcome to HCM!You must avoid alcohol till you recover completely.The fact that your liver and spleen are enlarged due bto typhoid that means these organs are already diseased and on top of this if you consume alcohol whatever may be the quantity and quality it may be causing more harm to your liver. Besides there are certain antibiotics used in the treatment of typhoid which may interact with alcohol producing toxic reactions.So, in view of the above mentioned harmful effects, refrain from taking alcohol.Take care of your precious health. | 34,796 |
What is the cause of pain in my tummy after the removal of my left kidney? | Patient: Hi, I ve had surgery years ago to remove my left kidney because of kidney cancer but for a while now usually once a month on my right side where I still have a kidney remaining, I get this throbbing pain in the front part where my tummy is a little below my belly. Can you help? Doctor: Hi Sir,Welcome to healthcare magic,I understand your query and concern.Your symptoms is suggestive of a renal stone located somewhere in the Right lower ureter.For this you need to get him Intravenous pyelography for accurate assessment.I advise you to have Tab Tramadol and Tab.Pantop 40 mg,a course of antibiotic taken under medical prescription to control this pain.Further expert management depends on the outcome of the IVP result.If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithotropsy can be done.Meanwhile you need to take soft and less spicy foods.Drink 3-4 litres of water everyday.Fruits,fruit juices,vegetable salads,soups should be taken.Consult your urologist for expert management.Post your further queries if any.Thank you. | 48,099 |
Are loss of energy and sleeping a lot symptoms of dementia? | Patient: My husband has no energy, is always very tired and sleeps a lot. I read somewhere that too much sleeping can sap energy. Seems strange, but I don t know how the body works! he has Atrial Fib, which seems to be under control as he has not been in emerg for 3 years. The doctor says he has beginnings of dementia. He failed the memory test, and is now on pills. Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. As your husband has cardiac problem firstly you should get focus on this as cardiac issues if not on proper medication can be lethal anytime.Its good to know that he has not been to ER since 3 years..keep proper follow up visits for this cardiac issues. Next i would like to clear that energy does not get lost during sleeping as the body metabolism is low during sleep and energy is conserved not lost..Too much sleeping is sign of depression..i dont know exactly the sleeping habit status i mean day time sleeping or anytime...i think you should know his status either he is stressed and depressed or not.Encourage him alot,spend extra more time with him i hope he will be feeling fine and get rid of too much sleeping as depression can lead to many mental illness regarding dementia also. Hope this may help you. Let me know if anything not clear. Thanks. | 144,854 |
Ultrasound showed posterior pedunculated fibroid, anteverted uterus. Can I have children of my own? | Patient: Hi there. I am 32 years old. I got my ultrasound and endovaginal results today. Here goes. Uterus is anterverted There is a large posterior pedunculated fibroid measuring 10cm Smaller intramural fibroids measuring 2.5 and 4.2 cm There is a 13mm homogeneous endometrium It is 4.2cm right sided fibroid which protrudes into the right adnexa. The right ovary is no seen. The left ovary is normal. The adnexae are otherwise clear. No free fluid. Help... please explain this to me to clear terms. Also does my diagnosis mean that I cannot have children. And does that mean that I need to have surgery ASAP.. Doctor: Hi,Pedunculated fibroids are out side. They wont affect your fertility. Please get hysterectomy done which help will in diagnosing intrauterine fibroids if any.Regards,Dr. Mahesh KoregolIVF & Infertility Specialist | 43,176 |
Done semen analysis. What does WBC, RBC occasional mean? | Patient: Hello Sir, this is Muhammad Muzammil i am married since last 2 year, my wife is a diabetic patient type 1 she is insulin dependent, after 2 month of marriage my wife conceive baby but unfortunately miscarriage happened after 3 month, now after 2 year there is no hope for baby, my wife last Hemoglobin A1c was 5.6, serum T3 result was 1.10, T4 7.42, Serum THS 0.82 she already took Lezera 2.5 during her periods, after few days doctor give her Gonadopin injection after taking injection the result of TVS test was Right Ovaries large folicile was 2.1, 1.7,1.8 & 1.7 and size of left ovaries folicile 1.5 & 1.2, for rapturing the folicile she took IVF 5000.. now for last 5 months she didn take any medicine. before my first test of semen analysis doctor advise me to take CIPVAL 500 mg for 5 days below is my latest detail of semen analysis please i need your advise regarding my report let me know is there any problem in my report what does RBC, WBC occasional mean?. Duration of abstinence 4 days Time of liquification 30 min Color Greyish white Appearance Turbid Consistency Viscous PH 8 Volume 2 ml ml Total Sperm count 88 million Normal sperm 70% Head defect 10% Midpice defect 10% Tail defect 10% Active 80% Sluggish 10% Non motile 10% WBC Occasional RBC Occasional Epithelial cells Occasional Fructose Possitive Doctor: Hi Muhammad Muzammil,Welcome to HCM.Your semen report is fine, no need to worry. Occasional RBC, WBC in semen has no significance. If its more than 5-6 cells (RBC/WBC) per hpf, it might indicate infection of genital tract.Wish you good health.Regards. | 43,251 |
Suggest treatment for dull pain in lower abdomen | Patient: I am a 20 year old female, and have had a dull ache very low down in my abdomen, on the right side for the last 3 months. Sometimes it feels as if it's spreading across to the other side, other times it feels like it's in my hip joint. I've had urine tests, and and internal exam and neither showed anything was wrong. Is there anything you suggest? Doctor: Hello...it seems to be INTESTINAL AMEBIASIS..take 2 tablets of SECNIDAZOLE ,both the tablets r to be chewed with a glass of milk | 88,442 |
What causes abdominal pain during intercourse? | Patient: Think i may be pregnant. This happens a lot, my boyfriend and i dont use a condom, but we use the pull out system. I always get scared that im pregnant. This time it is different. We went to the lake this weekend and i sat on the dock yesterday, and i am still motion sick when i stand up, my appetite has changed, and my ovarian area hurts during intercourse. If i were to be pregnant, it could be as far along as a few days ago, to a month ago. what could this be? Doctor: Hello dear,I understand your concern.In my opinion there is risk of pregnancy with pull out method because the precum might also cause pregnancy rarely.And the sudden withdrawal might not be possible sometimes.Iam not saying it is not effective iam just trying to tell you that it might fail sometimes.Anyway just the symptoms like motion sickness,appetite changes do not suggest pregnancy.Because stress regarding the thought of pregnancy also might make one to feel pregnancy symptoms.That is why the pregnancy needs to be confirmed by doing a urine pregnancy test.The first sign of pregnancy is missed period.Other symptoms like vomitings,nausea,increased urination,sore breasts start 2 weeks after missed period.So if at all there is missed period I suggest you to do a urine pregnancy test a week after missed period.So relax.And avoid stress.Hope this helps.Best regards... | 220,322 |
What causes an itchy rash on the lower back and right shoulder? | Patient: I have a rash that itches on my lower back and right shoulder. Since I cannot see it , I cannot tell you what it looks like. I has spread a bit, but is not painful, just itches. Could I have shingles? I am 82 years old and had Chicken pox when I was about 7. What is the first symptom of Shingles and how long does it take before you can be sure? The itching started about a week ago. Doctor: Hello there,Thanks for your post on HealthcareMagic.I carefully read your query and able to find out your point of concern.Dont worry it's not shingels, Because shingels is a painful skin rash. And occurs in single nerve supplying area.You have no pain only itching and it is spreading. I think you are suffering from ring worm. It is a fungal infection.My advice is avoid use of soap on that area,use antifungal cream like fluconazole, and Fluconazole capsule orally. Maintain personal hygiene. I think it will help you.Wish your good health.RegardssDr. Atiqul | 29,817 |
What causes pelvic pain and back ache during pregnancy? | Patient: I am 33 weeks pregnant and have been haveing lots of Braxton hicks but for the last couple of days have had sharpe pelvic pains and then today they have gotten a lot worse and I have dull backache aswell. Is this anything to worry about or just normal? Doctor: Hello dear,I understand your concern.In my opinion the pelvic pains and back ache need physical examination to rule out any preterm pains.I suggest you to consult doctor for vaginal examination to check for any cervical changes.The causes of preterm pains can be urinary tract infection or any other infection ,dehydration etc.So they need to be ruled out and if present they need to be treated.Usually Braxton hicks are not painful and present during the pregnancy.Nothing to worry.They will subside with apt treatment.Best regards... | 220,810 |
Can kettle descaler cause any harm to fetus? | Patient: hi if a one month pregnant woman accidently ingested a drop of kettle descaler, would it have reached the fetus too. could it do any harm. she drank as much water and peed many times straight away and also stuck finger in straight away to vomit it out. there were no other symptoms in the woman except she had sore lips, she quickly spat it out. Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] first of all do not panic.2] Home made descalers are not harmful. 3] if it is a branded market preparation, then it contains certain acidic substances.4] But all that you have done - drinking lots of water is what is needed. Also a drop wont cause any harm as such. Whatever is swallowed first gets passed and detoxified by liver then circulates through blood.5] So do not worry, it wont harm the pregnancy.I hope my answer helps you.Thanks.Wish you great health. | 221,902 |
Can swelling in the legs and feet be due to blood pressure medicine? | Patient: I am suffering from side effects from blood pressure medicine. The primary being extreme swelling of the lower legs and feet. With fluid leaking out of the skin which dries after trickling down my leg to a yellow sulfur color. The skin is red and inflamed, thickened to the feel and constancy of silly putty. I have sharp, searing pain in the leg, and deep dull pain in the ankle. Pfizer admits that this is a known side effect of their drug, but they will not say what it is or what to do about it.. We are not permitted to share that information. See your Dr. Well, my Dr. has run many tests and has no idea what it is or what to do about it.. Do you know?????? Doctor: hihope this msg finds u in good health. i have gone through your complaints and under stand your concern. anti hypertension drugs are known to cause oedema and swelling in legs..other causes that need to be ruled is DVT or hypoprotienemia. get a scan and detailed blood profile done to find out whats wrong.. nothing to worry about. hope your question has been answered. if u have any follow up queries, feel free to consult me anytime .thanks Take care god bless | 132,755 |
What treatment should I go for fatty liver? | Patient: I was just told by the nurse that my ct scan shows a fatty liver. I can't get appt for 4 more weeks. I look 8 monthes prego in pain. Chest tight. Calfs hurt so bad. I am so tired I can't keep eyes open. Feel like I want to throw up 24 / 7What should I do? Doctor: for fatty liver , avoid foods high in fat. If you have too much fat in your liver, it can definitely affects its function. the way you're feeling now may be related to your pregnancy but if it persists, please go to nearest ER | 55,251 |
What do you suggest for a clear watery stuff coming out of the wound that is 6 days old? | Patient: Hi I cut my thumb on glass last Sunday. Cut was deep but didn't cut anything serious. My aunt cleaned the wound and bandaged it up for me. I went to my own Doctor on monday and they checked it and said I don't need stitches. They put sterile strips it and a bandage and put gause to hold it the thumb in place. they also gave me a tetnus. I've been trying not to use my right hand but it's hard as i'm left handed. It's been 6 days since the cut & today the cut is throbbing and i've a pain in my fingers and the pain is shooting up my hand. I checked the wound and there's clear watery stuff coming out of it. is the cut infected? Thanks Doctor: Hello, Welcome to HCM, Any injury with the glass should be treated with all precautions, because some of the glass pieces will remain in the wound and may lead to infection in future. As you taken TT injection it will protect you against tetanus. I hope your treating doctor has put you on oral antibiotics. Oral antibiotics definitely helps to control infection and protect you against sepsis. As you are having severe pain your wound should be properly exqamined under the light to check whether there is any left over glass pieces in the wound. I wound suggest ypou take oral NSIADs, befor you take consultation of your treating doctor. Thank you. | 40,400 |
What causes pain during orgasm and later? | Patient: my boyfriend is 55 years old. He did not have intercourse for over a year and when he began again just a few months ago, at the point of climax he has pain that lasts through the climax and for several minutes afterwards. The ejaculation is not thick and it is a creamy white so we are concerned about this, but his insurance does not kick in for a bit yet which is why he had not told me sooner. He also has difficulty maintaining his erection but we don't know it that is psychological because he knows it will hurt or physical. We have tried a couple of different non-Yohimbe containing meds for this that have had no real effect. What is your best guess on diagnosis and prognosis without having a medical exam. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your boyfriend has painful ejaculation .This is mostly due to Prostatitis .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Routine urine tests and culture 2) Ultrasound scanning of abdomen and pelvis and Trans Rectal Ultrasound Scanning.Taking broad spectrum antibiotics for 3-4 weeks help to resolve his problem.Dr.Patil. | 202,068 |
Does BecoZinc capsule prevent hair fall? | Patient: Hello, i am 20 years old.. i have severe hair fall.. now i am using BecoZinc capsule... regularly in morning only... Is this prevent hair fall.. and also i am doing my exercise in home.. some one says if we are doing exercise in home, it also create hair fall Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most of the hair supplements are vitamins which have no specific role in preventing hair fall unless there is a deficiency. If you are taking good healthy diet as others in your family I don't see this capsule as necessary for arresting hair fall. There could be other reasons for hair fall like androgenetic alopecia, Telogen Effluvium, lichen planus, lupus etc. I suggest you to kindly visit a dermatologist in your region for a thorough scalp, hair examination so as to ascertain the exact cause. Hope I have answered your query. Let me know if I can assist you further. | 10,399 |
Why is 'nexpro-20' prescribed in case of anemia? | Patient: Dear Doctor, Last week it was detected that I am suffering with anemia with my blood count as (9.2). Doctor has prescribed me with NEXPRO-20 tablet before breakfast and Livogen table after breakfast for 30 days. Kindly clarify to me, why I need to take the NEXPRO-20 which is for Acidity control, and I don't have any acidity problem. Doctor: the ferric compound in livogen sometimes causes acidity.That may be a preventive thing with nexpro20.you may continue with both prescribed medicines | 117,424 |
What causes a tiny piece of gum hanging from an empty socket? | Patient: Basically around 10 months ago i had one of my teeth pulled out. The dentist told me that i would always have a gap there, but recently a tooth has started growing there, and basically i can feel a tiny piece of gum hanging....not sure if i should be worried or not Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it is not a common finding that a tooth regrow or re-erupt into the area where a tooth has been extracted and there is a possibility that any piece of tooth root might b left broken and unextracted into the extraction socket and at times it can erupt and come over the surface..Secondly a tooth erupting in extraction socket is rarely possible if there was an impacted supernumerary [extra] tooth..I would therefore suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like x ray can help in diagnosis an then only any treatment can be done..Hope this helps..Regards. | 181,370 |
Stage 1V lung cancer, 400 mcq per tablet. How many mcq s does it take to come up to 1 mg? | Patient: im going to be starting chemo in a couple weeks for stage IV lung cancer. i will be having port placement on the 4th. so far they have given me B12 infusion which they will repeat every 3 weeks and told me to get folic acid on way home today.said i could get it @ drug store over the counter with no prescription & I'M to take 1 mg a day starting now. problem is bottle says 400 mcq per tablet. I've never seen mcg for dose. how many mcq"s does it take to come up to 1 mg? Doctor: 1 milligram = 1000 micrograms So u need to take folic acid tablet 2 and half tablet per day.Since it is stage IV lung cancer the doctor may be planning chemotherapy with agent called pemetrexed which is used in subtype of non small cell lung cancer called adenocarcinoma.Vitamin B12 and folic acid are needed to prevent pemetrexed toxicity such as anaemia and low platelet .Regards and take care. | 157,849 |
What are the chances of pregnancy if had unprotected sex using withdrawal method? | Patient: I had unprotected sex, used withdrawal method (however I believe there was pre-ejaculate present). I took the morning after pill 12 hours later, and I m 43 years old. What are the chances of me being pregnant? My period has recently become irregular (it used to be 28 days, but the last one was about 23 days). Doctor: Hello dearI understand your concernWithdrawal method can cause pregnancy if you had sex in fertile phase of the period Withdrawal method is not successful in preventing the pregnancy as precum release in the vagina unknowingly before the ejaculation. (precum contain sufficient sperm that cause pregnancy).But you have taken Morning after pill with in 24 hours, It will highly effective in preventing the pregnancy.It has just 0-3% failure rate.So i think chance of pregnancy is very less according to you age.But your period may be delayed (1-2 week)/earlier and associated with excessive bleeding as pill cause hormonal imbalance.Avoid stress,take healthy diet, drink plenty of water and do regular exercise.If period become irregular then consult the gynecologist for examination.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar | 3,228 |
Does chronic lower back pain and irritable bowel relate to Fibromyalgia ? | Patient: I am going to a new doctor in a few hours.I have looked at my problems and Im starting to think it could be fibromyalgia.I am a forty five year male with cronic lower back pain and irritable bowl for the past three years. The only thing that has ever helped me is stuff like hydrocoacetamin 10.5 or hydromorphone 4 mg than im out of pain for a wile and able to do things,when the drugs ware off its back to the pain . Do you have any advice ? Doctor: HI. The basic underlying cause of your IBS, low back pain may be anxiety - which add to have fibromyalgia too. You have to contunue medicines as per your Doctor's advise. Other than medicines acupressure , meditation d help in all the three problems you are suffering from. | 111,903 |
What do tiny growth on tongue indicate? | Patient: Hi! I want to ask that I have tiny outgrowths in both sides of tongue.I have get biopsy for tht from one side but of no use.No medication can give me cure .I am in trouble condition but doctors said its ok stomach problem will recover bt not take it serious. Doctor: HiOutgrowths from tongue can be due to several reasons ,most common of all is a mere imflamation of the taste buds . Since you have'nt mentioned the size,nature ,pain symptoms and an appropiate detail on biopsy finding i am presuming that it is a non cancerous growth as your doctor has told you that it is ok . you have mentioned something regarding your stomach condition as well . if you suffer from acid regurgitation the swelling in the tongue can be duly explained . i advice you to visit a physician and get any systemic problem rectified to rule out any other cause . i have tried the best from my side to help you with the infromation you have provided , hopefully it will be of some help. take care . | 181,987 |
What causes excessive sweating in a child? | Patient: My son started sweating profusely one day all over his body it looked like he just got out of the shower. Now he sweats only on his right side and mainly on his torso. This happened shortly after he took minocycline and he had also had dental work shortly before this started. Any ideas on what he may have? Doctor: Hi..whatever you are mentioning is not a known or routine side effect of Minocycline. But I suggest you see a local physician and get your son evaluated for autonomic instability. He needs a blood pressure check and catecholamine level evacuation too.Regards - Dr. Sumanth | 175,906 |
Suggest treatment for hallucinations and mood swings | Patient: Hello sometimes my wife shouts without any reason, she hears the imaginary sounds in her mind like someone has died or any unmarried girl has given birth to a child. She is very lazy she has done m.c.a. but she does not want to do job and does'nt make physical relationship with me please help me regarding this. Doctor: HiThanks for using healthcare magicI think, she has psychosis. In psychosis, patient has hallucination, decrease interaction, decrease sexual desire or poor self care. In that case, she needs proper mental status evaluation by a psychiatrist. If she has psychosis, then she would improve with antipsychotic medication. If you need further help, you can ask.Thanks | 209,518 |
How is lyme disease treated? | Patient: My friend has had Lyme Disease at Stage 3 for around 4 years now. I just heard about this and am seriously worried. At first, they tried antibiotics and they didn t work so they stopped the medication. She has been untreated for all these years and nothing seems to be getting worse. However, I m afraid that something fatal will suddenly happen--is this something I should be worried about, or will she be alright without treatment like she has been? Thank you. Doctor: Hello,Welcome to HCM,Lyme disease is a bacterial infection transmitted by a tick and it is caused by a bacteria Borrelia burgdorferi. I suggest you should first diagnose yourself for the Lyme Disease before you got treatment. You can get tested yourself with ELISA, IFS or Western Blotting to confirm the diagnosis. If you are having lyme disease you can follow this treatment.Lyme disease can be effectively treated with antibiotics. Antibiotics, such as doxycycline or amoxicillin should be taken orally for 14 to 21 day. Intravenous (IV) antibiotics may be used for more serious cases and for someone whose nervous system has been affected. The IV antibiotics should be taken for 2- 3 weeks.Thank you. | 37,620 |
What is the bruise like rash on the back right in the middle ? | Patient: Hi my husband has a bruise like rash on the small of his back right in the middle. It is in the shape of a circle and hurts to touch it. He hasn t done anything to bruise his back in that area. Could you please tell me what it could be. Thank you so much. Doctor: Hi, It could be a purpura. There are various causes for purpura. Finding the actual cause of purpura may require blood tests. I recommend you to visit your Dermatologist to confirm the diagnosis and to initiate the therapy. Hope I have answered your query. Let me know if I can assist you further. | 13,752 |
How to stop nose bleeding as fall and hit the head? | Patient: My 4yr old son fell and hit his head on the floor hard he had a bumo i took him to the er he was acting fine after they gave him tylenal so we left and watched him all night he was fine this was 3 nights ago and yestutday night he got a baf nose bleed he was acting normal and tonight anothet nose bleed and his bump is soft real soft what does this mean Doctor: Hi ! Good morning. I am Dr Shareef answering your query.I would advise you to take your son to the ER for a re evaluation by an ENT specialist, and also a general surgeon for the soft bump. Your son might need some investigations if advised by the treating doctor. Further management would depend on the result of clinical examination and related investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. | 96,910 |
Suggest knee replacement surgery | Patient: Yes, I am looking at having a replacement lt knee as serve real surgeries years ago and a failed ACL replacement using part of my patella also. I have for the most part been making do with strengthening what I have for the past 10-12yrs in the hope I could get close to 60 yrs of age before having this op. I have reached 50yrs old and now find I suffer far more pain and swelling and the. Time has come. I fear that the artificial replacement may wear out and want this op to be something that will last me out. I have been recommended to a Mr Reinhart Wuttke from myGP. I have looked. Him up this morning on line and an not find him listed under the Australian Orthopedic register. Aos.org.au. Can you please offer me some clarification. Doctor: hi,thank you for providing the brief history of you.As you had an ACL reconstruction, and now again the pain is bothering you, for which you want to undergo TKR, I will have a personal recommendation of not undergoing TKR so soon as you can still recover better with physical therapy. TKR might help you ease of pain but the knematic of the joint will be different and major activities might have to be restricted due to certain factors post TKR.Also, in my clinical practice I still prefer to avoid TKR for knee injuries. As long as the natural joint is saved it is always recommended to have one. My patients respond well to physical therapy.RegardsJay Indravadan Patel | 133,519 |
What is the hard,painless lump on the ear? | Patient: my 2.5 month old son has a hard lump, about the size of a large pea, on his right pinna. It is not in front of or behind the ear. It is ON his ear. It is noticeable from the front, as well as from the back of his ear. It is on the thinnest part of the pinna. It does not seem to be tender, as he does not mind if I press hard on the lump. I wondered if it were a cyst or something similar; but, to be perfectly frank, I am terrified that it could be something cancerous. Doctor: It may a dermoid cyst which may need an excision or may be just a cartilaginous mass. Just observe, if it is not growing in size, it is definitely not cancerous. But, an ENT surgeon may be seen for its excision. | 65,406 |
What causes chest discomfort? | Patient: Dear Dr. I feel like something has been tore in the chest. I cant do any exercise due to this. finding very very difficult to work. Its affecting the quality of life. The chest physicans, thoracic surgeons, general physicians are diverting to sychiatrist. Need your help. (Ayub) Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. We, doctors always try to find out organic cause for patient's symptoms. So in your case we need to rule out cardiac and pulmonary causes for your symptoms. You already consulted various doctors and none of them find cause for your symptoms. So psychiatric illness is the last possible cause.This is the reason why they all are sending you to the psychiatrist. So better to consult psychiatrist and find out solution for your symptoms. | 80,756 |
Suggest remedy for injury in lower inside lip | Patient: Hi, my 3 year old bit his lower inside lip. It stopped bleeding, but now appears to have a clot in the hole where he bit it. He is eating ice cream and Popsicles with no pain. Do I need to be concerned with the clot that looks to be filling in the hole where he bit the lip? Doctor: HiThere is nothing to be bother about the clot. Clot is defines mechanism to prevent bleeding: Do not attempt to remove the clot as it may provoke bleeding.Continue giving him cold food which will decrease the chance of rebreeding.Take CareBest RegardsDr T Shobha Deepak | 178,870 |
Is a black core in the arm lump of concern? | Patient: i had a white bump on my arm the size of a cous cous and the dermatologist sent it out for testing and came back fine. But when they scraped it off, there was a small black core in the direct center of it. Since then, the core has become a little bigger and darker. Concerning? Doctor: Hi! Good evening. I am Dr Shareef answering your query. Even if the lesion could be benign, I would advise you to get it clinically assessed by a general surgeon in your area, and get it biopsied if advised to have a definitive diagnosis. Further management would depend on the reports of the investigation.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. | 67,435 |
Taking Duphaston, have PCOS, trying to conceive. Should I take Yamini? | Patient: Hi Doc,My name is Daya 30 yrs old female.I was advised by my doctor to take yamini for 2 months to bring down my progesterone and testosterone levels which was a bit high.After this 2 mnths medication she has advised me to start with duphasthon 10mg and clomiphene.I also have PCOS .Am trying to get conceived.I have a doubt whether use of yamini will prolong my conception .Thank ub Doctor: Hi Daya, Its true that Yamini being contraceptive will prolong your conception, but it will prolong conception only till it is being taken. As you have finished (stopped) taking it, it won't prolong conception further. Its not cprrect to take Duphastan & Clomiphene blindly with monitoring ovulation, at least in first cycle. Its better to consult infertility specialist who can do ovulation induction properly to increase chances of conception. Wish you good health & quick pregnancy. | 44,074 |
Can light case of shingles cause high liver enzymes? | Patient: My blood tests have come back with high liver enzymes. I take several cholestrol medications so I think that could be the problem. Could a light case of shingles cause high liver enzymes? My gastroenerologist is ordering liverscan and more blood work. I am in between cardiologists and will see him later this month. But I am curious about the shingles and liver enzymes. Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Yes it may cause such issues as well as certain medications. However, it is better to do work up to rule out some other liver disorders.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health. | 53,919 |
Can follihair,diprovate plus and anaphase help to regain hair? | Patient: Hi Respected Doctors, I am 26 yrs female suffering with severe hair loss. I visited a dermatologist who prescribed me follihair tablets, Diprovate Plus ( tropical solution) & ANAPHASE shampoo. I am taking this treatment from last two months but did not feel any progress or positive effect. Moreover these all medicines are too expensive. i can t afford such expensive medicine s as i am from a normal lower middle class family. I just want to ask you with due respect. Is this treatment is sufficient ? Will i be able to regain my hair in future ? What are the other cheap medicines available in the market that i can take instead of the above mentioned prescribed medicines ? Thanks a ton for a valuable advice. Doctor: Hi,Hair loss can be caused due to various causes in females most commonly are:1) Tenogen Effluvium due to a preceding stress factor like illness, stress, pregnancy etc2) Female pattern baldness wherein these is loss of hair over the central portion of scalpHair loss treatment is a combination of lifestyle changes (which most people overlook) and medical treatment:1) Have a healthy diet consisting of lots of fruits and vegetables2) Drink plenty of water3) Avoid smoking alcohol4) Zinc and biotin supplements5) Use 5% minoxidil (1 ml) morning and night over the scalp for atleast 3 months6) Reduce StressAll this will help you control your hair lossDo follow up with me if any further queriesRegards,Dr. Gauri Kshirsagar | 10,943 |
What causes lumps on the gum? | Patient: My daughter currently has a mild fever and compliaining of not feeling well. She just pointed out to me, a lump on her gum. She is 6. It is in the back where the molars will be. It resembles a skin tag. She stated that she felt it begin yesterday and feels another forming on top. What could this be? Doctor: Hi, thanks for sharing your daughter's health concerns with HCM! If I were your family's treating Doctor for this case of a lump on the gum, I would come up with three possibilities, these include: 1. recent infections like peri-apical or peri-odontal abscess!2. some cysts like retention cyst, congenital cyst, pyogenic granuloma or some injury3. some new dentition and related edema/congestion ! Therefore she might need a orthopontography and dentist's opinion for a diagnosis and treatment protocol if needed at all!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your daughter good health. | 66,267 |
What does the stool test indicate? | Patient: Hi I m a mother of 1 yr. and 6mos. baby...What is the meaning of my son stool exam Pus cells:1-3/hpf Fat globules:Few the remarks is no parasite seen...he poop almost 4x a day do I need to worry?because last two weeks he is positive of amoeba but he finished his medication for 12days but still he poop many times a day. Doctor: Hi..this is quite common in recovering amoebiasis. The stool examination report is normal. The other possibility is an inter current viral diarrhea. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment.Regards - Dr. Sumanth | 176,823 |
Could bow legging from the knees be the cause for the pain in the ankle? | Patient: My mother has arthritic knees, they are totally worn out, yesterday morning she got up and after walking fom bedroom to dining room her ankle gave way and now she can not walk on it, and I might add she is terribly bowlegged from her knees, could that have an effect on her ankles? Doctor: yes ....I am sorry to inform you that bow legs would not only affect ankles but hips, and spine may be affected too....right now to concentrate on ankle apply cold compression and elevation | 134,667 |
Can pregnancy happen with non penetrative sex? | Patient: Hello me and my girlfriend were laying down and she asked me if i want to eat her a finger her and I said okay , she said that fingering hurts so i mostly ate her. After that she asked me if i want to cum on her stomach i said yes. She had sweatpants on and cum didnt go around the vagina at all. After that i cleaned her up but i didnt wash my hands and after around an hour she asked me again if i want to eat her and finger her and i said okay. My hands were dry im pretty sure but now she thinks that she is pregnant.Is there a chance for her to be pregnant ? Doctor: Hi, I don't think there is a chance of pregnancy. Pregnancy can't happen if there was no contact of precum or ejaculate with vagina. So, you should not worry about it. Hope I have answered your question.Regards Dr khushboo | 847 |
Does IV insertion cause swelling and soreness in the arm? | Patient: was in the hospital a few weeks ago for serious infection that got into my blood. They have me on Ciproflaixn for 25 days to get rid of the infection in prosate and in my blood. while in the hosp they had IV in my right arm for 2 days until it became sore. so they moved the iv to my other arm. meanwhile my vein has been a little sore near the bend in my arm. meanwhile today i got home because it was really sore and noticed my vein was a bit puff or enlarged more than normal. i called my primary care doctor and left a message. should i put ice on it, is it just irritated from the IV s. Doctor: Hello, IV cannula insertion causes pain and swelling in the arm due to inflammation of the vein caused by it. You can use the topical ointment to decrease the pain and swelling. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon | 122,441 |
Is there any chance of pregnancy after having protected sex? | Patient: Hi, Gopal here from mumbai.I had oral sex with my girl friend,after that my girlfriend dint get her period still nw(it was 20 days late).While sex was using protection and I just touch my gental to her vagina not more than that.Is their any chance my girl friend to be pragnant?Please suggest me. Doctor: Hello,Thanks for asking at Healthcaremagic.I have gone through your query and I can understand your concerns.Pregnancy is almost impossible in your case.Amenorrhea(absence of periods) could be due to some other reasons probably due to some hormonal imbalance.You can do a UPT(urine pregnancy test) for your own reassurance.Thanks.Dr.Shana | 545 |
What is causing the seizures of my daughter? | Patient: My daughter had two seizures and they both were in her sleep. I took her to the ER both times and there it appeared she had another seizure one at the ER each time because she wet on herself again. Is this normal? The very first one was in April of 2014 and then on Mother s Day she had the second one. We have never experienced seizures before than. I m nervous and scared and there is a waiting list the see a neurologist. Doctor: what is age of your daughter?there are many causes of seizure. You hosuld get her MRI Brain, EEG done and might be she will require to start antiepileptic medicine based on her proper history and findings in tests | 144,620 |
Suggest treatment for diabetic wounds | Patient: my mother is suffering with diabetics with average levels of under 200 but recently once she had 470 but we are think that huge level must be wrong tested.. what my question is she's getting pus from her leg toe and we are very much bothered about it , and she's getting sweat , pains in back neck, in hands and legs and she gets lot of pain in hand fingers and wrists... please sir give me the ultimate suggestion to get my mother out of it.. iam waiting for your valuable reply..thank you.. Doctor: Hi,In your mother there is development of diabetic foot (with infection)Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic vasculopathy, which impaires nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. 1) She requires detailed clinical & foot Examination. 2) Blood investigation for evaluation of level of infection, nutrition, diabetic complications. 3) Intravenous antibiotics. 4) Strict blood sugar level monitoring and control (possible need for intravenous insulin). 5) Imaging of foot to assess underlying bone involvement, to assess blood supply of leg. 6) Depending upon her clinical condition and test results she may require surgical intervention. 7) She should strictly avoid weight bearing on affected foot. | 191,934 |
Red blotchy spots on palm, red bumps. Is she allergic to anything? | Patient: my 22 month old has red, blotchy spots on the palms of her hands with some small red bumps in some areas. It is very itchy for her and I don't know what is causing it. I haven't changed any kind of body soap, lotion, hand soap or detergents. I have tried over the counter anti itch creams and lotions and have given her allergy medicine to try and help her but nothing is working. Doctor: Hello Kim, Thanks for posting on HCM, Your daughter might have contracted a fungi rash which will require antifungi medication to treat it. Giving antihistamines alone without treating the actual cause would not work. If antihistamine has been administered properly and rash still persist, then allergy might be excluded. Other medications such as oral steroid can also get rid of allergic reactions when antihistamines alone fail. Also possible are bacterial or viral infection of the palm skin most probably dermatitis. Local creams (antibiotics, antifungal or steroid etc) could be administered to help deal with the affection. If rash persist, please do not hesitate to consult a dermatologist. Dr. Nsah | 104,182 |
Is it safe to conceive with high thyroid levels? | Patient: Hello i been having hyperthyroid since age 14 , im now 25 i have a 5 year old daughter i concieved having thyroid disease i had a healthy baby girl but did get induced at 37 weeks to do preclapsia , i recently got off my birthcontrol i was on the uid paraguard , im trying to consieve again I got blood done and my dr told me my levels r high agian. She switched my current medication So if im trying to get pregnant again it wouldnt harm the pregnancy. My question should i avoid getting pregnnat with my thyroid levels high ? Should i rather go to encrologist Doctor: Hi, I think you should first bring your thyroid profile in normal range and then try for pregnancy. Increased values can lead to abortions and fetal complications also. When your thyroid profile is normal, you can try naturally for 3 to 6 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. If it doesn't work, then you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 cycles. Hope I have answered your question. Regards Dr khushboo | 1,326 |
What causes bloating and back pain after embryo transfer? | Patient: Thanks a lot. I am due for testing tomorrow morning after an embryo transfer 11 days ago and was just reading through to see if i can find clues to my symptomsi feel bloated, have back pains and full breasts especially i the morning. I am just curious and wld like to have any tips prior to my blood test tomorrow Doctor: Hi,Thanks for writing to HCM.After embry transfer you will be adviced drugs containing progesterone.This progesterone is normal sex hormone which helps in maintaining early pregnancy and prevent abortion. This drugs have many minor side effects like abdominal bloating , depression,breast fullness or pain, spotting, discharge per vagina and body ache or back ache.So don't worry because of progesterone you are getting bloating and back ache and breast fullness . I usually don't advice any treatment for this. It will subscide itself .Progesterone reduces intestine motility and cause bloating and even constipation.Wish you luck for your pregnancy test.Hope I have been helpful.Regards Dr. Ashish Verma | 42,672 |
Suggest medicine for pain and swelling on the knee | Patient: Hello sir.. My dad is suffering from acute pain and swelling in both the knees. Xray reports suggest that knees have been worn out. He is just 54 years old. Is it a good idea to go for knee replacement at this early age? I have read that Hylagen is a very good option too to prevent pain. kindly suggest if we can go for this option too? Thanks. Sharad Doctor: hi,thank you for providing the brief history of your dad.A thorough musculoskeletal assessment is advisedAs you dad has knee pain which is acute in nature I don't think he needs knee replacement as of now. Due to ageing there will be wear and tear of the weight bearing joint. Also, taking an MRI of the knee will help understand if the soft tissues and ligaments are proper in shape. If any particular ligament is torn out completely than a ligament reconstruction can help better at this stage.Also, I will recommend to undergo physical therapy as it is non invasive and research supports that performing a good physical therapy will help your dad avoid knee replacement too. With the help of physical therapy the strength, ROM, flexibility, balance etc can be achieved and knee replacement can be avoided as well.Majority of my patients recover well with physical therapy and avoid knee replacements.Regards Jay Indravadan Patel | 133,612 |
Is pregnancy a possibility after a follicle rupture? | Patient: I had follicular study and my follicle ruptured on 30th day of my cycle. Also my menstrual cycle is of 35 to 40 days..... also we had intercourse before rupture and on the day when we got report that right side follicle is ruptured.... my endometrium size is 11.1 What are the chances of me concieving Doctor: Hi, Thank you for asking. Iunderstand your concern. Yes.. with ovulation +ve & unprotected sex before &on the day of ovulation .. there is good chances of pregnancy. Actuallythe possibility can be extended till 3rd day past ovulation. Avoid excess physical or psychological stress. Take comparitive rest . Eat light ... You can get + ve pregnancy report after 8 days delay in periods by HPT.or by blood hcg test arouund expected date of menses. Thanks. | 218,958 |
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